Is it safe to deliver palliative radiation to the spine with a spinal stimulator device in place?

Is it safe to deliver palliative radiation to the spine with a spinal stimulator device with standard palliative dosing (8 Gy x 1 fx, 20 Gy/5 fx or 30 Gy/10 fx) with the electrode array in field, but the pulse generator out of field?

Answer from: Radiation Oncologist at Academic Institution

There are 3 components in a spinal cord stimulator, the electrodes that are implanted in the epidural space, the implantable pulse generator, and the wiring connecting the two former components. The implantable pulse generator is similar to a cardiac pacemaker and it is the most important component ...

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