Abstracts ASN Report 2019

They chiefly concern women unaware of their pregnancy ҎӄӄӉׇĶĴņĸņҏё ķĸĹļĶļĸŁĶļĸņ ļŁ ŃŅĴĶŇļĶĸņ ҎŃĴŇļĸŁŇ ļķĸŁŇļŇŌ ĸŅŅłŅё ŊŅłŁĺ ŃŅłŇłĶłĿҏ ҎӉӄׇĶĴņĸņҏ ĴŁķ ņļŇňĴŇļłŁņ łĹ ĸŋŃłņňŅĸ łĹ ŀĸķļĶĴĿ ŃŅłĹĸņņļłŁĴĿņ ҎӋׇĶĴņĸņҏє Ļĸ ķĸŇĸĶŇļłŁ łĹ ŃłņņļĵĿĸ ŃŅĸĺŁĴŁĶļĸņ ĵŌ the medical staff needs to be improved. ڲ٫װ Blood product irradiators ו ِ׏ (ƺɀƬȸǣȵɎǣȒȇ The irradiation of blood products is used to prevent post- transfusion reactions in blood-transfusion patients. The blood ĵĴĺ ļņ ļŅŅĴķļĴŇĸķ ŊļŇĻ Ĵ ķłņĸ łĹ ĴĵłňŇ ӅӃׇŇł ӅӈׇĺŅĴŌņє ļŁĶĸ ӅӃӃӌё ņłňŅĶĸ ļŅŅĴķļĴŇłŅņ ĻĴʼnĸ ĵĸĸŁ ĺŅĴķňĴĿĿŌ ŅĸŃĿĴĶĸķ ĵŌ X-ray generators, for which notification to ASN has been required ņļŁĶĸ ӅӃӄӈє Ł ӅӃӄӌё ŇĻĸ ļŁʼnĸŁŇłŅŌ ņŇłłķ ĴŇ ӅӌׇļŅŅĴķļĴŇłŅ ķĸʼnļĶĸņ equipped with X-ray generators. ו ِ א ÁƺƬǝȇǣƬƏǼ ȸɖǼƺɀ ƏȵȵǼǣƬƏƫǼƺ ɎȒ ǔƏƬǣǼǣɎǣƺɀ A blood product irradiator must be installed in a dedicated room designed to provide physical protection (against fire, flooding, break-in, etc.). Access to the device, which must have a lockable control console, must be limited to authorised persons only. The fitting out of premises accommodating irradiators equipped with X-ray generators must comply with the provisions of ASN ŅĸņłĿňŇļłŁ ӅӃӄӊі іӃӈӌӄׇłĹ ӄӆׇ ňŁĸ ӅӃӄӊє ڲ٫ױ Synthesis and prospects ASN considers that the radiation protection situation in the ŀĸķļĶĴĿ ņĸĶŇłŅ ŅĸŀĴļŁĸķ ņŇĴĵĿĸ ļŁ ӅӃӄӌђ Łł ŃĴŅŇļĶňĿĴŅ ķĸĹļĶļĸŁĶŌ was detected in the areas of radiation protection of medical ŃŅłĹĸņņļłŁĴĿņё ŃĴŇļĸŁŇņё ŇĻĸ ŃňĵĿļĶ łŅ ŇĻĸ ĸŁʼnļŅłŁŀĸŁŇє ňŅŇĻĸŅ progress must still be made however, to better anticipate the arrival of new machines, or even new technologies and radiopharmaceuticals, for example, but also to improve the level of radiation protection culture in non-specialist users of ionising radiation. Such is the case with surgeons who are increasingly required to perform fluoroscopy-guided procedures in the operating theatres. Ļĸ ŌĸĴŅ ӅӃӄӌׇŊĴņ ŀĴŅľĸķ ĵŌ ŇĻĸ ĺŅĴķňĴĿ ňŃķĴŇļŁĺ łĹ ŇĻĸ regulatory framework governing patient radiation protection, with the publication of several ASN resolutions, particularly those concerning quality assurance in medical imaging, the modification of the provisions for entry into effect of the resolution concerning training in patient radiation protection and the updating of the diagnostic reference levels. ASN is going to continue developing its inspection programme, ĺļʼnļŁĺ ŃŅļłŅļŇŌ Ňł ŅĴķļłŇĻĸŅĴŃŌё ŁňĶĿĸĴŅ ŀĸķļĶļŁĸ ĴŁķ practices. The preparation of the new registration system ĴŃŃĿļĶĴĵĿĸ Ňł ŃŅĴĶŇļĶĸņ ļŁʼnłĿʼnļŁĺ Ņļņľņ ĴŁķ Ňł ņĶĴŁŁĸŅņ is in line with the graded approach developed by ASN. ASN has published recommendations concerning the discharging of artificial radionuclides into the public sewage networks, and proposals are currently being made regarding the management of contaminated effluents, to accompany the announced development of cancer treatments based on the administration of new radio-pharmaceutical drugs. łŅ ļŀĴĺļŁĺё ĴŁ ĸŋŃĸŅļĸŁĶĸ ĹĸĸķĵĴĶľ ĶłŀŀļŇŇĸĸ ĻĴņ ĵĸĸŁ ņĸŇ up to study these events; the development of a communication scale applicable to significant radiation protection events, like ŇĻĸ łŁĸ ŊĻļĶĻ ĻĴņ ĸŋļņŇĸķ ņļŁĶĸ ӅӃӃӋׇļŁ ŅĴķļłŇĻĸŅĴŃŌ Ҏ і scale) is still envisaged. Ł ŅĴķļłŇĻĸŅĴŃŌё ŁňĶĿĸĴŅ ŀĸķļĶļŁĸ ĴŁķ ŃŅĴĶŇļĶĸņё ļņ keeping track of the work on the licensing system reform led by General directorate of the health care offering and is particularly attentive to the deployment of the clinical audits announced by the professionals. The work to better anticipate and manage the łŅĺĴŁļņĴŇļłŁĴĿ ĴŁķ ŇĸĶĻŁļĶĴĿ ĶĻĴŁĺĸņ ŊĴņ Ņĸņňŀĸķ ļŁ ӅӃӄӌё ŊļŇĻ volunteer radiotherapy centres, assisted by the professionals, hospital federations and health care institutions. A Committee for analysing new practices or techniques using ļłŁļņļŁĺ ŅĴķļĴŇļłŁ Ҏ ĴŁŃŅļҏ ŊĴņ ņĸŇ ňŃ ļŁ ӅӃӄӌє Ň ĶłŀŃŅļņĸņ members from learned societies and professional associations involved in radiotherapy and medical imaging, and health care institutions. Its first analysis concerns an arrangement combining a self-shielding technology with a linear accelerator. Currently in the course of CE marking, this neurosurgical medical device could bring an alleviation in the environment of this type of accelerator and it is necessary to ensure that worker radiation protection is maintained. The production –in partnership with a health care centre– of a teaching aid to raise radiation protection awareness in operating theatre staff introduces a new approach on the part of ASN that fits in with its duty to inform the various audiences to continue improving the radiation protection of medical professionals and patients. ASN participated for the first time in a European public health congress in order to raise radiation protection awareness among these specialists from the associative sector working with the public and patients, who are influential in hospitals and health care institutions. This enabled contact to be made with the ŅĸŁĶĻ ĴŇļłŁĴĿ ĶĻłłĿ łĹ ňĵĿļĶ ĸĴĿŇĻ Ҏ ҏё ļŁ łŅķĸŅ Ňł raise radiation protection awareness in the public health residents and student hospital directors. ASN Report on the state of nuclear safety and radiation protection in France in 2019 227 ׎ ٲ ו MEDICAL USES OF IONISING RADIATION 07