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    • 17. 发明授权
    • Customized gynecological brachytherapy applicator and method
    • 定制妇科近距离放射治疗仪及方法
    • US07744521B2
    • 2010-06-29
    • US11805065
    • 2007-05-21
    • Darius FrancescattiPaul A. Lovoi
    • Darius FrancescattiPaul A. Lovoi
    • A61N5/00
    • A61N5/1016
    • A customized gynecological brachytherapy applicator is formed by placing a molded balloon, which is secured to a handle, into a vaginal cavity and then filling the mold balloon with a settable liquid material. The material may be an expanding foam or any other form of curable material that becomes solid, rigid or pliable, when set by chemical action, temperature change, oxidation, a curing means such as a light, or other curing regime. The mold balloon can be elastic or inelastic, depending on the degree to which the applicator is to conform its external surfaces to the vaginal contours. One or more lumina are provided in the set filler material to receive a radiation source, with additional lumina optionally provided for purposes such as drainage or administration of therapeutic agents. The applicator may be withdrawn and reinserted into the vagina during treatment, and selected tissues adjacent to the applicator are irradiated in accordance with a radiation prescription.
    • 通过将固定在手柄上的模制气囊放置在阴道腔中,然后用可固定的液体材料填充模具球,形成定制的妇科近距离放射治疗仪。 当通过化学作用,温度变化,氧化,诸如光或其它固化方式的固化手段设定时,该材料可以是膨胀泡沫体或任何其它形式的可固化材料,其变得固体,刚性或柔韧性。 取决于施用器将其外表面与阴道轮廓相一致的程度,模具气囊可以是弹性的或非弹性的。 提供了一个或多个灯泡以在接收辐射源的集合填充材料中,其中另外的腔可以任选地提供用于治疗剂的排出或施用。 在治疗期间,施用器可以被取出并重新插入阴道,并且根据辐射处方照射与施用器相邻的选定组织。
    • 18. 发明授权
    • Real time verification in radiation treatment
    • 放射治疗实时验证
    • US07513861B2
    • 2009-04-07
    • US11394640
    • 2006-03-31
    • Michael KleinPaul A. Lovoi
    • Michael KleinPaul A. Lovoi
    • A61N5/00
    • A61N5/1015A61N5/1048A61N5/1067
    • A radiation therapy system and method, especially for brachytherapy, monitors and verifies dose delivered at a plurality of points at or near the region to be irradiated, integrating verification with radiation delivery. In one procedure, mapping is used to determine the shape and location of the region to be irradiated. A treatment plan is developed using the mapping information and a dose prescription. As radiation is delivered to the target region internally, preferably using an electronic radiation source, the dose received at plural points is monitored and continually fed to a central processor. As needed based on feedback, the system modifies the treatment plan and delivery of radiation accordingly, to arrive substantially at the prescribed dose at all locations in the region. In a modified procedure the treatment is done according to a prescription dose but without a treatment plan by multiple iterations of source pullback and feedback and analysis of dose received in the tissue. Source radiation levels and/or pattern and dwell are modified for each successive iteration and preferably for different dwell points in an iteration.
    • 放射治疗系统和方法,特别是近距离放射治疗,监测和验证在待照射区域处或附近的多个点递送的剂量,将验证与放射递送集成。 在一个过程中,使用映射来确定要照射的区域的形状和位置。 使用映射信息和剂量处方开发治疗计划。 随着辐射在内部,优选地使用电子辐射源被传送到目标区域,在多个点处接收的剂量被监测并且连续地馈送到中央处理器。 根据反馈要求,系统相应地修改治疗计划和辐射传播,以达到该地区所有地点的规定剂量。 在修改的程序中,根据处方剂量进行治疗,但是通过多次重复的来源回退和反馈以及组织中接收的剂量的分析来进行治疗计划。 源辐射水平和/或图案和驻留对于每个连续的迭代进行修改,优选地对于迭代中的不同驻留点进行修改。
    • 19. 发明申请
    • Method and apparatus for modifying distance from a brachytherapy radiation source to sensitive anatomical structures
    • 用于修改从近距离放射治疗辐射源到敏感解剖结构的距离的方法和装置
    • US20090030258A1
    • 2009-01-29
    • US11881835
    • 2007-07-28
    • Steve AxelrodJames E. JervisPaul A. Lovoi
    • Steve AxelrodJames E. JervisPaul A. Lovoi
    • A61M36/06
    • A61M25/1011A61B2017/22069A61M25/1002A61M2025/1061A61N5/1015
    • A balloon brachytherapy applicator has either a single or double chambers, with the capability of “blistering” outwardly at a specified area on one side of the balloon. This is useful to move sensitive tissue, such as skin or bone, farther away from a radiation source within a source guide inside the balloon. In one case a secondary balloon or secondary compartment is formed on the primary balloon, and is separately inflatable so as to allow blistering as desired when needed. In another form the balloon comprises a single chamber, primarily of inelastic or fairly rigidly elastic wall material, but with a “window” or area in which the balloon wall is elastic, or substantially more elastic than the main balloon wall, so that inflation of the balloon up to a certain point forms a substantially regular balloon shape (which may be approximately spherical), and the addition of further pressure will blister out the elastic area to increase the distance between the shaft and the sensitive tissue in a desired orientation of the balloon.
    • 气球近距离放射治疗器具有单室或双室,在气球一侧的指定区域处具有“起泡”的能力。 这对于将敏感组织(例如皮肤或骨骼)移动离气囊内的源引导件内的辐射源更远是有用的。 在一种情况下,次级球囊或次级隔室形成在主气囊上,并且可分开地充气,以便在需要时根据需要允许起泡。 在另一种形式中,气囊包括主要为非弹性或相当刚性弹性的壁材料的单个腔室,但具有球囊壁具有弹性或比主气囊壁基本上更有弹性的“窗口”或区域,从而使 气球直到某一点形成基本上规则的气球形状(其可以近似为球形),并且增加进一步的压力将使弹性区域起泡以增加轴和敏感组织之间的距离, 气球。