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Shock wave lithotripsy and therapy

  • Special Feature: Review Article
  • Cutting-edge therapeutic ultrasound-its basic and clinical medicine; the spread of ultrasound-based theranostics
  • Published:
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Abstract

The biological effects of ultrasound exposure are classified into thermal and mechanical effects. The medical application of shock waves has been explored widely as a technique that exerts a mechanical effect with no thermal effect on the living body. The application of shock waves started in urology as a method to disintegrate calculi by impulsive force. During widespread use in urology, it was confirmed that shock waves could also induce some changes in the bones and soft tissues located in the propagation path, and application of shock waves in the field of orthopedics is currently under intensive investigation. In this brief review, we first discuss the similarities of and differences between shock waves and ultrasound. The characteristics of shock wave sources used to generate therapeutic shock waves are then described, and the mechanisms by which shock waves induce stone fragmentation and other therapeutic effects are discussed.

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References

  1. Stables DP, Ginsberg NJ, Johnson ML. Percutaneous nephrostomy: a series and review of the literature. Am J Roentgenol. 1978;130:75–82.

    Article  CAS  Google Scholar 

  2. Miller RA, Payne SR, Wickham JEA. Electrohydraulic nephrolithotripsy: a preferable alternative to ultrasound? Br J Urol. 1984;56:589–93.

    Article  CAS  Google Scholar 

  3. Chaussy CH, Brendel W, Schmiedt E. Extracorporeally induced destruction of kidney stones by shock waves. Lancet. 1980;316:1265–8.

    Article  Google Scholar 

  4. Lingeman JE. Extracorporeal shock wave lithotripsy: Development, instrumentation, and current status. Urol Clin North Am. 1997;24:85–211.

    Article  Google Scholar 

  5. International Society for Medical Shockwave Treatment. About ESWT Consensus statement Recommendations for the use of extracorporeal shockwave technology in medical indications. https://www.shockwavetherapy.org/about-eswt/. Accessed October 4, 2021.

  6. Coleman AJ, Saunders JE. A survey of the acoustic output of commercial extracorporeal shock wave lithotripters. Ultrasound Med Biol. 1989;15:213–27.

    Article  CAS  Google Scholar 

  7. Ueberle F, Rad AJ. Ballistic pain therapy devices: measurement of pressure pulse parameters. Biomed Eng/Biomed Tech. 2012;57:700–3.

    Google Scholar 

  8. Humphrey VF. Ultrasound and matter-physical interactions. Prog Biophys Mol Biol. 2007;93:195–211.

    Article  Google Scholar 

  9. Eisenmenger W. The mechanisms of stone fragmentation in ESWL. Ultrasound Med Biol. 2001;27:683–93.

    Article  CAS  Google Scholar 

  10. Sass W, Bräunlich M, Dreyer HP, et al. The mechanisms of stone disintegration by shock waves. Ultrasound Med Biol. 1991;17:239–43.

    Article  CAS  Google Scholar 

  11. Japanese Orthopaedic Society of Shockwave Therapy. http://josst.org/treatment.html. Accessed October 8, 2021.

  12. Wang CJ. An overview of shock wave therapy in musculoskeletal disorders. Chang Gung Med J. 2003;26:220–32.

    PubMed  Google Scholar 

  13. Vetrano M, d’Alessandro F, Torrisi MR, et al. Extracorporeal shock wave therapy promotes cell proliferation and collagen synthesis of primary cultured human tenocytes. Knee Surg Sport Traumatol Arthrosc. 2011;19:2159–68.

    Article  Google Scholar 

  14. Han SH, Lee JW, Guyton GP, et al. Effect of extracorporeal shock wave therapy on cultured tenocytes. Foot Ankle Int. 2009;30:93–8.

    PubMed  Google Scholar 

  15. Hausdorf J, Lemmens MAM, Kaplan S, et al. Extracorporeal shockwave application to the distal femur of rabbits diminishes the number of neurons immunoreactive for substance P in dorsal root ganglia L5. Brain Res. 2008;1207:96–101.

    Article  CAS  Google Scholar 

  16. Takahashi N, Wada Y, Ohtori S, et al. Application of shock waves to rat skin decreases calcitonin gene-related peptide immunoreactivity in dorsal root ganglion neurons. Auton Neurosci Basic Clin. 2003;107:81–4.

    Article  CAS  Google Scholar 

  17. Ohtori S, Inoue G, Mannoji C, et al. Shock wave application to rat skin induces degeneration and reinnervation of sensory nerve fibres. Neurosci Lett. 2001;315:57–60.

    Article  CAS  Google Scholar 

  18. Takahashi N, Ohtori S, Saisu T, et al. Second application of low-energy shock waves has a cumulative effect on free nerve endings. Clin Orthop Relat Res. 2006;443:315–9.

    Article  Google Scholar 

  19. Hausdorf J, Lemmens MAM, Heck KDW, et al. Selective loss of unmyelinated nerve fibers after extracorporeal shockwave application to the musculoskeletal system. Neuroscience. 2008;155:138–44.

    Article  CAS  Google Scholar 

  20. Wang FS, Yang KD, Kuo YR, et al. Temporal and spatial expression of bone morphogenetic proteins in extracorporeal shock wave-promoted healing of segmental defect. Bone. 2003;32:387–96.

    Article  CAS  Google Scholar 

  21. Wang FS, Yang KD, Chen RF, et al. Extracorporeal shock wave promotes growth and differentiation of bone-marrow stromal cells towards osteoprogenitors associated with induction of TGF-β1. J Bone Jt Surg Ser B. 2002;84:457–61.

    Article  CAS  Google Scholar 

  22. Gollmann-Tepeköylü C, Lobenwein D, Theurl M, et al. Shock wave therapy improves cardiac function in a model of chronic ischemic heart failure: evidence for a mechanism involving vegf signaling and the extracellular matrix. J Am Heart Assoc. 2018;7:e010025.

    Article  Google Scholar 

  23. Fukumoto Y, Ito A, Uwatoku T, et al. Extracorporeal cardiac shock wave therapy ameliorates myocardial ischemia in patients with severe coronary artery disease. Coron Artery Dis. 2006;17:63–70.

    Article  Google Scholar 

  24. Oi K, Fukumoto Y, Ito K, et al. Extracorporeal shock wave therapy ameliorates hindlimb ischemia in rabbits. Tohoku J Exp Med. 2008;214:151–8.

    Article  Google Scholar 

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Authors and Affiliations

  1. Faculty of Information Science and Technology, Hokkaido University, N14W9, Kita-ku, Sapporo, 060-0814, Japan

    Nobuki Kudo

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  1. Nobuki Kudo
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Correspondence to Nobuki Kudo.

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Kudo, N. Shock wave lithotripsy and therapy. J Med Ultrasonics (2022). https://doi.org/10.1007/s10396-022-01202-w

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  • DOI: https://doi.org/10.1007/s10396-022-01202-w

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