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"[Studi ini telah dilakukan untuk mengetahui karakteristik dari EPID dosimetri yang digunakan sebagai verifikasi pasien IMRT dan VMAT. Penelitian ini dilakukan dengan membandingkan indeks gamma dari hasil verifikasi 5 pasien brain, 5 pasien cervix, 5 pasien kepala dan leher serta 5 pasien paru menggunakan EPID dosimetri dengan MatriXX 2D array pada dua Linac yang berbeda di instalasi radioterapi MRCCC SHS dan Siloam Hospital TBS. Dari penelitian ini dihasilkan nilai indeks gamma untuk kasus IMRT di MRCCC 99.59% ± 0.46 untuk EPID dosimetri dan 99.13% ± 0.75 untuk MatriXX 2D array, sedangkan di Siloam Hospital TBS 99.8% ± 0.20 untuk EPID dosimetri dan 99.71% ± 0.14 untuk MatriXX 2D array. Pada kasus VMAT di MRCCC 97.71% ± 1.27 untuk EPID dosimetri dan 99.50% ± 0.39 untuk MatriXX 2D array, sedangkan di SiloamHospital TBS 97.78% ± 1.45 untuk EPID dosimetri dan 98.66% ± 1.26 untuk MatriXX 2D array. Kesimpulan dari penelitian ini adalah perbedaan antara EPID dosimetri dan MatriXX 2D array di kedua rumah sakit menunjukan nilai kurang dari 1% untuk kasus IMRT dan kurang dari 2% untuk kasus VMAT.

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This work was aimed to study the characteristics of EPID dosimetry in use as patient specific QA for IMRT and VMAT. We compare result of gamma index from patient specific QA with each 5 cases of brain, cervix, head and neck, lung

using EPID dosimetry and MatriXX 2D array in two different linacs at MRCCC SHS and Siloam Hospital TBS. Calculated gamma index from IMRT case in MRCCC SHS ware 99.59% ± 0.46 for EPID dosimetry and 99.13% ± 0.75 for MatriXX 2D array, meanwhile at Siloam Hospital TBS the calculated gamma index were 99.8% ± 0.20 for EPID dosimetry and 99.71% ± 0.14 for MatriXX 2D array.Gamma index from VMAT cases in MRCCC were 97.71% ± 1.27 for EPID dosimetry and 99.50% ± 0.39 for MatriXX 2D array, and in Siloam Hospital TBS the value were 97.78% ± 1.45 for EPID dosimetry and 98.66% ± 1.26 for MatriXX 2D array. We conclude that the difference between EPID dosimetry and Matrixx 2D arrays at two hospitals were less than 1% and less than 2% for IMRT and VMAT cases, respectively. This work was aimed to study the characteristics of EPID dosimetry in use as patient specific QA for IMRT and VMAT. We compare result of gamma index from patient specific QA with each 5 cases of brain, cervix, head and neck, lung using EPID dosimetry and MatriXX 2D array in two different linacs at MRCCC SHS and Siloam Hospital TBS. Calculated gamma index from IMRT case in MRCCC SHS ware 99.59% ± 0.46 for EPID dosimetry and 99.13% ± 0.75 for

MatriXX 2D array, meanwhile at Siloam Hospital TBS the calculated gamma index were 99.8% ± 0.20 for EPID dosimetry and 99.71% ± 0.14 for MatriXX 2D array.Gamma index from VMAT cases in MRCCC were 97.71% ± 1.27 for EPID dosimetry and 99.50% ± 0.39 for MatriXX 2D array, and in Siloam Hospital TBS the value were 97.78% ± 1.45 for EPID dosimetry and 98.66% ± 1.26 for MatriXX 2D array. We conclude that the difference between EPID dosimetry and Matrixx 2D arrays at two hospitals were less than 1% and less than 2% for IMRT and VMAT cases, respectively.;This work was aimed to study the characteristics of EPID dosimetry in use as

patient specific QA for IMRT and VMAT. We compare result of gamma index

from patient specific QA with each 5 cases of brain, cervix, head and neck, lung

using EPID dosimetry and MatriXX 2D array in two different linacs at MRCCC

SHS and Siloam Hospital TBS. Calculated gamma index from IMRT case in

MRCCC SHS ware 99.59% ± 0.46 for EPID dosimetry and 99.13% ± 0.75 for

MatriXX 2D array, meanwhile at Siloam Hospital TBS the calculated gamma

index were 99.8% ± 0.20 for EPID dosimetry and 99.71% ± 0.14 for MatriXX 2D

array.Gamma index from VMAT cases in MRCCC were 97.71% ± 1.27 for EPID

dosimetry and 99.50% ± 0.39 for MatriXX 2D array, and in Siloam Hospital TBS

the value were 97.78% ± 1.45 for EPID dosimetry and 98.66% ± 1.26 forMatriXX

2D array. We conclude that the difference between EPID dosimetry and Matrixx

2D arrays at two hospitals were less than 1% and less than 2% for IMRT and

VMAT cases, respectively., This work was aimed to study the characteristics of EPID dosimetry in use as

patient specific QA for IMRT and VMAT. We compare result of gamma index

from patient specific QA with each 5 cases of brain, cervix, head and neck, lung

using EPID dosimetry and MatriXX 2D array in two different linacs at MRCCC

SHS and Siloam Hospital TBS. Calculated gamma index from IMRT case in

MRCCC SHS ware 99.59% ± 0.46 for EPID dosimetry and 99.13% ± 0.75 for

MatriXX 2D array, meanwhile at Siloam Hospital TBS the calculated gamma

index were 99.8% ± 0.20 for EPID dosimetry and 99.71% ± 0.14 for MatriXX 2D

array.Gamma index from VMAT cases in MRCCC were 97.71% ± 1.27 for EPID

dosimetry and 99.50% ± 0.39 for MatriXX 2D array, and in Siloam Hospital TBS

the value were 97.78% ± 1.45 for EPID dosimetry and 98.66% ± 1.26 forMatriXX

2D array. We conclude that the difference between EPID dosimetry and Matrixx

2D arrays at two hospitals were less than 1% and less than 2% for IMRT and

VMAT cases, respectively.]"

"Verifikasi dosis dilakukan untuk memastikan pemberian dosis ke pasien sesuai dengan dosis yang ditentukan. Beberapa penelitian menunjukkan bahwa verifikasi dosis secara in vivo membawa keuntungan yang lebih daripada verifikasi pre- treatment, karena dapat mendeteksi adanya kesalahan fatal akibat dari perubahan anatomi pasien. Dosimeter yang dipilih sebagai dosimeteri in vivo adalah electronic portal imaging device (EPID). Penelitian ini dilakukan dengan mengevaluasi data sekunder dari hasil penelitian sebelumnya yang dilakukan oleh Ramadhan (Ramadhan, 2019) dengan membandingkan terhadap hasil simulasi secara Monte Carlo. Perangkat yang digunakan untuk simulasi berbasis Monte Carlo adalah PRIMO dan DOSXYZnrc yang secara berurutan digunakan dalam pemodelan linac dan EPID. Pada pemodelan linac diperlukan beam data commissioning (BDC) dari pesawat linac tipe Varian Unique dengan berkas energi foton 6 MV yang digunakan di RSUPN dr. Cipto Mangunkusumo untuk menyamakan keluaran radiasinya. EPID dimodelkan sebagai dosimetri in vivo berdasarkan material dari lapisan penyusunnya dan diuji menggunakan fantom homogen tipe slab (RW3) dengan variasi lapangan 5×5, 10×10, 15×15, dan 20×20 cm2 pada kedalaman 5 cm. Analisis hasil dilakukan dengan melihat nilai indeks gamma, FWHM, beam symmetry, dan beam flatness. Hasil commissioning pesawat linac menunjukkan kesesuaian dengan perbedaan sebesar 4,72% dan 1,29% terhadap dosis profil dan PDD yang diuji pada fantom air 40×40×40 cm3 di lapangan referensi. Hasil analisa parameter berkas yang diuji menunjukkan kesesuaian yang baik dengan nilai rata- rata standar deviasi dari parameter FWHM sebesar 1,63 cm, beam symmetry 3,18 %, dan beam flatness 0,28 %. Nilai faktor koreksi yang diperoleh sebesar 0,20 melalui perbandingan antara pengukuran EPID dan simulasi Monte Carlo.

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Dose verification is carried out to ensure that the dose to the patient is delivered according to the prescribed dose. Several studies have shown that in vivo dose verification provides an advantage over pre-treatment verification, as it can detect fatal errors resulting from changes in patient anatomy. The dosimeter chosen as an in vivo dosimeter is an electronic portal imaging device (EPID). The study was evaluating the secondary data from the results of previous research conducted by Ramadhan (Ramadhan, 2019) by comparing to the results of the Monte Carlo simulation. PRIMO and DOSXYZnrc code are used in linac and EPID modeling, respectively, based on Monte Carlo simulation. A beam data commissioning (BDC) is required from the Varian Unique linac with a 6 MV photon energy beam used at RSUPN dr. Cipto Mangunkusumo to adjust radiation output through the simulation. EPID was modeled as in vivo dosimetry based on the material from the constituent layers and tested using a slab-type homogeneous phantom (RW3) with field variations of 5×5, 10×10, 15×15, and 20×20 cm2 at a depth of 5 cm. The results analysis was performed by looking at the FWHM, beam uniformity, beam flatness, and gamma index value. The results of the commissioning of the linac head showed conformity with a difference of 4,72 % and 1,29 % to the dose profile on the crossline and PDD tested on a water phantom of 40×40×40 cm3 in the reference field. The analysis process of the beam parameters tested showed a good agreement with the average standard deviation of the FWHM parameter of 1.63 mm, beam symmetry of 3,18 %, and beam flatness of 0,28 %. The correction factor value is 0,20 from the comparison between the EPID measurement and the Monte Carlo simulation."

"Nanopartikel Zn(1-x)Ti(x)O telah disintesis menggunakan metode kopresipitasi. Karakterisasi telah dilakukan untuk mengamati efek doping Ti dengan variasi konsentrasi x=5, 8, 17, dan 25% terhadap struktur, sifat optis, dan aktifitas fotokatalisis. Struktur kristal diamati menggunakan X-Ray Diffraction (XRD) menunjukkan seluruh sampel berada dalam keadaan fase tunggal yaitu wurtzite. Pergeseran puncak spektrum XRD mengindikasikan parameter kisi a dan c tersebar masing-masing di antara 3,242-3,252 angstrom dan 5,199-5,213 angstrom. Metode Debye-Scherer menunjukkan ukuran bulir kristal meningkat monoton dari ~14-16 nm seiring bertambahnya konsentrasi dopan. Lebar celah energi nanopartikel ditentukan melalui spektrum Diffuse Reflectance Spectrum (DRS) dalam rentang UV-vis menunjukkan bahwa lebar celah energi E_g adalah 3,29; 3,36; 3,34; dan 3,32 eV masing-masing untuk sampel dengan x = 5, 8, 17, dan 25% . Aktivitas fotokatalisis diukur dibawah penyinaran sinar UV selama 60 menit menunjukkan laju fotokatalisis lebih tinggi pada sampel yang mengandung konsentrasi dopan lebih tinggi. Kalkulasi struktur elektronik dalam kerangka Density Functional Theory (DFT) juga dilakukan pada sistem Zn(1-x)Ti(x)O dengan variasi konsentrasi dopan x = 4%, 8%, dan 12,5%. Kalkulasi menunjukkan Zn(1-x)Ti(x)O bersifat metalik dengan celah energi yang meningkat monoton seiring peningkatan nilai x. Dengan demikian, kalkulasi DFT tidak menunjukkan sifat optis yang sama dengan hasil eksperimen sehingga tidak dapat menjelaskan aktivitas fotokatalisis.

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Ti-doped ZnO nanoparticles was synthesized with coprecipitation method. Charaterization with Energy-Dispersive X-Ray spectroscopy confirmed that the four samples contains Ti as dopant with concentration 5, 8, 17, and 25%. The crystal structure of all samples are hexagonal wurtzite. Lattice parameter of the hexagonal wurtzite, a and c, varies from 3,242 to 3,525 angstrom and 5,199 to 5,213 angstrom respectively. Crystallite diameter determined with Debye-Scherrer method varies from approximately 14 to 16 nm. Furthermore, band gap of samples 5, 8, 17, and 25% are 3,29; 3,36; 3,34; and 3,32 respectively which confirm that the nanoparticles are visible light active. Photocatalytic activity investigation under UV light for 60 minutes showed that the sample 25% Ti exhibit the highest rate of photocatalytic activity, followed by sample 17, 8, and 5%. Electronic structure was calculated within Density Functional Theory (DFT). We used three models with dopant variations 4%, 8%, and 12,5%. Calculation results showed that all models are metallic. Band gap trend is blueshift as the concentration increased. Therefore, optical property calculated with DFT could not support the results of optical property in this experiment and photocatalytic activity indirectly."

"Penggunaan kecerdasan buatan berbasis Deep Learning untuk mendukung prediksi dan pengambilan keputusan sangat populer di banyak bidang. Salah satu bidang tersebut adalah di sektor kesehatan, terutama dalam pengobatan kanker. Banyak ahli onkologi radiasi dan fisikawan medis sedang melakukan penelitian yang menjanjikan dalam histologi dan stadium kanker, prediksi hasil, segmentasi otomatis, perencanaan perawatan, dan jaminan kualitas. Penelitian ini merupakan studi pendahuluan pengembangan dan perbandingan model deep learning yang berfungsi sebagai alat konversi dari nilai piksel citra Electronic Portal Imaging Device (EPID) ke dosis. Data diambil dari dua bidang radioterapi dengan teknik yang berbeda, yang pertama dosimetri transit pada Varian Unique 6MV foton dan dosimetri non-transit pada Varian Halcyon. Selanjutnya karena data yang tersedia hanya sedikit, data tersebut direproduksi dengan teknik augmentasi sehingga data tersebut cukup untuk menjadi data latih pada berbagai model deep learning, hasilnya divalidasi menggunakan indeks gamma 3%/3mm terhadap citra dosis hasil perencanaan dari TPS. Beberapa model deep learning telah berhasil dibuat yang dapat mengubah nilai piksel EPID menjadi distribusi dosis. Pada dosimetri transit telah berhasil dibuat model Convolutional Neural Network (CNN) dengan 6 layer dengan hasil validasi terbaik mencapai 92,40% ± 28,14%. sedangkan pada dosimetri non-transit, model terbaik mencapai tingkat kelulusan gamma indeks rata-rata 90,07 ± 4,96%. Validasi lebih lanjut dalam banyak kasus dan perbaikan perlu dilakukan untuk meningkatkan akurasi kemiripan dengan citra acuan dengan mempertimbangkan karakteristik yang terkandung dalam gambar EPID dan jumlah dataset.

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The use of deep learning to support prediction and decision making is very popular in many areas. Many radiations oncologist and medical physicists are conducting promising research in cancer histology and staging, outcome prediction, automated segmentation, treatment planning, and quality assurance. This research is a preliminary study of the development and comparison of deep learning model that work as a conversion tool from the pixel value of Electronic Portal Imaging Device (EPID) images to dose. Data were taken from two radiotherapy plane with different techniques, the first was transit dosimetry on the Varian Unique 6MV Photon and the second non-transit dosimetry on the Varian Halcyon. Furthermore, due to limited of data source, the data was reproduced by augmentation techniques so that the data was sufficient to become training data on various deep learning models, the results were validated using a gamma index of 3%/3mm compared to the planned dose image from TPS. Several deep learning models has been successfully created that can convert the EPID pixel value into a dose distribution. In transit dosimetry, a Convolutional Neural Network (CNN) model with 6 layers has been successfully created with the best results from the validation reaching 92.40% ± 28.14%. while in non-transit dosimetry, the best model achieves an average gamma passing rate of 90.07 ± 4.96%. Further validation in many cases and improvements need to be made to increase the accuracy of similarity by considering the characteristics contained in the EPID image and the number of datasets."

"Radioterapi merupakan salah satu modalitas penanganan Kanker Nasofaring. Kemajuan teknologi radioterapi termasuk perkembangan intensity modulated radiotherapy (IMRT) memberikan hasil yang cukup memuaskan dalam penanganan Kanker Nasofaring baik secara klinis maupun dosimetri. IMRT dapat mengurangi efek akut dan kronik, dengan cakupan dosis maksimal pada tumor dan dosis minimal pada organ/jaringan sehat di sekitarnya. Tujuan dari penelitian ini adalah untuk mengetahui perbandingan verifikasi akurasi posisi pasien IMRT Kanker Nasofaring dengan registrasi citra DRR/EPID. Analisis data retrospektif terhadap citra DRR/EPID dari 35 pasien proyeksi AP dan Lateral (140 citra) yang telah diverifikasi secara manual kemudian secara simulatif diterapkan metode fusi semiotomatis dengan program FIJI. Penggunaan program FIJI dapat memperbaiki kualitas citra DRR/EPID sehingga memudahkan dalam verifikasi geometri radioterapi. Hasil penelitian ini secara statistik menunjukkan tidak terdapat perbedaan antara verifikasi manual dengan metode fusi pada radioterapi pasien kanker nasofaring, namun secara deskriptif terdapat kecenderungan bahwa metode fusi denganprogram FIJI memberikan verifikasi geometri radioterapi yang lebih baik dibandingkan metode manual. Verifikasi akurasi posisi pasien sangat penting dilakukan karena besarnya translasi sangat mempengaruhi PTV dan dosis yang diterima jaringan sehat disekitarnya serta organ beresiko.

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Radiotherapy is one of common treatment modality for Nasopharyngeal Cancer. The development of intensity modulated radiotherapy (IMRT technique) gives satisfactory results in the nasopharyngeal cancer treatment, both clinically and dosimetry. IMRT can reduce the effects of acute and chronic, with a maximum dose coverage to the tumor and minimal dose to the organ or normal tissue surrounding target value.

The purpose of this study is to compare the accuracy of patient positioning verification of Nasopharyngeal Cancer IMRT with DRR / EPID image registration. Retrospective data analysis of the AP and Lateral projections DRR and EPID images 35 patients (140 images) were then manually verified by simulative applied fusion semiautomatic with FIJI program. FIJI program improved the image quality of the DRR and EPID to facilitate the image registration.

Results of this study shows no statistically significant difference between the manual verification and semiautomatic fusion method of nasopharyngeal cancer patients, but there is a tendency that the semiautomatic method with FIJI program provides verification geometry radiotherapy better a result than manual methods. Accuracy verification of patient positioning is very important because it greatly affects the magnitude of translational PTV and the dose received by surrounding healthy tissue and organs at risk."

"Telah dilakukan penelitian yang bertujuan untuk mengimplementasikan film Gafchromic XR-RV3 untuk verifikasi dosis radioterapi pada IMRT dan VMAT. Evaluasi dosis pada target ditentukan dengan meletakkan film Gafchromic XRRV3 dan EBT2 padqa slab fantom Rando Alderson. Percobaan dilakukan dengan menggunakan Varian Clinac Trilogy, Inc. Proses simulasi terlebih dahulu dilakukan pada fantom Rando Alderson bagian thorax dan pelvis di CT simulator Phillips, Inc. Dua kasus perencanaan IMRT dan VMAT dibuat menggunakan TPS Eclipse ver. 10. Film Gafchromic yang telah dipapar kemudian dipindai menggunakan scanner Epson Perfection V700 ke dalam format tagged image file (.TIFF) dengan 72 dpi dan RGB 48 bit yang kemudian dianalisis menggunakan algoritma in-house yang telah dikembangkan oleh penelitian sebelumnya. Dalam penelitian ini dilakukan perbandingan pengukuran distribusi dosis pada film Gafchromic XR-RV3 dan EBT2 untuk mendapatkan dosis rata-rata dalam bentuk kurva histogram. Hasil penelitian ini memiliki persentase kesalahan terhadap dosis preskripsi pada kasus kanker prostat sebesar -4.85% pada film Gafchromic EBT2 dan -1.94% pada film Gafchromic XR-RV3 dengan teknik penyinaran IMRT, sedangkan untuk teknik penyinaran VMAT sebesar -4.48% pada film Gafchromic EBT2 dan -7.47% pada film Gafchromic XR-RV3. Di sisi lain, persentase kesalahan terhadap dosis preskripsi pada kasus kanker paru-paru dengan teknik penyinaran IMRT adalah 14.47% pada film Gafchromic EBT2 dan -4.37% pada film Gafchromic XR-RV3, sedangkan untuk teknik penyinaran VMAT sebesar 51.64% pada film Gafchromic EBT2 dan -28.07% pada film Gafchromic XR-RV3.

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The research aims to implement Gafchromic XR-RV3 films in order to verify the dose of radiotherapy on IMRT and VMAT. The evaluation of targeted dose is determined by putting films of Gafchromic XR-RV3 and EBT2 on Rando Alderson slab fantom. The experiment was performed with Varian Clinac Trilogy, Inc. The simulation process was initially conducted on thorax and pelvis on Phillips Inc.’s CT Simulator. Two cases of IMRT and VMAT plans were made using Eclipse TPS ver. 10. Exposed Gafchromic films then scanned using Epson Perfection V700 into (.TIF) format in 72 dpi and RGB 48 bit which was analyzed by in-house algorithm that had been developed on a previous research. The comparison between EBT2 and XR-RV3 Gafchromic films were used to obtain average dose in the form of histogram curve. The percentage of errors in the case of prostate cancer toward the planned dose were -4.85% in EBT2 Gafchromic films and -1.94% in the XR-RV3 Gafchromic films on IMRT technique, whereas for VMAT were -4.48% on EBT2 Gafchromic films and -7.47% on XR-RV3 Gafchromic films. On the other hand, the percentage of errors in the case of lung cancer toward the planned dose with IMRT technique were 14.47% on EBT2 Gafchromic films and -4.37% on XR-RV3 Gafchromic films, while for VMAT were 51.64% on EBT2 Gafchromic films and -28.07% on XR-RV3 Gafchromic films."

"ABSTRAKTujuan penelitian ini mengevaluasi perencanaan terapi radiasi kasus nasofaring dengan teknik Intensity Modulated Radiation Therapy IMRT dan Volumetric Modulated Arc Therapy VMAT menggunakan algoritma Analytical Anisotropic Algorithm AAA dan Acuros External Beam AXB versi 13.0.01. Penelitian dibagi menjadi tiga yaitu 1 analisa dose volume histogram DVH di TPS, 2 verifikasi dosis fantom slab memakai film Gafchromic EBT3 dan bilik ionisasi CC13, dan 3 verifikasi fantom rando memakai film Gafchromic EBT3 dan Thermoluniscence Dosimeter TLD . Analisa DVH menghasilkan penyimpangan AXBDm dan AXBDw terhadap AAA pada PTVtulang sebesar -1.5 dan 2.0 , sedangkan pada organ sehat inner ear dan mandibula penyimpangan AXBDm dan AXBDw sebesar 8 . Conformity index AXBDm untuk IMRT dan VMAT adalah 0.58 dan 0.61, sedangkan homogeneity index AAA adalah 0.06 dan 0.05. Deviasi pengukuran dengan slab homogen dan inhomogen menunjukkan Acuros lebih kecil bacaan deviasinya dibandingkan AAA, dengan nilai deviasi 0.10 - 7.78 . Verifikasi dosis titik dengan fantom rando menunjukkan hasil yang acak, nilai deviasi menunjukkan pola yang tidak bisa diprediksi terhadap algoritma mana yang akan menghasilkan deviasi lebih kecil. Pengukuran nilai gamma dengan kriteria 7 /4mm dihasilkan passing rate gamma index untuk IMRT pada AAA, AXBDm, dan AXBDw sebesar 52.7 , 90.7 , dan 63.66 , sedangkan VMAT sebesar 61.51 , 90.09, dan 92.67 .

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ABSTRACTThe purpose of this study to evaluate the radiation therapy planning techniques nasopharyngeal case with Intensity Modulated Radiation Therapy IMRT and Volumetric Modulated Arc Therapy VMAT using algorithm Anisotropic Analytical Algorithm AAA and Acuros External Beam AXB version 13.0.01. The study was divided into three 1 the analysis of dose volume histogram DVH at TPS, 2 verification dose in slab phantom using film Gafchromic EBT3 and ionization chamber CC13, and 3 verification dose in rando phantom use film Gafchromic EBT3 and Thermoluminiscence Dosimeter TLD . DVH analysis resulted in deviations AXBDm and AXBDw to AAA on PTVbone amount 1.5 and 2.0 , whereas in healthy organs mandibula and inner ear and deviation of AXBDm to AXBDw up to 8 . Conformity index AXBDm for IMRT and VMAT is 0.58 and 0.61, while AAA homogeneity index is 0.06 and 0.05. Deviation measurements with homogeneous slab and inhomogen Acuros readings indicate the deviation compared to AAA, with a deviation 0 10 7.78 . . Point dose verification with fantom rando shows random results. Gamma value measurement criteria of 7 4mm generated gamma passing rate index for IMRT for AAA, AXBDm, and AXBDw was.7 , 90.7 and 63.66 , while VMAT was 61.51 , 90.09, and 92.67 ."

"Penelitian ini bertujuan untuk memverifikasi dosis radiasi radioterapi pada kasus kanker payudara dan kanker nasofaring (KNF). Percobaan dilakukan dengan menggunakan Linac Varian Trilogy radiasi foton berenergi 6 MV. Detektor yang digunakan dalam penelitian ini adalah film gafchromic, MatriXX 2D array, TLD, dan EPID. Film gafchromic dan TLD ditempatkan dalam phantom rando untuk mengevaluasi distribusi dosis pada volume target, sedangkan untuk mendapatkan hasil registrasi film gafchromic dan MatriXX 2D array ditempatkan dalam Multi Cube, dan dilakukan juga penyinaran pada EPID. Hasil perbedaan distribusi dosis teknik IMRT dan VMAT antara film dengan dosis preskripsi TPS pada KNF PTV70 adalah 6,87% dan 8,55%, pada KNF PTV50 adalah 14,43% dan 4,65%, sedangkan pada kanker payudara 11,98% dan 12,10%. Perbedaan nilai dosis antara TLD dengan dosis preskripsi TPS teknik IMRT dan VMAT pada KNF PTV50 sebesar 1,76% dan 1,60%, dan pada kanker payudara sebesar 7,06% dan 3,36%. Selisih perbedaan nilai gamma indeks teknik IMRT dan VMAT pada KNF sebesar -0,09% dan -1,65% antara film dan MatriXX, dan 5,13% dan 1,43% antara film dengan EPID. Pada kanker payudara selisih perbedaan nilai gamma indeks teknik IMRT dan VMAT sebesar 0,51% dan 0,19% antara film dengan MatriXX, dan 2,28% dan 4,38% antara film dengan EPID. Verifikasi dosis radioterapi dan registrasi citra pada kasus kanker payudara dan KNF dapat dilakukan menggunakan film gafchromic, TLD, MatriXX 2D array, dan EPID.

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This study was aimed to verify the radiation dose in the case of breast cancer and nasopharyngeal carcinoma (NPC). The experiments were performed using a Varian Trilogy Linac at 6 MV photon radiation and gafchromic films, Matrixx 2D Array, TLD, and EPID detectors. Gafchromic films and TLD were inserted into rando phantom to measures the dose on target volume and organ at risk. In order to evaluated the gamma index, gafchromic films and Matrixx 2D array were placed in the Multi Cube, and was irradiated with EPID in position. Results of the dose distribution differences on IMRT and VMAT between film and TPS on NPC PTV70 was 6.87% and 8.55%, the NPC PTV50 was 14.43% and 4.65%, and for breast cancer was 11,98% and 12,10%. The dose differences between TLD and TPS on IMRT and VMAT for NPC PTV50 was 1.76% and 1.60%, and the breast cancer was 7.06% and 3.36%. Gamma index differences on IMRT and VMAT technique on NPC was -0.09% and -1.65% between film and MatriXX, and 5.13% and 1.43% between films and EPID. In breast cancer the gamma index differences on IMRT and VMAT was 0.51% and 0.19% between films and MatriXX, and 2.28% and 4.38% between films and EPID. Radiotherapy dose verification and image registration for breast cancer and NPC was done using gafchromic film, TLD, MatriXX 2D array, and EPID."