Increasing numbers of cancer patients are receiving a type of radiation therapy known as IMRT (intensity modulated radiation therapy). This relatively new type of therapy is substantially different from standard linear accelerator radiation therapy and has been used since the 1990's. It has been hailed as a "breakthrough" in radiation treatment for mesothelioma, prostate cancer, breast cancer, thyroid cancer, lung cancer, gastrointestinal and gynecologic malignancies and other types of cancer. However, not everyone has benefited from IMRT therapy, and some patients have been seriously harmed when the target is missed, the wrong dose is given, or the wrong patient is treated.
How IMRT Therapy Works Works
The concept and intention behind IMRT therapy sounds good, but critics believe the complex technology may be getting ahead of basic safety protocols. With IMRT therapy, the radiation oncologist can target the tumor and completely avoid radiating normal, healthy cell tissue. Using a 3-D CT scan and computerized doze calculations, IMRT essentially allows higher doses of radiation to be focused on the tumor, while minimizing the amount of radiation to healthy tissue. IMRT utilizes complex algorithms that determine a dose based on a three-dimensional image of a tumor. The treatment is administered by a team led by a radiation oncologist, a physician specially trained to develop and prescribe a cancer patient's treatment plan, and adjust treatment as necessary.
Problems with IMRT Therapy
In January 2010, the New York Times told the story of Scott Jerome-Parks, a 43-year-old man who died in 2007, several weeks after a computer error in a radiation therapy machine blasted his brain stem and neck with errant beams of radiation on three separate occasions (see "Radiation Offers New Cures, and Ways to Do Harm"). There are a number of problems with IMRT therapy, from the way radiation oncologists are taught to implement the treatment to the unstable software that runs the machines. According to the Times, "while this new technology allows doctors to more accurately attack tumors and reduce certain mistakes, its complexity has created new avenues for error -- through software flaws, faulty programming, poor safety procedures or inadequate staffing and training." In New York, from January 2001 to January 2009, there were 621 radiation mistakes (see statistics).
Serious Consequences for Patients
The risks of radiation can be likened to the risks of other invasive procedures like surgery or chemotherapy. Mild radiation burns are comparable to a sunburn, but serious radiation injuries can cause organ failure or death. There are no concrete statistics on how often radiation overdoses or radiotherapy accidents occur. Some of these accidents are on a clerical level; the New York Times mentioned 50 instances where patients received radiation treatment intended for another patient, including a brain cancer patient who received radiation treatment intended for someone with breast cancer.
Radiation Injury Lawsuits
In the vast majority of cancer patients, radiation therapy is beneficial. However, in a number of situations, radiation therapy has gone horribly wrong, causing disastrous consequences to the patient. The lawyers at Estey Bomberger have handled a number of overradiation cases involving CT scan overradiation and overexposure, and we are closely monitoring overradiation cases involving IMRT radiation therapy. If your or a family member has been subject to a radiation injury, or negative IMRT side effects following any type of radiation cancer treatment, contact us for more information and to discuss your potential case.
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