Highly reliable scan (10)
I believe the answer is:
ultrasound
'scan' is the definition.
Both the answer and definition are singular nouns.
Perhaps they are linked in a way I don't understand?
'highly reliable' is the wordplay.
'highly' becomes 'ultra' (I am not sure about this - if you are sure you should give a lot more credence to this answer).
'reliable' becomes 'sound' (I've seen this in another clue).
'ultra'+'sound'='ULTRASOUND'
Can you help me to learn more?
(Another definition for ultrasound that I've seen is " diagnostic aid?".)