The Effect of Tube Voltage Variations on CT Scan Image Quality at Prof. I G. N. G. Ngoerah General Hospital, Denpasar, Indonesia

Aims: Knowing the SNR and CNR values obtained from the image results that have been varied in the tube voltage. Knowing the effect of variations in the tube voltage value on the quality of the CT scan image that will be produced. Place and Duration of Study: Radiology installation of Prof. I G. N. G. Ngoerah General Hospital, Denpasar from May 2024 to August 2024. Methodology: This study used a Canon Aquilion LB CT Scanner to scan a TOS phantom containing 6 materials (polypropylene, nylon, acrylic, derlin, air, and water) with varying tube voltages (80 kV, 100 kV, 120 kV, 135 kV). The data were analyzed using PSPP and Excel to calculate SNR and CNR, and statistical tests for normality, Pearson correlation, and simple regression were performed. Results: The image data analyzed includes the average value of the object ROI, the average ROI background, and the standard deviation of the background. The data is grouped based on the variation of the tube voltage, the average value and standard deviation of the ROI on each material, and the standard deviation of the background. The results obtained for the relationship between the variation of the tube voltage and the SNR value are that the tube voltage affects the SNR value by 94,02% in polypropylene, 97,79% in nylon, 97,71% in acrylic, 96,42% in derlin, and 94,22% in air. And for the relationship between the tube voltage and the CNR value, the tube voltage affects the CNR value by 93,65% in polypropylene, 97,35% in nylon, 96,81% in acrylic, 95,62% in derlin, and 94,65% in air. Conclusion: Selecting the right tube voltage is important to optimize CT scan image quality, with 120 kV and 135 kV recommended for organs such as the kidney, liver, and lungs as they produce better SNR and CNR. Organs with significant attenuation differences show increased SNR and CNR, while soft tissues such as fat experience decreased contrast at high voltages. The use of tube voltage must be adjusted to diagnostic needs and evaluated through quality control according to BAPETEN regulation Number 2 of 2018.