The results of shock-wave treatment of gallbladder stones depend to a
very high degree on the quality and expertise of ultrasonography appli
ed before, during, and after shock-wave disintegration of the stones.
Ultrasonography is decisive in evaluating the inclusion criteria; it i
s the method of choice for directing the shock-wave energy at the ston
es and monitoring the disintegration process. It is the only diagnosti
c modality to really demonstrate the gallbladder being free from stone
s.