Research Facilities and Nuclear Medicine

Federal Departement of Home Affairs FDHA
Federal Office of Public Health FOPH
Consumer Protection Directorate
Radiation Protection Division
Strahlenschutzkurs 2013
1. November 2013
Radiotherapy and Medical Diagnostics/
Research Facilities and Nuclear Medicine
Strahlentherapie und medizinische Diagnostik/
Forschungsanlagen und Nuklearmedizin
An Introduction
David Wittwer
Federal Office of Public Health FOPH
Radiation Protection Division
Outlook
Introduction of the Radiation Protection Authorities in
Switzerland
Results of the Radio oncology Audits from 2011/2012
Helpful Literature to improve the Radiation Protection
Statutory rules
Art. 118 Protection of health
1 The
2
Confederation shall take measures within its powers to protect public health.
It shall legislate on:
[...]
c. protection against ionizing radiation.
Constitution of the Swiss Radiation Protection Authorities
Federal Office of Public Health
FOPH
Granting authority
Supervisory authority
Handling of ionizing radiation in the
field of medicine, industry, research
and teaching
SUVA - Lucerne
Federal Office
of Energy
FOE
Handling of ionizing radiation in
the field of nuclear energy
Radiation protection
division
FOPH
Federal Nuclear
Safety Inspectorate
ENSI
Environment
(soil, water, air)
Companies and enterprises
Industrial
enterprises,
commercial
enterprises
(Employee
protection)
Appellate court
Medical enterprises,
teaching facilities,
public research
(hospitals, medics,
universities)
Federal Administrative Court
Nuclear facilities
(power plants,
waste)
Organization of the Radiation Protection Division at FOPH
Coordination office
„Authorization“
Patricia Grimm
Radiation Protection Division
Werner Zeller
Mirjana Moser (deputy)
Maja Miladinovic (deputy)
Michael Gillmann
Marianne Grossenbacher
Eva Raess
Shannen Simmler
NIR and Dosimetry
Mirjana Moser
Radiological risk
Christophe Murith
Beat Gerber (deputy)
Raphael Elmiger
Daniel Frei
Martin Meier
Evelyn Stempfel
Salome Ryf
Martha Palacios
(deputy)
Fabio Barazza
Walther Gfeller
Daniel Storch
Radiotherapy and
medical diagnostics
Philipp Trueb
Reto Treier(deputy)
Michael Gasser
Roland Landis
Marc Marconato
Barbara Ott
Thomas Theiler
David Wittwer
Ambient radioactivity
Sybille Estier
Philipp Steinmann
(deputy)
Pierre Beuret
Giovanni Ferreri
André Gurtner
Thomas Marti
Matthias Müller
Research facilities and
nuclear medicine
Nicolas Stritt
Reto Linder (deputy)
Serge Bogni
Fabien Devynck
Thomas Flury
Gloria Perewusnyk
Raphaël Stroude
Christina Urscheler
Organization of the Radiation Protection Division at FOPH
Accountability
area area
Accountability
BE Insel Spital (University
hospital of Berne),
BE (CHUV/IRA)
uplands, BL, and BS
FR (CIMED/HFR),
and VD
PSI),
SG, ZG
BE, AG
BS, (w.o.
LU, SO,
VSGR,
german
part, and ZH (ETHZ)
AG
Radiotherapy and
city,CIMED/HFR),
BE midlands,
and(CERN),
TI
FRBE(w.o.
GE
JU, and NE
medical
diagnostics
NE, VD
(zip
code
1111-1660),
and
VS
AR,FR,
AI,GE,
GE JU,
(univ.),
Gl, NW,
OW,
SG,
SH,
SZ,
TI,
UR,
ZG, ZH (univ./USZ)
Philipp Trueb
VD, (zip code 1000-1110
1661-1892),
and ZH city
BL, and and
ZH (w.o.
ETHZ/univ./USZ)
SO,
and
ZH rural and VS (french part)
GE (HUG),LU,
VDReto
(w.o.
CHUV/IRA),
Treier(deputy)
AI, AR, BE Seeland, GL,
NW,
OW,
SH, SZ, TG, and UR
TG
Michael
Gasser
Roland Landis
Marc Marconato
Barbara Ott
Thomas Theiler
David Wittwer
Research facilities and
nuclear medicine
Nicolas Stritt
Reto Linder (deputy)
Serge Bogni
Fabien Devynck
Thomas Flury
Gloria Perewusnyk
Raphaël Stroude
Christina Urscheler
Mandate
Supervision and enforcement of the radiation
protection legislation
Legal order: contribution to the health of the Swiss population
Prevention through professional presence on sites with radiation application
Prevention of accidents, identification of risks, awareness raising
Risk- and impact-oriented audits in the medical / research sector
Collection campaign of radioactive waste in medicine, industry and research
Mandate
20000 Facilities and activities for the use of
ionizing radiation on humans
Diagnostics and Therapy
390
Hospitals and radiology institutes
210
Systems for high-dose applications in
interventional radiology and cardiology
230
Computed tomography scanners
Radiotherapy
74
Medical accelerator facilities
65
Other medical radiotherapy units
Nuclear medicine
60
Institutions with diagnostic and therapeutic
applications
150
PET/CT (30), SPECT/CT (42), Gamma-Camera
20
Isolation wards for therapy patients
2000
Plants or laboratories for the handling of
radioactive materials
Radioactivity handling laboratories
300
Workspaces A/B/C
200
X-ray equipment/accelerators
4
Cyclotrons (production of rph)
Research facilities
Universities, ETHZ, EPFL
PSI, CERN
Collection campaign
10
m3/year of radioactive waste collected
Incident management
10
incidents and dose exceedings /year
Radio oncology Audit
Following an accumulation of accidents in radiotherapy in France in the period of
2004 to 2007, the Directorate of the FOPH decided to undertake an audit of all
radiation oncology centres in Switzerland. The objectives of the audits were:
(1) to obtain an overview of the radio oncology practice in Switzerland
(2) to document and evaluate the relevant radio oncology processes in order to
minimise the risk of the occurrence of a possible radiation accident
(3) to establish a basis for carrying out clinical audits in the future.
Radio oncology Audit
Facts
-29 radio oncology centers in Switzerland were audited.
-Only teletherapy was considered.
-Audits took place between January 2011 and December 2012.
-Participants were the head radio oncologist, the head medical physicist, the head
technologist, and two inspectors from the FOPH.
-Audit was focused on:
Process sequence
Organisation
Responsibilities and quality assurance of the irradiation unit
The definition of these areas of focus was based on the recommendations of the ICRP
and IAEA on the analyses and evaluations carried out on therapeutic errors in radiation
oncology.
Radio oncology Audit
Results and suggestions
The final report is available to the public on the webpage of the FOPH.
http://www.bag.admin.ch/themen/strahlung/10463/index.html?lang=de
Very high quality treatments are available in the radio oncological sector in
Switzerland. Therapies according good clinical practice based on latest
scientific evidence performed at all sites audited.
Weak points with potential for optimisation:
- Quality management system (connection points inbetween
steps of the radio oncological treatment)
- Planning CT/CBCT especially due to IGRT
- Reporting of adverse events
- Aftercare
- Radiation protection devices
Literature
Jakob Roth
Philipp R. Trueb
Strahlenschutz
in der Medizin
Kompendium
für ärztliche
www.icrp.org/publications.asp
Verlag
Hans
Huber, Bern, 2008
www.bag.admin.ch/themen/strahlung
Strahlenschutz-Sachverständige
Article:
44,86,
and
112814.501.513
(Radiotherapy)
ISBN
978-3-456-84537-1.
Accelerator
Hauptdecree
Verlag,
Bern, 2004
Article: 94,97,
and3-258-06763-5
98 (Brachytherapy)
ISBN
Supporting Guidance 2
Literature
www.sgsmp.ch
End
Thank you for your attention.