Analysis of Flatness and Alignment in the Design of Wireless X-Ray Conformance Test Tool.

  • Aska Putri Hermawan Department of Medical Electronics Technology, Poltekkes Kemenkes Surabaya, Surabaya, Indonesia
  • Andjar Pudji Department of Medical Electronics Technology, Poltekkes Kemenkes Surabaya, Surabaya, Indonesia
  • Muhammad Ridha Mak’ruf Department of Medical Electronics Technology, Poltekkes Kemenkes Surabaya, Surabaya, Indonesia
Keywords: Water pass, Conformity test, MPU 6050, gyroscope


A surface's verticality or horizontalness can be determined as well as its flatness using a waterpass or spirit level. The alignment and flatness of the X-ray tube and bucky table, which determine the perpendicularity of the X-ray beam, is one of the factors for the Conformance Test, according to PERKA BAPETEN No. 2 of 2018. A traditional waterpass is typically used to obtain that conclusion, but the measurement outcome is still subject to human error because there is no set value. To achieve exact alignment, A digital waterpass using the MPU6050 sensor is made, which produces precise X-Ray images, reduces noise in the form of shadow magnification, and investigates the function of the waterpass in the compliance of the X-Ray unit. Arduino is used as the data processor in this investigation. The output is then shown on an LCD and transmitted over Bluetooth to a computer where it is displayed using Delphi before being saved in Excel. With the deviation standard value of 10 degrees, we have obtained an error value from this research between 2% and 3%, minimum, which is 0.04 for sensor 1 and 0.25 for sensor 2. Sensors 1 and 2 measure 14 degrees at 0.089 and 0.054, respectively. The MPU6050 sensor can be utilized in this study to determine how flat the X-Ray tube and bucky table are about one another. This study's contribution is anticipated to be more effective tool testing, and the data will be kept on file until the next testing session.


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N. Banihashemi, J. Soltani-Nabipour, A. Khorshidi, and H. Mohammadi, “Quality control assessment of Philips digital radiography and comparison with Spellman and Samsung systems in Tehran Oil Ministry Hospital,” Eur. Phys. J. Plus, vol. 135, no. 2, pp. 1–15, 2020, doi: 10.1140/epjp/s13360-020-00275-1.

B. C. Alumona, M. I. Ike-OgBonna, U. A. . Sirisena, and F. D. Akpolile, “Quality Assurance In Radiography With Emphasis On Light Field X-Ray Beam Alignment,” Invest. Pattern Retail Equity Investors Chennai Dist., vol. 22, no. 4, pp. 6258–6269, 2019.

E. G. Zenóbio, M. A. F. Zenóbio, C. D. B. Azevedo, M. do S. Nogueira, C. D. Almeida, and F. R. Manzi, “Assessment of image quality and exposure parameters of an intraoral portable X-rays device,” Dentomaxillofacial Radiol., vol. 48, no. 3, 2019, doi: 10.1259/dmfr.20180329.

M. Uffmann and C. Schaefer-Prokop, “Digital radiography: The balance between image quality and required radiation dose,” Eur. J. Radiol., vol. 72, no. 2, pp. 202–208, 2009, doi: 10.1016/j.ejrad.2009.05.060.

H. A. Ismail, O. A. Ali, M. A. Omer, M. E. Garelnabi, and N. S. Mustafa, “Evaluation of Diagnostic Radiology Department in Term of Quality Control (QC) of X-Ray Units at Khartoum State Hospitals,” Int. J. Sci. Res., vol. 4, no. 1, pp. 1875–1878, 2013.

D. I. Jwanbot, E. E. Ike, U. A. I. Sirisena, and I. A. Joseph, “Assessment of Beam Alignment , Collimation and Half Value Layer of Some Selected X-Ray Machines in Plateau State , Nigeria,” Int. J. Innov. Sci. Eng. Technol. Res., vol. 5, no. 4, pp. 1–5, 2017.

M. I. Balonov and P. C. Shrimpton, “Effective dose and risks from medical x-ray procedures,” Ann. ICRP, vol. 41, no. 3–4, pp. 129–141, 2012, doi: 10.1016/j.icrp.2012.06.002.

L. E. Feinendegen and J. M. Cuttler, “Biological Effects from Low Doses and Dose Rates of Ionizing Radiation: Science in the Service of Protecting Humans, a Synopsis,” Health Phys., vol. 114, no. 6, pp. 623–626, 2018, doi: 10.1097/HP.0000000000000833.

M. Oliveira, J. C. Barros, and C. Ubeda, “Development of a 3D printed quality control tool for evaluation of x-ray beam alignment and collimation,” Phys. Medica, vol. 65, no. July, pp. 29–32, 2019, doi: 10.1016/j.ejmp.2019.07.026.

K. Lumniczky et al., “Low dose ionizing radiation effects on the immune system,” Environ. Int., vol. 149, no. September, 2021, doi: 10.1016/j.envint.2020.106212.

T. M. Svahn and J. C. Ast, “Effective dose and effect of dose modulation for localizer radiographs using applied and alternative settings on Toshiba/CANON CT systems,” Radiat. Prot. Dosimetry, vol. 195, no. 3–4, pp. 198–204, 2021, doi: 10.1093/rpd/ncab030.

I. K. Putra, G. A. A. Ratnawati, and G. N. Sutapa, “General radiographic patient dose monitoring using conformity test data,” Int. Res. J. Eng. IT Sci. Res., vol. 7, no. 6, pp. 219–224, 2021, doi: 10.21744/irjeis.v7n6.1953.

G. Acri, S. Gurgone, C. Iovane, M. B. Romeo, D. Borzelli, and B. Testagrossa, “A novel phantom and a dedicated developed software for image quality controls in x-ray intraoral devices,” J. Biomed. Phys. Eng., vol. 11, no. 2, pp. 151–162, 2021, doi: 10.31661/jbpe.v0i0.2001-1061.

J. de Moura et al., “Deep convolutional approaches for the analysis of Covid-19 using chest X-ray images from portable devices,” IEEE Access, vol. 8, pp. 195594–195607, 2020, doi: 10.1109/ACCESS.2020.3033762.

M Roziq, T. B. Indrato, and M. Ridha Mak’ruf, “Analysis of X-Ray Beams Irradiation Accuracy Using Collimation Test Tools as Well as Illumination Measurement on the Collimator to the Radiographic X-Ray Machine Conformity Test Results,” J. Electron. Electromed. Eng. Med. Informatics, vol. 4, no. 2, pp. 109–114, 2022, doi: 10.35882/jeeemi.v4i2.8.

E. K. Ofori, W. K. Antwi, D. N. Scutt, and M. Ward, “Optimization of patient radiation protection in pelvic X-ray examination in Ghana,” J. Appl. Clin. Med. Phys., vol. 13, no. 4, pp. 160–171, 2012, doi: 10.1120/jacmp.v13i4.3719.

M. Hashemi, S. Bayani, F. Shahedi, M. Momennezhad, H. Zare, and H. Gholamhosseinian, “Quality assessment of conventional X-ray diagnostic equipment by measuring X-ray exposure and tube output parameters in Great Khorasan Province, Iran,” Iran. J. Med. Phys., vol. 16, no. 1, pp. 34–40, 2019, doi: 10.22038/ijmp.2018.33719.1417.

E. Nazemi, B. Rokrok, A. Movafeghi, M. H. C. Dastjerdi, and M. Dinca, “Obtaining optimum exposure conditions for digital X-ray radiography of fresh nuclear fuel rods,” Nucl. Instruments Methods Phys. Res. Sect. A Accel. Spectrometers, Detect. Assoc. Equip., vol. 923, no. October 2018, pp. 88–96, 2019, doi: 10.1016/j.nima.2019.01.061.

M. Sidi, M. Abba, C. Nwobi, and A. Dare, “Assessment of quality assurance programs for conventional X-ray equipment in Kano Metropolis,” J. Assoc. Radiogr. Niger., vol. 28, no. 1, pp. 19–24, 2014.

K. A. Faraj, R. T. Ali, and A. O. Saeed, “Quality Control and Radiation Dose Rates Measurment from Diagnostic X-ray Examination at Different Places,” Ijrras, vol. 16, no. August, pp. 318–325, 2013.

A.-J. A. Kareem, S. N. C. W. M. P. S. K. Hulugalle, and H. K. Al-hamadani, “A Quality Control Test for General X-Ray Machine,” Wsn, vol. 90, no. November, pp. 11–30, 2017.

G. Sari and G. P. Wahyuni, “Efficiency Test Of Colimator Shutter At The X Ray Tube In Radiodiagnostic Laboratory Of Poltekkes Jakarta 2 And Two Clinical Hospitals In Jakarta,” SANITAS J. Teknol. dan Seni Kesehat., vol. 8, no. 1, pp. 16–20, 2017, doi: 10.36525/sanitas.2017.3.

C. Didier et al., “Quality Control of Conventional Radiology Devices in Selected Hospitals of the Republic of Cameroon,” IJISET-International J. Innov. Sci. Eng. Technol., vol. 5, no. 3, pp. 3–6, 2018.

A. Heidari, “X–Ray Diffraction (XRD), Powder X–Ray Diffraction (PXRD) and Energy–Dispersive X–Ray Diffraction (EDXRD) Comparative Study on Malignant and Benign Human Cancer Cells and Tissues under Synchrotron Radiation,” J. Oncol. Res., vol. 1, no. 1, pp. 1–14, 2018, doi: 10.31829/2637-6148/jor2018-1(1)-e101.

N. Gharehaghaji, D. Khezerloo, and T. Abbasiazar, “Image quality assessment of the digital radiography units in Tabriz, Iran: A phantom study,” J. Med. Signals Sens., vol. 9, no. 2, pp. 137–142, 2019, doi: 10.4103/jmss.JMSS_30_18.

X. Dong, T. Niu, X. Jia, and L. Zhu, “Relationship between x-ray illumination field size and flat field intensity and its impacts on x-ray imaging,” Med. Phys., vol. 39, no. 10, pp. 5901–5909, 2012, doi: 10.1118/1.4750054.

D. S. Kanakoglou et al., “Effects of high-dose ionizing radiation in human gene expression: A meta-analysis,” Int. J. Mol. Sci., vol. 21, no. 6, 2020, doi: 10.3390/ijms21061938.

How to Cite
A. P. Hermawan, A. Pudji, and M. R. Mak’ruf, “Analysis of Flatness and Alignment in the Design of Wireless X-Ray Conformance Test Tool.”,, vol. 5, no. 2, pp. 79-85, May 2023.
Research Article