Articles
Dose Area Product Performance in Fluoroscopy as Supporting Modalities Lithrotripsi Extracorporeal Shock Wave (ESWL) Action for Kidney Stone Localization Resolution
Siti Daryati;
M. Irwan Katili;
Sri Mulyati
Jurnal Riset Kesehatan Vol 3, No 2 (2014): Mei 2014
Publisher : Poltekkes Kemenkes Semarang
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DOI: 10.31983/jrk.v3i2.220
This is an observational method with a quantitative approach to study the magnitude of dose area product who received ESWL patients and the level of safety in accordance with the rules of radiation safety in the use of X-ray. Processing and analysis of the data is done by calculating the dose area product ( DAP ) received by the patients at each exposure based on the thickness of the patients were detected with the TLD. Comparison is done with the use of standard flouroscopy examination. Result shows that 10 cm material thickness in 0.008 minutes results 187mGy.cm2 and 5095 mGy.cm2 DAP in 5 minutes. While in 20 cm phantom thickness and in 0.008 minutes result 424 mGy.cm2 and DAP obtained in 5 minutes is 2 20912 mGy.cm. The use of fluoroscopy on ESWL in Dr . Kariadi hospital is still within the safe limits: less than 100 mGy / min , the dose rate exposure on a 10 cm phantom thickness is 3.38 mGy / min and in 20 cm phantom thickness is 13.89 mGy / min , exposure dose rate per minute on the phantom thickness of the 23 cm is 17.03 mGy / min and the rate of patient exposure dose obtained by the observation of 17.61 mGy / min.
Filter Strength Selection Analysis In Direct Digital Radiography (DDR) on Phantom
Rasyid Rasyid;
Siti Daryati;
Panji Wibowo Nurcahyo
Jurnal Riset Kesehatan Vol 3, No 3 (2014): September 2014
Publisher : Poltekkes Kemenkes Semarang
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DOI: 10.31983/jrk.v3i3.127
Filter Streng is one of software (build in) digital image processing in DDR, that’s have function to strecting of contras and to shaprp of result image with enhancment DDR image quality. In DDR avalaible 4 filter strength, aplicated for DDR image and for human anatomical likes bone, thotax and pelvis. This research is done by observational qualitative metode.Processing and analizing data is done from radiograph non filter and filtering. Resulting from respondent is done analizing and the hightest score is the best of image processing from contras strecting and image shapening. Every result grade in digital image processing by use software filter strengt fasility in X-rays DDR Medex to get image enhancment with watching contras deferent is more hight and more sharp, morethan to get noise is more hight. Image processing with using streng filter software in grade 3 is get result the best.
RADIATION DOSE AND ANATOMICAL INFORMATION IN SACRUM BONE EXAMINATION WITH AP AND AXIAL AP PROJECTIONS
Rini Indrati;
Siti Daryati;
Dewi Kartikasari;
Sri Mulyati;
Marichatul Jannah
Jurnal Riset Kesehatan Vol 10, No 1 (2021): MAY 2021
Publisher : Poltekkes Kemenkes Semarang
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DOI: 10.31983/jrk.v10i1.6777
The projections for the sacrum are axial anteroposterior with the beam 15 degrees toward the cephalad, and axial posteroanterior in the direction of the beam 15 degrees caudally. Some practitioners take steps to examine the sacrum with AP projections in a perpendicular beam direction. Around the sacrum are reproductive organs that are sensitive to radiation, so it is necessary to select the right projection to reduce the radiation dose and show clear anatomical information. This study aims to determine the projection of an examination that produces clear anatomical information at a minimal dose. This is an experimental study with one shot post-test only. Samples in the form of radiographs were obtained from perpendicular AP and axial AP projections assessed by radiologists regarding the clarity of anatomical information. The radiation dose was measured using TLD on the ovaries and gonads. Data were analyzed by t-test and Wilcoxon test with an error level of 5%. The AP axial projection shows better anatomical information than the perpendicular AP projection. The axial AP projection shows a smaller dose of the ovaries and gonads. There is a difference in anatomical information between AP and axial AP projections with a p-value = 0.017. There was a difference in radiation dose between AP and axial AP projections on the right ovary (p-value = 0.002), left ovary (p-value less than 0.001) and gonads (p-value = 0.008).
Pengukuran Laju Paparan Radiasi pada Perisai Radiasi Ruang Panoramik di Instalasi Radiologi Rumah Sakit Islam Klaten
Raih Sutejo;
Siti Daryati
Jurnal Imejing Diagnostik (JImeD) Vol 2, No 2: July 2016
Publisher : Poltekkes Kemenkes Semarang
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DOI: 10.31983/jimed.v2i2.3177
Background: Research about the measurement of radiation exposure rate on panoramic radiation shield in Radiology Installation of Klaten Islamic Hospital has been conducted. The background of this research is in the panoramic room there is a veil that has a gap on the bottom as high as 20 cm. The purpose of this research is to know the rate of radiation exposure on radiation panoramic shield in Radiology Installation of Klaten Islamic Hospital and the application of radiation protection system to the room.Methods: This research type is quantitative with survey approach that is writer do observation, documentation and measurement of exposure rate of radiation at controlled and uncontrolled area by doing measurement at two state that is before exposure (background radiation) and after exposure. The data obtained are then analyzed descriptively to declare a safe examination room or not for workers and the general public by comparing the measurement results with UNSCEAR and NCRP report No. 147.Result: The value of the background exposure rate in the panoramic chamber of the Klaten Hospital Radiology Installation exceeds the value of the background dose rate based on the location of the height of an area according to UNSCEAR. The background exposure value in the panoramic space ranges from 0.14 to 0.175 μGy/hour. The actual radiation exposure measurements at point A is 0.00021 mGy/hour, point B is 0.000175 mGy/h, point C is 0 mGy/hour, point D is 0 mGy/hour, point E is 0.000105 mGy/hour, point G is 0,000735 mGy/hour. These six results have not exceeded the NCRP report no. 147 is for controlled areas 0.0025 mGy / hr and uncontrolled area 0.0005 mGy / hr.
Analisis Noise Pada Radiografi Thorax Pulmonum Pada Penerapan Modifikasi Faktor Eksposi Aturan 10 kV
Luthfi Rusyadi;
Siti Daryati;
Dwi Rochmayanti;
Andrey Nino Kurniawan
Jurnal Imejing Diagnostik (JImeD) Vol 7, No 2: JULY 2021
Publisher : Poltekkes Kemenkes Semarang
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DOI: 10.31983/jimed.v7i2.7473
Introduction: Quality and dose factors are very important in radiodiagnostics. To produce a constant radiographic quality, the density and contrast produced must remain constant. There is a rule that aims to produce a constant radiographic quality by adding the exposure value, namely the 10 kV rule. This study was conducted to determine the noise in the computed radiography image with the thorax organ produced by modifying the exposure factor of the 10 kV rule and whether it is still within tolerance.Methods: This quantitative research was conducted with an experimental approach. This is done by taking a series of radiographs that include three exposure factor settings, standard (60 kV, 10 mAs), increased by 10 kV (70 kV, 5 mAs) and lowered by 10 kV (50 kV, 20 mAs). Noise measurement is done by doing ROI in the background area. The exposure index and deviation index values were also recorded as quality and dose references. The data was processed and analyzed by statistical tests.Results: From the statistical test results, there is a significant relationship between kV and noise with a sig (1-tailed) of ,000. Noise on the standard exposure factor has a lower noise than the modified exposure factor with a difference of 0.2. From the quality aspect, the most optimum exposure index and deviation index indicators are in the range of 70 KV and 5 mAs.Conclusion: The results of the statistical test of the relationship of kV to noise obtained at 50 Kv and 20 mAs, 60 kV and 10 mAs gave a significance value of 0.263 and 0.435, while at 70 kV and 10 mAs with Sig. (1-tailed) of .000 which means the relationship between kV to noise is strong because the sig value is below 0.05.
PERBEDAAN KUALITAS CITRA MRI LUMBAL SEKUEN TIWI TSE POTONGAN SAGITAL DENGAN DAN TANPA PENGGUNAAN SENSITIVITY ENCODING (SENSE) PADA KASUS HERNIA NUCLEUS PULPOSUS
Rini Indrati;
Iin Saputri Sahlan;
Bambang Satoto;
Siti Daryati
Jurnal Imejing Diagnostik (JImeD) Vol 6, No 1: January 2020
Publisher : Poltekkes Kemenkes Semarang
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DOI: 10.31983/jimed.v6i1.5560
Background: Parallel imaging is a time-reduction technique that uses phased-array coils. Phased array coils measure and process signals from a piece, then combine pieces to form an image of a larger area of anatomy. Commonly used imaging parallel technique is one of them is sensitivity encoding or SENSE. This research is the difference of image quality MRI Lumbal sequence T1WI TSE of sagittal pieces with and without the use of SENSE in the case of hernia nucleus pulposus (HNP). The aim of this research is to know the difference between SNR, anatomy information and better image quality and anatomical information. MRI Lumbal sequence T1WI TSE sagittal pieces with and without the SENSE in HNP.Methods: The type of this research is quantitative with an experimental approach, The research was conducted in RS dr. Saiful Anwar Malang. The research was taken from Lumbal MRI examination in 9 patients with predetermined exclusion and inclusion criteria of T1WI TSE sectional pieces with and without the use of SENSE in HNP. Image assessment was done by two radiologists. Analysis of data used paired T-test and Wilcoxon test with alpha 5%.Results: The results showed that there was a difference in image quality of MRI Lumbal T1WI TSE sequence of sagittal pieces with and without the use of SENSE in HNP with p-value = 0.001, and anatomic information with p-value = 0.001. Sensitivity encoding resulted in better image quality and anatomical information, with mean values at SNR 181,4333, and rank information anatomy 11,00.Conclusion: There is a difference in SNR and anatomical information between the use of SENSE andwithout the use of SENSE on sagittal lumbar MRI. The use of SENSE is capable of producing quality MRIimagery (SNR) and Anatomical Information on lumbar MRI lumbar sequences of sagittal slices.
Rancang Bangun Alat Bantu Fiksasi Pemeriksaan Radiografi Shoulder Joint Proyeksi Inferosuperior Axial
Siti Daryati;
Okta Firawan Putra Purwa;
Dwi Rochmayanti
Jurnal Imejing Diagnostik (JImeD) Vol 2, No 1: January 2016
Publisher : Poltekkes Kemenkes Semarang
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DOI: 10.31983/jimed.v2i1.3166
Backgroud: Have been done research about making of the design tools fixation on radiographic examination shoulder against the backdrop of the difficulty in positioning the patient to commit abduction. The purpose of the design is to replace the role of the patient's family or resident physician in charge of holding the cassette and the patient's arm in abduction during the examination takes place.Methods: This research is a quantitative with explorative experimental approach. The method used in data collection that is designing the tools, use tools, and test tools function. Test function tools made directly to the patient in the Radiology department of DR.Sardjito Yogyakarta. The results of test functions are analyzed based check list of respondents about the value of work tools.Results: The results of design tools fixation on radiographic examination shoulder joint inferosuperior axial projections in the form of iron under the buffer, the buffer on iron, steel main buffer, where handrail 1, where handrail 2 and the cassette place. The workings of the device is placed beside the examination table, abduction of the patient's arm and place it on a hand grip and place cassette on a the cassette place. The function test results on the assessment tool's ability to adjust to the state of the patient's arm, the ability of the tool settings when adjusting the tool height to the height of the examination table or brangkar, the ability of the tool settings when adjusting the length of the tool with the patient's arm length of, the ability of the tool setting in place the cassette on tools, the ability of setting tool in positioning the tape on the object of examination, the ability of the tool to produce radiographs that do not cause artifacts..Conclusion: the ability to show the joints between the glenoid cavity of the humeral head to 2.37. It can be concluded that the tools fixation radiographic examination of shoulder joint inferosuperior axial projection has a pretty good performance.
RADIATION EXPOSURE PROFILE IN RADIOLOGICAL DEPARTMENT TO SUPPORTING PROTECTION PROGRAMS IN HOSPITALS / RADIOLOGICAL CLINIC LABORATORY IN SEMARANG CITY
Dwi Rochmayanti;
Siti Daryati;
Darmini Darmini;
Yeti Kartikasari
Jurnal Imejing Diagnostik (JImeD) Vol 5, No 1: January 2019
Publisher : Poltekkes Kemenkes Semarang
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DOI: 10.31983/jimed.v5i1.3999
Background: All acts of radiation use, both for diagnostics, therapy and nuclear medicine, must go through a process of justification, limitation and optimization so that patients, officers and the surrounding environment get as much diagnostic benefit as possible with the smallest possible radiation risk. Some problems that arise in the Hospital / clinic, often ignore and do not pay attention to work exposure safety factors. The purpose of this study was to determine the profile of occupational radiation exposure and the effectiveness of radiation shielding in the radiology department of the Semarang city then compared to the reference dose to determine the optimization of radiation protection.Methods: The type of research conducted is quantitative research with a survey and observational approach. Exposure measurements were carried out in 5 radiology department, which included 3 hospitals and 2 clinical laboratories. Documents and room observations are also carried out. For the effectiveness of the radiation barrier it is also measured before and after the radiation shielding by using a surveymeter tool. The results data are then presented in descriptive analyses.Results: The results of the study of radiation exposure profiles in five radiology institutions, four institutions there was radiation exposure recorded on the surveymeter tool, with the largest exposure value was 0.099 mSv / h (still below the safe limit of 1 mSv / year). Only one hospital is safe, and there are no leaks.Conclusions: The effectiveness of the radiation retaining wall, four hospitals have a barrier level equal to 1 mm Pb at 80 kVp irradiation, and 1 hospital (RSJ) has a radiation barrier equivalent to 0.5 mmPb.
RANCANG BANGUN ALAT FIKSASI SEKALIGUS CASSETTE HOLDER UNTUK PEMERIKSAAN RADIOGRAFI ABDOMEN PROYEKSI LLD (LEFT LATERAL DECUBITUS) PADA PASIEN NON KOOPERATIF
Agustina Dwi Prastanti;
Kevin Ade Juliantino;
Ardi Soesilo Wibowo;
Siti Daryati
Jurnal Imejing Diagnostik (JImeD) Vol 6, No 1: January 2020
Publisher : Poltekkes Kemenkes Semarang
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DOI: 10.31983/jimed.v6i1.5568
Background: Research on the design of fixation devices as well as cassette holders for projection of abdominal radiography in LLD (left lateral decubitus) in non-cooperative patients is motivated by difficulties in fixing patients and placing tapes by radiographers during LLD (left lateral decubitus) radiographs with non-patient conditions cooperative. The purpose of making a design is to replace the patient's family role in holding patients and tapes during the examination.Methods: This type of research is applied research. The method used in data collection is designing tools, using tools, testing the performance of tools, testing the function of tools. The performance test and the function test of the tool were carried out directly on the patients at the RSK Radiology Installation Ngesti Waluyo Parakan. The results of the performance test and function test were analyzed based on the check list of respondents regarding the work value of the tool.Results: The design of this fixation tool consists of a supporting iron component, patient stand, cassette holder, strap strap. The performance test of the tool is in accordance with the specifications of the tool made by the author. Function tests are divided into two, namely function tests based on the technique of using tools and based on the radiograph produced. Function tests based on the use of tools techniques obtained a total work value of 3.1 can be concluded the function of a tool based on the technique of good use.Conclusions: Function tests based on the resulting radiographs obtained a total work value of 3.33 can be concluded that the function of a tool based on the resulting radiograph is good
DESCRIPTION ABSORPTION DOSE OF CHILDREN X-RAY THORAX IN RADIOLOGY INSTALATION DR ARIO WIRAWAN SALATIGA
Siti Daryati;
Rini Indrati;
Novriyati Wahyu Illahi
Jurnal Imejing Diagnostik (JImeD) Vol 5, No 1: January 2019
Publisher : Poltekkes Kemenkes Semarang
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DOI: 10.31983/jimed.v5i1.4004
Backgroud:One of the most frequent radiological examinations is the child's thorax. Children have high organ sensitivity to radiation because their organs are not yet mature. The purpose of this study was to determine the radiation dose received by children during the examination of the thorax at Instalasi Radiology Rumah Sakit Paru dr. Ario Wirawan Salatiga.Methods:This research is a quantitative research with the observational approach. Research done by mounting the chip TLD in the body of the child, samples used is 10 pediatric patients 1-15 years. Then the radiation dose compared to the dose limit values recommended by UNSCEAR, for children aged 1-4 years the safe dose limit of 0.03 mGy, children 5-9 years 0.04 mGy, and for children 10- 15 years 0.05 mGy.Results: Results of measurement of radiation absorbed dose for children 1-4 years old highest by 0.116 mGy and the lowest was 0.044 mGy. For children 5-9 years the highest absorbed dose of 0.130 mGy and the lowest was 0.036 mGy, while for children 10-15 years acceptable dose of 0.043 mGy.Conclusion:Results of measurement of radiation dose in Instalasi Radiology Rumah Sakit Paru dr. Ario Wirawan Salatiga is then compared with the recommendations issued by UNSCEAR (2000) in children 1-4 years absorbed dose received exceeds the allowed limit (0.03 mGy) for receiving the average absorbed a dose of 0.085 mGy. In children 5-9 years absorbed dose received also exceeded the allowed limit (0.04 mGy) for receiving absorbed dose by an average of 0.092 mGy, while the absorbed dose in children 10-15 years who received still within safe limits (0.05 mGy) for receiving a dose of 0.043 mGy.