@inproceedings{f2cbe0feace043f6879249a2d4fa94d6,
title = "A possible cumulative shear mechanism for tissue damage initiation in SWL",
abstract = "In shock-wave lithotripsy, inertial cavitation is observed in kidney tissue after hundreds of shocks are delivered, which seems to correspond with the onset of wide-spread injury. However, it is unclear what initiates the process. It is possible, and has been suggested before, that hemorrhage is a prelude to cavitation damage. We investigate the possibility that the net shear of multiple shocks can accumulate to cause this initial hemorrhage. A mathematical model is used to show that the larger interstitial volume fraction in the medulla toward the papilla tip would make it particularly sensitive there to this mechanism. This is consistent with observations.",
keywords = "Shock-wave lithotripsy, Tissue damage",
author = "Freund, {Jonathan B.}",
year = "2007",
doi = "10.1063/1.2723595",
language = "English (US)",
isbn = "0735404062",
series = "AIP Conference Proceedings",
publisher = "American Institute of Physics Inc.",
pages = "356--359",
booktitle = "RENAL STONE DISEASE",
note = "1st Annual International Urolithiasis Research Symposium ; Conference date: 02-11-2006 Through 03-11-2006",
}