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Impact of complexity and computer control on errors in radiation therapy.
Ann ICRP
April 2013
Department of Radiation Oncology, Cedars-Sinai Medical Center, 8700 Beverly Blvd., AC1085, Los Angeles, CA 90048, USA.
A number of recent publications in both the lay and scientific press have described major errors in patient radiation treatments, and this publicity has galvanised much work to address and mitigate potential safety issues throughout the radiation therapy planning and delivery process. The complexity of modern radiotherapy techniques and equipment, including computer-controlled treatment machines and treatment management systems, as well as sophisticated treatment techniques that involve intensity-modulated radiation therapy, image-guided radiation therapy, stereotactic body radiation therapy, volumetric modulated arc therapy, respiratory gating, and others, leads to concern about safety issues related to that complexity. This article illustrates the relationship between complexity and computer control, and various safety problems and errors that have been reported, and describes studies that address the issue of these modern techniques and whether their complexity does, in fact, result in more errors or safety-related problems.
View Article and Find Full Text PDFGalvanised by a respiratory distress diagnosis.
Arch Dis Child Educ Pract Ed
August 2008
Department of Newborn Care, Royal Hospital for Women, Barker Street, Locked Bag 2000, Randwick, 2031 NSW, Australia.
Bronchial reactions to exposure to welding fumes.
Occup Environ Med
November 1997
Department of Medicine, University of British Columbia Vancouver, Canada.
Objectives: To study the airway response and its mechanism to welding fumes in six welders with respiratory symptoms.
Methods: Methacholine and welding challenge tests were carried out. The concentration of welding fumes during the exposure test was measured.
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