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All Journal Jurnal Imejing Diagnostik Hawa : Jurnal Pemberdayaan Dan Pengabdian Masyarakat (HAWAJPPM)
Juliasa, I Wayan
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Economics, Econometrics & Finance Education Health Professions Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Social Sciences

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Terapi Radiasi Eksternal dengan Metode Hypofractionated pada Kanker payudara Post Breast Conserving Surgery di Instalasi Onkologi Radiasi Rumah Sakit Indriati Solo Baru: Studi Kasus Rorong, Fabrizio Alessandro; Prasetya, I Made Lana; Juliasa, I Wayan
Jurnal Imejing Diagnostik (JImeD) Vol 11, No 1 (2025): JANUARY 2025
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v1i1.11878

Abstract

Background: Radiotherapy is one method of cancer treatment that uses radiation to destroy cancer cells. Radiation dose delivery is done gradually through a process called fractionation, which is divided into conventional and hypofractionated fractions. In the radiation oncology installation of the new Indriati Solo Hospital, some breast cancer patients have received treatment with the hypofractionated method, while the majority still use the conventional fraction method. The hypofractionated method aims to reduce the number of treatment sessions by increasing the dose in each fraction with outcomes comparable to conventional fractions.Methods: This research method is descriptive qualitative with a case study approach. The study involves breast cancer patients post-Breast Conserving Surgery (BCS), Data were gathered through interviews with radiation oncologists, radiotherapists, and medical physicists, along with direct observations and patient record analysis The collected data were analyzed descriptively to evaluate the application and effectiveness of the hypofractionated method.Results: The results showed that the use of hypofractionated can shorten OTT (Overall Treatment Time), as well as better side effects than conventional fractions, and effectively reduce the number of queues of radiotherapy patients. In conclusion, the use of the hypofractionated method is very effective and recommended for radiotherapy treatment in breast cancer.Conclusions: Hypofractionated radiotherapy for breast cancer patients at Indriati Solo Baru has proven effective in reducing OTT and patient queues, with outcomes comparable to conventional fractionation. Further research is needed to assess long-term benefits, including quality of life, recurrence rates, cost-effectiveness, and dose distribution, particularly in high-volume healthcare settings. Hypofractionated radiotherapy is a promising alternative.
Terapi Radiasi Eksternal dengan Metode Hypofractionated pada Kanker payudara Post Breast Conserving Surgery di Instalasi Onkologi Radiasi Rumah Sakit Indriati Solo Baru: Studi Kasus Rorong, Fabrizio Alessandro; Prasetya, I Made Lana; Juliasa, I Wayan
Jurnal Imejing Diagnostik (JImeD) Vol. 11 No. 1 (2025): JANUARY 2025
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v1i1.11878

Abstract

Background: Radiotherapy is one method of cancer treatment that uses radiation to destroy cancer cells. Radiation dose delivery is done gradually through a process called fractionation, which is divided into conventional and hypofractionated fractions. In the radiation oncology installation of the new Indriati Solo Hospital, some breast cancer patients have received treatment with the hypofractionated method, while the majority still use the conventional fraction method. The hypofractionated method aims to reduce the number of treatment sessions by increasing the dose in each fraction with outcomes comparable to conventional fractions.Methods: This research method is descriptive qualitative with a case study approach. The study involves breast cancer patients post-Breast Conserving Surgery (BCS), Data were gathered through interviews with radiation oncologists, radiotherapists, and medical physicists, along with direct observations and patient record analysis The collected data were analyzed descriptively to evaluate the application and effectiveness of the hypofractionated method.Results: The results showed that the use of hypofractionated can shorten OTT (Overall Treatment Time), as well as better side effects than conventional fractions, and effectively reduce the number of queues of radiotherapy patients. In conclusion, the use of the hypofractionated method is very effective and recommended for radiotherapy treatment in breast cancer.Conclusions: Hypofractionated radiotherapy for breast cancer patients at Indriati Solo Baru has proven effective in reducing OTT and patient queues, with outcomes comparable to conventional fractionation. Further research is needed to assess long-term benefits, including quality of life, recurrence rates, cost-effectiveness, and dose distribution, particularly in high-volume healthcare settings. Hypofractionated radiotherapy is a promising alternative.
PENINGKATAN PEMAHAMAN MASYARAKAT TENTANG KESELAMATAN RADIASI MELALUI EDUKASI DAN SOSIALISASI DI RSUD. MUHAMMAD SANI KARIMUN Wedayanti, Luh Deva; Juliasa, I Wayan
Hawa : Jurnal Pemberdayaan Dan Pengabdian Masyarakat Vol. 3 No. 3 (2025): Desember 2025 Hawa : Jurnal Pemberdayaan Dan Pengabdian Masyarakat (HAWAJPPM)
Publisher : Yayasan Wayan Marwan Pulungan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69745/hawajppm.v3i3.126

Abstract

Keselamatan radiasi merupakan aspek penting dalam pelayanan radiologi untuk melindungi pasien, tenaga kesehatan, dan masyarakat dari paparan berlebih. Kegiatan pengabdian masyarakat ini dilaksanakan di RSUD Muhammad Sani dengan tujuan meningkatkan pemahaman masyarakat mengenai dasar radiasi, manfaat diagnostik dan terapetik, risiko paparan, serta prinsip keselamatan radiasi termasuk ALARA. Metode kegiatan meliputi ceramah, diskusi interaktif, pembagian leaflet edukasi, serta evaluasi melalui pre-test dan post-test. Hasil menunjukkan adanya peningkatan signifikan pada pengetahuan peserta setelah edukasi, terutama terkait prinsip proteksi radiasi dan prosedur keselamatan. Kegiatan ini juga menurunkan kecemasan masyarakat terhadap radiasi dan meningkatkan sikap proaktif dalam memperoleh informasi sebelum pemeriksaan. Secara keseluruhan, program ini efektif dalam meningkatkan literasi keselamatan radiasi dan mendukung budaya keselamatan di lingkungan pelayanan radiologi.
Prosedur Pemeriksaan MSCT Pelvis Studi Kasus Tumor Pelvis di Instalasi Radiologi RSUD Muhammad Sani Karimun Wedayanti, Luh Deva; Juliasa, I Wayan; Suci, Puspa Pamella
Jurnal Imejing Diagnostik (JImeD) Vol. 12 No. 1 (2026): JANUARY 2026
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v12i1.14199

Abstract

Background: Multislice Computed Tomography (MSCT) is widely used for pelvic imaging because of its high spatial resolution, rapid acquisition time, and multiplanar reconstruction capability. Pelvic tumors require detailed evaluation of their margins, extent, and anatomical relationships with surrounding structures. At Muhammad Sani Hospital Karimun, MSCT pelvis examinations for suspected pelvic tumors are performed using a two-stage protocol: an initial intravenous (IV) contrast-enhanced scan followed by a second scan utilizing intragenital iodine contrast and rectal air as negative contrast. This imaging approach differs from standard MSCT pelvis protocols and is applied to improve visualization of tumor boundaries in selected cases. Methods: This study is a descriptive observational study in the form of a case report involving a single patient who underwent a two-stage MSCT pelvis examination. Result: The first stage, using IV contrast enhancement, provided information regarding tumor location, density characteristics, and possible extension but was limited in clearly defining tumor margins. The second stage involved intragenital administration of iodine contrast through catheterization and rectal air insufflation, which improved visualization of the anatomical boundaries between the tumor, urinary bladder, and rectosigmoid colon. Imaging findings were assessed descriptively without inferential statistical comparison between techniques. A cystic-solid mass measuring 10.5 × 6.2 × 8.4 cm was identified in the right pelvic region, along with an isodense mass measuring 4.0 × 6.2 cm in the left pelvis. The combined imaging approach subjectively enhanced visualization of tumor margins and anatomical relationships compared to the initial IV contrast scan alone, thereby increasing diagnostic confidence in tumor characterization. Conclusions: The two-stage MSCT pelvis protocol using IV contrast followed by intragenital iodine contrast and rectal air may provide improved visual delineation of pelvic tumor margins in this observed case. This technique represents a practical clinical variation of the anal marker method. However, the observed improvement is descriptive in nature and not based on comparative inferential analysis. Further studies with larger sample sizes and standardized comparison are required before drawing definitive conclusions or recommending routine implementation of this protocol.
Co-Authors I Made Lana Prasetya Rorong, Fabrizio Alessandro Suci, Puspa Pamella Wedayanti, Luh Deva