Method for transporting radiation, applicator as well as radiation therapy device
Among other things, a method for transporting radiation to a body region is described, wherein, in a first step, a canal is formed up to the body region to be irradiated and wherein, in a second step, an applicator ( 10 ) which is fitted to the diameter of the canal is introduced into the canal in order to guide a probe tip. Advantageously, applicator ( 10 ) is formed for use with a radiation therapy device for producing a defined radiation dose for irradiating a body region, whereby applicator ( 10 ) has a base body ( 11 ) with a foot region ( 12 ) for the uptake of at least one component of a radiation therapy device ( 30 ), a cylindrical guide region ( 13 ) connecting thereto for the uptake of a probe tip of a radiation therapy device, whereby a transition region ( 14 ) is formed between the foot region ( 12 ) and the guide region ( 13 ), as well as a head region ( 15 ), which is formed at the distal end ( 21 ) of base body ( 11 ). The method can be utilized especially for the treatment of tumors in the vertebral column.
1. A method for transporting radiation to a body region, said method comprising:
forming a canal up to the body region, wherein said forming step comprises drilling or tissue punching the canal, the canal having a canal diameter, the canal diameter being substantially uniform,
then, introducing an applicator which is fitted to the diameter of the canal into the canal in order to guide a probe tip or a radiation source unit, said applicator being shaped for use with a radiation therapy device for producing a defined radiation dose for irradiating the body region, wherein the applicator comprises a base body, the base body comprising a foot region for uptake of at least one component of a radiation therapy device and a cylindrical guide region connected thereto for uptake of a probe tip or a radiation source unit of a radiation therapy device, a distal end of the cylindrical guide region constituting a head region, said head region being a free end of the cylindrical guide region, wherein the cylindrical guide region of the applicator has an outer diameter which is fitted to the canal diameter, and
introducing the probe tip or the radiation source unit into the applicator.
2. The method according to claim 1 , wherein the canal is reinforced by a guide tube, at least in regions.
3. The method according to claim 1 , wherein a transition region is formed between the foot region and the guide region.
4. The method according to claim 3 , wherein whereby the diameter of the guide region is smaller than the diameter of the foot region and whereby the length of the guide region is longer than or equal to the length of the transition region.
5. The method according to claim 3 , wherein the diameter of the guide region is equal to the diameter of the foot region and whereby the length of the guide region is longer than or equal to the length of the transition region.
6. The method according to claim 3 , wherein the transition region has a conical course, at least in regions.
7. The method according to claim 3 , wherein the transition region has a support surface, at least in regions, for at least one component of the radiation therapy device.
8. The method according to claim 7 , wherein an inner surface of the guide region is directly connected to the support surface.
9. The method according to claim 1 , wherein an inside space of the guide region is formed as a cylinder.
10. The method according to claim 4 , wherein the ratio of the length of the guide region to an outer diameter of the guide region is greater by a multiple.
11. The method according to claim 1 , wherein the applicator has at least one radiation filter element.
12. The method according to claim 1 , wherein the applicator has at least one cooling element.
13. The method according to claim 1 , wherein the radiation that is transported to the body region is produced by the radiation therapy device, wherein the radiation therapy device a comprises the radiation source unit.
14. The method according to claim 13 , wherein the radiation source unit is introduced into the applicator and the radiation is emitted in the applicator.
15. The method according to claim 13 , wherein the radiation source unit is joined with the probe tip for emitting radiation, and the probe tip is introduced into the applicator.
16. The method according to claim 13 , wherein the radiation is produced via the radiation source unit, which is disposed in a housing for an uptake of the radiation source unit.
17. The method according to claim 16 , wherein the housing has an uptake piece projecting from the housing for at least components of the probe tip or the radiation source unit.
18. The method according to claim 16 , wherein the applicator is joined in a detachable manner with the housing via the foot region.
19. The method according to claim 16 , wherein the applicator is joined in a detachable manner with the housing via an adapter.
20. The method according to claim 17 , wherein a front side of the uptake piece is placed at a transition region of the applicator.
21. The method according to claim 20 , wherein the front side of the uptake piece is placed adjacent to a proximal end of the guide region of the applicator.
22. A method for treating a vertebral body, said method comprising:
drilling a hole in the vertebral body, the hole reaching up to a region to be treated, the hole having a hole diameter, the hole diameter being substantially uniform;
transporting radiation to the region to be treated, wherein said transporting comprises introducing an applicator which is fitted to the diameter of the drilled hole into the drilled hole, said applicator guiding a probe tip or a radiation source unit of a radiation therapy device, said applicator being shaped for use with a radiation therapy device for producing a defined radiation dose for irradiating a body region, wherein the applicator comprises a base body, the base body comprising a foot region for the uptake of at least one component of the radiation therapy device and a cylindrical guide region connected thereto for the uptake of the probe tip or the radiation source unit of the radiation therapy device, a distal end of the cylindrical guide region constituting a head region, said head region being a free end of the cylindrical guide region, wherein the cylindrical guide region of the applicator has an outer diameter which is fitted to the hole diameter, wherein radiation is produced by the probe tip or by the radiation source unit and is transported to the region to be treated by means of the applicator, and whereby, the region to be treated is irradiated with radiation;
after terminating a treatment of the vertebral body, removing the applicator from the drilled hole, and
subsequently, stabilizing the vertebral body.
23. The method according to claim 22 , wherein at least one section of the drilled hole is reinforced by a guide tube.
24. The method according to claim 22 , wherein the vertebral body is stabilized by filling with bone cement.
25. The method according to claim 22 , wherein after removal of the applicator from the drilled hole, the vertebral body can first be aligned by introducing a balloon catheter into the drilled hole and the vertebral body is subsequently stabilized by filling with bone cement.