PMID- 33445506
OWN - NLM
STAT- MEDLINE
DCOM- 20210924
LR  - 20210924
IS  - 1718-7729 (Electronic)
IS  - 1198-0052 (Print)
IS  - 1198-0052 (Linking)
VI  - 28
IP  - 1
DP  - 2021 Jan 12
TI  - Stereotactic Body Radiation Therapy (SBRT) for a Patient with a Myocardial 
      Metastasis: A Case Report.
PG  - 390-395
LID - 10.3390/curroncol28010041 [doi]
AB  - Metastatic lesions of the heart are rare but have the potential to cause 
      significant morbidity. We describe the case of a patient with renal cell 
      carcinoma who presented with shortness of breath and palpitations and was found 
      to have a metastatic myocardial lesion causing arrythmia. He received 
      stereotactic body radiation therapy (SBRT) to alleviate symptoms and provide 
      local control. SBRT planning was executed using a four-dimensional computed 
      tomography (4DCT) scan to account for respiratory and cardiac motion. Images from 
      a planning magnetic resonance imaging (MRI) scan and a gated diagnostic MRI scan 
      of the heart were fused with the 4DCT to assist with delineating the tumour. A 
      dose of 30 Gy in five fractions was delivered without incident. The patient's 
      cardiac MRI at two months post-treatment showed stability of his cardiac lesion. 
      He subsequently died of distant disease progression, without any recurrence of 
      his cardiac symptoms. SBRT may be considered for patients who present with a 
      symptomatic metastatic cardiac lesion.
FAU - Dhar, Aneesh
AU  - Dhar A
AD  - Juravinski Cancer Centre, Hamilton, ON L8V 5C2, Canada.
FAU - Donovan, Elysia
AU  - Donovan E
AD  - Sunnybrook Health Sciences Centre, Toronto, ON M4N 3M5, Canada.
FAU - Leong, Darryl
AU  - Leong D
AD  - The Population Health Research Institute, McMaster University& Hamilton Health 
      Sciences, Hamilton, ON L8L 2X2, Canada.
FAU - Hotte, Sebastien J
AU  - Hotte SJ
AD  - Juravinski Cancer Centre, Hamilton, ON L8V 5C2, Canada.
FAU - Swaminath, Anand
AU  - Swaminath A
AUID- ORCID: 0000-0003-4013-1980
AD  - Department of Oncology, McMaster University, Hamilton, ON L8S 4L8, Canada.
LA  - eng
PT  - Case Reports
DEP - 20210112
PL  - Switzerland
TA  - Curr Oncol
JT  - Current oncology (Toronto, Ont.)
JID - 9502503
SB  - IM
MH  - *Carcinoma, Renal Cell
MH  - Humans
MH  - *Kidney Neoplasms
MH  - Magnetic Resonance Imaging
MH  - Male
MH  - Neoplasm Recurrence, Local
MH  - *Radiosurgery
PMC - PMC7903268
OTO - NOTNLM
OT  - cardiac magnetic resonance imaging
OT  - myocardial metastasis
OT  - stereotactic body radiation therapy (SBRT)
COIS- The authors declare no conflict of interest.
EDAT- 2021/01/16 06:00
MHDA- 2021/09/25 06:00
PMCR- 2021/01/12
CRDT- 2021/01/15 01:01
PHST- 2020/11/18 00:00 [received]
PHST- 2020/12/22 00:00 [revised]
PHST- 2021/01/05 00:00 [accepted]
PHST- 2021/01/15 01:01 [entrez]
PHST- 2021/01/16 06:00 [pubmed]
PHST- 2021/09/25 06:00 [medline]
PHST- 2021/01/12 00:00 [pmc-release]
AID - curroncol28010041 [pii]
AID - curroncol-28-00041 [pii]
AID - 10.3390/curroncol28010041 [doi]
PST - epublish
SO  - Curr Oncol. 2021 Jan 12;28(1):390-395. doi: 10.3390/curroncol28010041.