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Stones break better when the rate of shockwave (SW) delivery is slowed. It has been hypothesized that the greater cavitation accompanying a fast rate shields pulse propagation, thus interfering with the delivery of SW energy to the stone. We tested this idea by correlating waveforms measured at the SW focus with cavitation viewed using high-speed imaging.

Why Stones Break Better at Slow Shockwave Rates Than at Fast Rates: In Vitro Study with a Research Electrohydraulic Lithotripter