Marcié S, Marinello G, Peiffert D, Lartigau É
Unité de physique, centre Antoine-Lacassagne, 33, avenue de Valombrose, 06189 Nice cedex 2, France.
Cancer Radiother. 2013 Apr;17(2):166-9. doi: 10.1016/j.canrad.2013.01.004. Epub 2013 Mar 1.
No technique can now be used without previously considering the safety of patients, staff and public and risk management. This is the case for brachytherapy. The various aspects of brachytherapy are discussed for both the patient and the staff. For all, the risks must be minimized while achieving a treatment of quality. It is therefore necessary to establish a list as comprehensive as possible regardless of the type of brachytherapy (low, high, pulsed dose-rate). Then, their importance must be assessed with the help of their criticality. Radiation protection of personnel and public must take into account the many existing regulation texts. Four axes have been defined for the risk management for patients: organization, preparation, planning and implementation of treatment. For each axis, a review of risks is presented, as well as administrative, technical and medical dispositions for staff and the public.
如今，任何技术在使用前都必须考虑患者、工作人员和公众的安全以及风险管理。近距离放射治疗亦是如此。本文将从患者和工作人员两个角度探讨近距离放射治疗的各个方面。对于所有人而言，在实现高质量治疗的同时，必须将风险降至最低。因此，无论近距离放射治疗的类型（低剂量率、高剂量率、脉冲剂量率）如何，都有必要尽可能全面地列出风险清单。然后，必须借助其关键性来评估其重要性。人员和公众的辐射防护必须考虑到众多现有的法规文本。已为患者的风险管理确定了四个方面：治疗的组织、准备、规划和实施。针对每个方面，都列出了风险审查以及针对工作人员和公众的行政、技术和医疗处置措施。
