1514-1515 / 2001
The most severe case …
•
Occurred in 1992 ;
•
The source ( HDR Iridium) became detached
from the drive mechanism during an anorectal
cancer treatment
C fli ti
i
l th
it
t ll
•
on c ng s gna s; e area mon or ac ua y
detected the radiation, while the equipment
i di t d
hi ld d
n ca e « source s e e »
•
Unfortunately, previous radiation monitor
lf
d
d
ma unctions encourage misinterpretation an
induced the staff not to trust it …