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All Journal Jurnal Imejing Diagnostik Journal Of Vocational Health Studies Media Ilmiah Kesehatan Indonesia
Syuhada, Firdha Adlia
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Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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ANALYSIS EXPOSURE INDEX AS AN OPTIMIZATION EFFORT ON EXAMINATION CHEST POSTERIOR ANTERIOR Irsal, Muhammad; Syuhada, Firdha Adlia; Ananda, Yolanda Pangestu; Putra, Andre Galih Pratama; Syahputera, Muhammad Rizky; Wibowo, Syahputera; Kahar, Rizky
Journal of Vocational Health Studies Vol. 4 No. 2 (2020): November 2020 | JOURNAL OF VOCATIONAL HEALTH STUDIES
Publisher : Faculty of Vocational Studies, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jvhs.V4.I2.2020.50-54

Abstract

Background: Radiographers are responsible for producing image quality which can provide accurate diagnostic information by considering the lowest possible radiation dose according to the As Low As Reasonably Achievable (ALARA) principle. Participation between radiographers and medical physicists is needed in optimizing efforts to control the selection of exposure factors by the required clinical radiographic examination. Purpose: To analyze the exposure index on examination chest posterior-anterior. Method: Quantitative descriptive by analyzing the percentage of exposure index results used in chest PA radiographs as an effort to optimize: image quality and radiation dose indicators on chest PA examinations. Result: Optimization of exposure percentage results of 68%, 25% underexposure, 4% underexposure, 2% overexposure, 1% overexposure (noise). Radiographers have tried to optimize: image quality and image radiation dose by selecting exposure factors that are tailored to the patient's condition and maximizing post-processing for increased quality. Conclusion: In optimizing the CR imaging system, it is necessary to understand exposure index, this is related to the underexposed, optimal, and overexposed categories, besides radiographers can take advantage of post-processing to improve image quality.
MEASUREMENT OF RADIATION EXPOSURE IN FACILITIES FOR RADIOLOGY DIAGNOSTIC AT THE COVID-19 EMERGENCY HOSPITAL IN WISMA ATLET JAKARTA Irsal, Muhammad; Syuhada, Firdha Adlia; Ananda, Yolanda Pangestu; Putra, Andre Galih Pratama; Syahputera, Muhammad Rizky; Wibowo, Syahputera
Journal of Vocational Health Studies Vol. 4 No. 2 (2020): November 2020 | JOURNAL OF VOCATIONAL HEALTH STUDIES
Publisher : Faculty of Vocational Studies, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jvhs.V4.I2.2020.55-61

Abstract

Background: Facility design for radiology diagnostic examination was one of the concerns in the COVID-19 pandemi. This is related to the establishment of emergency department of radiology which were carried out in a very fast pace. Purpose: This study was an effort to the radiation protection for workers and public. Method: Data collection was carried out on 1-29 May 2020 at the COVID-19 Emergency Hospital in Wisma Atlet Jakarta. Result: The assessment for the area 1 was 1 = 22.38 mR /week, in the area was 2 = 5.23 mR /week, in the area 3 = 7.32 mR / week, in the area 4 = 8.67 mR /week. Thus, the exposure received is still within limits safe in the controlled area. Meanwhile, the uncontrolled area will continue to be monitored to ensure that there is no activity. Conclusion: In the  effort of protecting the workers and the public from the radiotion, the principles of radiation protection, distance, time, and shielding should always be implemented.
ANALISIS MANFAAT DAN TANTANGAN PENERAPAN PICTURE ARCHIVING AND COMMUNICATION SYSTEM (PACS) DI INSTALASI RADIOLOGI Darmawan, Zulkifli Tri; Angraeni, Dian; Mirfauddin, Mirfauddin; Rakhmansyah, A.AR.; Rusli, Muh; Wulandari, Andi Nur Intan; Syuhada, Firdha Adlia; Normawati, Sitti; Musdalifah, Indah
Media Ilmiah Kesehatan Indonesia Vol. 3 No. 3 (2025): SEPTEMBER
Publisher : Pakis Journal Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58184/miki.v3i3.745

Abstract

Penelitian ini bertujuan untuk menganalisis manfaat dan tantangan penerapan sistem Picture Archiving and Communication System (PACS) di Instalasi Radiologi Rumah Sakit Otak dan Jantung Pertamina Royal Biringkanaya. PACS merupakan sistem digital yang menggantikan metode penyimpanan berbasis film konvensional guna meningkatkan efisiensi pelayanan radiologi. Pendekatan yang digunakan adalah deskriptif kualitatif, dengan teknik pengumpulan data melalui kuesioner, wawancara, observasi langsung, dan dokumentasi. Partisipan dalam penelitian ini terdiri dari enam orang radiografer dan satu orang dokter radiologi. Hasil penelitian menunjukkan bahwa PACS memberikan kontribusi signifikan terhadap peningkatan pelayanan. Berdasarkan hasil kuesioner, 62% radiografer menyatakan sangat setuju dan 38% setuju terhadap manfaat PACS. Respons dokter menunjukkan 80% sangat setuju, 10% setuju, dan 10% tidak setuju. Hasil wawancara memperkuat data kuantitatif tersebut, terutama dalam hal kemudahan akses gambar, kecepatan pelaporan, dan efisiensi alur kerja. Meski demikian, tantangan seperti gangguan jaringan dan perlunya pelatihan berkelanjutan masih ditemui. Hasil observasi menunjukkan bahwa infrastruktur PACS seperti komputer dan monitor sudah memadai, serta pelatihan yang diberikan umumnya cukup. Namun, responden menyarankan adanya pembaruan sistem dan pemeliharaan berkala. Secara keseluruhan, PACS terbukti meningkatkan kualitas pelayanan radiologi tetapi optimalisasi sistem masih diperlukan melalui peningkatan infrastruktur dan kapasitas pengguna.
Optimasi Visualisasi Celah Sendi Glenohumeral pada Kasus Trauma Bahu melalui Proyeksi Axillary View dengan Sudut 25° Caudal Wulandari, Andi Nur Intan; Ibrahim, Irsyadah; Darmawan, Zulkifli Tri; Syuhada, Firdha Adlia; Arung, Panji
Jurnal Imejing Diagnostik (JImeD) Vol. 12 No. 1 (2026): JANUARY 2026
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v12i1.14499

Abstract

Background: The shoulder joint is a complex anatomical structure with an extensive range of motion, making it highly susceptible to traumatic injuries such as fractures and dislocations. Conventional radiography often faces limitations in providing detailed visualization of these injuries, necessitating specialized projection techniques to clarify anatomical abnormalities. This study aims to evaluate the implementation of the axillary view projection using a 25° caudal angle in trauma cases at RSKB Columbia Asia Pulomas Jakarta. Methods: This study utilized a qualitative descriptive approach with a case study design at the Radiology Department of RSKB Columbia Asia Pulomas Jakarta from January to March 2025. One patient requiring shoulder joint examinations served as the primary subjects. Data were collected through direct observation of the radiographic procedures, interviews with radiographers and radiologists, and analysis of clinical documentation. Results: The examination technique involved positioning the patient seated beside the table with the arm abducted over the image receptor. The central ray was directed at the glenohumeral joint using a 25° caudal angulation. The findings indicate that the 25° caudal angle is particularly beneficial for non-cooperative patients, as it successfully opens the glenohumeral joint space and visualizes the axillary region clearly. This technique effectively revealed clinical conditions, including subluxation, glenoid avulsion, and joint space narrowing. Conclusions: The axillary view with a 25° caudal angle is a reliable and effective technique for assessing shoulder trauma. It provides superior anatomical detail regarding the relationship between the humeral head and the glenoid fossa, thereby supporting more accurate clinical decision-making in trauma management.
Co-Authors Ananda, Yolanda Pangestu Angraeni, Dian Arung, Panji Darmawan, Zulkifli Tri Ibrahim, Irsyadah Kahar, Rizky Mirfauddin, Mirfauddin Muh Rusli Muhammad Irsal Musdalifah, Indah Putra, Andre Galih Pratama Rakhmansyah, A.AR. Syahputera, Muhammad Rizky Wibowo, Syahputera Wulandari, Andi Nur Intan