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Analisis Pemeriksaan CT Scan Leher Dengan Kontras Pada Kasus Tumor Tiroid Di Instalasi Radiologi RSUD Provinsi NTB Rahmah Rahmah; Kadek Yuda Astina; I Bagus Gede Dharmawan
Journal of Educational Innovation and Public Health Vol. 1 No. 4 (2023): Oktober : Journal of Educational Innovation and Public Health
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/innovation.v1i4.1910

Abstract

Background: Thyroid tumors are abnormal growths of the thyroid gland, which can be benign or malignant tumors such as papillary, follicular, medullary or anaplastic types (Aldino, 2018). CT scan of the neck according to (Lee at al, 2016) The contrast media used consists of 80 ml of non-ionic contrast media followed by 20 ml of saline given through the antecubital vein using a power injector and a 20 gauge intravenous catheter at a speed of 2.5- 3.0 ml/sec. According to (Yang et al., 2016) 80-100 ml of 300 mg/L omnipaque contrast media is injected through the cubital vein at a rate of 2.7-3.0 mL/s. And according to (Deng et al., 2019), 80 ml of iopromide (300 mgl/mL) contrast media is injected intravenously at a rate of 3 ml/sec. The aim of this research is to determine the procedure for a CT scan of the neck with contrast in cases of thyroid tumors in the radiology installation at the NTB Provincial Regional Hospital. Method: The type of research carried out is qualitative research with a case study approach. Data were collected by observation, interviews with one radiologist and three radiographers and documentation. Data collection was carried out from June to July 2023. Data analysis was carried out using an interactive model system. Results: This study shows that the contrast media used in CT scans of the neck uses 50 ml contrast media on the grounds that 50 ml contrast media can confirm the diagnosis because in the case of tumors in the thyroid you only want to see whether there is enhancement of the tumor. And the contrast media injection is carried out manually by a radiology nurse on the grounds that it is sufficient to confirm the diagnosis if it is carried out with proper control so that the examination is simpler and the processing time is faster. Conclusion: There is a difference in the CT scan of the neck between theory and the NTB provincial hospital where in theory Lee et al (2016) explains that 80 ml of contrast media is used and an injector is used at a speed of 2.5-3.0 ml/s while the provincial hospital NTB uses 50 ml contrast media and is injected manually by a radiology nurse on the grounds that this can confirm the diagnosis.
Pengaruh Variasi Rotation Time Terhadap CTDI (CT Dose Index) dan DLP (Dose Leght Product) Pada Pemeriksaan CT Kepala Non Kontras Gabriel Barreto De Carvalho Belo; Kadek Yuda Astina; Made Adhi Mahendrayana
Journal of Educational Innovation and Public Health Vol. 2 No. 1 (2024): Januari : Journal of Educational Innovation and Public Health
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/innovation.v2i1.2133

Abstract

Background. Non-contrast head CT scans utilizing X-rays are considered the gold standard in emergency units for patients with clinical head injuries. Rotation time is a parameter that influences the radiation dose received by patients. This study aims to evaluate the impact of rotation time on patient radiation doses, emphasizing the ALARA principle. The research findings can assist in optimizing CT scan settings to reduce radiation doses without compromising image quality.. Methods: This quantitative research employs an experimental approach to investigate the influence of rotation time variations on CTDI (CT dose index) and DLP (dose leght product) in non-contrast head CT scans. Results: Calculation of CTDI and DLP values to assess the impact of rotation time variations, using two variations, 1 s and 1.5 s, yielded the following results: CTDI and DLP for 1 s were 20.30 mGy and 239.54 mGycm, respectively, while CTDI and DLP for 1.5 s were 20.43 mGy and 249.26 mGycm. Conclusion: Rotation time variations affect CTDI and DLP values in non-contrast head CT scans, although both values tend to remain stabel. A rotation time of 1 s is considered optimal for CTDI and DLP in non-contrast head CT scans at the Radiology Department of Sunset Vet Kuta Animal Hospital.
Analisis Dosis Efektif Pada Pemeriksaan CT-SCAN Kepala Kontras di Instalasi Radiologi Rumah Sakit Surya Husadha Denpasar Juniaty Teroci Mamun; Kadek Yuda Astina; A. A. Aris Diartama
USADA NUSANTARA : Jurnal Kesehatan Tradisional Vol. 2 No. 1 (2024): Januari: USADA NUSANTARA
Publisher : Institut Nalanda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47861/usd.v2i1.675

Abstract

The effective dose is the dose on the CT-Scan that hits the patient's organs. The effective dose received by the patient should not exceed 3 standards that have been set both nationally and internationally. Nationally, the dose received by patients has been regulated in the Head of Bapeten Regulation on Diagnostic Reference Level (DRL). While internationally, the effective dose is regulated in the International Commission on Radiological Protection (IRCP). According to BAPETEN number 1211/K/V/2021 CTDIvol contrast head is 60mGy while DLP is 2500mGy.cm. The purpose of this study was to determine the amount of effective dose received by patients at the CT-Scan examination of the contrast head at the Radiology Installation of Surya Husadha Hospital Denpasar. The method used in this research is the quantitative method. Reference sources used in the preparation of this article include books, as well as articles in English and Indonesian scientific journals.
Teknik Terapi Radiasi 3DCRT Pada Kasus Kanker Serviks Dengan Studi Literatur Derill Kyuya Ngongoloy; Anak Agung Aris Diartama; Kadek Yuda Astina
JURNAL RISET RUMPUN ILMU KEDOKTERAN Vol. 3 No. 1 (2024): April : Jurnal Riset Rumpun Ilmu Kedokteran
Publisher : Pusat riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jurrike.v3i1.2793

Abstract

Research with literature studies is still rarely carried out, therefore in this article we want to know about the External Radiation Radiotherapy Technique in Cervical Cancer Cases with 3D-CRT (3-Dimensional Conformal Radiation Therapy): This literature discusses the application of the 3D-CRT external radiation radiotherapy technique in treatment cervical cancer. 3D-CRT is a method that allows external radiation exposure from more than one side,possiblemore appropriate radiation dose according to the shape and location of the tumor. This study also lists other techniques such as Brachytherapy, IMRT, and 2D in the treatment of cervical cancer. Photon Dose Distribution Using 3D-CRT and IMRT Techniques in Cervical Cancer Therapy: This research discusses photon dose distribution in the Treatment Planning System (TPS) using 3DCRT and IMRT techniques for cervical cancer therapy. This provides insight into the comparison between the two techniques in delivering appropriate radiation doses to the tumor target. 6 MV Energy Linac Radiotherapy Against Cervical Cancer: This journal discusses the use of radiotherapy on a Linac aircraft with a 6 MV energy photon beam using the 3DCRT technique in the treatment of cervical cancer. This technique helps deliver the right dose of radiation according to the target area. The literature above provides information about external radiotherapy techniques, including 3D-CRT, in the treatment of cervical cancer. They help understand the role and application of this technique in cervical cancer treatment.    
Perbedaan Informasi Citra Diagnostik T2WI Spir dan T2WI Dixon MRI Lumbal Potongan Sagital Dengan Kasus Hernia Nucleus Pulposus (HNP) Adi Widya Hartana; Kadek Yuda Astina; Triningsih Triningsih
DIAGNOSA: Jurnal Ilmu Kesehatan dan Keperawatan Vol. 1 No. 4 (2023): November : Jurnal Ilmu Kesehatan dan Keperawatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59581/diagnosa-widyakarya.v1i4.1459

Abstract

Herniated nucleus pulposus (HNP) is the leading cause of back pain in old age, occurring as a result of tearing of the fibrous annulus and the nucleus pulposus exiting through the tear. To optimize pathology, fat suppression techniques are needed to suppress fat and fluid. Fat Suppression techniques include Dixon and SPAIR. The use of Dixon is relatively longer but can produce four images at once, while SPIR has the advantage of being more resistant to inhomogeneous magnetic fields. The purpose of this study was to determine the difference between T2WI SPIR and T2WI diagnostic image information Dixon Sagital Cut Lumbar MRI with Hernia Nucleus Pulposus (HNP) cases as well as find out which one is better between the two techniques. The type of research used is quantitative research with an experimental approach that uses prospective data aimed at determining the difference in diagnostic image information T2WI SPIR and T2WI Dixon MRI examination of Sagital Cuts. The study population is patients who perform Lumbar MRI examinations with HNP cases at the Radiology Installation of NTB Provincial Hospital for the period May-July 2023. This study applied total sampling, using a research sample of 17 patients. The results showed a difference in image information between the T2WI SPIR and T2WI Dixon sequences on Lumbar MRI examination of Sagital Cut with a p-velue value smaller than α (<0.05), namely in the anatomy of the Spinal Cord with a p-value (0.021), and the anatomy of the Corpus Vertebraewith value p-value (0.001). The T2 Spir sequence is more optimal in showing anatomical information on the Sagittal Cut lumbar MRI examination compared to the T2 Dixon sequence. due to the more homogeneous emphasis of fat on the anatomy of the Spinal Cord and Corpus Vertebrae
PERBEDAAN KUALITAS CITRA ANATOMI PADA PEMERIKSAAN MRI SHOULDER JOINT DENGAN MENGGUNAKAN SHOULDER COIL DAN FLEX COIL DI RUMAH SAKIT UNIVERSITAS HASANUDDIN Syafitra, Muhnal; Astina, Kadek Yuda; Sugiantara, Aried
Medical Imaging and Radiation Protection Research Journal Vol 3 No 1 (2023): Medical Imaging and Radiation Protection Research (MIROR) Journal
Publisher : LPPM Universitas Awal Bros

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54973/miror.v3i1.262

Abstract

Background: Shoulder Joint MRI examination is one of the musculoskeletal examinations that is often carried out in the MRI modality because the Shoulder joint is one of the most active joints. In order to be able to visualize a good image, the right coil is needed, in the shoulder joint MRI examination it is recommended to use a shoulder array coil or shoulder coil. This examination can also use a flex coil in an MRI shoulder joint examination at the hospital if the congenital shoulder coil is damaged. The shoulder coil has better image quality because of its shape that surrounds the entire object you want to examine. Methods: This study used a quantitative approach with a quasi-experimental approach, namely conducting experiments on the observed objects, to find answers to the problems raised by conducting an MRI Shoulder Joint examination using two different types of coils, namely Shoulder coil and flex coil in 10 samples. The data is then processed using SPSS. Results and Conclusions: Based on the results of statistical test calculations for the SNR value of the anatomy of the shoulder joint, there is a significant difference in image quality, namely the SNR of the anatomy of the shoulder joint using shoulder coil and flex coil which has an overall p value/sig of 0.038 so that Ho is rejected and Ha is accepted. The average SNR for shoulder coil was 312.41 and flex coil was 246.30, so the difference in the SNR value for MRI shoulder joint using shoulder coil compared to flex coil was 66.11. With these results, the more optimal MRI Shoulder joint examination uses the Shoulder coil. Keywords: Shoulder Coil, Flex Coil, Signal to Noise Ratio (SNR)
OPTIMALISASI CITRA CT SCAN KEPALA MENGGUNAKAN VARIASI REKONTRUKSI INCREMENT DAN BRAIN WINDOW PADA KASUS STROKE HEMORAGIK Salim, Raodha J.; Yuda Astina, I Kadek; Mahendrayana, I Made Adhi
Humantech : Jurnal Ilmiah Multidisiplin Indonesia Vol. 2 No. 2 (2022): Humantech : Jurnal Ilmiah Multidisiplin Indonesia 
Publisher : Program Studi Akuntansi IKOPIN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32670/ht.v2i2.2806

Abstract

Stroke hemoragik merupakan stroke yang terjadi karena pecahnya pembuluh darah, sehingga mengakibatkan darah di otak mengalir ke rongga sekitar jaringan otak. Salah satu modalitas dioagnostik yang mampu memperlihatkan stroke hemoragi adalah CT Scan. Rekontruksi Increment adalah jarak antara gambaran rekonstruksi dalam data volume. Nilai rekontruksi increment pada pemeriksaan CT Scan kepala dengan kasus stroke 0.5 mm dan 2.5 mm. Metode Penelitian yang digunakan yaitu penelitian kuantitatif dengan pendekatan eksperimen, penelitian ini akan dilakukan menganalisi rekontruksi increment dengan meggunakan variasi : 0.7mm, 1mm, 2mm, dan 2.5mm. Pengambilan data dilakukan pada bulan Mei-Juli 2022 di Instalasi Radiologi RSU Surya Husadha Denpasar. Penulis mengambil data pemeriksaan CT Scan kepala pada stroke hemoragik sebayak 10 sampel pasien. Hasil penelitian menyatakan bahwa menggunakan variasi rekontruksi increment 0.7mm, 1mm, 2mm, 2.5mm terdapat adanya pengaruh terhadap kriteria anatomi.
PERBEDAAN KUALITAS CITRA PADA PEMERIKSAAN MRI KNEE JOINT DENGAN MENGGUNAKAN KNEE COIL DAN FLEX COIL Siregar, Annisa Rahmadani; Astina, I Kadek Yuda; Supriyani, Nyoman
Humantech : Jurnal Ilmiah Multidisiplin Indonesia Vol. 2 No. 3 (2023): Humantech : Jurnal Ilmiah Multidisiplin Indonesia 
Publisher : Program Studi Akuntansi IKOPIN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32670/ht.v2i3.2903

Abstract

Pemeriksaan MRI Knee Joint menggunakan coil extremity (knee coil) yang dirangcang khusus untuk pemeriksaan MRI knee joint dan surface coil (flex coil) yang biasa digunakan dalam pemeriksaan extremitas pada organ anatomi kecil seperti knee joint, elbow joint dan payudara yang membutuhkan surface coil untuk meningkatkan spatial resolution dan SNR. Tujuan dari penelitian ini adalah untuk mengetahui coil yang lebih baik digunakan antara knee coil dan flex coil pada pemeriksaan MRI Knee Joint dan untuk mengetahui perbedaan SNR dan tingkat noise yang di hasilkan pada penggunaan knee coil dan flex coil pada pemeriksaan MRI Knee Joint. Penelitian ini menggunakan kuantitatif yang bersifat eksperimen. Berdasarkan data hasil perhitungan uji statistik nilai SNR anatomi knee joint terdapat perbedan terhadap kualitas citra yaitu SNR anatomi knee joint dengan menggunakan knee coil dan flex coil yang memiliki p value/sig keseluruhan 0.000 sehingga Ha diterima dan Ho ditolak. Hasil rata-rata knee coil (31.32) dan flex coil (15.38) sehingga nilai SNR pemeriksaan MRI knee joint menggunakan knee coil sebanding flex coil dengan perbedaan SNR flex coil sekitar 50% dari SNR menggunakan knee coil.
PROSEDUR PEMERIKSAAN MSCT UROGRAFI PADA KASUS MASSA GINJAL DI INSTALASI RADIOLOGI RS BHAYANGKARA MAKASSAR Ikhsan, Kurnia; Yuda Astina, I Kadek; Dharmawan, I Bagus Gede
Humantech : Jurnal Ilmiah Multidisiplin Indonesia Vol. 2 No. 3 (2023): Humantech : Jurnal Ilmiah Multidisiplin Indonesia 
Publisher : Program Studi Akuntansi IKOPIN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32670/ht.v2i3.2904

Abstract

Tujuan dari penelitian ini adalah untuk mengetahui prosedur pemeriksaan MSCT Urografi pada kasus massa ginjal dengan menggunakan metode biphase atau penggunaan fase non kontras, fase Nephrographic dan fase Excretory serta penambahan pengolahan gambaran CPR (Curva Planar Reformation) di RS Bhayangkara Makassar. Penelitian yang digunakan adalah kualitatif bersifat deskriptif dengan pendekatan studi kasus. penulis melakukan prosedur suatu pemeriksaan Multi Slice Computed Tomography (MSCT) Urografi. Hasil dari penelitian ini yaitu Pemeriksaan MSCT Urografi sangat efektif dalam menegakan diagnosa massa ginjal, yang dapat menilai perubahan dinamik dari kelainan ginjal serta organ lain seperti liver dan spleen, serta meningkatkan sensitifitas dan spesifisitas misalnya untuk mengetahui tumor tersebut ganas atau tidak, menentukan staging (penderajatan atau tingkatan). Teknik MSCT urografi pada kasus massa ginjal diawali dengan pasien puasa minimal 6 jam sebelum pemeriksaan, cek ureum creatinin, sebelum dilakukan scanning pasien meminum air kemasan botol sebanyak 600ml atau semampu pasien. kemudian dilakukan scaning dengan diawali fase Non kontras, lalu fase Nephrographic yang dilakukan 65 detik setelah injeksi media kontras dan fase excretory yang dilakukan 7,5 menit setelah fase nephrographic, dengan media kontras sebanyak 60 ml dan saline 50 ml, dan pengolahan gambaran CPR (Curve planar Reformation) yang dapat menjadi solusi bagi seorang dokter spesialis radiologi untuk melihat dan memberikan penilaian terhadap kelainan pada sistem urinaria khususnya pada saluran ureter.
PENGARUH DUKUNGAN KELUARGA TERHADAP KUALITAS HIDUP PASIEN KANKER SERVIKS DI INSTALASI RADIOTERAPI RSPP Imratul, Viny; Andriani, Ditha Augustina; Astina, Kadek Yuda
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 8 No. 3 (2024): DESEMBER 2024
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v8i3.35154

Abstract

Kanker serviks adalah penyakit yang memberikan dampak besar pada kualitas hidup pasien, mencakup aspek fisik, psikologis, dan sosial. Dukungan keluarga menjadi salah satu faktor penting dalam membantu pasien menghadapi kondisi ini, meskipun tidak semua jenis dukungan memberikan pengaruh yang sama pada setiap aspek. Penelitian ini bertujuan untuk menganalisis pengaruh dukungan keluarga terhadap kualitas hidup pasien kanker serviks yang menjalani perawatan di Instalasi Radioterapi RSPP, dengan menggunakan pendekatan kuantitatif dan desain korelasional. Data dikumpulkan dari 30 pasien yang menjalani radioterapi melalui kuesioner yang mengukur kualitas hidup dan jenis dukungan keluarga yang diterima. Hasil penelitian menunjukkan bahwa dukungan penghargaan tidak memiliki hubungan signifikan dengan kualitas hidup pasien pada ketiga aspek yang diteliti, yaitu fisik, psikologis, dan sosial. Sebaliknya, dukungan instrumental menunjukkan hubungan yang signifikan pada aspek sosial, membantu pasien dalam menjalani kehidupan sehari-hari dengan lebih baik. Dukungan informasi menjadi jenis dukungan yang paling berpengaruh secara signifikan pada ketiga aspek kualitas hidup, memberikan dampak positif pada kemampuan pasien memahami dan mengelola kondisi mereka. Namun, dukungan emosional tidak menunjukkan pengaruh signifikan pada aspek fisik dan sosial, meskipun penting secara umum untuk mendukung aspek psikologis pasien. Kesimpulan dari penelitian ini menunjukkan bahwa dukungan informasi dan instrumental merupakan jenis dukungan yang paling efektif untuk meningkatkan kualitas hidup pasien kanker serviks, terutama pada aspek fisik dan sosial, sedangkan dukungan penghargaan dan emosional cenderung tidak signifikan dalam penelitian ini.
Co-Authors A. A. Aris Diartama Adi Widya Hartana Adi Widya Hartana Anak Agung Aris Diartama Andriani, Ditha Augustina Ariwidyastuti, Cokorda Istri Assa Watari Joan Aura, Jane Dwi Bagus Pudja Erdika, I Putu Barus, Sri Wahyuni Bhargawan, Anak Agung Gede Billah, Mustaqeim Burlian Mughnie da Costa, Augusta Darmita, Made Purwa Derill Kyuya Ngongoloy Dewa, Yanuarius Robento Dharmawan, I Bagus Gede Fallo, Gratia Agrianti Eldis Fitriah Gabriel Barreto De Carvalho Belo Gede Dharmawan, I Bagus Gusti Ngurah Sutapa I Bagus Gede Darmawan I Bagus Gede Dharmawan I Bagus Gede Dharmawan I Kadek Sukadana I Made Purwa Darmita I Putu Bagus Pudja Erdika I Putu Eka Juliantara I Putu Very Triana Putra I Wayan Juliasa Ikhsan, Kurnia Imratul, Viny Istiqamah, Yunda Juniaty Teroci Mamun Kusuma Yoga, Anak Agung Ngurah Gede Made Adhi Mahendrayana Maghfirotul Iffah Mahendrayana, I Made Adhi Ngakan Putu Daksa Ni Made Ary Esty Kusuma Ardani Ni Nyoman Sarjani Ni Putu Pande Anita Yulianti Ningsih, Irianti Fitri Nova Adeline Nyoman Supriyani Nyoman Supriyani Pradana, I Nengah Wirajaya Pratista, Sayang Purwa Darmita, I Made Putu Krisna Ariadi Rahmah Rahmah risa, Risa Humairoh Salim, Raodha J. Saliswati, Isnaini Sari Widari, Ni Luh Putu Sayang Pratista Siregar, Annisa Rahmadani Solichin, Rahmat Sugiantara, Aried Sugiantara, I Wayan Ariec Sukadana, Kadek Sumantri Sebayang Supriyani, Nyoman Syafitra, Muhnal Triningsih Triningsih Triningsih Triningsih Triningsih Triningsih Virgin, Yull Aviva Widhyasari, Ni Putu Rika Widiyanti, Ni Luh Putu Ari Yull Aviva Virgin