Lessons from recent accidents in radiation therapy in France.
Many accidents in radiotherapy have been reported in France over the last years. This is due to the recent legal obligation to declare to the national safety authorities any significant incident relative to the use of ionising radiation including medical applications. The causes and consequences of the most serious events in radiotherapy are presented in this paper. Lessons can be learned from possible technical dysfunctions, from human errors or organisational weaknesses as to how such events can be prevented. The technical aspects are addressed here: in particular, dosimetric issues.
Derreumaux
S
S
Institut de Radioprotection et de Sûreté Nucléaire, Direction de la Radioprotection de l'Homme, IRSN, BP 17, F-92262 Fontenay-aux-Roses Cedex, France. sylvie.derreumaux@irsn.fr
Etard
C
C
Huet
C
C
Trompier
F
F
Clairand
I
I
Bottollier-Depois
J-F
JF
Aubert
B
B
Gourmelon
P
P
D001921:Brain / Q000528:radiation effects / Q000601:surgery; D005602:France; D006258:Head and Neck Neoplasms / Q000532:radiotherapy; D006689:Hodgkin Disease / Q000532:radiotherapy; D006801:Humans; D008297:Male; D011471:Prostatic Neoplasms / Q000532:radiotherapy; D011482:Protective Devices; D018788:Radioactive Hazard Release / Q000517:prevention & control*; D011874:Radiometry; D011878:Radiotherapy; D012449:Safety; D012542:Scattering, Radiation; D012984:Software