Abstract
Introduction: The aim of present work is showing a procedure to evaluate the radiological monitor dose to pacemaker of patient undergoing treatment with CyberKnife® (Accuray, Sunnyvale, CA). Radiological monitor dose is dose coming from radiological images that are generated by x-ray tubes to monitor patient positioning during radiotherapy dose delivering. The generation of such images gives patient total dose a contribution that is not accounted by treatment planning system (tps); tps in fact just takes into account radiotherapy dose and not even radiological monitor dose. In some situations this cannot be overlooked and it has to be accounted for; one of these may be a patient with a pacemaker. For this device manufacturer likely indicates a threshold dose value over witch functioning is compromised. Our patient to be treated with CyberKnife® has a pacemaker with a dose threshold value indicated by manufacturer as 2 Gy.
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