Subsection 4: Special provisions for external radiotherapy and brachytherapy

The holder of the authorisation for cancer treatment by external radiotherapy or brachytherapy ensures on the same site : 1° Preparing patients for treatment by radiotherapy or brachytherapy, including imaging to outline the tumour and prepare the radiation dose; 2° Treating patients by external radiotherapy or brachytherapy; 3° Monitoring patients on a weekly basis throughout their radiotherapy treatment in the form of a consultation with a radiotherapist. The authorisation holder…

When the applicant for an authorisation including the mention of external radiotherapy and brachytherapy provided for in 2° of article R. 6123-86-1 is not a health establishment, this authorisation may only be issued or renewed if the facilities it uses to carry out its activity are located within the enclosure or in neighbouring buildings of a health establishment holding the authorisation provided for in article R. 6123-86. The authorisation is…

I.- Authorisation to carry out the activity of cancer treatment by external radiotherapy may only be granted or renewed to an applicant who has a technical platform comprising at least two particle accelerators on the same site. II.- Authorisation may exceptionally be granted to an applicant who has only one particle accelerator.However, by way of exception, authorisation may be granted to an applicant who has only one particle accelerator, where…

The holder of the radiotherapy authorisation has the following facilities on the site: 1° A radiotherapy unit with radiotherapy equipment used for the external radiotherapy or brachytherapy treatment of patients, and where appropriate the preparation of these treatments. The unit also contains consultation rooms; 2° A technical imaging platform enabling radiotherapy treatment to be prepared and monitored by the dedicated care team. This imaging centre has at least one dedicated…

I.-When the holder of an external radiotherapy authorisation carries out treatments under stereotactic conditions, it must have at least two particle machines, at least one of which must be capable of carrying out radiotherapy treatments under stereotactic conditions. II – If the holder performs intracranial radiotherapy under stereotactic conditions for primary brain tumours, a protocol is drawn up in advance with doctors specialising in neurosurgery who perform intracranial radiosurgery under…

I.-When the holder of an external radiotherapy authorisation carries out treatments using the proton therapy technique, he also has an authorisation on the same site to hold heavy cyclotron equipment for medical use as mentioned in 5° of article R. 6122-26. The provisions of the first two paragraphs of article R. 6123-93-2 do not apply to it. II -When the holder of the external radiotherapy licence carries out treatments using…

I. Notwithstanding Article R. 6123-93, when a radiotherapy licensee refers a patient to a licensee who performs proton therapy, the licensee may contribute, jointly with the licensee who performs proton therapy, to the preparation of the proton therapy treatment and to the coordination of the patient’s post-treatment proton therapy follow-up under the terms of an agreement. This shared management is recorded in the patient’s medical records. It is included in…

Notwithstanding the provisions of article R. 6123-88-1, palliative treatments for children and adolescents under the age of eighteen may be provided in external radiotherapy centres with an A or B rating, on the advice of the inter-regional paediatric multidisciplinary consultation meeting.