An ultrasonic intracranial sonothrombolysis pressure amplitude is pre-quantified by using an ultrasound-scanner control unit (110) having an increasing and/or decreasing mode and designed for: with respect to a current mode, interrogating a blockage site iteratively so as to progressively and respectively increase or decrease a pressure amplitude of ultrasound being emitted to the site at which bubbles (144) for oscillating that is caused by the emitted ultrasound are present; iteration to iteration, deriving, from echoes of the emitted ultrasound, a magnitude of an energy of a signal; and automatically identifying, for the quantifying, an iteration that, in comparison with a just-previous iteration, fails to increase the magnitude. The interrogating may span a region that contains or goes through: the obstruction; another part of the blood vessel; and bubble circulation within a neighboring vessel and a neighboring capillary (136). The deriving can be based on an ultraharmonic signal, with band-pass filtering being utilized to extract the ultraharmonic signal from returning signals differenced to remove stationary content.

An apparatus for patient-specific adjusting of ultrasound output pressure includes a controller (118) configured for adjusting, based on an estimate of thickness of a temporal bone (140) in a head of a medical treatment recipient, a pressure setting. It may also be based on treatment depth (134). Ultrasound at the adjusted pressure setting is applied. A user interface may be provided for user entry of the estimate, the user interface being further configured for user indication of the treatment depth. Both the entered estimate and the indicated treatment depth may be used in calculating ultrasound attenuation (148). The user indication can be interactive by virtue of designating, on a display, a location of a treatment target. The calculated attenuation may be a value, in decibels, that is in a range from 0.9(2.700.1+16.60T+0.87(DT0.1)+3.02) to 1.1(2.700.1+16.60T+0.87(DT0.1)+3.02), where T is the estimate in centimeters and D is the treatment depth in centimeters.

A device for treating the human or animal brain with shockwaves has a shockwave transducer coupled to a position sensor for detecting the position of the shockwave transducer. The device is adapted to evaluate the signals of the position sensor to calculate the position of the focus spot of the shockwave transducer. Furthermore, a mapping device is provided for mapping the movement of the focus spot over a plurality of positions together with the applied shockwave dose at each of the positions. The applied shockwave dose may be indicated on a color display.

A method for displaying a passive cavitation image that shows characteristic information of a passive cavitation includes: receiving an ultrasound signal caused by the passive cavitation; generating a plurality of first passive cavitation images for the passive cavitation at predetermined respective time frame using the received ultrasound signal by a DAS beam forming; generating a plurality of second passive cavitation images in which a maximum magnitude signal region is displayed by selecting a main lobe region having a magnitude greater than or equal to a predetermined value in the respective first passive cavitation image; generating a main lobe passive cavitation image in which a main region is displayed in the respective time frame by superimposing the plurality of the second passive cavitation images obtained for the respective time frame; and generating a passive cavitation image by displaying the main lobe passive cavitation image on a background image.

An apparatus for generating focused shockwaves and ultrasound waves comprises a concave reflector holding a cylindrical coil at its center axis. A power generator comprising a combined shockwave and ultrasound generator device is connected to the coil for alternatingly providing an ultrasound signal and a shockwave signal to the coil such that the coil alternatingly generates ultrasound waves and shockwaves.

Delivery systems, and methods using the same, having an ultrasound viewing window for improved imaging and a needle for ablation treatment of target tissues. In an embodiment, the target tissue is a fibroid within a female's uterus. In an embodiment, the delivery system includes a rigid shaft having a proximal end, a distal end, and an axial passage extending through the rigid shaft. In an embodiment, the axial passage is configured for removably receiving the ultrasound imaging insert having an ultrasound array disposed a distal portion.

Described herein are methods and apparatus for detecting stones by ultrasound, in which the ultrasound reflections from a stone are preferentially selected and accentuated relative to the ultrasound reflections from blood or tissue. Also described herein are methods and apparatus for applying pushing ultrasound to in vivo stones or other objects, to facilitate the removal of such in vivo objects.

A histotripsy therapy system configured for the treatment of tissue is provided, which may include any number of features. Provided herein are systems and methods that provide efficacious non-invasive and minimally invasive therapeutic, diagnostic and research procedures. In particular, provided herein are optimized systems and methods that provide targeted, efficacious histotripsy in a variety of different regions and under a variety of different conditions without causing undesired tissue damage to intervening/non-target tissues or structures.

The present invention provides enhanced ESWL efficacy for therapeutic and operational outcomes. Device behavior and performance data is measured in-situ and analyzed for both intra-procedure and inter-procedure breadth of regard such that both therapy optimization and maintenance optimization engines are provided an accurate and current assessment of ESWL system and device state and performance. This feedback and control provides the ability to compensate in real time for the current patient therapy and offline for future patient therapy for machine/therapy idiosyncrasies and realize continuous calibration of system/devices to the performance required for maximum ESWL patient efficacy.

Aspects of stone identification methods and systems are described. According to one aspect, an exemplary method comprises: transmitting to a processing unit, with an imaging element mounted on a distal end of a scope, image data about a stone object inside a body cavity; generating from the image data, with the processing unit, a visual representation of the stone object and the body cavity; establishing from a user input, with the processing unit, a scale for the visual representation; determining from the visual representation, with the processing unit, a size of the stone object on the scale; comparing, with the processing unit, the size of the stone object with a predetermined maximum size to determine a removal status; and augmenting, with the processing unit, the visual representation to include an indicator responsive to the removal status. Associated systems are also described.