Subsection 3: Individual justification for medical procedures using ionising radiation

Prior to requesting and performing a procedure, the doctor or dental surgeon checks that it is justified on the basis of the guide or documents mentioned in article R. 1333-47. In the event of disagreement between the applicant and the person performing the procedure, the decision rests with the latter.

No procedure involving exposure to ionising radiation may be performed without a prior written exchange of relevant clinical information between the applicant and the person performing the procedure. The applicant must specify in particular: 1° The reason ; 2° The purpose ; 3° The circumstances of the planned exposure, in particular any pregnancy; 4° Previous examinations or procedures performed; 5° Any information required to comply with the optimisation principle mentioned…

Whenever possible, the person requesting and performing a procedure involving exposure to ionising radiation should seek out relevant previous clinical information. They take this information into account to avoid unnecessary exposure.

When an exposure is not justified within the meaning of articles R. 1333-46 and R. 1333-47 but appears necessary for a patient in a particular case, the person requesting the procedure and the person performing the procedure shall mention the relevant clinical information prior to the exposure in their written exchanges and in the procedure report provided for in article R. 1333-66.

A procedure using ionising radiation on an asymptomatic person to detect a disease at an early stage may be carried out either as part of organised screening for the disease, or after specific justification has been provided by the person carrying out the procedure in conjunction with the person requesting the procedure, taking into account, where appropriate, the recommendations of the Haute Autorité de Santé. The patient is informed of…