Claim Missing Document
Check
Articles

Measurement of CT Number Uniformity Value at Various X-ray Tube Current Settings in CT Scanning Ni Nyoman Ratini; Gusti Ngurah Sutapa; Ni Kadek Nova Anggarani; I Gde Antha Kasmawan; Anastasia Jessing Gamalita Mberato
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 Ratini, Ni Nyoman; Jaya, I Putu Wesa Angga; Sutapa, Gusti Ngurah; Indrayana, I Putu Tedy; Nurmalasari, Ni Putu Yuni; Sudarsana, I Wayan Balik
Jurnal Penelitian Pendidikan IPA Vol 12 No 2 (2026): In Progress
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 Jessing Gamalita Mberato 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 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 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 Jaya, I Putu Wesa Angga 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 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 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 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 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