93 / 754
4
EPINAL
2000 : conformal Radiotherapy (prostate)
2004 – 2005 :
Error
: dynamic Wedges
for 24 patients =
overdosage of 20 %
2001 : daily
Matching not compensated
= over
dosage of 8%
Jan 2005
: first clinical symptoms
Sept 2005 : internal declaration of the accident
July 2006 : declaration to the national authorities
Oct 2006
: inspection IGAS/ASN and IRSN