(19)
(11)EP 3 287 169 B1

(12)EUROPEAN PATENT SPECIFICATION

(45)Mention of the grant of the patent:
06.05.2020 Bulletin 2020/19

(21)Application number: 16783322.7

(22)Date of filing:  04.03.2016
(51)Int. Cl.: 
A61N 5/10  (2006.01)
A61B 6/00  (2006.01)
(86)International application number:
PCT/KR2016/002204
(87)International publication number:
WO 2016/171388 (27.10.2016 Gazette  2016/43)

(54)

IN VIVO RADIATION AMOUNT MEASURING INSTRUMENT

INSTRUMENT ZUR MESSUNG DER STRAHLUNGSMENGE IN VIVO

INSTRUMENT DE MESURE DE QUANTITÉ DE RAYONNEMENT IN VIVO


(84)Designated Contracting States:
AL AT BE BG CH CY CZ DE DK EE ES FI FR GB GR HR HU IE IS IT LI LT LU LV MC MK MT NL NO PL PT RO RS SE SI SK SM TR

(30)Priority: 20.04.2015 KR 20150055491

(43)Date of publication of application:
28.02.2018 Bulletin 2018/09

(73)Proprietor: National Cancer Center
Goyang-si, Gyeonggi-do 10408 (KR)

(72)Inventors:
  • LIM, Young Kyung
    Paju-si Gyeonggi-do 10907 (KR)
  • JEANG, Eun Hee
    Paju-si Gyeonggi-do 10908 (KR)
  • HWANG, Ui-Jung
    Goyang-si Gyeonggi-do 10374 (KR)
  • CHO, Kwan Ho
    Seoul 03719 (KR)
  • LEE, Se Byeong
    Goyang-si Gyeonggi-do 10375 (KR)
  • SHIN, Dongho
    Suwon-si Gyeonggi-do 16295 (KR)
  • PARK, Jeonghoon
    Gyeonggi-do 10408 (KR)
  • KIM, Dae Yong
    Goyang-si Gyeonggi-do 10360 (KR)
  • KIM, Joo-Young
    Goyang-si Gyeonggi-do 10322 (KR)
  • KIM, Tae Hyun
    Seoul 06284 (KR)
  • KIM, Sun Young
    Seoul 08005 (KR)
  • JO, Kwanghyun
    Seoul 06334 (KR)
  • KANG, Ki Mun
    Jinju-si Gyeongsangnam-do 52716 (KR)
  • JEONG, Hojin
    Jinju-si Gyeongsangnam-do 52629 (KR)

(74)Representative: Zimmermann, Tankred Klaus et al
Schoppe, Zimmermann, Stöckeler Zinkler, Schenk & Partner mbB Patentanwälte Radlkoferstrasse 2
81373 München
81373 München (DE)


(56)References cited: : 
WO-A2-03/003923
KR-A- 20010 023 869
KR-B1- 100 921 342
US-A1- 2005 080 313
US-A1- 2013 085 315
JP-A- H0 961 202
KR-B1- 100 921 342
KR-B1- 101 251 591
US-A1- 2012 215 053
US-A1- 2013 317 276
  
      
    Note: Within nine months from the publication of the mention of the grant of the European patent, any person may give notice to the European Patent Office of opposition to the European patent granted. Notice of opposition shall be filed in a written reasoned statement. It shall not be deemed to have been filed until the opposition fee has been paid. (Art. 99(1) European Patent Convention).


    Description

    BACKGROUND OF THE INVENTION


    Field of the invention



    [0001] The present invention relates to an in vivo radiation dose measuring device.

    Related Art



    [0002] Generally, radiation therapy treats cancer by using high-energy X-ray, gamma ray, electron beam, proton beam, carbon ion beam, or the like, to damage tumor cells and induce apoptosis. Therefore, in order to maximize the damage to tumor cells, as much radiation as possible needs to be delivered to tumors.

    [0003] However, radiation therapy affects not only tumors but also normal organs around the tumors. If a lot of radiation is irradiated to normal organs, side effects of radiation may occur.

    [0004] Therefore, the dose of radiation delivered to normal organs should be accurately measured. However, since only the dose of radiation at one point was measured in the conventional art, it is not possible to predict the occurrence of side effects of radiation and it is difficult to find an exact relationship between the dose of radiation delivered and the side effect of radiation.

    [0005] WO 03/003923 A2 describes a photostimulable material to be introduced in a blood vessel or body cavity, within an animal or human body, where a radioactive agent has been locally delivered and where radiation measurements have to be taken in order to control the delivery efficiency. The photostimulable material is exposed to radiation, carrying image information of the beta-emitting source of radiation, and a latent image is stored into the photostimulable material. Then the photostimulable material is exposed to stimulating light, which causes the photostimulable material to emit light in proportion of the amount of energy stored during radiation exposure, hence in proportion of the amount of radioactive agent present in the region of interest. The emitted light is collected by a light collection system and measured by a photoelectric device. Therefore, a two-dimensional image signal, representing the distribution of the radioactive agent in the blood vessel or body cavity, is obtained.

    SUMMARY OF THE INVENTION



    [0006] It is an object of the present invention to provide a technique for measuring an accurate two-dimensional dose distribution of radiation delivered to an in vivo tissue by radiation therapy on a cancer patient.

    [0007] This object is achieved by an in vivo radiation dose measuring device according to claim 1.

    [0008] In accordance with an aspect of the present invention, the present invention provides an in vivo radiation dose measuring device, including: a main body extending long in a direction of in vivo insertion and being capable of supplying a fluid; an expansion part having at least a portion fixed or connected to the main body and being expandable and shrinkable by inflow and outflow of the fluid; and a radiation measurement part disposed on the expansion part to measure a plane(2-dimensional) dose distribution of radiation in the in vivo tissue which the expansion part expands to touch.

    [0009] The radiation measurement part wraps the expansion part in a polygonal shape when the expansion part is in shrinkage.

    [0010] The radiation measurement part is a film type and wraps at least a portion of the expansion part, and the radiation measurement part is unfolded upon the expansion of the expansion part, and returned to a form wrapping the expansion part prior to expansion upon the shrinkage of the expansion part.

    [0011] The radiation measurement part has one or more fold lines parallel with the direction of insertion, the fold lines being formed in a direction in which the radiation measurement part wraps the expansion part.

    [0012] The in vivo radiation dose measuring device further includes an accommodation part accommodating the radiation measurement part, wherein the accommodation part is transformable in compliance with a shape change of the radiation measurement part.

    [0013] The expansion part has a fixation element protruded outward, and at least one of the radiation measurement part and the accommodation part has a fixation counterpart correspondence to the fixation element.

    [0014] The accommodation part and the expansion part may be in contact with each other, and at least one of the accommodation part and the expansion part may be formed of or treated with a material for reducing frictional force therebetween.

    [0015] The accommodation part may have a pocket form and may be in close contact with the radiation measurement part.

    [0016] The accommodation part may be formed of an elastic material.

    [0017] The accommodation part may be formed of at least one of polyurethane, nylon, and polyester.

    [0018] The expansion part may be formed of at least one of silicone, polyurethane, nylon, natural rubber, and synthetic rubber.

    [0019] The fixation counterpart may include at least one of a hole and a coupling structure, which are formed in the radiation measurement part.

    [0020] The in vivo radiation dose measuring device may further include a position indication part for allowing the understanding of an insertion position of the device from the outside upon the insertion of the device into the body.

    [0021] The in vivo radiation dose measuring device may further include a position indication part for allowing the understanding of an insertion position of the device from the outside upon the insertion of the device into the body, wherein the position indication part is positioned on the fixation element.

    [0022] The in vivo radiation dose measuring device may further include a shrinkage part formed outside the accommodation part, wherein the shrinkage part gives shrinking force to the radiation measurement part upon the shrinkage of the expansion part.

    [0023] The shrinkage part may be formed of an elastic material.

    [0024] The shrinkage part may be formed of at least one of polyurethane, nylon, polyester, silicone, natural rubber, and synthetic rubber.

    [0025] The accommodation part may include: a first portion wrapping the expansion part; and a second portion connected with the first portion to wrap the radiation measurement part, wherein the accommodation part gives shrinking force to the expansion part.

    [0026] The in vivo radiation dose measuring device may further include a shrinkage auxiliary part connected to a plurality of sites of the radiation measurement part, one end of the shrinkage auxiliary part protruding out of the body when the device is inserted into the body, wherein the shrinkage auxiliary part is capable of additionally shrinking the radiation measurement part by operating a portion protruding out of the body

    [0027] The shrinkage auxiliary part may shrink a portion of the radiation measurement part, which is close to the direction of in vivo insertion.

    Advantageous Effects



    [0028] According to the present invention, provided is an in vivo radiation dose measuring device for measuring an accurate two-dimensional dose distribution of radiation delivered to an in vivo tissue.

    BRIEF DESCRIPTION OF THE DRAWINGS



    [0029] 

    FIG. 1 is a perspective view showing a shrunken state of an in vivo radiation dose measuring device according to a first embodiment of the present invention.

    FIG. 2 is a cross-sectional view taken along line II-II' of FIG. 1.

    FIG. 3 is a perspective view showing an expanded state of the in vivo radiation dose measuring device according to the first embodiment of the present invention.

    FIG. 4 is a cross-sectional view taken along line IV-IV' of FIG. 3.

    FIG. 5 is a perspective view of an expansion part of the in vivo radiation dose measuring device according to the first embodiment of the present invention.

    FIG. 6 is a cross-sectional view taken along line VI-VI' of FIG. 5.

    FIG. 7 is a plane view of a radiation measurement part of the in vivo radiation dose measuring device according to the first embodiment of the present invention.

    FIG. 8 is a computed tomography (CT) image showing a state in which the in vivo radiation dose measuring device according to the first embodiment of the present invention is actually inserted into the body.

    FIG. 9 is a plane view of a radiation measurement part of an in vivo radiation dose measuring device according to a second embodiment of the present invention.

    FIG. 10 shows a radiation measurement part and a shrinkage auxiliary part of an in vivo radiation dose measuring device according to a third embodiment of the present invention.

    FIG. 11 shows an operation state of the shrinkage auxiliary part in the in vivo radiation dose measuring device according to the third embodiment of the present invention.

    FIG. 12 shows a shrunken state of an in vivo radiation dose measuring device according to a fourth embodiment of the present invention.

    FIG. 13 shows an expanded state of the in vivo radiation dose measuring device according to the fourth embodiment of the present invention.


    DESCRIPTION OF EXEMPLARY EMBODIMENTS



    [0030] Hereinafter, the present invention will be described in detail with reference to accompanying drawings.

    [0031] The accompanying drawings correspond to merely an example shown to illustrate technical scope of the present invention more detail, and the scope of the present invention is not limited to the accompanying drawings.

    [0032] The following embodiments are described by exemplifying cases in which an in vivo radiation dose measuring device is inserted into the rectum, but the in vivo radiation dose measuring device according to the present invention, without the limitation to the rectum, may be used for female genitalia, oral cavity, nasal cavity, pharynx, esophagus, bronchus, and the like.

    [0033] An in vivo radiation dose measuring device according to a first embodiment of the present invention and a use thereof will be described with reference to FIGS. 1 and 7.

    [0034] FIG. 1 is a perspective view showing a shrunken state of an in vivo radiation dose measuring device according to a first embodiment of the present invention; FIG. 2 is a cross-sectional view taken along line II-II' of FIG. 1; FIG. 3 is a perspective view showing an expanded state of the in vivo radiation dose measuring device according to the first embodiment of the present invention; and FIG. 4 is a cross-sectional view taken along line IV-IV' of FIG. 3.

    [0035] An in vivo radiation dose measuring device 1 according to a first embodiment of the present invention is inserted into the body through the anus in a shrunken state as shown in FIG. 1. Thereafter, the in vivo radiation dose measuring device expands as shown in FIG. 3. The in vivo radiation dose measuring device 1 performs radiation treatment on the prostate or the like in an expanded state, and measures an accurate two-dimensional does distribution of radiation delivered to the in vivo tissue.

    [0036] The in vivo radiation dose measuring device 1 includes a main body 10, an expansion part 20, a radiation measurement part 30, an accommodation part 40, a position indication part 50, and a shrinkage part 60.

    [0037] The expansion part 20 has a balloon type, and expands by receiving a fluid, such as air or water, from the main body 10, and again shrinks when the fluid flows out through the main body 10.

    [0038] In the first embodiment, the radiation measurement part 30 has a film type, and is accommodated in a pocket type accommodation part 40. As the radiation measurement part 30, a dosimeter using radiation sensitization, including a radiation-sensitive film or the like, or a dosimeter using radiation ionization, including a diode array plate or the like, may be used.

    [0039] The radiation indication part 50 is accommodated in the expansion part 20, and formed of a material allowing the understanding of the position by an X-ray image. In another embodiment, the position indication part 50 may be attached to another element or may be prepared as one body with another element.

    [0040] A portion of the radiation measurement part 30 is fixed to the expansion part 20, and the description thereof will be described later.

    [0041] The shrinkage part 60 wraps the accommodation part, and gives shrinking force to the accommodation unit 40. Although not shown, the in vivo radiation dose measurement device 1, when actually used, may be used by covering an outside of the shrinkage part 60 with a separate waterproof cover as needed.

    [0042] As shown in FIG. 2, in a shrunken state, the radiation measurement part 30 wraps the entirety of the expansion part 20 in a polygonal shape, and a partial region of the expansion part 20 is wrapped by a plurality of layers. In a shrunken state, the radiation measurement part 30 maintains a form in which the radiation measurement 30 is in close contact with the expansion part 20 due to shrinking force.

    [0043] As shown in FIG. 4, in an expanded state, the radiation measurement part 30 wraps only a portion of the expansion part 20 in a polygonal shape, and wraps the entirety of the expansion part in a single layer type. In addition, in an expended state, the radiation measurement part 30 maintains a form in which the radiation measurement part 30 is in close contact with the expansion part 20 due to the shrinking force of the shrinkage part 60.

    [0044] Hereinafter, the in vivo radiation dose measuring device 1 according to the first embodiment will be described in more detail with reference to FIGS. 5 to 7.

    [0045] FIG. 5 is a perspective view of an expansion part of the in vivo radiation dose measuring device according to the first embodiment of the present invention; FIG. 6 is a cross-sectional view taken along line VI-VI' of FIG. 5; and FIG. 7 is a plane view of a radiation measurement part of the in vivo radiation dose measuring device according to the first embodiment of the present invention.

    [0046] The main body 10 includes a long tube-shaped main body tube 11 and a fluid supply tube 12. A fluid supply hole 13 connected to the expansion part 20 is formed in a middle region of the main body tube 11, and a mount groove 14 is formed into an end region of the main body tube 11. A gas outflow hole 15 for exhausting gas in the body is formed in an end portion of the main body tube 11 when the in vivo radiation dose measuring device is applied into the rectum. The gas outflow hole 15 becomes a passage for respiration of a patient when the in vivo radiation dose measuring device is applied into the oral cavity, nasal cavity, pharynx, bronchus, and the like.

    [0047] The fluid supply tube 12 supplies a fluid from an air or water supply source (not shown) to the expansion part 20 through the fluid supply hole 13. Although not shown, there may be an opening/closing valve capable of controlling the supply and collection of the fluid through the fluid supply tube 12.

    [0048] The expansion part 20 is in close contact with the main body tube 11 at the time of shrinkage, and has a pair of fixation elements 21 protruding outward. In the expansion part 20 at the time of expansion, both ends are in close contact with the main body tube 11 to keep the airtightness and the middle region is inflated by the fluid. There is an accommodation space inside the fixation part 21, and the position indication part 50 is positioned in the accommodation space.

    [0049] The expansion part 20 may be formed of a silicone material, which may be silicone, polyurethane, nylon, natural rubber, or synthetic rubber alone or a composite thereof. The expansion part 20 expands and shrinks according to the supply and collection of the fluid.

    [0050] The position indication part 50 may be formed of any material that can be detected by an X-ray image, for example, a metal piece single material or a mixture of metal particles and a polymer. The position indication part 50 may be provided in a cylindrical shape in one embodiment, but may be provided in another shape, such as a spherical shape or a ring shape in another embodiment.

    [0051] In the first embodiment, the radiation measurement part 30 may be a dosimeter type radiation film using radiation sensitization, and may be configured of multiple layers including a protective layer - a radiation-sensitive layer - a protection layer. The radiation measurement part 30 is generally rectangular in shape. The radiation measurement part 30 has fold lines 31 formed at predetermined intervals and fixation counterparts 32 corresponding to the fixation elements 21 of the expanding part 20.

    [0052] The fold lines 31 are prepared through incisions in a length direction of the main body tube 11, and the fixation counterparts 32 are prepared in a hole type. A plurality of the fold lines 31 are formed in a direction in which the radiation measurement part 30 wraps the expansion part 20.

    [0053] Although not shown, the radiation measurement part 30 may further comprise a distance maintenance element, which connects both sides, which are divided by the fold lines 31, to prevent both sides from excessively being apart. The distance maintenance element may employ an adhesive tape, but is not limited thereto.

    [0054] The accommodation part 40 is formed in a pocket shape corresponding to the radiation measurement part 30, and a material for the accommodation part 40 may be a material having excellent shrinking force and restoring force. A specific example of the material may be polyurethane, nylon, and polyester alone or in a mixture thereof. The accommodation part 40 prevents the radiation measurement part 30 from being damaged by a direct contact with another component, especially, the expansion part 20, or from being affected by expanded and shrunken states through a contact with another component.

    [0055] At least one of the accommodation part 40 and the expansion part 20 may be formed of a material for reducing frictional force therebetween or may be surface-treated to surface treatment for friction prevention, and the surface treatment for friction prevention may be a coating treatment with an anti-friction agent, a protrusion treatment on a surface, surface modification, or the like.

    [0056] The shrinkage part 60 also has a pocket type, and one end portion of the shrinkage part 60 is mounted in the mount groove 14 of the main body. The shrinkage part 60 may also be formed of a material having excellent shrinking force and restoring force, and may be formed of polyurethane, silicone, natural rubber, synthetic rubber, polyurethane/nylon, or polyurethane/polyester.

    [0057] Hereinafter, a use method and effects of the in vivo radiation dose measuring device 1 according to the first embodiment of the present invention will be described.

    [0058] The in vivo radiation dose measuring device 1 in a shrunken state is inserted into the body through the anus of a prostatic cancer patient. After the insertion into the body, the in vivo radiation dose measuring device 1 is converted into an expanded state through the supply of a fluid. The position of the position indication part 50 is understood by using an X-ray image, and then the position of the entire in vivo radiation dose measuring device 1 is controlled.

    [0059] Thereafter, when the in vivo radiation dose measuring device 1 is positioned at a desired site, the in vivo radiation dose measuring device 1 performs radiation treatment after the setup of a patient is completed. The expanded state suppresses the movement of the prostate and maintains the shape of the rectum constantly, thereby improving the accuracy of the treatment. FIG. 8 shows a state in which the in vivo radiation dose measuring device is inserted in the rectum through the anus in the radiation therapy of prostate cancer. The thick semicircular portion indicated by the arrow in the drawing is a radiation-sensitive film.

    [0060] According to the present invention, the two-dimensional dose distribution of radiation delivered to the rectum of a patient by radiation therapy is measured by the radiation measurement part 30 in the form of a film. In the expanded state, the radiation measurement part 30 maintains a shape of a non-overlapping single layer, so that the dose distribution can be measured over a very wide area, In addition, the radiation measurement part 30 is in close contact with the surrounding tissue due to the expansion, so that the radiation dose in the surrounding tissue can be accurately measured.

    [0061] According to the statistical analysis of clinical patients, the probability of occurrence of radiation side effects in normal organs is significantly increased if a limited dose of radiation or more radiation is delivered to a particular volume of each organ. Since the use of a conventional point dosimeter can actually obtain a dose value at only one point, the dose of radiation delivered to a particular volume is difficult to obtain. According to the present invention, the two-dimensional radiation dose distribution can be measured by the film-type radiation measurement part 30, and thus, so that such a conventional problem can be solved.

    [0062] Also, according to the present invention, the accurate position of the in vivo radiation dose measuring device 1 can be understood through the position indication part 50, and even when the treatment is repeatedly performed several times to several tens of times, the radiation measurement part 30 can be always positioned at the same site. Therefore, an accurate total dose distribution can be obtained through the dose distribution data that have been obtained from the measurements in the treatment procedure each time

    [0063] After the end of the radiation treatment, the in vivo radiation measuring device 1 is made in a shrunken state by removing the fluid, and then the fluid is discharged out of the body.

    [0064] Hereinafter, an in vivo radiation dose measuring device according to a second embodiment of the present invention will be described with reference to FIG. 9. FIG. 9 is a plane view of a radiation measurement part of the in vivo radiation dose measuring device according to the second embodiment of the present invention.

    [0065] A radiation measurement part 30 according to the second embodiment has a film type as in the first embodiment, and has fold lines 31 formed by incisions.

    [0066] Meanwhile, fixation counterparts 32 of the radiation measurement part 30 according to the second embodiment are formed to protrude outward.

    [0067] The radiation measurement part 30 may be variously modified other than the type in the second embodiment. For example, the fold lines 31 may be formed by decreasing the thickness of the film instead of employing incisions, or by intermittent incisions. That is, the fold lines 31 may be formed by several methods as long as the radiation measurement part 30 can be easily folded. In addition, the radiation measurement part 30 may be prepared by connecting a plurality of band-shaped radiation films. Both ends of the fold line 31 may be treated in a linear or curved shape as in the first embodiment.

    [0068] Meanwhile, the radiation measurement part 30 may be prepared without fold lines 31 as long as the radiation measurement part 30 is sufficiently thin so that a radiation detection layer inside is not damaged regardless of bending or winding. In this case, the radiation measurement part 30 wrap the expansion part 20 not in a polygonal shape, but in a shape corresponding to the expansion part 20 or in a circular or semicircular shape.

    [0069] Hereinafter, an in vivo radiation dose measuring device according to a third embodiment of the present invention will be described with reference to FIGS. 10 and 11.

    [0070] FIG. 10 shows a radiation measurement part 30 and a shrinkage auxiliary part 70 of an in vivo radiation dose measuring device according to a third embodiment of the present invention; and FIG. 11 shows an operation state of the shrinkage auxiliary part in the in vivo radiation dose measuring device according to the third embodiment of the present invention. The shrinkage auxiliary part is not shown in FIG. 11.

    [0071] The in vivo radiation dose measuring device according to the third embodiment is configured to solve a problem in that the radiation measurement part 30, which have been unfolded in the body due to the expansion of the expansion part 20, is not properly folded upon the shrinkage of the expansion part 20.

    [0072] A shrinkage auxiliary part 70 is prepared in a string type, and one end thereof is connected to an auxiliary hole 33 of the radiation measurement part 30. The auxiliary hole 33 connected to the shrinkage auxiliary part 70 is provided at a portion of the radiation measurement part 30, which is distant from the end portion of the main body 10 (in FIG. 5, the portion at which the gas discharge hole 15 is located), that is, at a portion of the radiation measurement part 30, which is in first contact with the anus when the in vivo radiation dose measuring device is drawn out from the body. The other end of the shrinkage auxiliary part 70 is exposed to the outside through the main body tube 11, and to this end, a separate passage hole may be formed in the main body tube 11.

    [0073] In the embodiment, the shrinkage auxiliary part 70 is prepared by having two disconnected portions (indicated by a solid line and dotted line, respectively). In another embodiment, the shrinkage auxiliary part 70 may have a wire type, or may be prepared in a single type.

    [0074] In cases where the radiation measurement part 30 is not properly folded, the end portion of the radiation measurement part 30 is compulsorily in close contact with the expansion part 20 by pulling the shrinkage auxiliary part 70 exposed to the outside. The medical staff can safely withdraw the in vivo radiation dose measuring device 1 out of the body while the end portion of the radiation measurement part 30 is in close contact with the expansion part to have a reduced diameter.

    [0075] Hereinafter, an in vivo radiation dose measuring device according to a fourth embodiment of the present invention will be described with reference to FIGS. 12 and 13.

    [0076] FIG. 12 shows a shrunken state of an in vivo radiation dose measuring device according to a fourth embodiment of the present invention; and FIG. 13 shows an expanded state of the in vivo radiation dose measuring device according to the fourth embodiment of the present invention.

    [0077] FIGS. 12 and 13 show states corresponding to FIGS. 2 and 4, respectively. A main body tube 11 and an expansion part 20 are not shown. In FIGS. 12 and 13, a radiation measurement part 30 and an accommodation part 40 are shown apart from each other for convenience of explanation.

    [0078] The accommodation part 40 according to the fourth embodiment is composed of a first portion 40a forming a closed curve inside, a second portion 40b forming a closed curve outside, and a third portion 40c connecting the first portion 40a and the second portion 40b.

    [0079] The main body tube 11 and the expansion 20 are positioned at the first portion 40a, and the radiation measurement part 30 is positioned at the second portion 40b.

    [0080] In the fourth embodiment, the accommodation part 40 also performs a shrinking role while the shrinkage part 60 is omitted, unlike in the first embodiment. Referring to FIGS. 12 and 13, the accommodation part 40 of the radiation measurement part 30 is divided into two accommodation spaces by the third portion 40c. Such a division structure allows the radiation measurement part 30 to be smoothly folded at the time of shrinkage of the expansion part 20 such that the expansion part 20 and the radiation measurement part 30 interfere with each other, and can provide greater shrinking force compared with the first embodiment. Therefore, in the fourth embodiment, a separate shrinkage part 60 may be omitted.

    [0081] The above-described embodiments are illustrative of the present invention, and the present invention is not limited thereto. Since numerous variations and modifications will become apparent to those skilled in the art once the above disclosure is fully appreciated, the scope of the invention comes within the scope of the appended claims.


    Claims

    1. An in vivo radiation dose measuring device (1) insertable into the rectum of a patient to measure dose distribution of radiation, comprising:

    a main body (10) extending long in a direction of in vivo insertion and being capable of supplying a fluid;

    an expansion part (20) having at least a portion fixed or connected to the main body (10) and being expandable and shrinkable by inflow and outflow of the fluid; and

    a radiation measurement part (30) disposed on the expansion part (20) to measure a 2-dimensional dose distribution of radiation in the in vivo tissue which the expansion part (20) expands to touch,

    characterized in that

    the radiation measurement part (30) wraps the expansion part (20) in a polygonal shape when the expansion part (20) is in shrinkage,

    the radiation measurement part (30) is a film and wraps at least a portion of the expansion part (20),

    the radiation measurement part (30) is unfolded upon the expansion of the expansion part (20), and returned to a form wrapping the expansion part (20) prior to expansion upon the shrinkage of the expansion part (20),

    the radiation measurement part (30) has one or more fold lines (31) parallel with the direction of insertion, the fold lines (31) being formed in a direction in which the radiation measurement part (30) wraps the expansion part (20),

    the radiation dose measuring device (1) further comprises an accommodation part (40) accommodating the radiation measurement part (30),

    the accommodation part (40) being transformable in compliance with a shape change of the radiation measurement part (30),

    the expansion part (20) has a fixation element (21) protruded outward, and

    at least one of the radiation measurement part (30) and the accommodation part (40) has a fixation counterpart (32) correspondence to the fixation element (21).


     
    2. The in vivo radiation dose measuring device of claim 1, wherein the accommodation part (40) and the expansion part (20) are in contact with each other, and
    wherein at least one of the accommodation part (40) and the expansion part (20) is formed of or treated with a material for reducing frictional force therebetween.
     
    3. The in vivo radiation dose measuring device of claim 1, wherein the accommodation part (40) has a pocket form and is in close contact with the radiation measurement part (30).
     
    4. The in vivo radiation dose measuring device of claim 3, wherein the accommodation part (40) is formed of an elastic material.
     
    5. The in vivo radiation dose measuring device of claim 1, further comprising a position indication part (50) for allowing the understanding of an insertion position of the device (1) from the outside upon the insertion of the device into the body.
     
    6. The in vivo radiation dose measuring device of claim 1, further comprising a shrinkage part (60) formed outside the accommodation part (40), wherein the shrinkage part (60) gives shrinking force to the radiation measurement part (30) upon the shrinkage of the expansion part (20).
     
    7. The in vivo radiation dose measuring device of claim 1, wherein the accommodation part (40) comprises:

    a first portion (40a) wrapping the expansion part (20); and

    a second portion (40b) connected with the first portion (40a) to wrap the radiation measurement part (30),

    wherein the accommodation part (40) gives shrinking force to the expansion part (20).


     
    8. The in vivo radiation dose measuring device of claim 1, further comprising a shrinkage auxiliary part (70) connected to a plurality of sites of the radiation measurement part (30), one end of the shrinkage auxiliary part (70) protruding out of the body (10) when the device (1) is inserted into the body, wherein the shrinkage auxiliary part (70) is capable of additionally shrinking the radiation measurement part (30) by operating a portion protruding out of the body.
     


    Ansprüche

    1. Ein In-vivo-Strahlungsdosismessgerät (1), welches in das Rektum eines Patienten eingeführt werden kann, um eine Strahlungsdosisverteilung zu messen, wobei das Gerät folgende Merkmale aufweist:

    einen Hauptkörper (10), der sich längs in einer Richtung einer In-vivo-Einführung erstreckt und dazu in der Lage ist, ein Fluid bereitzustellen;

    ein Ausdehnungsteil (20), das zumindest einen Abschnitt aufweist, der an dem Hauptkörper (10) befestigt oder damit verbunden ist, und das durch einen Zulauf oder Ablauf des Fluides ausdehnbar und schrumpfbar ist; und

    ein Strahlungsmessteil (30), das an dem Ausdehnungsteil (20) angeordnet ist, um eine zweidimensionale Strahlungsdosisverteilung in dem In-vivo-Gewebe zu messen, für das sich das Ausdehnungsteil (20) dahingehend ausdehnt, dieses zu berühren,

    dadurch gekennzeichnet, dass

    das Strahlungsmessteil (30) das Ausdehnungsteil (20) in einer vieleckigen Form umhüllt, wenn das Ausdehnungsteil (20) geschrumpft ist,

    das Strahlungsmessteil (30) ein Film ist und zumindest einen Abschnitt des Ausdehnungsteils (20) umhüllt,

    das Strahlungsmessteil (30) bei der Ausdehnung des Ausdehnungsteils (20) ausgeklappt ist und bei dem Schrumpfen des Ausdehnungsteils (20) zu einer Form zurückkehrt, die das Ausdehnungsteil (20) vor der Ausdehnung umhüllt,

    das Strahlungsmessteil (30) eine oder mehrere Klapplinien (31) aufweist, die parallel zu der Einführungsrichtung sind, wobei die Klapplinien (31) in einer Richtung gebildet sind, in der das Strahlungsmessteil (30) das Ausdehnungsteil (20) umhüllt, wobei das Strahlungsdosismessgerät (1) ferner ein Aufnahmeteil (40) aufweist, das das Strahlungsmessteil (30) aufnimmt,

    wobei das Aufnahmeteil (40) in Übereinstimmung mit einer Formänderung des Strahlungsmessteils (30) transformierbar ist,

    wobei das Ausdehnungsteil (20) ein nach außen hin hervorstehendes Befestigungselement (21) aufweist, und

    das Strahlungsmessteil (30) und/oder das Aufnahmeteil (40) ein Befestigungsgegenstück (32) aufweisen, das dem Befestigungselement (21) entspricht.


     
    2. Das In-vivo-Strahlungsdosismessgerät gemäß Anspruch 1, wobei das Aufnahmeteil (40) und das Ausdehnungsteil (20) in Kontakt miteinander stehen, und
    wobei das Aufnahmeteil (40) und/oder das Ausdehnungsteil (20) aus einem Material zum Reduzieren einer Reibungskraft dazwischen gebildet oder damit behandelt ist.
     
    3. Das In-vivo-Strahlungsdosismessgerät gemäß Anspruch 1, bei dem das Aufnahmeteil (40) eine Taschenform aufweist und in engem Kontakt mit dem Strahlungsmessteil (30) steht.
     
    4. Das In-vivo-Strahlungsdosismessgerät gemäß Anspruch 3, wobei das Aufnahmeteil (40) aus einem elastischen Material gebildet ist.
     
    5. Das In-vivo-Strahlungsdosismessgerät gemäß Anspruch 1, das ferner ein Positionsangabeteil (50) aufweist, um das Verständnis einer Einführungsposition des Geräts (1) von außen bei der Einführung des Geräts in den Körper zu ermöglichen.
     
    6. Das In-vivo-Strahlungsdosismessgerät gemäß Anspruch 1, das ferner ein Schrumpfungsteil (60) aufweist, das außerhalb des Aufnahmeteils (40) gebildet ist, wobei das Schrumpfungsteil (60) eine Schrumpfungskraft beim Schrumpfen des Ausdehnungsteils (20) auf das Strahlungsmessteil (30) ausübt.
     
    7. Das In-vivo-Strahlungsdosismessgerät gemäß Anspruch 1, wobei das Aufnahmeteil (40) Folgendes aufweist:

    einen ersten Abschnitt (40a), der das Ausdehnungsteil (20) umhüllt; und

    einen zweiten Abschnitt (40b), der mit dem ersten Abschnitt (40a) verbunden ist, um das Strahlungsmessteil (30) zu umhüllen,

    wobei das Aufnahmeteil (40) eine Schrumpfungskraft auf das Ausdehnungsteil (20) ausübt.


     
    8. Das In-vivo-Strahlungsdosismessgerät gemäß Anspruch 1, das ferner ein Schrumpfungshilfsteil (70) aufweist, das mit einer Mehrzahl von Stellen des Strahlungsmessteils (30) verbunden ist, wobei ein Ende des Schrumpfungshilfsteils (70) aus dem Körper (10) hervorsteht, wenn das Gerät (1) in den Körper eingeführt ist, wobei das Schrumpfungshilfsteil (70) dazu in der Lage ist, das Strahlungsmessteil (30) durch Betätigen eines Abschnitts, der aus dem Körper heraus hervorsteht, zusätzlich zu schrumpfen.
     


    Revendications

    1. Dispositif de mesure de dose de rayonnement in vivo (1) pouvant être inséré dans le rectum d'un patient pour mesurer la distribution de dose de rayonnement, comprenant:

    un corps principal (10) s'étendant en longueur dans une direction d'insertion in vivo et à même d'alimenter un fluide;

    une partie d'expansion (20) présentant au moins une partie fixée ou connectée au corps principal (10) et à même d'être dilatée et rétrécie par l'entrée et la sortie du fluide; et

    une partie de mesure de rayonnement (30) disposée sur la partie d'expansion (20) pour mesurer une distribution de dose bidimensionnelle de rayonnement dans le tissu in vivo que la partie d'expansion (20) dilate au toucher,

    caractérisé par le fait que

    la partie de mesure de rayonnement (30) enveloppe la partie d'expansion (20) de forme polygonale lorsque la partie d'expansion (20) se contracte,

    la partie de mesure de rayonnement (30) est un film et enveloppe au moins une partie de la partie d'expansion (20),

    la partie de mesure de rayonnement (30) est déployée lors de l'expansion de la partie d'expansion (20), et retournée à une forme enveloppant la partie d'expansion (20) avant l'expansion lors de la contraction de la partie d'expansion (20),

    la partie de mesure de rayonnement (30) présente une ou plusieurs lignes de pliage (31) parallèles à la direction d'insertion, les lignes de pliage (31) étant formées dans une direction dans laquelle la partie de mesure de rayonnement (30) enveloppe la partie d'expansion (20),

    le dispositif de mesure de dose de rayonnement (1) comprend par ailleurs une partie de réception (40) recevant la partie de mesure de rayonnement (30),

    la partie de réception (40) étant à même d'être transformée selon une modification de forme de la partie de mesure de rayonnement (30),

    la partie d'expansion (20), présente un élément de fixation (21) faisant saillie vers l'extérieur, et

    au moins l'une parmi la partie de mesure de rayonnement (30) et la partie de réception (40) présente une contrepartie de fixation (32) en correspondance avec l'élément de fixation (21).


     
    2. Dispositif de mesure de dose de rayonnement in vivo selon la revendication 1, dans lequel la partie de réception (40) et la partie d'expansion (20) sont en contact l'une avec l'autre, et
    dans lequel au moins l'une parmi la partie de réception (40) et la partie d'expansion (20) est formée en, ou traitée par, un matériau pour réduire la force de friction entre elles.
     
    3. Dispositif de mesure de dose de rayonnement in vivo selon la revendication 1, dans lequel la partie de réception (40) présente une forme de poche et est en contact étroit avec la partie de mesure de rayonnement (30).
     
    4. Dispositif de mesure de dose de rayonnement in vivo selon la revendication 3, dans lequel la partie de réception (40) est formée en un matériau élastique.
     
    5. Dispositif de mesure de dose de rayonnement in vivo selon la revendication 1, comprenant par ailleurs une partie d'indication de position (50) destinée à permettre la compréhension d'une position d'insertion du dispositif (1) de l'extérieur lors de l'insertion du dispositif dans le corps.
     
    6. Dispositif de mesure de dose de rayonnement in vivo selon la revendication 1, comprenant par ailleurs une partie de contraction (60) formée à l'extérieur de la partie de réception (40), dans lequel la partie de contraction (60) confère une force de contraction à la partie de mesure de rayonnement (30) lors de la contraction de la partie d'expansion (20).
     
    7. Dispositif de mesure de dose de rayonnement in vivo selon la revendication 1, dans lequel la partie de réception (40) comprend:

    une première partie (40a) enveloppant la partie d'expansion (20); et

    une deuxième partie (40b) connectée à la première partie (40a) pour envelopper la partie de mesure de rayonnement (30),

    dans lequel la partie de réception (40) confère une force de contraction à la partie d'expansion (20).


     
    8. Dispositif de mesure de dose de rayonnement in vivo selon la revendication 1, comprenant par ailleurs une partie auxiliaire de contraction (70) connectée à une pluralité de sites de la partie de mesure de rayonnement (30), une extrémité de la partie auxiliaire de contraction (70) ressortant hors du corps (10) lorsque le dispositif (1) est inséré dans le corps, dans lequel la partie auxiliaire de contraction (70) est à même de contracter en outre la partie de mesure de rayonnement (30) en faisant fonctionner une partie ressortant hors du corps.
     




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    REFERENCES CITED IN THE DESCRIPTION



    This list of references cited by the applicant is for the reader's convenience only. It does not form part of the European patent document. Even though great care has been taken in compiling the references, errors or omissions cannot be excluded and the EPO disclaims all liability in this regard.

    Patent documents cited in the description