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All Journal Buletin Udayana Mengabdi Bumi Lestari BERKALA FISIKA Jurnal Keselamatan Radiasi dan Lingkungan Jurnal Penelitian Pendidikan IPA (JPPIPA) Indonesian Physical Review Kappa Journal
Gusti Ngurah Sutapa
Program Studi Fisika, Fakultas Matematika Dan Ilmu Pengetahuan Alam, Universitas Udayana
Agriculture, Biological Sciences & Forestry Humanities Astronomy Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Earth & Planetary Sciences Education Energy Environmental Science Materials Science & Nanotechnology Physics Other

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DETERMINATION OF HALF AND TENTH VALUE LAYER PRIMARY AND SECONDARY WALLS OF X-RAY ROOM IN BALI JIMBARAN GENERAL HOSPITAL Widianingsih, Ni Kadek Indah; Sutapa, Gusti Ngurah; Kasmawan, I Gde Antha; Sandi, I Nengah; Baskoro, Winardi Tjahyo; Wendri, Nyoman; Prayuda, I Made Ardi
Indonesian Physical Review Vol. 6 No. 3 (2023)
Publisher : Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/ipr.v6i3.250

Abstract

The research has been carried out on the HVL and TVL values ​​of the primary and secondary walls of the radiology installation radiology room at RSU Bali Jimbaran. The aims of this study were (1) to determine HVL and TVL values ​​on the primary and secondary walls in the x-ray room, (2) to determine the differences between HVL and TVL values ​​if the tube voltages are varied. In determining the HVL and TVL values, ​​the linear attenuation coefficient of the walls must be known. The linear attenuation coefficient was determined by measuring the wall thickness by using a caliper, and measuring the radiation dose rate before and after passing through the primary and secondary walls. The results of the analysis of the HVL and TVL values ​​on the primary wall were 1.668 cm and 5.540 cm, meanwhile on the secondary wall ​​were 1.915 cm and 6.362 cm. When the voltage was varied 40 kV, 50 kV, 60 kV and 70 kV, there was no difference in the HVL or TVL values. Based on the results of the analysis, the HVL and TVL values ​​on the primary and secondary walls have a significant average difference.
ESTIMATION OF RADIATION DOSE AND ORGANS AT RISK (OAR) ON ABDOMINAL CT-SCAN USING SIZE-SPECIFIC DOSE ESTIMATES (SSDE) METHOD Sari, Kamelin Diah; Sutapa, Gusti Ngurah; Kasmawan, I Gde Antha; Sandi, I Nengah; Artawan, I Nengah; Trisnawati, Ni Luh Putu; Widiana, I Komang
Indonesian Physical Review Vol. 6 No. 3 (2023)
Publisher : Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/ipr.v6i3.265

Abstract

A study has been carried out on the estimation of radiation dose and Organs at Risk (OAR) on abdominal CT-Scan examination using the SSDE method. The data used in this study were secondary data from medical records such as CTDIVol, DLP, and abdominal images of patients. This study aims to determine the size of SSDE, DE, and DEOAR and to determine whether DE is still within tolerance limits to ensure the feasibility of using CT-Scans in these installations. The SSDE value is obtained by multiplying the converted def value (f) and the CTDIVol, while the DE value is obtained by multiplying the DLP value and the conversion factor (k), finally, the DEOAR value is obtained by multiplying the CTDIVol and the organ/tissue weight factor. The results showed that the patient's average SSDE score was 12.04 ± 1.06 mGy, with a male SSDE value of 12.55 ± 1.30 mGy and a female SSDE value of 12.38 ± 2.47. While the average patient DEOAR value obtained was 7.57 ± 0.72 mGy and the patient's average DEOAR value for skin and bone surface was 0.09 ± 0.01 and red bone marrow and large intestine was 1.06 ±0.13. The DE value of this study is still below the tolerance value set by BAPETEN, which is less than 17.46 mGy.
Pengaruh Multi Leaf Collimator (MLC) Terhadap Besar Dosis Yang Diterima Bagian Kepala Pasien Kanker Otak Huki, Pascalia Agno Marina; Sutapa, Gusti Ngurah; Sudarsana, I Wayan Balik
Kappa Journal Vol 7 No 1 (2023): April
Publisher : Universitas Hamzanwadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29408/kpj.v7i1.6633

Abstract

Research has been conducted on the effect of Multi Leaf Collimator (MLC) on the dose received by the head of brain cancer patients at Sanglah Hospital, Denpasar. This analysis aims to determine the effect of using MLC on dosing to brain cancer patients using Cobalt 60 (Co-60) teletheraphy. The dose given at TPS was 200 cGy but after using MLC the dose was received because MLC protects healthy organs around the irradiation field. If the dose given is still within the range of -5  % and +7  %, it is still acceptable. The amount of radiation dose that can be reduced by using MLC in this study was 1,35 % for brain cases and 0,12 % for Glioblastoma cases. 
Pengaruh Sinar Ultraviolet Terhadap Jamur Aspergillus Niger Ayu Ratnawati, I Gusti Agung; Putra, I Ketut; Suryatika, Ida Bagus Made; Sutapa, Gusti Ngurah; Trisnawati, Ni Luh Putu
Kappa Journal Vol 7 No 1 (2023): April
Publisher : Universitas Hamzanwadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29408/kpj.v7i1.12252

Abstract

Along with the development of science and technology, some researchers try to apply knowledge to several biological systems to obtain benefits that can be used. One of them is the use of ultraviolet light to kill the fungus Aspergillus niger. In addition, ultraviolet rays are also used in various fields of the drinking water industry, food, and also for sterilizing operating rooms in hospitals. A method used in this problem is the cork borer method. Data were obtained by measuring the diameter of the inhibition zone of the Aspergillus niger fungus. The results of this study were obtained at the intensity of 12.30 lux and at a distance of 15cm, within 15 minutes of irradiation time, the maximum death of the fungus Aspergillus niger was 40.74%.
Estimasi Dosis Serap dengan Metode Size Specific Dose Estimation (SSDE) dan Risiko Radiasi pada Pemeriksaan CT-Scan Kepala di Rumah Sakit Daerah Mangusada Kabupaten Badung Saputra, Eka; Sutapa, Gusti Ngurah; Paranditayana, I Nyoman
Kappa Journal Vol 7 No 1 (2023): April
Publisher : Universitas Hamzanwadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29408/kpj.v7i1.12985

Abstract

CT scan -Scan Those originating from X-rays on the head are very risky considering that the tissue in the brain has a greater sensitivity to ionizing radiation when compared to other organs in the human body. Problems will then arise when the use of CT-Scan sourced from X-rays can pose a radiation risk. Based on research conducted by Mathews et al. (2013) reported that at least 680,211 patients who had performed CT-Scan, 3,150 patients were diagnosed with cancer. There is a more accurate method in estimating the dose received by patients, namely using the SSDE. The dose estimation method using SSDE considers geometric factors (body size). The purpose of this study was to see how weight, gender, and age affect SSDE, using 80 patients classified into 4 age groups (children, adults, elderly, and seniors). The results showed that the average effective dose for children was 4.065 mSv for males and 3.706 mSv for females with a significant effect of weight, sex, and age on SSDE because theFCount as big4,640    FTableof 2.215
Analisis Diagnostic Reference Level (DRL) Pasien Pada Pemeriksaan Abdomen Kontras dan Nonkontras Dengan Pesawat CT Scan Di RSUD Bali Mandara Br Ginting, Venesia Sesilia; Sutapa, Gusti Ngurah; Ratnawati, I Gusti Agung Ayu; Widiana, I Komang
Kappa Journal Vol 7 No 1 (2023): April
Publisher : Universitas Hamzanwadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29408/kpj.v7i1.18985

Abstract

In this study, data were obtained from 35 patients aged 27-76 years. The current used varies from 46-185 mAs and a constant tube voltage of 130 kV, with different clinical symptoms. The patient's DRL value on contrast and non-contrast abdominal examination was determined by calculating the third quartile value. On non-contrast abdominal examination, the DRL CTDIvol value was 10.62 mGy and the DLP DRL was 607.76 mGy.cm and on the non-contrast abdominal examination, the DRL CTDIvol value was 32.73 mGy and the DRL DLP value was 1825.10 mGy.cm. These results indicate that the DRL CTDI vol and DRL DLP values on contrast abdominal examination at Bali Mandara Hospital were still below the actor's limits set by BAPETEN, while on abdominal examination the DRL CTDI vol and DRL DLP values exceeded the limits set by BAPETEN. This is caused by exposure which is done three times. Therefore, it is necessary to restore both the Patient Operational Standards (SOP) and the exposure factor on an abdominal contrast CT scan at Bali Mandara Hospital.
Uji Kesesuaian Kinerja Generator dan Tabung Sinar-X pada MSCT Philips 128 Slice di Instalasi Radiologi, Rumah Sakit Daerah Mangusada Ramadan Purnama, Muhammad Mada; Sutapa, Gusti Ngurah; Pranditayana, I Nyoman
Kappa Journal Vol 7 No 3 (2023): Desember
Publisher : Universitas Hamzanwadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29408/kpj.v7i3.22548

Abstract

This research aimed to determine the Compliance test of MSCT Philips 128 Slice generator and X-ray tube performance at Mangusada Hospital in accordance with the tolerance limits based on the BAPETEN Head Regulation of the Republic Indonesia Number 2 of 2022 so that it can be stated that the generator and X-ray performance is in reliable condition. In this research, Raysafe Xi CT and Raysafe Xi R/F were used to measure the output value of radiation dose, tube voltage and HVL thickness on MSCT Philips 128 Slice by carrying out four test activities, namely radiation output reproducibility test, radiation output linearity test,  test, and X-ray beam quality test. The performance test of the generator and X-ray tube has been carried out on MSCT Philips 128 Slice with obtained Coefficient of Variation (CV) value in the radiation output reproducibility test of 0.00278, Coefficient of Linearity (CL) value in the radiation output linearity test of 0.00882,   at a tube voltage of 80 kVp is 6.30280 mGy/100mAs,  at a tube voltage of 120 kVp is 19.59800 mGy/100mAs,  at a tube voltage of 130 kVp is 24.48431 mGy/100mAs, and the HVL thickness at a tube voltage of 120 kVp is 8.79 mmAl. This result show that the performance MSCT Philips 128 Slice generator and X-ray tube in reliable condition.
The Effect of Time Repetition Variation on Brain MRI Imaging Quality On T2 Weighted Sequences Arsana Karang, Ade Rama Ditya; Sutapa, Gusti Ngurah; Dharma Negara, I Putu Surya
Kappa Journal Vol 8 No 1 (2024): April
Publisher : Universitas Hamzanwadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29408/kpj.v8i1.24885

Abstract

Magnetic Resonance Imaging (MRI) is an imaging technique used to produce images of parts of the human body by utilizing a strong magnetic field. The examination that is often carried out is a brain examination. This research was conducted at Bali Mandara Hospital. To find out the condition of the brain, an MRI examination can be done. MRI can produce images known as sequences which produce T1 Weighted Image (T1WI), T2 Weighted Image (T2WI), resulting in visible images with different intensities. To obtain T2WI, the time echo (TE) and time repetition (TR) must be long to give the fat and water a chance to decay, so that the fat and water contrast can be visualized well. This research aims to determine the effect of TR variations on SNR values, and determine the best TR to produce good image values. To generate T2WI SNRs on brain MRI. This street vendor activity uses a Phillips 1.5 Tesla type MRI aircraft. Data collection was obtained from twenty patients with 3 variations of TR values starting from 3,500 ms, 5,500 ms and 7,500 ms by obtaining a total of 60 images. Evaluate tissue SNR values by measuring ROI directly on the MRI device. SNR value analysis was performed on cerebrospinal fluid (CSF) tissue, spinal cord. Sequentially the SNR values obtained were 174.24, 211.22 and 244.51 in the CSF tissue 78.53, 80.64 and 84.81 in the spinal cord tissue. This street vendor activity has shown the result that the longer the TR value is given, the SNR value will increase. This is because long TR values are able to evaluate networks in more slices and provide better noise signal values. The TR variation of 7,500 ms can produce the highest SNR value so that the resulting image is very good
Measurement of CT Number Uniformity Value at Various X-ray Tube Current Settings in CT Scanning Ratini, Ni Nyoman; Sutapa, Gusti Ngurah; Anggarani, Ni Kadek Nova; Kasmawan, I Gde Antha; Mberato, Anastasia Jessing Gamalita
Jurnal Penelitian Pendidikan IPA Vol 11 No 1 (2025): January
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v11i1.8527

Abstract

Studies on the analysis of variations in CT number uniformity values for CT-Scan images has been conducted. This study aims to evaluate the image quality value by uses various tube currents (mAs) in Siemens merk water phantom irradiation to assess the value of image quality. A Siemens Somatom Scope CT-Scan with current variations of 180 mAs, 200 mAs, 220 mAs, 240 mAs, and 260 mAs was used. The image results were then anlyzed for quality through the CT number uniformity value test. Using a marker size of 12.56 cm2, the ROI method was applied at five different picture points: the center, 3, 6, 9, and 12 o'clock. For each current variation used in this study, 3 irradiation was carried out and 5 image slices were taken from each irradiation.This resulted of the analysis the CT number uniformity value was shown to be significantly reduced by the tube current strength (R2=0.9896, p-value<0.05), according to the research. The test showed that the uniformity CT number value decreased from 0.217 HU to 0.031 HU as the tube current strength was increased, bringing it closer to the reference value (0 HU). The consistency CT number values acquired in this study remain within the 2 HU tolerance limits established by BAPETEN.
Comparison of Dose Distribution with Graphical Optimization and Inverse Planning Techniques in Cervical Cancer Brachytherapy Ni Nyoman Ratini; I Putu Wesa Angga Jaya; Gusti Ngurah Sutapa; I Putu Tedy Indrayana; Ni Putu Yuni Nurmalasari; I Wayan Balik Sudarsana
Jurnal Penelitian Pendidikan IPA Vol 12 No 2 (2026)
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v12i2.12900

Abstract

Cervical cancer is the leading cause of death among women in Indonesia, with 36,964 new cases reported in 2022. Brachytherapy is a key component in treating advanced-stage cervical cancer, where dose optimization is critical to maximize the target dose (HRCTV) and minimize exposure to organs at risk. Graphical Optimization (GrO) and Inverse Planning (IP) techniques are commonly used, but comparative studies using Co-60 sources remain limited. Previous studies have largely used Ir‑192, so this study explores the comparison of GrO versus IP using Co‑60, which has not been widely studied in Indonesia. Co‑60 was chosen because it provides a dose distribution comparable to Ir‑192, has a longer half‑life reducing the frequency of source replacements and maintenance costs and has been reported to shorten patient treatment time by approximately 10%. This study compared the dose distribution of both techniques in 30 brachytherapy patients treated with a Co-60 source at Prof. Dr. I.G.N.G. Ngoerah Hospital. Data were analyzed using the Sagiplan 2.2.1 Treatment Planning System (TPS) following the TG-43 protocol. Evaluations included D90 HRCTV, COIN, DHI, bladder D2cc, and rectum D2cc based on ICRU Report 89 recommendations. MANOVA results (SPSS 29.0; significance < 0.05) showed that GrO’s D90 HRCTV (7.239 Gy ± 0.134 Gy) was significantly higher (sig = 0.006) than IP (7.155 Gy ± 0.093 Gy). GrO’s DHI (0.352 ± 0.043) was also superior (sig = 0.030), while COIN, bladder D2cc, and rectum D2cc showed no significant differences. Overall dose distribution for GrO differed significantly from IP (p = 0.011), though all parameters met ICRU standards. Conclusion: GrO excels in target coverage and homogeneity, while IP is equivalent in OAR protection. Both techniques are dosimetrically feasible, but GrO is more adaptive for complex anatomies despite requiring longer planning time.
Co-Authors A. A. Ngurah Gunawan Alit Paramarta, Ida Bagus Anandika Putra, I Made Raditya Anastasia Victor, Agnes Maria Salvi Arsana Karang, Ade Rama Ditya Artawan, I Nengah Aulia Nur Aisah Ayu Ratnawati, I Gusti Agung Balik Sudarsana Balik Sudarsana, I Wayan Baskoro, Winardi Tjahyo Br Ginting, Venesia Sesilia Choirul Anam AM Diponegoro Cory Amelia Dali Sinaga, Ade Nisa Dharma Negara, I Putu Surya Djarwani Soejoko Eka Saputra Elshaday S.B Siregar Farah Sukmana Gede Suharta, I Wayan Gunawan, A. A. Ngurah Hanzani, Asril Hendra Setiawan Hery Suyanto Huki, Pascalia Agno Marina I G. A. Widagda I Gde Antha Asmawan I Gde Antha Asmawan I Gde Antha Kasmawan I Gusti Agung Ayu Ratnawati I Gusti Agung Ayu Ratnawati I Gusti Agung Ngurah Ari Kusuma Putra I Ketut Putra I Ketut putra, I Ketut I Made Hendra Hadinata I Made Yuliara I Made Yuliara I Nengah Sandi I Nengah Simpen I Nyoman Yosua I Putu Tedy Indrayana I Putu Wesa Angga Jaya I Wayan Balik Sudarsana I Wayan Balik Sudarsana I Wayan Balik Sudarsana I Wayan Balik Sudarsana I Wayan Balik Sudarsana I Wayan Balik Sudarsana I Wayan Putu Sutirta Yasa I Wayan Suarya I Wayan Supardi I. M. Yuliara I. M. Yuliara I.M. Yuliara Ida Ayu Putu Aristia Hutami Ida Bagus Alit Paramarta Ida Bagus Alit Paramarta Ida Bagus Alit Paramartha Ida Bagus Made Suryatika Ida Bagus Made Suryatika Ida Bagus Putra Manuaba Ida Bagus Putu Priastana Bawa Ida Bagus Suryatika Irhas, Rozi Kadek Miniati Kadek Sumaja Kadek Yuda Astina Kasmawan, I. G. Antha Ketut Putra Komang Ngurah Suarbawa M. Zully Amrul Hadi Made Sumadiyasa Made Suryatika, Ida Bagus Maghfirottul Iffah Marcellino, Nathaniel Mas Janudinata, Gde Ari Mberato, Anastasia Jessing Gamalita Mega Wahyu N. L. P. Trisnawati Nabilla Fatimah NEVIATY PUTRI ZAMANI Ni Kadek Ayu Asari Dewi Ni Kadek Nova Anggarani Ni Kadek Nova Anggarani Ni Komang Tri Suandayani Ni Komang Tri Suandayani Ni Luh Putu Trisnawati NI LUH WIDYASARI Ni Made Purmita Sari Ni Nyoman Rupiasih Ni Nyoman, Ratini Ni Putu Aprillia Artanti Phalosa Ni Putu Pande Anita Yulianti Ni Putu Winiayu Veramika Ni Putu Yuni Nurmalasari Ni Putu Yuni Nurmalasari Ni Wayan Ekayani Nurfaizah Nurfaizah Nurmalasari, Ni Putu Yuni Nyoman Wendri Paramarta, I. B. Alit Paranditayana, I Nyoman Poniman, S. Prameswari, Else Putri Ayu Pranditayana, I Nyoman Prawistya Putra, I Made Gede Mas Prayuda, I Made Ardi Putra Adnyana, I Gusti Agung Putu Gede Agus Krisna Yogantara Ramadan Purnama, Muhammad Mada Retianingsih Oeta Ulan Romadhon Ilham Imani Rozi Irhas Rozi Irhas Rozi Irhas Rozi Irhas Rozy Irhaz Sandi, Nengah Sanjaya Natadiredja Sari, Kamelin Diah Satriya Wibawa, I Made Setiono, Made Budi Silalahi, Johanes J. Sintiya Biantari, I Dewa Ayu Suandayani, Ni Komang Tri Sudarsan, I Wayan Balik Sudarsana, I Wayan Balik Sudarsana, Wayan Balik Sukarasa, I Ketut Sylvia Ariska Susanti Tamba, Chasbas Putra Titik Purwanti Tri Suandayani, Ni Komang Trisnawati, Ni Luh Putu Wayan Balik Sudarsana Wayan Balik Sudarsana Widiana, I Komang Widianingsih, Ni Kadek Indah Widya Karulina Imanda Muhamad Winardi Tjahyo Baskoro Winer Johan Bora Yohana Dian Savitri Yuli Asri Yuliara, I Made Yuliara, Made