Evaluasi Nilai Signal to Noise Ratio (SNR) dengan Penerapan Aturan 10 kVp dan 15% kVp pada Objek Stepwedge
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Abstract
Radiographic images are medical images obtained using ionizing radiation. The quality of radiographic images is influenced by many factors, including exposure factors and the presence of anode heel effect. Several strategies are used to improve the quality of radiographic images while still providing a reasonable dose, one of which is the kVp rule. This study discusses the analysis of Signal to Noise Ratio (SNR) values using different rules, the 10 kVp and 15% kVp rules. This study aims to obtain a combination of exposure factors that produce images with the highest SNR. The tube voltage used is 40 kV to 70 kV, varied according to the 10 kVp and 15% kVp rules, with a total of 4 variations of exposure factors for the 10 kVP rule and 5 variations for the 15% kVp rule. An aluminum stepwedge with 10 levels with a height of 2 mm each is used as an object. The stepwedge is placed horizontally, parallel to the examination table with a distance of 100 cm from the focus of the X-ray machine. The results of the study indicate that increasing the exposure factor can increase the SNR value. The higher the tube voltage and mAs, the SNR value will increase. The results of this study indicate that the use of 70 kV and 4 mAs is more recommended because it produces lower noise than the use of 70 kV and 2 mAs.
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References
I. Y. Y. Tsou et al., “Planning and coordination of the radiological response to the coronavirus disease 2019 (COVID-19) pandemic: the Singapore experience,” Clin. Radiol., vol. 75, no. 6, pp. 415–422, 2020, doi: 10.1016/j.crad.2020.03.028.
M. Jae, M. Jin, K. Kim, K. Soo, T. Jung, and T. Sung, “Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID- 19 . The COVID-19 resource centre is hosted on Elsevier Connect , the company ’ s public news and information ,” no. January, 2020.
S. Rivetti, N. Lanconelli, M. Bertolini, A. Nitrosi, A. Burani, and D. Acchiappati, “Comparison of different computed radiography systems: Physical characterization and contrast detail analysis,” Med. Phys., vol. 37, no. 2, pp. 440–448, 2010, doi: 10.1118/1.3284539.
D. R. Ningtias, S. Suryono, and S. Susilo, “Pengukuran Kualitas Citra Digital Computed Radiography Menggunakan Program Pengolah Citra,” J. Pendidik. Fis. Indones., vol. 12, no. 2, pp. 161–168, 2016, doi: 10.15294/jpfi.v12i2.5950.
S. Asriningrum, K. Ansory, and P. T. Hasan, “Faktor Eksposi terhadap Kualitas Citra Radiografi dan Dosis Pasien Menggunakan Parameter Penilaian Signal to Noise Ratio (SNR) pada Pemeriksaan Thorax Posteroanterior dengan Menggunakan Pesawat Computed Radiografi,” J. Imejing Diagnostik, vol. 7, no. 1, pp. 15–18, 2021, doi: 10.31983/jimed.v7i1.6650.
S. C. Bushong, Radiologic science for technologists : physics, biology, and protection. Fifth edition. St. Louis : Mosby, [1993] ©1993. [Online]. Available: https://search.library.wisc.edu/catalog/999704048902121
B. Cahyani, U. Utari, and M. Muhtarom, “Penentuan Peak Kilovoltage (kVp) Pesawat Sinar-X Dengan Pemanfaatan Imaging Plate (IP) Di RSUD Dr. Moewardi,” Indones. J. Appl. Phys., vol. 11, no. 2, p. 126, 2021, doi: 10.13057/ijap.v11i2.45431.
T. L. Fauber, Fauber’s Radiographic Imaging and Exposure - E-Book: Fauber’s Radiographic Imaging and Exposure - E-Book. Mosby, 2024. [Online]. Available: https://books.google.co.id/books?id=LTotEQAAQBAJ
A. R. Goode, C. Snyder, A. Snyder, P. Collins, M. DeLorenzo, and P. J. Lin, “Signal and contrast to noise ratio evaluation of fluoroscopic loops for interventional fluoroscope quality control,” J. Appl. Clin. Med. Phys., vol. 20, no. 10, pp. 172–180, Oct. 2019, doi: 10.1002/acm2.12734.
W. Ching, J. Robinson, and M. Mcentee, “Patient-based radiographic exposure factor selection: A systematic review,” J. Med. Radiat. Sci., vol. 61, no. 3, pp. 176–190, 2014, doi: 10.1002/jmrs.66.
S. Sumariyah, N. K. Umiati, S. S.-B. Fisika, and undefined 2008, “Variasi Nilai Eksposi Aturan 15 Persen pada Radiografi Menggunakan Imaging Plate untuk Mendapatkan Kontras Tertinggi,” Eprints.Undip.Ac.Id, vol. 3, no. 4, pp. 251–256, 2014, [Online]. Available: http://eprints.undip.ac.id/2293
F. Susanto, H. Sedya Utami, A. R. Alchamdani, A. N. Rahmasyifa, and F. Fatimah, “Penerapan Modifikasi Faktor Eksposi Aturan 10 kV Terhadap Kualitas Citra Radiografi Thorax Modalitas CR vs DR,” JRI (Jurnal Radiogr. Indones., vol. 7, no. 1, pp. 1–6, 2024, doi: 10.55451/jri.v7i1.244.
W. K. Ma et al., “Anthropomorphic chest phantom imaging - The potential for dose creep incomputed radiography,” Radiography, vol. 19, no. 3, pp. 207–211, 2013, doi: 10.1016/j.radi.2013.04.002.
A. Wenman and P. Lockwood, “Comparing the standard knee X-ray exposure factor, 10 kV rule, and modified 10 kV rule techniques in digital radiography to reduce patient radiation dose without loss of image quality,” Radiography, vol. 30, no. 2, pp. 574–581, 2024, doi: 10.1016/j.radi.2024.01.013.
S. G. Sutoro, M. Irsal, T. A. Budiati, and A. Yansyah, “Analysis of the Signal To Noise Ratio in Use of 15% Kvp Rule Method in the Radiography Examination Supine Ap Chest,” Indones. Phys. Rev., vol. 5, no. 2, pp. 107–115, 2022, doi: 10.29303/ipr.v5i2.141.
L. Rusyadi, S. Daryati, D. Rochmayanti, and A. N. Kurniawan, “Analisis Noise Pada Radiografi Thorax Pulmonum Pada Penerapan Modifikasi Faktor Eksposi Aturan 10 kV,” J. Imejing Diagnostik, vol. 7, no. 2, pp. 70–76, 2021, doi: 10.31983/jimed.v7i2.7473.
P. A. Purwaniti, P. I. Wulandari, and P. R. Jeniyanthi, “I nternational J ournal of A llied M edical S ciences and C linical R esearch ( IJAMSCR ),” vol. 10, no. 1, pp. 120–124, 2022.
M. Irsal, “Evaluasi Exposure Index terhadap Faktor Eksposi dengan Metode 15% kVp Rule Of Thumb Pada Pemeriksaan Radiografi Kepala Proyeksi AP,” J. Ilmu dan Teknol. Kesehat., vol. 12, no. 2, pp. 62–68, 2021, doi: 10.33666/jitk.v12i2.414.
W. R. Hedrick, “Effect of quantum mottle on radiographic image quality,” Radiol. Technol., vol. 67, p. 401+, Dec. 1996, [Online]. Available: https://link.gale.com/apps/doc/A18961656/HRCA?u=anon~a1b81b95&sid=googleScholar&xid=58c1a971