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Radiotherapy in patients with cardiac pacemakers.

作者信息

Last A

机构信息

Department of Radiotherapy, Royal Marsden Hospital, London, UK.

出版信息

Br J Radiol. 1998 Jan;71(841):4-10. doi: 10.1259/bjr.71.841.9534692.

DOI:10.1259/bjr.71.841.9534692
PMID:9534692
Abstract

Patients with permanent cardiac pacemakers occasionally require radiotherapy. Therapeutic irradiation may cause pacemakers to malfunction due to the effects of ionizing radiation or electromagnetic interference. Modern pacemakers, using complementary metal oxide semiconductor (CMOS) circuitry, differ from older bipolar semiconductor devices both in their sensitivity to damage and the types of malfunction observed. The mechanisms and types of radiotherapy-induced pacemaker malfunction are described and in vitro and in vivo studies of pacemaker irradiation are reviewed. Some simple precautions are recommended during the planning and administration of radiotherapy to minimize the risk of harm to patients with pacemakers.

摘要

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