ENS 46665: Difference between revisions

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| event date = 03/09/2011 10:00 EST
| event date = 03/09/2011 10:00 EST
| last update date = 03/10/2011
| last update date = 03/10/2011
| title = Medical Event Involving Administration Of Greater Than Ordered Dose
| title = Medical Event Involving Administration of Greater than Ordered Dose
| event text = An Authorized User physician from the University of Michigan Department of Radiation Oncology planned two liver infusion treatments for a patient with unresectable hepatocellular carcinoma using Y-90 Theraspheres.  As part of treatment preparation, an MRI was performed on the patient to determine the patient's liver segment volumes.  Liver segment volumes are used in calculating the Y-90 activity needed to deliver the prescribed radiation dose to particular segments of the liver.  The first treatment was to the right lobe and medial segment of the patient's liver and was performed on 12/15/2010.  It proceeded without incident and in accordance with the written directive.   
| event text = An Authorized User physician from the University of Michigan Department of Radiation Oncology planned two liver infusion treatments for a patient with unresectable hepatocellular carcinoma using Y-90 Theraspheres.  As part of treatment preparation, an MRI was performed on the patient to determine the patient's liver segment volumes.  Liver segment volumes are used in calculating the Y-90 activity needed to deliver the prescribed radiation dose to particular segments of the liver.  The first treatment was to the right lobe and medial segment of the patient's liver and was performed on 12/15/2010.  It proceeded without incident and in accordance with the written directive.   
The Authorized User physician scheduled a second separate treatment to the patient's left lobe to be performed on 3/9/2011.  The Authorized User ordered a 74.4 Gy dose to the left lobe of the liver.  The medical physicist calculated a corresponding dosage of 60.5 mCi of Y-90 to be infused into the left lobe of the liver.
The Authorized User physician scheduled a second separate treatment to the patient's left lobe to be performed on 3/9/2011.  The Authorized User ordered a 74.4 Gy dose to the left lobe of the liver.  The medical physicist calculated a corresponding dosage of 60.5 mCi of Y-90 to be infused into the left lobe of the liver.

Latest revision as of 22:07, 1 March 2018

ENS 46665 +/-
Where
University Of Michigan Hospital
Ann Arbor, Michigan (NRC Region 3)
License number: 21-00215-04
Organization: University Of Michigan Hospital
Reporting
10 CFR 35.3045(a)(1)
Time - Person (Reporting Time:+20.25 h0.844 days <br />0.121 weeks <br />0.0277 months <br />)
Opened: Mark Driscoll
11:15 Mar 10, 2011
NRC Officer: John Shoemaker
Last Updated: Mar 10, 2011
46665 - NRC Website