{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T01:42:56Z","timestamp":1760233376832,"version":"build-2065373602"},"reference-count":10,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2021,1,12]],"date-time":"2021-01-12T00:00:00Z","timestamp":1610409600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Current Oncology"],"abstract":"<jats:p>Metastatic lesions of the heart are rare but have the potential to cause significant morbidity. We describe the case of a patient with renal cell carcinoma who presented with shortness of breath and palpitations and was found to have a metastatic myocardial lesion causing arrythmia. He received stereotactic body radiation therapy (SBRT) to alleviate symptoms and provide local control. SBRT planning was executed using a four-dimensional computed tomography (4DCT) scan to account for respiratory and cardiac motion. Images from a planning magnetic resonance imaging (MRI) scan and a gated diagnostic MRI scan of the heart were fused with the 4DCT to assist with delineating the tumour. A dose of 30 Gy in five fractions was delivered without incident. The patient\u2019s cardiac MRI at two months post-treatment showed stability of his cardiac lesion. He subsequently died of distant disease progression, without any recurrence of his cardiac symptoms. SBRT may be considered for patients who present with a symptomatic metastatic cardiac lesion.<\/jats:p>","DOI":"10.3390\/curroncol28010041","type":"journal-article","created":{"date-parts":[[2021,1,19]],"date-time":"2021-01-19T04:55:31Z","timestamp":1611032131000},"page":"390-395","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Stereotactic Body Radiation Therapy (SBRT) for a Patient with a Myocardial Metastasis: A Case Report"],"prefix":"10.3390","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7625-5427","authenticated-orcid":false,"given":"Aneesh","family":"Dhar","sequence":"first","affiliation":[{"name":"Juravinski Cancer Centre, Hamilton, ON L8V 5C2, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elysia","family":"Donovan","sequence":"additional","affiliation":[{"name":"Sunnybrook Health Sciences Centre, Toronto, ON M4N 3M5, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Darryl","family":"Leong","sequence":"additional","affiliation":[{"name":"The Population Health Research Institute, McMaster University&amp; Hamilton Health Sciences, Hamilton, ON L8L 2X2, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sebastien J.","family":"Hotte","sequence":"additional","affiliation":[{"name":"Juravinski Cancer Centre, Hamilton, ON L8V 5C2, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4013-1980","authenticated-orcid":false,"given":"Anand","family":"Swaminath","sequence":"additional","affiliation":[{"name":"Department of Oncology, McMaster University, Hamilton, ON L8S 4L8, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2021,1,12]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1790","DOI":"10.1161\/CIRCULATIONAHA.112.000790","article-title":"Tumors Metastatic to the Heart","volume":"128","author":"Goldberg","year":"2013","journal-title":"Circulation"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"701","DOI":"10.1148\/114.3.701","article-title":"Radiation therapy of cardiac and pericardial metastases","volume":"114","author":"Cham","year":"1975","journal-title":"Radiology"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"E250","DOI":"10.21037\/jtd.2018.03.104","article-title":"Effective cardiac radiotherapy relieved life-threatening heart failure caused by advanced small cell lung cancer with cardiac metastasis: A case report","volume":"10","author":"Chen","year":"2018","journal-title":"J. Thorac. Dis."},{"key":"ref_4","doi-asserted-by":"crossref","unstructured":"Arscott, W.T., Lal, P., Mamtani, R., O\u2019Quinn, R., Deo, R., and Jones, J. (2018). Long-term Survival After Treating Cardiac Metastasis With Radiation and Immune Therapy: A Case Report. Cureus, 10.","DOI":"10.7759\/cureus.2607"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"294","DOI":"10.5301\/tj.5000280","article-title":"Stereotactic body radiotherapy with CyberKnife for cardiac malignancies","volume":"101","author":"Bonomo","year":"2015","journal-title":"Tumori J."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1055","DOI":"10.1007\/s11547-013-0932-0","article-title":"Stereotactic body radiotherapy for cardiac and paracardiac metastases: University of Florence experience","volume":"118","author":"Bonomo","year":"2013","journal-title":"La Radiol. Med."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"2051","DOI":"10.1016\/S0140-6736(18)32487-5","article-title":"Stereotactic ablative radiotherapy versus standard of care palliative treatment in patients with oligometastatic cancers (SABR-COMET): A randomised, phase 2, open-label trial","volume":"393","author":"Palma","year":"2019","journal-title":"Lancet"},{"key":"ref_8","doi-asserted-by":"crossref","unstructured":"Zaorsky, N.G., Lehrer, E.J., Kothari, G., Louie, A.V., and Siva, S. (2019). Stereotactic ablative radiation therapy for oligometastatic renal cell carcinoma (SABR ORCA): A meta-analysis of 28 studies. Eur. Urol. Oncol.","DOI":"10.1016\/j.euo.2019.05.007"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"S152","DOI":"10.1016\/j.ijrobp.2019.06.160","article-title":"A Multi-Institutional Retrospective Clinical and Dosimetric Analyses of 1033 Oligometastatic Patients Treated with SBRT from the Consortium for Oligometastases Research-CORE","volume":"105","author":"Poon","year":"2019","journal-title":"Int. J. Radiat. Oncol. Biol. Phys."},{"key":"ref_10","doi-asserted-by":"crossref","unstructured":"Bezjak, A., Paulus, R., Gaspar, L.E., Timmerman, R.D., Straube, W.L., Ryan, W.F., Garces, Y.I., Pu, A.T., Singh, A.K., and Videtic, G.M. (2019). Safety and Efficacy of a Five-Fraction Stereotactic Body Radiotherapy Schedule for Centrally Located Non\u2013Small-Cell Lung Cancer: NRG Oncology\/RTOG 0813 Trial. J. Clin. Oncol.","DOI":"10.1200\/JCO.18.00622"}],"container-title":["Current Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1718-7729\/28\/1\/41\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T05:10:00Z","timestamp":1760159400000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1718-7729\/28\/1\/41"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1,12]]},"references-count":10,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2021,2]]}},"alternative-id":["curroncol28010041"],"URL":"https:\/\/doi.org\/10.3390\/curroncol28010041","relation":{},"ISSN":["1718-7729"],"issn-type":[{"type":"electronic","value":"1718-7729"}],"subject":[],"published":{"date-parts":[[2021,1,12]]}}}