Comparison of Cervical Cancer Radiation in Bladder Organs with 10 MV LINAC Energy Radiotherapy Using 3DCRT and IMRT Techniques at Sanglah Hospital Denpasar

  • Yuli Asri Udayana
  • Gusti Ngurah Sutapa Udayana University
  • I Wayan Balik Sudarsana Udayana University
  • Rozi Irhas Udayana University

Abstract

A study has been conducted on comparative analysis of cervical cancer radiation to the bladder organ with 10 MV energy LINAC (Linear Accelerator) radiotherapy using the 3DCRT (Three Dimension Conformal Radiotherapy) technique and the IMRT (Intensity Modulated Radiation Therapy) technique at Sanglah Hospital, Denpasar. The 3DCRT and IMRT techniques were compared by analyzing the values ??of the HI (Homogeneity Index), CI (Conformity Index) and radiation dose distribution in the OAR (Organ At Risk), namely the bladder. The data used are 30 cervical cancer patient data with 10 MV photon beam radiotherapy planning and a total radiation dose of 5000 cGy. In calculating the HI and CI values, the data used were radiation dose of 98%, 50%, 2% of target volume and 95% volume on PTV and the average dose on Bladder organs. The data was obtained from the DVH (Dose Volume Histogram) statistics contained in the TPS (Treatment Planning System). The results of the HI value of 0.0818 for the 3DCRT technique and 0.0899 for the IMRT technique with statistical test results obtained the Asimp.Sig (2-tailed) value of 0.056> 0.05 which means it is not significant, while for the results of the CI value of 0.9500 for the 3DCRT technique and 0.9499 for the IMRT technique with statistical test results obtained the Asimp.Sig (2-tailed) value of 0.970> 0.05 which means it is not significant, meanwhile the percentage of the average dose in the bladder organ obtained an average result from the 3DCRT and IMRT irradiation techniques, 96% and 88%, respectively, with statistical test results, the Asimp.Sig (2-tailed) value was 0.000 <0.05, which was significant. Cervical cancer radiation using the IMRT technique is better than the 3DCRT technique because the IMRT technique minimizes the absorbed dose in OAR, it can be seen from the percentage of the average dose in the bladder organ with the IMRT technique getting a smaller dose percentage.

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References

[1] Mona Vadila, Analisis Keluaran Berkas Radiasi Pesawat Terapi Linac Tipe Varian Cx 6264 Di RS UNAND, Skripsi, Program Studi Fisika Fakultas Matematika dan Ilmu Pengetahuan Alam Universitas Andalas, 2018.
[2] Dessy Arianty, Optimasi Jumlah Lapangan Radiasi Pada Perencanaan IMRT, Tesis, Universitas Indonesia, 2010.
[3] H. Mutya, M. Dian, H. Sri, dan Y.P.S. Kri, Verifikasi Ketepatan Hasil Perencanaan Nilai Dosis Radiasi Terhadap Penerimaan Dosis Radiasi Pada Pasien Kanker, Jurnal Fisika Unand Vol. 5, No. 2, 2016.
[4] Pitriani, Faktor Risiko Kejadian Kanker Serviks Pada Pasien Rawat Inap Di RSUP Dr. Wahidin Sudirohusodo Makassar, Tesis, Program Studi Kesehatan Masyarakat Universitas Hasanuddin, 2013.
[5] Ari Yuli Kristiawan. Analisis Perbedaan Hasil Treatment Planning System Antara Teknik Radioterapi 3D Conformal Radiation Therapy Dan Intensity Mudulated Radiaation Therapy Pada Kasus Kanker Cervix Di RSUPN Cipto Mangunkusumo, Skripsi, Program Studi Teknik Radiodiagnostik dan Radioterapi Poltekkes Kementrian Kesehatan J akarta II, 2015.
[6] G. N. Sutapa, I W. Supartha, I N. Wijaya, I K. Puja, and M. Syaifudin, The effectiveness of 60Co gamma-ray exposure to the reproductive systems of rat (Rattus argentiventer) as sterile male technique, BIODIVERSITAS, Vol. 21, No. 8, 2020, pp. 3805-3810.
[7] P. Septi, M. Ahmad, E. W. Wahyu, dan A. P. Supriyanto, Perbandingan Perencanaan Radioterapi IMRT Kanker Servik Stadium IIB Menggunakan Fasilitas Optimization Beam Angle Dan Teknik Manual Pada TPS Eclipse, Journal of Medical Physics and Biophysics, Vol. 7, No. 1, 2020.
[8] A. P. Rahma, I. P. Wahyu, M. S. Putri, dkk., Analisis Kualitas Berkas Radiasi LINAC Untuk Effektifitas Radioterapi, Jurnal Biosains Pascasarjana, Vol. 22, 2020.
[9] R. Rina dan W. Rena, Optimasi Sudut Berkas Penyinaran Pada Radioterapi Menggunakan Metode Simulated Annealing, Proding SKF, 2018.
[10] F. M. Khan, The Physics Of Radiation Therapy, 3rd USA: Lippincott Williams And Wilkins, 2003.
[11] S.T. Maesadji, Booster Radioterapi Konformal 3 Dimensi Pasca Radiasi Whole Pelvis Menggunakan Digital Linear Accelerator pada Kanker Leher Rahim: Suatu Studi Pendahuluan, Journal Of The Indonesian Radiation Oncology Society,Vol 2, No.2, 2011, pp. 42-46.
[12] H. S. Bambang, S. B. Wahyu, dan H. Eko, Distribusi Dosis Photon Menggunakan Teknik 3dcrt Dan Imrt Pada Radiasi Whole Pelvic Karsinoma Serviks, Jurnal Berkala Fisika, Vol. 17, 2014, pp. 4121-128.
[13] Journal Of The ICRU, Prescribing, Recording and Reporting Photon Beam Intensity Modulation Radiation Therapy, Vol. 10, No. 1, 2010.
[14] F. M. Khan, The Physics Of Radiation Therapy, 5rd USA: Lippincott Williams And Wilkins, 2014.
[15] H. A. Nursama, S. W. Bambang, M. Irsal, dan C. D. K. Prima, Analisis Perbedaan Hasil Treatment Planning System Antara Teknik Penyinaran Radioterapi 3-Dimensional Radiation Therapy Dan Intensity Modulated Radiation Therapy Pada Kasus Kanker Nasofaring, Jurnal teknologi dan seni kesehatan, Vol. 08, No.01, 2017, pp. 29-34.
[16] F. Ovia, M. Dian, dan D. Fiqi, Analisis Dosis Radiasi Paru-Paru Pasien Kanker Payudara dengan Teknik Three-Dimensional Conformal Radiation Therapy (3D-CRT) Berdasarkan Grafik Dose Volume Histogram (DVH), Jurnal Fisika Unand, Vol. 9, No. 1, 2020, pp. 110-117.
[17] E.B. Podgorsak, Radiation Oncology Physics: A Handbook For Teachers And Students, Austria: IAEA, 2005.
Published
2022-02-09
How to Cite
ASRI, Yuli et al. Comparison of Cervical Cancer Radiation in Bladder Organs with 10 MV LINAC Energy Radiotherapy Using 3DCRT and IMRT Techniques at Sanglah Hospital Denpasar. BULETIN FISIKA, [S.l.], v. 24, n. 2, p. 98–105, feb. 2022. ISSN 2580-9733. Available at: <https://ojs.unud.ac.id/index.php/buletinfisika/article/view/81841>. Date accessed: 12 aug. 2022.

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