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Informasi Anatomi dan Dosis Radiasi pada MSCT Brain Pediatric Menggunakan Adaptive Statistical Iterative Reconstruction (ASiR)-V
Abstract
Background: Multislice CT Scan (MSCT) brain examination in pediatric cases should pay attention to the lowest possible dose but still provide optimal anatomical information. Pediatric has a higher risk of developing cancer compared to adults who receive the same dose. The purpose of this study is to obtain the optimal value of the use of the Adaptive Statistical Iterative Reconstruction (ASIR)-V technique with variations in tube current strength and Iterative Reconstruction value which is implemented in pediatric patients under the age of 5 (five) years.
Methods: This research was experimental with brain image samples of pediatric patients at the Radiology Installation of RSUD dr. Moewardi Surakarta. The variations of the tube currents selected were 80, 100, and 165 mA with a combination of AR20, AR40, AR60, and AR80 variations. Anatomical information processed descriptively sourced from the assessment of 3 (three) radiologists who were experienced in assessing MSCT images. Meanwhile, the effect of tube current variation on radiation dose was tested using linear regression.
Results: The results showed differences in anatomical information between the combinations of 165 mA-AR60 and 165 mA-AR80 "very clear", 165 mA-AR20 "clear", 80 mA-AR20 "fairly clear" and 100 mA-AR80 "less clear". There was an effect of strong variation of tube current on radiation dose with a regression coefficient value of 0.690. The estimated effective doses of the three tube current values were still below the national Dose Reference Level (DRL).
Conclusions: It was concluded that there were differences in anatomical information on the MSCT brain pediatric examination with variations in tube current and ASiR-V, there was an effect of variations in mA on radiation dose and mA values and the optimal value of the combination of techniques studied is 80 mA and 20% Iterative Reconstruction.
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A. E Noor, J., & Normahayu, I. (2014). Dosis Radiasi Dari Tindakan Ct-Scan Kepala. Journal of Enviromental Engineering and Sustainable Technology, 1(2), 84–91. https://doi.org/10.21776/ub.jeest.2014.001.02.3. 20 Februari 2022
BAPETEN. (2020). Peraturan Badan Pengawas Tenaga Nuklir Nomor 4 Tahun 2020 tentang keselamatan radiasi pada penggunaa pesawat sinar-X dalam radiologi diagnostik dan intervensioal. 42–44. 29 Januari 2022
Bontrager’s (2017). Radiographic Positioning and Related Anatomy. 15 Maret 2022
Cynthia McCollough, C., Cody, D., Edyvean, S., Geise, R., Gould, B., Keat, N., Huda, W., Judy, P., Kalender, W., McNitt-Gray, M., Morin, R., Payne, T., Stern, S., Rothenberg, L., Paul Shrimpton, C., Jan Timmer, C., & Charles Wilson, C. (2007). The Measurement, Reporting, and Management of Radiation Dose in CT. In American Association of Physicists in Medicine: Vol. MD 20740-3.
https://www.aapm.org/pubs/reports/rpt_96.pdf. 17 Maret 2022
Darmini, Ari Setiyono, P., Rochmayanti, D., Nino Kurniawan, A., & Nugroho Setiawan, A. (2020). The Optimization of Mastoid CT Image Using Windows and Kernel Reconstructions. Journal of Physics: Conference Series, 1471(1). https://doi.org/10.1088/1742-6596/1471/1/012015
Drake, R. L., Vogl, A. W., & Mitchell, A. W. M. (2020). Gray’s Anatomy For Students (Fourth). Elsevier Inc. Philadelphia. 15 Maret 2022
Einstein, A. J. (2012). Beyond the Bombs: Cancer risk from low-dose medical radation. Accounts of Chemical Research, 45(6), 788–802. https://doi.org/10.1016/S0140-6736(12)60897-6.Beyond. 10 Maret 2022
Hardie, A. D., Nelson, R. M., Egbert, R., Rieter, W. J., & Tipnis, S. V. (2015). What is the preferred strength setting of the sinogram-affirmed iterative reconstruction algorithm in abdominal CT imaging? Radiological Physics and Technology, 8(1), 60–63. https://doi.org/10.1007/s12194-014-0288-8. 10 Maret 2022
Khong, P. L., Ringertz, H., Institutet, K., Frush, D., Rehani, M. M., & Hospital, M. G. (2013). ICRP Publication 121 : Radiological Protection in Paediatric Diagnostic and Interventional Radiology. April. https://doi.org/10.1016/j.icrp.2012.10.001. 20 Januari 2022
Kilic, K., Erbas, G., Guryildirim, M., Konus, O. L., Arac, M., Ilgit, E., & Isik, S. (2013). Quantitative and Qualitative Comparison of Standard-Dose and Low-Dose Pediatric Head Computed Tomography : A Retrospective Study Assessing the Effect of Adaptive. 37(3), 377–381. 29 Januari 2022
Latifah, R., Jannah, N. Z., Nurdin, D. Z. ., & P, B. (2019). Determination of Local Diagnostic Reference Level (Ldl) Pediatric Patients on Ct Head Examination Based on Size-Specific Dose Estimates (Ssde) Values. Journal Of Vocational Health Studies, 2(3), 127. https://doi.org/10.20473/jvhs.v2.i3.2019.127-133. 20 Februari 2022
Liu, L. (2014). Model-based iterative reconstruction: A promising algorithm for today’s computed tomography imaging. Journal of Medical Imaging and Radiation Sciences, 45(2), 131–136. https://doi.org/10.1016/j.jmir.2014.02.002. 29 Januari 2022
Ludwig, M., Chipon, E., Cohen, J., Reymond, E., Medici, M., Cole, A., Moreau Gaudry, A., & Ferretti, G. (2019). Detection of pulmonary nodules: A clinical study protocol to compare ultra-low dose chest CT and standard low-dose CT using ASIR-V. BMJ Open, 9(8), 1–8. https://doi.org/10.1136/bmjopen-2018-025661. 12 Maret 2022
Mandasari, P. (2020). Optimalisasi Penggunaan SAFIRE Terhadap Dosis Radiasi Dan Kualitas Citra Pada Pemeriksaan MSCT Kepala.15 Maret 2022
Mathews, J. D., Forsythe, A. V., Brady, Z., Butler, M. W., Goergen, S. K., Byrnes, G. B., Giles, G. G., Wallace, A. B., Anderson, P. R., Guiver, T. A., McGale, P., Cain, T. M., Dowty, J. G., Bickerstaffe, A. C., & Darby, S. C. (2013). Cancer risk in 680 000 people exposed to computed tomography scans in childhood or adolescence: Data linkage study of 11 million Australians. BMJ (Online), 346(7910), 1–18. https://doi.org/10.1136/bmj.f2360. 20 Februari 2022
Nachum Dafny, Ph.D. (2020). Chapter 1: Overview of the Nervous System. https://nba.uth.tmc.edu/neuroscience/m/s2/chapter01.html. 12 Maret 2022
Padole, A., Khawaja, R. D. A., Kalra, M. K., & Singh, S. (2015). CT radiation dose and iterative reconstruction techniques. American Journal of Roentgenology, 204(4), W384–W392. https://doi.org/10.2214/AJR.14.13241. 17 Maret 2022
Qiu, D., & Seeram, E. (2016). Does Iterative Reconstruction Improve Image Quality and Reduce Dose in Computed Tomography? Radiology - Open Journal, 1(2), 42–54. https://doi.org/10.17140/roj-1-108. 25 Maret 2022
Rumhadi, E., Apriantoro, N. H., & Rianto, A. (2012). Analysis of Window Width Vlaue Variations Using CT SCan of Head in Case of Non Haemoragic Stroke. Jurnal Sanitas, 6(2), 143–148. https://doi.org/10.13140/RG.2.1.2146.0329. 15 Maret 2022
Santema, T. B., Lenselink, E. A., Balm, R., & Ubbink, D. T. (2016). Comparing the meggitt-wagner and the university of texas wound classification systems for diabetic foot ulcers: Inter-observer analyses. International Wound Journal, 13(6), 1137–1141. https://doi.org/10.1111/iwj.12429. 15 Maret 2022
Seeram. (2016). COMPUTED TOMOGRAPHY: PHYSICAL PRINCIPLES, CLINICAL APPLICATIONS, AND QUALITY CONTROL, FOURTH EDITION. In Radiology (Vol. 194, Issue 3). https://doi.org/10.1148/radiology.194.3.782. 15 Maret 2022
Sianturi, H. A., Rianna, M., Sembiring, T., & Situmorang, M. (2018). Pengukuran dan Analisis Dosis Radiasi Keluaran pada Pesawat Sinar-X yang Berusia Lebih dari 10 Tahun pada Rumah Sakit di Kota Medan. Journal Of Aceh Physic Society, 7(1), 1–5. 15 Maret 2022
Stanford Medicine. (2022). Anatomy of a Child’s Brain. STANFORD CHILDREN’S HEALTH. https://www.stanfordchildrens.org/en/topic/default?id=anatomy-of-a-childs-brain-90-P02588. 15 Maret 2022
Verinda, S., Diponegoro, U., Anam, C., Diponegoro, U., Rusmanto, R., Pengawas, B., & Nuklir, T. (2020). The establishment of the national dose reference level ( DRL ) for head- CT examination in Indonesia The establishment of the national dose reference level ( DRL ) for head- CT examination in Indonesia. June. https://doi.org/10.1088/1742-6596/1505/1/012047. 20 Februari 2022
W, L. P., Indrati, R., & Biyono, A. (2020). Adaptive Statistical Iterative Reconstruction for Optimization Image Quality of Ct Scan Abdomen. Jurnal Riset Kesehatan, 9(1), 61–64. https://doi.org/10.31983/jrk.v9i1.5716. 15 Maret 2022
Wellenberg, R. H. H., Osch, J. A. C. Van, Boelhouwers, H. J., Edens, M. A., & Streekstra, G. J. (2019). CT radiation dose reduction in patients with total hip arthroplasties using model-based iterative reconstruction and orthopaedic metal artefact reduction. 4, 1775–1785. 29 Januari 2022
Wineski, L. (2019). Snell’s Clinical Anatomy by Regions (Tenth). Wolters Kluwe, Philadelphia. 15 Maret 2022
Yasaka, K., Katsura, M., Anam, C., Sato, J., Matsuda, I., & Ohtomo, K. (2013). Model-based iterative reconstruction for reduction of radiation dose in abdominopelvic CT: Comparison to adaptive statistical iterative reconstruction. SpringerPlus, 2(1), 1–9. https://doi.org/10.1186/2193-1801-2-209. 17 Maret 2022
DOI: https://doi.org/10.31983/jimed.v9i1.9471
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