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

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RADIOGRAPHIC EXAMINATION OF THE CRANIUM USING POSTEROANTERIOR (PA) AND LATERAL PROJECTIONS IN PATIENTS WITH CLINICAL TUMOR FINDINGS AT IBNU SINA ISLAMIC HOSPITAL, PEKANBARU Ghea Aprillia; Wenda Erliyanda; Teguh Ilhami
Medical Imaging and Radiation Protection Research Journal Vol 5 No 1 (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.v5i1.986

Abstract

The head or skull functions as a protective structure for the brain and serves as an attachment site for facial organs such as the eyes, nose, ears, and other structures. The skull is divided into two main parts: the facial skeleton and the cranial skeleton. One of the indications for cranium radiographic examination is the presence of a tumor in the mandibular region. A tumor is a group of abnormal cells formed as a result of excessive and uncoordinated cell division. This study employed a descriptive qualitative method using a case study approach involving a patient diagnosed with a mandibular tumor in the Radiology Department of Ibnu Sina Islamic Hospital, Pekanbaru. During data collection, the researcher conducted observations and interviews with the radiographer responsible for performing the cranium examination. The results showed that the cranium radiographic examination for a tumor case was performed using Posteroanterior (PA) and Lateral projections. In the radiographic examination procedure conducted at the Radiology Department of Ibnu Sina Islamic Hospital, Pekanbaru, several differences were found compared with the theory presented in Merrill’s Atlas of Radiographic Positioning and Procedures. According to the atlas, cranium examinations are generally performed using Anteroposterior (AP) and Lateral projections. However, at Ibnu Sina Islamic Hospital, Pekanbaru, PA and Lateral projections were utilized. Despite this difference, the projections used were considered sufficient to provide optimal diagnostic information.
ELBOW JOINT RADIOGRAPHY EXAMINATION TECHNIQUE WITH FRACTURE CLINICAL IN PEKANBARU MEDICAL CENTER HOSPITAL INSTALLATION Wenda Erliyanda; Muhammad Wildan
Medical Imaging and Radiation Protection Research Journal Vol 5 No 1 (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.v5i1.991

Abstract

Elbow joint radiography is a fundamental diagnostic imaging examination that utilizes X-rays toevaluate the anatomical structures of the elbow joint and identify abnormalities, particularly fracturesinvolving the distal humerus. Accurate radiographic positioning is essential to produce optimal imagequality and provide sufficient diagnostic information for appropriate clinical management. Fractures ofthe humeral condyle require precise imaging to assess the fracture line, displacement, and involvementof the articular surface, thereby assisting physicians in determining the most appropriate treatment. Thisstudy aimed to describe the radiographic examination technique of the elbow joint in a patient with aclinical diagnosis of a left humeral condyle fracture at the Radiology Department of Pekanbaru MedicalCenter Hospital.This study employed a qualitative descriptive method using a case study approach. Data were collectedthrough direct observation of the examination procedure, interviews with the referring physician,radiographers, and the patient's family, as well as documentation of the radiographic examinationprocess. The examination protocol included patient preparation, positioning, exposure factor selection,and image evaluation. Radiographic examination was performed using two standard projections,namely anteroposterior (AP) and lateral projections, with a cassette size of 35 × 43 cm and a focus-tofilmdistance(FFD)of 100cm. TheresultsshowedthattheAPprojectioncouldnotbeperformedaccordingtothestandardpositioning technique because the patient's limited cooperation and pain restricted proper arm positioning.Consequently, the AP image was slightly modified while maintaining adequate visualization of thefracture. In contrast, the lateral projection was performed according to standard radiographic proceduresand provided satisfactory visualization of the elbow joint. The study concludes that radiographicexamination of the elbow joint in patients with left humeral condyle fractures may require positioning modifications based on the patient's clinical condition while maintaining diagnostic image quality to support accurate diagnosis and treatment planning.
MANAGEMENT OF ESOPHAGOGRAPHY EXAMINATION TECHNIQUES WITH THE OBSTRUCTION CLINIC AT THE RADIOLOGY INSTALLATION OF THE ARIFIN ACHMAD UMUM DAERAH HOSPITAL, RIAU PROVINCE Radita Nugraha; Wenda Erliyanda; Nurhikmah
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.v5i2.1001

Abstract

Background: Esophageal obstruction is a condition that causes dysphagia due to narrowing or blockage of the esophageal lumen, requiring contrast radiographic examination to evaluate the anatomy and function of the upper gastrointestinal tract. Esophagography is a fluoroscopic examination using barium sulfate contrast medium that can demonstrate both morphological abnormalities and esophageal motility disorders. Theoretically, the examination is performed using several standard projections, namely anteroposterior (AP), right anterior oblique (RAO), lateral, and left anterior oblique (LAO). However, in clinical practice at several hospitals, the examination procedure is often modified according to the patient's condition and diagnostic requirements. Therefore, an evaluation of its implementation is necessary. This study aimed to analyze the management of the esophagography examination technique in patients with clinically suspected esophageal obstruction at the Radiology Department of Arifin Achmad Regional General Hospital, Riau Province. Methods: This study employed a descriptive qualitative design with a case study approach. Data were collected through direct observation of the examination procedure, interviews with radiographers, and documentation of radiographic findings conducted from June to July 2024. The data were analyzed descriptively by comparing the actual examination procedure with the established theoretical standards. Results: Esophagography in patients with clinically suspected esophageal obstruction was performed using AP plain, post-contrast AP, and lateral projections with barium sulfate contrast medium under fluoroscopic guidance. The findings showed that the use of the two primary projections (AP and lateral) was sufficient to demonstrate the esophageal anatomy and identify the location of the obstruction, thereby fulfilling the diagnostic requirements. However, the procedure did not fully comply with the theoretical standard, which recommends the additional use of RAO and LAO projections to provide more optimal visualization of the esophagus.
Co-Authors Ghea Aprillia Muhammad Wildan Nurhikmah Radita Nugraha Teguh Ilhami