Claim Missing Document
Check
Articles

Assessment of 3D-Printed Bolus for Post-Mastectomy Breast Cancer Radiation Therapy Aini, Urifa Nabihal; Annisa, Hayfa; Maharani, Diska; Hariyanto, Aditya Prayugo; Rubiyanto, Agus; Nasori, Nasori; Mario, Aloysious; Endarko, Endarko
Jurnal Fisika dan Aplikasinya Vol 20, No 2 (2024)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat, LPPM-ITS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12962/j24604682.v20i2.20671

Abstract

The fabricated 3D-printed bolus with 5 mm thick PLA and TPU materials was successfully used to analyze the air gap, relative electron density ( RED), and mass attenuation coefficient values for Post-Mastectomy Breast Cancer Radiation Therapy (PMRT). The 3D bolus was designed using 3D-Slicer Segment Editor software according to the thickness used, then smoothed and finished using Autodesk Meshmixer software, and printed on a 3D Creality printer. The air gap value was then analyzed by taking images from the phantom and 3D-printed bolus on a CT-Scan, then processed on Radiant DICOM, and the air gap value for the two 3D bolus materials was obtained. Analysis of two 3D bolus materials, PLA and TPU, showed that TPU is more suitable for bolus use in postmastectomy breast cancer cases based on its material properties. In addition, TPU is also better in terms of the air gap value because it has a smaller air gap, an RED value that is almost close to that of breast tissue, and better mass attenuation. Therefore, the recommended 3D-printed bolus material is TPU with a thickness of 5 mm as a tissue substitute for postmastectomy breast cancer cases.
Image Quality Assessment of In-House Phantom for Pediatric Computed Tomography Prayitno, Audiena Gelung; Miftahuddin, Dafa; Hariyanto, Aditya Prayugo; Gani, Muhammad Roslan Abdul; Endarko, Endarko
Jurnal Fisika dan Aplikasinya Vol 21, No 2 (2025)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat, LPPM-ITS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12962/j24604682.v21i2.20434

Abstract

The study aimed to determine the estimated low dose and image quality of the in-house pediatric phantoms using the 128 slice CT-Scan. This study used in house pediatric phantoms (7 year). Twelve artificial cylinder targets were fabricated with diameters 3, 5, 8, and 10 mm, and CT densities -+100, -400, -750 HU. The image quality was performed using CT-Scan 128 slice (GE) with parameters of helical scanning using a low dose and standard dose and using 80 and 120 kV. For Signal noise to ratio (SNR), Contrast to Noise Ratio (CNR) were also investigated. Volumetric CT dose index (CTDIvol), Size‐Specific Dose Estimates (SSDE). The effective value of the diameter for 7-year-old was 20.15 cm. According to the study, the amount of radiation exposure measured as SSDE for in-house pediatric phantoms was found to be 3.71 mGy for low dose and 6.09 for standard dose. For image quality analysis, the low-dose CT protocol has a detection sensitivity of 100% for targets measuring > 5mm in diameter.  
Evaluation of Patient-Specific Quality Assurance (PSQA) using Octavius 4D in IMRT Planning for Nasopharyngeal Cancer Cases Rizki Budi Rahayu; Rustika Alifiani; Aditya Prayugo Hariyanto; Levina Almira; Endarko Endarko
INDONESIAN JOURNAL OF APPLIED PHYSICS Vol 16, No 1 (2026): April
Publisher : Department of Physics, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13057/ijap.v16i1.111531

Abstract

Patient-Specific Quality Assurance (PSQA) is an important procedure for verifying the accuracy of dose planning before administering radiation therapy to patients. This study investigated the effects of progressively stricter OAR constraints on fluence complexity and Patient-Specific Quality Assurance (PSQA) performance in nasopharyngeal cancer IMRT as a preliminary case-based investigation. Three IMRT plan variations were created for two patients (tumor volumes: 56.16 cm³ and 75.35 cm³) using TPS Monaco: Plan0 (no OAR constraints), Plan1 (moderate constraints), and Plan2 (strict constraints) for the parotid glands, brainstem, and spinal cord. PSQA was performed using the PTW Octavius 4D phantom with gamma index criteria of 3%/3 mm, 3%/2 mm, and 2%/2 mm, in accordance with the AAPM TG-218. All plans achieved GPR values above the 95% tolerance limit for the 3%/2 mm criterion (95.5-99.8%) and above 90% for the 2%/2 mm criterion, confirming clinically acceptable deliverability across all optimization levels. Notably, the GPR in the patient with a larger tumor volume (ID2, 75.35 cm³) did not decrease with stricter constraints. The Plan2 GPR (99.5%) exceeded the Plan1 GPR (98.5%), whereas the patient with a smaller tumor volume (ID1, 56.16 cm³), whose GPR declined consistently from Plan0 to Plan2. This divergence reveals that the relationship between OAR constraint stringency and plan deliverability is patient-specific and governed by the geometric interaction between the tumor volume and surrounding OARs; larger targets afford the TPS greater dosimetric flexibility, thereby reducing the need for narrow MLC segments even under strict constraints. These findings suggest that Octavius 4D-based PSQA serves not only as a routine delivery verification tool but also as a patient-specific plan selection tool, and that the 3%/2 mm criterion is recommended as the primary clinical evaluation parameter for nasopharyngeal IMRT.
Co-Authors Achmad Muklason Adawiyah, Siti Rabi’atul Adi Suryani Adi Suryani, Adi Adi Wardana Aditya Prayugo Hariyanto Agus Purwanto Agus Purwanto Agus Rubiyanto Ahmad Muklason Ahmad Ridlo Hanifudin Tahier Aini, Urifa Nabihal Akbar Sujiwa Akhmad Jufriadi Akhmad Muklason Akhmad Muklason Annisa, Hayfa Arfan Eko Fahrudin Ari Bangkit Sanjaya Umbu Aris Widodo Ayu Jati Puspitasari Ayu Jati Puspitasari Badri G.S Berto Mulia Wibawa Berto Mulia Wibowo Bintoro Anang Subagyo Cahyono, Yoyok Christianti, Kurnia Hastu Christiono Utomo Darminto Darminto Darminto Darsono Darsono Diani Ainun Nisa Djuli Pontjowijono Dzulfikar, Ahmad Zaki Eli Zahrotin, Eli Ellys Kumala Pramartaningthyas Fajar, M N Farahdina, Ulya Farid Afandy, Farid Fatimah, Iim Firdhaus, Miftakhul Gani, Muhammad Roslan Abdul Gatut Yudoyono Gontjang Prayitno Hadi Santoso Haekal, Mohammad Hakim, Randy Ivanal Hariyanto, Aditya Prayugo Hariyanto, Aditya Prayugo Hena Dian Ayu Ikfina Himmaty Imam Safawi Ahmad, Imam Safawi intan permata sari Khambali, Khambali Khusnul Ain Kurriawan Budi Pranata Kurriawan Budi Pranata, Kurriawan Budi Levina Almira Maharani, Diska Mahendra Satria Hadiningrat Mahendra, Daffa Malik Anjelh Baqiya Mario, Aloysious Mashuri Mashuri Masyitatus Daris S Maylita Martani Maylita Martani Melania S Muntini Miftahuddin, Dafa Miftakhul Firdhaus Moh. Roni Hidayat Mohammad Haekal Muhammad Noer Fajar Muthmainnah, Melania Suweni Muntini Nainggolan, Andreas Nasori, Nasori Novi D. Ariyanti Nuning Armawati Nur Ichzan Aminuddin Siantang Nurrisma Puspitasari Nurul Amalia T Nurul Amalia Triyuliana Nuzula, Nike Ika Pramartaningthyas, Ellys Kumala Prayitno, Audiena Gelung Putro, Triswantoro R Hidayat Rahmawati, Deti Rahmawati, Deti Rizki Budi Rahayu Rizqa Daniyati Rustika Alifiani S Suasmoro, dkk Santi Puspitasari Setiawan Siti Aisyah Siti Rabiatul Adawiyah Siti Zahrok Soedarso Soedarso Soedarso Soedarso Soedarso Soedarso Soedarso Soedarso Soedarso, Soedarso Suasmoro Suasmoro Sukamto, Heru Sulistyanto, Muhammad Priyono Tri Suminar Pratapa Susilo Indrawati Sutikno Triswantoro Putro Triswantoro Putro Triwikantoro Triwikantoro Ulya Farahdina Vicran Zharvan Vinda Zakiyatuz Zulfa Wardana, Humadillah Kurniadi Wardhana, Adhitya Aris Yugo Triawanto Zainuri (DOI: 10.12962/j24604682.v12i2.1331), Mochamad Zaki Suud Zulfa, Vinda Zakiyatuz