Accidental Overexposure of Radiotherapy Patients in San Jose, Costa Rica


Book Description

This report summarizes the assessment made of an accidental overexposure of radiotherapy patients that occurred at the San Juan de Dios Hospital in San José, Costa Rica, in August and September 1996. The assessment was carried out by an Expert Team convened by the IAEA in July 1997 at the request of the Government of Costa Rica. The findings of the Expert Team's assessment are presented in two parts: (1) an evaluation of the doses to patients by analysing the treatment records and physical measurements; and (2) a medical examination of patients, together with the autopsy findings for those who died. Thirty cross-sectional images are reproduced that show the dose reconstructions made for some of the patients. The purpose of the report is to foster information exchange with a view to preventing similar accidents elsewhere in the future.




Accidental Overexposure of Radiotherapy Patients in Białystok


Book Description

In February 2001, an accident occurred in the Bialystok Oncology Centre in Poland, which caused five patients undergoing radiotherapy treatment to be given significantly higher does than intended. This report reviews this accidental medical overexposure, the subsequent dose assessment and the clinical consequences to the patients. It also discusses the lessons learned and provides recommendations for preventing similar events from occurring.




Investigation of an Accidental Exposure of Radiotherapy Patients in Panama


Book Description

This report, compiled by a team of senior experts, contains the assessment of a radiological accident which led to serious overexposure of radiotherapy patients in Panama. The report evaluates the doses incurred, undertakes a medical evaluation of the affected patients' prognosis and treatment, and closes with lessons to be learned.




Medical Management of Radiation Accidents


Book Description

Although radiation accidents are rare and often complex in nature, they are of great concern not only to the patient and involved medical staff, but to the media and public as well. Yet there are few if any comprehensive publications on the medical management of radiation accidents. Medical Management of Radiation Accidents provides a complete refe




The Radiological Accident in Istanbul


Book Description

A serious radiological accident occurred in Istanbul, Turkey, in December 1998 and January 1999 when two packages used to transport 60Co teletherapy sources were sold as scrap metal. This report gives an account of the circumstances which led to the accident and the medical aspects, and the lessons learned.




Radiation Protection in Medical Imaging and Radiation Oncology


Book Description

Radiation Protection in Medical Imaging and Radiation Oncology focuses on the professional, operational, and regulatory aspects of radiation protection. Advances in radiation medicine have resulted in new modalities and procedures, some of which have significant potential to cause serious harm. Examples include radiologic procedures that require ve




Industrial and Medical Nuclear Accidents


Book Description

The peaceful use of atomic energy has given rise to a variety of nuclear accidents from the start. This concerns all forms of use, industrial and medical. For each accident, Industrial and Medical Nuclear Accidents details the contamination of the environment, flora and fauna, and quantifies the effects of ionizing radiation. The book also examines the adverse effects on the health, both physical and mental, of the human populations concerned. The monetary cost is also evaluated. The research presented in this book is based on scientifically recognized publications and on the reports of national and international organizations competent in this field (IAEA, WHO, UNSCEAR, IRSN, etc.). The book contains chapters devoted to the most recent accidents (Chernobyl and Fukushima), with a large body of institutional and academic literature.




Lessons Learned from Accidental Exposures in Radiotherapy


Book Description

This Safety Report is a review of a large number of events that may serve as a checklist against which to test the vulnerability of a facility to potential accidents, and to provide a basis for improving safety in the use of radiation in medical applications. Furthermore, it is intended to encourage the development of a questioning and learning attitude, the adoption of measures for the prevention of accidents, and the preparation for mitigation of the consequences of accidents, if they occur.




Setting Up a Radiotherapy Programme


Book Description

This publication provides guidance for designing and implementing radiotherapy programmes, taking into account clinical, medical physics, radiation protection and safety aspects. It reflects current requirements for radiotherapy infrastructure in settings with limited resources. It will be of use to professionals involved in the development, implementation and management of radiotherapy programmes




Handbook of Radiotherapy Physics


Book Description

From the essential background physics and radiobiology to the latest imaging and treatment modalities, the updated second edition of Handbook of Radiotherapy Physics: Theory & Practice covers all aspects of the subject. In Volume 1, Part A includes the Interaction of Radiation with Matter (charged particles and photons) and the Fundamentals of Dosimetry with an extensive section on small-field physics. Part B covers Radiobiology with increased emphasis on hypofractionation. Part C describes Equipment for Imaging and Therapy including MR-guided linear accelerators. Part D on Dose Measurement includes chapters on ionisation chambers, solid-state detectors, film and gels, as well as a detailed description and explanation of Codes of Practice for Reference Dose Determination including detector correction factors in small fields. Part E describes the properties of Clinical (external) Beams. The various methods (or ‘algorithms’) for Computing Doses in Patients irradiated by photon, electron and proton beams are described in Part F with increased emphasis on Monte-Carlo-based and grid-based deterministic algorithms. In Volume 2, Part G covers all aspects of Treatment Planning including CT-, MR- and Radionuclide-based patient imaging, Intensity-Modulated Photon Beams, Electron and Proton Beams, Stereotactic and Total Body Irradiation and the use of the dosimetric and radiobiological metrics TCP and NTCP for plan evaluation and optimisation. Quality Assurance fundamentals with application to equipment and processes are covered in Part H. Radionuclides, equipment and methods for Brachytherapy and Targeted Molecular Therapy are covered in Parts I and J, respectively. Finally, Part K is devoted to Radiation Protection of the public, staff and patients. Extensive tables of Physical Constants, Photon, Electron and Proton Interaction data, and typical Photon Beam and Radionuclide data are given in Part L. Edited by recognised authorities in the field, with individual chapters written by renowned specialists, this second edition of Handbook of Radiotherapy Physics provides the essential up-to-date theoretical and practical knowledge to deliver safe and effective radiotherapy. It will be of interest to clinical and research medical physicists, radiation oncologists, radiation technologists, PhD and Master’s students.