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NURSAMA HERU APRIANTORO
Politeknik Kesehatan Kementerian Kesehatan Jakarta II
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Journal : JPK: Jurnal Proteksi Kesehatan

 1 
Analysis of Differences in Diagnostic Reference Level Based on Size Specific Dose Estimate Kasman, Muh.; Nurbaiti, Nurbaiti; Apriantoro, Nursama Heru
JURNAL PROTEKSI KESEHATAN Vol 13 No 1 (2024): JPK: Jurnal Proteksi Kesehatan
Publisher : Poltekkes Kemenkes Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36929/jpk.v13i1.830

Abstract

Diagnostic Reference Level (DRL) is the efforts in implementation of radiation protection of medical exposure to X-ray modalities, Computed Tomography scan (CT scan) and general Radiography. Size Specific Dose Estimates (SSDE) is the dose value of an area received by patient in CT examination. Meanwhile, Dose Length Product correction (DLPc) is the total dose received by patient obtained from multiplying SSDE and scan lenght. The purpose was to analyze difference of DRL based on SSDE between manual measurement and indoseCT v.20.b. This research is descriptive quantitative, by collecting head CT DICOM data. The results showed diagnostic reference level of manual measurement was 59.62 mGy (SSDE) and 1492.86 mGy.cm (DLPc). Meanwhile, the DRL of indoseCT v.20.b measurements were 66.65 mGy (SSDE) and 1551.56 mGy.cm (DLPc). There is no significant difference in the DRL based on SSDE from both methods based on statistical tests. So, the use of indoseCT v.20.b is more recommended because considered faster in determining DRL based on SSDE.
Dosimetry Evaluations in Breast Cancer Using 3D-CRT Technique Ambarsari, Laily Izzati; Irsal, Muhammad; Sutoro, Shinta Gunawati; Apriantoro, Nursama Heru; Winarno, Guntur; Lesmana, Hadi
JURNAL PROTEKSI KESEHATAN Vol 13 No 2 (2024): JPK: Jurnal Proteksi Kesehatan
Publisher : Poltekkes Kemenkes Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36929/jpk.v13i2.933

Abstract

Several previous studies have shown that without dose evaluation and monitoring, there is a potential for deterministic radiation effects in 3D-CRT procedures. This study is expected to close the gap by conducting a more comprehensive evaluation of the 3D-CRT technique for breast cancer patients. The research method is quantitative analysis with a study sample of 20 breast cancer patients. Data processing was carried out by conducting statistical tests for the distribution value of organs at risk (OAR) against the Radiation Therapy Oncology Group (RTOG) guidelines and analyzing the conformity index (CI) and homogeneity index (HI) values according to the values recommended by the International Commission Radiation Unit (ICRU). The results of this study obtained OAR doses for the lungs and heart are still within the tolerance value limits set by RTOG p-value <0.05. then for CI and HI there is a deviation p-value <0.05 that there is a difference between the values obtained and the ICRU recommended value. This is due to the location of the target or tumor adjacent to the OAR, to keep the OAR value in accordance with the specified limit value.
Co-Authors Abraham Panjaitan Ade Rochimat Agnes Dwika Septiti Ahniar, Nur Hasanah Aldri Frinaldi Ambarsari, Laily Izzati Arif Jauhari Arif Rohman Saleh Azizah, Mujahidah Bambang Sutrisno Wibowo Buaja, Happy Kurnia Utami Budi Santoso Budi Setiawan Cahya, Intan Christianni Christianni Christianni Christianni, Christianni Corazon Hana Dumaris Darusalam Dea Fadila Diah Novita Dimas Maulana Anshori Dody Haikal Edy, Mahfud Eka Putra Syarif Hidayat Ekaputra Syarif Hidayat Epit Rahmayati Evanty, Ayi Yulia Fathoni, Imam Muhamad Febria Anita Febria Anita Febria Anita, Febria Fiddinillah Fiddinillah Fitriani Gando Sari Gando Sari Gando Sari Gando Sari Gando Sari Gando Sari Gibral Ulhaq Gunawati S., Shinta Gunawati, Shinta Halimatus Sa’diah Hamdi Rubiyanto Handayani, Indah Nursyamsi Handayani, Indah Nursyamsi Happy Kurnia Utami Buaja Helwini Istiqomah Hendra Budiawan, Hendra Hermawan, Dudung Heru Prasetio Indira Mega Wahyuningtiyas Ira Wulandari Ita Astit Karmawati Astit Karmawati Kasman, Muh. Khairil Anwar Koesrizdiharti, Azzahra Krisna Adriyanto Kurnia Moningka Kurnia, Try Wulan Lailatul Badriyah Legia Prananto Lesmana, Hadi Ma&#039;murotun Ma&#039;murotun Ma'murotun, Ma'murotun Mahfud Edy Widiatmoko Mayarani Mayarani Mayarani Mayarani Milla Jatiwinayu Moh Haris Muh. Saqri Al Faruq Muhamamd Rizqi Muhammad Irsal Murdaka, Egi Kamal Novianty sutrisno NURBAITI NURBAITI Nurbaiti Nurbaiti Nurbaiti Nurbaiti Nuryadin, Ridwan P.I Patra Pipik Nur Aprirahanto Prabaningtyas Widya Dewi Pramudya ade Kusuma Putra Prananto, Legia Prima Chintya Delsi Kasih Puji Supriyoni Puji Supriyono Puji Supriyono Purwantiningsih Purwantiningsih Putra Syarif Hidayat , Eka Retno Prawestri Rinda Nur Hidayati Riyangga, Dea Robert Kristian Rudi Kurniawan Sahal Fahmi Abdul Aziz Saleh, Arif Rohman Samsun Samsun Samsun Samsun Samsun, Samsun Sari, Gando Sasongko, Ary Shinta Gunawati Sutoro Sinaga, Citra Elisabet Sriyatun Sriyatun Sriyatun Sriyatun Sriyatun Sriyatun Sriyatun Sriyatun Supriyono, Puji Susy Suswaty Suwendra Iwen Syarif Hidayat, Eka Putra Tri Ambarsari Tri Ambarsari Tri Susanto Triana Retno Putri Tsabitah, Assyifa Farras Untung Dimas Prayogi Veasna, Bun Wahyu Hidayat Wahyu Setiyoningsih Wahyudiarti, Endah Wellyam, Petra Pratama Wicaksono, Clinton Johan Ade Widiatmoko , Mahfud Edy Widiatmoko, Mahfud Edy Winarno, Guntur Winarno, Guntur Wiryanto Wiryanto WULANDARI, IRA Yudha Kartika