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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 Electrical & Electronics Engineering Energy Environmental Science Materials Science & Nanotechnology Physics Other

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Determination of Critical Organ Effective Dose in Head CT Scan Examination at Bali Mandara Hospital Sutapa, Gusti Ngurah; Winer Johan Bora; I Gde Antha Kasmawan; Ni Kadek Nova Anggarani; I Ketut Putra; Ni Putu Yuni Nurmalasari
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.v9i1.28471

Abstract

The study aims to determine the effective dose to critical organs in head CT scans at RSUD Bali Mandara and analyse the difference in effective dose between male and female patients and compare it with BAPETEN's normal threshold. Secondary data including current, voltage, CTDIvol, and DLP were collected and grouped by gender. The effective dose was calculated by multiplying DLP by the conversion factor K and CTDIvol by the organ weight factor (WT). The mean effective dose of male patients was 4.35 ± 0.68 mGy, while that of female patients was 4.00 ± 0.53 mGy. The effective dose of critical organs for males was 0.642 mGy and for females 0.613 mGy, with higher doses for males. Statistical analysis using t-test shows the value of tcount < ttable, which indicates that the effective dose in head CT scan examination at RSUD Bali Mandara is still within normal limits according to the BAPETEN DRL standard Number: 1211/K/V/2021.
Uji Kesesuaian Generator Tabung Sinar-X dan Automatic Exposure Control (AEC) pada Mamografi Digital di RSD Mangusada Badung Silalahi, Johanes J.; Sutapa, Gusti Ngurah; Pranditayana, I Nyoman; Sandi, I Nengah; Kasmawan, I Gde Antha; Nurmalasari, Ni Putu Yuni
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.v8i2.24341

Abstract

This study focuses on evaluating the quality and performance of the digital mammography system at Mangusada Badung Regional Hospital (RSD) in an effort to prevent and early detect breast cancer. With the prevalence and mortality rate of breast cancer continuing to increase, early detection is important. Digital mammography has an important role in this early detection. This study aims to evaluate the performance of digital mammography at Radiology Installation Mangusada Badung through a series of tests. generator and x-ray tube suitability test and automatic exposure control (AEC). The results showed conformity tests on voltage accuracy (maximum error 0.8%), linearity (CL 0.01), reproducibility (radiation output CV 0.001, peak voltage CV 0.003), emergency timer (stops at 0 mAs), tracking (% patient thickness % exposure index error 7.9%, voltage exposure index error 6%), AEC (voltage CV 0.000, current time CV 0.000), exposure time (large focus t 0.87 seconds, small focus t 1.21 seconds). The test results show that the digital mammography system meets the conformity test criteria in accordance with PERKA BAPETEN no. 2 of 2022. This provides confidence that the device meets the established quality standards. With this fulfillment, it is expected that the accuracy of diagnosis can be improved and the risk of errors in early detection of breast cancer can be reduced. Therefore, the digital mammography system at RSD Mangusada Badung is expected to be.
Analisis Laju Dosis Radiasi di Area Ruang CT_Scan di Instalasi Radiologi RSU Bali Mandara Prameswari, Else Putri Ayu; Sutapa, Gusti Ngurah; Ayu Ratnawati, I Gusti Agung; Ratini, Ni Nyoman; Artawan, I Nengah; Trisnawati, Ni Luh Putu
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.v8i2.25211

Abstract

Research has been carried out on radiation dose rate analysis in the CT-SCAN area of the radiology room at RSU Mandara Bali. The data used in this research is quantitative data observed from the radiation rate from the CT-SCAN aircraft. This study aims to determine the radiation dose rate in the radiology area and its rationalization based on regulations regarding radiation NBD (dose limit values) that apply to occupational safety and health. The research data is the actual radiation dose rate determined from the dose rate and calibration factors. The results of data calculations show that the highest dose rates are respectively at T2, 30 cm, 50 cm and 100 cm (door) with values of 1.95, 0.94 and 0.05 μSv/year, while the lowest dose rates are respectively at T4, 30 cm, 50 cm and 100 cm (waiting room) with values of 0.08, 0.06 and 0.05 μSv/year. The research results show that the dose rate at each measurement point is still considered safe for radiation workers where the NBD received is still below 20 μSv/year, while the dose rate is classified as safe for the general public at measuring distances of 50 cm and 100 cm, where the NBD received is below 1 μSv/year assuming the community concerned acts as a patient or patient's family with an interest in the radiology room area.
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.
Studi Dosis Radiasi Berkas Foton Energi 6 MV dan 10 MV Terhadap Nilai HI dan CI pada Kasus Kanker Serviks Menggunakan Teknik Intensity Modulated Radiation Therapy (IMRT): - Sutapa, Gusti Ngurah; I Wayan Suarya; Wayan Balik Sudarsana; Ida Bagus Made Suryatika; Made Sumadiyasa; I Gusti Agung Widagda
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.v8i3.27385

Abstract

Penelitian ini menganalisis distribusi dosis radiasi foton 6 MV dan 10 MV pada pasien kanker serviks menggunakan teknik Intensity Modulated Radiation Therapy (IMRT). Tujuan penelitian adalah untuk mengevaluasi keseragaman dosis dan kecocokan dosis pada Planning Target Volume (PTV) dengan menggunakan Homogeneity Index (HI) dan Conformity Index (CI). Sampel penelitian terdiri dari 10 pasien kanker serviks yang dirawat di RSUP Prof. I G. N. G. Ngoerah Denpasar. Dosis yang diterima pasien dianalisis menggunakan Dose Volume Histogram (DVH) untuk masing-masing energi foton. Hasil menunjukkan bahwa rata-rata HI untuk energi 6 MV adalah 0,0817 dan untuk 10 MV adalah 0,0803, sementara CI untuk 6 MV dan 10 MV masing-masing adalah 0,9556 dan 0,9701. Nilai HI dan CI yang dihasilkan sesuai dengan standar ICRU Report 83, yang menunjukkan distribusi dosis yang seragam dan efektif pada PTV. Temuan ini mengindikasikan bahwa kedua energi foton dapat memberikan distribusi dosis yang optimal, dan pemilihan energi dapat disesuaikan dengan kebutuhan klinis tanpa mengurangi kualitas terapi.
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.  
The Effect of Focus Film Distance Variation on Patient Absorbed Dose in Thorax Examination with Roentgen Machine in Radiology Installation of Sanjiwani Hospital Gianyar I Nyoman Yosua; Gusti Ngurah Sutapa; I Ketut Putra; Ida Bagus Suryatika; Hery Suyanto; Ida Bagus Alit Paramarta
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.v8i3.28113

Abstract

A study has been conducted on the effect of Focus Film Distance (FFD) variation on patient absorbed dose during thorax examination at the Radiology Installation of Sanjiwani Hospital, Gianyar. This study aims to determine the effect of FFD variation and the suitability of the radiation dose received by patients whether it is still within the limits of BAPETEN's decision. The X-ray machine used was Siemens Luminos Fusion Roentgen with the FFD variation method given a distance of 110 cm, 130 cm, and 150 cm in 30 patients. Dose measurements were carried out based on radiation exposure and analyzed according to BAPETEN standards. The results showed that the greater the FFD value, the smaller the absorbed dose received by patients. The highest absorbed dose obtained for FFD 110 cm was 0.3867 mGy, 130 cm was 0.2769 mGy, and 150 cm was 0.2079 mGy below the maximum limit of 0.4 mGy set by BAPETEN, so it is safe for patients. Statistical analysis of one-way t-test showed significant results, with thitung < ttabel. This indicates that FFD variation affects the absorbed dose, and all doses remain within safe limits. Thus, thorax examination at RSUD Sanjiwani Gianyar has met the established safety standards.
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
Co-Authors A. A. Ngurah Gunawan Ade Rama Ditya Arsana Karang Alit Paramarta, Ida Bagus Anandika Putra, I Made Raditya Anastasia Jessing Gamalita Mberato Anastasia Victor, Agnes Maria Salvi Artawan, I Nengah Aulia Nur Aisah Ayu Ratnawati, I Gusti Agung Balik Sudarsana Balik Sudarsana, I Wayan Baskoro, Winardi Tjahyo Choirul Anam AM Diponegoro Cory Amelia Dali Sinaga, Ade Nisa Djarwani Soejoko Eka Saputra Elshaday S.B Siregar Farah Sukmana Gunawan, A. A. Ngurah Hanzani, Asril Hendra Setiawan Hery Suyanto 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 putra, I Ketut I Komang Widiana I Made Hendra Hadinata I Made Yuliara I Made Yuliara I Nengah Sandi I Nengah Simpen I Nyoman Paranditayana I Nyoman Pranditayana I Nyoman Yosua I Putu Surya Dharma Negara 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 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 Komang Ngurah Suarbawa M. Zully Amrul Hadi Made Sumadiyasa Made Suryatika, Ida Bagus Maghfirottul Iffah Marcellino, Nathaniel Mas Janudinata, Gde Ari Mega Wahyu Muhammad Mada Ramadan Purnama 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 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 Wayan Ekayani Nurfaizah Nurfaizah Nurmalasari, Ni Putu Yuni Nyoman Wendri Paramarta, I. B. Alit Pascalia Agno Marina Huki Poniman, S. Prameswari, Else Putri Ayu Pramitha, Ni Luh Emy Pranditayana, I Nyoman Prawistya Putra, I Made Gede Mas Putra Adnyana, I Gusti Agung Putu Gede Agus Krisna Yogantara Retianingsih Oeta Ulan Romadhon Ilham Imani Rozi Irhas Rozi Irhas Rozi Irhas Rozi Irhas Rozy Irhaz Sanjaya Natadiredja Satriya Wibawa, I Made Setiono, Made Budi Silalahi, Johanes J. Sintiya Biantari, I Dewa Ayu Suandayani, Ni Komang Tri Sudarsan, I Wayan Balik Sudarsana, Wayan Balik Sukarasa, I Ketut Sylvia Ariska Susanti Titik Purwanti Tri Suandayani, Ni Komang Trisnawati, Ni Luh Putu Venesia Sesilia Br Ginting Wayan Balik Sudarsana Wayan Balik Sudarsana Widya Karulina Imanda Muhamad Winardi Tjahyo Baskoro Winer Johan Bora Yohana Dian Savitri Yuli Asri Yuliara, I Made Yuliara, Made