Determination of Critical Organ Effective Dose in Head CT Scan Examination at Bali Mandara Hospital
DOI:
https://doi.org/10.29408/kpj.v9i1.28471Keywords:
Effective dose, DLP, CTDIvol, CT Scan, Critical Organ, HeadAbstract
The study aims to determine the effective dose to critical organs in head CT scans at RSUD Bali Mandara and analyse the difference in effective dose between male and female patients and compare it with BAPETEN's normal threshold. Secondary data including current, voltage, CTDIvol, and DLP were collected and grouped by gender. The effective dose was calculated by multiplying DLP by the conversion factor K and CTDIvol by the organ weight factor (WT). The mean effective dose of male patients was 4.35 ± 0.68 mGy, while that of female patients was 4.00 ± 0.53 mGy. The effective dose of critical organs for males was 0.642 mGy and for females 0.613 mGy, with higher doses for males. Statistical analysis using t-test shows the value of tcount < ttable, which indicates that the effective dose in head CT scan examination at RSUD Bali Mandara is still within normal limits according to the BAPETEN DRL standard Number: 1211/K/V/2021.
References
Alarki, N. M. E., 2012. Radiation Risk to Critical Organ During Brain CT. Tesis. Sudan Academy of Science. Sudan.
https://www.osti.gov/etdeweb/biblio/22150232
Anwar, E. D., 2011, Sistem Proteksi Radiasi : Analisis Terhadap Bidang Radiologi Rumah Sakit, Phenom, Vol. 1(1) :48-63.
https://doi.org/10.21580/phen.2011.1.1.444
Bontrager, K. L., dan Lampignano, J. 2018, Textbook of Radiographic Positioning and Related Anatomy. Ninth Edition. Elsevier Health Sciences Division. Missouri.
Bontrager, K. L., & Lampignano, J. (2018). Textbook of radiographic positioning and related anatomy (9th ed.). Elsevier Health Sciences Division
Dabukke, H., 2015. Pengaruh Faktor Ekspose Terhadap Kontras Resolusi CT Scan. Skripsi, Universitas Sumatera Utara. Medan.
Ghannam, M. G., & Sing, P., 2024. Anatomy, Head and Neck, Salivary Glands, StarPearls.
https://www.ncbi.nlm.nih.gov/books/NBK538325/ [Diakses pada tanggal 24 oktober 2024]
Horuoby, P. S., Diartama A. A. A., Sukadana, I. K., 2023, Analisis Nilai CTDIvoml Dan DLP Pada Pemeriksaan CT Scan Brain Non Kontras Dewasa Untuk Periode Januari-Desember 2022 di instalasi Rumah Sakit X Jakarta Pusat. Rumpun Ilmu Kesehatan, Vol. 3(3) : 280-293. https://doi.org/10.55606/jrik.v3i3.2687
Hamada, N., Azizova, T. V., Little, M. P., 2020. An Update on Effect of Ionizing Radiation Exposure on The Eye, British Journal Of Radiology, Vol. 93 (1115) : 20190829.
https://doi.org/10.1259/bjr.20190829
Irsal, M., dan Winarno, G., 2020, Pengaruh Miliampre-Second (mAs) Terhadap Kualitas Citra dan Dosis Radiasi pada Pemeriksaan Computed Tomography, Jurnal Fisika Flux, Vol. 17(1) : 1-8.
https://ppjp.ulm.ac.id/journal/index.php/f/article/view/7085/5976
Kristinayanti, N. K. D., Iffah, M., Jenithayanti, N. P. R., Astina, K. Y., 2019, Analisis Pengaruh Scan Length Terhadap Nilai Dose Length Product pada CT Scan Multislice di RSUD Mangusada Badung, Imeging Journal. Vol. 3(1).
https://ejournal.atro-bali.ac.id/index.php/imejing/view/35
Mahardika, I. G. P. G. O., Suryatika, I. B. M., Putra, I. K., dan Irhaz, R., 2023, Penentuan Dosis Efektif pada Abdo Pelvis dan Organ Kritis dari Hasil Penyinaran Computed Tomography Scanner (CT Scan), Kappa Journal, Vol. 7(2) : 84-91.
https://doi.org/10.29408/kpj.v7i2.7676
Noor, J. A. E., dan Nurmahayu, I., 2014, Dosis Radiasi dari Tindakan CT Scan Kepala, Jeest, Vol. 1(2) : 84-91.
http://dx.doi.org/10.21776/ub.jeest.2014.001.02.3
Nuban, D. M., 2021, Analisis Dosis Radiasi pada Pemeriksaan CT Scan Kepala, Karya Ilmiah, Universitas Widya Husada Semarang, Semarang.
http://eprints.uwhs.ac.id/id/eprint/66
Pohan. M. Y., 2019. Analisa Sistem Kelistrikan Computerized Tomography Scan di Rumah Sakit Haji Medan. Skripsi, Universitas Pembangunan Panca Budi Medan. Medan.
https://repository.pancabudi.ac.id/website/detail/17308
Sipul, W. S., Suryatika, I. B. M., dan Sudarsana, I. W., 2022, Penentuan Dosis Efektif Organ At Risk Terhadap Penyinaran Kepala dengan Pesawat CT Scan Merk Siemens 128 Slice di RSUP Sanglah Denpasar, Kappa Journal, Vol. 6(2) : 338-346.
https://doi.org/10.29408/kpj.v6i2.6389
Septadina, I. S., 2015, Perubahan Anatomi Bola Mata Pada Penderita Diabetes, Majalah Kedokteran Sriwijaya, Vol. 47(2) : 139-143.
http://ejournal.unsri.ac.id/index.php/mks/article/view/2757
Soediatmoko, E., 2011, Estimasi Dosis Radiasi pada Pemeriskaan CT Scan Kepala, Skripsi, Universitas Indonesia, Depok.
https://lib.ui.ac.id/m/detail.jsp?id=20290765 &lokasi=lokal
Sukmana, F., Sutapa, N. G., Kasmawan, I. G. A., dan Irhaz, R., 2022, Analisis Dosis Efektif pada Pemeriksaan Computed Tomography (CT) Scan Abdomen di RSU Bali Jimbaran, Kappa Journal, Vol. 6(2) : 140-147.
https://doi.org/10.29408/kpj.v6i2.6115
Sutapa, G. N., Wiidyasari, N. L., dan Dewi, N. K. A. A., 2013, Mendalami Respon Adaptasi Sel Terhadap Paparan Radiasi Pengion, Buletin Alara, Vol. 15 (1) : 9-14.
https://lib.fkm.ui.ac.id/detail?id=122755&lokasi=lokal
Trikasjono, T., Marjanto, D., dan Timoti, B., 2009, Analisis Keselamatan Pesawat Sinar-X di Instalasi Radiologi Rumah Sakit Umum Daerah Sleman Yogyakarta, Prosiding Seminar Nasional Sains dan Teknologi Nuklir, Yogyakarta, Sleman: 278-289.
https://www.osti.gov/etdeweb/biblio/22136764
Valentin, J., & International Commission on Radiation Protection (2007). Managing patient dose in multi-detector computed tomography(MDCT). ICRP Publication 102. Annals of the ICRP, Vol. 37(1) : 1–79.
https://doi.org/10.1016/j.icrp.2007.09.001
Wahyuni, S., dan Amalia, L., 2022, Perkembangan dan Prinsip Kerja Computed Tomograph (CT Scan), Kedokteran dan Kesehatan Malikkusaleh, Vol. 1(1) : 88-99.
https://doi.org/10.29103/jkkmm.v1i2.8097
Wanara, N., Hamdi, M., dan Sinuraya, S., 2020, Estimasi Nilai Dosis Efektif Pasien Citra Medis CT Scan Asteoin Multi 32 Slice Bagian Abdomen, Komunikasi Fisika Indonesia, Vol. 17(2) : 80-89.
https://dx.doi.org/10.31258/jkfi.17.2.80-86
Wiendartun. 2021, Pengantar Fisika Zat Padat. Universitas Terbuka.
Yogantara, P.G.A.K., Sutapa, G. N., Yuliara, I. M., 2021, Analisis Dosis Efektif pada Pemeriksaan Computed Tomography (CT) Scan di RSUD Sanjiwani Gianyar, Buletin Fisika, Vol. 22(1) : 52-59. https://ojs.unud.ac.id/index.php/buletinfisika/article/download/63631/368742
Published
Issue
Section
License
Copyright (c) 2025 Gusti Ngurah Sutapa, Winer Johan Bora, I Gde Antha Kasmawan, Ni Kadek Nova Anggarani, I Ketut Putra, Ni Putu Yuni Nurmalasari
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
