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


C251TransducerC251
Intended useAbdominal/Vascular/Women's Health
Frequency Range5 - 1 MHz
System compatibilityARIETTA
C252TransducerC252
Intended useAbdominal/Vascular/Women's Health
Frequency Range6 - 1 Mhz
System compatibilityARIETTA
EUP-C532TransducerEUP-C532
Intended useAbdominal/Pediatric/Women's Health
Frequency Range8 - 4 MHz
System compatibilityHI VISION
EUP-C715TransducerEUP-C715
Intended useAbdominal/Women's Health
Frequency Range5 - 1 MHz
System compatibilityHI VISION

Linear


L55TransducerL55
Intended useSmall Parts/Breast
Frequency Range13 - 5 MHz
System compatibilityARIETTA
L64TransducerL64
Intended useSmall Parts/Vascular
Frequency Range18 - 5 MHz
System compatibilityARIETTA
EUP-L52TransducerEUP-L52
Intended useSmall Parts/Vascular/Liver RTE
Frequency Range7 - 3 MHz
System compatibilityHI VISION
EUP-L74MTransducerEUP-L74M
Intended useSmall Parts/Breast
Frequency Range13 - 5 MHz
System compatibilityHI VISION
EUP-L75TransducerEUP-L75
Intended useSmall Parts
Frequency Range18 - 5 MHz
System compatibilityHI VISION

Biopsy/Intraoperative


C22KTransducerC22K
Intended useIntraoperative Convex
Frequency Range6 - 1 MHz
System compatibilityARIETTA
C22PTransducerC22P
Intended useBiopsy Small Footprint Convex
Frequency Range6 - 1 MHz
System compatibilityARIETTA
C25PTransducerC25P
Intended useBiopsy Through-crystal Convex
Frequency Range5 - 1 MHz
System compatibilityARIETTA
EUP-B512TransducerEUP-B512
Intended useBiopsy Small Footprint Convex
Frequency Range5 - 2 MHz
System compatibilityHI VISION
EUP-B514TransducerEUP-B514
Intended useBiopsy Through-crystal Convex
Frequency Range5 - 2 MHz
System compatibilityHI VISION
EUP-B712TransducerEUP-B712
Intended useBiopsy Small Footprint Convex
Frequency Range6 - 1 MHz
System compatibilityHI VISION
EUP-B715TransducerEUP-B715
Intended useBiopsy Through-crystal Convex
Frequency Range5 - 1 MHz
System compatibilityHI VISION

Endocavity


C41VTransducerC41V
Intended useEnd-fire Endocavity
Frequency Range8 - 4 MHz
System compatibilityNoblus only
C41V1TransducerC41V1
Intended useEnd-fire Endocavity
Frequency Range10 - 2 MHz
System compatibilityARIETTA/Noblus
CC41R1TransducerCC41R1
Intended useSimultaneous Bi-Planeconvex/convex
Frequency Range10 - 2 MHz / 10 - 2 MHz
System compatibilityARIETTA
CL4416RTransducerCL4416R
Intended useBi-Plane Transrectal convex/linear
Frequency Range10 - 2 MHz / 14 - 2 MHz
System compatibilityARIETTA
C41L47RPTransducerC41L47RP
Intended useBi-Plane Brachytherapy convex/linear
Frequency Range8 - 4 MHz / 10 - 5 MHz
System compatibilityARIETTA
R41RTransducerR41R
Intended useElectronic Radial Transrectal
Frequency Range10 - 5 MHz
System compatibilityARIETTA
R41RLTransducerR41RL
Intended useElectronic Radial Transrectal
Frequency Range10 - 5 MHz
System compatibilityARIETTA
EUP-U533TransducerEUP-U533
Intended useBi-Plane Brachytherapy convex/linear
Frequency Range8 - 4 MHz / 10 - 5 MHz
System compatibilityHI VISION
EUP-V53WTransducerEUP-V53W
Intended useEnd-fire Endocavity
Frequency Range8 - 4 MHz
System compatibilityHI VISION
EUP-V73WTransducerEUP-V73W
Intended useEnd-fire Endocavity
Frequency Range10 - 2 MHz
System compatibilityHI VISION
EUP-R54AW-19TransducerEUP-R54AW-19
Intended useElectronic Radial Transrectal
Frequency Range10 - 5 MHz
System compatibilityHI VISION
EUP-R54AW-33TransducerEUP-R54AW-33
Intended useElectronic Radial Transrectal
Frequency Range10 - 5 MHz
System compatibilityHI VISION

EUS Endoscopes


EB19-J10U *TransducerEB19-J10U *
Intended useLongitudinal convex bronchoscope
Frequency Range13 - 5 MHz **
System compatibilityARIETTA / HI VISION
EB-1970UK *TransducerEB-1970UK *
Intended useLongitudinal convex bronchoscope
Frequency Range10 - 5 MHz **
System compatibilityHI VISION
EG-3270UK *TransducerEG-3270UK *
Intended useLongitudinal convexslim echoendoscope
Frequency Range10 - 5 MHz **
System compatibilityARIETTA
EG-3670URK *TransducerEG-3670URK *
Intended useRadial echoendoscope
Frequency Range10 - 5 MHz **
System compatibilityARIETTA
EG-3870UTK *TransducerEG-3870UTK *
Intended useLongitudinal convex echoendoscope
Frequency Range10 - 5 MHz **
System compatibilityARIETTA

  • 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