Stereotactic Arrhythmia Radioablation (STAR): Assessment of cardiac and respiratory heart motion in ventricular tachycardia patients- A STOPSTORM.eu consortium review

Editorial Material Cardiac & Cardiovascular Systems

Stereotactic body radiation therapy for refractory premature ventricular contractions that originate from the left ventricular summit: A case report

Li-Hong Huang et al.

Summary: The case highlights a viable method of using a temporary catheter to minimize target volume and reduce radiation dose, thereby reducing the long-term risk of radiotherapy for ventricular arrhythmias.

PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY (2023)

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Article Cardiac & Cardiovascular Systems

Short-term and long-term effects of noninvasive cardiac radioablation for ventricular tachycardia: A single-center case series

Won Ick Chang et al.

Summary: Noninvasive cardiac radioablation is effective in reducing the burden of ventricular tachycardia (VT), with a therapeutic effect apparent within 1-2 days after treatment. The efficacy of treatment varies depending on the etiology of cardiomyopathy.

HEART RHYTHM O2 (2023)

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Article Engineering, Biomedical

First experimental exploration of real-time cardiorespiratory motion management for future stereotactic arrhythmia radioablation treatments on the MR-linac

O. Akdag et al.

Summary: Real-time MRI-guided cardiorespiratory motion management greatly reduces motion-induced dosimetric uncertainty, providing potential benefits for STAR.

PHYSICS IN MEDICINE AND BIOLOGY (2022)

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Editorial Material Oncology

Cardiac stereotactic Radiation Therapy induces Reprogramming of the electrical Conduction System

Oliver Blanck et al.

STRAHLENTHERAPIE UND ONKOLOGIE (2022)

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Article Radiology, Nuclear Medicine & Medical Imaging

Cardiac radioablation for ventricular tachycardia: Which approach for incorporating cardiorespiratory motions into the planning target volume

Julien Bellec et al.

Summary: The study evaluates different approaches for generating a cardiorespiratory internal target volume (ITV) for cardiac radioablation. The results suggest that combining two extreme cardiac phases with 10 respiratory phases is a robust approach, while using a single cardiac phase is not recommended.

PHYSICA MEDICA-EUROPEAN JOURNAL OF MEDICAL PHYSICS (2022)

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Article Cardiac & Cardiovascular Systems

Stereotactic Radioablation for Ventricular Tachycardia in the Setting of Electrical Storm

Sandro Ninni et al.

Summary: This retrospective study aimed to evaluate the clinical outcomes of SBRT in patients with ES. The results showed that SBRT was associated with a significant reduction in VT burden in patients with refractory VT. However, further prospective randomized control trials are needed to validate these findings.

CIRCULATION-ARRHYTHMIA AND ELECTROPHYSIOLOGY (2022)

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Article Cardiac & Cardiovascular Systems

Successful Application of Stereotactic Body Radiation Therapy for Ventricular Tachycardia Substrate in a Patient With Nonischemic Cardiomyopathy

Toshihiro Nasu et al.

Summary: Cardiac stereotactic body radiotherapy (SBRT) is a potential treatment for patients with ventricular tachycardia (VT). This study describes a case of nonischemic patient with severe heart failure and refractory VTs that were successfully managed with SBRT. Therefore, SBRT might be considered as a palliative therapy for anteroseptal VTs resistant to standard catheter ablation in severe nonischemic heart failure.

AMERICAN JOURNAL OF CARDIOLOGY (2022)

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Article Cardiac & Cardiovascular Systems

STRA-MI-VT (STereotactic RadioAblation by Multimodal Imaging for Ventricular Tachycardia): rationale and design of an Italian experimental prospective study

C. Carbucicchio et al.

Summary: VT is a life-threatening condition that often requires implantable cardioverter defibrillator, antiarrhythmic drugs, and catheter ablation. SBRT has emerged as a promising alternative option for patients with refractory VT in structural heart disease, and this study aims to investigate its safety and efficacy. If successful, radioablation could become a less-invasive treatment option for selected patients with VT.

JOURNAL OF INTERVENTIONAL CARDIAC ELECTROPHYSIOLOGY (2021)

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Article Radiology, Nuclear Medicine & Medical Imaging

Cardiac radioablation for atrial fibrillation: Target motion characterization and treatment delivery considerations

Suzanne Lydiard et al.

Summary: This study characterized AF CR target motion and relative displacement to surrounding structures in both healthy and AF participants, highlighting the importance of personalizing motion compensation techniques for effective treatments. The results showed that target motion due to cardiac contraction was most prominent in the medial-lateral direction, with different magnitudes and motion trajectories observed in nearby cardiac structures.

MEDICAL PHYSICS (2021)

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Article Cardiac & Cardiovascular Systems

Stereotactic radioablation for the treatment of ventricular tachycardia: preliminary data and insights from the STRA-MI-VT phase Ib/II study

Corrado Carbucicchio et al.

Summary: The preliminary findings of the STRA-MI-VT Study suggest that SBRT could be a potential alternative option for treating VT in patients with structural heart disease, as it resulted in a significant reduction in VT episodes over a 6-month period without any serious treatment-related adverse events. Further clinical investigation is warranted to confirm the safety and efficacy of SBRT in this patient population.

JOURNAL OF INTERVENTIONAL CARDIAC ELECTROPHYSIOLOGY (2021)

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Review Oncology

A Review of Cardiac Radioablation (CR) for Arrhythmias: Procedures, Technology, and Future Opportunities

Suzanne Lydiard et al.

Summary: This review summarizes the technical aspects and procedural details of cardiac radioablation (CR) treatment, highlighting the complexity and variability of CR. Standardized procedural reporting is needed to regulate treatment.

INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS (2021)

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Article Oncology

Method and Atlas to Enable Targeting for Cardiac Radioablation Employing the American Heart Association Segmented Model

Jeremy Brownstein et al.

Summary: The study provides a preliminary guide on cardiac-specific anatomy and orientation for effective communication between radiation oncologists and cardiology teams, including knowledge of cardiac anatomy, imaging techniques, and steps to rotate the heart to the cardiac-specific orientation. This guide can assist in better delineating treatment targets for cardiac radioablation.

INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS (2021)

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Review Medicine, General & Internal

Clinical Evidence behind Stereotactic Radiotherapy for the Treatment of Ventricular Tachycardia (STAR)-A Comprehensive Review

Marcin Miszczyk et al.

Summary: STAR, also known as stereotactic arrhythmia radioablation, is an emerging noninvasive treatment method for persistent ventricular tachycardia. Since its first application in 2012 at Stanford Cancer Institute, and subsequently at University Hospital Ostrava, Czech Republic, authors worldwide have published case reports and established prospective trials. This article discusses the available clinical evidence, analyzes potential methodological differences, and addresses unique challenges associated with this treatment approach.

JOURNAL OF CLINICAL MEDICINE (2021)

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Article Oncology

Evaluation of Motion Compensation Methods for Noninvasive Cardiac Radioablation of Ventricular Tachycardia

Michael T. Prusator et al.

Summary: This study aimed to estimate target motion during cardiac radioablation procedures and investigate the quality of implanted cardioverter defibrillator lead tip or diaphragm as a gating surrogate. The results showed a high level of variability in target motion ranges across patients and the correlation between surrogates and target motion.

INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS (2021)

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Article Oncology

Real-time measurement of ICD lead motion during stereotactic body radiotherapy of ventricular tachycardia

Lukas Knybel et al.

Summary: The study evaluated the motion of an ICD lead as a surrogate in cardiac radiotherapy, revealing motion amplitudes and variations. The mean motion amplitudes were 5.0, 3.4, and 3.1 mm in the SI, LL, and AP directions, with a small intrafraction amplitude variability requiring a 3 mm increase in the CTV-PTV margin.

REPORTS OF PRACTICAL ONCOLOGY AND RADIOTHERAPY (2021)

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Article Oncology

Stereotactic body radiotherapy for ventricular tachycardia (cardiac radiosurgery) First-in-patient treatment in Germany

David Krug et al.

STRAHLENTHERAPIE UND ONKOLOGIE (2020)

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Article Oncology

First magnetic resonance imaging-guided cardiac radioablation of sustained ventricular tachycardia

Michael Mayinger et al.

RADIOTHERAPY AND ONCOLOGY (2020)

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Article Cardiac & Cardiovascular Systems

Radiosurgery for ventricular tachycardia: preclinical and clinical evidence and study design for a German multi-center multi-platform feasibility trial (RAVENTA)

Oliver Blanck et al.

CLINICAL RESEARCH IN CARDIOLOGY (2020)

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Article Oncology

Definition and quality requirements for stereotactic radiotherapy: consensus statement from the DEGRO/DGMP Working Group Stereotactic Radiotherapy and Radiosurgery

Matthias Guckenberger et al.

STRAHLENTHERAPIE UND ONKOLOGIE (2020)

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Review Oncology

Technological quality requirements for stereotactic radiotherapy Expert review group consensus from the DGMP Working Group for Physics and Technology in Stereotactic Radiotherapy

Daniela Schmitt et al.

STRAHLENTHERAPIE UND ONKOLOGIE (2020)

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Article Radiology, Nuclear Medicine & Medical Imaging

Proton or photon radiosurgery for cardiac ablation of ventricular tachycardia? Breath and ECG gated robust optimization

Lamberto Widesott et al.

PHYSICA MEDICA-EUROPEAN JOURNAL OF MEDICAL PHYSICS (2020)

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Letter Cardiac & Cardiovascular Systems

Integration of Electroanatomical Mapping With Imaging to Guide Radiotherapy of VT Substrates With High Accuracy

Saif Abdel-Kafi et al.

JACC-CLINICAL ELECTROPHYSIOLOGY (2020)

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Article Oncology

Radiation Therapy Workflow and Dosimetric Analysis from a Phase 1/2 Trial of Noninvasive Cardiac Radioablation for Ventricular Tachycardia

Nets C. Knutson et al.

INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS (2019)

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Article Cardiac & Cardiovascular Systems

2019 HRS/EHRA/APHRS/LAHRS expert consensus statement on catheter ablation of ventricular arrhythmias

Edmond M. Cronin et al.

EUROPACE (2019)

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Article Cardiac & Cardiovascular Systems

Phase I/II Trial of Electrophysiology-Guided Noninvasive Cardiac Radioablation for Ventricular Tachycardia

Clifford G. Robinson et al.

CIRCULATION (2019)

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Article Radiology, Nuclear Medicine & Medical Imaging

Combined Electrocardiography- and Respiratory-Triggered CT of the Lung to Reduce Respiratory Misregistration Artifacts between Imaging Slabs in Free-Breathing Children: Initial Experience

Hyun Woo Goo et al.

KOREAN JOURNAL OF RADIOLOGY (2017)

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Article Medicine, General & Internal

Noninvasive Cardiac Radiation for Ablation of Ventricular Tachycardia

Phillip S. Cuculich et al.

NEW ENGLAND JOURNAL OF MEDICINE (2017)

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Article Cardiac & Cardiovascular Systems

Impact of Substrate Modification by Catheter Ablation on Implantable Cardioverter-Defibrillator Interventions in Patients With Unstable Ventricular Arrhythmias and Coronary Artery Disease Results From the Multicenter Randomized Controlled SMS (Substrate Modification Study)

Karl-Heinz Kuck et al.

CIRCULATION-ARRHYTHMIA AND ELECTROPHYSIOLOGY (2017)

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Article Medicine, General & Internal

Ventricular Tachycardia Ablation versus Escalation of Antiarrhythmic Drugs

John L. Sapp et al.

NEW ENGLAND JOURNAL OF MEDICINE (2016)

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Article Engineering, Biomedical

Towards real-time MRI-guided 3D localization of deforming targets for non-invasive cardiac radiosurgery

S. Ipsen et al.

PHYSICS IN MEDICINE AND BIOLOGY (2016)

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Article Cardiac & Cardiovascular Systems

Freedom from recurrent ventricular tachycardia after catheter ablation is associated with improved survival in patients with structural heart disease: An International VT Ablation Center Collaborative Group study

Roderick Tung et al.

HEART RHYTHM (2015)

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Article Radiology, Nuclear Medicine & Medical Imaging

Technical Note: Simulation of 4DCT tumor motion measurement errors

Tai H. Dou et al.

MEDICAL PHYSICS (2015)

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Article Radiology, Nuclear Medicine & Medical Imaging

Radiotherapy beyond cancer: Target localization in real-time MRI and treatment planning for cardiac radiosurgery

S. Ipsen et al.

MEDICAL PHYSICS (2014)

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Article Biotechnology & Applied Microbiology

Estimation of the displacement of cardiac substructures and the motion of the coronary arteries using electrocardiographic gating

Wenyong Tan et al.

ONCOTARGETS AND THERAPY (2013)

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Article Oncology

Reduction of organ motion by combined cardiac gating and respiratory gating

Zhiheng Wang et al.

INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS (2007)

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Article Cardiac & Cardiovascular Systems

Cardiac rotation and relaxation in patients with chronic heart failure

E Fuchs et al.

EUROPEAN JOURNAL OF HEART FAILURE (2004)

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Article Computer Science, Interdisciplinary Applications

A study of the motion and deformation of the heart due to respiration

K McLeish et al.

IEEE TRANSACTIONS ON MEDICAL IMAGING (2002)

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Article Radiology, Nuclear Medicine & Medical Imaging

Free-breathing cardiac MR imaging:: Study of implications of respiratory motion-initial results

K Nehrke et al.

RADIOLOGY (2001)

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Stereotactic Arrhythmia Radioablation (STAR): Assessment of cardiac and respiratory heart motion in ventricular tachycardia patients- A STOPSTORM.eu consortium review

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