Comment by hans_castorp

21 hours ago

Don't they break up kidney stones using ultrasound as well? Or is that a different type of "ultrasound"?

“Lithotripsy” is the name of the kidney stone treatment. My understanding is it’s based on vibration, not ultrasound (I know, vibration is sound - my understanding is the method on the linked article uses higher frequency + intensity + shorter pulses than the kidney stone method - so sorta like microwaving tumors vs using a massage gun on kidney stones?)

  • I think that's traditionally done with lasers.

    • My surgeon told me my previous kidney cancer surgery (partial nephrectomy) meant my 7/8 size kidney wouldn't handle ultrasound treatment for the big kidney stone I'd developed 10 years after the cancer. So laser instead! Worked well but not much fun at the time.

    • Having had kidney stones, they're both used. I think for the sonic one they put you in a water bath because it conducts better. But as I understand it, the docs can pick whichever one is more optimal, be it shattering the stone sonically or zapping it with a laser.

AFIKR two facilities do this kind of treatment. One in Canada and one in China. There already was a HN threads with some reporting to have been treated in Canada.

https://news.ycombinator.com/item?id=31630679

Apparently, only some tumors have a distinct and unique shape / size. The “trick” is to calibrate the resonance exactly to the size of the cancer cell. So that resonance would “hurt” only that kind of shape / size cell. Which was much harder to do than it sounds. Sadly not all cancer cells are unique and not that “easily” distinguishable by size

But I am not in the medical field and just repeating what I’ve read.

yup. If the stone is mineral-based and within certain sizes, you can break it up with a special ultrasound. Except.... in morbidly obese patients, if you can imagine the why.