Information Notice 2009-17, Reportable Events Involving Treatment Delivery Errors Caused by the Use of Differing Units for the Calibration of Brachytherapy Sources

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Reportable Events Involving Treatment Delivery Errors Caused by the Use of Differing Units for the Calibration of Brachytherapy Sources
ML080710054
Person / Time
Issue date: 08/28/2009
From: Robert Lewis
NRC/FSME/DMSSA
To:
Flannery C, FSME/DMSSA, 301-415-0223
References
IN-09-017
Download: ML080710054 (6)


ML080710054

UNITED STATES

NUCLEAR REGULATORY COMMISSION

OFFICE OF FEDERAL AND STATE MATERIALS

AND ENVIRONMENTAL MANAGEMENT PROGRAMS

WASHINGTON, DC 20555

August 28, 2009

NRC INFORMATION NOTICE 2009-17:

REPORTABLE MEDICAL EVENTS INVOLVING

TREATMENT DELIVERY ERRORS CAUSED BY

CONFUSION OF UNITS FOR THE

SPECIFICATION OF BRACHYTHERAPY

SOURCES.

ADDRESSEES

All U.S. Nuclear Regulatory Commission (NRC) medical use licensees and NRC master

materials licensees. All Agreement State Radiation Control Program Directors and State

Liaison Officers.

PURPOSE

The NRC is issuing this information notice (IN) to alert addressees to treatment delivery errors

and associated medical events caused by confusion of units for the specification of low-energy

photon-emitting brachytherapy sources implanted into patients. The NRC expects recipients to

review the information for applicability to their facilities and to consider actions, as appropriate, to avoid similar problems. However, suggestions contained in the IN are not new NRC

requirements; therefore, no specific action or written response is required. The NRC is

providing this IN to the Agreement States for their information and for distribution to their

medical licensees as appropriate.

DESCRIPTION OF CIRCUMSTANCES

The NRC has received reports of numerous medical events caused by errors in confusing the

units of source strength in the specification of sourcesspecifically, units of air-kerma strength

and apparent activity in units of millicurie (mCi). Although the details of the medical events

varied, human error, not the design or functioning of the equipment, caused all of these events.

These events illustrate the following three main areas of concern:

(1)

data entry error, whereby the source strength was entered into a computerized treatment

planning system in units not used by the system

(2)

ordering error, whereby sources of an incorrect source strength were delivered and used

because either the licensee or the manufacturer made an error in the requested units

(3)

conversion error, whereby a conversion between two different units was omitted or

performed incorrectly The NRC recognizes that other pathways may lead to treatment delivery errors, such as the

mislabeling of source strength or errors in patient dose calculations caused by incorrect

programming of the treatment planning software (e.g., incorrect conversion factor or decay

correction values within the software programming). However, this IN only addresses events

caused by errors in the use of differing source-strength units.

Data Entry Error

One recent data entry error for a manual implant of iodine-125 resulted in the patient receiving a

dose higher than the intended dose when the wrong units were entered into the treatment

planning system.

Another event reported to the NRC in which the patient received a higher-than-intended dose

because of a data entry error was caused by a licensee staff member who entered the

numerical value for mCi instead of the default units of air-kerma strength used in the treatment

planning system. Based on the 27-percent lower activity per source entered, the treatment

planning system calculated a higher quantity of seeds to deliver the intended dose.

Both events were avoidable human errors associated with entering information into a treatment

planning system using the wrong units to specify the source strength of the brachytherapy

sources.

Ordering Error

As a result of a licensee error when ordering brachytherapy sources, a patient received a

27-percent overdose. The treatment planning system calculated the source strength in

air-kerma strength per seed; however, when placing the order, the licensee specified the source

activity in mCi per seed using the same numerical value.

A similar medical event occurred at another facility when the licensee ordered the

brachytherapy sources in units of mCi per seed instead of ordering them with the same

numerical value but in units of air-kerma strength per seed. Because of this error, 10 different

patients received doses 27 percent higher than those prescribed in the written directive.

The NRC also received reports of medical events that were caused by differences in the units

used by the individual who ordered the sources and the vendor that supplied them. In one such

case that resulted in a 28-percent overdose, a seed manufacturer delivered seeds in units of

mCi per seed, but the individual who had ordered the sources actually requested the seeds of

the same numerical value but in units of air-kerma strength per seed.

Conversion Error

In the case of a medical event involving an interstitial brachytherapy treatment using iridium-192 seeds, the conversion from units of milligram radium-equivalent (mg Ra-eq) to units of air-kerma

strength was omitted before the numerical value was entered into the treatment planning

system. The numerical value in mg Ra-eq was entered into the treatment planning system

using units of air-kerma strength. This medical event was further compounded by the use of a

dose rate factor being based on the wrong isotope because the licensee omitted acceptance testing of the treatment planning software for iridium-192. Together, these two errors resulted in

a delivered dose of 4,590 centigray (cGy), rather than the intended 2,500-cGy dose.

In a separate medical event, four different patients received overdoses of 56 to 78 percent

higher than those prescribed when the conversion from mg Ra-eq to activity in units of mCi was

omitted before entry into the treatment planning system.

DISCUSSION

Human error, not the design or functioning of the equipment, was the cause of all of these

events. To prevent these types of occurrences, licensees should have the written directive and

treatment plan readily available when they order brachytherapy seeds from the manufacturer

and when they receive the seeds from the manufacturer for comparison with the calibration

certificate. Licensees should use written forms that capture key data (i.e., dates, quantities, and

units) rather than relying on verbal telephone orders when ordering brachytherapy seeds from a

manufacturer to limit the potential for miscommunication and minimize the likelihood of errors.

However, if licensees order brachytherapy seeds by telephone, they could request that the

manufacturer fax or e-mail a copy of the order for their immediate review. This procedure would

allow licensees to find discrepancies before the manufacturer transfers the sources to them.

Additional precautions that licensees may take include developing and implementing working

procedures that require independent confirmation of key processes, a system of redundant

checks, and reviews of the treatment plan. Independent confirmations should include an

independent verification of the accuracy of the dose calculation algorithms. Redundant checks

should include checking the quantity of seeds, numerical values, and units for specifying the

source strength of the seeds before ordering from the manufacturer and upon receipt of the

seeds. Treatment plan reviews should include verifying the consistency and accuracy of the

following information among the written directive, treatment plan, and calibration certificate:

(1) all dates, (2) radioactive decay, (3) numerical values, (4) quantities, and (5) units.

Furthermore, licensees should check that the correct data was entered into the treatment

planning system. A good standard of practice accepted by many physicists is that an individual

other than the person who entered the data perform these redundant checks.

Users of treatment planning systems are reminded to refer to the software manufacturers

instructions for appropriate data entry methods. Effective communication among all involved

persons (e.g., licensee staff, the seed manufacturer, and the treatment planning software

manufacturer) is vital to an effective process.

As an additional reference for specifying the source strength, licensees may refer to guidance

and practical standards contained in the American Association of Physicists in Medicine (AAPM)

Report No. 21, Specification of Brachytherapy Source Strength, Report of AAPM Task Group

No. 32, issued 1987 (http://www.aapm.org/pubs/reports/rpt 21.pdf).

NRCs Advisory Committee on Medical Uses of Isotopes endorses the concept of using air- kerma strength when ordering brachytherapy sources and in patient treatment planning. By all

licensees and manufacturers specifying the intensity of brachytherapy sources in units of air- kerma strength for every order and treatment plan, a standard of practice would be established that would reduce the number of medical events caused be errors in confusing the units of

source strength in the specification of sources.

CONTACT

This IN requires no specific action or written response. If you have any questions about the

information in this notice, please contact the technical contact below or the appropriate regional

office.

Robert J. Lewis, Director /RA/

Division of Materials Safety

and State Agreements

Office of Federal and State Materials

and Environmental Management Programs

Technical Contact:

Cindy Flannery, FSME

(301) 415-0223

E-mail: cindy.flannery@nrc.gov

Enclosure:

List of Recently Issued Office of Federal

and State Material and Environmental

Management Programs Generic

Communications that would reduce the number of medical events caused be errors in confusing the units of

source strength in the specification of sources.

CONTACT

This IN requires no specific action or written response. If you have any questions about the

information in this notice, please contact the technical contact below or the appropriate regional

office.

Robert J. Lewis, Director /RA/

Division of Materials Safety

and State Agreements

Office of Federal and State Materials

and Environmental Management Programs

Technical Contact:

Cindy Flannery, FSME

(301) 415-0223

E-mail: cindy.flannery@nrc.gov

Enclosure:

List of Recently Issued Office of Federal

and State Material and Environmental

Management Programs Generic

Communications

ML080710054 OFC

MSSA/MSEA

MSSA/MSEA

QTE

OGC

NAME

CFlannery: sxg6 AMcIntosh

KAzariah-Kribbs

BJones

DATE

05/27/09

06/01/09

06/03/09

08/11/09 OFC

MSEA

MSSA

MSSA

NAME

CEinberg

JLuehman

RLewis

DATE

08/11/09

08/18/09

08/28/09

OFFICIAL RECORD COPY List of Recently Issued Office of Federal and State Material

and Environmental Management Programs Generic Communications

Date

GC No.

Subject

Addressees

01/12/09 IN-2008-22 Molybdenum-99 Breakthrough in

Molybdenum-99/Technetium-99m

Generators

All NRC medical, radiopharmacy, molybdenum-99/

technetium-99m generator manufacturers, and

master materials licensees authorized to

manufacture or use generators. All Agreement State

Radiation Control Program Directors and State

Liaison Officers.

01/22/09 IN-2009-01 National Response Framework

All holders of operating licenses or certificates for

nuclear power plants, research and test reactors, independent spent fuel storage installations, fuel

cycle facilities, and radioactive materials. All holders

of operating licenses for uranium recovery facilities

and all holders of licenses or certificates for the

following types of facilities undergoing

decommissioning: nuclear power plants, research

and test reactors, fuel cycle facilities, and uranium

recovery facilities.

02/03/09 IN-2009-05 Contamination Events Resulting

from Damage to Sealed

Radioactive Sources during Gauge

Dismantlement and Nonroutine

Maintenance Operations

All NRC materials licensees. All Agreement State

Radiation Control Program Directors and State

Liaison Officers.

03/30/09 IN-2009-07 Withholding of Proprietary

Information from Public Disclosure

All current holders of and potential applicants for

licenses, certificates of compliance, permits, or

standard design certifications and any other persons

submitting a request that information be withheld

from public disclosure under the provisions of Title

10 of the Code of Federal Regulations (10 CFR)

2.390, Public Inspections, Exemptions, Requests for

Withholding.

05/07/09 RIS-2009-07 Status Update for the

Implementation of NRC Regulatory

Authority for Certain Naturally

Occurring and Accelerator- Produced Radioactive Material

All NRC material and fuel cycle licensees. All

Radiation Control Program Directors and State

Liaison Officers.

07/13/09 RIS-2009-09 Use of Multiple Dosimetry and

Compartment Factors in

Determining Effective Dose

Equivalent from External Radiation

Exposures

All NRC licensees, Agreement State Radiation

Control Program Directors, and State Liaison

Officers.

Note: This list contains the six most recently issued generic communications issued by the Office of Federal and

State Materials and Environmental Management Programs. A full listing of all generic communications may be

viewed at the NRC public Web site at the following address: http://www.nrc.gov/reading-rm/doc-collections/gen- comm/index.html.