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Ni Nyoman, Ratini
Program Studi Fisika, Fakultas Matematika Dan Ilmu Pengetahuan Alam, Universitas Udayana
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Identifikasi Citra Radiografi Sinar-X Pemeriksaan Thorax Untuk Penderita Covid-19 Di Instalasi Radiologi RSUP Prof. I. G. N. G Ngoerah Sutapa, Gusti Ngurah; Hanzani, Asril; Sudarsana, Wayan Balik; Ratini, Ni Nyoman; Trisnawati, Ni Luh Putu; Baskoro, Winardi Tjahyo
Kappa Journal Vol 8 No 2 (2024): Agustus
Publisher : Universitas Hamzanwadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29408/kpj.v8i2.25290

Abstract

Coronavirus Desease 2019 (Covid-19) merupakan penyakit menular yang disebabkan oleh virus Sars-Cov-2. Gejala yang ditimbulkan antara lain demam, batuk kering, dan sesak napas. Berbagai upaya penanganan dan pencegahan dilakukan oleh tenaga medis di Indonesia. Salah satu rumah sakit yang ikut andil menangani hal tersebut adalah RSUP Prof. Dr. I. G. N. G Ngoerah yang ada di Provinsi Bali menggunakan pemeriksaan thorax dengan pesawat sinar-X (rontgen). Penelitian ini dilakukan dengan menggunakan data sekunder yaitu 30 data pasien non-Covid-19 dan 30 data pasien Covid-19 di RSUP Prof. Dr. I. G. N. G Ngoerah pada tahun 2020 sampai dengan tahun 2022 dengan membandingkan hasil citra pasien secara kualitatif dari pembacaan dokter radiolog dan secara kuantitatif dilihat dari nilaia Efekti Dose (ED) dan Indeks Exsposure (IE). Dari hasil citra, pasien covid-19 menunjukkan adanya bercak-bercak putih pada bagian paru-paru dan dari hasil pembacaan dokter rata-rata pasien covid-19 mengalami pneumonia atau peradangan pada paru-paru sedangkan pada pasien non-covid-19 tidak mengalami pneumonia. Secara kuantitatif rata-rata nilai ED pada pasien non-covid-19 lebih besar dibandingkan pada pasien covid-19. Secara berturut-turut yaitu 0,1267±0,00653 mSv dengan nilai minimum 0,0694 serta nilai maximum 0,214 dan 0.0914±0,0311 mSv minimum 0,0096 serta maximum 0,706.  namun nilai IE pada pasien covid-19 lebih besar dibandingkan dengan pasien non-covid-19, yaitu 267,3±9,059 mSv dengan nilai minimum 202 mSv dan maximum 396,1 mSv. Sedangkan pasien non-Covid-19 besar nilai minimum 129 mSv dan maximum 172,9 mSv dengan rata-rata 146,467±2,45 mSv, dengan persentase perbandingan yaitu 35%:65%. Untuk menunjang terhadap perbedaan yang terjadi maka dilakukan uji statistik menggunakan T-test statistik nonparametric. Syarat signifikansi Asimp.Sig<0,05 menunjukkan perbedaan yang signifikan antara IE pasien non-Covid-19 dengan IE pasien Covid-19. Sehingga hasil statistik juga mendukung terhadap hasil pembacaan IE pada citra radiografi bahwa terjadi perbedaan yang signifikan antara nilai IE pada citra radiografi pasien non-Covid-19 dengan pasien Covid-19.
Penentuan Nilai Computed Tomography Dose Index (CTDIvol) dan Dose Length Product (DLP) Pesawat CT-Scan kepala pada kasus Stroke Non Hemoragik (SNH): Determination of Computed Tomography Dose Index (CTDIvol) and Dose Length Product (DLP) values of head CT-Scan aircraft in cases of Non Hemorrhagic Stroke (SNH) Nabilla Fatimah; Sutapa, Gusti Ngurah; Sudarsana, Wayan Balik; Ratini, Ni Nyoman; Suardana, Putu; Putra, I Ketut
Kappa Journal Vol 8 No 2 (2024): Agustus
Publisher : Universitas Hamzanwadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29408/kpj.v8i2.25599

Abstract

A study was conducted on the determination of Computed Tomography Dose Index (CTDIvol) and Dose Length Product (DLP) values of head CT-Scan aircraft in cases of Non Hemorrhagic Stroke (SNH). The study was conducted at the Radiology Installation of Prof.Dr. I.G.N.G. Ngoerah Denpasar Hospital using secondary data from head CT-Scan examination results consisting of age, gender, kV, mAs, slice thickness, rotation time, CTDIvol and DLP in patients aged 40-80 years. This study aims to determine the local DRL value at Prof.Dr. I.G.N.G. Ngoerah Denpasar Hospital does not exceed the national DRL value. It was found that in female patients the CTDIvol value in male patients was 54.9 mGy and in female patients it was 53.11 mGy. While the DLP value of male patients was 1143 mGy.cm and in female patients it was 1118 mGy.cm. Based on the results of the analysis with a one-way t-test, it can be seen that the DRL values of CTDIvol and DLP in both male and female patients do not exceed the standards set by BAPETEN No.1211/K/V/2021, so it can be said that the CT-Scan at the Radiology Installation of Prof.Dr. I.G.N.G. Ngoerah Denpasar Hospital is still suitable for use in examinations, especially head examinations.
Analisis Laju Dosis Radiasi Neutron Pada Pekerja Radiasi Menggunakan Surveymeter di Instalasi Radioterapi Ida Bagus Putu Priastana Bawa; Ni Nyoman Ratini; Wayan Balik Sudarsana; Gusti Ngurah Sutapa; I Made Satriya Wibawa; I Gde Antha Kasmawan; Rozi Irhas
Kappa Journal Vol 8 No 3 (2024): Desember
Publisher : Universitas Hamzanwadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29408/kpj.v8i3.27296

Abstract

The research was carried out at the Radiotherapy Installation at Hospital Prof. Dr. I.G.N.G. Work with the aim of knowing the value of the neutron radiation dose rate at the maximum point after the irradiation is carried out and knowing the value of the neutron radiation dose rate to radiation workers based on the Dose Limit Value permitted by BAPETEN. The research was carried out by measuring the neutron radiation dose rate using a neutron surveymeter at 7 different points with a photon beam of 10 MV energy. At point A, the average value of the neutron radiation dose rate at the maximum point was 6618.87 ± 959.50 µSv/h, at point B it was 1586.99 ± 113.95 µSv/h, at point C it was 1599.90 ± 210.98 µSv/h, at point D it is 1236.83±113.94 µSv/h, at point E it is 297.48±41.79 µSv/h, at point F it is 23.69±3.14 µSv/h h and at point G of 0.54 ± 0.44 µSv/h. Then the value of the equivalent dose rate of neutron radiation at each point is obtained, namely, at point A it is 1.8 µSv/h, at point B 3.2 µSv/h, at point C 3.5 µSv/h, at point D 2 .3 µSv/h, at point E 2.3 µSv/h, at point F 2 µSv/h and at point G 1.9 µSv/h, then the equivalent dose rate value is compared with 1/2 NBD of radiation workers of 5 µSv /h, then the equivalent dose rate value is still below 1/2 of the NBD of radiation workers and the SPO that applies at the Radiotherapy Installation at Hospital Prof. Dr. I.G.N.G. Ngoerah is indeed safe for radiation workers.
Menentukan Potensi Resiko Kanker pada Pemeriksaan CT Scan Toraks dengan Metode SSED Sutapa, Gusti Ngurah; Ni Putu Aprillia Artanti Phalosa; I Wayan Balik Sudarsana; Ni Nyoman Ratini; I Made Yuliara; I Wayan Supardi
Kappa Journal Vol 8 No 3 (2024): Desember
Publisher : Universitas Hamzanwadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29408/kpj.v8i3.27804

Abstract

This study aims to determine the potential risk of thoracic organ cancer in CT Scan examinations using the Size-Specific Effective Dose (SSED) method, considering the importance of accurate radiation dose measurement to minimize the risk of cancer due to radiation exposure. The analysis was conducted on 30 female patients and 30 male patients in the adult category (17 - 45 years) at the Radiology Installation of Prof. Dr. I G. N. G. Ngoerah Hospital, Denpasar, using a descriptive quantitative approach with secondary data. The results showed that the Size-Specific Dose Estimate (SSDE) and SSED values ​​in female patients were 6.51 ± 0.70 mGy and 2.95 ± 0.48 mSv, respectively, while in male patients they were 6.38 ± 0.49 mGy and 2.27 ± 0.26 mSv. The risk of cancer in female patients is estimated at 0.016% and in male patients it is 0.012%. The Anova test showed a significant difference between the dose values ​​of the SSDE and SSED methods, which was caused by SSED only considering the dose of organs covered in the CT Scan image. However, the t-test showed that the doses from both methods did not exceed the BAPETEN standard No. 8 of 2011, so that the thoracic CT Scan examination in this Installation is safe and feasible to use.  
Measurement of Natural and Artificial Radiation as Well as Radiation Applications in The Field of Medical Physics at SMA Negeri II Kuta Badung Bali Sutapa, Gusti Ngurah; I Gde Antha Kasmawan; Ida Bagus Made Suryatika; I Made Yuliara; Ni Nyoman Ratini; I Gusti Agung Ayu Ratnawati; Ni Luh Putu Trisnawati; I Ketut Putra; Ni Kadek Nova Anggarani
Kappa Journal Vol 8 No 3 (2024): Desember
Publisher : Universitas Hamzanwadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29408/kpj.v8i3.28254

Abstract

The results of research that have been carried out, especially in the field of medical physics such as X-rays, have been widely utilized in the medical field, especially Radiology Units in Several General and Regional Hospitals. Thus, it is very important to be understood and known by the community, especially the community, in this case the students of SMA Negeri 2 Kuta. In 2022/2023, there are 507 male and 597 female students. Seeing these conditions, surveys and observations were carried out as a result, students had difficulty understanding physics because the physics subject matter was dense, memorized and mathematical. Seeing these results, it is necessary to carry out a new paradigm in physics learning. One of the more appropriate methods is to balance theory learning with field applications such as natural and artificial radiation measurements and applications in the field of medical physics. The results of natural radiation measurements in the classroom and outside the classroom were 0.605 ± 0.0024 and 0.182 ± 0.0008 mSv/year, respectively. The limit of the dosage rate allowed by BAPETEN is 1,000 mSv/year. Natural radiation identified in the classroom and outside the classroom is still declared safe
Pengaruh Focus Film Distance (FFD) terhadap Nilai Uji Kolimasi pada Kolimator Pesawat Sinar-X Stasioner untuk Pemeriksaan Pasien Marcellino, Nathaniel; Ratini, Ni Nyoman; Balik Sudarsana, I Wayan; Sutapa, Gusti Ngurah; Paramarta, I. B. Alit; Kasmawan, I. G. Antha
Kappa Journal Vol 9 No 1 (2025): April
Publisher : Universitas Hamzanwadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29408/kpj.v9i1.28903

Abstract

A study has been conducted on the effect of Focus Film Distance (FFD) on the collimation test values of stationary X-ray unit collimators for patient examinations. This research aims to determine the extent to which FFD affects collimation test values. The FFD variations used were 90 cm, 95 cm, 100 cm, 105 cm, 110 cm, 115 cm, and 120 cm. There are three tests in the collimation test: illumination test, collimation field discrepancy with X-ray beam, and X-ray beam perpendicularity. The illumination test was conducted using a lux meter, which was then averaged per FFD. The resulting illumination values corresponding to the FFD variations were 425.25 lux, 381.55 lux, 343.90 lux, 311.80 lux, 283.50 lux, 259.45 lux, and 238.20 lux. These results conform to the inverse square law. For the collimation field discrepancy values |dX| and |dY|, corresponding to the FFD variations, the values were 0.68 and 0.62; 0.32 and 0.34; 0.02 and 0.02; 0.10 and 0.08; 0.18 and 0.20; 0.34 and 0.32; 0.48 and 0.50, respectively. The X-ray beam perpendicularity value remained constant for all FFD variations at 1.03º. The values obtained from the three tests comply with the Indonesian Ministry of Health Regulation No. 1250/MENKES/SK/XII/2009 concerning Quality Control Guidelines for Radiodiagnostic Equipment.
Determination of Diagnostic Reference Level (DRL) in Non-Contrast and Contrast Thorax CT Scan Examinations at Bali Mandara Regional Hospital Pramitha, Ni Luh Emy; Sutapa, Gusti Ngurah; Trisnawati, Ni Luh Putu; Ratini, Ni Nyoman; Suyanto, Hery; Baskoro, Winardi Tjahyo
Jurnal Penelitian Pendidikan IPA Vol 11 No 7 (2025): July
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v11i7.10344

Abstract

A study has been conducted to determine the Diagnostic Reference Level (DRL) in non-contrast and contrast chest CT scan examinations at Bali Mandara Hospital. The study was conducted at the Radiology Installation of Bali Mandara Hospital using dose reports from non-contrast and contrast chest CT Scan examinations with data obtained including age, gender, kV, mAs, slice thick, time rotation, Pitch, as patient information and protocols used in the examination and dose information in the form of CTDIvol and DLP. This study aims to determine the local DRL value against the national DRL value. The method used to determine the DRL value in this study is by collecting data in the form of recording and documenting the dose report of CT Scan examination patients, with the data for each examination being as many as 30. From the recorded data, the CTDIvol and DLP values are used to find the DRL value by sorting it from the smallest to the largest value and then calculating the 3rd quartile as a determinant of the local DRL. The interpolation method is also used to consider the position of the 3rd quartile so that it is at a decimal value. From the research results, the CTDIvol value for non-contrast thorax examination was 6.43 mGy, and the DLP value was 293.08 mGy.cm. Meanwhile, in contrast to the thorax examination, the CTDIvol value was 6.14 mGy, and the DLP value was 852.57 mGy.cm. Furthermore, a statistical analysis was carried out in the form of a one-way t-test using SPSS software, which was used to compare the DRL values of both CTDIvol and DLP non-contrast and contrast thorax examinations with the standard values set by BAPETEN 2021 as a reference used in Indonesia. Based on the results of the analysis with a one-way t-test, it can be seen that the DRL values for non-contrast thorax examinations (DRL CTDIvol and DLP) and contrast examinations (DRL CTDIvol) do not exceed the standards set by BAPETEN. However, in the contrast thorax CT Scan examination, the DRL DLP value exceeded the standard value set by BAPETEN, so dose optimization was needed by re-evaluating the protocol implemented at Bali Mandara Hospital.
Distribution of Radiation Doses Received by Organs at Risk in Cervical Cancer Using Intracavitary Brachytherapy Technique Anandika Putra, I Made Raditya; Sutapa, Gusti Ngurah; Kasmawan, I Gde Antha; Ratini, Ni Nyoman; Wibawa, I Made Satriya; Putra, I Ketut
Kappa Journal Vol 9 No 2 (2025): Agustus
Publisher : Universitas Hamzanwadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29408/kpj.v9i2.29017

Abstract

A study entitled Distribution of Radiation Doses Received by Organs at Risk in Cervical Cancer Using Intracavitary Brachytherapy Technique has been conducted. The study was conducted at the Radiotherapy Sub-Installation of Prof. Dr. I.G.N.G Ngoerah Hospital with the aim of determining the distribution of doses received by High Risk Clinical Target Volume (D2cc) and Organs at Risk (D90). Determining the distribution of doses received by High Risk Clinical Target Volume (D2cc) and Organs at Risk (D90) in cervical cancer patients is still within the recommended limits in ICRU Report 89. This study used ionizing radiation by inserting radioactive cobalt-60 using internal radiotherapy techniques, namely intracavitary brachytherapy. Before the irradiation process is carried out, there is a planning stage or Treatment Planning System (TPS). The reference for this research standard is for HRCTV of 95% -107% and for OAR bladder ≤80% rectum ≤75%. The average percentage of dose distribution received by HRCTV was 104.2% which is equivalent to 7.2 Gy which is still within the range of 95%- 107%, in the bladder it was 69.4% which is equivalent to 5.Gy which is still below the value ≤80%, and in the rectum it was 57% which is equivalent to 4.1 Gy which is still below the value ≤75%. The dose distribution value in HRCTV and OAR was still within the tolerance limit listed in the recommended value in GEC-ESTRO-ABS, and ICRU Report 89.
Analisis Dosis Serap pada Pemeriksaan Thorax Pasien Anak dengan Pesawat Sinar-X di Instalasi Radiologi RSUD Sanjiwani Gianyar Br Barus, Ema Vinesia; Ratini, Ni Nyoman; Trisnawati, Ni Luh Putu; Sandi, I Nengah; Wendri, Nyoman; Alit Paramarta, Ida Bagus
Kappa Journal Vol 9 No 2 (2025): Agustus
Publisher : Universitas Hamzanwadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29408/kpj.v9i2.30101

Abstract

Telah dilakukan penelitian mengenai analisis dosis serap pada pemeriksaan thorax pasien anak dengan pesawat sinar-X di Instalasi Radiologi RSUD Sanjiwani Gianyar. Penelitian ini bertujuan untuk menganalisis dosis serap yang diterima oleh pasien anak pada pemeriksaan thorax serta membandingkannya dengan batas dosis yang direkomendasikan oleh United Nations Scientific Committee on the Effects of Atomic Radiation (UNSCEAR). Penelitian ini dilakukan dengan metode kuantitatif menggunakan data sekunder dari hasil pemeriksaan thorax pasien anak berusia 1-15 tahun yang meliputi faktor eksposi (tegangan tabung, kuat arus, dan waktu eksposi). Data ini yang kemudian digunakan untuk menghitung dosis paparan dan dosis serap. Analisis statistik dilakukan dengan uji Kruskall-Wallis untuk menentukan signifikansi perbedaan dosis serap di RSUD Sanjiwani Gianyar dengan dosis serap yang ditetapkan oleh UNSCEAR. Hasil penelitian menunjukkan bahwa terdapat variasi dosis serap berdasarkan kelompok usia, di mana semakin tinggi usia pasien, semakin besar dosis serap yang diterima. Didapatkan dosis serap untuk kelompok usia 1-4 tahun yaitu:  mGy untuk pasien laki-laki dan  mGy untuk pasien perempuan. Untuk kelompok usia 5-9 tahun didapatkan sebesar mGy untuk pasien laki-laki dan  mGy untuk pasien perempuan. Sedangkan dosis serap kelompok usia 10-15 didapatkan sebesar  mGy untuk pasien laki-laki dan  mGy untuk pasien perempuan. Dosis serap yang diperoleh di RSUD Sanjiwani masih berada di bawah batas dosis maksimum yang ditetapkan oleh UNSCEAR yaitu: untuk kelompok usia 1-4 tahun sebesar 0,0300 mGy, kelompok usia 5-9 tahun sebesar 0,0400 mGy, dan kelompok usia 10-15 sebesar 0,0500 mGy.
ESTIMATION OF PB AND TOTAL SUSPENDED SOLID (TSS) CONCENTRATION BASED ON REMOTE SENSING DATA Girsang, Dhea Vonisa; Yuliara, I Made; Ratini, Ni Nyoman
Indonesian Physical Review Vol. 6 No. 1 (2023)
Publisher : Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/ipr.v6i1.165

Abstract

Research has been carried out on the comparison of the concentration of Pb and Total Suspended Solid (TSS) of laboratory test results with Sentinel-2A satellite image data recorded on August 25, 2021 at the Suwung estuary dam, Denpasar city. The method used to compare the 2 measurement results is through testing by paired sample correlation and the graph. The result from the measurement show that the TSS value between Sentine-2A and laboratory has a fairly close value but  the Pb value  between Sentinel-2A and the laboratory have a much differences. The differences of the value between Sentinel-2A images and laboratory data can be caused by differences in the image recording time and field data collection time. This can result in changes or dynamics of water conditions that result in changes in the value and distribution Pb and then the radiometric influence of differences in Pb values ​​on images and laboratory data can be caused by radiometric influences or interference with wave propagation in the air.
Co-Authors A. A. Ngurah Gunawan Alit Paramarta, Ida Bagus Anandika Putra, I Made Raditya Artawan, I Nengah Ayu Ratnawati, I Gusti Agung Balik Sudarsana, I Wayan Baskoro, Winardi Tjahyo Br Barus, Ema Vinesia Buana, Muhammad Candra Feriandanu Hakim Fitriyani Mus Mulyadi Girsang, Dhea Vonisa Grace Christine Djara Gusti Ngurah Sutapa Hanzani, Asril Hendrata Wibisana Hery Suyanto I Gde Antha Kasmawan I Gede Erix Krisna Adi Pramartha I Gusti Agung Ayu Ratnawati I Gusti Agung Ayu Ratnawati I Ketut Putra I Ketut putra, I Ketut I M. S. Wibawa I Made Yuliara I Made Yuliara I Nengah Sandi I Putu Eka Juliantara I Wayan Balik Sudarsana I Wayan Balik Sudarsana I Wayan Balik Sudarsana I Wayan Balik Sudarsana I Wayan Supardi I Wayan Supardi I. M. Yuliara I. M. Yuliara Ida Bagus Made Suryatika Ida Bagus Made Suryatika Ida Bagus Putu Priastana Bawa Indrayana, Putu Tedy Irhas, Rozi Jaya, I Putu Wesa Angga Kasmawan, I. G. Antha Keintjem, Regina Gabriel Komang Ngurah Suarbawa Komang Sugiarta Made Aditya Jaya Mahardika Maghfirotul Iffah Marcellino, Nathaniel Mberato, Anastasia Jessing Gamalita Mberato, Anastasya Jessning Gamalita Mberato N. L. P. Trisnawati Nabilla Fatimah Ni Kadek Nova Anggarani Ni Kadek Nova Anggarani Ni Komang Tri Suandayani Ni Luh Putu Trisnawati Ni Putu Aprillia Artanti Phalosa Ni Putu Winiayu Veramika Ni Wayan Mega Savira Utami Nurmalasari Nurmalasari Nyoman Wendri pandu lukito Paramarta, I. B. Alit Pingki Setyowati Dewi Prameswari, Else Putri Ayu Pramitha, Ni Luh Emy Puja Satwika Luh Gede Putu Irma Wulandari Putu Wida Gunawan Ramadhan, Rafly Rizqyta Rozi Irhas Satriya Wibawa, I Made Selvi Marcellia Sismanto Siti Raudatul Jannah Suandayani, Ni Komang Tri Sudarsana, Wayan Balik Sumaja, Kadek Syarifuddin Syarifuddin Trisnawati, Ni Luh Putu Wahyulianti Wahyulianti Wayan Balik Sudarsana Winardi Tjahyo Baskoro Windarjoto Windarjoto Windarjoto Windarjoto Windarjoto Windarjoto Windarjoto, Windarjoto Windaryoto, Windaryoto Wiwik Kurniawati Yuli Nurfadhillah Yuliara, I Made