Dosimetrically customizable brachytherapy carriers and methods thereof in the treatment of tumors
Brachytherapy radioisotope carrier systems and methodology for providing real-time customized brachytherapy treatment to subjects with tumors difficult to control using conventional radiation therapy techniques. The invention generally relates to devices, methods and kits for providing customized radionuclide treatments, to help cure, slow progression or regrowth, or ameliorate the symptoms associated with tumors.
1. A treatment system comprising:
an introducer adapted to engage with a radioactive seed carrier to maintain position of the radioactive seed carrier with reference to the introducer while the radioactive seed carrier is implanted into a cavity of a mammal, wherein the radioactive seed carrier is permanently implantable into the mammal and the introducer is removable from the radioactive seed carrier after implantation of the radioactive seed carrier into the mammal;
the radioactive seed carrier comprising:
an engagement interface configured to engage with the introducer; and
one or more flexible elongate members each having:
a proximal end;
a distal end; and
a carrier portion between the proximal end and the distal end, the carrier portion embedding a radioactive seed;
wherein the radioactive seed carrier is adapted to transform between a first state and a second state in response to movement of the introducer engaged with the engagement interface of the radioactive seed carrier, wherein
the first state is adapted to maintain the one or more flexible elongate members in a substantially linear arrangement; and
the second state is attained by flexing each of the one or more flexible elongate members to engage with one or more surfaces of the cavity.
2. The treatment system of claim 1 , wherein the introducer is manually controlled.
3. The treatment system of claim 1 , wherein the introducer is robotically controlled.
4. The treatment system of claim 1 , wherein the second state is a substantially symmetrical shape.
5. The treatment system of claim 1 , wherein the second state is asymmetrical.
6. The treatment system of claim 1 , wherein the second state is asymmetrical and substantially matches an asymmetrical shape of the cavity.
7. The treatment system of claim 1 , wherein the proximal ends of the flexible elongate members are not attached to one another.
8. The treatment system of claim 1 , wherein the proximal ends of at least some of the flexible elongate members are attached to one another.
9. The treatment system of claim 1 , wherein at least one of the flexible elongate members comprises a trim indicator of a location where trimming of the at least one of the flexible elongate members may be performed without impacting the embedded radioactive seed.
10. The treatment system of claim 9 , wherein the carrier portion of the at least one of the flexible elongate members includes a second radioactive seed and the trim indicator is located between the radioactive seed and the second radioactive seed.
11. The treatment system of claim 1 , wherein the radioactive seed carrier comprises four flexible elongate members that are each flexible about the engagement interface such that the second state of the radioactive seed carrier comprises five sides.
12. The treatment system of claim 1 , wherein the radioactive seed carrier is formed of a biocompatible material.
13. The treatment system of claim 1 , wherein the radioactive seed carrier is formed of collagen.
14. The treatment system of claim 1 , wherein the one or more flexible elongate members have a thickness of between about one millimeter and about eight millimeters.
15. The treatment system of claim 1 , wherein the one or more flexible elongate members have a thickness of about one millimeter.