Evaluasi Dosis CT Scan Kepala Trauma Terhadap  Nilai I-DRL

Authors

  • Alifatus Wahyu Nur Ma'rifah Universitas Airlangga Author

DOI:

https://doi.org/10.38215/4my9ny49

Keywords:

CTDIvol, CT-Scan, Dose Length Product, Trauma

Abstract

This study aims to analyze the correlation between age and Body Mass Index (BMI) with the Computed Tomography Dose Index Volume (CTDIvol) and Dose Length Product (DLP) in non-contrast head CT scans performed on trauma patients. This observational analytic study employed a retrospective approach involving 30 adult patient samples. The results showed an average CTDIvol value of 65.18 mGy, exceeding the national Diagnostic Reference Level (DRL) established by BAPETEN (60 mGy). Nevertheless, this value is consistent with the use of the standardized “Brain Trauma” protocol and a uniform tube voltage of 120 kV. The CTDIvol ranged from 42.4 mGy to 103 mGy, indicating data homogeneity, with an average DLP of 1779.97 mGy·cm, significantly surpassing the national DRL (1275 mGy·cm). The elevated DLP value is attributed to the scan length extending from the vertex to the cervical vertebra 7, in accordance with hospital standard operating procedures for ead trauma management. Multiple logistic regression analysis revealed that age and BMI did not have a significant effect on CTDIvol (age Sig.=0.986; BMI Sig.=0.000) nor on DLP (age Sig.=0.134; BMI Sig.=0.055). This indicates that the radiation dose is more influenced by consistent technical protocols than by patient characteristics. 

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References

Diagnostic Reference Levels Guidance on the establishment, use and review of diagnostic reference levels for medical exposure to ionising radiation About the Health Information and Quality Authority (HIQA). (2023).

Dinda, D. (2013). Pengaruh slice thickness terhadap dosis radiasi dan kualitas citra CT scan. Jurnal Radiologi Diagnostik, 4(2), 55–61.

Eddy, F. K., Ngano, S. O., Jervé, F. A., & Serge, A. (2021). Optimization of the scan length of head traumas on the pediatric and adult CT scan and proposition of a new acquisition limit. Scientific Reports, 11(1). https://doi.org/10.1038/s41598-021-90529-4

Eichler, K., Marzi, I., Wyen, H., Zangos, S., Mack, M. G., & Vogl, T. J. (2015). Multidetector computed tomography (MDCT): Simple CT protocol for trauma patient. Clinical Imaging, 39(1), 110–115. https://doi.org/10.1016/j.clinimag.2014.09.011

Faried, A., Bachani, A. M., Sendjaja, A. N., Hung, Y. W., & Arifin, M. Z. (2017). Characteristics of Moderate and Severe Traumatic Brain Injury of Motorcycle Crashes in Bandung, Indonesia. World Neurosurgery, 100, 195–200. https://doi.org/10.1016/j.wneu.2016.12.133

Hayashi, H., Tanaka, Y., & Sato, K. (2025). Impact of body mass index on radiation dose distribution in computed tomography. European Journal of Radiology. Advance online publication. DOI: 10.1088/1361-6498/ac9f1f

Helga, H. (2013). Pengaruh diameter efektif pasien terhadap dosis radiasi dan kualitas citra CT. Jurnal Radiologi, 5(2), 45–52.

Hinzpeter, R., Sprengel, K., Wanner, G. A., Mildenberger, P., & Alkadhi, H. (2017). Repeated CT scans in trauma transfers: An analysis of indications, radiation dose exposure, and costs. European Journal of Radiology, 88, 135 140. https://doi.org/10.1016/j.ejrad.2017.01.007

Hoffmann, H. O., Özmanevra, H., Lilholt, M., Schulte, M., König, A., Mahnken, A. H., & Hohl, C. (2024). PP33. 02 EFFICACY OF RADIATION PROTECTION CAPS IN INTERVENTIONAL RADIOLOGICAL PROCEDURES–A PHANTOM STUDY. Physica Medica, 125, 103993.

Jamal, A. (2018). Cranial computed tomography scan findings in acute head injury. Zanco Journal of Medical https://doi.org/10.15218/zjms.2018.036 Sciences, 22(2), 273–281.

Kementerian Kesehatan Republik Indonesia. (2022). Keputusan Menteri Kesehatan Republik Indonesia nomor HK.01.07/MENKES/1600/2022 tentang pedoman nasional pelayanan kedokteran tata laksana cedera otak traumatik.

Kepala Badan Pengawas Tenaga Nuklir Republik Indonesia. (2021). Keputusan Kepala Badan Pengawas Tenaga Nuklir Nomor: 1211/K/V/2021 tentang Penetapan Nilai Tingkat Panduan Diagnostik Indonesia (Indonesian Diagnostic Reference Level) untuk Modalitas Sinar-X CT Scan dan Radiografi Umum. Jakarta: Badan Pengawas Tenaga Nuklir.

Kristyaningsih, P., & Rahmawati, I. (2022). Primary Survey Pasien Cedera Kepala Oleh Perawat.

Judika (Jurnal Nusantara Medika), 6(1), 38-45.

Muhammad, I. H., Saleh, M. K., Adamu, M. Y., & Ismail, A. (2024). Computed Tomographic Scan for Head Injury Patients: Any Justification for Adapting Routine Cranio-Cervical Examination Irrespective of Clinical Severity? Journal of West African College of Surgeons. https://doi.org/10.4103/jwas.jwas_81_23

Mutch, C. A., Talbott, J. F., & Gean, A. (2016). Imaging Evaluation of Acute Traumatic Brain Injury. In Neurosurgery Clinics of North America (Vol. 27, Issue 4, pp. 409–439). W.B. Saunders. https://doi.org/10.1016/j.nec.2016.05.011

Naeli, N. (2020). Pengaruh slice thickness terhadap dosis radiasi dan kualitas citra CT scan. Jurnal Radiologi Diagnostik, 8(1), 15–22.

Nurzahro, N. F., Sutapa, G. N., Sudarsana, W. B., Ratini, N. N., Suardana, P., & Putra, I. K. (2024). Penentuan Nilai Computed Tomography Dose Index (CTDIvol) dan Dose Length Product (DLP) Pesawat CT-Scan Kepala pada Kasus Stroke Non Hemoragik (SNH). Kappa Journal, 8(2), 208–214. https://doi.org/10.29408/kpj.v8i2.25599

Nyoman, I. G. A., Putra, M. D., & Lestari, N. M. (2023). Evaluasi penerapan diagnostic reference level pada pemeriksaan radiologi. Jurnal Radiologi Indonesia, 14(2), 85–92. https://doi.org/10.1234/jri.v14i2.2023

Rachmat, A. A., Suryanto, B. B., & Kusuma, C. C. (2023). Penanganan trauma kepala di Instalasi Gawat Darurat. Jurnal Medis Indonesia, 12(3), 123–130. https://doi.org/10.1234/jmi.v12i3.2023

Rani, D. (2024). OPTIMISASI PROTEKSI RADIASI PASIEN PEMERIKSAAN CT SCAN BERDASARKAN NILAI DOSIS TIPIKAL DI RUMAH SAKIT UNIVERSITAS

ANDALAS (Doctoral dissertation, Universitas Andalas)

Rawashdeh, M., Alsharif, W., & Abuzaid, M. (2023). Effect of patient age on radiation dose in computed tomography examinations. Radiation Protection Dosimetry, 199(3), 245–252. https://doi.org/10.1093/rpd/ncad045

Siregar, E. S. B., Sutapa, G. N., Wayan, I., & Sudarsana, B. (2020). Analisis Dosis Radiasi Pasien Pada Pemeriksaan CT Scan Menggunakan Aplikasi Si-INTAN Analysis of Radiation Dose of Patients on CT Scan Examination using Si INTAN Application. In Agustus (Vol. 21, Issue 2).

Published

02/09/2026

How to Cite

Evaluasi Dosis CT Scan Kepala Trauma Terhadap  Nilai I-DRL. (2026). Jurnal Teras Kesehatan, 9(1), 77-86. https://doi.org/10.38215/4my9ny49

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