Chapter IV: Technical operating conditions

The holder of the radiotherapy or brachytherapy authorisation makes the necessary arrangements with the professionals concerned for : 1° The final validation of the delineation of target volumes and organs at risk, which is the responsibility of a radiotherapist with the qualifications listed in article D. 6124-133 of the team ; 2° The preparation of each treatment validated by a radiotherapist with the qualifications listed in article D. 6124-133 and…

The authorisation holder ensures that each patient’s external radiotherapy treatment is carried out by two medical radiation technologists present at the treatment station in the radiotherapy unit.

The licence holder practising radiotherapy in stereotactic conditions has the appropriate technique for monitoring anatomical structures in real time and for acquiring anatomical data with a view to planning the irradiation of moving targets.

Where the licensee has a particle accelerator with on-board magnetic resonance imaging equipment, it has a pre-established protocol drawn up by the radiotherapy team, involving qualified doctors specialising in radiology and medical imaging.

Any referral of a patient to another radiotherapy authorisation holder for cancer treatment by proton therapy is recorded in writing to ensure traceability.

The holder of the external radiotherapy authorisation is organised in such a way as to be able to provide unscheduled palliative symptomatic irradiation within a timeframe compatible with the patient’s situation.

The weekly follow-up and the arrangements for coordinating the follow-up of the patient after treatment provided for in 3° and the fifth paragraph of article R. 6123-93 are recorded in the patient’s medical record.

The holder has an organisation enabling the radiotherapy team to: 1° Organise continuity of care on site for the patients it treats. This organisation may be pooled by agreement with another holder or authorised radiotherapy centre by setting up a joint team as referred to in II of Article D. 6124-133. 2° To guarantee continuity of radiotherapy treatment for the patients it treats, in the event of unavailability of radiotherapy…

An operating charter specific to the radiotherapy unit is drawn up by the authorisation holder and specifies in particular: 1° The organisation of the structure, with regard to the procedures for implementing the continuity of radiotherapy treatment provided for in 2 of Article D. 6124-133-11; 2° The radiotherapy equipment and techniques used by the radiotherapy structure. This charter is revised as soon as there are changes in the equipment and…

The licence holder must ensure that the particle accelerators used are connected to a system for systematically collecting and archiving dosimetric data.