Magnetic resonance (MR) visible markers for use in MR-guided placement of brachytherapy seeds, and for use in other MR-guided interventional procedures, are described. The MR-visible markers generally include a tube in which an absorbent thread assembly is disposed. The tube is made fluid-tight by sealing it at both ends with suitable end plugs. The absorbent thread assembly is soaked in a suitable MR-visible fluid.

An apparatus for precise positioning of a template and method for precise positioning of the template may be used in a brachytherapy procedure. Several different embodiments of the precise positioning apparatus may be used.

A brachytherapy needle guidance device is a device that facilitates the placement of a brachytherapy needle into a treatment region in tissue. This tissue may a breast tissue and the brachytherapy needle may be a fiducial needle. The brachytherapy needle guidance device may have an anchoring feature that anchors the brachytherapy needle guidance device into the tissue once it is properly positioned. The brachytherapy needle guidance device is used by software for treatment planning.

A loading apparatus is usable to embed radioactive seeds into carriers, while limiting exposure of the user to radioactive energy from the radioactive seeds. The loading apparatus facilitates accurate positioning of radioactive seeds within a carrier. The illustrated loaders comprise two components, a base and a lid, although in other embodiments the loaders may be separated into additional components.

Apparatuses and methods for implanting objects, such as a marker, in the lungs of patients. In one embodiment, a bronchoscopic catheter assembly for implanting an object in the lung of a patient includes a handle, a delivery catheter projecting outwardly from the handle, and a push wire contained within the catheter. In one aspect of this embodiment, the catheter can be configured to releasably hold a plurality of markers at a distal end. In another aspect of this embodiment, the push wire can be operably connected to the handle and axially moveable within the delivery catheter to eject the marker out of the catheter within the bronchi of the patient. In a further aspect of this embodiment, the marker can further include an anti-migration device associated with the marker for holding the marker in place once the marker is deployed in the bronchi. The anti-migration device can be integral with the marker or positioned proximate to the marker to prevent migration of the marker.

Carriers for embodying radioactive seeds, as well as a device for loading and customizing brachytherapy carriers based on the principles of optimizing a more precise and predictable dosimetry, and adaptable to the geometric challenges of a tumor bed in a real-time setting. The present disclosure relates to a specialized loading device designed to enable a medical team to create a radionuclide carrier for each patient and tumor reliably, reproducibly and efficiently.

A transparent loading apparatus (also referred to herein as a loader) may partially or entirely comprise transparent material that allows light to pass through the loader and provides the viewer (whether manual or automated) a view of a radioactive seed, a seed carrier, a loading needle, etc. within the loader. In some embodiments, carrier material (e.g., collagen and/or other biocompatible material) and radioactive seeds (e.g., including a metal shielding and radioactive isotope) may transmit light to different degrees. For example, certain carriers, such as collagen carriers, may be translucent, while seeds may be opaque (or mostly opaque) to light. The systems discussed herein allow a viewer to detect location of a seed within a loader, and even within a carrier, because of these different light transmissivity characteristics.

Carriers for embodying radioactive seeds, as well as a device for loading and customizing brachytherapy carriers based on the principles of optimizing a more precise and predictable dosimetry, and adaptable to the geometric challenges of a tumor bed in a real-time setting. The present disclosure relates to a specialized loading device designed to enable a medical team to create a radionuclide carrier for each patient and tumor reliably, reproducibly and efficiently.

A device for loading brachytherapy seeds and spacers into a sleeve. The device holds two or more seed or spacer cartridges of different radioactive species and dosage. The user rotates a selector for selecting a desired cartridge and, with each depression of a spring-biased plunger, pushes a seed or spacer into a channel in an inspection area. The process is repeated for the desired number and order of seeds and spacers in sequence to form a strand. The strand can be seen in the channel with the unaided eye through a transparent window. The window is part of a hinged door that can be opened and the sequence of the seeds and spacers rearranged with forceps. Once the strand is arranged as desired, it is pushed into a sleeve in a removable sleeve holder. During radiation treatment, the filled sleeve is removed from the sleeve holder and implanted into patient.

A device for loading brachytherapy seeds and spacers into a sleeve. The device holds two or more seed or spacer cartridges of different radioactive species and dosage. The user rotates a selector for selecting a desired cartridge and, with each depression of a spring-biased plunger, pushes a seed or spacer into a channel in an inspection area. The process is repeated for the desired number and order of seeds and spacers in sequence to form a strand. The strand can be seen in the channel with the unaided eye through a transparent window. The window is part of a hinged door that can be opened and the sequence of the seeds and spacers rearranged with forceps. Once the strand is arranged as desired, it is pushed into a sleeve in a removable sleeve holder. During radiation treatment, the filled sleeve is removed from the sleeve holder and implanted into patient.