EFEK FRAKSINASI DOSIS RENDAH SINAR-X TERHADAP KUANTITAS SEL DARAH PUTIH

Authors

  • Arga Pratama Rahardian Program Studi Teknologi Radiologi Pencitraan, Universitas Muhammadiyah Purwokerto
  • Fani Susanto Program Studi Teknologi Radiologi Pencitraan, Universitas Muhammadiyah Purwokerto
  • Bayu Priambodo Nurharyono Instalasi Radiologi, Rumah Sakit Nirmala, Purbalingga

DOI:

https://doi.org/10.31004/jkt.v4i3.17841

Keywords:

Dosis, Fraksinasi, Radiasi, Sinar-X

Abstract

Pekerja radiasi di Instalasi radiologi berpotensi untuk terpapar dosis rendah radiasi sinar-X secara gradual. Paparan dosis rendah tersebut dapat menimbulkan proses ionisasi yang memicu rusaknya sel-sel yang ada dalam tubuh manusia, terutama sel darah putih yang merupakan salah satu sel dengan radiosensitivitas yang tinggi. Berdasarkan hal tersebut, penelitian ini bertujuan untuk menganalisis efek radiasi pengion yang terfraksinasi terhadap kuantitas sel darah putih. Penelitian ini merupakan penelitian kuantitatif menggunakan Posttest-only Control Group Design. Penelitian ini dilakukan pada bulan Juli 2023 di Laboratorium Radiologi Universitas Muhammadiyah Purwokerto menggunakan sampel penelitian berupa 30 ekor Mencit Jantan berusia 2-3 bulan, dengan berat sekitar 40 gram. Sampel dibagi menjadi 3 kelompok, kelompok pertama merupakan kelompok kontrol, kelompok kedua diradiasi dengan 10 x 1 mGy, dan kelompok ketiga diradiasi dengan 30 x 0,33 mGy. Interval untuk setiap fraksi dosis adalah 15 menit. Darah Mencit diambil 1 hari setelah dipapar radiasi dan dihitung kuantitas sel darah putihnya menggunakan Penganalisis Hematologi Otomatis. Data hasil penelitian dianalisis menggunakan one way ANOVA. Hasil penelitian menunjukkan bahwa tidak ada penurunan kuantitas sel darah putih yang signifikan (p < 0,05) akibat pemberian fraksinasi dosis rendah radiasi sinar-X. Meskipun penurunan kuantitas sel darah terjadi, penurunan tersebut tidak signifikan dan masih dalam batas normal jumlah kuantitas sel darah putih.

References

A. E Noor, J., & Normahayu, I. (2014). Dosis Radiasi Dari Tindakan Ct-Scan Kepala. Journal of Enviromental Engineering and Sustainable Technology, 1(2), 84–91.

Adamietz, I. A., Rosskopf, B., Dapper, F. D., Von Lieven, H., & Boettcher, H. D. (1996). Comparison of two strategies for the treatment of radiogenic leukopenia using granulocyte colony stimulating factor. International Journal of Radiation Oncology Biology Physics, 35(1), 61–67.

Alatas, Z. (2003). Efek Kesehatan Pajanan Radiasi Dosis Rendah. Prosiding Seminar Aspek Keselamatan Radiasi dan Lingkungan pada Industri Non-Nuklir, 27–39.

Al-Basheer, A., Huang, J., Kaminski, J., Dasher, B., Howington, J., Stewart, J., Martin, D., Jin, J., & Kong, F. P. (2014). Correlation of Integral Dose, White Blood Cell Counts, and Radiation Therapy Techniques for Head and Neck Cancer Patients Under Radiation Therapy. International Journal of Radiation Oncology*Biology*Physics, 90(1), S574.

Alnahhal, M., Alajeramy, Y., & Mostafa, S. A. (2017). Assessment of Hematological Parameters among Medical Radiographers at Governmental Hospitals , Gaza Strip. 7(6), 238–241.

Billings, P. C., Romero-Weaver, A. L., & Kennedy, A. R. (2015). Effect of Gender on the Radiation Sensitivity of Murine Blood Cells. Gravitational and space research?: publication of the American Society for Gravitational and Space Research, 2(1), 25–31.

Bushong, S. C. (2013). Radiologic Science for Technilogists (Tenth Edit). Mosby.

Chang, J., Luo, Y., Wang, Y., Pathak, R., Sridharan, V., Jones, T., Mao, X. W., Nelson, G., Boerma, M., Hauer-Jensen, M., Zhou, D., & Shao, L. (2016). Low doses of oxygen ion irradiation cause acute damage to hematopoietic cells in mice. PLoS ONE, 11(7), 1–15.

Darmini, Dahjono, J., & Asri, I. A. (2014). Radiation Dose In Non Conventional Contrast Radiography Examination. Jurnal Riset Kesehatan, 3(1), 460–466.

Devi, B. C., Yueniwati, Y., & DW, A. (2016). Comparison of Caspase-3 Responses of Tracheal Cells to Gamma Rays Radiation in Single Dose and Fractination Dose. Majalah Kesehatan FKUB, 3(3), 121–127.

El-Shanshoury, H., El-Shanshoury, G., & Abaza, A. (2016). Evaluation of low dose ionizing radiation effect on some blood components in animal model. Journal of Radiation Research and Applied Sciences, 9(3), 282–293.

Eric, J. H., & Amato, J. G. (2019). Radiobiology for The Radiologist (Eight Edit). Wolters Kluwer.

Farooque, A., Mathur, R., Verma, A., Kaul, V., Bhatt, A. N., Adhikari, J. S., Afrin, F., Singh, S., & Dwarakanath, B. S. (2011). Low-dose radiation therapy of cancer: Role of immune enhancement. Expert Review of Anticancer Therapy, 11(5), 791–802.

Fliedner, T. M., Graessle, D. H., Meineke, V., & Feinendegen, L. E. (2012). Hemopoietic response to low dose-rates of ionizing radiation shows stem cell tolerance and adaptation. Dose-Response, 10(4), 644–663.

Goodhead, D. T. (2006). Energy deposition stochastics and track structure: What about the target? Radiation Protection Dosimetry, 122(1–4), 3–15.

Henry, E., & Arcangeli, M. L. (2021). How Hematopoietic Stem Cells Respond to Irradiation: Similarities and Differences between Low and High Doses of Ionizing Radiations. Experimental Hematology, 94(6), 11–19.

Jabeen, A., Munir, M., Khalil, A., Masood, M., & Akhter, P. (2010). Occupational exposure from external radiation used in medical practices in Pakistan by film badge dosimetry. Radiation Protection Dosimetry, 140(4), 396–401.

Ji, K., Wang, Y., Du, L., Xu, C., Liu, Y., He, N., Wang, J., & Liu, Q. (2019). Research Progress on the Biological Effects of Low-Dose Radiation in China. Dose-Response, 17(1), 1–16.

Li, W., Wang, G., Cui, J., Xue, L., & Cai, L. (2004). Low-dose radiation (LDR) induces hematopoietic hormesis: LDR-induced mobilization of hematopoietic progenitor cells into peripheral blood circulation. Experimental Hematology, 32(11), 1088–1096.

Liu, S. Z. (2003). On radiation hormesis expressed in the immune system. Critical Reviews in Toxicology, 33(3–4), 431–441.

Liu, S. Z., Zhang, Y. C., Mu, Y., Su, X., & Liu, J. X. (1996). Thymocyte apoptosis in response to low-dose radiation. Mutation Research - Fundamental and Molecular Mechanisms of Mutagenesis, 358(2), 185–191.

Liu, X. D., Ma, S. M., & Liu, S. Z. (2003). Effects of 0.075 Gy x-ray irradiation on the expression of IL-10 and IL-12 in mice. Physics in Medicine and Biology, 48(13), 2041–2049.

Lumniczky, K., Impens, N., Armengol, G., Candéias, S., Georgakilas, A. G., Hornhardt, S., Martin, O. A., Rödel, F., & Schaue, D. (2021). Low dose ionizing radiation effects on the immune system. Environment International, 149(June).

Makaju, S., Prasad, P. W. C., Alsadoon, A., Singh, A. K., & Elchouemi, A. (2018). Lung Cancer Detection using CT Scan Images. Procedia Computer Science, 125(2009), 107–114.

Marshall, T. D., Spear, L. B., & Muhler, J. C. (1958). Effect of roentgen-ray irradiation from a modern dental x-ray unit on the red and white blood cell count and on growth in the rat. Journal of the American Dental Association (1939), 57(5), 665–669.

Masood, K., Zafar, J., Zafar, T., & Zafar, H. (2013). Assessment of the occupational radiation exposure doses toworkers at INMOL Pakistan (2007-11). Radiation Protection Dosimetry, 155(1), 110–114.

Michael, J., & Albert, van der K. (2009). Basic Clinical Radiobiology (Fourth Edi). Hodder Arnold.

Miousse, I. R., Shao, L., Chang, J., Feng, W., Wang, Y., Allen, A. R., Turner, J., Stewart, B., Raber, J., Zhou, D., & Koturbash, I. (2014). Exposure to low-dose 56Fe-ion radiation induces long-term epigenetic alterations in mouse bone marrow hematopoietic progenitor and stem cells. Radiation Research, 182(1), 92–101.

Rahardjo, T., Surniyantoro, H. N. E., Sufivan, V. A., Prihatini, T., & Darlina. (2018). Dampak Radiasi Pengion Terhadap Profil Hematologi Pekerja Radiasi Di Rumah Sakit. Prosiding Seminar Nasional APISORA, 60–66.

Rattan, S. I. S. (2008). Hormesis in aging. Ageing Research Reviews, 7(1), 63–78.

Ravi, A., Allbright, R., Christos, P., Brennan, J., Parashar, B., Nori, D., Wernicke, A. G., Alexander, A. S., Wells, D., Berrang, T., Parsons, C., Mydin, A., Shaffer, R., Wong, F., Sayers, D., Otto, K., Wells, D., Berrang, T., Parsons, C., … Yuh, W. T. C. (2008). Correlations of Longitudinal White Blood Cell Count with Radiation Therapy Outcome for Cervical Cancer. International Journal of Radiation Oncology Biology Physics, 72(1), 366–367.

Ren, H., Shen, J., Tomiyama-Miyaji, C., Watanabe, M., Kainuma, E., Inoue, M., Kuwano, Y., & Abo, T. (2006). Augmentation of innate immunity by low-dose irradiation. Cellular Immunology, 244(1), 50–56.

Rithidech, K. N., & Scott, B. R. (2008). Evidence for radiation hormesis after in vitro exposure of human lymphocytes to low doses of ionizing radiation. Dose-Response, 6(3), 252–271.

Rozgaj, R., Kašuba, V., Šentija, K., & Prli?, I. (1999). Radiation-induced chromosomal aberrations and haematological alterations in hospital workers. Occupational Medicine, 49(6), 353–360.

Rudy, A. N. (2018). Mengenal Mencit sebagai Hewan Laboratorium (H. K. Andi, Ed.). Mulawarman University Press.

Setyawan, A., & Djakaria, H. M. (2014). Efek Dasar Radiasi pada Jaringan. Journal of Indonesian Radiation Oncology Society, 5(1), 25–33.

Singh, V. K., & Seed, T. M. (2021). Entolimod as a radiation countermeasure for acute radiation syndrome. Drug Discovery Today, 26(1), 17–30.

Suman, G., Panda, A., Korfiatis, P., & Goenka, A. H. (2020). Convolutional neural network for the detection of pancreatic cancer on CT scans. The Lancet Digital Health, 2(9), e453.

Wang, G. J., & Cai, L. (2000). Induction of cell-proliferation hormesis and cell-survival adaptive response in mouse hematopoietic cells by whole-body low-dose radiation. Toxicological Sciences, 53(2), 369–376.

Yang, G., Kong, Q., Wang, G., Jin, H., Zhou, L., Yu, D., Niu, C., Han, W., Li, W., & Cui, J. (2014). Low-dose ionizing radiation induces direct activation of natural killer cells and provides a novel approach for adoptive cellular immunotherapy. Cancer Biotherapy and Radiopharmaceuticals, 29(10), 428–434.

Yunus, B., Bandu, K., Radiologi, B., Program, M., Kedokteran, S., Kedokteran, F., & Unuversitas, G. (2019). Efek radiasi sinar-x pada anak-anak. Makassar Dental Journal, 8(2), 97–104.

Zhang, L., Tian, Y., Wu, Y., Zhang, H., Wang, Z., Huo, H., Zhang, Y., Zhang, M., Ning, P., & Jiang, J. (2010). Low-dose radiation-induced hormetic effect on hematopoietic reconstitution. International Journal of Radiation Biology, 86(4), 329–333.

Zhang, Y., Fu, Q., Huang, T., Liu, Y., Chen, G., & Lin, S. (2022). Ionizing radiation-induced DNA damage responses affect cell compressibility. Biochemical and Biophysical Research Communications, 603, 116–122.

Downloads

Published

2023-09-23

How to Cite

Rahardian, A. P., Susanto, F. ., & Nurharyono, B. P. . (2023). EFEK FRAKSINASI DOSIS RENDAH SINAR-X TERHADAP KUANTITAS SEL DARAH PUTIH . Jurnal Kesehatan Tambusai, 4(3), 2836–2843. https://doi.org/10.31004/jkt.v4i3.17841