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RC Cancer Centers’ Response to NY Times Article

The New York Times on January 24, 2010, mischaracterized radiation oncology by identifying isolated cases of medical errors. While these cases were rare and tragic, radiation therapy is a safe and effective cancer treatment. In addition, the physicians, staff and directors of Radiotherapy Clinics of Georgia are deeply concerned that some patients may avoid life-saving treatments after reading the article.

Radiotherapy Clinics of Georgia feels it is important for consumers and patients to know that three out of five patients survive cancer. This means that beating cancer with radiation therapy is substantially higher than the risk of being harmed by a mistake. Unfortunately, this article did not offer essential details of the advances in radiation treatments or discuss the safe alternative cancer treatments that radiation oncology provides to cancer patients.

Radiotherapy Clinics of Georgia is committed to giving cancer patients access to the most advanced technology and quality systems available. Our physicians and clinical staff receive comprehensive training and complete certification programs to ensure the use of accurate dosage and delivery of radiation therapy at all of our cancer treatment centers. Radiotherapy Clinics of Georgia adheres to stringent quality assurance regulations. In addition, we are unique in our commitment to having three quality safeguards in place – controls, physicians and technology.

Specifically, multi-leaf calibration testing is conducted twice a week and daily checks are conducted every morning on our linear accelerators to confirm beam energy, flatness and symmetry, as well as mechanical and optical calibrations. Monthly equipment calibration checks are conducted, peer reviewed and then approved. Board-certified medical physicists perform yearly linear accelerator calibration to ensure proper delivery doses of radiation. This calibration is then confirmed by the Radiological Physics Center based out of MD Anderson Cancer Center of Houston, Texas. In addition, the Radiotherapy Clinics of Georgia’ staffing model for radiation therapy includes having two registered radiation therapists working together to cross-verifying patient treatment set-up and parameters.

Onsite Radiotherapy Clinics of Georgia’ radiation oncologists are involved in every patient’s treatment. They review and approve patient treatment plans in addition to the medical physicists and dosimetrists departments before any patient is treated. We are committed to a quality improvement process that establishes best practices for care and safety to ensure the highest quality patient radiation therapy planning and delivery.

To continue our safeguards process, we use a number of external software technologies that create a patient treatment plan separate from our linear accelerator. The software applications we use incorporate the patient plan, calculate the radiation that each patient should receive before the patient is treated and then compare it to the actual plan as prescribed by the physician-approved treatment plan This quality initiative ensures accurate and safe patient planning and treatment delivery at all Radiotherapy Clinics of Georgia locations.

The physicians, staff and directors of Radiotherapy Clinics of Georgia feel it would be a tragedy if this article negatively impacted the decision-making process for cancer patients who need to pursue the appropriate life-saving treatments — simply because a well-intentioned news report failed to share the full story.


Letter to the New York Times January 25, 2010, Radiation therapy 99.9% safe and effective

No medical error is acceptable and the two instances reported in your article on January 24, 2010, “The Radiation Boom – Radiation Offers New Cures, and Ways to Do Harm” are devastating. We regret the suffering the patients and families were forced to endure.

However, the numbers reported are exceptionally misleading. The story cites 621 radiation mistakes. During that time, we estimate half a million New Yorkers received 13.6 million daily radiation therapy treatments, meaning radiation errors occurred only .0046 percent of the time. We believe your readers should see this context.

Even one error is too many and ASTRO continuously works to strengthen the radiation oncology safety culture. We are at the forefront by providing quality assurance tools, hands-on training for sophisticated treatments like IMRT, guidelines on treatment use, new technology assessments and accreditation. ASTRO leads an international coalition improving equipment interconnectivity to prevent errors.

All treatments pose risks and patients should discuss them with their doctors. Radiation therapy is a tool no different than a knife in the hands of a surgeon. It should be used only by those with appropriate training and board certification.


Tim R. Williams, M.D.

Chairman, American Society for Radiation Oncology, the world’s largest radiation oncology society with 10,000 members, and a radiation oncologist at Boca Raton Community Hospital in Boca Raton, Fla.