Optimization of radiation dose for sacrum bone examination with AP, axial AP and axial PA projections

Authors

  • Rini Indrati Poltekkes Kemenkes Semarang, Jl. Tirto Agung Pedalangan Author
  • Rini Indrati Poltekkes Kemenkes Semarang, Jl. Tirto Agung Pedalangan Author
  • Dewi Kartikasari Poltekkes Kemenkes Semarang, Jl. Tirto Agung Pedalangan Author
  • Dewi Kartikasari National Atomic Energy Agency, Jl. Lebak Bulus Raya No. 49 Jakarta Author
  • Sri Mulyati Poltekkes Kemenkes Semarang, Jl. Tirto Agung Pedalangan. Author

DOI:

https://doi.org/10.61841/jedne663

Keywords:

acrum Bone, SAP, Axial AP, Axial PA Projection, Anatomical Information, Radiation Dose

Abstract

Sacrum bone examination projection is Anteroposterior axial with CR 15o to the cephalad, the posterior-anterior axial with CR 15o caudal and lateral. Some practitioners take action to examine the sacrum bone with AP projections used the perpendicular beam. The radiation dose has a negative effect in the stochastic and deterministic. One factor in radiation dose is the distance between the source and the organ. The research aims to determine the projection that produces good information with minimal doses. This is an experimental study. Radiographs from AP, Axial AP and Axial PA projection assessed by the radiologist regarding the clarity of anatomic and the dosage was measured using TLD. Data analyzed by Friedman and Wilcoxon test with α = 5%.The results showed there were differences in anatomical information clarity radiographs on the AP, Axial AP and Axial PA projections with p-value = 0.001. The best information obtained on Axial PA projections. There are differences in radiation doses in the right ovary (p-value = 0.002), left ovary (p-value < 0.001) and Gonad (p-value < 0.001). The Axial PA projection produced the best information with a minimum dose.

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References

1. Bushong, Steward C. (2017). Radiologic Science for Technologist, Physics, Biology and Protection. Eleventh edition, Saint Louis Missouri: Elsevier.

2. Abrahams, R. B and Huda, W., 2015. X-Ray Based Medical Imaging and Resolution. American Journal of Roentgenology, 204 (4).

3. Ballinger, Philip W. dan Eugene D. Frank. (2003). Merrill's Atlas of Radiographic Positions and Radiologic Procedures, Tenth Edition, Volume Three. Saint Louis: Mosby.

4. Gonzalez Abel J, Akashi Makoto, Boice Jr John D, Chino,Masamichi, Toshimitsu Homma, Nobuhito Ishigure, Michiaki Kai, Shizuyo Kusumi, Jai-Ki Lee, Hans-Georg Menzel, Ohtsura Niwa, Kazuo Sakai, Wolfgang Weiss, Shunichi Yamashita and Yoshiharu Yonekura, 2013, Radiological protection issues arising during and after the Fukushima nuclear reactor accident, IOP Publishing, J. Radiol. Prot. 33 (2013) 497–571

5. Eric K Ofori, William K Antwi, Diane N Scutt, and Matt Ward, 2013, Patient Radiation Dose Assessment in Pelvic X-ray Examination in Ghana, OMICS Journal of Radiology.

6. Eric K Ofori, William K Antwi, Diane N Scutt, and Matt Ward, 2013, Optimization of patient radiation protection in pelvic X-ray examination in Ghana, Journal of Applied Clinical Medical Physics 13(4):3719

7. Indrati R, Masrochah S, Susanto E, Kartikasari Y, Wibowo AS, Darmini, Abimanyu B, Rasyid, Murniati E, 2017, Proteksi Radiasi Bidang Radiodiagnostik dan Intervensional, Inti Medika Pustaka Magelang

8. M. Akhadi, "Dasar-Dasar Proteksi Radiasi," Rineka Cipta, Jakarta, 2000.

9. Statkiewcz, M,A, Paula, J, Russel, E. 2006. Radiation Protection in Medical Radiography. Canada: Mosby Inc.

10. Kenneth l, Bontrager, 2001. Texbook of Radiographic Positioning and Related Anatomy, Fifth Edition, USA: Mosby

11. Indrati R, Wibowo GM, Widyastuti, CIA, Daryati S, Mulyati, S 2019, Analisis Kecukupan Filter Pada Pesawat Sinar X Super 80 CP dalam hubungannya dengan Entrance Skin Exposure, Prosiding Keselamatan Nuklir, Badan Pengawas Tenaga Nuklir, Universitas Pajajaran Bandung.

12. MTTaha, FHAl-Ghorabie, RAKutbi, WKSaib, 2015, Assessment of entrance skin doses for patients undergoing diagnostic X-ray examinations in King Abdullah Medical City, Makkah, KSA, Journal of Radiation Research and Applied Sciences Volume 8, Issue 1, January 2015, Pages 100-103

13. Indrati, R, Sumala, R, Sudioyono, Daryati S, Analisa Penerimaan Dosis Serap Organ Reproduksi Pada Pemeriksaan Radiografi Abdomen Antara Penggunaan Teknik kV Rendah Dan Teknik kV Tinggi, 2017, Seminar Keselamatan Nuklir 2017, Bapeten, Uiversitas Gajah Mada.

14. Papp, Jefrey. (2006). Quality Management in The Imaging Science, Third Edition. Saint Louis: Mosby.

15. Hiswara E., Dewi Kartikasari. Dosis Pasien Pada Pemeriksaan Rutin Sinar-X Radiologi Diagnostik; 2015 Agustus 15; Jurnal Sains dan Teknologi Nuklir Indonesia. Vol. 16, No 2, Agustus 2015; 71-84

16. Yoder R. Craig, et all, (2010) Estimating Historical Radiation Doses to a Cohort of US Radiologic Technologists. Radiation Research: 2010, Vol. 166, No. 1, pp. 174-192.

17. Bapeten, 2014, Keselamatan Radiasi bidang diagnostik dan Intervensional, BAPETEN, Jakarta

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Published

31.08.2020

How to Cite

Indrati, R., Indrati, R., Kartikasari, D., Kartikasari, D., & Mulyati, S. (2020). Optimization of radiation dose for sacrum bone examination with AP, axial AP and axial PA projections. International Journal of Psychosocial Rehabilitation, 24(6), 2721-2732. https://doi.org/10.61841/jedne663