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I Gde Antha Kasmawan
Department Of Physics, Faculty Of Mathematics And Natural Sciences, Udayana University, Indonesia
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 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.
PERANCANGAN ALAT UKUR KELEMBABAN TANAH MENGGUNAKAN CAPACITIVE SOIL MOISTURE SENSOR BERBASIS ANDROID Tri Jaya Maghuna, Komang; Wibawa, I Made Satriya; Suardana, Putu; Widagda, I. G. A; Trisnawati, Ni Luh Putu; Kasmawan, I Gde Antha
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.v8i2.25122

Abstract

A soil moisture measuring instrument has been designed and created using an Android-based capacitive soil moisture sensor. The design of a soil moisture measuring instrument was made to understand how to design, how it works, and the results of calibration. The process of calibrating and applying the design tool is carried out by comparing the results of soil moisture measurements between the design tool and the reference tool. The calibration itself was carried out using black sand soil into which 0 ml, 10 ml, 30 ml, 50 ml and 70 ml of water were poured periodically. The reference tool used is the soil moisture meter pH tester VT05 with type ZD-05. Data collection is carried out by inserting a capacitive soil moisture sensor into the soil. There are five types of soil used during application, namely white sand soil, black sand soil, limestone soil, clay soil and humus soil. The results of calibration using linear regression between the design tool and the reference tool obtained a gradient value m of 0.9643, close to 1. The coefficient of determination value obtained during calibration was 0.9983, so the level oflinearity between the design tool and the reference tool was 99.83%. The results of applying linear regression between the design tool and the reference tool obtained a gradient value m of 1.0041, close to 1. The coefficient of determination () obtained when applying was 0.9982, so the level of linearity between the design tool and the reference tool was 99.82%. From the results of the calibration and application of the tool, it shows that the tool design has good validity (precise accuracy). 
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.
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
Analisis Peak Ground Accerelation (PGA) di Kabupaten Karangasem Menggunakan Pendekatan Empiris Masitah, Siti; Sukarasa, I Ketut; Dedy Pratama, I Putu; Yuliara, I Made; Suryatika, Ida Bagus Made; Kasmawan, I Gde Antha
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.v9i1.28647

Abstract

Kabupaten Karangasem merupakan bagian dari busur kepulauan Sunda Kecil yang terbentuk akibat proses subduksi lempeng Indo-Australia kebawah lempeng Eurasia sehingga menyebabkan daerah tersebut rawan bencana gempabumi. Penelitian ini bertujuan untuk menentukan nilai peak ground acceleration (PGA) di Kabupaten Karangasem menggunakan rumus empiris terpilih. Data yang digunakan adalah data skunder yang diperoleh dari alat accelerograph tahun 2019-2023 dan data dari katalog BMKG tahun 1972-2022. Dalam menentukan nilai PGA digunakan metode empiris Donovan (1973), Esteva (1970), Mc.Guirre (1963), Fukushima Tanaka (1990), Setiawan (2012). Pada hasil penelitian menunjukkan bahwa rumus empiris Donovan cocok untuk diterapkan di Kabupaten Karangasem. Kabupaten Karangasem bagian timur memiliki tingkat bahaya bencana gempabumi paling besar dengan skala Intensitas VI MMI mencakup Kecamatan Karangasem dan Kecamatan Abang dengan nilai PGA tertinggi yaitu 96 gals.
Analysis of Radiation Dose Received by Radiation Workers With Physical and Biological Dosimeters in The Radiology Unit of Sanjiwani Hospital Mas Janudinata, Gde Ari; Sutapa, Gusti Ngurah; Kasmawan, I Gde Antha; Made Suryatika, Ida Bagus; Artawan, I Nengah; Trisnawati, Ni Luh Putu
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.v9i1.29539

Abstract

This study aims to evaluate the impact of radiation exposure on the health of radiation workers at RSUD Sanjiwani Gianyar over the past five years. The evaluation was conducted through a physical approach, measuring radiation doses using Thermoluminescent Dosimeter (TLD), and a biological approach by analyzing the total leukocyte count and its components, namely neutrophils, lymphocytes, monocytes, and eosinophils. The results showed that the highest radiation dose was received by radiology specialists at 0.921 mSv, followed by medical physicists at 0.905 mSv, and radiographers at 0.894 mSv. This variation reflects differences in radiation exposure levels based on each profession's tasks and positions. Leukocyte and component analysis indicated that all values were within normal ranges. Although statistical tests showed significant differences in neutrophil levels between professions, overall radiation doses and leukocyte levels were within the safe limits set by PERKA BAPETEN No. 4 of 2013. The findings underline that radiation protection measures at RSUD Sanjiwani have been effective in minimizing health risks from radiation exposure. However, regular dose monitoring and health evaluations are necessary to ensure long-term protection for radiation workers.  
Analisis Variasi Gantry Terhadap Distribusi Dosis Radiasi Kanker Otak Dengan Teknik Intensity Modulated Radiation Therapy (IMRT) Dali Sinaga, Ade Nisa; Sutapa, Gusti Ngurah; Amelia, Cory; Made Suryatika, Ida Bagus; Yuliara, Made; Antha Kasmawan, I Gde; Irhas, Rozi
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.v9i1.29557

Abstract

Penelitian mengenai Analisis Variasi Gantry Terhadap Distribusi Dosis Radiasi Kanker Otak Dengan Teknik Intensity Modulated Radiation Therapy (IMRT). dengan tujuan, untuk mengetahui pengaruh variasi jumlah sudut gantry terhadap distribusi dosis pada kasus kanker otak berdasarkan nilai HI,CI pada target kanker serta dosis maksimum pada organ at risk (OAR) menggunakan teknik IMRT. Penelitian dilakukan dengan variasi jumlah sudut gantry 4, 5 dan 6 dengan menggunakan 30 sampel. Kemudian dilakukan analisis data dengan menggunakan uji normalitas dengan uji t satu arah. Hasil penelitian menunjukkan bahwa, distribusi dosis pada PTV dengan nilai HI dan CI untuk variasi jumlah sudut 4,5 dan 6 arah sudut gantry adalah 0,118 dan 0,986; 0,116 dan 0,975; 0,108 dan 0,974. Sedangkan distribusi dosis maksimum OAR pada variasi 4,5 dan 6 arah sudut gantry untuk brainstem 4886,55; 4921,47; 4731,23; Eye R 2676,35; 2830,16; 3123,83; Eye L 3226,19; 3268,59; 3162,92; nervus optikus R 2396,23; 2775,52; 2796,94, nervus optikus L, 2939,97; 2983,12; 2912,47; lens R 789,76; 709,76; 717,32; lens L 738,31; 775,33; 724,02; chiasma, 4153,40; 4460,04; 4020,70. Berdasarkan nilai rata-rata tidak terdapat perbedaan antara nilai hasil perhitungan distribusi dosis dengan nilai ketetapan dosis maksimum dalam Radiation Oncology A Question-Based Review. Hasil penelitin ini menunjukkan bahwa perencanaan lapangan 4 arah sudut gantry memiliki hasil distribusi PTV yang lebih baik dan waktu penyinaran yang lebih siangkat dibandingkan dengan perencanaan 5 dan 6 variasi jumlah arah sudut gantry.
Radiation Dose Determination and Body Mass Index (BMI) Evaluation in Abdomen CT Scan Examination Patients Using the Size-Specific Dose Estimate (SSDE) Method Prawistya Putra, I Made Gede Mas; Sutapa, Gusti Ngurah; Kasmawan, I Gde Antha; Made Suryatika, Ida Bagus; Putra Adnyana, I Gusti Agung; Simpen, I Nengah
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.v9i1.29592

Abstract

A study has been conducted on determining radiation doses and evaluating body mass index (BMI) in patients undergoing CT-Scan Abdomen examinations using the Size Specific Dose Estimate Method at the Bali Mandara Radiology Installation. One of the factors that influences the radiation dose received by patients is the Body Mass Index (BMI). The Size Specific Dose Estimate (SSDE) method is used to assess radiation doses based on patient size, which is often associated with BMI. This study aims to determine the estimated radiation dose of each patient and evaluate the relationship between BMI and the dose received. This study used a CT-Scan brand SIEMENS SOMATOM PERSPECTIVE (serial number 78068). The population in this study were patients undergoing CT-Scan Abdomen examinations. The sample consisted of several BMI categories, namely thin, normal, overweight, and obese. The analysis was carried out using linear regression to measure the relationship between BMI and SSDE, as well as a one-way t-test to see the difference in the average SSDE value in each BMI category. The results showed that each increase in one BMI category caused an increase in SSDE values ​​of 1,566 mGy. The R² value of 98.56% indicated that the BMI category explained almost all of the variability in SSDE values. However, a one-way t-test statistic showed that there was no significant difference in the average SSDE values ​​in the thin, normal, overweight, and obese categories (F count <F table, so H₀ was accepted). This study showed that patients with higher BMI tended to receive higher radiation doses, but the differences between categories were not statistically significant.
Distribution of Radiation Doses Received by Organs at Risk in Cervical Cancer Using Intracavitary Brachytherapy Technique Anandika Putra, I Made Raditya; Sutapa, Gusti Ngurah; Kasmawan, I Gde Antha; Ratini, Ni Nyoman; Wibawa, I Made Satriya; Putra, I Ketut
Kappa Journal Vol 9 No 2 (2025): Agustus
Publisher : Universitas Hamzanwadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29408/kpj.v9i2.29017

Abstract

A study entitled Distribution of Radiation Doses Received by Organs at Risk in Cervical Cancer Using Intracavitary Brachytherapy Technique has been conducted. The study was conducted at the Radiotherapy Sub-Installation of Prof. Dr. I.G.N.G Ngoerah Hospital with the aim of determining the distribution of doses received by High Risk Clinical Target Volume (D2cc) and Organs at Risk (D90). Determining the distribution of doses received by High Risk Clinical Target Volume (D2cc) and Organs at Risk (D90) in cervical cancer patients is still within the recommended limits in ICRU Report 89. This study used ionizing radiation by inserting radioactive cobalt-60 using internal radiotherapy techniques, namely intracavitary brachytherapy. Before the irradiation process is carried out, there is a planning stage or Treatment Planning System (TPS). The reference for this research standard is for HRCTV of 95% -107% and for OAR bladder ≤80% rectum ≤75%. The average percentage of dose distribution received by HRCTV was 104.2% which is equivalent to 7.2 Gy which is still within the range of 95%- 107%, in the bladder it was 69.4% which is equivalent to 5.Gy which is still below the value ≤80%, and in the rectum it was 57% which is equivalent to 4.1 Gy which is still below the value ≤75%. The dose distribution value in HRCTV and OAR was still within the tolerance limit listed in the recommended value in GEC-ESTRO-ABS, and ICRU Report 89.
Co-Authors Adnyana, I Gusti Agung Putra Anandika Putra, I Made Raditya Artawan, I Nengah Baskoro, Winardi Tjahyo Cory Amelia Dali Sinaga, Ade Nisa Daniel Happy Putra Dedy Pratama, I Putu Djoko Hadi Prajitno Efrensiana Ana Melti Fahik, Gracia Paula Gusti Ngurah Sutapa Gusti Ngurah, Sutapa Hadi Apriandi I G. A. Widagda I Gusti Agung Ayu Ratnawati I Gusti Agung Ngurah Ari Kusuma Putra I Ketut Putra I Ketut putra, I Ketut I Made Satriya Wibawa I Made Yuliara I Nengah Sandi I Nengah Sandi I Nengah Simpen I NYOMAN WIJAYA I Putu Wahyu Pranata Kusuma Jaya I Wayan Supardi I. M. Yuliara I. M. Yuliara I.M. Yuliara Ida Ayu Dwi Giriantari Ida Bagus Made Suryatika Ida Bagus Made Suryatika Ida Bagus Putu Priastana Bawa Irhas, Rozi Kelo, Febriyanti Jia M. Zully Amrul Hadi Made Sumadiyasa Made Suryatika, Ida Bagus Mas Janudinata, Gde Ari Mberato, Anastasia Jessing Gamalita Murzid, Jihan Qothrunada N. L. P. Trisnawati Ni Kadek Nova Anggarani Ni Kadek Nova Anggarani Ni Luh Putu Trisnawati Ni Made Wedayani Ni Nyoman Rupiasih Ni Nyoman, Ratini Ni Putu Yuni Nurmalasari Nurmalasari, Ni Putu Yuni Nyoman Wendri Pranditayana, I Nyoman Prawistya Putra, I Made Gede Mas Prayuda, I Made Ardi Putra Adnyana, I Gusti Agung Rosvita Hilbrida Sulastri Rozi Irhas Sari, Kamelin Diah Satriya Wibawa, I Made Setiawan, Yohanes Agus Silalahi, Dio Carpry Gunawan Silalahi, Johanes J. Sismanto Spardi, I Wayan Suandayani, Ni Komang Tri Sukarasa, I Ketut Tri Jaya Maghuna, Komang Trisnawati, Ni Luh Putu Umi Hariyani Wayan Balik Sudarsana Wayan Gede Suharta Widagda, I Gusti Agung Widagda, I. G. A Widiana, I Komang Widianingsih, Ni Kadek Indah Winardi Tjahjo Baskoro Winardi Tjahyo Baskoro Windaryoto Windaryoto Winer Johan Bora Yuliara, I Made Yuliara, Made