Radiography
Volume 15, Issue 2 , Pages 179-181, May 2009

Embolization of an iodine-125 radioactive seed from the prostate gland into the right ventricle: An unusual pattern of seed migration

  • Michael H. Schild

      Affiliations

    • Summer Intern, Mayo Clinic Arizona, 13400 E. Shea Blvd., Scottsdale, AZ 85259, USA
    • ,
  • William W. Wong

      Affiliations

    • Department of Radiation Oncology, Mayo Clinic Arizona, 13400 E. Shea Blvd., Scottsdale, AZ 85259, USA
    • Corresponding Author InformationCorresponding author. Tel.: +1 480 301 8000; fax: +1 480 301 7687.
    • ,
  • Sujay A. Vora

      Affiliations

    • Department of Radiation Oncology, Mayo Clinic Arizona, 13400 E. Shea Blvd., Scottsdale, AZ 85259, USA
    • ,
  • Lynn D. Ward

      Affiliations

    • Department of Radiation Oncology, Mayo Clinic Arizona, 13400 E. Shea Blvd., Scottsdale, AZ 85259, USA
    • ,
  • Ba D. Nguyen

      Affiliations

    • Department of Radiology, Mayo Clinic Arizona, 13400 E. Shea Blvd., Scottsdale, AZ 85259, USA

Received 14 August 2008; accepted 17 November 2008.

Abstract 

Transperineal permanent brachytherapy using iodine-125 or palladium-103 seeds is a standard treatment modality for localized prostate cancer. Migration of seeds to the lungs is a common phenomenon, whereas migration of seeds to the right ventricle is a rare event. We report a case of iodine-125 seed migration to the right ventricle as demonstrated by chest CT scan and add to the very few published reports on this finding. These rare patients did not suffer adverse effects from such event.

Keywords: Prostate brachytherapy, Seed migration, Radioactive iodine seed, Migration to heart

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PII: S1078-8174(08)00115-6

doi:10.1016/j.radi.2008.11.008

Radiography
Volume 15, Issue 2 , Pages 179-181, May 2009

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