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The Canon Aplio i900 is a premium multi-purpose diagnostic ultrasound system that has advanced 3D/4D cardiac options on top of a great reputation in Radiology. The Canon Aplio i900 coupled with Canon’s well-known extensive selection of transducers supports a wide range of clinical applications including obstetrics, abdominal, gynecology, pediatric, small organs, neonatal cephalic, adult cephalic, trans-rectal, trans-vaginal, MSK (conventional, superficial), urology, adult cardiac, pediatric cardiac, and peripheral vessel.
The Canon Aplio i900, apart from Aplio Platinum series, integrates Canon’s new & fully digital transmission and reception processing technology, iBEAM digital architecture. The Canon Aplio i900 provides a number of high performance hardware such as a 23” wide LCD monitor, a fully customizable 12.1” LCD touchscreen, a remotely operable wireless tablet console, 4 active probe ports, 5 premium Matrix transducers such as wideband volume TEE(i6SVX2), wideband sector(i6SX1), wideband linear(i18LX5, i24LX8), and wideband convex(i8CX1). Also, its extensive selection of specialty transducers efficiently covers a high standard of demand in sophisticated Radiology applications as well. The Canon Aplio i900 is compact and light-weight, and easily maneuverable with over 36cm console height adjustment, lateral slide and a fully articulating monitor arm.
Remarkable new features with the release of Canon Aplio i900 are that this system now supports matrix volume sector and TEE transducers to properly perform real-time volume based echocardiographic visualization and Automated Mitral Valve Assessments that demonstrates the mitral valves as seen by the surgeon to facilitate visual assessment of the leaflets for better surgical planning.
The Canon i900 comes standard with a wide range of Canon’s exclusive, clinically proven technologies such as Precision Imaging(Speckle Reduction), ApliPure+ (Spatial Compounding), Advanced Dynamic FlowTM(ADF), Smart 3D, BEAM, Superb Micro-vascular Imaging (SMI), Intelligent Dynamic Micro Slice, Multiplexing, and Volume Matrix. Additional options include 2D Wall Motion Tracking, Mitral Valve Analysis, Contrast Imaging, 4D, Luminance (Same as HDlive in GE), Fly Thru, Elastography, Shear wave, Smart Fusion, MicroPure, and Panoramic View.
Review
Canon Aplio i900 Review:
The Canon 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 Canon Aplio Platinum series, which are bulkier and heavier. The Canon 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 Canon. Canon 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, Canon has revealed its limitation in cardiovascular applications. It seems that with the release of these 4D options with the Aplio i900, Canon 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 Canon 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 Canon, 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 Canon i900 apart from much enhanced 2D and Doppler performance based on the new iBEAM digital architecture and Canon’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
Canon 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
Canon 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
Canon 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
Canon 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
Canon 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.
Year Launched
2016
Estimated Market Price
Premium
Monitor
23″ wide LCD
Tilt/Rotate Adjustable Monitor
Yes
Monitor Resolution
1920 x 1080
Image Size Resolution
Touch Screen
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
Yes
Maximum Depth of Field
50cm
Minimum Depth of Field
1cm
Cart
No
Independent Steer & Lockable Wheels
Yes
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
Yes
SCW Doppler
Yes
Tissue Doppler(Velocity) Imaging
Yes
Freehand 3D
Yes
Live 3/4D OB/GYN
Yes
HD Live
Yes(Luminace)
STIC
Yes
Live 3D Echo
Yes
Stress Echo
Yes
Strain and Strain Rate
Yes
B Flow
No
Panoramic Imaging
Yes
Contrast Imaging-Cardiac
Yes
Contrast Imaging – General Imaging
Yes
Strain-based Elastography
Yes
Shear Wave Elastography
Yes
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
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
Abdominal
Yes
Women’s Health Care
Yes
OB
Yes
Fetal Echo
Yes
Vascular
Yes
TCD(Transcranial)
Yes
Small Parts
Yes
MSK/Anesthesiology
Yes
Pediatrics
Yes
Urology
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
Yes
Contrast Imaging_Cardiac
Yes
Bowel Imaging
Yes
Strain Elastography
Yes
Shear Wave Elastography
Yes
Convex (1~6Mhz)
Yes(6C1)
Convex (2~9Mhz)
Yes(10C3)
Single Crystal Convex (1~6Mhz)
Yes(6Cs1)
Single Crystal Convex (2~9Mhz)
Yes(i8C1)
Single Crystal Micro Convex
No
2D Arrary 3D Convex
Yes(i8CX1, Matrix)
Micro Convex (5~8Mhz)
Yes(6MC1/11MC4)
Single Crystal Endocavity_Straight Type
No
Endocavity_Curved Type
Yes(11C3)
BiPlane Endo Rectal
Yes(11CL4)
Biplane Micro Convex (3~10MHz)
3D Convex
No
3D Convex Light Weight
Yes(9CV2)
3D Endocavity
Yes(11CV3)
3D Micro Convex
No
3D Linear
No
Linear (>14Mhz)
Yes(18L7)
Linear (3~12Mhz)
Yes(11L4/11L3)
Linear (<9Mhz)
No
Single Crystal Linear
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)
Laparoscopic
Yes(12LI4)
Phased Array_Adult
Yes(5S1/5S2)
Single Crystal Phased Array_Adult
No
2D Arrary 3D Phased Array
Yes(i6SX1, Matrix)
Phased Array_Pediatric
Yes(6S3)
Single Crystal Phased Array_Pediatric
Yes(i10S4)
Phased Array_Neonate
Yes(i10S4)
ICE
No
TEE_Adult
Yes(7S3)
TEE_Pediatric
Yes(8SM2/12LI4)
2D Array 3D TEE
Yes(i6SVX2)
Pencil CW (2Mhz)
Yes(P2)
Pencil CW (5 or 6Mhz)
Yes(P5)
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
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