Abstract: In a system and method for x-ray brachytherapy, a probe is introduced into the body of a subject, the probe carrying an x-ray source that radiates x-rays into an exposure area outside of the probe within the body of the subject. A number of markers are located in or on the probe, that are detectable in an image generated by an imaging device. The markers are located in or on the probe in a known spatial relation to the exposure area, so that the position of the exposure area can be determined by identifying the markers in the displayed image.

Abstract: In a shockwave system with a shockwave source for treatment of a patient with shockwaves, a control and evaluation unit for evaluating an input signal supplied directly thereto that is correlated with a blood pressure value of the patient determined during the treatment, and controls the shockwave source dependent on the input signal.

Abstract: An installation for image-assisted shockwave therapy has a C-arm x-ray unit that is orbitally movable around an isocenter, and that carries an x-ray imaging system thereon. The installation also has a shockwave head and a carrier device for the shockwave head that is disposed stationarily relative to the x-ray C-arm. A boom that extends toward the x-ray C-arm is carried by the carrier device, the boom having a free end at which the shockwave head is mounted. The boom is movably guided by the carrier device so that the shockwave head is arbitrarily movable to any position and can be arbitrarily aligned to the isocenter within a minimum range of 180° delimited by the top table position and the bottom table position of a patient table.

Abstract: In a method and a device for x-ray brachytherapy, a probe is inserted into the interior of the body of a subject, the probe carrying at its distal end an x-ray source that radiates x-rays into an exposure area in the body of the subject outside of the probe. The probe also contains an x-ray array that generates an ultrasound image representing at least a portion of the exposure area. A display device displays the ultrasound image to allow identification of the exposure area in the ultrasound image.

Abstract: In a method and device for x-ray brachytherapy, a probe is inserted into and moved within a living subject, the probe having a distal end, an x-ray source carried by said probe at said distal end that irradiates an x-ray beam into an exposure area outside of the probe, a mark generator carried by said probe at said distal end that generates a mark that identifies at least a portion of said exposure area, and an optical observation system, having an optical detector carried at said distal of said probe, that generates an optical image of said at least one part of said exposure area that is identified by said marking, the marking being visible in said optical image.

Abstract: In a system and method for x-ray brachytherapy, a probe is introduced into the body of a subject, the probe carrying an x-ray source that radiates x-rays into an exposure area outside of the probe within the body of the subject. A number of markers are located in or on the probe, that are detectable in an image generated by an imaging device. The markers are located in or on the probe in a known spatial relation to the exposure area, so that the position of the exposure area can be determined by identifying the markers in the displayed image.

Abstract: A shockwave system for treatment of a patient has a detection unit for detection of an indicator correlated with the calmness of the patient, and a device that is operable dependent on the indicator that increases the calmness of the patient. In a method for operation of a shockwave system for treatment of a patient, an indicator correlated with the calmness of the patient is detected and a measure to increase the calmness of the patient is taken dependent on the indicator.

Abstract: An installation for image-assisted shockwave therapy has a C-arm x-ray unit that is orbitally movable around an isocenter, and that carries an x-ray imaging system thereon. The installation also has a shockwave head and a carrier device for the shockwave head that is disposed stationarily relative to the x-ray C-arm. A boom that extends toward the x-ray C-arm is carried by the carrier device, the boom having a free end at which the shockwave head is mounted. The boom is movably guided by the carrier device so that the shockwave head is arbitrarily movable to any position and can be arbitrarily aligned to the isocenter within a minimum range of 180° delimited by the top table position and the bottom table position of a patient table.

Abstract: A shockwave treatment apparatus has a shockwave head that emits shockwaves during a shockwave treatment, the shockwave head being arranged on a movable mounting device and supported via the mounting device on a stand unit exhibiting a top side, and having a closable stowage unit. The stowage unit has a cover unit at least partially forming the top side of the stand unit, and at least one guidance means is provided on the stand unit for displacement of the cover unit with a vertical and/or a horizontal movement component relative to the stand unit.

Abstract: A shockwave system for treatment of a patient has a detection unit for detection of an indicator correlated with the calmness of the patient, and a device that is operable dependent on the indicator that increases the calmness of the patient. In a method for operation of a shockwave system for treatment of a patient, an indicator correlated with the calmness of the patient is detected and a measure to increase the calmness of the patient is taken dependent on the indicator.

Abstract: In a method for x-ray imaging given a patient containing a subject to be represented during a shockwave treatment, an image data set containing the subject and a marker is generated at a first point in time; an x-ray image showing essentially only the subject (14) and the marker is acquired at a second point in time, the x-ray image is correctly spatially associated with the image data set using the marker, the x-ray image is displayed together with information extracted from the image data set during the shockwave treatment.

Abstract: In a method to determine an operating parameter of a shockwave source for the generation of a shockwave to disintegrate a calculus in a patient by a shockwave lithotripsy, a characteristic of the patient and/or of the calculus is determined before and/or during the shockwave lithotripsy and the operating parameter is automatically determined dependent on the characteristic. A device for determining an operating parameter of a shockwave source for the destruction of a calculus in a patient has an acquisition and control unit for determination and/or input of a characteristic of the patient and/or of the calculus, and for automatic determination of the operating parameter dependent on the characteristic.

Abstract: In a shockwave system with a shockwave source for treatment of a patient with shockwaves, a control and evaluation unit for evaluating an input signal supplied directly thereto that is correlated with a blood pressure value of the patient determined during the treatment, and controls the shockwave source dependent on the input signal.

Abstract: In a method to disintegrate a calculus in a patient by shockwave lithotripsy, a 3D image data set of the patient is generated in a first step; the shockwave lithotripsy is conducted in a second step; and first step and second step are conducted with an unchanged position of the patient. A lithotripsy system to disintegrate a calculus in a patient has a shockwave system to disintegrate the calculus and a 3D imaging system to generate a 3D image data set of the patient without movement of the patient.

Abstract: A shockwave system has a shockwave source that generates shockwaves for treatment of a patient wherein, after an interruption of the treatment, the shockwave energy, starting from a predeterminable energy start value, is automatically, successively increased in predeterminable energy levels to a last energy end value applied and stored before the interruption of the treatment. Such a shockwave system enables an optimized resumption of a shockwave treatment after a treatment interruption.

Abstract: A shockwave system has a shockwave source that generates shockwaves for a treatment of a patient. At the beginning of the treatment the shockwave energy, starting from a predeterminable energy start value, is automatically, successively increased in predeterminable energy levels to a predeterminable energy end value. Such a shockwave system enables an optimized beginning of a shockwave treatment.

Abstract: A device to adjust the focus position of the therapy head of a lithotripsy system having an x-ray system, has a cross-hair disc that can be attached to an image intensifier of the x-ray system, such that extending away from the edge of the cross-hair disc are variable-length connection elements whose outer end facing away from the cross-hair disc can be indirectly or directly affixed to the image intensifier.

Abstract: A device to adjust the focus position of the therapy head of a lithotripsy system having an x-ray system, has a cross-hair disc that can be attached to an image intensifier of the x-ray system, such that extending away from the edge of the cross-hair disc are variable-length connection elements whose outer end facing away from the cross-hair disc can be indirectly or directly affixed to the image intensifier.