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All Journal Jurnal Imejing Diagnostik JOURNAL ONLINE OF PHYSICS Jurnal Kesehatan Vokasional Jurnal Kreativitas PKM Indonesian Physical Review JPK: Jurnal Proteksi Kesehatan Ahmar Metastasis Health Journal (AMHJ) International Journal of Health Science and Technology
Shinta Gunawati Sutoro
Poltekkes Kemenkes Jakarta II
Humanities Computer Science & IT Dentistry Education Engineering Health Professions Medicine & Pharmacology Nursing Physics Public Health

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Optimization Strategies in Non-Contrast Head CT Examinations for Patients Based on The Role of Radiographers and Clinical Protocols: A Literature Review Nuramalia, Putri Pradita; Irsal, Muhammad; Sutoro, Shinta Gunawati; Supriyaningsih, Eny; Rizqi, Muhammad; Hartati, Sri
Ahmar Metastasis Health Journal Vol. 5 No. 3 (2025): Ahmar Metastasis Health Journal
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amhj.v5i3.738

Abstract

Non-contrast head computed tomography (CT) examinations are associated with a potential risk of unnecessary radiation exposure when optimization principles are not consistently applied in clinical practice. Radiographers play a pivotal role in implementing appropriate clinical protocols to ensure patient radiation safety without compromising diagnostic image quality. This study aimed to review optimization strategies for non-contrast head CT examinations with a particular focus on the role of radiographers and clinical protocols. Literature review was conducted using articles retrieved from the PubMed database published between 2020-2025. The selected studies were analyzed descriptively by examining study characteristics, optimization approaches, and their implications for clinical radiography practice of non-contrast head CT examination. The results indicate that optimization of non-contrast head CT can be achieved through appropriate adjustment of technical parameters by radiographers, application of iterative reconstruction techniques, minimization of patient positioning errors in anteroposterior, posteroanterior, and lateral orientations, use of eye shielding combined with tube current modulation (TCM), and implementation of diagnostic reference levels (DRLs) based on clinical indications. In addition, regular radiographer training contributes to the consistent application of optimization strategies. In conclusion, effective optimization of non-contrast head CT examinations requires an integrated approach that combines radiographer competency and evidence-based clinical protocols to minimize patient radiation exposure while maintaining diagnostic image quality.
Co-Authors Akhridinata, Dinda Ambarsari, Laily Izzati Asumsie Tarigan Budiati, Tri Asih Dewi ANGGRAENI Eny Supriyaningsih Fitrus Ardoni, Fitrus Guntur Winarno Guntur Winarno Imas Maesaroh Irsal , Muhammad Irsal, Muhammad Legia Prananto Lesmana, Hadi Mahfud Edy Widiatmoko Muhammad Irsal Muhammad Rizqi Mullah, Ikra Nuramalia, Putri Pradita NURBAITI NURBAITI NURSAMA HERU APRIANTORO Rina Anggraeni, Rina Sri Hartati Sri Wiwik Wiyanti Supriyaningsih, Eny Tarigan, Asumsie Widiatmoko, Mahfud Edy Winarno, Guntur Yansyah, Andri Yustiyo, Rafhael Reznandika Zikri, Ikhwan