Radiation dose monitoring in a breast cancer patient with a pacemaker: A case report

A pacemaker-bearing patient with left-sided breast cancer was treated with adjuvant external beam radiation therapy to the intact breast. She was treated via tangential fields and a single anterior supraclavicular field using 6-MV x-rays. The pacemaker, originally in the treatment field, was removed...

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Veröffentlicht in:Journal of the National Medical Association 2001-07, Vol.93 (7-8), p.278-281
Hauptverfasser: RAO NIBHANUPUDY, J, DE JESUS, Maria Arsyl D, FUJITA, Mihoko, GOLDSON, Alfred L
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container_issue 7-8
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container_title Journal of the National Medical Association
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creator RAO NIBHANUPUDY, J
DE JESUS, Maria Arsyl D
FUJITA, Mihoko
GOLDSON, Alfred L
description A pacemaker-bearing patient with left-sided breast cancer was treated with adjuvant external beam radiation therapy to the intact breast. She was treated via tangential fields and a single anterior supraclavicular field using 6-MV x-rays. The pacemaker, originally in the treatment field, was removed and a new one placed 4 cm outside the radiation field prior to treatment. Silicon diode chamber Keithley-Farmer type 0.6 cc ionization chamber, and lithium fluoride (LiF) (TLD) chips were used to measure, in vivo, the dose to the pacemaker. From all the fields treated, total dose to the pacemaker was 164 cGy by diode measurements, 182 cGy by ionization chamber measurements, and 171 cGy by TLD measurements. The pacemaker functioned normally throughout the course of treatment.
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subjects Aged
Aged, 80 and over
Biological and medical sciences
Breast Neoplasms - complications
Breast Neoplasms - radiotherapy
Electrocardiography
Female
Gynecology. Andrology. Obstetrics
Heart Block - complications
Heart Block - therapy
Humans
Mammary gland diseases
Materials Testing - methods
Medical sciences
Pacemaker, Artificial
Radiation Dosage
Radiotherapy, Adjuvant - methods
Tumors
title Radiation dose monitoring in a breast cancer patient with a pacemaker: A case report
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