Lithotripter with detection of kidney stones

A shock wave and/or ultrasound therapy system comprising:

• an ultrasound and/or shockwave source that includes an ultrasonic transducer for ultrasonic imaging or an X-ray imaging system, wherein
• the ultrasonic transducer or an X-ray imaging system that is configured to provide a video signal and that is coupled to a video processor, the video processor including a neural network and a concernment detector,
• wherein the neural network is configured to detect at least one kidney in the video signal and forwarding of position information of the at least one kidney to the concernment detector, and
• wherein the concernment detector is configured to detect in the video signal at least one concernment or kidney stone at a position of the at least one kidney.