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All Journal Jurnal Imejing Diagnostik PREPOTIF : Jurnal Kesehatan Masyarakat Jurnal Cahaya Mandalika Jurnal Kesehatan Tambusai CENDEKIA : Jurnal Ilmu Pengetahuan Jurnal Radiografer Indonesia Journal of Innovation Research and Knowledge NUSANTARA: Jurnal Pengabdian Kepada Masyarakat JURNAL KESEHATAN, SAINS, DAN TEKNOLOGI (JAKASAKTI) Hasil Karya Aisyiyah Untuk Indonesia JUKEJ: Jurnal Kesehatan Jompa Jurnal Kesehatan Republik Indonesia Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Sofie Nornalita Dewi
Fakultas Ilmu Kesehatan, Universitas ’Aisyiyah Yogyakarta
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Journal : Journal of Innovation Research and Knowledge

 1 
PROSEDUR PEMERIKSAAN CT-SCAN KEPALA PEDIATRIC DI INSTALASI RADIOLOGI RSUD KABUPATEN TEMANGGUNG Virzio Tri Pradana; Sofie Nornalita Dewi; Arnefia Mei Yusnida
Journal of Innovation Research and Knowledge Vol. 5 No. 4: September 2025
Publisher : Bajang Institute

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Background: Head CT scans performed at the Pediatric Radiology Unit of Temanggung Regency Hospital use the adult head protocol (Head Helical). This differs from the theory that specific head protocols are required for each age group. The purpose of this study was to determine the pediatric head CT scan procedure at the Radiology Unit of Temanggung Regency Hospital, the rationale for using the adult head CT scan protocol for pediatric head CT scans, and the radiation protection measures implemented during pediatric head CT scans. Methods: This study employed a descriptive qualitative method with a case study approach. Data were collected through observation, interviews, documentation, and literature review at the Radiology Unit of Temanggung Regency Hospital. Subjects included three radiographers and one radiation protection officer, with the pediatric head CT scan procedure as the object of the study. Data were analyzed through observation, interviews, and documentation. Interview results were transcribed and then summarized using a categorization table. The summarized data were presented in narrative form and explained with a theoretical basis to draw conclusions. Results: Pediatric head CT scans performed at the Radiology Department of Temanggung District Hospital used the adult protocol (Head Helical) without modifications based on age classification. Parameters such as tube voltage (120 kV) and current (300 mAs) were the same for infants and children, resulting in CTDIvol (78.1 mGy) and DLP values exceeding the BAPETEN IDRL standard. Although diagnostic imaging results were considered good, the risk of high radiation exposure remains a concern. Several reasons for the lack of protocol adjustments for pediatric head CT scans include: habit, timeliness, culture, and prioritizing good image quality. Radiation protection for patients and caregivers was implemented according to standards, including the use of aprons and educational procedures. Conclusion: The procedure was largely in accordance with theory from a technical and protective perspective, but the use of the adult protocol without adjustments increases the risk of overdose in pediatric patients. Periodic evaluation and implementation of pediatric-specific protocols based on the ALARA principle are strongly recommended for pediatric patient safety
PROSEDUR PEMERIKSAAN COLON IN LOOP PEDIATRIK DI INSTALASI RADIOLOGI RSU PKU MUHAMMADIYAH BANTUL (Studi Kasus Pada Pasien Dengan Klinis Konstipasi Kronis Berusia 3 Tahun) Reksal Makaramah; Sofie Nornalita Dewi; Ayu Mahanani
Journal of Innovation Research and Knowledge Vol. 5 No. 4: September 2025
Publisher : Bajang Institute

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Background: The Colon in Loop examination is an important radiographic procedure for evaluating cases of chronic constipation in pediatric patients. At PKU Muhammadiyah Bantul Hospital, there are differences in procedures compared to existing literature, particularly regarding patient preparation, types of contrast media used, and projection techniques. The aim of this study is to determine the procedure for the Colon In Loop examination, patient preparation, types of contrast media used, and projection techniques at the Radiology Installation of PKU Muhammadiyah Bantul Hospital.Method: This research employed a qualitative approach with a descriptive method and case study design. The study was conducted at the Radiology Installation of PKU Muhammadiyah Bantul Hospital from May to June 2025, involving three radiographers and one radiology specialist as subjects. Data collection methods included observation, interviews, documentation, and literature review. Data analysis was performed through data collection, data reduction, data presentation, and conclusion drawing.Result: The results indicated that the Colon In Loop examination procedure only required general preparation and did not involve any special preparation. The contrast media used was water-soluble, and the antero-posterior (AP) projection was employed, as it was adjusted to the non-cooperative condition of pediatric patients. Conclusion: The procedure for the Colon In Loop examination in pediatric patients at the Radiology Installation of PKU Muhammadiyah Bantul Hospital involved only general preparation without any special preparation. The contrast media used was a water-soluble mixture of iohexol and NaCl, administered gradually, as its non-ionic nature prevents excessive absorption by the body and provides stability when entering the bloodstream, making it safer for patients. The use of the antero- posterior (AP) projection was tailored to the non-cooperative condition of pediatric patients. It is recommended that examinations be conducted using X-ray equipment equipped with fluoroscopy to visualize the flow of contrast media
PROSEDUR PEMERIKSAAN COLON IN LOOP PADA KLINIS CARCINOMA COLON DI INSTALASI RADIOLOGI RS PKU MUHAMMADIYAH GOMBONG Muhammad Yandi Arafah; Sofie Nornalita Dewi; Ari Anggraeni
Journal of Innovation Research and Knowledge Vol. 5 No. 5 (2025): Oktober 2025
Publisher : Bajang Institute

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Latar Belakang: Pemeriksaan colon in loop merupakan prosedur radiografi penting dalam evaluasi kinis Carcinoma colon. di Instalasi Radiologi RS PKU Muhammadiyah Gombong, terdapat perbedaan dalam pelaksanaan prosedur, mulai dari persiapan pasien, alat dan bahan yang digunakan, teknik pemasukan media kontras, hingga pemilihan proyeksi. Penelitian ini bertujuan untuk mengetahui prosedur pemeriksaan, alasan modifikasi tahapan, dan fungsi masing-masing proyeksi. Metode: Penelitian menggunakan metode kualitatif deskriptif dengan pendekatan studi kasus, dilaksanakan pada Agustus–Juli 2025. Subjek penelitian adalah tiga radiografer dan satu dokter spesialis radiologi. Data diperoleh melalui observasi, wawancara, dokumentasi, dan studi pustaka, lalu dianalisis melalui tahapan reduksi, penyajian, dan penarikan kesimpulan Hasil : Hasil penelitian menunjukkan bahwa persiapan pasien terdiri dari persiapan umum dan khusus, persiapan alat dan bahan tidak menggunakan alat fluoroscopy. Teknik pemeriksaan diawali dengan proyeksi Anteroposterior (AP) abdomen polos, dilanjutkan pemasukan media kontras barium menggunakan proyeksi anteroposterior post kontras. Kemudian dilakukan teknik full filing dengan campuran 30cc media kontras positif dan 30cc negatif dimasukkan secara bersamaan, menggunakan proyeksi anteroposterior dan left posterior oblique (LPO). Modifikasi prosedur dilakukan untuk memperluas lumen usus, memastikan ada tidaknya sumbatan oleh tumor, serta meningkatkan efisiensi waktu. Proyeksi anteroposterior digunakan untuk mendapatkan gambaran menyeluruh colon, sedangkan oblique untuk memperjelas lekukan colon pada flexura hepatika dan lienalis. Kesimpulan : Prosedur di RS PKU Muhammadiyah Gombong tidak menggunakan fluoroscopy, serta menggunakan kombinasi proyeksi anterioposterior dan oblique. Disarankan penggunaan modalitas sinar-X dengan fluoroscopy dan teknik double kontras serta proyeksi post evakuasi untuk hasil diagnostik yang lebih optimal.
PROSEDUR PEMERIKSAAN ABDOMEN AKUT MENGGUNAKAN PROYEKSI LATERAL DORSAL DECUBITUS (Studi Kasus pada Pasien Suspect Ileus di RSUD Sidoarjo Barat) Febi Meito Lauhanda; Sofie Nornalita Dewi; Lutfiana Desy Saputri
Journal of Innovation Research and Knowledge Vol. 5 No. 5 (2025): Oktober 2025
Publisher : Bajang Institute

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Latar Belakang: Teknik pemeriksaan abdomen akut adalah pemeriksaan yang digunakan pada kasus kegawatdaruratan abdomen, berfungsi untuk mendeteksi udara bebas dan air fluid level pada rongga peritoneum. Terdapat perbedaan prosedur yang dilakukan pada pemeriksaan abdomen akut di Instalasi Radiologi RSUD Sidoarjo Barat, yaitu pada penambahan proyeksi Lateral Dorsal Decubitus. Tujuan penelitian ini adalah untuk mengetahui prosedur pemeriksaan abdomen akut pada suspect ileus di Instalasi Radiologi RSUD Sidoarjo Barat, mengetahui masing-masing proyeksi yang digunakan serta alasan menggunakan proyeksi Lateral Dorsal Decubitus di Instalasi Radiologi RSUD Sidoarjo Barat. Metode: Penelitian ini menggunakan jenis penelitian kualitatif dengan metode deskriptif dan pendekatan studi kasus yang dilakukan di Instalasi Radiologi RSUD Sidoarjo Barat dilakukan pada bulan September 2024 - Mei 2025. Pengambilan data dilakukan dengan cara observasi, dokumentasi, dan wawancara. Dilakukan dengan 3 radiografer, 1 dokter spesialis radiologi, dan 1 dokter pengirim. Analisis data dilakukan dengan reduksi data, transkrip wawancara, penyajian data, kemudian ditarik kesimpulan. Hasil: Prosedur pemeriksaan abdomen akut pada suspect ileus dilakukan melalui tahapan sistematis, termasuk persiapan pasien dan alat, serta pelaksanaan teknik pemeriksaan menggunakan tiga proyeksi yaitu: AP supine, LLD, dan Lateral Dorsal Decubitus. Masing-masing proyeksi memiliki tujuan diagnostik berbeda yang saling melengkapi, seperti mendeteksi distribusi gas, menilai adanya air-fluid level, serta mengidentifikasi udara bebas di rongga abdomen. Proyeksi Lateral Dorsal Decubitus digunakan sebagai alternatif ketika pasien tidak mampu berdiri atau duduk. Kesimpulan: Pemeriksaan radiografi abdomen pada kasus suspect ileus di RSUD Sidoarjo Barat sudah sesuai dengan Standar Operasional Prosedur Rumah Sakit, tetapi terdapat penambahan proyeksi Lateral Dorsal Decubitus. Ketiga proyeksi yang digunakan memiliki fungsi saling melengkapi dalam menunjang diagnosis. Proyeksi Lateral Dorsal Decubitus memberikan nilai diagnostik tambahan dalam kondisi keterbatasan posisi pasien dan efektif untuk visualisasi air-fluid level secara lateral. Sebaiknya pada pemosisian dan pengaturan eksposi pasien pemeriksaan abdomen akut lebih diperhatikan
Co-Authors Adhitya Iqbal Ramadhani Agustin, Sukma Fitri Ananda, Dea Anisa Nur Istiqomah Ari Anggraeni Arnefia Mei Yusnida Asih Puji Utami Asih Puji Utami Astari, Fisnandya Meita Ayu Mahanani Azizah Azizah Diyah Haryani Fadli, Azkya Octara Faesol, Ahmad Fakhrurreza, Muhammad Febi Meito Lauhanda Helmida, Sri Liana Kamila, Azzahra Arimbi Lutfiana Desy Saputri Maghfiroh, Hidayatul Muhammad Akbar Saputra Muhammad Yandi Arafah Mukmin, Amril Nailufar, Yuyun Nisa, Salsabila Aidatun Nugroho, Anshor Nuraisyah, Siti Nuraisyah Reksal Makaramah Rohmah, Alfisna Fajru Sephiarosi, Herda Shintanaya Anggraeni Virzio Tri Pradana Wagola, Rani Rahmawati Wati, Retno Widya Mufida Widya Mufida, Widya widyasari, dina Za’im, Muhammad