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All Journal LINK Jurnal Riset Kesehatan Jurnal Imejing Diagnostik Journal of Applied Health Management and Technology Jurnal Radiografer Indonesia Proceeding of International Conference on Science, Education, and Technology Asian Journal of Social and Humanities International Journal Of Health And Social Behavior Ulil Albab

Dartini Dartini

Poltekkes Kemenkes Semarang

Author-ID : 2820041

Religion Humanities Decision Sciences, Operations Research & Management Earth & Planetary Sciences Economics, Econometrics & Finance Education Environmental Science Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences

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Microorganisms Number On X-Ray Cassette Dartini Dartini; Sugiyanto Sugiyanto; Widi Hidayati
Jurnal Riset Kesehatan Vol 3, No 2 (2014): Mei 2014
Publisher : Poltekkes Kemenkes Semarang

X-ray cassette is a light-tight container to cover radiographic film during radiographic examination. Cassette can directly or indirectly contact with the patient’s body. It can be a spreading medium of bacteria from patient to patient, or patient to radiographer. The aims of this study are to determine the number of microorganisms contained in the cassette before and after cleaning, and to know the difference between those two numbers. The study is an observational study with cross-sectional approach. The survey was done to 17 cassettes to measure the number of bacteria using swap method. Then, the data were analyzed using Wilcoxon test. Result shows that the mean of bacteria, fungi, staphylococcus and ALT on cassettes before cleaning was larger than the mean after cleaning the cassette using 70 % alcohol. The Wilcoxon test in bacteria, fungi, staphylococcus and ALT showed ρ = 0.0001, 0.012, 0.0001 , 0.0001 less than 0.05 means that there was a significant difference in the content of bacteria, fungi, staphylococcus and ALT before and after cleaning the cassette using alcohol 70%. Based on these results the cassette should be cleaned regularly every morning to avoid the possible spread of bacteria.

The Analyzis Of Computed Radiography (CR) Utilization To The Patient Safety Effort In Radiographic Examination In Hospital Dartini Dartini; Emi Murniati; Rini Indrati
Jurnal Riset Kesehatan Vol 2, No 2 (2013): Mei 2013
Publisher : Poltekkes Kemenkes Semarang

This research is a descriptive study with quantitative and qualitative approaches. Data were obtained from five Clinical Practice Hospitals with Focused Group Discussion. Data were analyzed with descriptif Method. The result shows that the radiographers tend to use higher Expossion Factor and Wider Collimation Field. because the Vendor and Aplicant has informed that CR operation need higher energy and the appearance of noise when the image being manipulated in CR will be lower if high mAs and kV are used. Another affecting factor is prefer images with high density. Radiographers tend to use wider Collimation Field to prevent image cut-off, resize-able image in CR, and availability of widest Imaging Plate size (35x43). Based on that results, optimal exposure factor and precise collimation field should be used in CR in order to minimize the patient dose.

ARTEFAK ALIASING CITRA MRI HUMERUS MENGGUNAKAN BODY COIL PADA PENGATURAN VARIASI FREQUENCY ENCODING DIRECTION DAN PHASE OVERSAMPLING Rini Indrati; Ahmad Ali Hamdan; Dartini Dartini; Marichatul Jannah
Jurnal Riset Kesehatan Vol 8, No 1 (2019): MEI 2019
Publisher : Poltekkes Kemenkes Semarang

Pemeriksaan MRI humerus menggunakan body coil sering ditemukan artefak aliasing. Terdapat dua cara untuk menghilangkan artefak aliasing yaitu dengan pengaturan frequensi encoding direction dan phase oversampling. Tujuan penelitian untuk mengetahui perbedaan artefak aliasing pada gambar MRI humerus dengan menggunakan body coil dalam variasi pengaturan frequensi encoding direction dan phase oversampling serta menentukan pengaturan terbaik frequensi encoding direction dan phase oversampling. Penelitian adalah eksperimental one shot case study. Variasi frequensi encoding direction adalah head to feet dan feet to head sedangkan phase oversampling adalah 0%, 50% dan 100%. Penilaian gambar dari 16 volunteer dilakukan oleh dokter spesialis radiologi meliputi kejelasan artefak aliasing. Data dianalisis menggunakan uji Friedman dilanjutkan uji Wilcoxon pada tingkat kesalahan 5%. Ada perbedaan artefak aliasing gambar MRI humerus menggunakan body coil dengan variasi pengaturan frequensi encoding direction dan phase over sampling dengan nilai p kurang dari 0,001. Frequensi encoding direction head to feet pada phase oversampling maksimum menghasilkan gambar yang paling baik. Ada perbedaan artefak aliasing gambar MRI humerus menggunakan body coil dengan variasi pengaturan frequensi encoding direction dan phase over sampling. Gambar terbaik diperoleh dengan frequensi encoding direction head to feet dan phase oversampling 100%.

RADIATION DOSE REDUCTION ON BREAST AREA BY USING LEAD APRON: A PRE-EXPERIMENTAL STUDY IN ABDOMINAL CT Akhmad Haris Sulistiyadi; Susi Tri Isnoviasih; Dartini Dartini; Eri Hiswara
Jurnal Imejing Diagnostik (JImeD) Vol 5, No 1: January 2019
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v5i1.3987

Backgroud: Previous researches show that the use of out of plane shielding can reduce the radiation dose received by radiosensitive organs around the scan area on CT scan. There is a special shielding designed for CT scans, but currently the type of shielding available in almost all radiology installations is the lead apron. This study aims to determine the dose received by the breast area on CT abdominal scan without shielding and its reduction by giving lead apron shielding on 1800 and 3600.Methods:This is quantitative research with a pre-experimental design. Abdominal CT scan was performed on a whole body CT phantom whose characteristics are close to human body tissue. The radiation dose received by the breast area was measured by Termoluminisence-dosemeter (TLD). TLD’s were placedon the same points. Scanning was performed using Siemens Somaris/5 Syngo, repeated in three conditions: without shielding, lead apron shielded (equivalent to 5 mm Pb) by 1800 and 3600. The rouitne protocol was used (120 kv and 200 mA) Data was analyzed by Paired t-test to determine the difference in radiation dose received and descriptive analysis for know the level of reduction.Results:The radiation dose received by the breast area without shielding, with shielding 1800, and with shielding 3600 were respectively 0.653 mSv, 0.367 mSv, and 0.242 mSv. There were significant differences in the dose received by the breast area (p value 0.05) by using shielding. Compared to unshieldied condition, there was a decrease of 43.95% when shielded 1800, and a decrease of 62.94% when shielded 1800.Conclusion:Lead apron is effective for reducing radiation dose on breast in abdominal CT. 3600 shielding provides higher reduction than 3600 shielding, so it can be considered to be applied in clinical procedure.

Analisis Kualitas Udara di Kamar Gelap yang Menggunakan Pengolahan Film Secara Manual dan Otomatis Ary Kurniawati; Dartini Dartini; Asri Indah Aryani
Jurnal Imejing Diagnostik (JImeD) Vol 2, No 2: July 2016
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v2i2.3178

Backgroun: Dark room is the room where the film is being processed as the final stage of the radiographic process, beside its function as a place of handling film and film storage. According to the MSDS, chemical liquid used in film processing can affect human health. It’s spill can cause irritation and burns on skin and eyes, irritation and injury to the digestive tract, while its mist or dried residue can cause irritation of the respiratory tract. Good dark room air circulation is required.Methods: The study was observational study with measurement data retrieval techniques in the darkroom of four hospitals. The collected data then compared to the air quality requirement according Kepmenkes RI No.1204/Menkes/SK/X/2004 and No.1405/Menkes/SK/XI/2002.Result: The results showed that the physical air quality including temperature and humidity in the 1st, 2nd, 3rd and 4th darkroom was higher than the standards. The average air flow in the 1st, 2nd and 3rd darkroom were up to standards, but there was no airflow in the 4th darkroom. Results of ambient air quality measurements in the 1st, 2nd, 3rd and 4th including CO, NO2, SO2 and T.VOC did not meet the standards, while the presence of H2S and NH3 were not detected.Conclusion: Total dust levels in the 1st, 3rd and 4th darkroom did not exceed the maximum concentration in indoor air ( 0.15 mg/m3), while the 2nd darkroom exceed the standard ( 0, 15 mg/m3). Using of air-conditioning and a dehumidifier with periodic maintenance is needed to resolve the discrepancy physical air quality, beside periodic cleaning and indoor air excahnge maintenance to resolve high levels of dust and gas pollutants.

Perbandingan Informasi Citra Potongan Axial T2 Antara Turbo Spin Echo (TSE) Dengan Half-Fourier Aquisition Single-Shot Turbo Spin Echo (HASTE) Pada Pemeriksaan Magnetic Resonance Cholangiopancreatography (MRCP) Adilfi Amalia Yuniar; Dartini Dartini; Rasyid Rasyid; Bagus Dwi Handoko; Nanang Sulaksono
Jurnal Imejing Diagnostik (JImeD) Vol 7, No 2: JULY 2021
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v7i2.7464

Backgroud: MRCP is a non-invasive imaging examination, which is used for the evaluation of biliary tract, pancreatic duct, and gallbladder. Pulse sequences which can be used to visualize organs in MRCP on T2 weighting is using a fast pulse sequences such as sequences TSE or Haste. The purpose of this research was to knowing the difference image information between T2 axial TSE with Haste and where better to use between the two sequences on axial T2 MRCP examination.Methods: This type of research is experimental observational approach, it has been carried out in the best MRI 1.5 Tesla at RSU Haji Surabaya. Sample used were 5 patients. Each patient performed two pieces of axial T2 sequences in which the TSE and Haste. Furthermore, the image submitted to the three doctors radiologist to fill out a questionnaire that has been provided to assess the image consisting of the liver, gallbladder, common bile duct (CBD), pancreas, intrahepatic duct and an assessment of the artifacts.Results: The results of analytical assessment Wilcoxon test, for the entire anatomy with ρ value of 0.002 which means that ρ 0.05, and the artifacts show the ρ value of 0.006, which means ρ 0.05. This proves that there are differences in image information between T2 axial TSE with T2 axial Haste the MRCP examination. At each of anatomy, liver has ρ value of 0,071 (ρ 0.05), gallbladder has ρ value of 0.317 (ρ 0.05), CBD has ρ value of 0.003 (ρ 0.05), pancreas has ρ value of 0.014 (ρ 0.05) and intrahepatic duct has ρ value of 0.004 (ρ 0.05). Based on the mean rank statistical test results show sequence Haste better in generating image information on the whole anatomy, but in each of anatomy based on the mean rank of gallbladder both sequences are equally good in showing gallbladder, whereas to display the liver, CBD, pancreas, and intrahepatic duct, the results showed T2 Haste mean rank better, it is because it has the characteristics of high Haste T2 signal intensity and better in reducing motion artifacts.Conclusion: Wilcoxon test analysis results expressed Ha accepted, meaning that there is a difference between the image information pieces axial T2 TSE with Haste the MRCP examination. The mean rank shows Haste superior to TSE, this is because the artifacts on TSE and therefore contributes to the respondent's assessment, other than that Haste has a high signal intensity so that it can show more clearly ducts.

Prosedur Pemeriksaan CT Scan Abdomen Pada Kasus Kolesistitis di Instalasi Radiologi RSUD Prof. Dr. Margono Soekarjo Purwokerto Titien Sumarni; Bagus Abimanyu; Dartini Dartini
Jurnal Imejing Diagnostik (JImeD) Vol 1, No 2: July 2015
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v1i2.3161

Background: Have been done research on inspection procedures examination in the case of abdominal CT Scan cholecystitis at Radiology installationProf. Dr. Margono Soekarjo Purwokerto Hospital. This study aims to determine the inspection procedure examination in the case of abdominal CT Scan cholecystitis not using the biphase technique diagnosis and to find out information on examination in the case of abdominal CT Scan cholecystitis with monophase technique at Radiology installationProf. Dr. Margono Soekarjo Purwokerto Hospital.Methods:This type of research is aqualitaive research case study approach. The data collection methods with unstructured observation , depth interview with 3 radiographers, 1 radiologist, a sending doctor and a patient, and the documentation of the results of reading radiographs and photographs. The data obtained then reduced, classified, dried and then interpreted in the form then concluded kuotasi and suggestions.Results: The result showed that the procedure examination abdomen ct scan in case of colecystitis at radiology installation Prof. Dr. Margono Soekarjo Purwokerto Hospital before the hearing preparation charge informed consent of patients, perform laboratory checks urium creatinin, fasting from the night and drank appoxcimately 1000 ml of Water the morning before the examination. While the position of the patient supine feet first and the administration of contrast media intra vena with a volume of 80 ml plus 20 ml Na Cl and arrangements flow rate 2,0 ml/sec with a scan delay of 40 seconds. Reason not to do engenering biphase technique examination in the case of abdominal CT Scan cholecystitis because only monophase technique, arterial phase alone can establish the diagnosis of cholecystitis.Conclusion: Information on CT Scan diagnosis in Radiology Installation Prof. Dr. Margono Soekarjo Purwokerto Hospital was able to show in indication of cholecystitis but have not been able to show the mass and metastase to the surrounding organs lake the liver gallbladder and pancreas, intrahhepatic and extrahepatic tract.

Analisis Kualitas Gambar Antara Rekonstruksi Dan Reformat MSCT Thorax Pada Kasus Tumor Paru Alfian Yusuf Al Rasyid; Yeti Kartikasari; Dartini Dartini
Jurnal Imejing Diagnostik (JImeD) Vol 1, No 2: July 2015
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v1i2.3157

Backgroud: A CT Scan of thorax on tumor case is used to obtain information about the image quality on axial part of thorax and to determine the types of lesion. In the process, there were two techniques that often used. The techniques used was reconstruction technique and reformat technique. Reconstruction technique and reformat technique have a difference in the process of producing an image. This study aims to tell the image quality between MSCT thorax reconstruction and reformat on axial part of thorax on lung tumor case and to know which image quality better between MSCT thorax reconstruction and reformat on axial part of thorax on lung tumor case.Methods: The study was quantitative descriptive research. Subjects of this research was three patients. Image quality assessed by three radiology physician using reconstruction and reformat technique. Data was analyzed by statistical test using wilcoxon test. Ho was received when ≥ 0,05. It means that there were differences of image quality between MSCT thorax reconstruction and reformat on lung tumor case.Results: The results of the research based on statistical test were there was the difference of MSCT thorax between reconstruction and reformat on lung tumor case with the result of Wilcoxon test was 0,001 (p0.05). The test results mean rank value of reconstruction was 18,7 and mean rank value of reformat was 14,93.Conclusion: Based on this assessment, so reconstruction method was choosen as standard operational procedure for examination.

Penerapan Teknik Parallel Imaging Pada Pesawat MRI 0,35 Tesla Untuk Optimalisasi Kualitas Informasi Anatomi Pada MRI Lumbal Pembobotan T1WI dan T2WI Potongan Sagital Gatot Murti Wibowo; Dartini Dartini; Hari Prayitno
Jurnal Imejing Diagnostik (JImeD) Vol 1, No 1: January 2015
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v1i1.3146

Background : Parallel imaging is one of the MRI Scanning techniques used to reduce the overall scan time when the patients with unvoluntary movement being examined with a low magnetic field of 0,35 T. This research aims to determine the difference between the clinical image quality of the conventional turbo spin echo (TSE) with mSENSE and that of the TSE with GRAPPA parallel imaging techniques from which resulting the MRI T1 and T2 Weighted Images (T1WI and T2WI) sagittal view of lumbar spines, and to define the techniques that clinically provide the most approriate anatomical information.Methods : This experimental study is made performed by the MRI 0.35 T in which 10 patients who had hernia nucleus pulposus (HNP) desease participated in the experiments ramdomly. The appointed Radiologists blended in the image evaluation using an image checklist to assess the visualisation of anatomical organs on the resulted sagittal lumbar MRI T1WI and T2WI. The two non-parametric statistical tools, Friedman test and the post hoc Wilcoxon matched pairs test, is used to analyze all the data descriptively. Testing the resesearch hypotheses with 95% of confident interval is to proved the differences between resulted sagittal lumbar MRI T1WI and T2WI..Results : The results shown there is a significant difference on the image quality of anatomical information when conventional TSE, parallel imaging-mSENSE and -GRAPPA, with T1WI are applied in the imaging techniques. When those imaging techniques are employed to obtain T2WI, the result is not significant in contrast.Conclusion : Good imaging techniques with adequate clinical image quality are ranked sequently as the conventional TSE, the mSENSE and GRAPPA.

Kualitas Citra Radiografi Berdasarkan Variasi Jeda Waktu Pembacaan Citra pada Computed Radiography Dartini Dartini; Florentina Yunita Wulandari; Akhmad Haris Sulistiyadi
Jurnal Imejing Diagnostik (JImeD) Vol 2, No 1: January 2016
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v2i1.3171

Background: Computed Radiography (CR) is imaging processor to digitize an image using imaging plate. Imaging plate can store latent image and should be read as soon as possible to avoid the loss of image quality. The longer storage time the lower image quality. This study aimed to determine the image quality in various image reading time delay.Methods: This iresearch was quantitative research with experimental approach. 5 images were acquired using step wedge as an object with same exposure factors. The imaging plates were read in five different image reading time delay variations (no-delay, 2 hours, 4 hours, 6 hours, and 8 hours after eksposure). Contrast and density of each image were measured using lgM and densitometer. Data were analyzed by comparing lgM, density, and contrast of each image.Result: The result showed that there were difference value in density, contrast, and lgM among no-delay, 2 hours, 4 hours, 6 hours, and 8 hours after eksposure images respectively. The average density were 0,701; 0,776; 0,772; 0,798; 0,791. The image contrast were 0,88; 1,09; 0,88; 1,06; 1,02. The lgM value were 2,42; 2,24; 2,21; 2,20; 2,19.Conclusion: The image quality was decreased over reading time delay, the longer reading time delay the lower image quality. To obtain the best image quality, the imaging plate should be read as soon as possible.

Co-Authors Adilfi Amalia Yuniar Agung Nugroho Setiawan Ahmad Ali Hamdan Akhmad Haris Sulistiyadi Alfian Yusuf Al Rasyid Aryani, Asri Indah Bagus Abimanyu Bagus Dwi Handoko Bagus Dwi Handoko Bambang Satoto Bambang Satoto, Bambang Budiwati, Tri Asih Chairunnissa, Frida Risviani Dimas Prakoso Dina Nur Anggraini Ningrum Emi Murniati Erfansyah, Muhammad Eri Hiswara Evi Widowati Evita Ayu Suryaningtyas Fatimah fatimah Fatimah Fatimah Fatimah Fitri Indraratma Florentina Yunita Wulandari Galuh Negrawati Gatot Murti Wibowo Gatot Murti Wibowo Gatot Murti Wibowo Gatot Murti Wibowo, Gatot Murti Hari Prayitno Harnanto, Rudy Hendriawan IM Dwitya Surya Wrddhi Putra Indraratma, Fitri Jannah, Marichatul Jeffri Ardiyanto Kurniawati, Ary Kusworo Adi Leny Latifah Leny Latifah M. Irwan Katili Mahalul Azam Murti Wibowo, Gatot Nanang Sulaksono Novia Putri Tsania Rasyid Rasyid Rasyid Rasyid, Rasyid Rini Indrati Rini Indrati Siti Masrochah Sri Mulyati Sugiyanto - Sugiyanto Sugiyanto Surya Wrddhi Putra, IM Dwitya Susi Tri Isnoviasih Titien Sumarni Tri Asih Budiwati Widi Hidayati Yeti Kartikasari

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