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All Journal Cermin Dunia Kedokteran International Journal of Radiology and Imaging
Tjakraatmadja, Ricardo
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Biochemistry, Genetics & Molecular Biology Computer Science & IT Dentistry Health Professions Medicine & Pharmacology Neuroscience Public Health

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Pencegahan Efek Radiasi pada Pencitraan Radiologi Maleachi, Reginald; Tjakraatmadja, Ricardo
Cermin Dunia Kedokteran Vol 45, No 7 (2018): Onkologi
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (172.811 KB) | DOI: 10.55175/cdk.v45i7.647

Abstract

Efek radiasi dalam bidang radiologi tidak dapat dihindari. Ahli radiologi perlu berhati-hati terhadap bahaya dan efek radiasi, mengetahui batasan dosis radiasi yang aman, cara meminimalkan paparan radiasi, dosis terkecil untuk visualisasi pencitraan yang baik. Keselamatan pasien dan petugas medis perlu mendapat perhatian khusus. Proteksi radiasi penting untuk pasien, staf, serta ahli radiologi sendiri dengan cara menaati indikasi pemeriksaan yang tepat, jumlah pemeriksaan seminimal mungkin, dan sedapat mungkin memilih modalitas pencitraan yang tidak memerlukan radiasi.The effects of radiation in radiology can not be avoided. Radiologists should be cautious, know the limit of radiation dose, minimize radiation exposure, and to get the best visualization image with minimal dose. Safety of patients and medical staffs need special attention. Radiation protection is important for patients, staffs, and radiologists through proper indications, minimizing examinations, and to prioritize non-radiation imaging modalities.
ABNORMAL FREE GAS COLLECTION IN RADIOGRAPHY: A PICTORIAL REVIEW Tjakraatmadja, Ricardo; Erawati, Dini Rachma
International Journal of Radiology and Imaging Vol. 1 No. 01 (2022): International Journal of Radiology and Imaging
Publisher : Department of Radiology, Medical Faculty, University of Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (424.62 KB) | DOI: 10.21776/ub.ijri.2022.001.01.3

Abstract

An abnormal free gas collection in the thorax and abdomen is a condition which is present of abnormal air in the thorax and abdominal cavity that normally not found. Radiological examination plays very important role to detect the presence of abnormal gas, the volume, the location, and the complication. Some of these conditions can represent classic radiological appearance that we can find in everyday practice.
THE ROLE OF CHEST CT ANGIOGRAPHY AS A DIAGNOSTIC TOOL AND ROAD MAP FOR THE MANAGEMENT OF RASMUSSEN’S ANEURYSM: A CASE REPORT Barkah, Maskuril Barkah; Dini R. Erawati; Aslam, Ahmad Bayhaqi Nasir; Setyawan, Agung; Tjakraatmadja, Ricardo
International Journal of Radiology and Imaging Vol. 1 No. 02 (2022): International Journal of Radiology and Imaging
Publisher : Department of Radiology, Medical Faculty, University of Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (586.66 KB) | DOI: 10.21776/ub.ijri.2022.001.02.4

Abstract

Rasmussen’s aneurysm is a pulmonary artery pseudoaneurysm, secondary to the invasion of granular tissues to the pulmonary artery wall, causing massive hemoptysis. A 39-year-old male, with a history of pulmonary TB presented with massive hemoptysis, persistent cough, and dyspnea. Chest X-ray and Chest CT depicted active pulmonary tuberculosis and a co-infection with aspergillosis in the form of aspergilloma. Chest CT angiography (CTA) showed narrow-necked Rasmussen’s aneurysm with the feeding artery coming from the pulmonary artery of the apicoposterior segment and the systemic artery from the left thyrocervical trunk branch and left bronchial artery. Fluoroscopy-guided transarterial embolization with polyvinyl alcohol (PVA) and gel foam was performed from the left bronchial artery and thyrocervical trunk branch followed by transcatheter embolization with glue insertion via the pulmonary artery in the aneurysmal site. After the procedures the embolic agent completely filled the aneurysm and there were no complaints of hemoptysis during the follow-up. Appropriate chest CT angiography procedures can help diagnose Rasmussen’s aneurysm and become a road map for embolization. Transarterial catheter embolization from bronchial or non-bronchial systemic artery and pulmonary artery can be used as the treatment modality of choice for Rasmussen’s aneurysm in pulmonary tuberculosis with aspergillosis co-infection in the form of aspergilloma.
Co-Authors Agung Setyawan Aslam, Ahmad Bayhaqi Nasir Barkah, Maskuril Barkah Dini R. Erawati Erawati, Dini Rachma Maleachi, Reginald