Menentukan Potensi Resiko Kanker pada Pemeriksaan CT Scan Toraks dengan Metode SSED

Authors

  • Gusti Ngurah Sutapa Universitas Udayana
  • Ni Putu Aprillia Artanti Phalosa Universitas Udayana
  • I Wayan Balik Sudarsana Instalasi Radiologi, Rumah Sakit Prof. Dr. I G. N. G. Ngoerah
  • Ni Nyoman Ratini Universitas Udayana
  • I Made Yuliara Universitas Udayana
  • I Wayan Supardi Universitas Udayana

DOI:

https://doi.org/10.29408/kpj.v8i3.27804

Keywords:

CT Scan, cancer risk, SSDE, SSED, thorax

Abstract

This study aims to determine the potential risk of thoracic organ cancer in CT Scan examinations using the Size-Specific Effective Dose (SSED) method, considering the importance of accurate radiation dose measurement to minimize the risk of cancer due to radiation exposure. The analysis was conducted on 30 female patients and 30 male patients in the adult category (17 - 45 years) at the Radiology Installation of Prof. Dr. I G. N. G. Ngoerah Hospital, Denpasar, using a descriptive quantitative approach with secondary data. The results showed that the Size-Specific Dose Estimate (SSDE) and SSED values ​​in female patients were 6.51 ± 0.70 mGy and 2.95 ± 0.48 mSv, respectively, while in male patients they were 6.38 ± 0.49 mGy and 2.27 ± 0.26 mSv. The risk of cancer in female patients is estimated at 0.016% and in male patients it is 0.012%. The Anova test showed a significant difference between the dose values ​​of the SSDE and SSED methods, which was caused by SSED only considering the dose of organs covered in the CT Scan image. However, the t-test showed that the doses from both methods did not exceed the BAPETEN standard No. 8 of 2011, so that the thoracic CT Scan examination in this Installation is safe and feasible to use.  

References

AAPM, 2. R. (2011). Size-Specific Dose Estimate (SSDE) in Pediatric and Adult Body CT Examinations. College Park, Maryland: American Association of Physicsts in Medicine.

BAPETEN. (2020, Oktober 20). Peraturan Badan Pengawas Tenaga Nuklir Nomor 4 Tahun 2020. Diambil kembali dari Peraturan JDIH BPK: https://peraturan.bpk.go.id/Details/255784/peraturan-bapeten-no-4-tahun-2020

Fajria, N., Budi, W. S., & Arifin, Z. (2014). Analisis Perbandingan Parameter dan Profil Dosis Menggunakan Phantom Standar dan Tidak Standar. Youngster Physics Journal, 3(4), 303-310. Diambil kembali dari https://ejournal3.undip.ac.id/index.php/bfd/article/view/7069

Kut, M. C., Prasodjo, D., & Sulistyaningsih, E. (2024). Teknik Pemeriksaan CT-Scan Thorax dengan Indikasi Suspect Massa Mediastinum di Instalasi Radiologi RSUD Sleman. Seminar Nasional Penelitian dan Pengabdian Kepada Masyarakat. 2, hal. 2118-2121. Yogyakarta: LPPM Universitas 'Aisyiyah Yogyakarta. Diambil kembali dari https://proceeding.unisayogya.ac.id/index.php/prosemnaslppm/article/view/768

Martin, C. J., Abuhaimed, A., & Lee, C. (2021). Dose Quantities for Measurement and Comparison of Doses to Individual Patients in Computed Tomography (CT). Journal of Radiological Protection, 41(4), 1-22. doi:doi: 10.1088/1361-6498/abecf5

Nurzahro, N. F., Sutapa, G. N., Sudarsana, W. B., Ratini, N. N., Suardana, P., & Putra, I. K. (2024). Penentuan Nilai Computed Tomography Dose Index (CTDIvol) dan Dose Length Product (DLP) Pesawat CT Scan Kepala pada Kasus Stroke Non Hemoragik (SNH). Kappa Journal, 208-214.

Safitri, R., & Nurmalita. (2014). The Method of CT Dosimetry Based on the CTDI (Computed Tomography Dose Index) for the Treatment of the Human's Head. Journal of Aceh Physics Society, 3(1), 1-12. Diambil kembali dari https://jurnal.usk.ac.id/JAcPS/article/view/4364

Saputra, E., Sutapa, G. N., & Pranditayaa, I. N. (2023). Estimasi Dosis Serap dengan Metode Size Specific Dose Estimation (SSDE) dan Risiko Radiasi pada Pemeriksaan CT-Scan Kepala di Rumah Sakit daerah Mangusada Kabupaten Badung. Kappa Journal, 7(1), 87-96. doi:https://doi.org/10.29408/kpj.v7i1.12985

Saputri, L. D., Santoso, B., Oktavianto, A. N., & Anita, F. (2017). Analisis Dosis Serap CT Scan Thorax dengan Computed Tomography Dose Index dan Thermoluminescence Dosimeter. Jurnal Ilmiah GIGA, 20(1), 10-14. doi:https://doi.org/10.47313/jig.v20i1.546

Sari, N. L., Wonga, H., Hartoyo, P., Anita, F., Vekky, V., Repi, R., & Muliyati, D. (2023). Evaluasi Size Specific Dose Estimate Berdasarkan Diameter Efektif (SSDEde) Pemeriksaan Abdomen di DKI Jakarta. Jurnal Ilmiah GIGA, 88-95.

Stanislaus, S. (2009). Pedoman Analisis Data dengan SPSS. Yogyakarta: Graha.

Sugiyono. (2021). Statistika Untuk Penelitian. Bandung: Alfabeta.

Sukmana, F., Sutapa, G. N., Kasmawan, I. G., & Irhaz, R. (2022). Analisis Dosis Efektif pada Pemeriksaan Computer Tomography (CT) Scan Abdomen di RSU Bali Jimbaran. Kappa Journal, 6(2), 140-147. doi:https://doi.org/10.29408/kpj.v6i2.6115

Yogantara, P. G., Sutapa, G. N., & Yuliara, I. M. (2021). Analisis Dosis Efektif Pada Pemeriksaan Computer Tomography (CT) Scan Kepala di RSUD Sanjiwani Gianyar. Buletin Fisika, 22(2), 53-59. doi:https://doi.org/10.24843/BF.2021.v22.i02.p01

Downloads

Published

2024-12-10

Issue

Vol. 8 No. 3 (2024): Desember (On Process)

Section

Articles

License

Copyright (c) 2024 Kappa Journal

Creative Commons License

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Semua tulisan pada jurnal ini menjadi tanggungjawab penuh penulis. Jurnal Kappa memberikan akses terbuka terhadap siapapun agar informasi dan temuan pada artikel tersebut bermanfaat bagi semua orang. Jurnal Kappa dapat diakses dan diunduh secara gratis, tanpa dipungut biaya, sesuai dengan lisensi creative commons yang digunakan