The problem of securing the position of an internally placed medical device that extends out of the body during targeted high-dose-rate (HDR) brachytherapy is solved by a uniquely configured immobilization system that can be utilized to stabilize medical devices placed, for example, within the uterus or cervix. During the process of transporting a patient from the location where the HDR applicator is emplaced, for example, where the tandem and ring is placed within the cervix of a patient, to the location where the treatment is actually applied to the tissue, the medical device can move out of place and in so doing cause discomfort, pain, or an ineffective treatment for the patient. The embodiments of this immobilization system can include a strap apparatus, a straddling girdle, and bracket that can be attached to a patient. This immobilization system ensures the position of an internally placed medical device during targeted HDR brachytherapy.

The problem of securing the position of an internally placed medical device that extends out of the body during targeted high-dose-rate (HDR) brachytherapy is solved by a uniquely configured immobilization system that can be utilized to stabilize medical devices placed, for example, within the uterus or cervix. During the process of transporting a patient from the location where the HDR applicator is emplaced, for example, where the tandem and ring is placed within the cervix of a patient, to the location where the treatment is actually applied to the tissue, the medical device can move out of place and in so doing cause discomfort, pain, or an ineffective treatment for the patient. The embodiments of this immobilization system can include a strap apparatus, a straddling girdle, and bracket that can be attached to a patient. This immobilization system ensures the position of an internally placed medical device during targeted HDR brachytherapy.

Embodiments of the disclosure are drawn to methods of forming an applicator body of an applicator for insertion into an anatomical cavity of a patient for delivering a treatment to the patient. In some instances, the method may include receiving a first three-dimensional image of the anatomical cavity, which was generated while the anatomical cavity contained an expandable container adjacent a tissue region of the patient, and while the expandable container was filled with fluid such that the container was expanded to substantially conform to the shape of at least a portion of the tissue region. The method also may include isolating, from the first three-dimensional image, a first sub-image corresponding to an image of the filled expanded container. The method further may include using the first sub-image as a design template for forming the applicator body for use with the patient.

Described here are brachytherapy applicators that comprise a modular support matrix. The modular support matrix may define the arrangement of radiation source lumens within the brachytherapy applicator. The modular support matrix can be adjusted to position the radiation sources to obtain a certain dose and dose profile. A series of modular support matrices may be operably connected according to patient anatomy or dosing requirements. Systems and methods for using such modular brachytherapy applicators are also described.

Systems and methods for generating a radiation therapy treatment plan by using ultrasound images are disclosed. The method comprises obtaining a first set of image data representing a first image of an anatomical region that includes a treatment applicator inserted into the anatomical region. The method further comprises receiving tracking information indicating a position of the treatment applicator as represented in the first set of image data, obtaining a second set of image data representing a second image of the anatomical region, and combining at least a portion of the first set of image data with the second set of image data. One of the first set and the second set of image data is used to identify a target tissue portion in the anatomical region. The method further comprises generating, based on the combined image data, treatment plan information for treating the target tissue portion in the anatomical region.

A brachytherapy ring applicator, kit, and method of use is provided. The brachytherapy ring applicatory includes a tandem, ring colpostat, and a bracket assembly. The tandem has a connector on a proximal end of the tandem and a treatment end on a distal end. The ring colpostat includes a ring member on a distal end of the ring colpostat. The bracket assembly is configured to be locked to both a shaft of the tandem and to a shaft of the ring colpostat such that the distal end of the tandem is firmly maintained in a fixed position relative to the distal end of the ring colpostat, and each of the tandem and the colpostat are entirely self-supporting from the bracket assembly to their distal ends.

The invention relates to an assembly for performing brachytherapy treatment of tumor tissue in a human or animal body comprising an intracavitary component and at least one guiding unit, said at least one guiding unit exhibiting a longitudinal axis and being connectable to said intracavitary component, and wherein said at least one guiding unit is provided with coupling means for coupling at least one interstitial needle-assembly for delivering treatment to said tumor tissue. The assembly has coupling/uncoupling means arranged to allow a displacement of said at least one interstitial needle-assembly in a direction transverse to said longitudinal axis and to prevent a displacement of said at least one interstitial needle-assembly in a direction parallel to or a pre-defined angle to said longitudinal axis. This coupling principle allows for the preparation of the guiding unit before the patient is being hospitalized and positioned in the treatment room and will prevent the unwanted uncoupling of the interstitial needle-assembly during the actual treatment being performed, further reducing the risk of adversely affected treatment parameters (location and duration of the radiation being administered to the patient).

Systems and methods are provided for treating cervical and/or uterine cancers in brachytherapy with an intracavitary brachytherapy applicator. The system comprises a tandem adapted for insertion into a cervix of a patient. An ovoid assembly comprises first and second inflatable ovoids and an ovoid support mechanism. The first and second inflatable ovoids are adapted for insertion within fornices of a patient. First and second retractors are adapted to be coupled to the ovoid assembly. The first retractor is adapted to be positioned to retract the bladder of a patient during treatment. The second retractor is adapted to be positioned to retract the rectum of a patient during treatment. The tandem and the first and second inflatable ovoids are adapted to be coupled to a radioactive source to deliver an implant radiation dose suitable for cancer treatment at a cancerous cervical treatment site in a patient.

A dual double balloon catheter includes a catheter having a proximal end portion, a central portion and a distal end portion. The catheter includes a plurality of lumens within the catheter extending from the proximal end portion, and a plurality of inflatable balloons positioned in the central portion and/or the distal end portion, and the balloons being communicatively connected with a corresponding one of the plurality of lumens to selectively inflate/deflate the corresponding inflatable balloon, wherein one or more of inflatable balloons further includes a second one of the plurality lumens associated with a corresponding inner wall of a corresponding inflatable balloon and adapted to receive a radioactive dose or a therapeutic agent for a treatment. The plurality of balloons can have varying sizes in relation to each other and also include lumens within or associated with the inner walls of the balloons to deliver a treatment.

A multi-purpose balloon catheter includes a catheter having a proximal end portion, a central portion and a distal end portion, a plurality of lumens associated with the catheter extending from the proximal end portion, and a plurality of inflatable balloons positioned in the central portion and/or the distal end portion. Each of the plurality of inflatable balloons is communicatively associated with a corresponding one of the plurality of lumens, the plurality of inflatable balloons being selectively inflated and deflated to position and stabilize the catheter in a cavity for delivery of a treatment. The catheter can include an extraction point associated with a lumen to remove fluids and material from the cavity, and a connector associated with a corresponding lumen adapted to selectively receive one or more of a liquid saline solution, a fluid medium, or a radioactive isotope provided to a corresponding lumen for delivery of the treatment.