New protocols have been developed for shockwave irradiation of soft tissue volumes using trajectories uniformly filled within the given shape by discrete foci, while pulsed millisecond sonication immediately formed a single ablation. The influence of the initial peak power with the same time-average power, the interfocus distance and the geometry of the external contour of the trajectory on the shape, volume and ablation rate was analyzed. The most advantageous is the saturation mode using a trajectory with an interfocus step 1.5 times greater than the transverse size of a single lesion. To obtain volumes of thermal ablation on the order of cubic centimeters, layer-by-layer sonication protocols are proposed, which allow to 2.5 times greater thermal ablation rate compared with protocols used in clinical practice. The advantage of the proposed shockwave protocols is the possibility of obtaining localized and predictable thermal damage without accompanying MRI monitoring.
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