摘要:
Methods and apparatus are described for irradiating living tissue via a cavity or lumen, using an inflatable balloon applicator. In a preferred embodiment the applicator balloon has a balloon skin with x-ray contrast material in relatively low concentration, so that an outline of the balloon will appear sharply when imaged externally. In another preferred embodiment the balloon catheter has a drain for withdrawing liquids from the cavity, which may include channels or texture on the exterior of the balloon. Methods are described for using a switchable miniature x-ray tube, variable as to voltage and current, to achieve accuracy in an isodose profile.
摘要:
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 farther away from a radiation source within a source guide inside the balloon. In one case a 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 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, 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.
摘要:
In a kyphoplasty procedure to expand and repair a damaged vertebra, diseased bone around the vertebral fraction zone is irradiated by use of a small radiation source inserted through the cannula used in the kyphoplasty procedure.
摘要:
A brachytherapy applicator and method of use involve a source guide that assumes a desired curving, non-linear configuration when inserted into an inflated balloon of the applicator. A flexible source catheter follows the shape of the source guide when inserted into the balloon. Radiation dose received in various tissue areas can be better controlled using the invention, and the ratio of cavity surface dose to prescription depth dose can be lowered. With rotation of the curving source guide coupled with translation of the source via longitudinal movement of the catheter, the applicator can approximate a spherical source, through either stepped or continuous movement of the source and source guide.
摘要:
Vascular conditions are detected non-invasively in the human body using a collection of acoustic information from small local regions of the vasculature. An array of accelerometers or other sensors are attached to the head or other points of interest of a patient and blood flow sounds are recorded. Vibration signatures of vessel structures such as branches, aneurysms, stenosis, etc. using random, periodic, band limited or transient analysis provides a library for further processing. The signature library is used to localize the origin of the recognized vascular feature, and the localized feature is presented to the physician in a clinically relevant manner.
摘要:
Radiation treatment methods for breast cancer following resection, both intraoperative and post operative, involve mapping preferably using an electronic x-ray source, and can include rotation of a direction source. By using a very rapid, near-instantaneous method of pathology of tissue margins following resection, the invention carries out intraoperative radiation treatment, preferably with the patient remaining anesthetized. Whether or not radiation is intraoperative, the invention preferably includes a mapping procedure using an electronic source that is progressed through the resection cavity while radiation dose is sensed at one or more points, to determine the shape of the resection cavity.
摘要:
A vaginal brachytherapy applicator is versatile to different anatomies and more comfortable to the patient than prior applicators. An inflatable balloon on a shaft may be inelastic or elastic. In one embodiment the shaft is rotatable relative to the balloon for enabling a ring or band of dose delivery, for versatility in radiation placement. Alternatively, the source can be rotated and pulled back within a stationary shaft. An adjustment is provided for reducing the length of balloon that inflates, to accommodate different anatomies and positions. Although isotope radiation sources can be used in the applicator, an electronic source is preferred, and the system and method include procedures for using the applicator with an electronic source.
摘要:
An electronic identification tag, usually in very small size, responds to a reader with an identification code unique to the object to which the tag is attached. The stand-alone device responds to a reader signal by storing energy received from the signal, then using the stored energy to generate another signal that is encoded with identification information. In operation, a reader generates RF energy which can reach a multiplicity of such tags over a distance of several meters. The system minimizes power requirements for the tag by minimizing intelligence in the IC. Use of a transmit frequency which is different from the reader's power frequency reduces interference between the power pulse and information pulse, eliminates the need for filters and enables the multiplied clock reference frequency as the transmit carrier frequency.
摘要:
A radio frequency ID tag, very small in size and with an onboard antenna, is manufactured, tested and applied cost-efficiently. The transmit frequency for the tag is set during manufacture approximately, within a selected range, in a gross tuning step. A second tuning step fine tunes each tag by RF communication to set values of capacitance, resistance, etc., and this can be at the point of application of the tags. Other aspects include burning a randomly-selected value in the RF ID chip during manufacture to impose a random time delay for tag response (rather than having a random generator on the chip itself); structural testing of a large number of tags on a wafer using on-wafer interconnects and a special onboard sequencer test die; and production of the tag so as to be tunable to different frequency ranges.
摘要:
A medical pill intended for human or animal consumption includes an RF ID tag in or on the pill. The tag will respond to a nearby reader, the tag itself being without a battery or other constant power supply, capturing power from the reader's transmitted signal and storing a portion of that power in a power supply. An antenna for the RF ID tag may be integral with the tag or it may be transferred to the pill using conductive materials in the pill's coating, filler or binding agents, embedded within the pill, or printed onto the pill. If separate from the tag the antenna is electromagnetically coupled to the tag which has a small onboard antenna. The RF ID tag of each pill has data that are transmitted when the tag is interrogated by a signal from a reader. Incorporation of an ingestable ID tag is possible because of the tag's very small size compatible with ingestion and because the tag can contain an antenna within the pill that allows the tag to be read at a substantial distance. Several different methods for deactivating the RF ID tag after ingestion or use of the pill are disclosed. Medicaments other than oral pills can also have the ID tags.