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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 PROCEDURE OF T-TUBE CHOLANGIOGRAPHY EXAMINATION IN POSTOPERATIVE T-TUBE PATIENTS AT THE RADIOLOGY DEPARTMENT OF ARIFIN ACHMAD REGIONAL GENERAL HOSPITAL Muhammad Wildan; Ghea Aprilia; Khanza suryani; Desviyanti serli
Medical Imaging and Radiation Protection Research Journal Vol 6 No 1 (2026): 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.v6i1.1015

Abstract

Background: T-tube cholangiography is a radiographic examination of the biliary system using contrast media administered through a T-tube catheter to evaluate the bile ducts, assess the smooth passage of contrast media, and detect obstruction or abnormalities of the biliary system. In clinical practice, examination procedures may differ from theoretical guidelines, particularly in terms of patient preparation and projection selection. Objective: This study aimed to determine the procedure for performing cholangiography examinations in patients with a postoperative T-tube clinical condition at the Radiology Department of Arifin Achmad Regional General Hospital, Riau Province. Methods: This study employed a descriptive qualitative method with a case study approach. Data were collected through direct observation, interviews, documentation, and evaluation of radiographic findings from examinations performed at the Radiology Department of Arifin Achmad Regional General Hospital between June and July 2024. Results: The cholangiography examination procedure in patients with a postoperative T-tube clinical condition did not require special preparation and was performed using preliminary Anteroposterior (AP) and post-contrast AP projections. Contrast media were carefully administered through the T-tube catheter until the duodenum was reached. The radiological report showed contrast filling of the right and left hepatic ducts, common hepatic duct, and common bile duct, with smooth passage into the duodenum. No filling defects or additional shadows were identified. Right Posterior Oblique (RPO) and lateral projections were performed as additional projections when the AP images were insufficient to establish the diagnosis.