Himawan Setyono
Radiotherapy Department, Regional General Hospital Dr. Moewardi, Indonesia

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PROSEDUR TERAPI RADIASI EKSTERNA PADA PASIEN KANKER KANDUNG KEMIH DENGAN METASTASIS ARTICULATIO COXAE Dwi Sugeng Supriyadi; Dria Wanadi; Himawan Setyono
JRI (Jurnal Radiografer Indonesia) Vol. 4 No. 2 (2021)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (152.443 KB) | DOI: 10.55451/jri.v4i2.93

Abstract

ABSTRACT Background: It has been conducted research about external radiation therapy technique of bladder cancer with articulatio coxae metastasis at Dr. Moewardi Hospital Surakarta in order to explain the procedure of external radiation therapy in bladder cancer with articulatio coxae metastasis and the purpose of asymmetric radiation field that used in external radiation therapy of bladder cancer with articulatio coxae metastasis. Methods: The type of research conducts is an observational research with case report approach conducted by using direct observation method, interview with radiation oncologist and radiation technologies as well as documenting the data about external radiation therapy of bladder cancer with articulatio coxae metastasis. Results: From the research result, it is obtained the data that external radiation therapy technique of bladder cancer patient with articulatio coxae metastasis is used asymmetric whole pelvic field where right border more wide than left border. The purpose of using asymmetric field is to reach articulatio coxae metastasis in radiation field, to decrease skin dose and time efficiency of radiation therapy. Conclusions: From a technical point of view, for time efficiency by considering many patients, there is only one plane therapy and the plane can be carried out in an asymmetrical field between the right and left. While the goal from a clinical perspective is to reach the articulatio coxae into the radiation field and reduce the dose received by the skin.
PROSEDUR BRAKHITERAPI INTRAKAVITER HIGH DOSE RATE PADA KANKER SERVIK Himawan Setyono; Dwi Sugeng Supriyadi; Dria Wanadi
JRI (Jurnal Radiografer Indonesia) Vol. 4 No. 2 (2021)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (100.199 KB) | DOI: 10.55451/jri.v4i2.96

Abstract

ABSTRACT Background: Radiotherapy hold an important role in cervical cancer treatment. The majority of cervical cancer treatment will be more effective with combination of teletherapy and brachitherapy. In radiotherapy installation facility of Regional General Hospital Dr. Moewardi Surakarta brachitherapy use a high dose rate cobalt 60. The aim of study is to understand cervical cancer intracavity brachitherapy procedure with high dose rate cobalt 60 radiation. Methods: The method of this research was qualitative researchwith case study approachment by observing, interviewing with radiation oncologist doctor, radiotherapy radiographer and medical physicist, and reviewing patient medical record document, simulator image data, treatment planing system resultand patient exposure data. Results: The result of this research showed that cervical cancer brachitherapy procedure in radiotherapy installation facility of Regional General Hospital Dr. Moewardi Surakarta is using one intrauterine applicator, and two ovoid applicator. Applicator position verified by C-arm simulator. Dose calculation is done using TPS GZP 3 and manchester system where point with 2x8.5 Gyor 3x7 Gy. The brachitherapy unit used is GZP 3 Cobalt 60 Afterloading TherapyUnit high dose rate. Conclusions: The reason of using a high dose rate cobalt 60 radiation is to make the time efficient so an optimal result is obtained.