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All Journal Medical Imaging and Radiation Protection Research (MIROR) Journal
Neng Asih
Universitas Awal Bros
Health Professions Materials Science & Nanotechnology Medicine & Pharmacology Physics

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CT SCAN UROGRAPHY EXAMINATION PROCEDURE WITH CLINICAL HYDRONEPHROSIS IN THE RADIOLOGY INSTALLATION OF AWAL BROS PANAM HOSPITAL Irvandy Febrian; Neng Asih
Medical Imaging and Radiation Protection Research Journal Vol 4 No 2 (2024): 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.v4i2.973

Abstract

Background: Hydronephrosis is a condition characterized by dilation of the pelvis and renal calyces due to impaired or obstructed urine flow. CT urography can provide more comprehensive anatomical information about the urinary tract and help evaluate the cause and degree of dilation of the pelvicalyceal system. In clinical practice, the examination procedure may be adjusted, including the use of oral hydration without the administration of diuretics. This study aimed to determine the CT urography examination procedure in patients with clinical hydronephrosis at the Radiology Department of Awal Bros Panam Hospital. Methods: The study used a descriptive qualitative method with a case study approach. Data were collected through direct observation, interviews, and documentation of the CT urography examination procedure. The study subjects consisted of two radiographers and one radiologist. Data were analyzed descriptively using triangulation techniques. Results: The examination was performed without the administration of diuretics. Patients were advised to increase their fluid intake and to refrain from urinating until the bladder was full. The examination was performed in the supine position, using the head-first method, using a helical abdominal protocol with a scanning range from the xiphoid process to the symphysis pubis. Images were reconstructed in axial, sagittal, and coronal planes. The use of oral hydration and urinary retention can help improve visualization of the urinary tract and provide adequate diagnostic information. Conclusion: CT scan urography procedures for hydronephrosis cases at Awal Bros Panam Hospital can be performed without diuretics by utilizing oral hydration and bladder filling through urinary retention.
RADIOTHERAPY MANAGEMENT IN CLINICAL SYNONASAL CANCER AT THE RADIOTHERAPY INSTALLATION OF ARIFIN ACHMAD HOSPITAL, RIAU PROVINCE Afianti Nurfadilla; Neng Asih; Dilla Anggraini
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.v5i2.1021

Abstract

Background: Sinonasal cancer is a malignancy that originates in the nasal cavity or paranasal sinuses. One treatment modality is external radiotherapy, which uses radiation to control or destroy cancer cells. Radiotherapy implementation requires several stages to ensure targeting accuracy and therapy safety. Objective: To determine the management of radiotherapy in patients with clinical sinonasal cancer in the Radiotherapy Installation of Arifin Achmad Regional Hospital, Riau Province. Methods: This study used a descriptive qualitative method with a case study approach. Data collection was conducted in June 2024 through observation, documentation studies, and interviews with medical physicists and radiotherapists. The study sample was one patient diagnosed with stage T4N0M0 sinonasal cancer. Results: Radiotherapy management included consultation with a radiation oncologist, simulation using a CT simulator, fabrication of fixation devices, determination of reference points, target contouring, dose planning using the Treatment Planning System (TPS), geometry verification, portals, and irradiation using a Linear Accelerator (LINAC). The patient received a total dose of 70 Gy, delivered in three phases: 27 × 2 Gy, 3 × 2 Gy, and 5 × 2 Gy, with two isocenters. Conclusion: Radiotherapy management for sinonasal cancer at Arifin Achmad Regional Hospital, Riau Province, was carried out in stages, starting with consultation, CT simulation, contouring, TPS planning, geometry verification, portal placement, and irradiation using the LINAC. Each stage was carried out to ensure the accuracy of radiation delivery to the target therapy.
Co-Authors Afianti Nurfadilla Dilla Anggraini Irvandy Febrian