[ RadSafe ] The French health ministry has ordered an independent inquiry into the affair.

[Jose Julio Rozental]

Dear Kim,

Thank you for your input,



I'll study the site and also I'll ask for more details about - I hope more 
imputs from colleagues will be arrive meanwhile.

Only to inform about doses - I was submitted to radiotherapy to prostate 
treatment in Israel, last year, April 2006 - 80 Gy, 40 fraction, 2 Gy per 
fraction.



Jose Julio Rozental

joseroze at netvision.net.il

Israel



----- Original Message ----- 
From: "McMahan, Kimberly L." <mcmahankl at ornl.gov>
To: "Jose Julio Rozental" <joseroze at netvision.net.il>; <radsafe at radlab.nl>
Sent: Wednesday, March 28, 2007 10:57 PM
Subject: RE: [ RadSafe ] The French health ministry has ordered an 
independent inquiry into the affair.


> The IRSN investigative report, in French, can be found at:
> http://www.irsn.org/document/files/File/Internet/Actualites/synthese_mis
> sion_radiotherapie_epinal.pdf
>
> Unless I mis-read the document (definitely a possibility), the software
> was not the direct cause, and these were not diagnostic "scans," they
> were conformational radiotherapy treatments. Treatment planning
> decisions were made by the medical staff at that hospital to deliver
> higher doses in order to control the prostate cancers. The typical
> protocol calls for a dose to the prostate of 70-74 Gy, while for these
> patients the decision was made to deliver 78 Gy. This higher dose
> over-exposed the nearby rectal tissue, with severe consequences. There
> is some discussion in the report about the decision to effectively
> engage in a clinical trial, and without informing the patients of
> increased risks.
>
> Kim McMAHAN  ORNL External Dosimetry
>
>
> -----Original Message-----
> From: radsafe-bounces at radlab.nl [mailto:radsafe-bounces at radlab.nl] On
> Behalf Of Jose Julio Rozental
> Sent: Wednesday, March 28, 2007 12:50 PM
> To: radsafe at radlab.nl
> Subject: [ RadSafe ] The French health ministry has ordered an
> independent inquiry into the affair.
>
> Dear colleagues, especially from France,
>
> Who can comment about the subject
>
> Jose Julio Rozental
> joseroze at netvision.net.il
> Israel
>
> One dead, 13 injured in X-ray blunder at French hospital
> http://www.qldcancer.com.au/pdf/November.pdf
>
> AFP via Yahoo! News - 12-Oct-06
>
> Agence France-Presse reported that one person died and 13 others fell
> sick after they were exposed to excessive doses of X-rays as they were
> being scanned for prostate cancer at Epinal Hospital near Strasbourg in
> eastern France.
>
> The accidents occurred between May-04 and May-05, where staff misused a
> new software programme that had been installed in the X-ray unit. The
> Lorraine Regional Hospital Agency said that 23 patients received
> excessive doses of radiation, and the 13 who fell ill suffered from
> rectal inflammation and needed surgery to fit an artificial anus.
>
> The French health ministry has ordered an independent inquiry into the
> affair.
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