Abstract
A simple method for preparing artificial kidney stones with varying physical properties is described. BegoStone was prepared with a powder-to-water ratio ranging from 15:3 to 15:6. The acoustic properties of the phantoms were characterized using an ultrasound transmission technique, from which the corresponding mechanical properties were calculated based on elastic wave theory. The measured parameters for BegoStone phantoms of different water contents are: longitudinal wave speed (3,148–4,159 m/s), transverse wave speed (1,813–2,319 m/s), density (1,563–1,995 kg/m3), longitudinal acoustic impedance (4.92–8.30 kg/m2 s), transverse acoustic impedance (2.83–4.63 kg/m2 s), Young’s modulus (12.9–27.4 GPa), bulk modulus (8.6–20.2 GPa), and shear modulus (5.1–10.7 GPa), which cover the range of corresponding properties reported in natural kidney stones. In addition, diametral compression tests were carried out to determine tensile failure strength of the stone phantoms. BegoStone phantoms with varying water content at preparation have tensile failure strength from 6.9 to 16.3 MPa when tested dry and 3.2 to 7.1 MPa when tested in water-soaked condition. Overall, it is demonstrated that this new BegoStone preparation method can be used to fabricate artificial stones with physical properties matched with those of natural kidney stones of various chemical compositions.
Similar content being viewed by others
Abbreviations
- COM:
-
Calcium oxalate monohydrate
- MAPH:
-
Magnesium ammonium phosphate hydrogen
- C L :
-
Longitudinal wave speed
- C T :
-
Transverse wave speed
- ρ :
-
Density
- ν :
-
Poisson’s ratio
- E :
-
Young’s modulus
- K :
-
Bulk modulus
- G :
-
Shear modulus
References
Chaussy CG, Fuchs GJ (1989) Current state and future developments of noninvasive treatment of human urinary stones with extracorporeal shock wave lithotripsy. J Urol 141:782–789
Rassweiler JJ, Tailly GG, Chaussy C (2005) Progress in lithotriptor technology. EAU Update Ser 3:17–36
Eisenmenger W (2001) The mechanisms of stone fragmentation in ESWL. Ultrasound Med Biol 27:683–693
Zhu S, Cocks FH, Preminger GM, Zhong P (2002) The role of stress waves and cavitation in stone comminution in shock wave lithotripsy. Ultrasound Med Biol 28:661–671
Xi X, Zhong P (2001) Dynamic photoelastic study of the transient stress field in solids during shock wave lithotripsy. J Acoust Soc Am 109:1226–1239
Cleveland RO, Sapozhnikov OA (2005) Modeling elastic wave propagation in kidney stones with application to shock wave lithotripsy. J Acoust Soc Am 118:2667–2676
Sapozhnikov OA, Maxwell AD et al (2007) A mechanistic analysis of stone fracture in lithotripsy. J Acoust Soc Am 121:1190–1202
Chuong CJ, Zhong P et al (1992) A comparison of stone damage caused by different modes of shock wave generation. J Urol 148:200–205
Teichman JM, Portis AJ et al (2000) In vitro comparison of shock wave lithotripsy machines. J Urol 164:1259–1264
Zhong P, Chuong CJ et al (1993) Propagation of shock waves in elastic solids caused by cavitation microjet impact II: application in extracorporeal shock wave lithotripsy. J Acoust Soc Am 94:29–36
Zhong P, Preminger GM (1994) Mechanisms of differing stone fragility in extracorporeal shockwave lithotripsy. J Endourol 8:263–268
Heimbach D, Munver R et al (2000) Acoustic and mechanical properties of artificial stones in comparison to natural kidney stones. J Urol 164:537–544
Liu Y, Zhong P (2002) BegoStone—a new stone phantom for shock wave lithotripsy research. J Acoust Soc Am 112:1265–1268
McAteer JA, Williams JC Jr et al (2005) Ultracal-30 gypsum artificial stones for research on the mechanisms of stone breakage in shock wave lithotripsy. Urol Res 33:429–434
Simmons WN, Cocks FH, Zhong P, Preminger G (2010) A composite kidney stone phantom with mechanical properties controllable over the range of human kidney stones. J Mech Behav Biomed Mater 3:130–133
Chuong CJ, Zhong P, Preminger GM (1993) Acoustic and mechanical properties of renal calculi: implications in shock wave lithotripsy. J Endourol 6:437–444
Zhong P, Chuong CJ, Preminger GM (1993) Characterization of fracture toughness of renal calculi using a microindentation technique. J Mater Sci Lett 12:1460–1462
Mellor M, Hawkes I (1971) Measurement of tensile strength by diametral compression of disks and annuli. Eng Geol 5:173–225
Johrde LG, Cocks FH (1985) Fracture strength of renal calculi. J Mater Sci Lett 4:1264–1265
Acknowledgments
This work was supported in part by the NIH through grant RO1 DK052985 (PZ) and a Pratt Engineering Undergraduate Fellowship (EE) at Duke University.
Author information
Authors and Affiliations
Corresponding author
Additional information
Proceedings of the 3rd International Urolithiasis Research Symposium held in Indianapolis, IN, USA, December 3–4, 2009.
Rights and permissions
About this article
Cite this article
Esch, E., Simmons, W.N., Sankin, G. et al. A simple method for fabricating artificial kidney stones of different physical properties. Urol Res 38, 315–319 (2010). https://doi.org/10.1007/s00240-010-0298-x
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00240-010-0298-x