Delivery of definitive dose external beam radiation in close proximity to an implanted deep brain stimulator
- Resource Type
- Authors
- Zachary S. Morris; Jenna F. Borkenhagen; Lauren Q. Shapiro; Kevin R. Kozak; Jacob R. Hoberg
- Source
- Practical radiation oncology. 4(5)
- Subject
- Deep brain stimulation
Lung Neoplasms
medicine.medical_treatment
Deep Brain Stimulation
External beam radiation
Planning target volume
Stimulation
Deep brain stimulator
Impulse generator
Carcinoma, Non-Small-Cell Lung
Medicine
Humans
Radiology, Nuclear Medicine and imaging
Neoplasm Staging
Salvage Therapy
Essential tremor
business.industry
Parkinson Disease
Radiotherapy Dosage
Middle Aged
medicine.disease
Prognosis
nervous system diseases
Electrodes, Implanted
Radiation therapy
Oncology
Female
business
Nuclear medicine
Biomedical engineering
- Language
- ISSN
- 1879-8519
Deep brain stimulation (DBS) is an increasingly common treatment for medication-refractory Parkinson disease and essential tremor and has emerging applications for other neurologic and psychiatric conditions.1,2 The DBS system consists of 1 or more electrode leads implanted in the brain, and connected by tunneled wires to an impulse generator implanted in the subcutaneous tissue below the clavicle. The impulse generator contains a battery-powered circuit and is programmed with patientspecific stimulation. The system comes with a handheld programmer that can set stimulation parameters and turn the device on or off. Little evidence is available regarding administration of radiation therapy with a DBS device in close proximity to the target volume. In this report, we present our experience treating a patient with a DBS directly overlying a non-small cell lung tumor.