Prostate brachytherapy seed migration to the heart seen on cardiovascular computed tomographic angiography

Shilpa Sachdeva, Nneka S. Udechukwu, Hossam Elbelasi, Kevin P. Landwehr, William H. St. Clair, Michael A. Winkler

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

Brachytherapy consists of placing radioactive sources into or adjacent to tumors, to deliver conformal radiation treatment. The technique is used for treatment of primary malignancies and for salvage in recurrent disease. Permanent prostate brachytherapy seeds are small metal implants containing radioactive sources of I-125, Pd-103, or Cs-131 encased in a titanium shell. They can embolize through the venous system to the lungs or heart and subsequently be detected by cardiovascular computed tomography. Cardiovascular imagers should be aware of the appearance of migrated seeds, as their presence in the chest is generally benign, so that unnecessary worry and testing are avoided. We report a case of a patient who underwent brachytherapy for prostate cancer and developed a therapeutic seeds embolus to the right ventricle.

Original languageEnglish (US)
Pages (from-to)31-33
Number of pages3
JournalRadiology Case Reports
Volume12
Issue number1
DOIs
StatePublished - Mar 1 2017
Externally publishedYes

Keywords

  • Brachytherapy
  • Embolus
  • Prostate cancer
  • Therapeutic seeds

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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