Abstracts ASN Report 2019

1 zɖƬǼƺƏȸ ٮ ƫƏɀƺƳ ȅƺƳǣƬƏǼ ƏƬɎǣɮǣɎǣƺɀ 20 0 ׏ِ׏ Áǝƺ ƳǣǔǔƺȸƺȇɎ ƏƬɎǣɮǣɎɵ ƬƏɎƺǕȒȸǣƺɀ ׏ِ א 0ɴȵȒɀɖȸƺ ɀǣɎɖƏɎǣȒȇɀ ǣȇ Ɏǝƺ ȅƺƳǣƬƏǼ ɀƺƬɎȒȸ 1.2.1 Exposure of health professionals 1.2.2 Exposure of patients 1.2.3 Exposure of the public 1.2.4 The environmental impact ׏ِ א ِ ד ³ǣǕȇǣˡƬƏȇɎ ȸƏƳǣƏɎǣȒȇ protection events 1.2.6 The risks and the oversight priorities ׏ِ « ב ƺǕɖǼƏɎǣȒȇɀ 1.3.1 General regulations 1.3.2 Medical devices and radiopharmaceuticals 1.3.3 Radiation protection of patients 1.3.4 Administrative procedures 2 0ɴɎƺȸȇƏǼ ٮ ƫƺƏȅ ȸƏƳǣȒɎǝƺȸƏȵɵ 204 א ِ׏ (ƺɀƬȸǣȵɎǣȒȇ Ȓǔ Ɏǝƺ ɎƺƬǝȇǣȷɖƺɀ 2.1.1 Three-dimensional conformal radiotherapy 2.1.2 Intensity-Modulated (conformal) Radiotherapy 2.1.3 Stereotactic radiotherapy 2.1.4 Radiotherapy using a linear accelerator coupled to a magnetic resonance imaging system 2.1.5 Contact radiotherapy 2.1.6 Intraoperative radiotherapy 2.1.7 Hadron therapy א ِ א ÁƺƬǝȇǣƬƏǼ ȸɖǼƺɀ ƏȵȵǼǣƬƏƫǼƺ ɎȒ ƺɴɎƺȸȇƏǼ ٮ ƫƺƏȅ ȸƏƳǣȒɎǝƺȸƏȵɵ installations א ِ « ב ƏƳǣƏɎǣȒȇ ȵȸȒɎƺƬɎǣȒȇ ɀǣɎɖƏɎǣȒȇ ǣȇ ƺɴɎƺȸȇƏǼ ٮ ƫƺƏȅ ȸƏƳǣȒɎǝƺȸƏȵɵ 2.3.1 Radiation protection of external-beam radiotherapy professionals 2.3.2 Radiation protection of radiotherapy patients א ِ ב ِ ב ³ǣǕȇǣˡƬƏȇɎ ƺɮƺȇɎɀ in external-beam radiotherapy 3 ȸƏƬǝɵɎǝƺȸƏȵɵ 209 ב ِ׏ (ƺɀƬȸǣȵɎǣȒȇ Ȓǔ Ɏǝƺ ɎƺƬǝȇǣȷɖƺɀ 3.1.1 LowDose-Rate (LDR) brachytherapy 3.1.2 Pulsed Dose-Rate (PDR) brachytherapy 3.1.3 High Dose-Rate (HDR) brachytherapy ב ِ א ÁƺƬǝȇǣƬƏǼ ȸɖǼƺɀ ƏȵȵǼǣƬƏƫǼƺ ɎȒ ƫȸƏƬǝɵɎǝƺȸƏȵɵ ǣȇɀɎƏǼǼƏɎǣȒȇɀ ב ِ « ב ƏƳǣƏɎǣȒȇ ȵȸȒɎƺƬɎǣȒȇ ɀǣɎɖƏɎǣȒȇ ǣȇ ƫȸƏƬǝɵɎǝƺȸƏȵɵ 3.3.1 Radiation protection of medical professionals 3.3.2 Radiation protection of patients 3.3.3 Management of sources 3.3.4 Emergency situations andmanagement of malfunctions ב ِ ב ِ ד ³ǣǕȇǣˡƬƏȇɎ ƺɮƺȇɎɀ ǣȇ brachytherapy 4 zɖƬǼƺƏȸ ȅƺƳǣƬǣȇƺ 212 ג ِ׏ ¨ȸƺɀƺȇɎƏɎǣȒȇ Ȓǔ ȇɖƬǼƺƏȸ ȅƺƳǣƬǣȇƺ ƏƬɎǣɮǣɎǣƺɀ 4.1.1 In vivo diagnosis 4.1.2 In vitro diagnosis 4.1.3 Internal targeted radiotherapy 4.1.4 Research in nuclear medicine involving humans ג ِ א nƏɵȒɖɎ ȸɖǼƺɀ ǔȒȸ ȇɖƬǼƺƏȸ ȅƺƳǣƬǣȇƺ ǔƏƬǣǼǣɎǣƺɀ ג ِ « ב ƏƳǣƏɎǣȒȇ ȵȸȒɎƺƬɎǣȒȇ ɀǣɎɖƏɎǣȒȇ ǣȇ ȇɖƬǼƺƏȸ ȅƺƳǣƬǣȇƺ 4.3.1 Radiation protection of nuclear medicine professionals 4.3.2 Radiation protection of nuclear medicine patients 4.3.3 Protection of the general public and the environment ג ِ ב ِ ג ³ǣǕȇǣˡƬƏȇɎ ƺɮƺȇɎɀ ǣȇ ȇɖƬǼƺƏȸ medicine 5 IǼɖȒȸȒɀƬȒȵɵ ٮ ǕɖǣƳƺƳ ǣȇɎƺȸɮƺȇɎǣȒȇƏǼ ȵȸƏƬɎǣƬƺɀ 219 ד ِ׏…ɮƺȸɮǣƺɯ Ȓǔ Ɏǝƺ ɎƺƬǝȇǣȷɖƺɀ ƏȇƳ Ɏǝƺ ƺȷɖǣȵȅƺȇɎ ד ِ א ÁƺƬǝȇǣƬƏǼ ȸɖǼƺɀ ǔȒȸ Ɏǝƺ ˡɎɎǣȇǕ ȒɖɎ Ȓǔ ȅƺƳǣƬƏǼ ȸȒȒȅɀ ד ِ « ב ƏƳǣƏɎǣȒȇ ȵȸȒɎƺƬɎǣȒȇ ɀǣɎɖƏɎǣȒȇ ǣȇ ˢɖȒȸȒɀƬȒȵɵ ٮ ǕɖǣƳƺƳ ǣȇɎƺȸɮƺȇɎǣȒȇƏǼ ȵȸƏƬɎǣƬƺɀ 5.3.1 Radiation protection of medical professionals 5.3.2 Radiation protection of patients ד ِ ב ِ ב ³ǣǕȇǣˡƬƏȇɎ ƺɮƺȇɎɀ ȸƺǼƏɎǣȇǕ ɎȒ ˢɖȒȸȒɀƬȒȵɵ ٮ ǕɖǣƳƺƳ interventional practices 6 xƺƳǣƬƏǼ ƏȇƳ ƳƺȇɎƏǼ ȸƏƳǣȒƳǣƏǕȇȒɀǣɀ 224 ה ِ׏…ɮƺȸɮǣƺɯ Ȓǔ Ɏǝƺ ƺȷɖǣȵȅƺȇɎ 6.1.1 Medical radiodiagnosis 6.1.2 Dental radiodiagnosis ה ِ א ÁƺƬǝȇǣƬƏǼ ǼƏɵȒɖɎ ȸɖǼƺɀ ǔȒȸ ȅƺƳǣƬƏǼ ƏȇƳ ƳƺȇɎƏǼ ȸƏƳǣȒƳǣƏǕȇȒɀǣɀ ǔƏƬǣǼǣɎǣƺɀ ה ِ ב Áǝƺ ȸƏƳǣƏɎǣȒȇ ȵȸȒɎƺƬɎǣȒȇ ɀǣɎɖƏɎǣȒȇ ي ɀȵȒɎǼǣǕǝɎ Ȓȇ Ɏǝƺ !Á ɀƬƏȇȇƺȸ ה ِ ג ³ǣǕȇǣˡƬƏȇɎ ƺɮƺȇɎɀ ȸƺȵȒȸɎƺƳ ǣȇ ȅƺƳǣƬƏǼ ƏȇƳ ƳƺȇɎƏǼ ȸƏƳǣȒƳǣƏǕȇȒɀǣɀ 7 ǼȒȒƳ ȵȸȒƳɖƬɎ ǣȸȸƏƳǣƏɎȒȸɀ 227 ו ِ׏ (ƺɀƬȸǣȵɎǣȒȇ ו ِ א ÁƺƬǝȇǣƬƏǼ ȸɖǼƺɀ ƏȵȵǼǣƬƏƫǼƺ ɎȒ ǔƏƬǣǼǣɎǣƺɀ 8 ³ɵȇɎǝƺɀǣɀ ƏȇƳ ȵȸȒɀȵƺƬɎɀ 227 MEDICAL USES OF IONISING RADIATION ASN Report on the state of nuclear safety and radiation protection in France in 2019 199