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All Journal Jurnal Ilmu Dasar Medica Hospitalia
Haekal, Mohammad
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Control & Systems Engineering Dentistry Health Professions Mathematics Medicine & Pharmacology Nursing Public Health

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Rare case of of Enlargment dextro Inguinal Endometriosis TissueLump : Case Report and Literature review Susianto, Indra Adi; Hartono, Edward; Riyadi, Barkah Fajar; Amarwati, Siti; Kristanti, Alberta Widya; Mandagie, Aprilia Karen; Haekal, Mohammad
Medica Hospitalia : Journal of Clinical Medicine Vol. 10 No. 3 (2023): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36408/mhjcm.v10i3.1019

Abstract

Background : Endometriosis is usually found in intrapelvic structures such as the ovaries, peritoneum, gynecological organs and the pouch of Douglas. We report an unusual case of endometriosis in the  right  inguinal region. Cases : A 36-year-old woman with a history of laparoscopic surgery for endometriosis 4 years ago complained of catamenial pain and a mass in the  right  inguinal region, and her symptoms fluctuated with the menstrual cycle. An indistinct firm mass palpable in the  right  inguinal region. Ultrasound examination revealed a 2 × 1 cm mass in front of the pubic area on the lower edge of the rectus abdominis muscle. In a patient with an inguinal subcutaneous mass who complains of periodic changes in symptoms, endometriosis should be considered in the differential diagnosis. Conclusion : The low incidence of inguinal endometriosis is one of the considerations in the different diagnosis of painful inguinal hernias in the inguinal area in women with childbearing age. The diagnosis of endometriosis can be demonstrated clearly on High-Definition Ultrasound by trained personnel. Surgery is the optional treatment and is curative in this case.
Evaluation Treatment Planning for Breast Cancer Based on Dose-Response Model Aisyah, Siti; Hariyanto, Aditya Prayugo; Endarko, Endarko; Rubiyanto, Agus; Nasori, Nasori; Haekal, Mohammad; Nainggolan, Andreas
Jurnal ILMU DASAR Vol 22 No 1 (2021)
Publisher : Fakultas Matematika dan Ilmu Pengetahuan Alam Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/jid.v22i1.19732

Abstract

The delivery of radiation therapy to patients requires prior planning made by medical physicists to achieve radiotherapy goals. Radiotherapy has a plan to eradicate the growth of cancer cells by giving high doses and minimizing the radiation dose to normal tissue. Evaluation of planning is generally done based on dosimetric parameters, such as minimum dose, maximum dose, and means dose obtained from the DVHs data. Based on the same DVHs, data were evaluate dinterms of biological effects to determine the highest possible toxicity in normal tissue after the tumor had been treated with radiation using the NTCP model. The evaluation was conducted by selecting three DICOM-RT data of post-mastectomy right breast cancer patients who had been prescribed a dose of 50 Gy obtained from the Hospital MRCCC Siloam Semanggi database. All data were processed using open-source software DICOManTX to get the DVH and isodose information. Matlab-based CERR software was used to calculate the NTCP model. The results show that the three patients' DVH and isodose treatment planning result in a homogeneous dose distribution result because the PTV area obtains adose limit of ≥ 95%. Moreover, normalt issue still gets adose below the tolerance limit based on the standard from RTOG 1005 and ICRU 83. Analysis of NTCP shows a complication probability below 1% for each organ, suggesting that any organ which has been irradiated has a low likelihood of complications. Therefore, it can be concluded that the treatment planning which has been made in the three patients using the IMRT technique has achieved the objectives of radiotherapy, which is to minimize toxicity to healthy organs. |Keywords: DVH, isodose, NTCP, radiotherapy.
The Effect of Pattern and Infill Percentage in 3D Printer for Phantom Radiation Applications Hariyanto, Aditya Prayugo; Christianti, Kurnia Hastu; Rubiyanto, Agus; Nasori, Nasori; Haekal, Mohammad; Endarko, Endarko
Jurnal ILMU DASAR Vol 23 No 2 (2022)
Publisher : Fakultas Matematika dan Ilmu Pengetahuan Alam Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/jid.v23i2.27256

Abstract

3D printing technology was capable of fabricating phantoms to enhance quality assurance in radiation therapy. The ideal phantom has properties equivalent to the real tissue. However, 3D Printing has the limits to mimicking the attenuation properties of various tissues because during 3D printing there can be only one type of material. The purpose of this study was to evaluate the effect of infill percentage and infill patterns of 3D printing technology to simulate various types of tissue. This study used 25 samples measuring 5 × 5 × 1 cm3 from PETG material. The 20 samples were printed using variations infill percentages from 5 - 100% and the infill pattern in lines. The five samples were then printed with the infill percentage constant at 50% and used the infill pattern triangles, grid, gyroid, octet, and concentric. We used Computed Tomography (CT) to determine the Hounsfield Unit (HU) value for each sample and evaluated the suitability of each sample for phantom applications in radiation therapy and radiology. However, none of the samples was able to simulate compact bone. As a result, we found that PETG material could simulate the properties of soft tissue, fat, lung, kidney, liver, pancreas, and spongy bone. Thus, the study had shown promising potential for the fabrication of the anthropomorphic phantom of radiation therapy.
Co-Authors Adi Susianto, Indra Agus Rubiyanto Aminuyati Christianti, Kurnia Hastu Endarko Endarko Hariyanto, Aditya Prayugo Hartono, Edward Kristanti, Alberta Widya Mandagie, Aprilia Karen Nainggolan, Andreas Nasori, Nasori Riyadi, Barkah Fajar Siti Aisyah