Sigit Wijokongko
RSUD Tugurejo Semarang

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Analisis Image Noise dan Nilai Dosis Radiasi Penggunaan Aplikasi Care Dose 4D dan Non Care Dose 4D pada Pesawat MSCT Siemens Tito Aditya Resmana; Darmini Darmini; Sigit Wijokongko
Jurnal Imejing Diagnostik (JImeD) Vol 3, No 2: July 2017
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v3i2.3196

Abstract

Background : One effective technique is contained in a CT Scan to decrease the amount of radiation dose that is received in the use of automatic exposure control (AEC). AEC system of Siemens equipment is called Care Dose 4D. The research is based on unused of the application Care Dose 4D on CT Scan Imaging. The purpose of the research is to determine the differences of image noise and the differences of radiation doses (CTDI) using care dose 4D and Non Care Dose 4D in Siemens MSCT.Methods                 :The research  was quantitative  study with experimental approaches that is tested on four water phantom size type. Analysts data is done by statistical tests of Paired T-Test Samples to test the hypothesis and the level difference image information. In this statistical analysis is determined the level of confidence (level of Significance) with a value of α = 0.05.Results  :                On the using of Nasopharing protocol for children with 130 kV and 130 mAs parameters, using of Care Dose 4D has ability to decrease the image noise value is compared with non Care Dose 4D application. While the adult Nasopharing protocol with 130 kV and 220 mAs parameters, Care Dose 4D doesn’t provide enough impact in the reduction of image noise value if compared with conventional techniques or without using Care Dose 4D applications. Using of children nasopharing protocol application Care Dose 4D even increase radiation closes high enough value in CTDI vol that is 5,03 mGy, but using Nasopharing Care Dose 4D applications for adult can decrease radiation doses high enough value in CTDIvol, that is 2,64 mGy.Conclusion : On the use of children nasopharing protocol application Care Dose 4D even increase radiation closes high enough value in CTDI vol that is 5,03 mGy, while the adult Nasopharing using Care Dose 4D applications can decrease radiation doses high enough value in CTDIvol, that is 2,64 mGy.
prosedur pemeriksaan CT Cardiac dengan Kasus Coronary Artery By Pass Grafting (CABG) di Instalasi Radiologi MRCCC SILOAM Hospital Semanggi Atika Dian Utami; Yeti Kartikasari; Sigit Wijokongko
Jurnal Imejing Diagnostik (JImeD) Vol 3, No 2: July 2017
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v3i2.3194

Abstract

Background : Coronary Artery By Pass Grafting (CABG) is one of the intervention treatments of Coronary Heart Disease (CHD), by creating a new channel through the coronary artery which is narrowed or blocked. The purpose of this research is to know the procedure of Cardiac CT examination with CABG case, acceptable Heart Rate range and how to lower Heart Rate range and how to lower Heart Rate at Radiologt Installation of MRCCC Siloam Hospital Semanggi.Methods : This type of research is qualitative with case study approach. The data were collected from April - June 2017 at Radiology Installation of MRCCC Siloam Hospital Semanggi by observation method, interview with 3 radiographers, 2 radiology specialists and 1 sending doctor and documentation. Data obtained from the study were analyzed by interactive model, with data reduction stage, data presentation and conclusion.Result : The results of this study stated that the procedure of Cardiac CT examination with CABG scan start from subclavia to the diaphragm to show the graft, the amount of contrast media used 20 cc more and the amount of saline used 10 cc more, Beta Blocker and Vasilidator not given because CT Scan with 256 slices work quickly so as to suppress the movement of the heart with optimal. Acceptable Heart Rate range is 65 - 80 bpm. How to lower high Heart Rate by giving patients education one day before the examination, which is does not consume drugs which can increase Heart Rate and do not perform heavy activities. Patients with unstable Heart Rate should be given Beta Blocker 2-3 days before the examinationConlusion : Based on the results of the study, the range of CT Cardiac examination with CABG cases differs from the usual cardiac CT range and using MSCT 256 radiology specialists slice does not need to consider the patient's heart rate