Gallstone lithotripsy: relevant physical principles and technical issues.

Abstract:

:A basic understanding of shock wave generation is essential for the radiologist who performs gallstone lithotripsy. Shock waves differ from ordinary acoustic waves in that they have a rapid rise time, a positive pressure component that gives rise to compressive forces approaching 1,000 atm, and a low-amplitude sustained negative pressure (rarefactive) component. Shock waves are created by means of three different types of shock wave generators: spark-gap, electromagnetic, and piezoelectric. The authors describe and compare these three types of shock wave generators with regard to equipment selection. Regardless of how shock waves are generated, they share common interactions with tissue. These interactions are reviewed along with the proposed mechanisms of stone fragmentation.

journal_name

Radiology

journal_title

Radiology

authors

Davros WJ,Garra BS,Zeman RK

doi

10.1148/radiology.178.2.1987600

subject

Has Abstract

pub_date

1991-02-01 00:00:00

pages

397-408

issue

2

eissn

0033-8419

issn

1527-1315

journal_volume

178

pub_type

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