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Agustina Dwi Prastanti
Politeknik Kesehatan Kemenkes Semarang
Health Professions Medicine & Pharmacology

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Efek Radiasi terhadap Perubahan Jumlah Leukosit dan Eritrosit pada Pasien Kanker Payudara Sebelum dan Setelah Radioterapi Agustina Dwi Prastanti; Sri Wahyuni; Siti Masrochah
Jurnal Imejing Diagnostik (JImeD) Vol 2, No 1: January 2016
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v2i1.3169

Abstract

Background: Breast cancer is second cancer after a lung cancer as a cause of death from cancer in women. Breast cancer patients underwent radiotherapy using Co-60 with a total dose of 50 Gy and fractionated doses 2 Gy/day. Ionizing radiation takes a bad affect blood cells (leucocytes and erythrocytes). The purpose of this research to find out the changing in the number of leukocytes and erythrocytes in breast cancer patients who underwent radiotherapy.Methods: The research uses the quantitative method with survey approach. Samples size in this research is 30 women who had breast cancer stage III. The independent variable of this research is radiotherapy treatment with  Co-60, with 50 Gy total dose and fractionated dose about 2 Gy with 5 times in one week. The dependent variable in this research is the changing in the number of leucocytes and erythrocytes before irradiation, after 5 times irradiation and after 10 times irradiation. Data analyze used statistical with a comparative method to take a result.Results: The results have found the average number of leucocytes in breast cancer patients before radiotherapy ±6,41 thousand/µL after the irradiation  5 times decrease to ±5,38 thousand/µL and after the irradiation, 10 times decrease to ±4,50 thousand/µL. The average number of erythrocytes in breast cancer patients before radiotherapy ±4,50 million/µL, after the irradiation 5 times decrease to ±4,17 million/µL and after the irradiation 10 times to decrease to ±3.90 million/µL. Based on the statistical test, the results have found significant value 0,000 0.05, then Ha is accepted. It means there are changes in the number of leucocytes and erythrocytes in breast cancer patients before and after radiotherapy.Conclusion: Leukocyte levels change is a decline of 1:03 thousand / mL or at 16:07%. Whereas after irradiation with 5 times to 10 times after irradiation decreased by 0.88 thousand / mL or 16:36%. Erythrocyte levels change is a decline of 0:33 million / mL or at 7:33%. Whereas after irradiation with 5 times to 10 times after irradiation decreased by 0:27 million / mL or 5:04%
Analisis Variasi Penyudutan Arah Sinar Terhadap Informasi Anatomi Pedis Proyeksi Anteroposterior Agustina Dwi Prastanti; Syaflina Rezki; Ardi Soesilo Wibowo
Jurnal Imejing Diagnostik (JImeD) Vol 3, No 1: January 2017
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v3i1.3189

Abstract

Background : Many hospitals in the examination of pedis AP projection use 0º or perpendicular. It is not based on the theory. So that, it is done research about the variation of direction angle of AP projection in pedis examination toward anatomy information. The examination is aim to find how big the direction angle toward anatomy information which is result by examination pedis AP projection and angle which is result by optimal anatomy information.Methods : The research which is used descriptive quantitative research by experiment approach. The research is done by pedis phantom which eksposes four times with same expose factor with difference angle variation 0º, 5º, 10º and 15º cephalad and quenstionnaire filling. The research using the independent variable is the direction angle on the examination pedis AP projection and the dependent variable is anatomical information on the radiograph pedis AP projection. The quenstionnaire is filled by three respondents, they are Radiologist. The scoring result of the respondents processes and present in table and graphic to describe and analyse for getting conclusion.Results : From the scoring result, it is seen the influence of angle toward pedis anatomy information difference.When use of the angle 0º and 5º cephalad show very clear navicular. While the angle of 10º cephalad show open joint space between medial cuneiform and the intermediate cuneiform and a very clear  cuboid. The angle of 15º cephalad shows a very clear tarsometatarsal joint. And then, the angle which is yield optimal anatomy information in examination pedis AP projection is the  angle of 10 º cephalad.Conclusion : The radiographic technique of the AP projection pedis with a variation of 0º, 5º, 10º and 15º cephalad produces different anatomical information. At angle 0º and 5º showing very clear navicular, 10º cephalad revealed joints between the medial cuneiform and intermediate cuneiform and cuboid and 15º cephalad shows the tarsometatarsal joint very clearly. The optimal angle in generating anatomical information on the AP projection examination is 10 º cephalad.
Co-Authors Ardi Soesilo Wibowo Siti Masrochah Sri Wahyuni Syaflina Rezki