Previous studies using microfocus x-ray radiography on concentric laminated
uric acid calculi following in vitro extracorporeal shock-wave lithotripsy
(ESWL) has demonstrated the enlargement of the matrix layers. The Schliere
n technique was used to verify the hypothesis that the incident energy woul
d be concentrated in the matrix layers by total internal reflection, Becaus
e of the rough surface of the stone, the ultrasonic beam (4 MHz) was incide
nt at various angles, At the critical Rayleigh angle (45.9 degrees +/- 0.5
degrees), the reflected beam consisted of a specularly reflected lobe and a
reradiated leaky Rayleigh wave. Different critical Lamb angles, theta(L),
of 30.8 degrees 38.1 degrees and 50.8 degrees (experimental uncertainty 0.5
degrees) were also determined. Depending on the angle of incidence on the
stone surface, a Rayleigh wave can be produced and/or one or more layers, a
s a whole, are set into vibration (Lamb excitation), with the result that s
hell-like fragments consisting of one or more layers, break off the stones
at sites of weaker bonding, as has been noted in previous in vitro lithotri
psy experiments by our group. (C) 2000 World Federation for Ultrasound in M
edicine & Biology.