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Informasi Diagnostik Pemeriksaan Appendikografi Oral dan USG dalam Menegakkan Diagnosis Appendisitis Agustina Dwi Prastanti; Darmini Darmini; Andrey Nino Kurniawan
Jurnal Imejing Diagnostik (JImeD) Vol 7, No 1: JANUARY 2021
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v7i1.6651

Background: Patients with suspected appendicitis are always asked by the sending doctor (Pediatric Surgeon) to ask for an oral appendicography examination without seeking other investigations such as ultrasound or CT scan. Whereas in the oral appendicography examination, false negative often occurs so that the patient is exposed to radiation several times until the barium reaches the caecum area and no more barium is still in the small intestine. Compared to the oral appendicography examination, ultrasound examination is easier in patient preparation, cheaper in terms of cost and more safety against the dangers of X-ray radiation.Methods: This research is a descriptive analytic study conducted with a cross sectional approach. The study was conducted by providing interventions for ultrasound examination before carrying out an oral appendicography examination. Ultrasound examination of the appendix is an examination using ultrasound waves with a frequency of 5-7.5 MHz or 2-4 MHz to diagnose appendicitis. Oral appendicography examination is a radiological examination to confirm the diagnosis of appendicitis using 100 grams of barium sulfate contrast medium diluted to a volume of 200 ml that is administered orally.Results: Diagnostic information obtained on oral appendicography examination of suspected appendicitis in radiology department Roemani Hospital, among others, can show the presence of calcification and the length of the appendix organs can be measured. Diagnostic information obtained on ultrasound examination of suspected appendicitis, among others, can show the presence of debris (pus), can evaluate the thickness of the intestinal wall and its vascularity.Conclusion: Ultrasound examination for suspected appendicitis is the first choice in diagnosing appendicitis than oral appendicography because it can be done in a faster, safer, more convenient and non-invasive manner and the cost of ultrasound is cheaper than oral appendicography.

EXTERNAL RADIOTHERAPY PROCEDURE OF THYROID CANCER WITH MASS MALIGNANT THYROID IN RADIOTHERAPY INSTALATION FACILITY OF RSUD DR. MOEWARDI SURAKARTA Himawan Setyono; Darmini Darmini; Khumaidi Khumaidi; Andrey Nino Kurniawan
Jurnal Imejing Diagnostik (JImeD) Vol 4, No 1: January 2018
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v4i1.4008

Background: External radiotherapy for thyroid cancer, generally was conducted with 3 exposure area technique, where as in thyroid cancer case with mass malignant thyroid, treatment in Radiotherapy installation facility of RSUD Dr. Moewardi Surakarta used different technique that was by five exposure area in two step. The purposes of this researchwerte to know radiotherapy treatment of thyroid cancer with mass malignant thyroid, the reason of two step exposure and the reason of using direct AP-PA exposure area.Methods: The method of this research was qualitative researchwith case study approachment by observing, interviewing with radiation oncologist doctor, radiotherapy radiographer and medical physicist, and reviewing patient medical record document, simulator image data, treatment planing system resultand patient exposure data. For data analyzing, researcher used interactive model.Results: The result of this research showed that external radiotherapy for thyroid cancer with mass malignant thyroid in radiotherapy installation facility of RSUD Dr. Moewardi Surakarta is using convensional simulator, teleterapy Cobalt-60 machine, and five exposure area technique in twop step exposure. The first step was AP-PA direct exposure and second step were AP supraclavicula and left-right lateral.Conclusion: The reason of two step exposure technique use is for optimalization of therapeutic ratio, whereas the purpose of AP-PA exposure area in this technique is to maximizing dose on mass.

CR Image Optimization and Radiation Dose Limitation With Collimation Adjusting on Cervical Radiography Agustina Dwi Prastanti; Bagus Abimanyu; Andrey Nino Kurniawan; Salis Nurbaiti
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.v8i1.8259

Background: Radiological examination in cervical services, Radiographers often opening the collimation wider of the size of the imaging plate for fear of being cut. This is done because it is supported by the image cropping facility on the CR. So there is a habit of opening the collimation width as wide as the imaging plate, which is often done with the assumption that it is better to widen the collimation than cut off the object. Obviously this will increase the radiation dose in patients with basic limitations. According to ICRP, patient safety must refer to the principle of radiation protection ALARA namely in the shortest possible time to get quality radiographs and patients receive the most minimum radiation exposure as possible.Methods: This research is a descriptive analytic research conducted with a cross sectional approach. The study was conducted by varying the radiation field area to be used for cervical examination. There are 10 variations of collimation area with 3 (three) exposures in each collimation. Then measured contrast, noise and radiation dose. Radiation dose is calculated by means of a babyline device.Results: The results showed that the collimation setting did not affect contrast radiography in CR because collimation was not the main factor that could affect contrast radiography on CR. The collimation setting on cervical radiography has an effect on the radiation dose, so it is necessary to adjust the collimation to get the minimum dose possible. The most optimal collimation area on cervical radiographic examination was obtained at a size of 12 x 24 cm with the smallest noise reception and dose compared to others and had higher contrast. Average contrast value achieved was 0.45 with a dose of 39.23 µGy.Conclusion: The collimation setting on cervical radiography has an effect on the radiation dose, so it is very necessary to adjust the collimation to get the minimum dose possible. The most optimal collimation area on cervical radiographic examination is obtained at a size of 12 x 24 cm with the smallest noise reception and dose compared to others and has a higher contrast.

Optimalisasi Tegangan Tabung (KvP) Terhadap Kejelasan Informasi Anatomi Dan Dosis Radiasi Pada Pemeriksaan CT Scan Kepala Area Basis Cranii Agustina Dwi Prastanti; Yeti Kartikasari; Robets Pribadi; Andrey Nino Kurniawan; Dwi Rochmayanti
Jurnal Imejing Diagnostik (JImeD) Vol 8, No 2: JULY 2022
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v8i2.9370

Background: Tube voltage (kVp) is one of the exposure factors on a head CT scan that can be varied to achieve a minimal radiation dose. Radiology installation of Bhakti Wira Tamtama hospital has a new CT scan modality that never variation its tube voltage. The variation of tube voltage is 80 kVp, 100 kVp, and 120 kVp. The aim of this research is to know and to analyse the most optimize tube voltage which can produce the best anatomy clarity and has the lowest radiation dose on a head CT scan examination of the base skull area that dominates CT scan examination.Methods: This research is descriptive analytic research conducted with an experimental approach. The study was conducted by varying the tube voltage to be used for head CT scan examination. There are 3 variations of tube voltage 80 kVp, 100 kVp, and 120 kVp where one variation contains 16 images for analyzing the clear anatomy of the base skull area. Then assessed by radiologists as the respondent. Data was analyzed by scoring where score 1 is not clear, score 2 is clear and score 3 is very clear. Radiation dose was obtained from CTDI and DLP records.Results: The results showed that there is no difference in anatomy clarity between variation of three tube voltage with p value 0,135. The anatomical clarity assessed includes anterior skull base, central skull base (fossa cranial middle, sphenoid, temporal bone, petrosous ridge), anterior clinoid processes, posterior margin of the lesser sphenoid wings, anterior and superior rim of the greater sphenoid wings, mastoid, and posterior skull base. All of them is very clear at 100 kVp and 120 kVp with value 100%. But at 80 kVp assessed clear at anterior and posterior skull base. So the value of anatomy clarity at 80 kVp is very clear only 71%. The effect of the difference in tube voltage on the radiation dose on a head CT scan of the base skull area showed a difference in the decrease in radiation dose from 120 kVp to 100 kVp for CTDI 39.9% and DLP 40.19%. There was a decrease in radiation dose from 100 kVp to 80 kVp for CTDI 52% and DLP 49.88%.Conclusion: The tube voltage setting on head CT scan examination of the base skull area can be applied with 100 kVp because this is evidenced by the same total score at 100 kVp and 120 kVp, which is 100% is very clear, while at 80 kVp tube voltage only 71% is very clear. And the radiation dose at 100 kVp is lower than 120 kVp.

Studi Kasus Pemeriksaan MSCT Urografi Multiphase dengan Klinis Tumor Ginjal Ratna Tri Rahayu; Nanang Sulaksono; Andrey Nino Kurniawan
Jurnal Imejing Diagnostik (JImeD) Vol 9, No 2: JULY 2023
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v9i2.10402

Background: The procedure for examining multi-slice computed tomography (MSCT) multiphase urography with clinical kidney tumors in the Radiology Installation of the Banyumas General Hospital differs from the literature in the use of scans in the corticomedullary phase and the post-contrast scanning phase. This study aims to determine the procedure for MSCT Urography Multiphase examination with clinical kidney tumors, to find out the reasons for using a scan of the corticomedullary phase area from the diaphragm to the pubic symphysis and to find out the reasons for using four phases of post-contrast scanning.Methods: This type of research is qualitative research with a case study approach. Data was collected at the radiology installation at the Banyumas Hospital from January to May 2023, the study respondents consisted of three radiographers, one radiologist, one sending doctor and one radiology nurse. Methods of data collection by observation, in-depth interviews, documentation. Data analysis was carried out through the stages of data collection, data reduction, data presentation and drawing conclusions.Results: MSCT Urography Multiphase examination procedure with clinical kidney tumors in the radiology installation of Banyumas Hospital includes, the patient's supine feet first position, scanning area from the diaphragm to the symphysis pubis, using 50 ml of contrast media with 40 ml of saline flush. Scanning technique by taking the pre-contrast phase, corticomedullary phase, nephrography phase, equilibrium phase and delay phase. Scan the area of the corticomedullary phase from the diaphragm to the symphysis pubis to to simplify the scanning process because the tool protocol has already made full abdominal scan area settings and to evaluate the pattern of abdominal organ enhancement if there is a metastatic urothelial lesion other than the kidney. The use of four phases of post-contrast scanning is because the goals and functions of each scanning phase are different so that the maximum diagnostic information is obtained.Conclusions: The MSCT Urography Multiphase examination procedure with clinical kidney tumors in the radiology installation of Banyumas can provide optimal diagnostic information.

Pelatihan Penggunaan Cairan Klorin Untuk Menurunkan Angka Mikroorganisme Pada Kaset Radiografi Ary Kurniawati; Bagus Dwi Handoko; Andrey Nino Kurniawan
Madani : Indonesian Journal of Civil Society Vol. 6 No. 1 (2024): Madani : Februari 2024
Publisher : Politeknik Negeri Cilacap

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35970/madani.v6i1.1845

Radiography has an important role in diagnosing a patient's disease, but the equipment used has a considerable risk as a place for the development of nosocomial bacteria which can endanger the patient and radiographer. Cassettes, one of the tools in radiography, have the potential to become a medium for disease transmission and based on previous research it has been proven that there are microorganisms and fungi on the cassettes, so the cassettes need to be cleaned regularly. One of the duties of a radiographer in the field of radiology services is the management of radiology equipment facilities and infrastructure. Cleaning the cassette with 70% alcohol can reduce the number of microorganisms on its surface. The methods in this activity are lectures, simulations, and practice cleaning cassettes with chlorine. The activities were carried out at the Laboratory of the Department of Radiodiagnosis and Radiotherapy Technique at the Semarang Health Polytechnic Ministry with radiographers from hospitals and clinical laboratories in the city of Semarang. The activity begins with the registration, opening, delivering material to the participants, and the simulation of resource persons. Evaluation is done by filling in the pretest and posttest. The evaluation results showed an increase in participants' knowledge of 63% about how to clean cassettes using liquid chlorine to reduce the number of microorganisms on radiographic cassettes. With this training, radiographers are expected to be able to apply cleaning radiographic cassettes with liquid chlorine 0,5% in their respective institutions.

Analisis Informasi Anatomi Pemeriksaan MRI Ankle Joint pada Penggunaan Foot Ankle Coil dan Flex Coil Proton Density Fat Saturation Irisan Sagital Yeti Kartikasari; Andrey Nino Kurniawan; Subhan Syarif Hidayat
Jurnal Imejing Diagnostik (JImeD) Vol 10, No 1: JANUARY 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v10i1.10268

Background: To get good MRI image quality, a special coil is designed according to the type of examination with various types and sizes so that it can be adjusted to the body to be examined so that the selection of coil is very important in MRI examination. At Dr.R.Soeharso Surakarta Orthopedi Hospital, it was found on an MRI examination of the ankle joint using a foot ankle coil and also sometimes also using a flex coil. The purpose of this study was to determine the difference in anatomical information of ankle joint MRI examination on Proton Density Fat Saturation Sagittal Slices using foot ankle coil and flex coil. Methods: This research is quantitative research with an experimental approach. This research was conducted on 10 volunteers. Respondents assessed image information on the anatomy of the Achilles tendon, talocalcaneal ligament, tibiofibular ligament, talofibular ligament, talotibial ligament, tenton flexor digitorum, extensor digitorum tendon, os calcaneus, os tallus, os tibia. Results: Ten probandus were performed MRI examination of ankle joint, proton density weighting, sagittal slice using foot ankle coil and flex coil. Images are produced that can show predetermined anatomical information, namely: Achilles tendon, talocalcaneal ligament, tibiofibular ligament, talofibular ligament, talotibial ligament, tenton flexor digitorum, extensor digitorum tendon, os calcaneus, os tallus, os tibia. Based on Wilcoxon's nonparametric statistical test in table shows that the resulting p value is 0.001 (p-value is 0.05) which means that there is a significant difference in the overall anatomical information of ankle joint MRI examination on the use of foot ankle coil and flex coil proton density fat saturation sagittal slices and mean rank results (28.50) foot ankle coil (0,001) flex coil.Conclusions: The anatomical information produced in the use of foot ankle coil is better than the anatomical information produced by flex coil on MRI examination of ankle joint proton density fat saturation sagittal slice.

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