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STUDI KASUS TEKNIK PEMERIKSAAN THORAX PADA ANAK DENGAN TEKNIK KV TINGGI DI INSTALASI RADIOLOGI RSUD DR. R. SOETIJONO BLORA Fahri An Najih; Ike Ade Nur Liscyaningsih; Widya Mufida
Journal of Innovation Research and Knowledge Vol. 5 No. 5 (2025): Oktober 2025
Publisher : Bajang Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53625/jirk.v5i5.11411

Background: on examination of the thorax in children in Radiology installation Dr. R. Soetijono Blora used high kV technique that is exposure factor used 60 kV and mAs 1 with patient age 5 months. Projection used Antero-Posterior (AP). Meanwhile, according to the theory of thorax examination of pediatric patients using KV 40, mAs 10 and 42 kV, mAs 1.6 with Antero-Posterior (AP) , Postero-Anterior (PA) and Lateral projections. This study aims to determine the techniques and objectives in the examination of the Thorax in children with high kV techniques. Research Methods: this study uses descriptive qualitative methods with a case study approach. The research was carried out at the radiology installation of Dr Soetijono hospital blora in September 2024 – May 2025. The object in this study is a pediatric patient who underwent thorax examination, with subjects consisting of 3 radiographers and 1 radiology specialist. The method of data collection is observation, documentation interviews and literature studies. Furthermore, the processed data were analyzed in the form of interview transcripts, then a categorization table was made to be reduced. After the data is reduced, the presentation of the data is done in the form of a narrative and then analyzed with a theoretical basis for further conclusions to be drawn. Results: research shows that examination of the Thorax in children in hospital dr. R. Soetijono Blora adjusted to the age and clinical condition of the patient, the projection used Antero-Posterior (AP) with supine patient position, on examination applied high kV technique of 60 kV and 1 mAs. In this examination kVp used in addition to 10 of routine thorax examination in adult patients is 50 KV and mAs 10 while the mAs value is reduced to 1. The purpose of this technique is to minimize the movement of the patient. The use of high kV is expected to produce sharp and informative images, while a small mAs value helps speed up image acquisition thereby reducing the likelihood of artifacts due to movement

PROSEDUR PEMERIKSAAN RADIOGRAFI SHOULDER JOINT DENGAN KLINIS OSTEOARTHRITIS PROYEKSI AP METODE ROCKWOOD DI INSTALASI RADIOLOGI RS INDRIATI Alifia Permata Sari; Ike Ade Nur Liscyaningsih; Taufiq Fachruddin Zen
Journal of Innovation Research and Knowledge Vol. 5 No. 5 (2025): Oktober 2025
Publisher : Bajang Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53625/jirk.v5i5.11419

Radiography of the shoulder joint is a supportive examination to assess the condition of the shoulder joint structures, particularly in patients with osteoarthritis. Osteoarthritis is a degenerative joint disease characterized by pain, stiffness, and changes in joint shape, which can interfere with daily activities. This condition is one of the pathologies that can be detected through shoulder joint examination using the Rockwood method. This study aims to determine the procedure for shoulder joint examination using the Anteroposterior (AP) projection with the Rockwood method at Indriati Hospital of Solo Baru. The use of the AP projection with the Rockwood method is considered sufficient to assess the structure and stability of the acromioclavicular joint without the need for additional projections. This method is chosen because it avoids rotation that may cause pain, provides clear visualization, and is safer, more comfortable, and efficient for patients with pain or limited mobility. The research employed was qualitative, employing data collection techniques such as observation, documentation, and interviews with three radiographers and one radiologist. Data analysis was conducted using source triangulation and technique triangulation, then presented in narrative form and conclusions were drawn. The radiographic examination of the shoulder joint in osteoarthritis patients at Indriati Hospital of Solo Baru utilized the AP projection with the Rockwood method, positioning the patient standing and angling the beam 35° caudal. The examination was performed without special preparation, only requiring the removal of metallic objects. The resulting image showed a distance of 5.3 mm from the acromion to the humeral head, indicating joint space narrowing, consistent with the characteristics of osteoarthritis. This method was deemed effective as it provided clear visualization without extreme rotation and was sufficient for establishing a diagnosis

PENGARUH PENGGUNAAN PACS TERHADAP BEBAN KERJA RADIOGRAFER DI INSTALASI RADIOLOGI RS PKU MUHAMMADIYAH YOGYAKARTA Dwi Cahya Wibowo; Ari Anggraeni; Ike Ade Nur Liscyaningsih
Journal of Innovation Research and Knowledge Vol. 5 No. 5 (2025): Oktober 2025
Publisher : Bajang Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53625/jirk.v5i5.11425

Latar belakang: PACS merupakan sistem digital yang menggantikan proses manual dalam pengarsipan, penyimpanan, dan distribusi gambar radiologi. Pada Instalasi Radiologi RS PKU Muhammadiyah Yogyakarta, PACS telah digunakan untuk memfasilitasi digitalisasi pengarsipan dan distribusi gambar. Namun, tingginya beban kerja radiografer masih menjadi kendala dalam aspek teknis operasional. Penelitian ini bertujuan untuk mengetahui pengaruh penggunaan PACS terhadap beban kerja dan efisiensi kerja radiografer. Metode: Jenis penelitian ini adalah mix method dengan pendekatan deskriptif yang dilaksanakan di Instalasi Radiologi RS PKU Muhammadiyah Yogyakarta sejak September 2024 hingga Juni 2025. Data kuantitatif dikumpulkan melalui dokumentasi dan dianalisis menggunakan metode Workload Indicator of Staffing Need (WISN) untuk menghitung kebutuhan ideal tenaga radiografer berdasarkan jumlah pemeriksaan, waktu standar, serta tenaga yang tersedia. Data kualitatif diperoleh melalui observasi, wawancara, dan dokumentasi terhadap tiga radiografer dan satu dokter spesialis radiologi untuk menggali pengalaman kerja dan konteks penggunaan PACS. Analisis dilakukan melalui reduksi data dan penyajian naratif untuk memperkuat hasil kuantitatif. Hasil: Hasil penelitian menunjukkan bahwa penerapan PACS meningkatkan efisiensi kerja radiografer dengan mengurangi tugas manual, beban administratif, serta mempercepat akses data dan proses pelayanan, sehingga mendukung percepatan diagnosis. Namun, analisis WISN menunjukkan jumlah radiografer yang tersedia 9 orang masih di bawah kebutuhan ideal 13 orang. Disarankan kepada manajemen Instalasi Radiologi RS PKU Muhammadiyah Yogyakarta untuk menambah tenaga radiografer sesuai hasil perhitungan WISN guna mengurangi beban kerja berlebih serta menjaga mutu dan efisiensi pelayanan radiologi

Teknik Pemeriksaan Kegawatdaruratan Os Nasal Dengan Klinis Suspek Fraktur Di Instalasi Radiologi Rsi Siti Aisyah Madiun Dea Desta Juni Lestari; Ike Ade Nur Liscyaningsih; Ayu Mahanani
Journal of Innovation Research and Knowledge Vol. 6 No. 3 (2026): Agustus 2026
Publisher : Bajang Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar

Background: Nasal bone fractures are among the most common facial injuries, commonly caused by traffic accidents, sports injuries, or direct trauma. Radiographic examination is essential for confirming the diagnosis, particularly in non-cooperative patients, where examination techniques must be adapted to ensure patient safety and obtain optimal diagnostic images. Objective: This study aimed to describe the radiographic examination procedure of the nasal bone and explain the rationale for using the semiprone true lateral position in non-cooperative patients with suspected nasal bone fractures at the Radiology Department of RSI Siti Aisyah Madiun. Method: A qualitative case study approach was conducted from December 2025 to January 2026 involving three radiographers and one radiologist. Data were collected through observation, interviews, documentation, and literature review, then analyzed descriptively. Results: The examination required no special patient preparation except removing metallic objects from the head region. Radiography was performed using a lateral projection in the semiprone true lateral position with exposure factors of 65 kV, 200 mA, and a focus-to-film distance of 100 cm. This positioning was selected because the patient was weak and unable to follow instructions, providing greater safety and comfort during the examination. The lateral projection clearly demonstrated the nasal bone anatomy and fracture line without requiring additional projections. Conclusion: The semiprone true lateral position is an effective radiographic technique for evaluating suspected nasal bone fractures in non-cooperative patients, providing adequate diagnostic information while improving patient safety and examination efficiency

PROSEDUR PEMERIKSAAN MASTOID DENGAN KASUS OTITIS MEDIA KRONIK (OMK) DI INSTALASI RADIOLOGI RSU ‘AISYIYAH PONOROGO Amal Maaruf; Ike Ade Nur Liscyaningsih; Anshor Nugroho
JHN: Journal of Health and Nursing Vol. 4 No. 1 (2026): JHN: Journal of Health and Nursing, May 2026
Publisher : ASIAN PUBLISHER

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58738/jhn.v4i1.1825

Chronic Otitis Media (COM) is an inflammation of the middle ear that can lead to intratemporal complications such as mastoiditis. Radiographic evaluation of the mastoid bone plays a crucial role in identifying structural damage and assessing the extent of infection. Theoretically, the Schüller method axiolateral projection involves a 45° head rotation and a 25°–30° caudal beam angulation. However, preliminary observations at the Radiology Department of 'Aisyiyah Ponorogo General Hospital revealed the use of a 40° caudal angulation. This study aimed to examine the mastoid examination procedure and the rationale behind the 40° caudal angulation at the Radiology Department of 'Aisyiyah Ponorogo General Hospital. A qualitative case study approach was employed at the facility between December 2025 and June 2026, involving interviews with three radiographers and one radiologist. Data collection was conducted through direct observation, interviews, and documentation. Data analysis was performed narratively—involving data reduction and presentation—followed by a comparison with theoretical standards and the drawing of conclusions. The results indicate that the mastoid examination is performed without special preparation, other than the removal of metal objects from the head area. Patients are positioned erect in a true lateral position, with the side of the head being examined placed against the detector. A bilateral Schüller method axiolateral projection is used, with a centering point 2–3 cm posterior-superior to the external auditory meatus (EAM), a 40° caudal beam angulation, and exposure factors of 70–80 kV, 200 mA, 16 mAs, and an FFD of 100–120 cm. The 40° angulation was selected to produce an elongation effect on the mastoid, thereby minimizing superimposition with surrounding bony structures, allowing for clearer visualization of mastoid air cells, and facilitating a comparison of the bilateral mastoid conditions. The study concludes that the mastoid examination procedure for patients with chronic otitis media (COM) at 'Aisyiyah Ponorogo General Hospital utilizes the bilateral axiolateral projection (Schüller method) with a 40° caudal angulation and no special preparation. This angulation aims to achieve optimal elongation of mastoid structures, minimize superimposition, and enhance the diagnostic accuracy for COM.

ANALISIS PROYEKSI POSTERO ANTERIOR BILATERAL PADA PEMERIKSAAN BONE AGE DENGAN GANGGUAN PERTUMBUHAN DI RSUD SLEMAN Laura Ariwisnu; Ike Ade Nur Liscyaningsih; Ari Anggraeni
JHN: Journal of Health and Nursing Vol. 4 No. 1 (2026): JHN: Journal of Health and Nursing, May 2026
Publisher : ASIAN PUBLISHER

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58738/jhn.v4i1.1834

Bone age assessment is a radiographic procedure used to evaluate skeletal maturity in children with growth disorders. While the left posteroanterior (PA) projection is the standard method, the use of bilateral PA projections for specific conditions was observed at the Radiology Department of Sleman Regional General Hospital (RSUD Sleman). This study aimed to examine the bone age assessment techniques and the rationale for selecting either the left PA or bilateral PA projection for patients with growth disorders at the hospital. A qualitative case study approach was employed, focusing on two patients with growth disorders. The study was conducted at the Radiology Department of RSUD Sleman between September 2025 and June 2026. Data were gathered through observation, in-depth interviews with three radiographers, a radiologist, and a pediatrician, as well as through documentation and a literature review. Data analysis involved data reduction, data presentation, and conclusion drawing. The results revealed that bone age assessments utilized the left PA projection as the standard procedure, with bilateral PA projections reserved for specific conditions. The left PA projection was performed with the central point at the third metacarpophalangeal joint and a focal-film distance (FFD) of 100 cm, whereas the bilateral PA projection utilized a central point positioned between the two hands, also with an FFD of 100 cm. The left PA projection was selected because it met diagnostic requirements for bone age assessment and adhered to the ALARA (As Low As Reasonably Achievable) radiation protection principle. Conversely, the bilateral PA projection was selectively used for patients with suspected congenital anomalies, deformities, trauma, or asymmetrical growth to compare the ossification development of both hands.

Prosedur Pemeriksaan CT Scan Kepala Polos pada Kasus Microcephaly di Instalasi Radiologi RS Roemani Muhammadiyah Semarang : (Studi Kasus pada Pasien Pediatrik Usia 5 Bulan) Shintanaya Anggraeni; Sofie Nornalita Dewi; Ike Ade Nur Liscyaningsih
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 5 No. 2 (2025): Juli : Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v5i2.6074

Microcephaly is a condition in which a child's head circumference is smaller than the average for age and gender. The diagnosis can be made using a CT Scan, which should be adjusted to the patient's age according to the IAEA protocol (2012), with an ideal effective dose of 1.8–3.8 mSv for a tube current of 200 mAs. However, at the Radiology Installation of Roemani Muhammadiyah Hospital Semarang, the examination was carried out without differentiating age, resulting in an excess dose of 9.317 mSv. This study aims to evaluate the procedures, diagnostic information, and radiation protection in plain head CT Scans of pediatric patients with microcephaly. This study used a qualitative approach through observation, interviews, and documentation of 3 radiographers, 1 PPR, and 1 radiologist. The results showed no protection for patients and only basic protection for companions. CT Scans showed decreased brain volume and ventriculomegaly. It is recommended that the CT Scan protocol be adjusted to the child's age to reduce the radiation dose, through the setting of exposure factors, slice thickness, and pitch.

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