This Safety Report is a review of a large number of events that may serve as a checklist against which to test the vulnerability of a facility to potential accidents, and to provide a basis for improving safety in the use of radiation in medical applications. Furthermore, it is intended to encourage the development of a questioning and learning attitude, the adoption of measures for the prevention of accidents, and the preparation for mitigation of the consequences of accidents, if they occur.

This report, compiled by a team of senior experts, contains the assessment of a radiological accident which led to serious overexposure of radiotherapy patients in Panama. The report evaluates the doses incurred, undertakes a medical evaluation of the affected patients' prognosis and treatment, and closes with lessons to be learned.

Annotation This publication describes a project to introduce a tool for self-evaluation by radiotherapy services that allows the analysis of errors or failures that might give rise to accidents. The results of applying this tool to a generic radiotherapy service are also presented. These results are used as a basis for a set of recommendations to strengthen quality and safety programmes in radiotherapy departments. Both operational experience (lessons learned from accidental exposure) and the results of probability safety assessment studies have been taken into account in applying the tool and formulating these recommendations.

This publication provides guidance for designing and implementing radiotherapy programmes, taking into account clinical, medical physics, radiation protection and safety aspects. It reflects current requirements for radiotherapy infrastructure in settings with limited resources. It will be of use to professionals involved in the development, implementation and management of radiotherapy programmes

The first text to focus solely on quality and safety in radiotherapy, this work encompasses not only traditional, more technically oriented, quality assurance activities, but also general approaches of quality and safety. It includes contributions from experts both inside and outside the field to present a global view. The task of assuring quality

A serious radiological accident occurred in Istanbul, Turkey, in December 1998 and January 1999 when two packages used to transport 60Co teletherapy sources were sold as scrap metal. This report gives an account of the circumstances which led to the accident and the medical aspects, and the lessons learned.

Under the Convention on Assistance in Case of a Nuclear Accident or Radiological Emergency, the Georgian authorities requested assistance from the IAEA in relation to the 2001 radiological accident in Lia. This assistance related to advice on the dose assessment, source recovery and medical management of those involved in the accident. This report provides the detailed information on the accident and presents the findings and conclusions and lessons learned from the treatment of the overexposed victims. The aim is to help to avoid similar occurrences by improving safety, and to minimize the consequences of any such events that do occur.

Walter and Miller’s Textbook of Radiotherapy is a key textbook for therapeutic radiography students as well as trainee clinical and medical oncologists, clinical physicists and technologists. The book is divided into 2 sections. The first section covers physics and provides a comprehensive review of radiotherapy physics. This section is designed to be non-physicist friendly, to simply and clearly explain the physical principles upon which radiotherapy and its technology are based. The second section is a systematic review by tumour site giving an up to date summary of radiotherapy practice. The title also covers the place of chemotherapy, surgery and non-radiotherapy treatments as well as the principles of cancer patient treatment including supportive care and palliative treatments. It is a comprehensive must-have resource for anyone studying therapeutic radiotherapy. Highly illustrated in full colour including 350 photographs. Clearly and simply explains the fundamental physics for clinicians Gives an up to date summary of radiotherapy practice organised by tumour site making it very easy to navigate. Describes the wide range of devices and clearly explains the principles behind their operation. Comprehensively explains the calculation models of dose predictions for treatment preparation. Heavy emphasis on how clinical trials have influenced current practice. Shows how radiobiological knowledge has influenced current practice such as the fractionation regimens for breast and prostate cancer Proton therapy; machines, dose measurement, covering the clinical advantages and pitfalls of this treatment modality. New radiotherapy modalities such as stereotactic radiotherapy, types of intensity modulated radiotherapy and imaged guided radiotherapy are comprehensively covered as are recent advances in chemotherapy and molecular targeted therapy. In depth coverage of dose measurement and new devices.

Accuracy requirements in radiation oncology have been defined in multiple publications; however, these have been based on differing radiation technologies. In the meantime, the uncertainties in radiation dosimetry reference standards have been reduced and more detailed patient outcome data are available. No comprehensive literature on accuracy and uncertainties in radiotherapy has been published so far. The IAEA has therefore developed a new international consensus document on accuracy requirements and uncertainties in radiation therapy, to promote safer and more effective patient treatments. This publication addresses accuracy and uncertainty issues related to the vast majority of radiotherapy departments including both external beam radiotherapy and brachytherapy. It covers clinical, radiobiological, dosimetric, technical and physical aspects.

A comprehensive textbook of radiotherapy and related radiation physics and oncology for use by all those concerned with the uses of radiation and cytotoxic drugs in the treatment of patients with malignant disease. Walter & Miller's Textbook of Radiotherapy has become the core text for therapeutic radiography students and an important introductory text for trainee radiologists and clinical physicists. The book is divided into two parts: the first covers underlying principles of physics, and the second is a systematic review by tumour site concentrating on the role of radiotherapy in the treatment of malignant disease and setting its use in context with chemotherapy and surgery. The 7th edition continues the tradition of bringing the physics and clinical application of radiation for therapy together at entry level and is completely revised to take into account the huge technological advances in radiotherapy treatment since publication of the previous edition. *Imaging is now an essential part of radiotherapy, relevant for both the treatment and preparation of a patient's treatment. Radionuclide imaging and X-ray imaging have been expanded to MRI and PET, along with some use of ultrasound. *Treatment planning dose prediction - the basis and application of modern computational calculations are explained for modern treatment delivery systems. The role of the algorithm for dose prediction is central to ensure speedy and accurate calculations for treatment. *Quality Control *Quality Systems The book is supported by Evolve electronic resources: sample plans, additional diagnostic images and clinical photographs.