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ABDOMEN ULTRASONOGRAPHIC EXAMINATION ANALYSIS IN THE CASE OF URINARY BLADDER DIVERTICULA AT CILEGON HOSPITAL: - Wirya, Tirta; Sari, Gando; Bahri, Syamsul; Heru, Nursama; Utami, Resa Wantika
JAMBI MEDICAL JOURNAL "Jurnal Kedokteran dan Kesehatan" Vol. 9 No. 2 (2021): JAMBI MEDICAL JOURNAL Jurnal Kedokteran Dan Kesehatan
Publisher : FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS JAMBI

ABSTRACT Diverticulum is outpouching of hollow (or fluid-filled) structures, which can form in various organs in the body. Increased intravesical pressure (3-5 times) causes the bladder mucosa to infiltrate itself between the bladder muscle bundles which results in the development of extravasational sacs or saccules which subsequently results in diverticulum formation. The sonographic diagnosis of bladder diverticula depends on the demonstration of communication between the bladder and the mass. When such communication, or estuary, is not seen during ultrasound examination, the bladder diverticulum can look like any other type of cystic pelvic mass. The approach used is descriptive qualitative. This study aims to analyze the examination of the USG Abdomen with clinical bladder diverticula to get an appropriate picture of USG so that the diagnosis can be established. The study population was patients who performed an abdominal USG examination at the Cilegon Regional General Hospital. The sample of this study were 1 (one) patient. The method used in collecting data in this study is observation, documentation, and literature study. Keywords: Ultrasound, Urinary Bladder, Diverticula

PERBEDAAN PROYEKSI PEMERIKSAAN RADIOGRAFI SINUS PARANASAL PADA KLINIS SINUSITIS DI RUMAH SAKIT MAYAPADA LEBAK BULUS. Salsabila, Husniati; Hidayat, Wahyu; Nurbaiti, Nurbaiti; Sari, Gando
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 9 No. 1 (2023)
Publisher : Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/htj.v9i1.538

Radiographic examination of the paranasal sinuses using an X-ray machine can be performed with various projections. Selection of the right projection will provide imaging results that support the diagnosis process. This study aims to analyze the management of the radiographic examination of the paranasal sinuses and to analyze the use of X-ray projections for the examination of the paranasal sinuses in patients with clinical sinusitis at Mayapada Hospital Lebak Bulus. This research method is descriptive qualitative with secondary data analysis approach in January 2022. The study sample consisted of six patients who underwent examination of the paranasal sinuses with clinical sinusitis. The research process includes literature study, observation and interviews. The instruments used are worksheets and documentation tools. Interviews were conducted with two radiographers and one radiology specialist. The result of this research is that the examination of the paranasal sinuses in clinical sinusitis can be performed using two or three projections. Examination of two projections, consisting of a parietoacanthial projection (water's method open mouth) and a lateral projection. Three-projection examination consists of lateral projection, parietoacanthial projection (water's method open mouth) and Posteroanterior or PA axial projection (caldwell method).

Quality Control Analysis of Linear Accelerator Radiotherapy Device in the Department of Radiotherapy at Pasar Minggu District Hospital Apriantoro, Nursama Heru; Wulandari, Ira; Sari, Gando; Riyangga, Dea; Murdaka, Egi Kamal; Wellyam, Petra Pratama; Kurnia, Try Wulan; Fathoni, Imam Muhamad
Jurnal Ilmu Fisika Vol 16 No 1 (2024): March 2024
Publisher : Jurusan Fisika FMIPA Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jif.16.1.46-54.2024

Radiation accidents pose a significant risk, often stemming from inadequate calibration of radiation output, procedural lapses, and faults in radiation monitoring systems. Addressing these risks is pivotal, particularly in radiotherapy, where the precise functioning of linear accelerator (Linac) devices is crucial. This study delves into the quality control procedures applied to the Linac radiotherapy device within the Department of Radiotherapy at Pasar Minggu District Hospital. Drawing upon the renowned reference standards set by the AAPM Task Group 142 and BAPETEN Regulation No. K2N.2/MT-08, this research, conducted in November 2022, rigorously evaluated the mechanical, dosimetry, and safety aspects of the Linac device. The examination encompassed critical elements, including gantry angles, optical distance indicators, laser precision, collimator angles, light field size, and photon and electron beam outputs. Safety features such as door interlocks, audiovisual indicators, and radiation alert systems were scrutinized. The analysis reveals a reassuring finding: the Linac device at Pasar Minggu District Hospital adheres commendably to tolerance limits specified by reference standards across all measured parameters, indicating robust performance in mechanics, dosimetry, and safety. This meticulous quality control regimen has proven highly effective in ensuring the device's operational integrity and safety, affirming its reliability for precise radiotherapy treatments.

Quality Control Analysis of Linear Accelerator Radiotherapy Device in the Department of Radiotherapy at Pasar Minggu District Hospital Apriantoro, Nursama Heru; Wulandari, Ira; Sari, Gando; Riyangga, Dea; Murdaka, Egi Kamal; Wellyam, Petra Pratama; Kurnia, Try Wulan; Fathoni, Imam Muhamad
Jurnal Ilmu Fisika Vol 16 No 1 (2024): March 2024
Publisher : Jurusan Fisika FMIPA Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jif.16.1.46-54.2024

Radiation accidents pose a significant risk, often stemming from inadequate calibration of radiation output, procedural lapses, and faults in radiation monitoring systems. Addressing these risks is pivotal, particularly in radiotherapy, where the precise functioning of linear accelerator (Linac) devices is crucial. This study delves into the quality control procedures applied to the Linac radiotherapy device within the Department of Radiotherapy at Pasar Minggu District Hospital. Drawing upon the renowned reference standards set by the AAPM Task Group 142 and BAPETEN Regulation No. K2N.2/MT-08, this research, conducted in November 2022, rigorously evaluated the mechanical, dosimetry, and safety aspects of the Linac device. The examination encompassed critical elements, including gantry angles, optical distance indicators, laser precision, collimator angles, light field size, and photon and electron beam outputs. Safety features such as door interlocks, audiovisual indicators, and radiation alert systems were scrutinized. The analysis reveals a reassuring finding: the Linac device at Pasar Minggu District Hospital adheres commendably to tolerance limits specified by reference standards across all measured parameters, indicating robust performance in mechanics, dosimetry, and safety. This meticulous quality control regimen has proven highly effective in ensuring the device's operational integrity and safety, affirming its reliability for precise radiotherapy treatments.

Penggunaan T2 STIR dan Fat Saturation pada Pemeriksaan MRI Lumbal Kasus Hernia Nucleus Pulposus (HNP) Agrilian, Meilita Putri; Tarigan, Asumsie; W, Mahfud Edy; Sari, Gando
Jurnal Imejing Diagnostik (JImeD) Vol. 9 No. 1: JANUARY 2023
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v9i1.9456

Background: Signal to noise ratio (SNR) is defined as the ratio of the amplitude of the signal received by the coil to the amplitude of the noise.Â Methods: This research was quantitative alongside an observational approach conducted at the Radiology Installation of Satya Negara Hospital, North Jakarta. Alongside a research population of Lumbar MRI patients with HNP clinical indication from October to November 2022. The research sample was ten patients aged around 25-50 years with a diagnosis of HNP. Furthermore, an MRI examination was carried out using T2 STIR and T2 Fat Saturation sequences. Hence, the results of the Lumbar MRI image were ROI performed on common areas alongside the Corpus, Discus, CSF, Spinal Cord, and HNP area.Â Results: This research showed there was a significant difference in SNR values in the T2 STIR and T2 Fat Saturation sequences in common areas with a p-value of > 0.05. There was no significant difference in SNR values in the HNP-experienced area with a p-value of < 0.05.Â Conclusions: After a statistical test using the Paired Sample T Test, the test results obtained were p value > 0.05, namely 0.692 for the SNR value on the results of the MRI Lumbar sagittal section of the sequence T2 STIR and T2 Fat saturation in the Lumbar area experiencing HNP, which means that Ho was accepted, which means that there was no significant difference in SNR values between the T2 STIR and T2 Fat saturation sequences in the lumbar tissue that experienced HNP. 2. The SNR value of MRI images of the lumbar sagittal section of the sequence T2 STIR and T2 Fat saturation in normal lumbar tissue including Corpus, Discus, CSF, the test results obtained are p-value <0.05. This means that Ho was rejected, which means there was a significant difference in SNR values between the T2 STIR and T2 Fat saturation sequences. In the spinal cord area, the test results obtained were p value > 0.05. This meant that Ho was accepted, which meant there was no significant difference in SNR values between the T2 STIR and T2 Fat saturation sequences.Â

MRI Case Report of Perianal Fistula with T2 TSE SPIR Sequence Apriantoro, Nursama Heru; Saleh, Arif Rohman; Sari, Gando; Supriyono, Puji; Widiatmoko , Mahfud Edy
JURNAL INFO KESEHATAN Vol 21 No 2 (2023): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol21.Iss2.1050

MRI is a diagnostic imaging tool crucial for pelvic examination in perianal fistula cases. MRI imaging offers some advantages, especially in showing the area of spesi and secondary dilatation. Both have a high recurrence rate after surgery and an important role in determining surgical outcomes and minimizing complications. This study aims to evaluate pelvic MRI examination of perianal fistulas using the T2 TSE SPIR (Turbo Spin Echo Spectral Presaturation with Inversion Recovery) sequence. Research design used a qualitative descriptive method with participatory observation through a case study approach to Perianal Fistula using T2 TSE_SPIR. It was carried out at the Radiology Department of Mayapada Hospital in South Jakarta from August to December 2022. The MRI equipment Philips Achieva 1.5 Tesla with Sense Body Coil. MRI contrast agent of gadoteric acid, Vitamin E capsule, was attached to the perianal fistula location to make it easier for the radiologist to see the path of the perianal fistula. The results of Pelvis MRI images in perianal fistulas using the T2 TSE SPIR sequence shown with clear boundaries of perianal fistulas with anal organs, sigmoid colon, bladder, and prostate between one organ and another. Implementing the selection of the T2 TSE SPIR sequence to visualize fluid images becomes hyper-intensive by suppressing fat signals so that only fluid is visible in the perianal abscess and fistula images.

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