Mohd Alimin
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Pengaruh Penggunaan Fiksasi Masker Paru Terhadap Ketepatan Terget Penyinaran Pada Kanker Paru Teknik Intensity Modulated Radiation Therapy (IMRT) Di Departemen Onkologi Radiasi Rumah Sakit Umum Jakarta Mohd Alimin; Ni Putu Rita Jeniyanti
Jurnal Ilmu Kesehatan dan Gizi Vol. 2 No. 1 (2024): Januari : Jurnal Imu Kesehatan dan Gizi
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikg.v2i1.2153

Abstract

The Effect Of Use Of Lung Mask Fixation On The Accuracy Of Targeted Irradiation In Lung Cancer Intensity Modulated Radiation Therapy (Imrt) Technique In The Department Of Radiation Oncology, Jakarta General Hospital. Lung cancer is the uncontrolled growth of abnormal cells in one or both lungs. While normal cells in the lungs usually develop and reproduce to form healthy lung tissue, these abnormal cells actually reproduce more quickly and are never able to become normal lung tissue. As a result, lumps of cancer cells are formed, which are often referred to as tumors. (4) Radiotherapy is a form of therapy that has been proven to be useful in treating cancer. The aim of radiotherapy is to provide safe, accurate and efficient radiation doses to treat various types of cancer and also non-malignant disorders (7). Carrying out radiotherapy for lung cancer involves the use of immobilization devices, one of which is a thermoplastic mask. This mask functions to reduce the patient's body movements, including movements caused by breathing (9). Verification is a critical stage in the radiotherapy process. The purpose of this verification is to ensure that there are no significant differences in the exposure carried out (14). Giving the right dose of radiotherapy radiation is very necessary to achieve successful therapeutic treatment. The accuracy of dosing and the accuracy of the patient's position influence the dose distribution that will be received by the patient. This verification is based on the International Atomic Energy Agency (IAEA) Human Health Series No. 31 of 2016 with a displacement value of 0.3cm (15). EPID (Electronic Portal Imaging Device) is an additional device connected to the LINAC (Linear Accelerator) radiotherapy device. EPID functions as a verification tool for radiation dose and geometry which is very important in the radiotherapy process (16). The accuracy of the patient's position during radiation treatment greatly influences the accuracy of the IMRT technique. Before irradiation, verification is carried out using an EPID (Electronic Portal Imaging Device) to ensure the correct target position on the tumor. This helps measure the x, y, and z axis coordinates along the radiation area before the radiation procedure begins.
Penatalaksanaan Penyinaran Radioterapi Eksterna Pada Kanker Vagina Menggunakan Teknik Intensity Modulated Radiation Therapy (IMRT) Di Cancer Center Radioterapi Santosa Hospital Bandung Kopo Mohd Alimin; Ni Putu Rita Jeniyanti; Leni Sri Wahyuni
Jurnal Ventilator Vol. 1 No. 4 (2023): Desember : Jurnal Ventilator
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/ventilator.v1i4.783

Abstract

Management Of External Radiotherapy Irradiation In Vaginal Cancer Using Intensity Modulated Radiation Therapy (IMRT) Technique At The Cancer Center Radiotherapy Santosa Hospital Bandung Kopo. Vaginal carcinoma constitutes approximately 2% of all malignant neoplasms that occur in the female genital tract. Vaginal carcinoma can arise from various types of cells within the vaginal wall and is often associated with risk factors such as exposure to certain carcinogens (8). Cancer is one of the main causes of death throughout the world. Based on GLOBOCAN data, the International Agency for Research on Cancer (IARC) in 2018, deaths caused by cancer reached around 9.5 million people, with 60% of cancer deaths in Asia. (7) Radiotherapy is a cancer treatment approach that uses light. ionizer to damage tumor cells while maintaining the integrity of surrounding healthy tissue. The main focus is to eliminate as many cancer cells as possible while reducing the negative impact on normal tissue around the tumor area. (20) There are several treatments for patients suffering from vaginal cancer, namely surgery, radiation, brachytherapy, and external radiation based on the size and stage of the tumor suffered by the patient. (3) Based on the book "Target Volume Dileniation And Filed Setup" (a practical guide for conformal and Intensity-Modulated Radioation Therapy), Arno.J, (2013: 201), all vaginal cancer patients who undergo radiation using the IMRT technique must simulated in a supine position and the patient's legs straight with a thermoplastic immobilization mask and adjusted immobilization of the upper and lower body (16).