Optimisasi dosis dan kualitas citra pada radiologi diagnostik: langkah-langkah, tips, dan panduan praktis

Lukmanda Evan Lubis, Djarwani Soeharso Soejoko

Abstract


Potensi risiko radiasi pada pasien radiologi diagnostik menjadi isu yang menjadi perhatian khusus dalam konteks proteksi radiasi. Sebagai salah satu dari tiga prinsip proteksi radiasi, optimisasi menjadi upaya yang dikedepankan dalam menjamin keselamatan pasien. Deskripsi teknis mengenai panduan dan langkah-langkah optimisasi sejauh ini tidak tersedia dalam panduan nasional. Makalah ini menyajikan panduan praktis berdasarkan pengalaman dalam pelaksanaan optimisasi di fasilitas pelayanan kesehatan, dimana metode dan alur pelaksanaan menjadi fokus pembahasan. Hasil pelaksanaan optimisasi dan tips dalam setiap langkahnya juga diberikan sebagai contoh sederhana yang dapat memudahkan tenaga kesehatan dalam upaya pelaksanaan optimisasi di lingkungan kerjanya.

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References


International Atomic Energy Agency, IAEA Safety Standards General Safety Requirements Part 3 No. GSR Part 3 Radiation Protection and Safety of Radiation Sources: International Basic Safety Standards (2014).

Badan Pengawas Tenaga Nuklir, Peraturan Kepala BAPETEN No. 8 Tahun 2011 (2011).

International Atomic Energy Agency, IAEA TECDOC 1423: Optimization of the radiological protection of patients undergoing radiography, fluoroscopy and computed tomography (2004).

International Atomic Energy Agency, IAEA Human Health Series No. 24: Dosimetry in Diagnostic Radiology for Paediatric Patients (International Atomic Energy Agency, Vienna, 2013).

European Commission, European Guidelines on Diagnostic Reference Levels for Paediatric Imaging (Publications Office of the European Union, Luxembourg, 2018).

E. Vañó et al., “ICRP Publication 135: Diagnostic Reference Levels in Medical Imaging,” Ann. ICRP 46(1), 1–144 (2017).

International Atomic Energy Agency, IAEA Technical Report Series No. 457: Dosimetry in Diagnostic Radiology: an International Code of Practice (International Atomic Energy Agency, Vienna, 2007).

The International Commission on Radiation Unit and Measurement, ICRU Report 74: Patient Dosimetry for X Rays Used in Medical Imaging (Oxford University Press, 2005).

Badan Pengawas Tenaga Nuklir, Peraturan BAPETEN No. 2 Tahun 2018 (2018).

C. McCollough et al., “Diagnostic Reference Levels From the ACR CT Accreditation Program,” J. Am. Coll. Radiol. 8(11), 795–803 (2011).

K. Faulkner, “Protocols for dosimetry and patient reference levels,” Radiat. Prot. Dosim. 117(1–3), 195–198 (2005).

P.C. Shrimpton, M.C. Hillier, S. Meeson, and S.J. Golding, Doses from Computed Tomography (CT) Examinations in the UK – 2011 Review, (2014).

H. Järvinen et al., “Indication-based national diagnostic reference levels for paediatric CT: a new approach with proposed values,” Radiat. Prot. Dosimetry 165(1–4), 86–90 (2015).

M. Galanski, H.D. Nagel, and G. Stamm, “Pädiatrische CT-Expositionspraxis in der Bundesrepublik Deutschland Dienstanschriften der Autoren,” (2006).

N. Buls, H. Bosmans, C. Mommaert, F. Malchair, P. Clapuyt, and P. Everarts, CT paediatric doses in Belgium: a multi-centre study, (2010).

R. Veit, R. Guggenberger, D. Noßke, and G. Brix, “Diagnostische Referenzwerte für Röntgenuntersuchungen,” Radiologe 50(10), 907–912 (2010).

P. Roch and B. Aubert, “French diagnostic reference levels in diagnostic radiology, computed tomography and nuclear medicine: 2004-2008 review,” Radiat. Prot. Dosimetry 154(1), 52–75 (2013).

D.J. Watson and K.S. Coakley, “Paediatric CT reference doses based on weight and CT dosimetry phantom size: local experience using a 64-slice CT scanner,” Pediatr. Radiol. 40(5), 693–703 (2010).

Y. Fukushima, Y. Tsushima, H. Takei, A. Taketomi-Takahashi, H. Otake, and K. Endo, “Diagnostic reference level of computed tomography (CT) in japan,” Radiat. Prot. Dosimetry 151(1), 51–57 (2012).

S. Kritsaneepaiboon, P. Trinavarat, and P. Visrutaratna, “Survey of pediatric MDCT radiation dose from university hospitals in Thailand: a preliminary for national dose survey,” Acta radiol. 53(7), 820–826 (2012).

J. Vassileva et al., “A study to establish international diagnostic reference levels for paediatric computed tomography,” Radiat. Prot. Dosimetry 165(1–4), 70–80 (2015).

L.E. Lubis, A.F. Jundi, A. Susilo, A. Evianti, and D.S. Soejoko, “Local dose survey on paediatric multi-detector CT: A preliminary result,” in IFMBE Proc.(2019).


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