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

[Ed Mok]

Is this the same incidents?

http://www.playfuls.com/news_10_17575-Translation-Error-Said-To-Have-Led-To-
Hospital-Deaths.html

Ed Mok
Stanford Cancer Center


> >-----Original Message-----
> >From: radsafe-bounces at radlab.nl [mailto:radsafe-bounces at radlab.nl] On
> >Behalf Of Jose Julio Rozental
> >Sent: Thursday, March 29, 2007 5:07 AM
> >To: McMahan, Kimberly L.; radsafe at radlab.nl
> >Subject: Re: [ RadSafe ] The French health ministry has ordered an
> >independentinquiry into the affair.
> >
> >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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> >
> >
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