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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. Given that neutron production is low but not 0, at this energy does your clinic avoid 10MV use?
Answer from: Radiation Oncologist at Community Practice
I follow the AAPM TG-203 which considers beams up to 10 MV photons to be non-neutron producing. For example, in a lung, abdominal, or pelvis tumor, I find the reduction in total body dose worthwhile to use 10 MV.
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