DEVELOPMENT OF AN IN-VIVO ACOUSTIC DIAGNOSTIC FOR LITHOTRIPTER-INDUCED SHOCK-TISSUE INTERACTION

Part 4: Hear for yourself the sounds, and see whether you can distinguish a successful treatment.

Click on the following  links for:

Non-technical Introduction      1. Homepage for lithotripsy project

   2. Introduction to lithotripsy (Tutorial)     3. Formal report on the project  

4. Hear for yourself the sounds, and see whether you can distinguish a successful treatment     5. Publications

Click here for Biomedical Ultrasonics page 

The correct answer is:

These echoes come from a treatment was clearly successful, as determined by the clinician who could clearly make out a single stone in the X-ray at the start of the procedure, and multiple stone fragments in the X-ray at the end of the procedure (B).
These echoes come from a treatment whose outcome was declared to be unsuccessful (the X-ray image of the stone at the end of the treatment was very similar to the image at the start, implying that probably only minor fragmentation occurred) (A).
These echoes come from a treatment whose outcome was declared to be partially successful (the X-ray image of the stone at the end of the treatment looked somewhat smaller and less dark, implying a change in density) (C)

If you wish, please email the results of your test (subject: litho test) to leightonlitho@isvr.soton.ac.uk

Remember, clinicians would be able to listen to hundreds of these echoes during a single treatment, whilst you have to make a judgment from just a single pair.

We asked three clinicians to undertake this test, with proper subjective testing protocols (including randomization of presentation of signals). All three successfully identified the features which would distinguish a successful treatment from an unsuccessful one.

This page was last updated by TG Leighton, 6 August 2004