Prosedur Teknik Penyinaran Metode Intensity Modulated Radiation Therapy(IMRT) Kelenjar Getah Bening Pada Kasus Limfoma Hodgkin (LH) Di Rumah Sakit Umum Pusat DR.Hasan Sadikin
DOI:
https://doi.org/10.55606/jurrike.v2i2.2086Keywords:
Radiotherapy, Hodgkin's Lymphoma, IMRT TechniqueAbstract
Latar Belakang: Lymph node cancer in the case of Hodkin's Lymphoma is a type of cancer. Lymphoma is a solid tumor of the immune system. Hodgkin lymphoma (HL) accounts for about 10% of all lymphomas. The Intensity Modulated Radiation Therapy (IMRT) technique is one of the cancer treatment techniques in Hodgkin's Lymphoma cases. The aim of this research is to determine the procedure and reasons for using the IMRT technique in lymph node cancer in Hodkin's Lymphoma cases.
Metode: This research is qualitative research with a case study approach using retrospective data. The research time is from 24 to 30 May 2023 and the research location is in the Department of Radiation Oncology, RSUP Dr. Hasan Sadikin Bandung. The research subjects consisted of Radiation Oncologists, Medical Physics, Radiotherapists. Researchers collected data from patient medical records, made interview transcripts and carried out data reduction and processed it using open coding, and provided it in the form of quotations and then drew conclusions.
Hasil: The procedure for irradiating Hodgkin's Lymphoma using the IMRT technique at the RSHS Department of Radiation Oncology begins with positioning the patient on the examination table with a fixation device and arranging the patient according to the reference point of the CT Simulator and making a thermoplastic mask then carrying out verification and irradiation. The IMRT technique has the advantage of using MLC so that the radiation is modulated according to the contour of the target and the disadvantage of precise dose distribution in limiting the radiation dose to organs at risk.
Kesimpulan: In the case of the Department of Radiation Oncology, Dr. Hasan Sadikin Hospital, Bandung, the IMRT technique was used with consideration, namely that the IMRT technique already uses MLC which creates individual blocks automatically according to the projections depicted on the TPS.
References
Irawan E. TERHADAP PASIEN KANKER STADIUM AKHIR ( LITERATURE REVIEW ).
Ahmad Maulana, Mukhsin andreas, suprianto ardjo Pawiro, prediksi dosis jaringan beresiko pada radioterapi teknik VMAT da IMRT 2015
Dan S, Linac SK. STRUKTUR DAN SEGI-SEGI KESELAMATAN LINAC MEDIK Arismunandar, Silakhuddin Pusat Pengembangan Sistem Reaktor Maju -Batan. 2002;
Benveniste MF, Gomez D, Carter BW, Betancourt Cuellar SL, Shroff GS, Benveniste APA, et al. Recognizing radiation therapy– related complications in the chest. Radiographics. 2019;39(2):344–66.
Zhang B, Mo Z, Du W, Wang Y, Liu L, Wei Y. Intensity-modulated radiation therapy versus 2D-RT or 3D-CRT for the treatment of
nasopharyngeal carcinoma: A systematic review and meta-analysis. Oral Oncol. 2015;51(11):1041–6.
Mell LK, Mehrotra AK, Mundt AJ. Intensity-modulated radiation therapy use in the U.S., 2004. Cancer. 2005;104(6):1296–303.
Mell LK, Mundt AJ. Penggunaan Terapi Radiasi Modulasi Intensitas di AS, 2004. 2005;1296–303.
Wisman Beta Agustia, Sally Aman Nasution, Marulam M Panggabean.
Kardiotoksisitas Akibat Terapi Radiasi Cardiotoxicity Complication Of Radiotherapy : Jurnal Penyakit Dalam Indonesia. Jakarta. 2017;4(4): 214-223.
Syarif Hilman, Ardia Putra. Pengaruh Progressive Muscle Relaxation Terhadap Penurunan Kecemasan Pada Pasien Kanker Yang Menjalani Kemoterapi: A Randomized Clinical Trial: Idea Nursing Journal. Aceh. 2014; V (3): 1-8.
Oktariana Desi, dkk. Transplantasi Stem Cell untuk keganasan Hematologi: eJKI. Palembang. 2022; 10(2): 186-193.
Deminik Bertbolt,Michael Ghielmini.Treatment of malignat lymphoma swiss med med wkl 2004;134:472-480
Reksodiputro, Harry.2009. limfoma hodgkin dan saran mengenail alternaifpenatalaksanaan di indonesian . Majalah kedokteran indonesia 34,623
Beyzadeogle m Ozyigit g, Ebruli c basic radiation oncology, Basic radiation oncology 2010 1-575p
Chandrasoma, Parakrama, 2005. Ringkasan Patologi Anatomi, Dewi Asih Mahanani (Ed), 2006. Concise Pathology, penerbit buku kedokteran EGC, Malang, Indonesia, hal. 397-405
Large target volume radiotherapy in lymphoma Hodgkin: normal tissue sparing ability of Advanced IMRT versus Conventional techniques Cella et al Onkologi Radiasi 2010 5:33
LI Ming Xu, Md, Ming Lei Kang, Ph. d, Bo Jiang, Ph. D, Qing Feng Liu, Ye Xiong. Departemen Onkologi Radiasi, penerbit Elsevier Inc, American Association of Medical Dosimetri Medis 2017
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 I Made Lana Prasetya, Retno Laksmi Faraningrum, Santo Aloya Dearta Saragih
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
