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Cardiology

Thoracic Malignancies   

Questions discussed in this category

How do you approach treatment planning for lung SBRT in a patient with a lesion within 1 cm of a defibrillator?
The patient is not pacemaker dependent. 
5 Answers available
How do you approach radiation therapy for a target volume adjacent to a WATCHMAN atrial appendage closure device?
1 Answer available
Do you consider 10MV beams safe in a patient with an implantable cardiac device?
Recent Japanese guidelines recommend <10MV beams, heart rhythm society and AAPM suggest up to 10MV beams are safe, recommending ≤10MV beams. Giv...
1 Answer available
Would you discontinue dabrafenib/trametinib in a patient with BRAF mutant metastatic lung cancer if you see mild cardiomyopathy which could be related to the drugs?
Patient does not want chemo but is tolerating these well otherwise. 
1 Answer available
Do you refer patients to cardiology if they have no history of cardiac disease but will be receiving XRT with high mean doses to the heart?
Is there an established benefit for this? For instance if your patient has cardiac calcifications on imaging but no history of cardiac disease are the...
2 Answers available
When would you consider using radiation for cardiac metastases?
Would you treat if the patient is asymptomatic? If you do treat with RT, what dose-fractionation would you use, and what volumes do you target?
1 Answer available


Papers discussed in this category

The New England journal of medicine, 2014-11-13
Combined BRAF and MEK inhibition versus BRAF inhibition alone in melanoma.
Lancet Oncol., 2017 Sep 11
Dabrafenib plus trametinib in patients with previously untreated BRAF-mutant metastatic non-small-cell lung cancer: an open-label, phase 2 trial.
Med Phys, 2019 Nov 01
Management of radiotherapy patients with implanted cardiac pacemakers and defibrillators: A Report of the AAPM TG-203.
HeartRhythm case reports, 2016-09
Abdominal implantable cardioverter-defibrillator placement in a patient requiring bilateral chest radiation therapy.

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