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Evaluasi Exposure Index terhadap Faktor Eksposi dengan Metode 15% kVp Rule Of Thumb Pada Pemeriksaan Radiografi Kepala Proyeksi AP Irsal, Muhammad
Jurnal Ilmu dan Teknologi Kesehatan Vol 12, No 2 (2021)
Publisher : STIKES Widya Husada Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33666/jitk.v12i2.414

Abstract

Pemanfaatan Computed Radiography (CR) membuat Radiografer menjadi kurang memperhatikan dalam pemilihan faktor eksposi. Sehingga sering terjadi eksposi berlebihan (overexposure) yang membuat pasien menerima dosis radiasi berlebih dan eksposi kurang (underexposure) yang akan menimbulkan noise walaupun sudah dilakukan post-processing. Penelitian ini bertujuan untuk mendapatkan nilai faktor eksposi yang optimum pada pemeriksaan radiografi kepala dengan menggunakan metode 15% kVp Rule of Thumb. Penelitian ini dilakukan di Laboratorium Jurusan Teknik Radiodiagnostik dan Radioterapi pada bulan Maret – Mei 2020, menggunakan metode kuantitatif eksperimental dan observasi terhadap nilai dosis paparan dan kualitas citra pada penggunaan faktor eksposi dengan metode 15% kVp Rule of Thumb : 42 kV 128 mAs, 50 kV 64 mAs, 60 kV 32 mAs, 72 kV 16 mAs, 82 kV 8 mAs, 94 kV 4 mAs, 108 kV 2 mAs menggunakan phantom pada pemeriksaan radiografi kepala proyeksi AP. Hasil penelitian Variasi faktor eksposi metode 15% kVp Rule of Thumb pada pemeriksaan kepala proyeksi AP mempengaruhi nilai sensitivity, dosis paparan, dan kualitas citra, dimana nilai sensitivity yang direkomendasikan memiliki nilai noise paling rendah pada sampel 60 kV 32 mAs dan 72 kV 16 mAs. Pengaturan faktor eksposi yang optimum dapat menggunakan nilai rentang kV sebesar 60 – 72 dan mAs dalam rentang 16 – 32 yang menghasilkan nilai sensitivity dalam kategori properly exposed dengan nilai dosis dan noise dalam jumlah minimal pada pemeriksaan radiografi kepala proyeksi AP.
Pengaruh Parameter Milliampere-Second (mAs) terhadap Kualitas Citra Dan Dosis Radiasi Pada Pemeriksaan CT scan Kepala Pediatrik Muhammad Irsal; Guntur Winarno
Jurnal Fisika FLUX Vol 17, No 1 (2020): Jurnal Fisika Flux: Jurnal Ilmiah Fisika FMIPA Universitas Lambung Mangkurat
Publisher : Lambung Mangkurat University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (549.256 KB) | DOI: 10.20527/flux.v17i1.7085

Abstract

Radiographers are responsible for administering radiation doses according to the principle of As Low As Reasonably Achievable (ALARA), to optimize the use of CT parameters to produce good image quality by minimizing radiation doses. The purpose of this study was to determine the effect of mAs parameters on image quality and radiation dose received by pediatric CT head examination patients. The research method to perform image processing results of examination using radiant viewer and analysis of value Contrast to noise ratio (CNR) as a parameter of image quality and CTDIvol to determine the estimated radiation dose, then an analysis is performed to determine whether there is an influence of mAs on the CNR and CTDIvol values. The mean value of kV 116 ± 8.28, the mean value of parameter mAs 161.5 ± 63.46, the mean SNR parameter value is 7.5 ± 0.8, the mean return value of CNR parameter was 0.318 ± 0.291, the mean value of the CTDIvol parameter is 18.68 mGy ± 4.55 mGy, the average value of DLP parameters was 408.7 mGy x cm ± 105.2 mGy x cm, the mean value of parameter DLP is 441.2 mGy x cm ± 155.2 mGy x cm. With linear regression analysis of test results between mAs to CNR is R2 = 0.045. then to the results of linear regression between mAs against CTDI is R2 = 0704, the estimated radiation dose limit for the average value of CTDIvol 18.68 mGy and the average value of DLP 408.7 mGy x cm, this means the protocol CT scan of the head of the pediatric use is still within safe limits by Diagnostic Reference Level of BAPETEN in 2018 to pediatric head CT examination
Peningkatan Pemahaman Radiografer Terhadap Diagnostic Reference Level Sebagai Upaya Optimisasi Pemeriksaan Radiografi Muhammad Irsal; Mayarani; Bambang Suroso; Muhammad Ichsan; Andri Yansyah
Journal of Health (JoH) Vol 8 No 1 (2021): Journal of Health - January 2021
Publisher : LPPM STIKES Guna Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30590/joh.v8i1.200

Abstract

The use of X-rays cannot be separated from the radiation given to the patient's body, therefore the radiation exposure received by patients should be very low according to the ALARA principle (As Low As Reasonably Achieveable). The research method is a quantitative description by using themeasurement method radiation output as a reference for the estimated radiation dose received by the patient, then the analysis of the success of socialization to radiographers about DRL as an optimization effort in radiographic examination. The results of the radiation dose estimation using themethod radiation output by determining theequation power function of themeasurement radiation output where the value of the radiation dose rate increases as the kVp value increases with y= 0.0005x2.9242. From theresults, it was pre-test found that the number of correct answers was 120 and 84 wrong, with a percentage of 59% and the number of respondents 10.03 people. Meanwhile, for theresults, the post-test number of correct answers was 194 and 12 wrong, with a percentage of 94% and the number of respondents being 15.98 people. It is hoped that radiographers can apply the principle of optimization in carrying out all radiographic examinations.
ANALISA CAPAIN PEMBELAJARAN PKL KE-1 JURUSAN TEKNIK RADIODIAGNOSTIK DAN RADIOTERAPI POLTEKKES KEMENKES JAKARTA II: Analysis of Learning Outcomes of the 1st PKL of Radiodiagnostic Engineering and Radiotherapy Department of Poltekkes Kemenkes of Jakarta II Muhammad Irsal
JURNAL TERAS KESEHATAN Vol 4 No 1 (2021): Jurnal Teras Kesehatan
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Politeknik Al Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38215/jutek.v3i2.49

Abstract

Higher education is responsible for producing graduates who are globally competitive with hard skills and soft skills, one of which is by doing internships, therefore it is necessary to analyze the learning objectives of student internships at the Department of Radiodiagnostic and Radiotherapy, Health Polytechnic of the Ministry of Health Jakarta II to maintain the quality of graduates according to the Indonesian National Qualification Framework. Data collection was carried out on students who were doing their 1st internship in 7 hospitals in the DKI Jakarta area. The data used by giving students pre and post-tests on the understanding of apprenticeship learning, then surveying the number of radiographic examinations that have been carried out by students by the understanding of apprenticeship learning at the hospital. Analysis of decision making based on the understanding of the 1st apprenticeship learning if the pre and post-test percentage value> 50% and analysis of the number of radiographic examinations carried out by students as an indicator for evaluating the understanding of apprenticeship learning. and the post-test percentage value of 70.1% of students can carry out radiographic examinations, with a comparison of the post-test results there is an increase of 12.6% in the learning objectives of the apprenticeship and 31.2% in supporting data information about a clinical experience during the internship, from the pre and post-test> 50%, the understanding of apprenticeship learning has been achieved. Then in analyzing the number of radiographic examinations carried out by students as an indicator of evaluating understanding of apprenticeship learning, it is hoped that the college can evaluate the placement of student hospitals during the internship so that radiographic examinations that have not been fulfilled during the internship can be fulfilled during the following round of internships
PEMAHAMAN TERHADAP RADIASI ALAM DAN PROTEKSI RADIASI PADA WARGA BUMI MAS CISEENG BLOK B5/05 KELURAHAN KURIPAN KECAMATAN CISEENG KAB BOGOR: UNDERSTANDING OF NATURAL RADIATION AND RADIATION PROTECTION ON CITIZENS BUMI MAS CISEENG BLOK B5/05 KURIPAN SUB-DISTRICT, CISEENG DISTRICT Muhammad Irsal
JURNAL TERAS KESEHATAN Vol 5 No 1 (2022): Jurnal Teras Kesehatan
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Politeknik Al Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38215/jtkes.v4i2.73

Abstract

Awareness and perception have become a public health and environmental problem for at least the last two decades, so public awareness and understanding of knowledge about natural radiation and radiation protection efforts are needed. The method by providing understanding is carried out by counseling using posters and interactive lectures, accompanied by the provision of pre-post test questionnaires to measure residents' understanding of radiation and the protection efforts that can be done. Then the data obtained will be tested using SPSS 26 to find out whether there is a change in understanding after providing counseling to residents with the Wilcoxon test. The results after the community knowledge counseling increased by 92% for indicators of understanding, utilization, and effects of radiation, while 97% for indicators of radiation protection with antioxidants. From the results of the Wilcoxon test, the p value < 0.001 therefore it can be said that counseling activities about radiation and protection efforts can affect the level of understanding of the residents.
Workshop Perkembangan dan Fungsi Otak Anak di Sekolah Dasar Labschool Muhammadiyah Tangerang Selatan Nurbaiti Nurbaiti; Muhammad Irsal; Mahfud Edy H; Legia Prananto
Jurnal Pengabdian Masyarakat Indonesia Vol 2 No 2 (2022): JPMI - April 2022
Publisher : CV Infinite Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52436/1.jpmi.410

Abstract

Kemampuan belajar anak-anak di sekolah mempengaruhi prestasi belajarnya. Guru berperan penting dalam proses belajar anak-anak. Ketidakmampuan guru memahami peran otak dan bagaimana fungsi bagian-bagian otak secara keseluruhan untuk mendukung proses belajar ini menjadi salah satu hambatan mengembangkan metode belajar yang optimal. Tujuan kegiatan workshop adalah untuk meningkatan pengetahuan dan keterampilan guru tentang perkembangan dan fungsi otak. Para guru mendapatkan materi, diskusi dan simulasi tentang anatomi dan fisiologi otak dalam proses belajar. Evaluasi kegiatan dalam bentuk pre dan post tes dan laporan hasil praktek metode belajar yang sesuai dengan ritme kerja otak anak (brain base learning).  Hasil kegiatan ini menguatkan kemampuan guru dalam proses belajar dan mengajar yang memacu perkembangan otak, meningkatkan kemampuan belajar serta mencegah terjadinya perlambatan proses belajar anak di sekolah.
Metode Histogram Equalization untuk Peningkatan Kualitas Citra dengan Menggunakan Studi Phantom Lumbosacral Guntur Winarno; Muhammad Irsal; Claricia Alamanda Karenina; Gando Sari; Rinda Nur Hidayati
Jurnal Kesehatan Vokasional Vol 7, No 2 (2022): Mei
Publisher : Sekolah Vokasi Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkesvo.71469

Abstract

Latar Belakang: Pemeriksaan lumbosacral sering kali menghasilkan kualitas citra yang kurang optimal. histogram equalization merupakan tahapan memanipulasi data citra digital untuk meningkatkan kualitas citra yang dapat diimplementasikan pada citra digital radiografi lumbosacral.Tujuan: Mengevaluasi peningkatan kualitas citra digital radiografi lumbosacral dengan menggunakan histogram equalization.Metode: Jenis penelitian ini adalah kuantitatif dengan pendekatan eksperimental. Jumlah sampel terdiri dari 1 Kyouku’s anthropomorphic phantom yang dibagi menjadi citra lumbosacral proyeksi antero posterior (AP) dan lateral sebelum dan setelah direkonstruksi menggunakan histogram equalization. Kualitas citra dinilai dengan analisis grafik histogram, pengukuran nilai signal to noise ratio (SNR) merupakan parameter untuk menentukan kualitas citra radiografi, dan visual grading analysis (VGA) oleh 10 orang radiografer dianalisis dengan menggunakan Uji Wilcoxon Signed-Rank.Hasil: Hasil kualitas citra menunjukkan bahwa analisis grafik histogram memiliki visual kecerahan yang meningkat, grafik histogram terdistribusi merata, dan nilai SNR meningkat setelah direkonstruksi dengan metode histogram equalization. Hasil VGA dengan menggunakan uji wilcoxon Signed-Rank setelah direkonstruksi kembali dengan metode histogram equalization pada proyeksi AP menunjukkan nilai 0,005 dan proyeksi lateral 0,074 dengan p-value > 0,05.Kesimpulan: Terjadi peningkatan kualitas citra radiografi proyeksi AP dan lateral dengan menggunakan metode histogram equalization.
Effect of Tube Voltage on the Use of Iterative Reconstruction on Computed Tomography Brain Examination Muhammad Irsal; Nurbaiti Nurbaiti; Aulia Narendra Mukhtar; Shinta Gunawati; Wahyu Hidayat
Jurnal Teori dan Aplikasi Fisika Vol 9, No 1 (2021): Jurnal Teori dan Aplikasi Fisika
Publisher : Universitas Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23960/jtaf.v9i1.2715

Abstract

Iterative reconstruction can optimize radiation dose and improve image quality on CT scan. This research method is quantitative analytic with the analysis of the results of the head CT examination parameters associated with image quality to changes in variations of 80 kV, 100 kV, 120 kV with the use of iterative reconstruction. Image quality measurements are the Hounsfield Unit (HU) value, standard deviation, and Signal to Noise Ratio (SNR) using Radiant Viewers. Effective dose measurement using the Dose Length Product (DLP). Then perform the Kruskal Wallis test to determine the difference in the SNR value to tube tension and Iterative Reconstruction using IBM SPSS version 24. The image quality results of the HU value increase due to changes in the kV value, but the value does not change significantly when the iDose changes, for standard deviation experiences decrease due to changes in kV, but the value of the value does not experience a significant change at the time of change in iDose, while SNR increases due to changes in kV value and changes in iDose. The percentage ratio of the effective dose in the use of standard kV with 80 kV decreased radiation dose by 62%, while at 100 kV there was a decrease of 25%, and the use of 120 kV experienced an increase of 25%. The results of the Kruskal Wallis test p-value <0.001, therefore it can be concluded that there is a difference in the SNR image quality at each change in iDose and kV parameters.
Analysis Of Rooftop Skyshine Radiation Exposure With Angle Of Gantry Linear Accelerator 180° In Radiotherapy Unit Of Pertamina Central Hospital Jakarta Mayarani Mayarani; Eka Putra Syarif Hidayat; Nursama Heru Apriantoro; Robert Kristian; Muhammad Irsal
SANITAS: Jurnal Teknologi dan Seni Kesehatan Vol 9 No 1 (2018): SANITAS Volume 9 Nomor 1 Tahun 2018
Publisher : Politeknik Kesehatan Kemenkes Jakarta II

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36525/sanitas.2018.4

Abstract

Principally, the measurement of skyshine radiation exposure is important to be conducted if there is public activity in a certain place in which the source of radiation can emit its scattering radiation to all directions including to the rooftop of a Radiotherapy building. the Regulation of the Head of the National Nuclear Power Energy No. 8 Year 2011 Article 32a and No. 4 year 2013 article 23a namely 1 mSv/year. As for the design of this research, it is quantitative descriptive by conducting the measurement of radiation exposure to 44 points of measurement, research instrumentations used herein are 2 surveymeter, water phantom, Linac Primus 2D Plus. Result radiation exposure measurement are 6 point areas with the values above 1 mR/hr. Each of the average value of the measurement of the exposure rate at each point is calculated by the annual dose formula. All the final calculation results with the annual dose formula in mSv/year unit yields the values below 1 mSv/year at the 44 points measurement. the rooftop area of Radiotherapy building through Child Polyclinic Pertamina Central Hospital is under a safe limit with all calculation results of annual dose values below 1 mSv/year.
Result Analysis Of Treatment Planning System Between 3-Dimensional Conformal Radiation Therapy Technique And Intensity Modulated Radiation Therapy Technique In Nasopharyngeal Cancer Cases Nursama Heru Apriantoro; Bambang Sutrisno Wibowo; Muhammad Irsal; Prima Chintya Delsi Kasih
SANITAS: Jurnal Teknologi dan Seni Kesehatan Vol 8 No 1 (2017): SANITAS Volume 8 Nomor 1 Tahun 2017
Publisher : Politeknik Kesehatan Kemenkes Jakarta II

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36525/sanitas.2017.5

Abstract

This study aims to analyze the difference in results between TPS 3D-CRT radiotherapy irradiation technique and IMRT radiotherapy irradiation technique in nasopharyngeal cancer cases based on the doses received by the target volume and organs at risk and results of isodosis curve which include the value of the index conformity and homogeneity index value. Type of this research is quantitative experimental method. As for the population was taken in 10 patients consisting of 5 male and 5 female patients with nasopharyngeal cancer who received radiation therapy with 3D-CRT irradiation technique and IMRT radiation technique. Meaningfully, the results shows that are no difference in the dose received by the target volume, the dose received by organs at risk, and the curve isodose on these two techniques, including index values of conformity and homogeneity index. In conclusion, IMRT radiotherapy irradiation technique for nasopharyngeal cancer is more prioritized than 3DCRT radiotherapy irradiation technique, as the radiotherapy principle can be achieved by using IMRT radiotherapy irradiation technique.