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Mushonga M, Kwan JYY, Purdie TG, Chaulk G, DeRocchis J, Munhoz RP, Leong WL, Hodaie M, Liu FF. Deep Brain Stimulators and Radiation Therapy in Cancer Patients. Clin Oncol (R Coll Radiol) 2022; 34:e136-e138. [PMID: 34996683 DOI: 10.1016/j.clon.2021.12.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2021] [Accepted: 12/21/2021] [Indexed: 11/17/2022]
Affiliation(s)
- M Mushonga
- Radiation Medicine Program, Princess Margaret Cancer Centre, Toronto, Ontario, Canada
| | - J Y Y Kwan
- Radiation Medicine Program, Princess Margaret Cancer Centre, Toronto, Ontario, Canada; Department of Radiation Oncology, University of Toronto, Toronto, Ontario, Canada
| | - T G Purdie
- Radiation Medicine Program, Princess Margaret Cancer Centre, Toronto, Ontario, Canada; Department of Radiation Oncology, University of Toronto, Toronto, Ontario, Canada
| | - G Chaulk
- Radiation Medicine Program, Princess Margaret Cancer Centre, Toronto, Ontario, Canada
| | - J DeRocchis
- Radiation Medicine Program, Princess Margaret Cancer Centre, Toronto, Ontario, Canada; Department of Radiation Oncology, University of Toronto, Toronto, Ontario, Canada
| | - R P Munhoz
- Department of Medicine, Division of Neurology, University Health Network, Toronto, Ontario, Canada
| | - W L Leong
- Department of Surgery, Division of General Surgery, University Health Network, Toronto, Ontario, Canada
| | - M Hodaie
- Department of Surgery, Division of Neurosurgery, University Health Network, Toronto, Ontario, Canada
| | - F-F Liu
- Radiation Medicine Program, Princess Margaret Cancer Centre, Toronto, Ontario, Canada; Department of Radiation Oncology, University of Toronto, Toronto, Ontario, Canada
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Case Report: Adjuvant Breast Cancer Radiation Therapy in a Patient With an Implanted Deep Brain Stimulation Device. Adv Radiat Oncol 2020; 5:1380-1383. [PMID: 33305103 PMCID: PMC7718492 DOI: 10.1016/j.adro.2020.04.036] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2020] [Revised: 04/28/2020] [Accepted: 04/28/2020] [Indexed: 11/29/2022] Open
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Keep calm and beam on? Unmet needs in radiotherapy and deep brain stimulation. Parkinsonism Relat Disord 2020; 71:15-16. [DOI: 10.1016/j.parkreldis.2020.01.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/22/2019] [Revised: 12/04/2019] [Accepted: 01/10/2020] [Indexed: 11/22/2022]
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Kotecha R, Berriochoa CA, Murphy ES, Machado AG, Chao ST, Suh JH, Stephans KL. Report of whole-brain radiation therapy in a patient with an implanted deep brain stimulator: important neurosurgical considerations and radiotherapy practice principles. J Neurosurg 2015; 124:966-70. [PMID: 26315009 DOI: 10.3171/2015.2.jns142951] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Patients with implanted neuromodulation devices present potential challenges for radiation therapy treatment planning and delivery. Although guidelines exist regarding the irradiation of cardiac pacemakers and defibrillators, fewer data and less clinical experience exist regarding the effects of radiation therapy on less frequently used devices, such as deep brain stimulators. A 79-year-old woman with a history of coarse tremors effectively managed with deep brain stimulation presented with multiple intracranial metastases from a newly diagnosed lung cancer and was referred for whole-brain radiation therapy. She was treated with a German helmet technique to a total dose of 30 Gy in 10 fractions using 6 MV photons via opposed lateral fields with the neurostimulator turned off prior to delivery of each fraction. The patient tolerated the treatment well with no acute complications and no apparent change in the functionality of her neurostimulator device or effect on her underlying neuromuscular disorder. This represents the first reported case of the safe delivery of whole-brain radiation therapy in a patient with an implanted neurostimulator device. In cases such as this, neurosurgeons and radiation oncologists should have discussions with patients about the risks of brain injury, device malfunction or failure of the device, and plans for rigorous testing of the device before and after radiation therapy.
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Affiliation(s)
- Rupesh Kotecha
- Department of Radiation Oncology, Taussig Cancer Institute
| | | | - Erin S Murphy
- Department of Radiation Oncology, Taussig Cancer Institute.,Rose Ella Burkhardt Brain Tumor and Neuro-Oncology Center, Cleveland Clinic
| | - Andre G Machado
- Center for Neurological Restoration, and ,Departments of 4 Neurological Surgery.,Neurosciences, and.,Biomedical Engineering, Cleveland Clinic, Cleveland, Ohio
| | - Samuel T Chao
- Department of Radiation Oncology, Taussig Cancer Institute.,Rose Ella Burkhardt Brain Tumor and Neuro-Oncology Center, Cleveland Clinic
| | - John H Suh
- Department of Radiation Oncology, Taussig Cancer Institute.,Rose Ella Burkhardt Brain Tumor and Neuro-Oncology Center, Cleveland Clinic
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