A device that generates low-energy x rays at the tip of a needle-like
probe was developed for stereotactic interstitial radiosurgery. Electr
ons from a small thermionic gun are accelerated to a final energy of u
p to 40 keV and directed along a 3 mm outside diameter drift tube to a
thin Au target, where the beam size is approximately 0.3 mm. All high
-voltage electronics are in the probe housing, connected by low-voltag
e cable to a battery-operated control box. X-ray output, which is near
ly isotropic, consists of a bremsstrahlung spectrum and several lines
between 7 and 14 keV, with characteristic radiation contributing 15% o
f the total energy output. To date, 14 patients with metastatic brain
tumors have been treated with this device. (C) 1996 American Associati
on of Physicists in Medicine.