Anyone using the Supersonic Aixplorer for their general MSK diagnostic scanning and procedures -- nerves, spine, tendons, ligs, etc ... in addition to its eleastrography strength ?
How does the general image quality compare to an IU-22 or GE E9/S8 ?
How is this company as a brand and for support ? Any issues with machine breakdown prematurely ?
My IU-22 a cart is dying and I need a new intermediate to high end machine for my MSK practice of diagnostic & procedures anywhere in body, but I also am looking into elastography research options. But the machine must perform well for my high end msk referral practice.
Any experiences would be welcomed on the forum or off line.
An AIUM member responds:
There is no doubt that shear-wave elastography will be the future of elastography in the musculoskeletal (MSK) system. The strain elastography is too user dependent to be of real value in the long run. We have not pursued the IU-22 as it indeed only allows shear-wave elastography on a curvilinear probe - not too practical in MSK. As many applications are still kind of investigational, we have opted to research the use of shear-wave elastography on the Logic E9 and on the Siemens Acuson S3000 platforms. Siemens has given us access to their raw data which helps us to develop our own algorithms for data processing in different anatomic regions. The wrist and shoulder are of particular interest to us. Except for this research advantage we have with Siemens, I see otherwise few differences between the systems from a diagnostic performance point of view. We tried the Aixplorer's shear-wave in the past - the shear-wave was OK but we found the greyscale underperforming. Recently, we heard great things about Toshiba's Aplio, so far, we have not been able to test it. We hope this helps you in your future endeavors.