ENS 57938

v t e ENS Event
05:00 Sep 18, 2025
Title	Medical Event
Event Description	The following information was provided by the Radiation Health Branch of the Kentucky Department for Public Health and Safety (KY RHB) via email: "KY RHB was notified on 9/18/2025 by the radiation safety officer (RSO) from the University of Louisville Hospital of an issue with five Sir-Sphere Y-90 doses. "Due to a software issue that had a calculation error converting GBq to mCi, 5 patients were underdosed to a point that their dose was more than 20 percent outside of the prescribed dose, and the dose to the organ (liver) was more than 50 mSv from the prescribed dose. "The RSO is meeting with the physician today to discuss the issues. The issue with the software has been fixed." KY Event Number: TBD A Medical Event may indicate potential problems in a medical facility's use of radioactive materials. It does not necessarily result in harm to the patient.

ENS 57938 +/-
Where
University Of Louisville Louisville, Kentucky (NRC Region 1)
License number:	202-029-22
Organization:	Kentucky Dept Of Radiation Control
Reporting

Agreement State
Time - Person (Reporting Time:+5.93 h0.247 days <br />0.0353 weeks <br />0.00812 months <br />)
Opened:	Russell Hestand 10:56 Sep 18, 2025
NRC Officer:	Adam Koziol
Last Updated:	Sep 18, 2025
57938 - NRC Website
v • d • e

v t e Emergency Notification System
University Of Louisville with Agreement State
WEEKMONTHYEAR2025-09-18T05:00:00 [Table view]
[ENS list for University Of Louisville]

Navigation menu