Toshiba Aplio i900 Ultrasound Machine – Refurbished

Review

Toshiba Aplio i900 Review:

The Toshiba Aplio i series consists of the Aplio i900, Aplio i800, and Aplio i700. The new Aplio i series features a whole new design, more intelligent workflow, and more powerful new iBEAM digital architecture. The new Aplio i series has a more modern design than that of the old platforms, the Toshiba Aplio Platinum series, which are bulkier and heavier. The Toshiba Aplio i series is also more convenient thanks to the smaller and lighter system design and higher flexibility with over 36cm of panel height adjustment, lateral slide, and fully articulating arms. The system itself is compact, but its 23″ LCD monitor and 12.1″ touch panel are larger and functionally interactive so that they help improve scanning productivity and reduce fatigue from the repetitive scanning task.

The Aplio i900 is the top of line product from Toshiba. Toshiba has achieved a great reputation in the ultrasound industry by maintaining high standards in both image quality and functionality within Radiology. However, due to the lack of 4D matrix transducers and interventional cardiology options, Toshiba has revealed its limitation in cardiovascular applications. It seems that with the release of these 4D options with the Aplio i900, Toshiba enables to knock down the premium cardiovascular market; however, its reliability of 4D solutions and the quality of 4D images are not yet proven clinically. It is expected that more clinical testimonials and papers will be available in the near future.

The Toshiba Aplio i series integrated a new iBEAM digital architecture that highly enhanced fundamental processing quality compared to the old Aplio Platinum platform by re-designing both hardware and software. To achieve the system’s stability and productivity in the early stage of new product launch, many clinically proven technologies and settings on the Aplio Platinum series have been utilized. A notable achievement of the Aplio i900 is the 4D cardiac option, which differentiates the Aplio i900 from the Aplio i800. If you are in the market for a premium cardiac system from Toshiba, the Aplio i900 is recommended; however, for the use in radiology applications, the Aplio i800 with matrix convex or linear option would be good enough.

The key features of the Toshiba i900 apart from much enhanced 2D and Doppler performance based on the new iBEAM digital architecture and Toshiba’s outstanding matrix transducers such as i6SX1 and i18LX5 are an Automated Mitral Valve Assessment function and a wideband Volume TEE i6SVX2 transducer that enable to properly support interventional cardiac procedures such as Mitral Valve Replacement. The utility and functionality of these two options has been clinically proven to allow for better surgical planning by both the Philips CX50 and iE33 for a last decade. At present, the Philips EPIQ 7 shows better automation and performance that those of the CX50 and iE33.

Probes

Toshiba Aplio i900 Probes/Transducers:

Convex Probe:

PVI-475BT(i8C1)

PVI-475BX(i8CX1)

PVT-375BT(6C1)

PVT-375SC(6Cs1)

PVT-674BT(10C3)

Micro Convex Probe:

PVT-382BT(6MC1)

PVT-712BT(11MC4)

Endo Cavity Probe:

PVT-781VT(11C3)

PVT-781VTE(11C3)

3/4D Convex Probe:

PVT-675MVL(9CV2)

PVT-681MVL(11CV3)

Intra Operative Probe:

PVT-350BTP(6CP1)

PVT-745BTF(11CI4)

PVT-745BTH(11CI4)

PVT-745BTV(11CI4)

BI Plane Probe:

PVL-715RST(11CL4)

Linear Array Probe:

PLI-1205BX(i18LX5)

PLI-2004BX(i24LX8)

PLT-704SBT(11L4)

PLT-705BT(11L3)

PLT-1005BT(14L5)

PLT-1204BT(18L7)

Sector Probe:

PSI-30BX(i6SX1)

PSI-70BT(i10S4)

PST-25BT(5S1)

PST-30BT(5S2)

PST-50BT(6S3)

TEE

PEI-512VX(i6SVX2)

PET-508MA(7S3)

PET-512MD(8SM2)

Laparoscopic Probe:

PET-805LA(12LI4)

Pencil Probe:

PC-20M(P2)

PC-50M(P5)

Features

Toshiba Aplio i900 Features:

• 23-inch wide LCD monitor
• DVD/CD drive
• Precision Imaging(Speckle Reduction)
• D-THI
• ApliPure+(Spatial Compounding)
• Tissue SpecificOptimization
• Trapezoid Scan
• Quick Scan
• Advanced Dynamic Flow™ (ADF)
• DICOM
• Smart 3D
• Software full keyboard
• Vascularity Index
• Smart 3D
• BEAM
• Superb micro-vascular Imaging (SMI)
• Intelligent Dynamic Micro Slice
• Multiplexing
• Volume Matrix

Options

Toshiba Aplio i900 Options:

• CW Kit
• ECG, PCG, and Pulse sensor
• Stress Echo Kit
• 2D Wall Motion Tracking Kit
• Mitral Valve Analysis Kit
• Pencil Connector Unit
• M-TEE Hnager Kit
• CV Kit
• STC Kit
• CHI Kit
• CHI-Q Kit
• Fitting Curve Kit
• Mecha 4D Kit
• Luminace Kit
• Fly Thru. Kit
• Shadow Glass Kit
• Elastography-FLR kit
• Elastography kit
• Shear wave Kit
• Smart Fusion Kit
• Smart Navigation Kit
• Sensor Kit for Fusion Unit
• Fusion Pole Cart
• Mounting Kit for Fusion Sensor
• Smart Navigation Sensor Kit
• Smart Sensor 3D Kit
• MicroPure Kit
• Panoramic View Kit
• Multi-Reflection Canceller Kit
• Mounting Kit for Peripheral Unit
• Foot Switch
• Gel Warmer
• Transducer Cable Hanger Kit
• Transducer Holder Kit
• Wireless LAN Kit
• EV/ER Transducer Holder Kit
• Keyboard Kit
• 2nd Console Kit
• Protocol Assistant Kit
• Security Management Kit
• Local Language Key-Top Kit

Applications

Toshiba Aplio i900 Applications:

• Abdomen
• Women’s Helacre Care(GYN & Breast)
• Obstetrics
• Vascular
• Transcranial
• Small Parts(Breast, Thyroid, Testis…)
• MSK/Anesthesiology
• Pediatrics
• Urology (Renal, Prostate…)
• Adult Echocardiography
• Pediatric Echocardiography
• Neonate Echocardiography
• Stress Echocardiography
• Adult Transesophageal Echocardiography
• Pediatric Transesophageal Echocardiography
• Internal Medicine w/ Shared Service
• Surgery
• Interventional Radiology
• Contrast Imaging_General Imaging
• Contrast Imaging_Cardiac
• Bowel Imaging
• Strain Elastography
• Shear wave Elastography

FAQs

Toshiba Aplio i900 FAQs:

• ApliPure reduces ultrasound wave interface within tissues, which appear as speckle patterns or speckle noise on 2D images.

• ApliPure+ can display the boundaries between tissues more clearly and reduce speckle noise and acoustic shadows.

• Precision Imaging allows structures in 2D-mode to be displayed more clearly and the background to be displayed more smoothly.

• Tissue Specific Optimization (TSO) automatically compensates the reception focus.

• Biopsy Enhancement Auto Mode (BEAM) is a function to provide a clearer visualization of biopsy needles in the live ultrasound image. The function provides three enhancement levels and automatically selects the best scan angle.

• 2D Quick Scan enables to automatically optimize the gain and time gain control in 2D mode.

• 2D Wall Motion Tracking semi-automatically extracts wall motion data from the 2D speckle data of the left ventricular myocardial images to be analyzed, and displays the status of myocardial motion.

• Contrast Harmonic Imaging (CHI) is the function that enhances the visualization of vascular mapping with the second-harmonic wave signals from the microbubbles in the contrast medium.

• Parametric MFI allows temporal information to be displayed as a color map superimposed on the CHI-mode image (Contrast image for the period from the start of contrast medium reaches the target region).

• Stress Echo allows the user to perform exercise and pharmacological stress echo exams.

• Luminance is a surface rendering technique that provides a softer, more natural visualization of the human skin resulting in images of photographic impression on quality. The function’s freely movable light source gives the user strong visual feedback on depth and detail. Changing the position of the light can help the user better identify pathological changes and skin defects.

• Fly Thru is the function that enables the user to visualize cavities, ducts and vessels from the inside and in 3D. Comparable to virtual endoscopy, Fly Thru adds cross-sectional ultrasound information to the plain surface data, making it a tool for exploring lesions and ingrowing masses, as well as to assist in planning and follow-up of interventions such as placing stents or grafts.

• Shadow Glass* enables the user to assess both the different layers of tissue and position of vessels all at the same time by using the semi-transparent glass effect.

• Protocol Assistant is a special function that allows for protocols to be created and executed automatically. These protocols can be edited and saves the user time.

• Smart Fusion is the function that allows synchronization of ultrasound scanning with CT/MRI image display. The image is adjusted according to the examination position determined using a magnetic sensor attached to the transducers.

• Smart Navigation is the function that allows a needle navigation line to be superimposed on the ultrasound image based on the positional relationship between the magnetic sensor attached to the transducer and the magnetic sensor attached to the puncture needle.

• Superb Micro Vascular Imaging (SMI) is the function that, with increased Doppler sensitivity, expands the range of visible blood flow and provides visualization of low velocity microvascular flow. SMI’s level of vascular visualization, combined with high frame rates, advances diagnostic confidence when evaluating lesions, cysts and tumors, improving patient outcomes and experience.

• MircroPureTM enables to better visualize small structures in 2D mode. This function shows good image quality for visualizing structures like small calcifications in breast.

• Elastography is the function that enables tissue stiffness to be visualized based on the changes in velocity resulting from physical compression and decompression of the target region.

• Shear wave is the function that allows images representing the speed of propagation of tissue replacement (Shear wave speed) to be visualized (Shear wave scan) by locally displacing tissues by transmitting a burst wave with high acoustic pressure.

• Smart Maps is the function that visualizes and quantifies shear wave propagation in a user-defined region of interest in real time. The user can select both dynamic propagation speed and elasticity displays for visual assessment and quantification.

• Propagation mapping is the function that intuitively enhances the visual quality of elastography. Areas with distorted or absent shear wave propagation are easily recognized by means of a disrupted wave front.

• Panoramic View allows B/W images to be obtained with a wider field of view by moving the transducer in the lateral direction. Measurement using Panoramic View can be performed.

• FLEX-M is the function that allows any desired plane to be set on both the 2D-mode image and the M-mode image. The set plane can also be reconstructed.

• Auto NT is the function that semi-automatically measures the thickness of nuchal translucency between 12 to 14 weeks in the sagittal section.

• Mitral Valve Analysis is the function that allows for the mitral valve in the 3D image data to be acquired using the ultrasound diagnostic system is extracted semi-automatically, and then it is displayed as a model so that the shape of the mitral valve can be easily evaluated and analyzed to display the parameters.

• Multi-Reflection Canceller is used to visualize images with fewer artifacts by cancelling multiple reflection from the body.

• MultiView* allows the user to work in multiple imaging modes including color Doppler and CEUS. This quad display with Fusion shows the live ultrasound image in sync with multiple views of the pre-loaded data.

Features

Tissue Harmonic Imaging: Yes(Differential THI)

Spatial Compounding(=CrossXbeam): Yes(AprliPure+)

Speckle Reduction (=SRI): Yes(Precision Imaging)

Auto Image Opt(B mode) :Yes(Quick scan)

Auto Image Opt(Doppler): Yes(Doppler scale/Base line)

Write Zoom :Yes

Triplex Mode: Yes

Needle Enhancement or Needle Recognition:Yes(BEAM)

Auto NT Measurement (=Sono NT) :Yes

Auto Follicle 2D Measurement :No

Auto Follicle 3D Measurement :No

Auto IMT :Yes

Auto IMT (Real Time) :No

Automated B/M/D Measurement: No

Automated LH Measurement(Automated Function Imaging(AFI), Cardiac Motion Quantification(CMQ), or Auto EF(Ejection Fraction): Yes

Live Dual (B/BC) Mode: Yes

SmartExam or Scan Assistant : Yes(Protocol Assistant)

Fusion : Yes(Smart Fusion)

Raw Data File: Yes

Flexible Report: Yes

Barcode Reader: Yes

Gel Warmer: Yes

Transducers

Convex (1~6Mhz) Yes(6C1)

Convex (2~9Mhz) : Yes(10C3)

Single Crystal Convex (1~6Mhz): Yes(6Cs1)

Single Crystal Convex (2~9Mhz): Yes(i8C1)

2D Arrary 3D Convex (1~6Mhz): Yes(i8CX1, Matrix)

Micro Convex (5~8Mhz): Yes(6MC1/11MC4)

Single Crystal Endocavity_Straight Type (3~10Mhz): No

Endocavity_Curved Type (5~8Mhz): Yes(11C3)

3D Convex (2~6Mhz) : No

3D Convex Light Weight (2~7Mhz): Yes(9CV2)

3D Endocavity (3~10Mhz): Yes(11CV3)

3D Micro Convex (3~9Mhz): No

3D Linear (4~18Mhz): No

Linear (>14Mhz): Yes(18L7)

Linear (3~12Mhz): Yes(11L4/11L3)

Linear (<9Mhz): No

Single Crystal Linear (>14Mhz): Yes(i23LX8, Matrix)

Single Crystal Linear (3~12Mhz): Yes(i18LX5, Matrix)

Single Crystal Linear (<9Mhz): No

Linear 50mm : Yes(14L5)

Linear 25mm : No

Hockey stick (<13Mhz): No

Hockey stick (>13Mhz): No

T or L shape Intra Operative: Yes(6CP1/11CI4)

Phased Array_Adult (1~5Mhz) : Yes(5S1/5S2)

Single Crystal Phased Array_Adult (1~5Mhz) :No

2D Arrary 3D Phased Array (1~5Mhz) : Yes(i6SX1, Matrix)

Phased Array_Pediatric (3~8hz) : Yes(6S3)

Single Crystal Phased Array_Pediatric (3~8hz): Yes(i10S4)

Phased Array_Neonate (4~12Mhz) : Yes(i10S4)

ICE (Intracardiac Echo Cardiography): No

TEE_Adult (3-7Mhz): Yes(7S3)

TEE_Pediatric (3~7Mhz): Yes(8SM2/12LI4)

2D Array 3D TEE (2~7Mhz): Yes(i6SVX2)

Pencil CW (2Mhz): Yes(P2)

Pencil CW (5 or 6Mhz): Yes(P5)

Imaging Modes

2D, M mode: Yes

M-color Flow Mode: Yes

Anatomical M-mode: Yes(Flex-M)

Trapezoidal Mode :Yes

Color, Power Angio, Pulse Wave Doppler: Yes

Bi-directional Power (=HD FLOW): Yes

SCW Doppler: Yes

Tissue Doppler(Velocity) Imaging: Yes

Freehand 3D: Yes

Live 3/4D OB/GYN: Yes

HD Live: Yes(Luminace)

STIC (Spatio-Temporal Image Correlation): Yes

Live 3D Echo: Yes

Stress Echo: Yes

Strain and Strain Rate (Cardiac): Yes

B Flow: No

Panoramic Imaging (=Logiq view): Yes

Contrast Imaging – Cardiac: Yes

Contrast Imaging – General Imaging: Yes

Strain-based Elastography : Yes

Shear Wave Elastography: Yes

Applications

Abdominal: Yes

Women’s Health Care (GYN & Breast): Yes

OB :Yes

Fetal Echo: Yes

Vascular: Yes

TCD(Transcranial): Yes

Small Parts (Breast, Thyroid, Testis…): Yes

MSK/Anesthesiology :Yes

Pediatrics: Yes

Urology (Renal, Prostate…) :Yes

Echocardiography_Adult: Yes

Interventional Cardiology: Yes

Echocardiography_Pediatric: Yes

Echocardiography_Neonate: Yes

Stress Echocardiography: Yes

Transesophageal Echo_Adult: Yes

Transesophageal Echo_Pediatric : Yes

Internal Medicine w/ Shared Service: Yes

Surgury: Yes

Interventional Radiology: yes

Contrast Imaging _ General Imaging (Low MI) : Yes

Contrast Imaging _ Cardiac (High or Low MI): Yes

Bowel Imaging: Yes

Strain Elastography: Yes

Shear Wave Elastography: Yes

Specification

System Overview

Year Launched: 2016

Estimated Market Price ($): Premium

Monitor (inch): 23″ Wide LCD

Tilt/Rotate Adjustable Monitor: Yes

Monitor Resolution: 1920 x 1080

Image Size Resolution :

Touch Screen (Inch):12.1″

Trackball or Trackpad: Trackball

CP Back-Lighting: Yes

Weight: 110kg(242.5lb)

Probe Ports:4+1(Pencil)

Battery :Yes

Boot-Up Time:No

Sleep Mode (Quick Start): Yes

Maximum Depth of Field: 50 cm

Minimum Depth of Field: 1 cm

Cart (HCU): No

Independent Steer & Lockable Wheels: Yes

Connectivity

DICOM 3.0: Yes

DICOM SR_Cardiac: Yes

DICOM SR_Vascular: Yes

DICOM SR_OB/GYN : Yes

JPEG, WMV, & AVI: Yes

USB :Yes(5)

HDD/SDD :Yes

DVD/CD RW: Yes

Wireless LAN: Yes