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Proton Beam Therapy Interference with Implanted Cardiac Pacemakers
https://repo.qst.go.jp/records/45601
https://repo.qst.go.jp/records/45601efb8e762-b52c-4951-8f94-eea73472df09
Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2009-08-06 | |||||
タイトル | ||||||
タイトル | Proton Beam Therapy Interference with Implanted Cardiac Pacemakers | |||||
言語 | ||||||
言語 | eng | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
アクセス権 | ||||||
アクセス権 | metadata only access | |||||
アクセス権URI | http://purl.org/coar/access_right/c_14cb | |||||
著者 |
Oshiro, Yoshiko
× Oshiro, Yoshiko× Sugahara, Shinji× et.al× 菅原 信二 |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | PURPOSE: To investigate the effect of proton beam therapy (PBT) on implanted cardiac pacemaker function. METHODS AND MATERIALS: After a phantom study confirmed the safety of PBT in patients with cardiac pacemakers, we treated 8 patients with implanted pacemakers using PBT to a total tumor dose of 33-77 gray equivalents (GyE) in dose fractions of 2.2-6.6 GyE. The combined total number of PBT sessions was 127. Although all pulse generators remained outside the treatment field, 4 patients had pacing leads in the radiation field. All patients were monitored by means of electrocardiogram during treatment, and pacemakers were routinely examined before and after PBT. RESULTS: The phantom study showed no effect of neutron scatter on pacemaker generators. In the study, changes in heart rate occurred three times (2.4%) in 2 patients. However, these patients remained completely asymptomatic throughout the PBT course. CONCLUSIONS: PBT can result in pacemaker malfunctions that manifest as changes in pulse rate and pulse patterns. Therefore, patients with cardiac pacemakers should be monitored by means of electrocardiogram during PBT. | |||||
書誌情報 |
International Journal of Radiation Oncology Biology Physics 巻 72, 号 3, p. 723-727, 発行日 2008-11 |
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ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 0360-3016 |