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Impact of different radiation techniques and doses on cardiac implantable electronic devices

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Impact of different radiation techniques and doses on cardiac implantable electronic devices. / Baehr, Andrea; Conrads, Lino; Oertel, Michael; Frommeyer, Gerrit; Scobioala, Sergiu; Eich, Hans Th; Haverkamp, Uwe.

In: Z MED PHYS, Vol. 31, No. 3, 08.2021, p. 327-335.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Baehr, A, Conrads, L, Oertel, M, Frommeyer, G, Scobioala, S, Eich, HT & Haverkamp, U 2021, 'Impact of different radiation techniques and doses on cardiac implantable electronic devices', Z MED PHYS, vol. 31, no. 3, pp. 327-335. https://doi.org/10.1016/j.zemedi.2020.12.003

APA

Baehr, A., Conrads, L., Oertel, M., Frommeyer, G., Scobioala, S., Eich, H. T., & Haverkamp, U. (2021). Impact of different radiation techniques and doses on cardiac implantable electronic devices. Z MED PHYS, 31(3), 327-335. https://doi.org/10.1016/j.zemedi.2020.12.003

Vancouver

Baehr A, Conrads L, Oertel M, Frommeyer G, Scobioala S, Eich HT et al. Impact of different radiation techniques and doses on cardiac implantable electronic devices. Z MED PHYS. 2021 Aug;31(3):327-335. https://doi.org/10.1016/j.zemedi.2020.12.003

Bibtex

@article{6cde778c90304ed1af20d7dd8d728eca,
title = "Impact of different radiation techniques and doses on cardiac implantable electronic devices",
abstract = "BACKGROUND AND OBJECTIVE: Purpose of this investigation was to get deeper insight into the impact of different radiation techniques and doses on cardiac implantable electric devices (CIEDs). We aimed to mimic a worst-case scenario with very high doses and external radiation being applied directly on the devices.METHODS: Radiation was applied on 21 CIEDs as photon or electron therapy with maximum dose of 150Gy in fractions of 2 -20Gy. CIEDS were put directly into the beam. Brachytherapy was applied with doses of 6Gy to a maximum of 42Gy. Check-ups took place after every fraction and one week after radiation. We calculated the estimated potential risk for the health and survival of patients as well as the risk for CIEDs' loss of function.RESULTS: 28 life- or health-threatening errors occurred during photon therapy, 3/7 devices showed complete loss of function. During electron therapy, 31 potentially patient-threatening errors and 2 losses of function were detected. During brachytherapy, none of the devices showed loss of function but 8 patient-threatening errors occurred. Inadequate shock releases were mostly seen after photon and brachytherapy, random noises occurred more often during electron therapy. The earliest potentially serious error occurred during after 2Gy photon radiation and 6Gy brachytherapy. Losses of function occurred earliest at 80Gy.CONCLUSION: The results underline the warning for precaution concerning CIED patients derived from recommendations in the literature. Our study offers new information especially about the impact of electron radiation and brachytherapy on CIEDs. Risk for the devices to for loss of telemetry or battery capacity might be negligible with normafractionated therapy.",
keywords = "Defibrillators, Implantable, Electronics, Electrons, Heart, Humans, Pacemaker, Artificial",
author = "Andrea Baehr and Lino Conrads and Michael Oertel and Gerrit Frommeyer and Sergiu Scobioala and Eich, {Hans Th} and Uwe Haverkamp",
note = "Copyright {\textcopyright} 2020. Published by Elsevier GmbH.",
year = "2021",
month = aug,
doi = "10.1016/j.zemedi.2020.12.003",
language = "English",
volume = "31",
pages = "327--335",
journal = "Z MED PHYS",
issn = "0939-3889",
publisher = "Urban und Fischer Verlag Jena",
number = "3",

}

RIS

TY - JOUR

T1 - Impact of different radiation techniques and doses on cardiac implantable electronic devices

AU - Baehr, Andrea

AU - Conrads, Lino

AU - Oertel, Michael

AU - Frommeyer, Gerrit

AU - Scobioala, Sergiu

AU - Eich, Hans Th

AU - Haverkamp, Uwe

N1 - Copyright © 2020. Published by Elsevier GmbH.

PY - 2021/8

Y1 - 2021/8

N2 - BACKGROUND AND OBJECTIVE: Purpose of this investigation was to get deeper insight into the impact of different radiation techniques and doses on cardiac implantable electric devices (CIEDs). We aimed to mimic a worst-case scenario with very high doses and external radiation being applied directly on the devices.METHODS: Radiation was applied on 21 CIEDs as photon or electron therapy with maximum dose of 150Gy in fractions of 2 -20Gy. CIEDS were put directly into the beam. Brachytherapy was applied with doses of 6Gy to a maximum of 42Gy. Check-ups took place after every fraction and one week after radiation. We calculated the estimated potential risk for the health and survival of patients as well as the risk for CIEDs' loss of function.RESULTS: 28 life- or health-threatening errors occurred during photon therapy, 3/7 devices showed complete loss of function. During electron therapy, 31 potentially patient-threatening errors and 2 losses of function were detected. During brachytherapy, none of the devices showed loss of function but 8 patient-threatening errors occurred. Inadequate shock releases were mostly seen after photon and brachytherapy, random noises occurred more often during electron therapy. The earliest potentially serious error occurred during after 2Gy photon radiation and 6Gy brachytherapy. Losses of function occurred earliest at 80Gy.CONCLUSION: The results underline the warning for precaution concerning CIED patients derived from recommendations in the literature. Our study offers new information especially about the impact of electron radiation and brachytherapy on CIEDs. Risk for the devices to for loss of telemetry or battery capacity might be negligible with normafractionated therapy.

AB - BACKGROUND AND OBJECTIVE: Purpose of this investigation was to get deeper insight into the impact of different radiation techniques and doses on cardiac implantable electric devices (CIEDs). We aimed to mimic a worst-case scenario with very high doses and external radiation being applied directly on the devices.METHODS: Radiation was applied on 21 CIEDs as photon or electron therapy with maximum dose of 150Gy in fractions of 2 -20Gy. CIEDS were put directly into the beam. Brachytherapy was applied with doses of 6Gy to a maximum of 42Gy. Check-ups took place after every fraction and one week after radiation. We calculated the estimated potential risk for the health and survival of patients as well as the risk for CIEDs' loss of function.RESULTS: 28 life- or health-threatening errors occurred during photon therapy, 3/7 devices showed complete loss of function. During electron therapy, 31 potentially patient-threatening errors and 2 losses of function were detected. During brachytherapy, none of the devices showed loss of function but 8 patient-threatening errors occurred. Inadequate shock releases were mostly seen after photon and brachytherapy, random noises occurred more often during electron therapy. The earliest potentially serious error occurred during after 2Gy photon radiation and 6Gy brachytherapy. Losses of function occurred earliest at 80Gy.CONCLUSION: The results underline the warning for precaution concerning CIED patients derived from recommendations in the literature. Our study offers new information especially about the impact of electron radiation and brachytherapy on CIEDs. Risk for the devices to for loss of telemetry or battery capacity might be negligible with normafractionated therapy.

KW - Defibrillators, Implantable

KW - Electronics

KW - Electrons

KW - Heart

KW - Humans

KW - Pacemaker, Artificial

U2 - 10.1016/j.zemedi.2020.12.003

DO - 10.1016/j.zemedi.2020.12.003

M3 - SCORING: Journal article

C2 - 33518445

VL - 31

SP - 327

EP - 335

JO - Z MED PHYS

JF - Z MED PHYS

SN - 0939-3889

IS - 3

ER -