Histotripsy treatment involves sonicating a target region with a series of acoustic pulses, detecting ultrasonic reflected signals from the target region, controlling an ultrasonic
transducer to deliver a sequence of acoustic pulses to the target region with sufficient amplitude to induce
cavitation sufficient to mechanically rupture the tissue within the target region, receiving data characterizing the detected reflected signals, computationally estimating the level or location of acoustic activity or acoustic field distribution in the target region based on the data, and controlling the delivery of acoustic pulses by stopping, continuing, increasing, or decreasing the output level for acoustic pulse delivery based on multiple acoustic
activity level estimates or acoustic field distribution estimates, thereby controlling tissue destruction in a target internal anatomical region.