I think they will end up being able to do better. They probably will start with equivalent resolution at lower cost. I know Mary Lou Jepsen, she is a genius (well, there are lots of those), courageous (very few of these), and kind (extremely rare, especially in combination...)
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:-). FYI openwater prob. inherits resolution of its ultrasound guidestars. Set for the brain by what can get thru skull, ~ MHz ~ mm. For other tissues, no bone to get through, so can set ultrasound wavelength lower and get better res & signal. Maybe why mlj starts outside brain.
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Though there is probably a niche for openwater's tech as is; using it for first-pass assessment (in a clinical setting) and then more invasive as needed. I'd bet that at some point if one desires further rez there is no way around being more and more invasive
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