Management of radiotherapy patients with implanted cardiac pacemakers and defibrillators: A Report of the AAPM TG-203

Moyed Miften, Dimitris Mihailidis, Stephen F. Kry, Chester Reft, Carlos Esquivel, Jonathan Farr, David Followill, Coen Hurkmans, Arthur Liu, Olivier Gayou, Michael Gossman, Mahadevappa Mahesh, Richard Popple, Joann Prisciandaro, Jeffrey Wilkinson

Research output: Contribution to journalArticlepeer-review

Abstract

Managing radiotherapy patients with implanted cardiac devices (implantable cardiac pacemakers and implantable cardioverter-defibrillators) has been a great practical and procedural challenge in radiation oncology practice. Since the publication of the AAPM TG-34 in 1994, large bodies of literature and case reports have been published about different kinds of radiation effects on modern technology implantable cardiac devices and patient management before, during, and after radiotherapy. This task group report provides the framework that analyzes the potential failure modes of these devices and lays out the methodology for patient management in a comprehensive and concise way, in every step of the entire radiotherapy process.

Original languageEnglish (US)
Pages (from-to)e757-e788
JournalMedical physics
Volume46
Issue number12
DOIs
StatePublished - Dec 1 2019

Keywords

  • cardiac implantable electronic devices (CIED)
  • device malfunction
  • implantable cardiac pacemakers (ICP)
  • implantable cardioverter-defibrillators (ICD)
  • patient management
  • radiation damage

ASJC Scopus subject areas

  • Biophysics
  • Radiology Nuclear Medicine and imaging

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