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Jurnal Imejing Diagnostik
Published by Poltekkes Kemenkes Semarang
ISSN : 2356301X     EISSN : 26217457     DOI : -
Core Subject : Health,
Health Professions Medicine & Pharmacology
Jurnal Imejing Diagnostik (JImeD) memuat tulisan ilmiah dalam bidang radiologi berupa hasil penelitian dan non penelitian (konseptual). Jurnal Imejing Diagnostik (JImeD) terbit 2 kali dalam satu tahun yaitu pada bulan Januari dan Juli oleh Jurusan Teknik Radiodiagnostik dan Radioterapi, Politeknik Kesehatan Kemenkes Semarang. Jurnal Imejing Diagnostik (JImeD) memuat artikel ilmiah dalam bidang radiologi, meliputi : radiografi konvensional, digital radiografi, CT scan, MRI, kedokteran nuklir, radioterapi dan ilmu lainnya yang berkaitan dengan radiologi.
Arjuna Subject : -
Articles 9 Documents
 1 
Search results for , issue "Vol 4, No 1: January 2018" : 9 Documents clear
TREATMENT OF RADIATION EXTERNAL FOR BRAIN METASTASIS WITH 3D-CRT WITHOUT USING MLC AT RADIOTHERAPY INSTALLATION OF KEN SARAS HOSPITAL Nurul Fatimah MZ; Eko Kuntjoro; Darmini Darmini
Jurnal Imejing Diagnostik (JImeD) Vol 4, No 1: January 2018
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v4i1.4006

Abstract

Background: Brain metastases are common manifestations of malignancies that spread types of cancer such as breast cancer, lung cancer can spread to the brain. Radiotherapy in brain metastases is the chosen palliative treatment because it is considered less invasive. Purpose of this research is to know radiation, radiation optimization with 3D-CRT technique without using MLC at Ken Saras Hospital Radiotherapy Installation.Methods: This research is a qualitative research with case study approach. Data were collected in January-February 2018 at Ken Saras Hospital Radiotherapy Installation with observation, interview and documentation method with Radiation Oncology Specialist, Medical Physicist and Radiografer / Radiotherapist. Data obtained from the study were analyzed by interactive model, making the interview transcript subsequently reduced and processed in the form of open coding, presented in the form of quotations and then can be drawn conclusions.Result: The results showed that external radiation management on 3D-CRT brain metastasis technique without using MLC at Ken Saras Hospital Radiotherapy Installation included patient consultation, CT Simulator shooting images, contouring, medical physics planning and radiation verification and treatment. Optimization of brain metastases radiation without using MLC is done by using gantry and collimator variations.Conclusion : Brain metastases with 3D-CRT technique without using MLC at the Hospital Radiotherapy Installation including patient consultation, CT Simulator firing, medical physics planning then verification and radiation treatment. Optimization of brain metastases with 3D-CRT technique without MLC at Ken Saras Hospital's Radiotherapy Installation can be done using a variety of gantry and collimator variations.
TREATMENT OF RADIOTHERAPY FOR SERVIKS CANCER WITH SEPARATION MORE THAN 20 CENTIMETERS USING COBALT-60 AT UNIT RADIOTHERAPY INSTALLATION RADIOLOGY RSUP DR. KARIADI SEMARANG Galang Harta Widjaya; Fatimah Fatimah; Sudiyono Sudiyono
Jurnal Imejing Diagnostik (JImeD) Vol 4, No 1: January 2018
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v4i1.3975

Abstract

Background: Cervical cancer is a type of cancer that emerges from the cervix. In the early stages of the tumor, treatment therapy will be performed surgically on organs affected by cancer cells, at an advanced stage will be done adjuvant therapy with curative goals through a combination of chemotherapy, surgery, and radiotherapy. In radiotherapy treatment is done with several techniques such as Brachyterapi, IMRT, 3DCRT, and 2D with external aircraft radiation modality with Linac (Linear Accelator) and Cobalt-60. For Brachyterapi (internal radiation) technique, the radiation source is directly placed on the target tumor by using the after loading technique generally, whereas the external radiation techniques of 3DCRT and IMRT are generally performed on external radiation plane using MLC (Multi leaf Collimator) by following the target shape tumors resulting from CT Simulator and TPS (Treatment Planning System) calculations. For IMRT alone the technique used is almost the same as 3DCRT technique. In cobalt-60 is generally used for the treatment of radiation therapy has an average energy of 1.25 MV. At 1.25 MV cobalt energy with 10x10 cm field area will get maximal energy at depth (d max) 0.5 cm and energy will decrease to half (d half) at a depth of 11 centimeter on water media. So that in planning of radiation using cobalt-60 plane have limited separation diameter less than 20centimeter.Methods: This type of research is qualitative with case study approach. the data was collected in October-December 2017 at radiotherapy Installation of Dr. Kariadi General Hospital Semarang by observation methodology, interview with Radiation Oncologist Specialist, Medical Physiciast and Radiographer. the data obtained from the study were analyzed by an interactive model, creating the interview transcripts subsequently reduced and processed within the type of open coding, given within the type of quotations then are often drawn conclusions.Result: The results of this study demonstrate that the management of cervix cancer radiation utilizing 2D procedure in radiotherapy installation of Dr. Kariadi General Hospital Semarang includes patient examination, planning medical physics, verification and radiation treatments. 2D techniques are used pupose to paliative radiation, homogenity of dose and the location of the target volume is close to the Organ at Risk. Field radiation evaluation was performed before first and third irradiation, patient evaluation after five times of radiation and  evaluation after 25rd radiation.Conclusion: The reason for doing the external radiation exposure of cervical cancer with tumor stage further consideration according to the Anatomical Pathology with pT3aN0M0 stage. So the purpose of palliative external radiation. with cervical cancer using cobalt-60 teletherapy air as much as 50 Gy with a fractionation s25 times, and each fractionation with doses of 2Gy. The reason for doing the external radiation exposure of cervical cancer with tumor stage further consideration according to the Anatomical Pathology with pT3aN0M0 stage. So the purpose of palliative external radiation. with cervical cancer using cobalt-60 teletherapy air as much as 50 Gy with a fractionation 25 times, and each fractionation with doses of 2Gy. The reason for doing the external radiation exposure of cervical cancer with tumor stage further consideration according to the Anatomical Pathology with pT3aN0M0 stage. So the purpose of palliative external radiation
MANAGEMENT OF 3D CONFORMAL RADIOTHERAPY IN PATIENT WITH NASOPHARYNGEAL CARCINOMA IN SUB DEPARTMENT OF RADIOTHERAPY RUMKITAL DR. RAMELAN Anis Istiawan; Jeffri Ardiyanto; Ardi Soesilo Wibowo
Jurnal Imejing Diagnostik (JImeD) Vol 4, No 1: January 2018
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v4i1.4002

Abstract

Background: Nasopharyngeal carcinoma is the most common malignant tumor among malignant ENT tumors in Indonesia, where nasopharyngeal carcinoma is included in the top five largest malignant tumors with the highest frequency, whereas in the head and neck areas occupy the first place. The purpose of this study is to know the 3D-CRT management in patients with nasopharynx carcinoma and to know the result of manual radiotherapy verification process using Image Computed Radiography Portal at Sub Department Radiotherapy Rumkital Dr. Ramelan.Methods: This research type is qualitative with case study approach. The study subjects were 1 person nasopharyngeal carcinoma patients. The subjects of the study were 2 person oncologist, 1 medical physicist, 3 radiotherapy radiograph (RTT). Data were collected by observation, interview and documentation. Data analysis is done descriptivelyResult: The results showed management of 3D conformal nasopharyngeal carcinoma in Rumkital Radiotherapy Sub Department was in accordance with the literature and manual radiotherapy verification with Image Computed Radiography (PICR) Portal in Sub Department of Radiotherapy. Ramelan result can be accepted as replacement of Electronic Image Image Device (EPID).Conclution: result of management 3D conformal nasopharyngeal carcinomal can be accepted as replacement of Electronic Image Image Device (EPID)
PROCEDURE OF 3D CONFORMAL RADIOTHERAPY ON SQUAMOUS CELL CARCINOMA CASE IN ORBITAL REGION IN RADIOTHERAPY UNIT OF DR. SARDJITO YOGYAKARTA HOSPITAL Nova Aditya Surya Irawan; Gatot Murti Wibowo; Khumaidi Khumaidi
Jurnal Imejing Diagnostik (JImeD) Vol 4, No 1: January 2018
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v4i1.3976

Abstract

Background: This study aims to determine the procedures, techniques, reasons and evaluation of 3D conformal radiotherapy of squamous cell carcinoma case in the orbital region with additional bolus that has been done in the Radiotherapy unit of Dr. Sardjito Yogyakarta Hospital. In addition, from this research also to find out how the visually tumor response to the radiation that has been given and there are limits of research for tumor responses made observations from the beginning of radiation to the completion of radiation.Methods: This type of research is qualitative with a case study approach. The data was collected in November-December 2017 at radiotherapy Unit of Dr. Sardjito Yogyakarta Hospital by observation methodology, interview with Radiation Oncologist Specialist, Medical Physicist and Radiographer. the data obtained from the study were analyzed by an interactive model, creating the interview transcripts subsequently reduced and processed within the type of open coding, given within the type of quotations then are often drawn conclusions.Results: The results showed that the 3D Conformal Radiotherapy of squamous cell carcinoma case on orbital region with the addition of a bolus in Dr. Sardjito Yogyakarta Hospital consists of a CT Simulator examination, TPS (Treatment Planning System), Verification and Treatment (radiation therapy). The bolus in the treatment process is intended for this case to provide a 95% dose to the target tumor raised up to the surface. For the response shown in this case the patient was not good despite the reduction in tumor, the tumor response was not good (response 50%) according to WHO criteria showed stable disease criteria (SD).Conclusion: 3D conformal radiotherapy of squamous cell carcinoma case in the orbital region of this patient with the addition of a bolus aims to obtain a homogeneous distribution of all tumor targets and for visual tumor response in this case according to WHO criteria showing stable disease (SD) criteria.
EXTERNAL RADIOTHERAPY PROCEDURE OF THYROID CANCER WITH MASS MALIGNANT THYROID IN RADIOTHERAPY INSTALATION FACILITY OF RSUD DR. MOEWARDI SURAKARTA Himawan Setyono; Darmini Darmini; Khumaidi Khumaidi; Andrey Nino Kurniawan
Jurnal Imejing Diagnostik (JImeD) Vol 4, No 1: January 2018
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v4i1.4008

Abstract

Background: External radiotherapy for thyroid cancer, generally was conducted with 3 exposure area technique, where as in thyroid cancer case with mass malignant thyroid, treatment in Radiotherapy installation facility of RSUD Dr. Moewardi Surakarta used different technique that was by five exposure area in two step. The purposes of this researchwerte to know radiotherapy treatment of thyroid cancer with mass malignant thyroid, the reason of two step exposure and the reason of using direct AP-PA exposure area.Methods: The method of this research was qualitative researchwith case study approachment by observing, interviewing with radiation oncologist doctor, radiotherapy radiographer and medical physicist, and reviewing patient medical record document, simulator image data, treatment planing system resultand patient exposure data. For data analyzing, researcher used interactive model.Results: The result of this research showed that external radiotherapy for thyroid cancer with mass malignant thyroid in radiotherapy installation facility of RSUD Dr. Moewardi Surakarta is using convensional simulator, teleterapy Cobalt-60 machine, and five exposure area technique in twop step exposure. The first step was AP-PA direct exposure and second step were AP supraclavicula and left-right lateral.Conclusion: The reason of two step exposure technique use is for optimalization of therapeutic ratio, whereas the purpose of AP-PA exposure area in this technique is to maximizing dose on mass.
COMPARATIVE VERIFICATION OF IRRADIATION SET UP BETWEEN EPID SOFTWARE MOSAIQ WITH IVIEWGT IN CONFORMAL RADIOTHERAPY OF NASOPHARYNGEAL CANCER (Radiotherapy Unit Radiology Installation Dr. Sardjito Hospital Yogyakarta) Syahara Listyawan; Siti Masrochah; Rini Indrati
Jurnal Imejing Diagnostik (JImeD) Vol 4, No 1: January 2018
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v4i1.3977

Abstract

Background: Verification of the irradiation set up is a process to ensure that the position and volume of the irradiated tumor is the same as planned. Verification is done by comparing the radiographic image information of the Treatment Planning System (TPS) with radiation therapy to be provided on the Electronic Portal Imaging Device (EPID) device. Existing software on the EPID in doing verification is IViewGT and Mosaiq. Radiotherapist in Radiotherapy Unit Radiology Installation of Dr. Sardjito Hospital Yogyakarta always uses IViewGT software rather than Mosaiq software in performing standard operational procedure verification set up irradiation. The purpose of this study was to describe the verification process, to examine the results of verification and to examine the differences in the results of the verification of set up irradiation between the EPID software Mosaiq with IViewGT in conformal radiotherapy of nasopharyngeal cancer.Methods: The type of research in this thesis is quantitative analytic research. The research was conducted at Radiotherapy Unit Radiology Installation of Dr. Sardjito Hospital Yogyakarta. Data in the form of 52 portal image of nasopharyngeal cancer patients performed conformal radiotherapy. The verification process uses IViewGT and Mosaiq software on the same portal image. Data analysed by Wilcoxon test.Result: The results of the verification is the value of shift set up irradiation on X axis, Y axis and Z axis. Verification using Mosaiq software got the average shift on the X axis of 0 cm, on the Y axis the average value is -0,02 cm, on the Z axis the average value is 0,07 cm. Verification using IViewGT software obtained an average shift on the X axis of 0,02 cm, on the Y axis the average value of 0,03 cm, on the Z axis value averaging 0,02 cmConclusion: The results of this study indicate that there is no difference in verification of irradiation set up between EPID software Mosaiq with IViewGT on X axis with p value 0,361, on Y axis with p value 0,102 and on Z axis with p value 0,199.
TREATMENT OF RADIOTHERAPHY MONOISOCENTRIC TECHNIQUE IN CASES OF NASHOPHARANGEAL CANCER AT UNIT RADIOTHERAPHY INSTALLATION RADIOLOGY RSUP DR. SARDJITO YOGYAKARTA Hafsi Afrizun Khatamsi; Rini Indrati; Emi Murniati
Jurnal Imejing Diagnostik (JImeD) Vol 4, No 1: January 2018
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v4i1.3973

Abstract

Background: Monoisocentric technique is a recomended technique for examination of nasopharangeal cancer radiotheraphy, but most hospital has not applied this technique, while in Dr. Sardjito Yogyakarta Hospita use this technique has not been done consistently because technique monoisocentric need high-precision tool and techniques monoisocentric of nasopharangeal cancer and why monoisocentric technique used in nasopharangeal cancer in Unit Radiotheraphy Instalation Dr. Sardjito Yogyakarta Hospital.Methods: This type of research is qualitative with case study approach. the data was collected in November-December 2017 at radiotherapy Installation of Dr. Sardjito Yogyakarta Hospital by observation methodology, interview with Radiation Oncologist Specialist, Medical Physiciast and Radiographer. the data obtained from the study were analyzed by an interactive model, creating the interview transcripts subsequently reduced and processed within the type of open coding, given within the type of quotations then are often drawn conclusions.Result: Base of the results of reserch in Unit Radiotheraphy Instalation Dr. Sardjito Yogyakarta Hospital, includes patient examination and staging, CT Simulator, TPS planning, geometry verification and radiotheraphy radiation process. Monoisocentric techniquebare used because  irradiation time getting faster, minimize the accurrence of hot spots and cold spot, dose distribution homogeneousConclusion: Administration of mono-centric technique of Nasopharyngeal cancer in Dr. Sardjito Yogyakarta, conducted in several stages: staging, CT simulator, TPS planning (field calculation, isocenter location, beam direction and dosage per fraction), geometry verification (comparing DRR and actual irradiation and values should not be 0.2 mm) and continued with radiotherapy radiation in LINAC treatment room. The aim of using monoisocentric technique in case of nasopharyngeal carcinoma at Radiotherapy Unit of Radiology Installation of Sardjito Yogyakarta was obtained by shorter real time irradiation time, the happening of hot spot and cold spot in the field of radiation between local field of nasopharynx and locoregional become smaller, homogeneous dose distribution. 
VERIFICATION OF GEOMETRY ON 3D CONFORMAL RADIOTHERAPY TECHNIQUE WITH NASOPHARINGEAL CANCER CASE AT RADIOTHERAPY UNITS RADIOLOGY INSTALLATION DR. SARDJITO HOSPITAL YOGYAKARTA Kurniadiyah Nuril Izza; Luthfi Rusyadi; Jeffri Ardiyanto
Jurnal Imejing Diagnostik (JImeD) Vol 4, No 1: January 2018
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v4i1.3978

Abstract

Background: Verification of geometry is a process to ensure that the position and volume of the irradiated tumor is the same as planned.Verification is done by comparing the radiographic image information of the Treatment Planning System (TPS) with radiation therapy to be provided on the Electronic Portal Imaging Device (EPID) device. This research is about geometry verification process on 3D conformal radiotherapy technique with nasopharyngeal cancer case at Radiotherapy Unit Radiology Installation Dr.Sardjito Hospital Yogyakarta which aims to know the procedure and shift of geometry verification.Methods: The type of this research is descriptive study with retrospective data. Methods of data collection used are observation, interview and documentation. The subjects consisted of 3 radiotherapists, 1 medical physician and 1 radiation oncologist. The object of the study was nasopharyngeal cancer patients who received radiotherapy with conformal 3D technique with a sample size of 10 patients. Data obtained from observations and interviews were collected and then data reduction and open coding were then presented in the form of quotations, and drawn conclusions and suggestions.Result: The results of this study indicate that the geometry verification procedure is performed on the irradiation fractions 1,2 and 3 then in the 4th fraction we take the average shift of the fractions 1,2 and 3 to obtain the new isocenter point. After obtaining the new isocenter point of verification, do it again when the fractional radiation to 10 and 20. The average variation of the geometry shift obtained is on the vertical axis of 0.46 cm (towards the posterior), on the longitudinal axis of -0.2 cm (towards the superior) and on the lateral axis of -0.2 cm (towards the left) from the isocenter point.Conclusion: know the procedure of geometry verification conducted in Radiotherapy Unit of Dr. Sardjito Yogyakarta and got the average of shifting variation on each vertical, longitudinal and lateral axis.
PROCEDURE OF RADIOTERAPHY WITH CLINICAL CARCINOMA TONGUE USING COBALT-60 UNIT IN ONCOLOGY RADIATION INSTALLATION HASAN SADIKIN HOSPITAL BANDUNG Azmi Nur Azizah; Edy Susanto; Yeti Kartikasari
Jurnal Imejing Diagnostik (JImeD) Vol 4, No 1: January 2018
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v4i1.3974

Abstract

Background: Analysis of radiation exposure in patients with early, mid-irradiation, irradiation end and reason do 2 or 3 field radiotherapy irradiation in patients with carcinoma of the tongue in clinical radiation oncology installations dr Hasan Sadikin.Methods: The research is a qualitative research study approach. Data were collected by observation, documentation and in-depth interviews to specialist doctors sender and radiation oncology medical physicists, and Focus Group dicussion (FGD) with radiogrfer radiotherapy in November-December 2017. Data were analyzed using categorization and coding table OutdoorResults: The results showed that the procedure radiotherapy in patients with carcinoma of the tongue in the installation of radiation Oncology dr Hasan Sadikin came from consultation with a specialist onkolgi radiation, simulator, counting simulator results in TPS (Treatment Planning System), verification and irradiation using 2 (two) field Opposing left and right lateral or 3 (three) irradiation field, the opposing lateral and AP Supraclavikula a dose of 2 Gy per fraction as much as 33 times the irradiation with a total dose of 66 Gy.Conclusions: Analysis of the initial patient irradiation include planning radiotherapy, molding simulator, dose calculations, verification of irradiation and irradiation first, the patient carries balloon for fixation of the tongue, the patient's mid-irradiation control every 5x radiation, check the patient's general condition every day, and yet do replaning mask thermoplast on the masks that the narrowing so that patients feel claustrophobic if the mask is locked on the base plate so that it can be done irradiating the mask is not locked completely, the patient end of irradiation do the follow-up after a two week break from irradiating the last, then the patient is returned to the doctor sender then perform periodic controls to poly radiotherapy reason used 2 or 3 depending on the stage of the patient's radiation field and to prevent micrometastases to lymph nodes

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