JP6568539B2 - 対象の中の標的部位に放射線を照射するためのシステム - Google Patents

対象の中の標的部位に放射線を照射するためのシステム Download PDF

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Publication number
JP6568539B2
JP6568539B2 JP2016554389A JP2016554389A JP6568539B2 JP 6568539 B2 JP6568539 B2 JP 6568539B2 JP 2016554389 A JP2016554389 A JP 2016554389A JP 2016554389 A JP2016554389 A JP 2016554389A JP 6568539 B2 JP6568539 B2 JP 6568539B2
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temperature
target site
unit
subject
determined
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Expired - Fee Related
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Japanese (ja)
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JP2017506555A (ja
JP2017506555A5 (enExample
Inventor
レオポルト テオドリュス フレデリック ハウトファスト，ギヨーム
レオポルト テオドリュス フレデリック ハウトファスト，ギヨーム
ビンネカンプ，ディルク
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Koninklijke Philips NV
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Koninklijke Philips NV
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    • A—HUMAN NECESSITIES
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    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M37/00—Other apparatus for introducing media into the body; Percutany, i.e. introducing medicines into the body by diffusion through the skin
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F7/00—Heating or cooling appliances for medical or therapeutic treatment of the human body
    • A—HUMAN NECESSITIES
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    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • A61B18/22—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
    • A61B18/24—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor with a catheter
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    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/40—Applying electric fields by inductive or capacitive coupling ; Applying radio-frequency signals
    • A61N1/403—Applying electric fields by inductive or capacitive coupling ; Applying radio-frequency signals for thermotherapy, e.g. hyperthermia
    • A61N1/406—Applying electric fields by inductive or capacitive coupling ; Applying radio-frequency signals for thermotherapy, e.g. hyperthermia using implantable thermoseeds or injected particles for localized hyperthermia
    • A—HUMAN NECESSITIES
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    • A61N5/10—X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
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    • A61N5/10—X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N5/1001—X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy using radiation sources introduced into or applied onto the body; brachytherapy
    • A61N5/1027—Interstitial radiation therapy
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    • A61N5/103—Treatment planning systems
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    • A—HUMAN NECESSITIES
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    • A61N5/1048—Monitoring, verifying, controlling systems and methods
    • A61N5/1071—Monitoring, verifying, controlling systems and methods for verifying the dose delivered by the treatment plan
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    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
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    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00642—Sensing and controlling the application of energy with feedback, i.e. closed loop control
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    • A61B2018/00636—Sensing and controlling the application of energy
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    • A61B2018/00791—Temperature
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00982—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body combined with or comprising means for visual or photographic inspections inside the body, e.g. endoscopes
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    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • A61B18/22—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
    • A61B2018/2255—Optical elements at the distal end of probe tips
    • A61B2018/2294—Optical elements at the distal end of probe tips with a diffraction grating
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B34/20—Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
    • A61B2034/2046—Tracking techniques
    • A61B2034/2061—Tracking techniques using shape-sensors, e.g. fiber shape sensors with Bragg gratings
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    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37—Surgical systems with images on a monitor during operation
    • A61B2090/378—Surgical systems with images on a monitor during operation using ultrasound
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F7/00—Heating or cooling appliances for medical or therapeutic treatment of the human body
    • A61F2007/0086—Heating or cooling appliances for medical or therapeutic treatment of the human body with a thermostat
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F7/00—Heating or cooling appliances for medical or therapeutic treatment of the human body
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F7/00—Heating or cooling appliances for medical or therapeutic treatment of the human body
    • A61F2007/0095—Heating or cooling appliances for medical or therapeutic treatment of the human body with a temperature indicator
    • A61F2007/0096—Heating or cooling appliances for medical or therapeutic treatment of the human body with a temperature indicator with a thermometer
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/05—General characteristics of the apparatus combined with other kinds of therapy
    • A61M2205/051—General characteristics of the apparatus combined with other kinds of therapy with radiation therapy
    • A—HUMAN NECESSITIES
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    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/33—Controlling, regulating or measuring
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/50—General characteristics of the apparatus with microprocessors or computers
    • A—HUMAN NECESSITIES
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    • A61N5/06—Radiation therapy using light
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    • A61N5/10—X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N5/103—Treatment planning systems
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    • A61N5/10—X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N5/1048—Monitoring, verifying, controlling systems and methods
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N7/00—Ultrasound therapy
    • A61N7/02—Localised ultrasound hyperthermia

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Pathology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Medical Informatics (AREA)
  • Vascular Medicine (AREA)
  • Electromagnetism (AREA)
  • Otolaryngology (AREA)
  • Optics & Photonics (AREA)
  • Molecular Biology (AREA)
  • Dermatology (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Radiation-Therapy Devices (AREA)
  • Thermotherapy And Cooling Therapy Devices (AREA)
JP2016554389A 2014-02-27 2015-02-26 対象の中の標的部位に放射線を照射するためのシステム Expired - Fee Related JP6568539B2 (ja)

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
EP14156948 2014-02-27
EP14156948.3 2014-02-27
EP14193853 2014-11-19
EP14193853.0 2014-11-19
PCT/EP2015/053962 WO2015128392A1 (en) 2014-02-27 2015-02-26 System for applying radiation to a target region within a subject

Publications (3)

Publication Number Publication Date
JP2017506555A JP2017506555A (ja) 2017-03-09
JP2017506555A5 JP2017506555A5 (enExample) 2018-08-09
JP6568539B2 true JP6568539B2 (ja) 2019-08-28

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JP2016554389A Expired - Fee Related JP6568539B2 (ja) 2014-02-27 2015-02-26 対象の中の標的部位に放射線を照射するためのシステム

Country Status (5)

Country Link
US (1) US10092444B2 (enExample)
EP (1) EP3110505B1 (enExample)
JP (1) JP6568539B2 (enExample)
CN (1) CN106061541B (enExample)
WO (1) WO2015128392A1 (enExample)

Families Citing this family (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP3110505B1 (en) 2014-02-27 2017-07-05 Koninklijke Philips N.V. System for applying radiation to a target region within a subject
JP2020501698A (ja) * 2016-12-16 2020-01-23 コーニンクレッカ フィリップス エヌ ヴェＫｏｎｉｎｋｌｉｊｋｅ Ｐｈｉｌｉｐｓ Ｎ．Ｖ． 焦点放射線治療のための位置決め支援デバイス
EP3501461A1 (en) * 2017-12-22 2019-06-26 Koninklijke Philips N.V. Device and system for personalized skin treatment for home use
CN109471147B (zh) * 2018-09-25 2022-10-18 中国辐射防护研究院 一种基于变权重离散的γ剂量率计算方法及系统
CA3158711A1 (en) 2019-11-18 2021-05-27 M.D. Anna O. LIKHACHEVA System for conforming treatment applicators to non-uniform surfaces
US11041740B1 (en) 2019-12-20 2021-06-22 EmpNia Inc. Method and apparatus for real time respiratory gating signal generation and detection of body deformation using embedded fiber Bragg gratings
US12209892B1 (en) 2019-12-20 2025-01-28 EmpNia Inc. Method and apparatus for breath-hold monitoring in diagnostic and therapeutic procedures
US11504010B2 (en) 2019-12-20 2022-11-22 EmpNia Inc. Wearable health monitoring device
US12515073B2 (en) 2020-08-17 2026-01-06 Geometry Therapeutics, Inc. Collapsible and curved radiation therapy system and methods

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DE3739749A1 (de) * 1987-11-24 1989-06-08 Mueller Christa Dr Selektive, gleichzeitige und gleichortige behandlung von tumoren mittels waerme und radioaktiver strahlung durch zweizonenkombinationsnadel
JPH07185017A (ja) * 1993-12-27 1995-07-25 Olympus Optical Co Ltd 治療装置
JPH09122260A (ja) * 1995-11-02 1997-05-13 Olympus Optical Co Ltd 治療装置
JPH1015082A (ja) * 1996-07-04 1998-01-20 Olympus Optical Co Ltd ハイパーサーミア用アプリケータ
US7582050B2 (en) 2004-03-31 2009-09-01 The Regents Of The University Of California Apparatus for hyperthermia and brachytherapy delivery
GB0513910D0 (en) * 2005-07-07 2005-08-10 Univ Newcastle Immobilisation of biological molecules
US7717618B2 (en) 2005-12-30 2010-05-18 Optech Ventures, Llc Apparatus and method for high resolution temperature measurement and for hyperthermia therapy
US8211099B2 (en) 2007-01-31 2012-07-03 Tyco Healthcare Group Lp Thermal feedback systems and methods of using the same
US8360950B2 (en) 2008-01-24 2013-01-29 Senorx, Inc. Multilumen brachytherapy balloon catheter
KR101146917B1 (ko) * 2009-04-28 2012-05-22 한국전기연구원 나노에미터 기반 ｘ 선과 온열 카테터를 적용한 근접치료 시스템 및 그 방법
US8874230B2 (en) 2009-08-27 2014-10-28 New Jersey Institute Of Technology Integrated fiber optic raman spectroscopy and radio frequency ablation
JP5771219B2 (ja) * 2009-12-28 2015-08-26 コーニンクレッカ フィリップス エヌ ヴェ 形状検知による追跡を行うことを特徴とする小線源治療方法及び装置
CN102670298A (zh) * 2011-03-18 2012-09-19 中国科学院理化技术研究所 广谱型肿瘤热疗设备
CN103491876B (zh) * 2011-04-27 2016-05-04 皇家飞利浦有限公司 能量施加装置
WO2014064552A1 (en) 2012-10-26 2014-05-01 Koninklijke Philips N.V. System, catheter and planning method for hyperthermia-adjuvant brachytherapy
EP3110505B1 (en) 2014-02-27 2017-07-05 Koninklijke Philips N.V. System for applying radiation to a target region within a subject

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Publication number Publication date
EP3110505A1 (en) 2017-01-04
US20160361194A1 (en) 2016-12-15
JP2017506555A (ja) 2017-03-09
WO2015128392A1 (en) 2015-09-03
CN106061541A (zh) 2016-10-26
US10092444B2 (en) 2018-10-09
CN106061541B (zh) 2019-08-27
EP3110505B1 (en) 2017-07-05

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