General radiographic patient dose monitoring using conformity test data

Abstract

Currently, the Nuclear Energy Supervisory Agency (BAPETEN) is actively guiding users or license holders related to patient protection against radiation hazards or often referred to as radiation protection and safety on medical exposure. Protection against medical exposure became a big issue when the mandatory compliance test on X-ray equipment for diagnostic and interventional radiology was introduced. In addition, license holders through their medical practitioners are also required to use the level of medical exposure guidelines. While PERKA BAPETEN No. 9, 2011 concerning the Suitability Test of Diagnostic and Interventional Radiology X-Ray device, states that one of the test parameters that directly affect the patient's radiation dose and determine the feasibility of operating the X-Ray device to the patient is information on the dose or rate of radiation dose received by the patient. Monitoring doses with Entrance Surface Air Kerma (ESAK) or what is often referred to as ESD (entrance surface dose) using suitability conformity test data starting from 50,60,70,80,90 and 100 kVp with 20 mAs at SID 100 meters. The results of the research on the value of ESAK was 0.049 mGy, an ESAK value that still met the national I-DRL value from BAPETEN Regulation No. 1211/K/V/2021.

Electronic nursing documentation interventions to promote or improve patient safety and/or quality care in an acute setting

“…Meta-analyses are prone to publication bias, whereby studies exhibiting significant or positive outcomes are more inclined to be published and incorporated into the analysis. The time constraints associated with rapid reviews may result in a restricted ability to explore unpublished studies or perform a comprehensive search of the gray literature, thereby elevating the possibility of overlooking significant studies and introducing partiality into the meta-analysis Putra et al, 2021;Zikos et al, 2014).…”

Pengaruh Luas Bidang Penyinaran dan Delay Time Processing Terhadap Exposure dan Deviation Index Computed Radiography AGFA Seri CR10-X

“…Dalam hal ini EI dapat digunakan sebagai indikator eksposure yang digunakan pada pemeriksaan tertentu. Hal ini dapat menjadi program quality control (QC) manajemen dosis yang berguna sebagai alat diagnostik untuk monitoring nilai eksposure [13].…”

Analysis of Flatness and Alignment in the Design of Wireless X-Ray Conformance Test Tool.

“…The perpendicularity of the X-ray beam is very necessary because it involves the resulting image [4]- [6]. Problems that often arise related to these parameters are the occurrence of image shifts and anode focus which results in a less sharp, distorted, and ghosted image so that if this happens, re-irradiation must be carried out which causes unnecessary radiation to increase to the patient [3], [7]- [12]. As happened in a 2018 study where Kesawa Sudarsih et al stated that in RSUD K.R.M.T Wongsonegoro Semarang when performing a radiograph, the collimator area was set wide, did not match the size of the object, and the final result was cut off so the patient had to repeat the radiograph.…”