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Find answers to your questions about UTC

Do you have questions about UTC? Our FAQ section is specifically designed to address widespread inquiries related to Ultrasound Tissue Characterization (UTC). This segment caters to medical and veterinary professionals keen on exploring how UTC can revolutionize the diagnostics and treatment of tendon injuries. Dive in for comprehensive answers that clarify the functionality, benefits, and application of UTC in clinical practice.

Unlike traditional ultrasound, which relies on the operator’s skill to produce 2D images, UTC Ultrasound automates the scanning process, offering a standardized, reproducible approach. It delivers multi-planar views and a 3D representation of the tendon, which can significantly enhance the reliability of diagnoses and the monitoring of treatment processes.

With over 15 years in operation, the UTC Imaging System has been refined through countless scans and continuous research. It is becoming the gold standard in diagnosing and monitoring tendinopathy, supported by numerous studies and publications. The evidence consistently shows that UTC can detect and monitor conditions more accurately and earlier than traditional methods. Head over to our Knowlegde Hub for all details.

UTC imaging is fully validated for the Achilles and patellar tendon. However, every straight tendon can be visualized.

At the moment the tendons in the hand and wrist are being validated at the University of Umea in Sweden.

Since the rotary cuff is not a straight tendon, that is the only area where UTC imaging does not work.
Besides tendons though also muscles can be visualized and evaluated. At the moment it is more and more used on the hamstring and quadriceps.
Since UTC imaging is a new imaging technology, there are still areas that need validation for reference values and pathology but as said it works on all straight tendons.

Training is a cornerstone of our service. You will receive comprehensive training to excel in scan interpretation, with ongoing support as needed. Most practitioners become fully proficient in interpreting scans independently after three months, with our team always available for case reviews or further guidance. Our commitment to training and support ensures that you can confidently provide high-quality patient care. 


The UTC scanner makes use of a modified Terason ultrasound scanner to obtain the raw ultrasound data for analysis.

The Terason scanner is still a fully functional high quality ultrasound scanner which can accept a range of high-resolution transducers and has full Doppler options.

The probe used for UTC imaging is a regular  T-probe as used in MSK in the 5 – 12 Mhz range and can be detached from the Tracker within half a minute.

Thus next to Tissue Characterisation, the UTC scanner can be used for regular ultrasonography as well. Click here for the specs of the Ultrasound system.

Upgrading to UTC requires specific hardware and software that are not typically part of standard ultrasound systems. The UTC imaging process utilizes a proprietary tracker and specialized algorithms for image analysis. Therefore, it is usually necessary to acquire a complete UTC system or check with your current system’s manufacturer for compatibility and upgrade options. Content

Although the UTC imaging algorithms for Ultrasound Tissue Characterisation appeared to be robust, the best way to reach standardised analysis is to collect “original”, raw digital ultrasound information. Processing of this “original” information, as done by normal ultrasound scanners in order to come to a nice ultrasonographic image (and every manufacturer of ultrasound scanners has his own secret procedures to create that nice display!), significantly clutters ultrasound signals that are vital for high-resolution and discriminative tissue characterisation.

Another frequent problem with normal ultrasound scanners is that ultrasonographic images have to be “grabbed” from the display by means of a so-called frame-grabber. Besides the extra step of analog to digital (A/D) conversion, this procedure also suffers the disadvantage that frame-grabbers do not fit in laptop computer.

So, for multiple reasons UTC Imaging decided to use the Terason ultrasound scanner. This modified scanner is connected to the MacBook Pro and the ultrasound information is brought real-time, unprocessed into this high-capacity laptop computer. In this way, ultrasound signals early in the processing chain, thus without deformation caused by complex signal processing for displaying the nice picture, can be used directly for high-resolution and highly-discriminative tissue characterisation.

UTC imaging is no rocket science and depending on the knowledge about tendons and the dedication to spent time to train, it is learned easily.

With each UTC System sold an initial training is included in the purchase price. This two to three days training deals with the basics of UTC imaging, the scanning, the analysis and the interpretation.

For proper use of UTC imaging it is important to understand the underlying basics. So, the training starts with extensive explanation on the principles of UTC imaging.

After the initial training, each novice-user is ready to start using UTC imaging at his own which is crucial for improving skills, especially interpretation. To guarantee a steep learning curve we are available ‘on the background’ to discuss interpretation when requested.
In our experience, it takes approximately three-month regular use to become completely confident in using UTC imaging.

Read more about our training here

The UTC Imaging System is not just an ultrasound device; it’s an investment in advanced diagnostic capability and patient care. the value lies in early detection of tendinopathies and enhanced patient management. You will have a full regular ultrasound system including all functions such as Doppler, included in the UTC. 

Understanding the financial considerations, we offer a leasing option for the UTC Imaging System. Monthly payments for a 5-year lease of a full UTC system range between €950 and €1,100, depending on the country and your credit rating. If you’re interested in purchasing the system, we can make you a quote and include a lease offer.

The problem with a “test drive” with UTC imaging is that is concerns a new imaging technology which needs training. And although no rocket science, an initial intensive training of three days and a period of intense use of approximately 3 months is needed to become confident in the use of UTC imaging. Hence just a test unit for a try-out period is really no option.

As an alternative, we can introduce you to UTC imaging users where possibly a demonstration of their use of the UTC System could be organized. A visit to the Netherlands and visiting a clinic here may be another option to get acquainted with UTC imaging.

Ultrasound scanning is known to be highly dependent on the skills of the ultrasonographer and even then, images can hardly be reproduced nor are they of any value to colleagues who did not collect the image themselves. In conventional US scanning is poorly reproducible and evaluation is subjective.

In UTC imaging however scanning and analysis is highly automated and therefor operator independent. The ‘art’ has been taken out of the scanning, rather it is pure science.

Studies both in veterinary and human applications revealed that the intra- and inter- observer reliability is excellent, both for scanning and statistical analysis (ICC is always well over 0.90).

So, data sets (50 to 60 MB) can be shared with colleagues and after analysis both the color-coded images and statistical data will be similar at both ends and can thus very well be discussed.

Of course the colleague should have a UTC System or have a UTC Analyzer license to be able to display and analyze UTC imaging data sets.

UTC imaging is being used both in human and equine applications in almost 50 countries worldwide. 

Australia and the United Kingdom top the list with the most installations.

Countries include: The Netherlands, Belgium, United Kingdom, Ireland, Sweden, Denmark, France, Germany, Spain, Switzerland, Italy, Slovenia, Israel, Canada, USA, Brasil, Australia, Hong Kong, Japan, Oman, United Arab Emirates, Qatar and South Africa.

If you want, we can bring you in contact with a user in your country. 

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