Pengaruh Tegangan terhadap Nilai CTDIvol, Dose Length Product dan Dosis Efektif pada Pemeriksaan Computed Tomography (CT) Abdomen: Studi di Rumah Sakit Umum Pusat Dr. M. Djamil
DOI:
https://doi.org/10.25077/jfu.12.4.591-597.2023Keywords:
CTDIvol, CT Scan, DLP, Dosis efektif, TeganganAbstract
Penelitian ini bertujuan untuk menginvestigasi dampak variasi tegangan pada dosis radiasi yang diterima oleh pasien yang menjalani pemeriksaan Computed Tomography (CT) abdomen menggunakan mesin pemindai Philips 128 slice. Penelitian ini difokuskan pada evaluasi hubungan antara tegangan, Compued Tomography Dose Index Volume (CTDIvol), Dose Length Product (DLP), dan dosis efektif pada organ gonad pasien. Sampel terdiri dari 20 pasien dengan postur tubuh normal yang menjalani pemeriksaan CT abdomen, dengan variasi tegangan sebesar 100 kV dan 120 kV. Temuan penelitian menunjukkan bahwa nilai rata-rata CTDIvol adalah (72,028 ± 18,88) mGy dan DLP diukur sebesar (3369,06 ± 1036,70) mGy.cm. Selain itu, dosis efektif yang diserap organ gonad sebesar (6,8011 ± 2,30) mSv. Terdapat peningkatan yang signifikan secara statistik dalam CTDIvol, DLP, dan dosis efektif dengan peningkatan variasi tegangan. Hubungan ini didukung oleh P-value < 0,05, menunjukkan signifikansi statistiknya. Hasil ini menunjukkan pentingnya mempertimbangkan pengaturan tegangan dalam mengoptimalkan protokol pemeriksaan CT untuk menjaga keselamatan pasien. Dengan memahami pengaruh tegangan pada dosis radiasi, para profesional kesehatan dapat mengadopsi strategi untuk meminimalkan paparan radiasi pada pemeriksaan CT abdomen.References
AAPM. (2008). The Measurement, Reporting, and Management of Radiation Dose in CT. AAPM report no. 96.
Anam, C., Haryanto, F., Widita, R., Arif, I., Dougherty, G., dan McLean, D. (2018). Volume computed tomography dose index (CTDIvol) and size-specific dose estimate (SSDE) for tube current modulation (TCM) in CT scanning. International Journal of Radiation Research, 16(3).
Blanke, P., Bulla, S., Baumann, T., Siepe, M., Winterer, J. T., Euringer, W., Schäfer, A. O., Kotter, E., Langer, M., dan Pache, G. (2010). Thoracic aorta: Prospective electrocardiographically triggered CT angiography with dual-source CT - Feasibility, image quality, and dose reduction. Radiology, 255(1), 207–217.
Curry, T. S., Dowdey, J. E., dan Murray, R. C. J. (1990). Christensen’s physics of diagnostic radiology 4th edition. Lea and Febiger.
Fitriana, L., dan Utami, H. S. (2021). Perbedaan Nilai Image Noise Dan Dosis Radiasi Dengan Menggunakan Automatic Exposure Control (Aec) Pada Pemeriksaan Ct Scan. Jurnal Kesehatan, 12(2), 131–136.
Gharbi, S., Labidi, S., Mars, M., Chelli, M., Meftah, S., dan Ladeb, M. F. (2018). Assessment of organ dose and image quality in head and chest CT examinations: A phantom study. Journal of Radiological Protection, 38(2), 807–818.
Hidayanto, E., dan Arifin, Z. (2014). Pengaruh Variasi Faktor Eksposi (Tegangan Tabung dan Arus Waktu) serta Pitch terhadap Computed Tomography Dose Index (CTDI) Di Udara Menggunakan CT Dose Profiler. Youngster Physics Journal, 3(4), 364–372.
Ibrahim, A. A., Abdullah, B., dan Halide, H. (2018). Estimasi Dosis Efektif Pasien Bagian Abdomen dari Hasil Pemeriksaan CT-Scan Merek Siemens SOMATOM. Positron, 8(2), 39.
Irsal, M., Nurbaiti, N., Mukhtar, A. N., Gunawati, S., dan Hidayat, W. (2021). Pengaruh Tegangan Tabung terhadap Kualitas Citra pada Pemeriksaan Computed Tomography Kepala menggunakan Iterative Reconstruction. Jurnal Teori dan Aplikasi Fisika, 9(1), 103–110.
Irsal, M., dan Winarno, G. (2020). Pengaruh Parameter Milliampere-Second (mAs) terhadap Kualitas Citra dan Dosis Radiasi Pada Pemeriksaan CT scan Kepala Pediatrik. Jurnal Fisika Flux: Jurnal Ilmiah Fisika FMIPA Universitas Lambung Mangkurat, 17(1), 1.
Nurhayati, A. Y., Nariswari, N. N., Rahayuningsih, B., dan Hariadi, Y. C. (2019). Analisis Variasi Faktor Eksposi dan Ketebalan Irisan Terhadap CTDI dan Kualitas Citra Pada Computed Tomography Scan (Analysis of Variation of Exposure Factor and Slice Thickness On CTDI and Image Quality at Computed Tomography Scan). Berkala Saintek, 7(1), 7–12.
Satwika, L. G. P., Ratini, N. N., dan Iffah, M. (2021). Pengaruh Variasi Tegangan Tabung Sinar-X terhadap Signal to Noise Ratio (SNR) dengan Penerapan Anode Heel Effect menggunakan Stepwedge Effect of X-ray Tube Voltage Variation on Signal to Noise Ratio (SNR) by Application of Anode Heel Effect using Step. Buletin Fisika, 22, 20–28.
Wahyuni, S., dan Amalia, L. (2022). Perkembangan dan Prinsip Kerja Computed Tomography (CT Scan). GALENICAL : Jurnal Kedokteran dan Kesehatan Mahasiswa Malikussaleh, 1(2), 88.
Downloads
Additional Files
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Jurnal Fisika Unand
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Please find the rights and licenses in JFU (Jurnal Fisika Unand).
1. License
The non-commercial use of the article will be governed by the Creative Commons Attribution license as currently displayed on Creative Commons Attribution-NonCommercial 4.0 International License.
2. Authors Warranties
The author warrants that the article is original, written by stated author(s), has not been published before, contains no unlawful statements, does not infringe the rights of others, is subject to copyright that is vested exclusively in the author and free of any third party rights, and that any necessary written permissions to quote from other sources have been obtained by the author(s).
3. User Rights
JFU's spirit is to disseminate articles published are as free as possible. Under the Creative Commons license, JFU permits users to copy, distribute, display, and perform the work for non-commercial purposes only. Users will also need to attribute authors and JFU on distributing works in the journal.
4. Rights of Authors
Authors retain the following rights:
- Copyright, and other proprietary rights relating to the article, such as patent rights,
- The right to use the substance of the article in future own works, including lectures and books,
- The right to reproduce the article for own purposes, provided the copies are not offered for sale,
- The right to self-archive the article.
5. Co-Authorship
If the article was jointly prepared by other authors, the signatory of this form warrants that he/she has been authorized by all co-authors to sign this agreement on their behalf, and agrees to inform his/her co-authors of the terms of this agreement.
6. Termination
This agreement can be terminated by the author or JFU upon two months notice where the other party has materially breached this agreement and failed to remedy such breach within a month of being given the terminating partys notice requesting such breach to be remedied. No breach or violation of this agreement will cause this agreement or any license granted in it to terminate automatically or affect the definition of JFU.
7. Royalties
This agreement entitles the author to no royalties or other fees. To such extent as legally permissible, the author waives his or her right to collect royalties relative to the article in respect of any use of the article by JFU or its sublicensee.
8. Miscellaneous
JFU will publish the article (or have it published) in the journal if the articles editorial process is successfully completed and JFU or its sublicensee has become obligated to have the article published. JFU may conform the article to a style of punctuation, spelling, capitalization, referencing and usage that it deems appropriate. The author acknowledges that the article may be published so that it will be publicly accessible and such access will be free of charge for the readers.