A review and analysis of stereotactic body radiotherapy and radiosurgery of patients with cardiac implantable electronic devices

被引:9
作者
Aslian, Hossein [1 ]
Kron, Tomas [2 ]
Longo, Francesco [1 ,3 ]
Rad, Roya [4 ]
Severgnini, Mara [5 ]
机构
[1] Univ Trieste, Dept Phys, Via Alfonso Valerio 2, I-34127 Trieste, Italy
[2] Peter MacCallum Canc Ctr, Phys Sci, Melbourne, Vic, Australia
[3] Italian Natl Inst Nucl Phys INFN, Sez Trieste, Trieste, Italy
[4] Univ Southern Calif, Viterbi Sch Biomed Engn, Los Angeles, CA USA
[5] Azienda Sanit Univ Integrata Trieste, Med Phys Dept, Trieste, Italy
关键词
Stereotactic body radiotherapy (SBRT); Stereotactic radiosurgery (SRS); CyberKnife; Gamma-knife; Tomotherapy; Pacemaker; Implantable cardioverter defibrillator; EXPERT CONSENSUS STATEMENT; RADIATION-THERAPY; CARDIOVERTER-DEFIBRILLATORS; LATEST GENERATION; PACEMAKERS; MRI; MANAGEMENT; MALFUNCTION; FIELD; IRRADIATION;
D O I
10.1007/s13246-019-00751-8
中图分类号
R318 [生物医学工程];
学科分类号
0831 ;
摘要
The implementation of stereotactic body radiation therapy (SBRT) and stereotactic radiosurgery (SRS) has greatly increased due to its convenience and advantages from perspectives ranging from radiobiology to radio physics. Because SBRT/SRS delivers high doses in few fractions, precise dose delivery to target volumes and sufficient sparing of adjacent organs at risk (OARs) are required. Achieving these conflicting objectives is challenging for all patients receiving SBRT/SRS and may be particularly challenging when SBRT/SRS is adopted for treating patients with cardiac implantable electronic devices (CIEDs) because cumulative doses in CIEDs must be limited. Published research considering the different aspects of stereotactic treatment in patients with CIEDs was reviewed to summarise their findings in the following sections: (I) conventional linear accelerator (linac)-based SBRT and SRS; (II) CyberKnife, Gamma-Knife, VERO and helical tomotherapy SBRT and SRS; and (III) proton therapy. A total of 65 patients who had CIEDs and underwent SRS, SBRT, or SABR treatments were identified in the reviewed studies. The functionality of the CIEDs was assessed for 58 patients. Of those, CIED malfunctions (such as data loss, mode change, and inappropriate shock) were reported in four patients (6.89%). This review highlights the available sparse information in the literature by posing questions for future research.
引用
收藏
页码:415 / 425
页数:11
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