ENS 45665

v t e ENS Event
05:00 Jan 27, 2010
Title	Agreement State Report - Potential Medical Event Involving a Brachytherapy Underdose Event
Event Description	The following was received via e-mail: The BRP [Bureau of Radiation Protection] was informed on January 26, 2010 of a medical event that occurred at The Jewish Hospital of Cincinnati on December 28, 2009. A patient received a prostate I-125 seed implant on December 28, 2009. The post implant CT showed no problems but a follow-up CT performed on January 26, 2010 showed that the patient only received 75% of the prescribed dose to the prostate. The intended dose was 144 Gy (14400 rad) and the actual received dose was 108 Gy (10800 rad). I-125 activity was 0.032 Ci per seed. The total dose delivered differs from the prescribed dose by twenty five percent. The state is investigating the matter. Item Number: OH100002 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 45665 +/-
Where
Jewish Hospital Of Cincinnati Cincinnati, Ohio (NRC Region 3)
License number:	02120310029
Organization:	Ohio Bureau Of Radiation Protection
Reporting

Agreement State
Time - Person (Reporting Time:+10.65 h0.444 days <br />0.0634 weeks <br />0.0146 months <br />)
Opened:	Michael Snee 15:39 Jan 27, 2010
NRC Officer:	Joe O'Hara
Last Updated:	Jan 27, 2010
45665 - NRC Website
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v t e Emergency Notification System
Jewish Hospital Of Cincinnati with Agreement State
WEEKMONTHYEAR2010-01-27T05:00:00 [Table view]
[ENS list for Jewish Hospital Of Cincinnati]

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