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Pemeriksaan Radiografi Pelvis pada Kasus Corpus Alienum Akibat Paku Tembak di Regio Gluteal Intan Shifa Joeida; Khairil Anwar; Nursama Heru Apriantoro
TRILOGI: Jurnal Ilmu Teknologi, Kesehatan, dan Humaniora Vol 7, No 1 (2026)
Publisher : Universitas Nurul Jadid

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33650/trilogi.v7i1.14645

Abstract

Background: Conventional radiography remains the primary radiological procedure for suspected foreign bodies in soft tissues due to its wide availability, ease of use, and affordable, accounting for 75% of imaging examinations. In pelvic cases, the standard Anteroposterior (AP) projection alone is often insufficient for evaluating the depth of foreign body: therefore, a lateral projection is essential to provide comprehensive spatial information. objective: the study aims to describe the management of pelvic radiographic examinations using AP and lateral projections in a case of a foreign body caused by a nail gun and to assess the effectiveness of these projections in detecting radiopaque images and determining their depth. Methods: A clinical-technical case study using a descriptive observational was conducted on a 23-year-old male patient with a clinical diagnosis of a foreign body in the gluteal region. Data were collected on November 6, 2024 through direct observation of the procedure, documentation of examination techniques, radiographic results, and radiologist interpretation. Results: The AP projection successfully identified a radio-opaque shadow in the shape of a nail in the pelvic region without evidence of bone fracture. The lateral projection provided a precise depth measurement of 1.6 cm from the marker, showing a coccygeal shift of <25% of the foreign body's diameter and associated soft tissue thickening. Conclusion: The combination of AP and lateral projections is effective for visualizing radiopaque objects like nails in the gluteal region, where the lateral view is crucial for depth localization. Recommendations: Future research should conduct comparative studies on other modalities, such as Ultrasonography (USG) for radiolucent objects or 3D CT-Scan
RADIOTHERAPY TECHNIQUE INTENSITY MODULATED RADIATION THERAPY (IMRT) IN BREAST CANCER CASES IN PASAR MINGGU HOSPITAL Dody Arland; Nursama Heru; Khairil Anwar; Petra P Wellyam; Dea Ryangga; Danil Hulmansyah
Medical Imaging and Radiation Protection Research Journal Vol 5 No 2 (2025): Medical Imaging and Radiation Protection Research (MIROR) Journal
Publisher : LPPM Universitas Awal Bros

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54973/miror.v5i2.999

Abstract

Background: Breast cancer is the most common type of cancer among women in Indonesia and remains one of the leading causes of cancer-related mortality. Radiotherapy plays a crucial role as both an adjuvant and curative treatment modality to improve local disease control following surgery. Advances in radiotherapy technology have led to the development of Intensity Modulated Radiation Therapy (IMRT), which enables highly conformal dose distribution to the target volume while minimizing radiation exposure to surrounding healthy tissues. Nevertheless, the clinical implementation of IMRT for breast cancer treatment in hospitals still requires evaluation of the treatment workflow and irradiation techniques to ensure optimal therapeutic outcomes.This study aimed to describe the implementation of the IMRT technique in breast cancer patients at the Radiotherapy Installation of Pasar Minggu Regional General Hospital, from the initial consultation to the completion of radiotherapy treatment. Methods: This study employed a qualitative approach using a case study design involving a breast cancer patient. Data were collected through direct observation of the radiotherapy workflow, including consultation with a radiation oncologist, CT simulation, Treatment Planning System (TPS), verification using an On-Board Imager (OBI), and radiation delivery using a Linear Accelerator (LINAC). Results: Radiotherapy planning was performed using the IMRT technique with six irradiation fields at gantry angles of 20°, 60°, 220°, 260°, 300°, and 340°. Evaluation of the Dose Volume Histogram (DVH) demonstrated that target dose coverage remained within the International Commission on Radiation Units and Measurements (ICRU) recommended range of 95–107%. Patient positioning verification using anterior–posterior/posterior–anterior (AP/PA) and lateral OBI imaging confirmed accurate patient alignment prior to treatment. The prescribed radiation dose was 5000 cGy delivered in 25 fractions of 200 cGy each.