EVALUASI DOSIS FOTON PADA PASIEN KANKER REKTUM DENGAN TEKNIK 3DCRT DAN IMRT
Abstract
Rectal cancer is one of the deadliest cancers in Indonesia. Treatment of rectal cancer is often done with radiotherapy. External radiotherapy of rectal cancer uses linac which has several methods of irradiation. This study aims to determine the distribution of photon doses through the Conformity Index (CI) and Homogeneity Index (HI) values as well as the doses received by healthy tissue around cancer tissue. This study also aims to find out better methods of external radiotherapy. Making treatment planning using Xi-O TPS software. This study on the 3DCRT method produced HI values of 0.084 ± 0.017 and CI values of 0.98 ± 0.02. In the IMRT method, the HI value is 0.099 ± 0.028 and the CI value is 0.96 ± 0.03. Based on HI and CI analysis, it was found that the 3DCRT method was better than IMRT in the treatment of rectal cancer but not significantly. Meanwhile, the IMRT bowel bag method has a lower average dose compared to the 3DCRT method and the results are significant. In bladder and femoral tissues, the IMRT method is better than the 3DCRT method but is not significant. In rectal cancer, the IMRT technique is better because it can minimize the dose of OAR.
References
Cahyono, T. (2015). Metode Shapiro Wilk dalam statistik uji normalitas. Banyumas: Yayasan Sanitarian.
Effina, A. (2021). Distribusi dosis radiasi foton pada treatment planning system menggunakan teknik 3DCRT dan IMRT untuk terapi kanker serviks. (Skripsi). Padang: Universitas Andalas.
Güngör, C., Hofmann, B. T., Wolters-Eisfeld, G., & Bockhorn, M. (2014). Pancreatic cancer. British Journal of Pharmacology, 171(4), 849–858. https://doi.org/10.1111/bph.12401
ICRU Report 62: Prescribing, Recording and Reporting Photon Beam Therapy (Supplement to ICRU Report 50). (1999).
ICRU Report 83: Prescribing, Recording and Reporting Photon Beam Intensity Modulated Radiation Therapy (IMRT). (2010).
Novinda, G. (2024). Distribusi dosis foton dengan teknik 3DCRT dan IMRT pada pasien kanker rektum di Rumah Sakit Gading Pluit. Repository Matana University.
Podgorsak, E. B. (2005). Radiation oncology physics: A handbook for teachers and students.
Satiti, I. J. E. (2020). Komparasi treatment planning berkas foton teknik 3 dimensional-conformal radiation dan intensity modulated radiation therapy untuk kanker payudara kiri.
Suharmono, B. H., Anggraini, I. Y., Hilmaniyya, & Astuti, S. D. (2020). Quality assurance (QA) dan quality control (QC) pada instrumen radioterapi pesawat LINAC. Jurnal Biosains Pascasarjana, 22.
Suriani, I., Iffah, M., & Laksmi Faraningrum, R. (2022). Teknik terapi radiasi 3DCRT pada kanker endometrium di Unit Radioterapi RSUD Abdul Wahab Sjahranie Samarinda.
Trisna, I. A., Dewi, K., & Gondhowiardjo, S. A. (2020). Rectal cancer: A mini literature review.
Vanya, G. (2023). Analisis persentase dosis kedalaman dan profil dosis pada berbagai luas lapangan penyinaran menggunakan simulasi Monte Carlo.
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