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Politeknik Kesehatan Kementerian Kesehatan Jakarta II
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Non-contrast mastoid CT scan technique in Chronic Suppurative Otitis Media (CSOM) at radiology department of PMI Bogor Hospital Khayla Rafina Niradita; Nursama Heru Apriantoro; Khairil Anwar
Jurnal Teknologi Kesehatan (Journal of Health Technology) Vol. 22 No. 1 (2026): Article in Press
Publisher : POLTEKKES KEMENKES YOGYAKARTA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/jtk.v22i1.3162

Abstract

Chronic Suppurative Otitis Media (CSOM) is a persistent inflammation of the middle ear that requires precise radiological evaluation to prevent severe complications. Non-contrast High-Resolution Computed Tomography (HRCT) of the mastoid is the gold standard for assessing temporal bone anatomy. This study aimed to describe the technical procedure of non-contrast mastoid CT scans for CSOM clinical cases at PMI Bogor Hospital. The method used was a descriptive qualitative study with a case study approach on a pediatric patient. Data were collected through observation of scanning parameters and image reconstruction techniques. The results showed that the examination was performed using multiple reconstruction planes. Analysis of different slice thicknesses revealed that 1 mm axial slices provided superior spatial resolution for visualizing the ossicular chain and mastoid air cells compared to 3 mm slices. Radiological findings confirmed normal mastoid pneumatization and intact ossicles, effectively excluding complications despite clinical symptoms. In conclusion, the implementation of thin-slice reconstruction at PMI Bogor Hospital is essential for high diagnostic confidence. This technical approach ensures an accurate "map" of the temporal bone, which is vital for clinical management and surgical planning.
Pemeriksaan Radiografi Pelvis pada Kasus Corpus Alienum Akibat Paku Tembak di Regio Gluteal Intan Shifa Joeida; Khairil Anwar; Nursama Heru Apriantoro
TRILOGI: Jurnal Ilmu Teknologi, Kesehatan, dan Humaniora Vol 7, No 1 (2026)
Publisher : Universitas Nurul Jadid

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33650/trilogi.v7i1.14645

Abstract

Background: Conventional radiography remains the primary radiological procedure for suspected foreign bodies in soft tissues due to its wide availability, ease of use, and affordable, accounting for 75% of imaging examinations. In pelvic cases, the standard Anteroposterior (AP) projection alone is often insufficient for evaluating the depth of foreign body: therefore, a lateral projection is essential to provide comprehensive spatial information. objective: the study aims to describe the management of pelvic radiographic examinations using AP and lateral projections in a case of a foreign body caused by a nail gun and to assess the effectiveness of these projections in detecting radiopaque images and determining their depth. Methods: A clinical-technical case study using a descriptive observational was conducted on a 23-year-old male patient with a clinical diagnosis of a foreign body in the gluteal region. Data were collected on November 6, 2024 through direct observation of the procedure, documentation of examination techniques, radiographic results, and radiologist interpretation. Results: The AP projection successfully identified a radio-opaque shadow in the shape of a nail in the pelvic region without evidence of bone fracture. The lateral projection provided a precise depth measurement of 1.6 cm from the marker, showing a coccygeal shift of <25% of the foreign body's diameter and associated soft tissue thickening. Conclusion: The combination of AP and lateral projections is effective for visualizing radiopaque objects like nails in the gluteal region, where the lateral view is crucial for depth localization. Recommendations: Future research should conduct comparative studies on other modalities, such as Ultrasonography (USG) for radiolucent objects or 3D CT-Scan
PENGARUH VARIASI FFD TERHADAP HASIL INFORMASI ANATOMI RADIOGRAF THORAX PROYEKSI POSTERO ANTERIOR (PA) Nurhafizha Tunnisa; Khairil Anwar; Nursama Heru Apriantoro; Devi Purnamasari; Annisa Annisa; Aulia Annisa; Dody Arland
Jurnal Kesehatan Tambusai Vol. 7 No. 2 (2026): JUNI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v7i2.60252

Abstract

Radiologi merupakan cabang ilmu medis yang memanfaatkan energi radiasi untuk kebutuhan diagnostik dan terapi. Salah satu pemeriksaan yang paling sering dilakukan di rumah sakit adalah pemeriksaan thorax proyeksi Posterior-Anterior (PA). Untuk menghasilkan kualitas radiograf thorax yang optimal, pengaturan faktor eksposi menjadi hal yang sangat krusial, salah satunya adalah pengaturan Focus Film Distance (FFD) atau jarak fokus ke film. Permasalahan dalam penelitian ini muncul dari perlunya meminimalkan distorsi guna mendapatkan informasi anatomis yang akurat. Tujuan penelitian ini adalah untuk mengetahui perbedaan informasi anatomis pada radiograf thorax proyeksi PA dengan variasi FFD, serta menentukan variasi FFD yang paling optimal dalam menghasilkan gambaran jantung yang paling mendekati bentuk objek aslinya. Penelitian kuantitatif ini menggunakan desain studi eksperimental. Sampel yang digunakan berupa hasil pemeriksaan thorax proyeksi PA dengan empat variasi FFD yang berbeda, yaitu 120 cm, 150 cm, 183 cm, dan 200 cm. Kualitas radiograf dari keempat variasi tersebut kemudian dinilai oleh tiga responden dokter spesialis radiologi menggunakan kuesioner informasi anatomis. Data penilaian yang terkumpul selanjutnya diolah dan dianalisis secara statistik menggunakan program SPSS melalui uji Kappa dan uji Friedman. Hasil analisis menunjukkan terdapat perbedaan yang signifikan pada informasi anatomis radiograf thorax proyeksi PA akibat variasi FFD. Berdasarkan penilaian para ahli, FFD 150 cm disimpulkan sebagai jarak yang paling optimal karena mampu menghasilkan gambaran jantung yang paling mendekati bentuk anatomi aslinya dengan tingkat distorsi minimal.
Co-Authors Abdul Aziz, Sahal Fahmi Abraham Panjaitan Ade Rochimat Agnes Dwika Septiti Ahniar, Nur Hasanah Aldri Frinaldi Ambarsari, Laily Izzati Annisa Annisa Arif Jauhari Arif Rohman Saleh Aulia Annisa Azizah, Mujahidah Baehaqi Bambang Sutrisno Wibowo Buaja, Happy Kurnia Utami Budi Santoso Budi Setiawan Cahya, Intan Christianni Christianni Christianni Christianni, Christianni Corazon Hana Dumaris Darusalam Dea Fadila Devi Purnamasari Diah Novita Dimas Maulana Anshori Dinda Aulia Zhafira Dody Arland Dody Haikal Edy, Mahfud Eka Putra Syarif Hidayat Ekaputra Syarif Hidayat Epit Rahmayati Evanty, Ayi Yulia Fachry Abda El Rahman Fathoni, Imam Muhamad Febria Anita Febria Anita Febria Anita, Febria Fiddinillah Fiddinillah Fitri Sagita Fitriani Gando Sari Gando Sari Gando Sari Gando Sari Gando Sari Gando Sari Gibral Ulhaq Gunawati S., Shinta Gunawati, Shinta Halimatus Sa’diah Hamdi Rubiyanto Handayani, Indah Nursyamsi Handayani, Indah Nursyamsi Happy Kurnia Utami Buaja Helwini Istiqomah Hendra Budiawan, Hendra Heri Kuswoyo Hermawan, Dudung Heru Prasetio Indira Mega Wahyuningtiyas Indradewa, Rhian Intan Shifa Joeida Ira Wulandari Ita Astit Karmawati Astit Karmawati Kasman, Muh. Khairil Anwar Khairil Anwar Khairil Anwar Khairil Anwar Khairil Anwar Khairil Anwar Khayla Rafina Niradita Koesrizdiharti, Azzahra Krisna Adriyanto Kurnia Moningka Kurnia, Try Wulan Lailatul Badriyah Legia Prananto Lesmana, Hadi Ma&#039;murotun Ma&#039;murotun Ma'murotun, Ma'murotun Mahfud Edy Widiatmoko Mayarani Mayarani Mayarani Mayarani Milla Jatiwinayu Moh Haris Muh. Saqri Al Faruq Muhamamd Rizqi Muhammad Irsal Murdaka, Egi Kamal Novianty sutrisno Nur'aini, Istiqomah Nurbaiti Nurbaiti NURBAITI NURBAITI Nurhafizha Tunnisa Nuryadin, Ridwan P.I Patra Pipik Nur Aprirahanto Prabaningtyas Widya Dewi Pramudya ade Kusuma Putra Prananto, Legia Prima Chintya Delsi Kasih Puji Supriyoni Puji Supriyono Puji Supriyono Purwantiningsih Purwantiningsih Putra Syarif Hidayat , Eka Retno Prawestri Rinda Nur Hidayati Riyangga, Dea Robert Kristian Rudi Kurniawan Sahal Fahmi Abdul Aziz Saleh, Arif Rohman Samsun Samsun Samsun Samsun Samsun, Samsun Sari, Gando Sasongko, Ary Seri Wahyuni Shinta Gunawati Sutoro Sinaga, Citra Elisabet Sriyatun Sriyatun Sriyatun Sriyatun Sriyatun Sriyatun Sriyatun Sriyatun Supriyono, Puji Susy Suswaty Suwendra Iwen Syamsiar, Syamsiar Syarif Hidayat, Eka Putra Tri Ambarsari Tri Ambarsari Tri Susanto Triana Retno Putri Tsabitah, Assyifa Farras Untung Dimas Prayogi Veasna, Bun Wahidah Sukriani Wahyu Hidayat Wahyu Setiyoningsih Wahyudiarti, Endah Wellyam, Petra Pratama Wicaksono, Clinton Johan Ade Widiatmoko , Mahfud Edy Widiatmoko, Mahfud Edy Winarno, Guntur Winarno, Guntur Wiryanto Wiryanto WULANDARI, IRA Yudha Kartika Zilatul Azmi Arifin