Research Facilities and Nuclear Medicine
Transcrição
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.