Hitachi

Gastroenterology

Ergonomic intervention and therapy

Gastro / EUS
CLEARLY
DEFINED
Hitachi's EUS suits a variety of applications, ranging from oesophageal or gastric cancer staging to endoscopic interventional procedures and therapeutic applications.

Over the last ten years, the diagnostic importance of endoscopic ultrasound has increased. Hitachi offers 360° electronic radial echoendoscopes for diagnostic EUS and longitudinal scopes, available with integrated working channels from 2mm to 3.8mm for therapeutic examinations, such as FNA and cyst drainage. With Hitachi’s ultrasound systems, clinical staging of lymph node involvement becomes more accurate, more precise and ultimately more beneficial for the patient.

With the launch of the K-Series EUS scopes, the EG-3270UK linear, the EG-3670URK 360° electronic radial, EG-3870UTK therapeutic linear, and EB-1970UK endobronchial, Hitachi provides the premium ultrasound image quality, with solid-state reliability and the advantage of colour and power Doppler.

Convex

 


 

C251 Transducer:
Intended use:
Frequency Range:
System compatibility:
C251
Abdominal/Vascular/Women's Health
5 - 1 MHz
ARIETTA

 


 

EUP-C514 Transducer:
Intended use:
Frequency Range:
System compatibility:
EUP-C514
Abdominal/Women's Health
5 - 2 MHz
HI VISION

 


 

EUP-C532 Transducer:
Intended use:
Frequency Range:
System compatibility:
EUP-C532
Abdominal/Pediatric/Women's Health
8 - 4 MHz
HI VISION

 


 

EUP-C715 Transducer:
Intended use:
Frequency Range:
System compatibility:
EUP-C715
Abdominal/Women's Health
5 - 1 MHz
HI VISION


Linear

 


 

L55 Transducer:
Intended use:
Frequency Range:
System compatibility:
L55
Small Parts/Breast
13 - 5 MHz
ARIETTA

 


 

L64 Transducer:
Intended use:
Frequency Range:
System compatibility:
L64
Small Parts/Vascular
18 - 5 MHz
ARIETTA

 


 

EUP-L52 Transducer:
Intended use:
Frequency Range:
System compatibility:
EUP-L52
Small Parts/Vascular/Liver RTE
7 - 3 MHz
HI VISION

 


 

EUP- L65 Transducer:
Intended use:
Frequency Range:
System compatibility:
EUP-L65
Small Parts
14 - 6 MHz
HI VISION

 


 

EUP-L74M Transducer:
Intended use:
Frequency Range:
System compatibility:
EUP-L74M
Small Parts/Breast
13 - 5 MHz
HI VISION

 


 

EUP-L75 Transducer:
Intended use:
Frequency Range:
System compatibility:
EUP-L75
Small Parts
18 - 5 MHz
HI VISION


Biopsy/Intraoperative

 


 

C22K Transducer:
Intended use:
Frequency Range:
System compatibility:
C22K
Intraoperative Convex
6 - 1 MHz
ARIETTA

 


 

C22P Transducer:
Intended use:
Frequency Range:
System compatibility:
C22P
Biopsy Small Footprint Convex
6 - 1 MHz
ARIETTA

 


 

C25P Transducer:
Intended use:
Frequency Range:
System compatibility:
C25P
Biopsy Through-crystal Convex
5 - 1 MHz
ARIETTA

 


 

EUP-B512 Transducer:
Intended use:
Frequency Range:
System compatibility:
EUP-B512
Biopsy Small Footprint Convex
5 - 2 MHz
HI VISION

 


 

EUP-B514 Transducer:
Intended use:
<br/>Frequency Range:
System compatibility:
EUP-B514
Biopsy Through-crystal Convex
5 - 2 MHz
HI VISION

 


 

EUP-B712 Transducer:
Intended use:
Frequency Range:
System compatibility:
EUP-B712
Biopsy Small Footprint Convex
6 - 1 MHz
HI VISION

 


 

EUP-B715 Transducer:
Intended use:
Frequency Range:
System compatibility:
EUP-B715
Biopsy Through-crystal Convex
5 - 1 MHz
HI VISION


Endocavity

 


 

C41V Transducer:
Intended use:
Frequency Range:
System compatibility:
C41V
End-fire Endocavity
8 - 4 MHz
Noblus only

 


 

C41V1 Transducer:
Intended use:
Frequency Range:
System compatibility:
C41V1
End-fire Endocavity
10 - 2 MHz
ARIETTA/Noblus

 


 

CC41R1 Transducer:
Intended use:

Frequency Range:
System compatibility:
CC41R1
Simultaneous Bi-Plane
convex/convex
10 - 2 MHz / 10 - 2 MHz
ARIETTA

 


 

CL4416R Transducer:
Intended use:
Frequency Range:
System compatibility:
CL4416R
Bi-Plane Transrectal convex/linear
10 - 2 MHz / 14 - 2 MHz
ARIETTA

 


 

C41L47RP Transducer:
Intended use:
FOV:
System compatibility:
C41L47RP
Bi-Plane Brachytherapy convex/linear
8 - 4 MHz / 10 - 5 MHz
ARIETTA

 


 

R41R Transducer:
Intended use:
FOV:
System compatibility:
R41R
Electronic Radial Transrectal
10 - 5 MHz
ARIETTA

 


 

R41RL Transducer:
Intended use:
FOV:
System compatibility:
R41RL
Electronic Radial Transrectal
10 - 5 MHz
ARIETTA

 


 

EUP-U533 Transducer:
Intended use
FOV:
System compatibility:
EUP-U533
Bi-Plane Brachytherapy convex/linear
8 - 4 MHz / 10 - 5 MHz
HI VISION

 


 

EUP-V53W Transducer:
Intended use:
FOV:
System compatibility:
EUP-V53W
End-fire Endocavity
8 - 4 MHz
HI VISION

 


 

EUP-V73W Transducer:
Intended use:
Frequency Range:
System compatibility:
EUP-V73W
End-fire Endocavity
10 - 2 MHz
HI VISION

 


 

EUP-R54AW-19 Transducer:
Intended use:
FOV:
System compatibility:
EUP-R54AW-19
Electronic Radial Transrectal
10 - 5 MHz
HI VISION

 


 

EUP-R54AW-33 Transducer:
Intended use:
FOV:
System compatibility:
EUP-R54AW-33
Electronic Radial Transrectal
10 - 5 MHz
HI VISION


EUS Endoscopes



 

EG-3270UK Transducer:
Intended use:

Frequency Range:
System compatibility:
EG-3270UK *
Longitudinal convex
slim echoendoscope
10 - 5 MHz
ARIETTA

 


 

EG-3670URK Transducer:
Intended use:
Frequency Range:
System compatibility:
EG-3670URK *
Radial echoendoscope
10 - 5 MHz
ARIETTA

 


 

EG-3870UTK Transducer:
Intended use:
Frequency Range:
System compatibility:
EG-3870UTK *
Longitudinal convex echoendoscope
10 - 5 MHz
ARIETTA

 


 

EB-1970UK Transducer:
Intended use:
Frequency Range:
System compatibility:
EB-1970UK *
Longitudinal convex bronchoscope
10 - 5 MHz
HI VISION

 



* The legal manufacturer of these PENTAX endoscopes is Hoya Corporation, Japan. They are distributed in the assigned geographical areas in Europe by Hitachi Medical Systems Europe Holding AG, Switzerland and their subsidiaries.


  • K-Series EUS scopes
    The 12mm-outer-diameter EG3670URK radial echoendoscope, with forward-viewing video endoscopic imaging and a tapered distal end, enables easier passage through oesophageal strictures, compared with oblique-viewing systems. The scope has five variable frequencies between 5–10MHz, for excellent near and far field resolution. The 2.4mm working channel allows it to be used in conjunction with a 2mm mini probe for very high frequency (20 Mhz) mucosal examination and stricture passage.
    With new colour chip video technology, the full screen endoscopic image is of superb quality, with true colours increasing diagnostic confidence.
    The new EG3870UTK linear, with its wide sector angle, large 3.8mm channel and elevator, enables easy passage and positioning of all FNA needles and accessories. Uniquely, stents as large as 10Fr size can be used for cyst drainage.
  • EUS fine-needle aspiration (FNA)
    EUS FNA includes biopsy of mucosal and submucosal lesions. It is often used for lesions for which conventional endoscopic biopsies have been non-diagnostic. The procedure is commonly employed to sample peri-intestinal structures, such as lymph nodes or masses in the pancreas, liver, adrenal gland and bile duct. These examinations require high-resolution video and ultrasound imaging, together with ergonomic endoscopes.
    Hitachi offers a wide range of electronic longitudinal therapeutic echoendoscopes, available with integrated working channels up to 3.8mm diameter for endoscopic interventional procedures and therapeutic applications.
  • Real-time Tissue Elastography (RTE)
    Endoscopic RTE allows benign and malignant lymph nodes to be characterised and differentiated – with high sensitivity, specificity and accuracy. This provides complementary information to the conventional EUS imaging and offers a better target for FNA in patients with multiple lymph nodes. Mapping of the tissues’ elasticity distribution can provide more information to aid in the differentiation of focal pancreatic masses."

Ductal adenocarcinoma of pancreas

Pseudotumoral pancreatitis

Malignant lymph node

Pancreatic tumor

Esophageal tumor

360° anatomical view
  1. Dietrich C.F., et al. Sonographic assessment of splanchnic arteries and the bowel wall. Eur J Radiol. 2007 Nov;64(2):202-12
  2. Dietrich C.F., Hirche T. O., Ott M., et al. Real-time tissue elastography in the diagnosis of autoimmune pancreatitis. Endoscopy 2009; 41: 718–720
  3. Friedrich-Rust M., Ong M.F., Herrmann E., et al. Real-time elastography for noninvasive assessment of liver fibrosis in chronic viral hepatitis. AJR 2007; 188:758–764
  4. Friedrich-Rust M., Schwarz A., Ong M.F., et al. Real-time tissue elastography versus Fibroscan for noninvasive assessment of liver fibrosis in chronic liver disease. Ultraschall in Med 2009; 30: 478 - 484
  5. Friedrich-Rust M, Sperber A, Holzer K, et al. Real-time elastography and contrast-enhanced ultrasound for the assessment of thyroid nodules. Exp Clin Endocrinol Diabetes. 2009 Oct 23. [Epub ahead of print]
  6. Gheonea DI, Saftoiu A, Ciurea T, et al. Real-time sono-elastography in the diagnosis of diffuse liver diseases. World J Gastroenterol. 2010 Apr 14;16(14):1720-6.
  7. Gheorghe L., Iacob S., Gheorghe C. Real-time sonoelastography - a new application in the field of liver disease. J Gastrointestin Liver Dis, December 2008 Vol.17 No 4, 469-474
  8. Giovannini M., Hookey L.C ., Bories E., et al. Endoscopic ultrasound elastography: the first step towards virtual biopsy? Preliminary results in 49 patients. Endoscopy 2006; 38:1-5
  9. Giovannini M., Botelberge T., Bories E., et al. Endoscopic ultrasound elastography for evaluation of lymph nodes and pancreatic masses: a multicenter study. World J Gastroenterol 2009 April 7; 15(13): 1587-1593
  10. Havre R.F., Elde E., Gilja O.H., et al. Freehand real-time elastography: impact of scanning parameters on image quality and in vitro intra- and interobserver validations. Ultrasound Med Biol. 2008 Oct;34(10):1638-50.
  11. Hirche T.O., Ignee A., Barreiros A. P., et al. Indications and limitations of endoscopic ultrasound elastography for evaluation of focal pancreatic lesions. Endoscopy 2008; 40: 910-917
  12. Jacobson B. Pressed for an answer: has elastography finally come to EUS? Gastrointest Endosc 2007;66(2):301-2
  13. Janssen J., Schlörer E., Greiner L. EUS elastography of the pancreas: feasibility and pattern description of the normal pancreas, chronic pancreatitis, and focal pancreatic lesions. Gastrointest Endosc 2007;65:971-8.
  14. Janssen J., Dietrich C. F., Will U., et al. Endosonographic elastography in the diagnosis of mediastinal lymph nodes. Endoscopy 2007; 39: 952-957
  15. Janssen J. Us elastography: current status and perspectives. [Article in German] Gastroenterol. 2008 Jun;46(6):572-9
  16. Kato K., Sugimoto H., Kanazumi N., et al. Intra-operative application of real-time tissue elastography for the diagnosis of liver tumours. Liver International ISSN 1478-3223
  17. Mezzi G., Arcidiacono P. G., Carrara S., et al. Elastosonography in malignant rectal disease: preliminary data. Endoscopy 2007; 39: 375
  18. Saftoiu A., Vilman P. Endoscopic ultrasound elastography - a new imaging technique for the visualization of tissue elasticity distribution. J Gastrointestinal Liver Disease, June 2006;15 (2):161-165
  19. Saftoiu A., Vilman P., Hassan F., et al. Analysis of endoscopic ultrasound elastography used for characterisation and differentiation of benign and malignant lymph nodes. Ultraschall in Med 2006;27:535 – 542
  20. Saftoiu A., Vilman P., Ciurea T., et al. Dynamic analysis of EUS used for the differentiation of benign and malignant lymph nodes. Gastrointest Endosc 2007; 66 (2): 291 – 300
  21. Saftoiu A., Vilmann P., Gorunescu F., et al. Neural network analysis of dynamic sequences of EUS elastography used for the differential diagnosis of chronic pancreatitis and pancreatic cancer. Gastrointest Endosc 2008;68:1086-94
  22. Tatsumi C, Kudo M, Ueshima K, et al. Non-invasive evaluation of hepatic fibrosis for type C chronic hepatitis. Intervirology. 2010;53(1):76-81. Epub 2010 Jan 5.
  23. Uchida H., Hirooka Y., Itoh A., et al. Feasibility of Tissue Elastography Using Transcutaneous Ultrasonography for the Diagnosis of Pancreatic Diseases. Pancreas 2009;38(1):17-22
  24. Recommended reading:
    Endoscopic Ultrasound: An Introductory Manual and Atlas
    Editor: Christoph Frank Dietrich
    Published Thieme, 2006
    Atlas of Endoscopic Ultrasonography. The Upper Gastrointestinal Tract.
    Svein Ødegaard, Lars Birger Nesje,Odd Helge Gilja
    Published Fagbokforlaget 2007