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All Journal Radioterapi & Onkologi Indonesia Indonesian Physical Review Jurnal Klinik dan Riset Kesehatan International Journal of Radiology and Imaging
Nugroho, Rafiq Sulistyo
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Biochemistry, Genetics & Molecular Biology Computer Science & IT Dentistry Education Health Professions Medicine & Pharmacology Neuroscience Nursing Physics Public Health Other

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Utilization of hypofractionated radiotherapy for breast cancer among Indonesian Radiation Oncologists during and after pandemic COVID-19 Nugroho, Rafiq Sulistyo; Bani Kuncoro, Elia Aditya; Huswatun, Aida Lufti
Radioterapi & Onkologi Indonesia Vol 15, No 1 (2024): Vol.15, No. 1(2024): Volume 15 No. 1 January 2024
Publisher : Perhimpunan Dokter Spesialis Onkologi Radiasi Indonesia (PORI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32532/jori.v15i1.150

Abstract

Background: The incidence of breast cancer (BC) increases over time. However, the availability of radiotherapy machines is minimal, especially after the COVID-19 pandemic. Hypofractionated radiotherapy (HFRT) may provide a solution for this situation. We intended to evaluate the practice of HFRT for BC patients amongst the Indonesian Radiation Oncologist Society members.Material and methods: This study uses a Google Form questionnaire distributed personally in early October 2021. Statistical analysis uses descriptive and Chi-square/Fisher tests.Results: Twenty-nine participants filled out the questionnaire. One-third of participants worked at Academic Hospital and were aged 35 - 45 years old. Most of the participants had working experience of fewer than ten years. 4 (13.8 %) and 3 (10.3 %) participants preferred HFRT for WBI with or without regional node irradiation. Only one participant selected HFRT for PMRT. 9 (31 %) and 8 (27.5 %) participants chose both HFRT and CFRT for postmastectomy with or without reconstruction. Conclusion: The utilization of HFRT in routine practice amongst Indonesian RO is still low despite proven clinical benefits. Continuing medical education about evidence-based may increase the translation of clinical trials into daily practice.
RADIATION THERAPY FOR ENDOMETRIAL STROMAL SARCOMA: A LITERATURE REVIEW Kusumaningrum, Nadia Nita; Dyarma, Kadiota Rasika; Nugroho, Rafiq Sulistyo; Petrarizky, Alfred Julius
International Journal of Radiology and Imaging Vol. 3 No. 02 (2024): International Journal of Radiology and Imaging
Publisher : Department of Radiology, Medical Faculty, University of Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.ijri.2024.003.02.6

Abstract

Background: Endometrial Stromal Sarcoma (ESS) is a part of uterine sarcoma that can clinically manifest with abnormal vaginal bleeding, postmenopausal bleeding, uterine enlargement or mass, dysmenorrhea, pelvic pressure, or pain. ESS is divided into four main categories: endometrial stromal nodule, low-grade ESS, high-grade ESS, and undifferentiated uterine sarcoma. Management for ESS includes surgery, chemotherapy, radiotherapy, and hormone therapy. We want to review the role of radiation therapy for endometrial stromal sarcoma, from several pieces of literature. Material and Methods: We are conducting a literature review to describe the role of radiation therapy for ESS. Results: Radiotherapy serves as an adjuvant treatment in ESS, potentially improving prognosis and survival rates. While early-stage ESS may not necessitate radiotherapy, it can be considered for ESS cases with metastasis or when surgery is not an option. Conclusion: According to previous studies, radiotherapy for ESS can improve disease-free survival and increase patient survival. On the other hand, there are studies that still require large-scale prospective studies to validate the effectiveness of radiotherapy for ESS. Keywords: Endometrial Stromal Sarcoma, Radiotherapy, Effectiveness
Hubungan Kadar Trombosit dengan Gambaran Luas Lesi Tuberkulosis Paru melalui Foto Chest X-Ray Alimsjah, Yohanes Audric; Yueniwati, Yuyun; Nugroho, Rafiq Sulistyo
Jurnal Klinik dan Riset Kesehatan Vol 4 No 2 (2025): Edisi Februari
Publisher : RSUD Dr. Saiful Anwar Province of East Java

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/jk-risk.04.2.4

Abstract

Background: Pulmonary tuberculosis (TB) is a chronic inflammatory disease accompanied by changes in particular haematological parameters within the blood. The changes in the composition of blood cells can be potential biomarkers to assist tuberculosis diagnosis beside using clinical, microbiological, and radiological tools. Platelets play a vital part in chronic inflammation since they contain different sorts of mediators that are involved in lung damage which is reflected in the extent of lesions on radiological examination. Aim: The research aims to compare the platelets level between minimal/moderate versus extensive lesions in the patient with TB. Methods: The research was a retrospective, cross-sectional study of patients with pulmonary tuberculosis who were treated at Saiful Anwar Hospital from January 2022 to December 2023. The results of the research were analyzed using the Chi-Square method. Results: Patients with extensive pulmonary TB lesions have platelet levels that tend to be high, in contrast to patients with minimal/moderate pulmonary TB lesions tend to have low platelet levels. Conclusion: There was a significant relationship between platelet levels and the extent of pulmonary tuberculosis lesions.
AN OVERVIEW OF UPDATES ON BREAST ULTRASOUND REPORTING IN A LOW-MIDDLE-INCOME COUNTRY Suwanto, Agnes Wanda; Nugroho, Rafiq Sulistyo; Farah Nurdiana
International Journal of Radiology and Imaging Vol. 4 No. 01 (2025): International Journal of Radiology and Imaging
Publisher : Department of Radiology, Medical Faculty, University of Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.ijri.2025.004.01.4

Abstract

BACKGROUND AND OBJECTIVE: Ultrasound plays an essential role in the initial assessment of breast cancer. This paper review the breast ultrasound report based on ACR BI-RADS 5th edition 2013, with additional information based on a related updated journal. METHOD: A literature review was followed while conducting this study with the keywords “BI-RADS Update”, “Breast Ultrasound”, and “Update Breast Ultrasound Report”. RESULT: Minimal progress has been made since ACR BI-RADS 5th edition. Meanwhile, the clinical applicability of breast ultrasound reporting could adapt to local policies as needed. CONCLUSION: The fifth BI-RADS  widely awaited version includes updates to the ultrasound. The revisions serve multiple key purposes: aligning terminology across imaging techniques such as mammography, ultrasound, and MRI; anticipating the growing use of supplementary screening methods and specialized technologies like automated breast ultrasound and elastography; and facilitating the transition toward more effective and efficient interpretation and reporting.
IMPLEMENTATION OF AAPM TG-218 FOR PATIENT SPECIFIC QUALITY ASSURANCE (PSQA) IN THE CASE OF THORACIC TARGET REGION USING IMRT RADIOTHERAPY TECHNIQUE WITH EPID aSi-1200 Listiono, Firza Indrastata; Noor, Johan Andoyo Effendi; Herwiningsih, Sri; Dwiyono, Agustinus Gatot; Martono, Sri; Nugroho, Rafiq Sulistyo; Petrarizky, Alfred Julius
Indonesian Physical Review Vol. 8 No. 3 (2025)
Publisher : Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/ipr.v8i3.502

Abstract

The implementation of Patient-Specific Quality Assurance (PSQA) is crucial for ensuring the accuracy and safety of Intensity-Modulated Radiation Therapy (IMRT). This study evaluates the application of AAPM TG-218 recommendations in PSQA for thoracic region treatment using the IMRT technique. The study compares two PSQA methods, Perpendicular Composite (PC) and Perpendicular Field-by-Field (PFF), using Electronic Portal Imaging Device (EPID). Measurements were conducted on 10 IMRT patients using a Varian TrueBeam Linac and Eclipse TPS. The Gamma Index (GI) analysis with criteria 3%/3 mm, 3%/2 mm, and 2%/2 mm was used to assess dose distribution accuracy. The results indicate that the average Gamma Passing Rate (GPR) for 3%/2 mm criteria exceeded 95%, which is appropriate with AAPM TG-218 standards. However, stricter criteria (2%/2 mm) did not reach the minimum recommended values. The study suggests that PSQA using EPID with the PFF method under rotational gantry conditions is the most suitable approach for thoracic IMRT treatment verification. The local standardization recommendations from the results of this study can be used as a reference for determining methodological standards in cases of the thoracic region in the IMRT technique to increase efficiency in clinical applications with similar PSQA dosimetry.
INCIDENTAL BONE METASTASIS FINDING FROM CT SIMULATION FOR BREAST CANCER RADIOTHERAPY Nugroho, Rafiq Sulistyo; Amalia, Fini; Bayhaqi Nashir Aslam, Achmad; Petrarizky, Alfred Julius
International Journal of Radiology and Imaging Vol. 3 No. 01 (2024): International Journal of Radiology and Imaging
Publisher : Department of Radiology, Medical Faculty, University of Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776//ub.ijri.2024.003.01.1

Abstract

Breast cancer has the highest tendency for bone metastasis. This study aimed to evaluate bone metastasis using computed tomography (CT) simulation for breast cancer radiotherapy. We retrospectively reviewed the patient's CT images from September 2022 to February 2023. The median age was 48 (34–80), and almost half of the patients had T3-4 and N2-3 disease. Nine out of 53 patients (17%) had bone metastasis, and 8 had multiple lesions. The vertebral spine was the predominant site of bone metastasis. Due to the high rate of bone spreading, bone evaluation is mandatory during CT simulation for more appropriate treatment. Keywords: Bone metastasis, computed tomography, breast cancer
Co-Authors Alimsjah, Yohanes Audric Amalia, Fini Bani Kuncoro, Elia Aditya Bayhaqi Nashir Aslam, Achmad Dwiyono, Agustinus Gatot Dyarma, Kadiota Rasika Farah Nurdiana Huswatun, Aida Lufti Johan Andoyo Effendi Noor, Johan Andoyo Effendi Kusumaningrum, Nadia Nita Listiono, Firza Indrastata Petrarizky, Alfred Julius Sri Herwiningsih Sri Martono, Sri Suwanto, Agnes Wanda Yuyun Yueniwati