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Radiation Dose In Non Conventional Contrast Radiography Examination Darmini Darmini; J. Dahjono J. Dahjono; Asri Indah Aryani
Jurnal Riset Kesehatan Vol 3, No 1 (2014): Januari 2014
Publisher : Poltekkes Kemenkes Semarang

This study aims to determine the radiation dose to the acceptance of conventional non- contrast radiographs and the dose received by the patient on a non contrast radiographs compared Perka BAPETEN According Reference No 8 of 2011.Quantitative research approach was applied in this research for the measurement of radiation using TLD chips. Furthermore, measurement results are sent to Batan. We analize the data by calculating the average radiation dose received at each examination on the TLD reader, and then compared them with the reference dose by Bapetten. Results indicate acceptance of the radiation dose on conventional radiographs thoracic lowest dose 0.262 mGy and the highest 0.41 mGy. Abdominal were 0.924 mGy and 1,913 mGy, AP lumbo sacral spine were 1.504 mGy and 1.965 mGy, and the lateral lumbo sacral were 2.522 mGy and 3.231 mGy. Comparation between the data and the Perka BAPETEN: the value of ESD on thoracic radiographs was 0.41 mGy (exceeding 0.4 mGy), abdominal radiographs was 1,913 mGy (less than 10 mGy) , lumbo sacral spine AP was 1,965 mGy, and lumbo sacral spine radiographs laterally was 3.231 mGy (less than 30 mGy).

The Implementation of PACS (Picture Archiving And Communication System) in Radiology Department of Margono Soekarjo Hospital Asri Indah Aryani
Jurnal Imejing Diagnostik (JImeD) Vol 8, No 1: JANUARY 2022
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v8i1.8161

Background: This study aims to determine the evaluation and influencing factors in the implementation of the Picture Archiving Communication System (PACS) at the Radiology Department of Margono Soekarjo Hospital, PurwokertoMethods: The type of the research is qualitative research with a purposive sampling approach which produces descriptive data in the form of pictures and written or spoken words from informants and observed behavior. Data obtained by researchers is by means of observation, in-depth interviews, and documentation. The data is analyzed using interactive model, for further drawn conclusions.Results: The results showed that PACS implemented in the radiology department of Margono Soekarjo Hospital, Purwokerto consisted of several components, namely Image Acquisition / Modality, PACS Core Application, Viewing / Reading Station. Image Acquisition / Modality. Factors that influence the implementation of the Picture Archiving Communication System (PACS) at the Radiology Department of Margono Soekarjo Hospital, Purwokerto, were manpower resources, Stability of power supply and Local Area Network, but in the implementation there was no SOP that could be used as operational guidelines for users of inpatient department, polyclinics, and emergency departments.Conclusions: Suggestions for accessing PACS can be done not only can it be accessed from a personal computer but it can be accessed from a laptop.

Informasi Anatomi Radiograf Dengan Dan Tanpa Penyudutan Tabung Sinar-X Pada Pemeriksaan Pedis Proyeksi AP Ardi Soesilo Wibowo; Kholik Al Amin; Panji Wibowo Nurcahyo; Ahmad Haris Sulistiyadi; Asri Indah Aryani
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.v7i2.7477

Background: On radiographic examination, the direction of the beam affects the anatomical image of the object produced. Pedis examination of the AP projection is a radiographic examination that uses two directions of beam. The direction of beam is with and withhout X-ray tube angulation. This research aims to compare radiograph anatomy information with and without X-ray tube angulation on pedis examination of the ap projection.Methods: This type of research is qualitative research with a descriptive approach. Data was obtained by making radiographs using with and without X-ray tube angulation using object phantom. The radiographic imaging of the pedis were observed by ten respondents, consist of radiology specialist t and resident radiology specialist, by giving questionnaires. Then the data obtained will be processed by being described and analyzed.Results: The result of the research showed different of x-ray tube angulation on the pedis examination on AP projections is the use of 100 angles because they get a high score. As well as the use of angle 100 chepalad can visualize both the interphalangeal joint space, metatarsophalangeal joint space, tarsometatarsasl joint space, joint space between the navicular and cuneifrome appear open, navicular, and cuboid. While the use of an angle of 00 can show the sesamoid bone and three cuneiform bones quite well. The angle of the beam direction is 100 chepalad so that the direction of the beam is perpendicular to the metatarsal bone so that there is no distortion in the metatarsal bone image. If the case is a fracture without having to prioritize the joint space, then the examination without an angle can be done because it is easier and saves time.Conclusion: AP projection of the pedis radiograph with the use of an angle 100 chepalad and without the use of posterior tube angulation with the posterior beam toward the heel produces different anatomical information. The most optimal anatomical information is generated by the use of a 100 chepalad.

Analisis Penolakan dan Pengulangan Citra Radiografi pada Modalitas Computed Radiography AGFA CR 35-X di Instalasi Radiologi RSUD DR. R. Goeteng Taroenadibrata Purbalingga Ikko Justian Fajarrissetyo; Panji Wibowo Nurcahyo; Asri Indah Aryani
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.v1i2.3159

Background: Reject film analysis program is a systematical process to count repeated images and determine the cause of the repeat, so it could be minimalized or banished even. This research aims to find out the reject percentage, cause of each reject percentage and the efforts to reduce it.Method: This research was a quantitative model with descriptive approach. The research has been done in February, April and May of 2016. Data were obtained from observation, documentation and interview with three radiographers. Data was analyzed by Paretto’s diagram to identify the influence of each cause.Results: In February, April and May by orders the percentage of the radiographic images reject and repeat are 4,86%, 4,65%, 6,95%. The factors of digital images reject and repeat were patient’s position (1,65%, 1,05%, 0,84%), uncorrect exposure value (1,30%, 0,98%, 1,87%), miscellaneous reasons (0,35%, 0,38%, 0,28%), too narrow collimation (0,26%, 0,68%, 0,47%), unsharpness (0,17%, 0,0%, 0,0%), digiscan fault (0,09%, 0,30%, 0,84%) and x-ray equipment’s fault (0,09%, 0,38%, 0,65%). Meanwhile in radiographic film factor, unwanted film (0,61%, 0,30%, 0,67%), printer’s fault (0,35%, 0,08%, 0,95%), patient’s position (0,0%, 0,23%, 0,0%), miscellaneous reasons (0,0%, 0,23%, 0,19%), too narrow collimation (0,0%, 0,0%, 0,90%) and unsharpness (0,0%, 0,08%, 0,0%).Conclusion: The efforts to reduce radiographic images reject and repeat were applying effective communications with patients and their family and taking notes whenever a failure occurs

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.

Pengujian Akurasi kVp dan Linearitas pada Pesawat Sinar-X di Laboratorium Prodi Diploma III Teknik Radiodiagnostik dan Radioterapi Purwokerto Asri Indah Aryani; Indra Kartika Nugroho; Panji Wibowo Nurcahyo
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.v2i2.3179

Background: Quality control is part of the quality assurance program related to the techniques used in the monitoring the maintenance of the technical elements of the system that affect picture quality. KVp accuracy and linearity (test mAs) is one of the components which are tested on the routine test performance evaluations. The X-ray Biomedical International unit brands BRG 100 RF of Laboratory Diploma in Mechanical Radiodiagnostic and Radiotherapy Purwokerto have not been tested yet. The objectives of this study are to determine suitability output kVp accuracy and linearity that have been beeing setting at control panel X-ray unit.Methods: This research belongs to a quantitative research which was conducted in April 2016 at the Laboratory of Radiodiagnostic Diploma Engineering and Radiotherapy Purwokerto on X-ray Biomedical International unit brands BRG 100 RF. The tests carried out two stages of testing. They were the accuracy of kVp with MPD (Multi-purpose detector) tool at kVp 50, 60, 70, 80, 9 and testing linearity method using Stepwedge and Reciprocity mAs Densitometer at 55 kVp, 10 mAs with a variation of 200 mA and 100. The results was analysed based on the quality control examining contained in KMK RI No.1250, the value of deviation accuracy of kVp 6% and for linearity deviation value (mAs) ≤ ± 0.1.Result: The test results showed that there are some deviations occur repeatedly on the accuracy of kVp on the value of eksposi 50, 60, 70, 80, 90, are 0.78%, 1.31%, 1.32%, 1.63%, 2.5%, but the deviation is still within the allowable limits that does not exceed 10%. The linearity testing showes that there are differences in optical density values on the radiograph with variations mA and s which are still within the allowable limit that is ≤ ± 0.1.Conclusion: Based on the result of kVp accuracy and linearity test, the deviation value is still within the tolerance limit or still in accordance with the permissible tolerance according to KMK RI 1250 about quality control testing parameter

Analisis Penyusunan Draf Panduan Praktik Klinis Pelayanan Radiologi di RRSUD Ajibarang Kabupaten Banyumas Asri Indah Aryani; Sutopo Patria Jati; Tjahjono Kuntjoro
Jurnal Manajemen Kesehatan Indonesia Vol 4, No 1 (2016): April 2016
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

A clinical practice guideline is a procedure implemented by group of a profession referred to National Guideline of Medical Service made by organisation of profession and approved by Director of a hospital. In providing health services to patients, radiology service must refer to the clinical practice guideline that is available in its service. The aim of this study was to explain the process of draft arrangement of the clinical practice guideline of radiology service at Ajibarang Public Hospital in Banyumas District. This was qualitative research aimed at investigating the arrangement process of the clinical practice guideline of radiology service collected from various sources and informants at Ajibarang Public Hospital in Banyumas District. Data were collected using methods of indepth interview, observation, and literature review, analysed using content analysis, and presented descriptively combined with matrix of interview results. In addition, data presentation was supported by results of field observation and literature review. The results of this research showed that viewed from aspects of resources, there were any barriers as follows: radiologist did not involve in the arrangement process and there was lack of communication between radiographer and an arrangement team of the clinical practice guideline of hospital. On the other hand, there was no barrier in the aspect of tariff pattern. Tariff of INA- CBGs have been used in a program of National Health Insurance and implemented since 1 January 2014. In the aspect of evidence availability, arranged clinical practice guideline was based on literature and textbook. A format of arranged clinical practice guideline draft consisted of title of action procedure, definition, indication, contra-indication, preparation, action procedure, post action procedure, levels of evidence, levels of recommendation, reviewers, indicators of action procedure of radiographer, and references. In conclusion, the arrangement process of the clinical practice guideline had been well implemented. However, radiologist had not involved. Director’s decree about arrangement team of the clinical practice guideline at Ajibarang Public Hospital needs to be revised. Radiology service needs to accomplish and determine final draft of the clinical practice guideline.

The Opacity of Kidney in Nephrogram Phase with Different Urea and Creatinine levels in Patients Who Undergoing Intravenous Pyelography Examination Sudiyono Sudiyono; Dwi Rochmayanti; Asri Indah Aryani
Jurnal LINK Vol 10, No 2 (2014): Mei 2014
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Poltekkes Kemenkes Semarang

The examination of intravenous pyelography (IVP) is one of the tests carried out with the aim to examine abnormalities of urinary tract anatomy and physiology. The opacity of urinary tract anatomy and function of the kidney, especially on an X-ray, is influenced by serum urea and creatinine levels of the patients prior to conducting the IVP examination. The study was an observational survey with retrospective approach. Purpose of this study was to describe the opacity of kidney picture in Nephrogram phase with different urea and creatinine levels. Urea and creatinine data were obtained from medical records of patients who underwent radiological examinations in Dr. Moewardi Hospital in 2013. The nephrogram phase imaging picture was taken from the document of Computed Radiography. The study sample was 41 patients. Data of overview kidney opacity in nephrogram phase were analyzed with Matlab software to get the value at the point calyces Pixel kidney (ROI). Research results revealed that 32 p atients (78%) of 41 patients had laboratory results of urea levels higher than normal (8-25 mg/100 ml) and 34 patients (83%) had normal creatinine levels (0.6 to 1.2 mg/ 100 ml). The results of test matlab found that opacity kidney picture nephrogram phase in patients with urea level higher than normal had a decrease of Pixel value (65220 pix.value) when compared to patients with normal urea levels (65231 pix. values ). Patients with creatinine above 1.2 mg/ 100 ml had a higher Pixel value (65239 pix.value), comparing to patients with normal creatinine levels (65219 pix.value). Further research is expected to gain more understanding. It is recommended that patients' levels of urea and creatinine should be checked in 48-72 hours before the time of IVP test, and interventions to decrease these levels should be implemented before conducting the test.

Nilai Dosis Radiasi pada Pemeriksaan Radiografi Abdomen AP Susi Tri Isnoviasih; Asri Indah Aryani; Angga Yosainto Bequet
Jurnal Imejing Diagnostik (JImeD) Vol 10, No 2 (2024): JULI 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v10i2.10813

Background: Abdominal radiography examination is one of the examinations that is routinely carried out on the abdominal area to diagnose abnormalities in the abdominal area using radiation. In the stomach area there are gonads which are organs that are sensitive to radiation. The X-rays that come out of the X-ray tube are polyenergy, that is, they are composed of low energy x-ray, medium energy x-ray and high energy x-rays. Low energy x-rays have no benefit on the radiographic image information produced, but only increase the radiation dose on the skin surface. The additional x-ray filter is able to prevent low-energy x-rays from hitting the patient. The aim of this study is to determine the difference in the dose of radiation during the abdominal examination between the use of an additional filter and the use of an additional filter without an additional filter.Methods: The research was carried out at the Radiology Unit of the Prof. Dr. Margono Soekarjo Regional Hospital, Purwokerto and the Purwokerto Radiology Study Laboratory, Poltekkes Semarang with a sample of 50 samples with variations in the use of filters including 0 mm, 1 mm Al + 0.1 mm Cu, and 1 mm Al + 0.2 mm Cu and 2 mm Al. The data measured is the radiation dose On the surface of the Gonad organ's skin.Results: The results of measuring the average dose to the skin surface of the gonad organ are 180.26 mSv on a 0 mm Al filter, 83.32 mSv on a 1 mm Al + 0.1 mm Cu filter, 58.32 mSv on a 1 mm Al + 0 filter, 2 mm Cu and 119.49 mSv on a 2 mm Al filter. The greatest reduction in radiation dose occurred when using an additional filter of 1 mm Al + 0.2 mm Cu, amounting to 68% of that without using an additional filter. The decrease in the use of other filters was 54% when using an additional filter of 1 mm Al + 0.1 mm Cu and 34% when using an additional filter of 2 mm Al. The statistical tests showed there was a difference in the radiation dose during abdominal examination between using an additional filter and without using an additional radiation filter with a significance value of 0.000 (p-value 0.05).Conclusions: There is a difference in radiation dose during abdominal examination between using an additional filter and without using an additional filter with a significance value of 0.000 (p-value 0.05).

Radiographic Examination Profile In Pediatric Patients Felayani, Fadli; Isnoviasih , Susi Tri; Wibowo, Ardi Soesilo; Aryani, Asri Indah
Jurnal EduHealth Vol. 15 No. 03 (2024): Jurnal EduHealt (September), Year 2024
Publisher : Sean Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar

Several unique things differentiate radiographic examinations in pediatrics from adult patients, including patient fixation, the level of patient cooperation, and the need for patient companions. Currently, no literature provides an overview of the patient's age with these three aspects of radiographic examination. This study aims to provide an overview of the relationship between age groups and the implementation of radiographic examinations, which greatly influence the success of the examination. This research is a type of descriptive observational research. Data obtained from three hospitals was collected for one month. The sample for this study was 144 pediatric radiographic examinations. The study results are described in frequency distributions related to patient fixation, level of patient cooperation, and the need for patient companions. The study results showed that patients began to cooperate, and the use of fixation decreased in the age group of three years and above. Patients begin not needing a companion at six years and above. The radiographer must evaluate these three things to prepare the examination with an appropriate approach with the goal of a successful exam without repetition so that the radiation dose is minimal for both the patient and the patient's family. This research can be used as a guide for radiographers in preparing for examinations and initial communication during pediatric radiography examinations.

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