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- W2020709608 abstract "To the Editor: We appreciate the comments regarding our recent publication in this journal ( 1 Gomez D.R. Poenisch F. Pinnix C.C. et al. Malfunctions of implantable cardiac devices in patients receiving proton beam therapy: Incidence and predictions. Int J Radiat Oncol Biol Phys. 2013; 87: 570-575 Abstract Full Text Full Text PDF PubMed Scopus (44) Google Scholar , 2 Mihailidis D. In regard to Gomez et al. Int J Radiat Oncol Biol Phys. 2014; 88: 751 Google Scholar ). We will address some of the points brought forth in this response. First, we agree that the neutron contaminants are higher for passively scattered proton beam therapy (PBT). Of course, the magnitude of neutron contribution depends on many factors mentioned in the letter to the editor and, in addition, on the design of the passive scattering system. Our system was especially designed to minimize neutron contaminants. It uses multiple range modulators (24) and scatterers (9) to modulate and to scatter protons just sufficiently to accommodate the volume to be treated. For our beams, the combination of the scattering system and the apertures dominate neutron production. Although our neutron contamination is less than has been reported for other systems, it is nevertheless substantial enough to cause some resets. In Regard to Gomez et alInternational Journal of Radiation Oncology, Biology, PhysicsVol. 88Issue 3PreviewTo the Editor: I read with great interest the article by Gomez et al (1), a great presentation of a survey of single-institution clinical cases regarding the noted failures of cardiac implanted electronic devices (CIEDs) of patients treated with proton beam therapy (PBT) and for various treatment sites. It is true that this article presents the largest series of CIED (42 patients with pacemakers and/or defibrillators) malfunctions in patients undergoing PBT, since the report by Oshiro et al (2) in 2008 where 8 patients with only pacemakers were considered. Full-Text PDF" @default.
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- W2020709608 title "In Reply to Mihaildis" @default.
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