PENGARUH VARIASI SLICE THICKNESS TERHADAP KUALITAS CITRA CT-SCAN KEPALA BONE WINDOW PADA KASUS TRAUMA
DOI:
https://doi.org/10.54040/jpk.v16i1.371Keywords:
CT-Scan Kepala, Slice Thickness, Kualitas Citra, SNR, CNR, Bone Window, Trauma KepalaAbstract
Kualitas citra CT-Scan kepala sangat dipengaruhi oleh pemilihan parameter teknis, khususnya slice thickness, yang menentukan keseimbangan antara resolusi spasial dan tingkat noise, terutama pada visualisasi struktur tulang. Pada kasus trauma kepala, kualitas citra yang optimal diperlukan untuk mendeteksi fraktur secara akurat. Penelitian ini bertujuan menganalisis perbedaan kualitas citra CT-Scan kepala bone window pada kasus trauma dengan variasi slice thickness 1 mm, 3 mm, 5 mm, dan 7 mm serta menentukan slice thickness yang paling optimal. Penelitian menggunakan desain kuantitatif deskriptif dengan data sekunder dari 10 pasien trauma kepala di RSUD Kabupaten Melawi periode Agustus-Oktober 2025. Data direkonstruksi ulang dan dianalisis secara objektif menggunakan nilai SNR dan CNR melalui software RadiAnt DICOM serta secara subjektif melalui kuesioner. Analisis statistik meliputi uji Shapiro-Wilk, Repeated Measure ANOVA, dan Fleiss’ Kappa. Hasil menunjukkan variasi slice thickness berpengaruh signifikan terhadap kualitas citra (p < 0,001). Slice thickness 3 mm memberikan kualitas citra terbaik dan direkomendasikan untuk pemeriksaan CT-Scan kepala bone window kasus trauma.
References
Abdulkareem, N. K., Hajee, S. I., Hassan, F. F., & Ibrahim, I. K. (2022). Investigating The Slice Thickness Effect On Noise And Diagnostic Content Of Single-Source Multi-Slice Computerized Axial Tomography. Journal of Medicone and Life, June. https://doi.org/10.25122/jml-2022-0188
Anggarani, N. K. N., Suryatika, I. B. M., & Sutapa, G. N. (2023). Effect of Slice Thickness Variation on Spatial Resolution of CT-Scan Device Images at the Bali Mandara Hospital Radiology Installation. Asian Journal of Medicine and Health, 21(10), 263–268. https://doi.org/10.9734/ajmah/2023/v21i10901
Bushberg, J. T., Seibert, J. A., Jr., E. M. L., & M.Boone, J. (2021). The Essential Physics of Medical Imaging (Fourth Edi). Wolters Kluwer.
Chau, S., & Hayre, C. M. (2023). Computed Tomography A Primer For Radiographers. CRC Press Taylor & Francis Group.
Dewilza, N., Yudha, S., Hanifah, W., Nansih, L. A., & Septiani, R. (2024). Analysis Of Differences In Image Quality With Variations In Slice Thickness In CT-Scan Brain Examinations With Trauma Cases At The Radiology Installation Of RSI Siti Rahmah Padang. Jurnal Ilmu Dan Teknologi Kesehatan STIKES Widya Husada, 15(2), 87–93. https://doi.org/https://doi.org/10.33666/jitk.v15i2.643
Irsal, M., Mukhtar, A. N., & Hidayat, W. (2021). Pengaruh Tegangan Tabung terhadap Kualitas Citra pada Pemeriksaan Computed Tomography Kepala menggunakan Iterative Reconstruction. 09(01), 103–110. https://doi.org/https://doi.org/10.23960/jtaf.v9i1.2715
Jesus, Z. D. R., Juliantara, I. P. E., & Sukadana, I. K. (2023). Perbandingan Kualitas Citra CT-Scan Kepala Pada Kasus Trauma Dengan Variasi Increment Di Rumah Sakit Balimed. Calory Journal?: Medical Laboratory Journal, 1(4), 85–98. https://doi.org/https://doi.org/10.57213/caloryjournal.v1i4.91
Kusumaningsih, L. P. R., Suryatika, I. B. M., Trisnawati, N. L. P., & Irhas, R. (2023). Pengaruh Slice Thickness terhadap Signal to Noise Ratio (SNR) dari Hasil Penyinaran CT Scan di RSUP Prof. Dr. I.G.N.G Ngoerah. Kappa Journal, 7(2), 326–330. https://doi.org/10.29408/kpj.v7i2.7675
Long, B. W., Rollins, J. H., & Smith, B. J. (2016). Merrill’s Atlas Of Radiographic Positioning & Procedures Volume 1-3 (Thirteenth). Mosby Elsevier.
Magfirawati, N., Dewang, S., Astuty, S. D., & Muliadin. (2022). Quality Control of Multi-Slice CT-Scan Plane using Phantom Chart Model 610 at Makassar Haji Hospital. Indonesian Physical Review, 5(1). https://doi.org/https://doi.org/10.29303/ipr.v5i1.136
Munir, N. W., Indah, S. M., & Maryunis, M. (2021). Kualitas Hidup Pasien Trauma Kapitis Berdasarkan QOLIBRI dan WHOQOL di RS Bhayangkara Makassar. Jurnal Kesehatan Vokasional, 6(3). https://doi.org/https://doi.org/10.22146/jkesvo.66213
Putu, N., Jeniyanthi, R., Mahendrayana, I. M. A., & Sukadana, K. (2020). The effect of slice thickness variations on the quality of the image and value bleeding volume on DSCT brain examination. International J Ournal of A Llied M Edical S Ciences and C Linical R Esearch ( IJAMSCR ), 8(2), 251–257. https://doi.org/https://doi.org/10.61096/ijamscr.v8.iss2.2020.251-257
Rahayu, D., Rinawati, F., & Yunarsih. (2022). Peningkatan Ketrampilan Pengenalan Trauma Capitis Dengan Teknik Simulasi. Jurnal Ilmu Kesehatan, 11(1), 95–100. https://doi.org/https://doi.org/10.32831/jik.v11i1.484
Rini, D. I. S., & Suwardi. (2020). Optimization of Window width and Window Level on Bone Window for Examination of MSCT Mastoid with Acute Mastoiditis Case in RSUP dr. Kariadi Semarang. Journal of Applied Health Management and Technology, 2(1), 13–16. https://doi.org/https://doi.org/10.31983/jahmt.v2i1.5478
Salsabila, N., Prasetya, I. M. L., & Mahendrayana, I. M. A. (2025). Analisis Pemeriksaan CT Scan Kepala Kontras pada Kasus Tumor Otak Di Rumah Sakit Santosa Bandung Kopo. JUSINDO, 7(1), 452–459. https://doi.org/https://doi.org/10.59141/jsi.v7i01.223
Seeram, E. (2021). A Comprehensive Guide To Radiographic Sciences and Technology (first). John Wiley & Sons Ltd All.Shangzhen, T., Rajendran, K., Zhou, W., Fletcher, J. G., McCollough, C. H., & Leng, S. (2022). Noise Reduction in CT Image Using Prior Knowledge Aware Tterative Denoising. HHS Public Access, 65(22). https://doi.org/10.1088/1361-6560/abc231.Noise
Tude, R. R. I., Diartama, A., & Darmita, M. P. (2024). Uji Kesesuaian CT Number Pada Pesawat CT Scan Multislice Di Rumah Sakit Sunset Vet Kuta. 2, 106–113. https://doi.org/https://doi.org/10.57213/antigen.v2i1.205
Wahyuni, S. N., Agung, A., Diartama, A., & Mughnie, B. (2022). Pengaruh Variasi Rekonstruksi Slice Thickness Dan Filter Kernel Terhadap Kualitas Citra CT-Scan Kepala Pada Kasus Stroke Iskemik. Humantech Jurnal Ilmiah Multi Disiplin Indonesia, 2. https://doi.org/https://doi.org/10.32670/ht.v2i2.2791
Xue, Z., Antani, S., Long, L. R., Demner-Fushman, D., & Thoma, G. R. (2012). Window Classification of Brain CT Images in Biomedical Articles. AMIA Annual Symposium Proceedings, 2012, 1023–1029. https://doi.org/https://pmc.ncbi.nlm.nih.gov/articles/PMC3540547/
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