LES ACTIVITÉS NUCLÉAIRES : RAYONNEMENTS IONISANTS ET RISQUES POUR LA SANTÉ ET L’ENVIRONNEMENT facility fitting out rules and persistence of nonconformities), the radiation protection culture of the teams and the situational factors (ESRs, vulnerabilities identified in previously inspected centres). For this reason, since 2018 ASNR has prioritised its inspections in operating theatres, where the radiation protection culture is less well established than in interventional imaging departments. In 2025, 130 centres were inspected corresponding to 191 departments. As in 2024, the operating theatre complexes of the university hospital centres and the largest hospital centres, represent 80% of the inspections, and the departments licensed by the ARS (licensed for treatments in cardiac rhythmology, interventional cardiology and neuroradiology) were prioritised. Furthermore, ASNR maintained in 2025 its inspections of self-employed private practitioners acting as employers and working on their own account in operating theatres or interventional rooms. This is because these practitioners are responsible for the health and safety obligations with respect to the risk associated with ionising radiation for themselves and their employees. In 2025, nine private practice companies were inspected. During these inspections ASNR finds differences between the procedures for which the structure is registered with ASNR and those effectively practised. In effect, the FGIP offering in the inspected centres changes frequently because it depends on the specialists the centres are able to recruit (mobility, lack of personnel in certain specialities). 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Coordination of prevention measures established with all the outside contractors Dosimetric results analysed and any disparities explained Appropriate dosimeters available in sufficient quantity Delimiting of restricted areas is consistent with the local environment dosimetry 100% of the paramedical workers have received radiation protection training dating back less than 3 years 100% of the medical workers have received radiation protection training dating back less than 3 years RPE-O with valid certificate 2021 2022 2023 2024 2025 Operating theatres 2021 2022 2023 2024 2025 Interventional departments 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Organisation of patient monitoring if an HAS threshold is exceeded 100% of the medical personnel have been trained Patient doses recorded, analysed and optimised The POPM describes an appropriate organisation for the risks 2021 2022 2023 2024 2025 Operating theatres 2021 2022 2023 2024 2025 Interventional departments GRAPH 11 Change in compliance of inspected FGIP facilities (in %) regarding radiation protection for professionals from 2021 to 2025 (operating theatres or interventional departments) GRAPH 12 Change in compliance of inspected FGIP facilities (in %) regarding patient radiation protection from 2021 to 2025 (operating theatres or interventional departments) ASNR Report on the state of nuclear safety and radiation protection in France in 2025 215 01 05 02 03 04 09 06 10 07 11 13 08 12 A / Z
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