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BODY WEIGHT EFFECT ON JOINT SPACE WIDTH AND TIBIO FEMORAL ANGLE OF KNEE JOINT MEASUREMENT FOR OSTEOARTHRITIS DETECTION USING IMAGEJ Setiawan, Agung Nugroho; Suryono, Suryono; Sugiyanto, Sugiyanto; Fatimah, Fatimah; Wibowo, Gatot Murti
Proceedings of the International Conference on Applied Science and Health No 1 (2017)
Publisher : Proceedings of the International Conference on Applied Science and Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (901.553 KB)

Background: Radiograph of knee joint with Kellgren and Lawrence classification system is the gold standard for assessing knee osteoarthritis. However, these grades are still obstacles. It is sometimes not appropriate to assess the progress of osteoarthritis and very long time to see the results of such progress. Osteoarthritis diagnosis and classification have been relying on qualitative visual interpretation by a radiologist. Probably difficult to determine whether there OA in the knee or not. Image quantification of digital radiography is done by measuring the joint space width and tibio femoral angle of the knee joint using the ImageJ software, with body weight variance as one factor that could affect it. Aims: This research aims to get information of body weight effect on the measurement of the joint space width and tibio femoral angle of knee joint in OA detection. Methods: This is a cross-sectional study. Subjects were digital images of the knee joint anteroposterior (AP) projection using Computed Radiography (CR) from 21 respondents with specific criteria. Image is then quantified using ImageJ software to measure the joint space width and tibio femoral angle. Print out of examination visually evaluated by one radiologist to confirm the diagnosis of OA of the knee joint. Results: The value of the right knee joint space width lateral and medial (3.81 Â± 1.18 and 2.42 Â± 0.77), while the left lateral and medial (3.49 Â± 1.11 and 2.69 Â± 0.83). Tibio femoral angle range 168.44 to 178.39 with the average tibiofemoral angle right knee 175.18 Â± 2.04 and 173.80 Â± 2.44 left knee. Body weight has a significant correlation to the tibiofemoral angle of knee joint (p value < 0,03). Conclusion: The joint space width values that taken from digital quantificationcan be baseline data of respondents, especially for those respondents who had grade 2 or indicated osteoarthritis, to be observed or compared in the next examination.The tibio femoral angle can be addition information in relation with knee pain to detect osteoarthritis.Â

Penerapan NX-Quality Assurance Software pada Computed Radiography di Instalasi RSUD Dr. Margono Soekardjo Purwokerto (Studi Kasus Analisis Penolakan pada Computed Radiography AGFA NX-8700 SU1) Wibowo, Gatot Murti; Rochmayanti, Dwi; Rini, Regi Kusuma
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 15, No 2 (2015)
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mmjkk.v15i2.3757

Program Reject Analysis merupakan bagian dari program Quality Assurance yang berguna untuk meningkatkan kualitas pelayanan rumah sakit bidang diagnostik. Tujuan penelitian ini adalah untuk memaparkan hasil analisis penolakan citra softcopy, menjelaskan faktor penyebab penolakan dan rekomendasi pemecahan masalah untuk mengurangi angka penolakan citra softcopy. Jenis penelitian ini kuantitatif analitik dan kualitatif menggunakan metode focus group discussion (FGD). Data unduhan yang diperoleh dari NX-Quality Assurance software kemudian diolah untuk mengetahui persentase penolakan kemudian dirinci berdasarkan penyebab penolakan, jenis pemeriksaan dan kode radiografer selanjutnya dibuat diagram pareto untuk mencari prioritas penolakan dan dibuat diagram fishbone berdasarkan hasil FGD. Hasil penelitian menunjukkan total reject rate pada bulan Maret 2014 sebesar 3,02%, melampaui batas yang direkomendasikan Kemenkes yaitu dâ€ 2%. Faktor utama penyebab penolakan adalah faktor positioning (69,69%), jenis pemeriksaan chest (43,94%) dan radiografer mahasiswa (21%-24,24%). Solusinya adalah mengadakan briefing rutin setiap hari oleh radiografer secara bergantian kepada mahasiswa praktikan disertai dengan pemberian tips sederhana dalam melakukan pemeriksaan sesuai pengalaman radiografer, mengadakan gladi lapangan terhadap praktikan baru untuk orientasi atau pengenalan alat, meningkatkan keterampilan mahasiswa dengan memberikan shift tambahan terhadap mahasiswa di luar PKL dan membangun komunikasi terhadap pasien serta meningkatkan pengetahuan tentang teknik pemeriksaan.The Reject Analysis program is part of the Quality Assurance program that is useful for improving the quality of diagnostic hospital services. The purpose of this research is to describe the result of softcopy image rejection analysis, explain the cause of rejection factor and problem solving recommendation to reduce the softcopy image rejection number. This type of research is quantitative analytic and qualitative using focus group discussion method (FGD). The download data obtained from the NX-Quality Assurance software is then processed to determine the percentage of rejection then specified based on the cause of the rejection, the type of examination and the radiographic code is then made a pareto diagram to seek priority rejection and made a fishbone diagram based on FGD results. The results showed the total reject rate in March 2014 was 3.02%, exceeding the Ministry of Healthâ€™s recommendation that is dâ€ 2%. The main factors causing rejection are positioning factor (69,69%), chest examination type (43,94%) and student radiographer (21% -24,24%). The solution is to hold daily routine briefing by radiographer in turns to the student accompanied by the provision of simple tips in conducting examination according to the experience of radiographer, conducting a field rehearsal of new practitioners for orientation or introduction of tools, improving student skills by providing additional shifts to students outside the street vendors and build communication to patients as well as improve knowledge of examination

Penerapan NX-Quality Assurance Software pada Computed Radiography di Instalasi RSUD Dr. Margono Soekardjo Purwokerto (Studi Kasus Analisis Penolakan pada Computed Radiography AGFA NX-8700 SU1) Wibowo, Gatot Murti; Rochmayanti, Dwi; Rini, Regi Kusuma
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 15, No 2 (2015): July
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mmjkk.v15i2.3757

Program Reject Analysis merupakan bagian dari program Quality Assurance yang berguna untuk meningkatkan kualitas pelayanan rumah sakit bidang diagnostik. Tujuan penelitian ini adalah untuk memaparkan hasil analisis penolakan citra softcopy, menjelaskan faktor penyebab penolakan dan rekomendasi pemecahan masalah untuk mengurangi angka penolakan citra softcopy. Jenis penelitian ini kuantitatif analitik dan kualitatif menggunakan metode focus group discussion (FGD). Data unduhan yang diperoleh dari NX-Quality Assurance software kemudian diolah untuk mengetahui persentase penolakan kemudian dirinci berdasarkan penyebab penolakan, jenis pemeriksaan dan kode radiografer selanjutnya dibuat diagram pareto untuk mencari prioritas penolakan dan dibuat diagram fishbone berdasarkan hasil FGD. Hasil penelitian menunjukkan total reject rate pada bulan Maret 2014 sebesar 3,02%, melampaui batas yang direkomendasikan Kemenkes yaitu dâ€ 2%. Faktor utama penyebab penolakan adalah faktor positioning (69,69%), jenis pemeriksaan chest (43,94%) dan radiografer mahasiswa (21%-24,24%). Solusinya adalah mengadakan briefing rutin setiap hari oleh radiografer secara bergantian kepada mahasiswa praktikan disertai dengan pemberian tips sederhana dalam melakukan pemeriksaan sesuai pengalaman radiografer, mengadakan gladi lapangan terhadap praktikan baru untuk orientasi atau pengenalan alat, meningkatkan keterampilan mahasiswa dengan memberikan shift tambahan terhadap mahasiswa di luar PKL dan membangun komunikasi terhadap pasien serta meningkatkan pengetahuan tentang teknik pemeriksaan.The Reject Analysis program is part of the Quality Assurance program that is useful for improving the quality of diagnostic hospital services. The purpose of this research is to describe the result of softcopy image rejection analysis, explain the cause of rejection factor and problem solving recommendation to reduce the softcopy image rejection number. This type of research is quantitative analytic and qualitative using focus group discussion method (FGD). The download data obtained from the NX-Quality Assurance software is then processed to determine the percentage of rejection then specified based on the cause of the rejection, the type of examination and the radiographic code is then made a pareto diagram to seek priority rejection and made a fishbone diagram based on FGD results. The results showed the total reject rate in March 2014 was 3.02%, exceeding the Ministry of Healthâ€™s recommendation that is dâ€ 2%. The main factors causing rejection are positioning factor (69,69%), chest examination type (43,94%) and student radiographer (21% -24,24%). The solution is to hold daily routine briefing by radiographer in turns to the student accompanied by the provision of simple tips in conducting examination according to the experience of radiographer, conducting a field rehearsal of new practitioners for orientation or introduction of tools, improving student skills by providing additional shifts to students outside the street vendors and build communication to patients as well as improve knowledge of examination

THE ROLE OF DCM4CHEE AS AN OPEN SOURCE PACS IN THE RADIOLOGY DEPARTMENT OF PRIMAYA HOSPITAL SEMARANG Nuha, M. Dzawin; Wibowo, Gatot Murti; Setjadiningra, Rr. Lydia Purna Widyastuti; Saputra, Kurniawan; Puspita, Mega Indah; Pranandya, Brian Ilham
Journal of Applied Health Management and Technology Vol 6, No 1 (2024): April 2024
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jahmt.v6i1.10886

This research explores the potential use of DCM4CHEE as an open-source Picture Archiving and Communication System (PACS) that is highly flexible for development in the current era. Despite being open source, DCM4CHEE has proven to be effective and reliable in healthcare settings, particularly in radiology department. Primaya Hospital Semarang has successfully implemented DCM4CHEE as an integrated archive system directly connected to CT Scan and Conventional X-Ray modalities. Direct observations were conducted over a significant period at the radiology installation of Primaya Hospital Semarang, which utilizes DCM4CHEE. This provided direct insights into how the system is implemented and used in practical situations. Furthermore, in-depth interviews were conducted with radiographers to gain their perspective on the experience of using DCM4CHEE. The research results indicate that the use of DCM4CHEE contributes positively in various aspects, including user-friendly operation, adequate utility, workflow improvement, and cost savings in healthcare services. The implementation of this software not only aids in the efficient management of radiological data but also reduces dependence on traditional filming systems, supporting the transition towards a paperless workflow. In conclusion, DCM4CHEE is reliable and highly beneficial in the context of healthcare services. Its adaptability allows seamless integration with Hospital Information Systems (HIS) and Radiology Information Systems (RIS), enhancing overall interoperability and efficiency. This research provides a foundation for recommending the use of DCM4CHEE as a customizable PACS solution that can positively contribute to improving the quality of radiology services in various healthcare department.

Kualitas Sistem Informasi Pelaporan Standar Pelayanan Minimal Instalasi Radiologi Berbasis Web (e-spmrad.com) Romadhoni, Efriza Nur; Santoso, Bedjo; Darmini, Darmini; Satoto, Bambang; Wibowo, Gatot Murti
Jurnal Manajemen Kesehatan Yayasan RS.Dr. Soetomo Vol 8, No 2 (2022): JMK Yayasan RS.Dr.Soetomo, Kedua 2022
Publisher : STIKES Yayasan RS.Dr.Soetomo

ABSTRAKPengembangan laporan Standar Pelayanan Minimal (SPM) radiologi diharapkan dapat mempermudah dan mendukung proses pengambilan keputusan. e-spmrad.com sebagai sistem pelaporan SPM radiologi yang dikembangkan pada tahun 2021 ekuivalen sebagai pelaporan SPM radiologi, Namun dalam penelitian belum dilakukan analisis terhadap kualitas sistem, kualitas informasi dan kepuasan pengguna. Padahal, kualitas sistem dan kualitas informasi mempengaruhi kepuasan pengguna sistem terhadap penggunaan sistem informasi. Penelitian ini bertujuan untuk menganalisis e-spmrad.com efektif terhadap kualitas sistem informasi dalam pelaporan standar pelayanan minimal instalasi radiologi. Desain penelitian ini adalah kuantitatif. Penelitian dilaksanakan di instalasi radiologi RSUI Madinah Kasembon Malang pada Bulan Februari- Juli 2021. Uji coba dalam penelitian ini menggunakan rancangan penelitian pre-eksperimen design dengan rancangan one group pre-post test. Berdasarkan hasil penelitian terdapat perbedaan kualitas sistem, kualitas informasi dan kepuasan pengguna pada seluruh aspek sebelum dengan sesudah pemberian sistem baru (p-value ≤ 0,005). sehingga dapat disimpulkan bahwa sistem informasi pelaporan standar pelayanan minimal instalasi radiologi efektif terhadap kualitas sistem informasi dalam pelaporan standar pelayanan minimal instalasi radiologi, terbukti nilai p-value adalah 0,005.

Transforming CT-Scan Scheduling System in Hospital Through Web-Based Technology Hayati, Nur; Sudiyono, Sudiyono; Handoko, Bagus Dwi; Budiati, Tri Asih; Kartikasari, Yeti; Wibowo, Gatot Murti
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 13 No. 3 (2024): December 2024
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v13i3.463

The schedule for outpatient CT-Scan examinations at Bhayangkara Level I Hospital is encountered with problems, including recording errors due to poor patient manual scheduling and service delays. These challenges have been a great disadvantage to health workers and administrative systems, impacting the quality of health service. A web-based application, “SIJARO-CT,” in integration with the Hospital Health Management Information System (SIMRS), was designed and assessed to solve this problem. The method used for this study was R&D), which also placed emphasis on the ISO 9126 standard for system quality evaluation and its efficiency with regard to resources, time, cost, and quality of functional services. The results show that the system validation was rated 100% in the excellent range, which substantially improved resource use and quality of services (p=0.003). The study points out that even though the system potentially improves operational performance, its weaknesses include the single site implementation and limited scale as it shows quite room for further exploration. This research adds value to the healthcare sector through operationalizing, optimizing hospital management, and integrating these systems across levels to increase efficiency, service delivery, and satisfaction in healthcare sector institutions operating in a variety of contexts.

Rancang Bangun Alat Pelapis Kaset Sebagai Upaya Pencegahan Infeksi pada Pemeriksaan Radiografi Prastanti, Agustina Dwi; Darmini, Darmini; Daryati, Siti; Wibowo, Gatot Murti; Suan, Kesita Grace Natalia
Jurnal Imejing Diagnostik (JImeD) Vol 11, No 1 (2025): JANUARY 2025
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v1i1.12567

Background: Infection control in radiography is carried out by wrapping tapes and radiograph equipment using polyethylene plastic bags. Existing conditions in the hospital require at least 1 to 2 layers of plastic for each radiography in patients with a history of infectious diseases. The use of plastic causes the amount of infectious plastic waste to be increased. Therefore, an alternative is needed to use acrylic mica material that can be used repeatedly and is environmentally friendly as a replacement for plastic bags.Methods: This research design is a Research and Development (RnD) study with the ADDIE model which is carried out with five stages, namely analysis, design, development, implementation, and evaluation. The data collection method is carried out by observation, testing the function of the tool, and then the data is processed and analyzed by criticizing the results of radiographic image quality using ImageJ software.Results: Four sizes of precision radiographic cassette coating have been produced with four radiographic cassette sizes. The average decrease in the mean number is 1.07%.Conclusion: The radiograph quality from using acrylic mica cassette coatings in radiograph examinations can still produce good quality radiographs based on the results of histogram graph analysis which produces graphs that have a similar shape between those without using cassette coatings and those with cassette coatings.

Pengembangan Model PACS Server Post Processing Terintegrasi “CLEMAGS” untuk Meningkatkan Keefektifan Pembelajaran Klinis pada Program Studi Imaging Diagnostik Program Pascasarjana Poltekkes Kemenkes Semarang Pranandya, Brian Ilham; Wibowo, Gatot Murti; Suwondo, Ari; Anwar, M. Choiroel; Darmini, Darmini
Jurnal Imejing Diagnostik (JImeD) Vol 11, No 2 (2025): JULY 2025
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v11i2.13327

Background: One aspect of digital transformation in education today is online learning or commonly referred to as E-learning. Clinical Education Management System or CLEMAGS, is an application system used for clinical education management in the field of web-based Diagnostic Imaging. The development of Clinical Learning Management System (CLEMAGS), which was built with the help of Orthanc Platform, is to create a more inventive and interactive learning model for students of Postgraduate Diagnostic Imaging study program of Poltekkes Kemenkes Semarang. Designing and developing the PACS Server Post Processing model in CLEMAGS to support activities in the Diagnostic Imaging Postgraduate Program of the Poltekkes Kemenkes Semarang and testing the effectiveness of the PACS Server Post Processing model in CLEMAGS in the Diagnostic Imaging Postgraduate Program of the Poltekkes Kemenkes Semarang.Methods: This type of research is Research and Development (RD) which uses the Rapid Application Development (RAD) research approach method. Analysis of differences in pre-test and post-test data using paired sample t-test. While analyzing the increase in effectiveness test results using the N-Gain Test.Results: The paired sample t-test results are sig. value of 0.003 (p-value 0.05), which means that there is a significant difference between the pre-test data and the post-test implementation of the PACS Server Post Processing Model in CLEMAGS. Overall, the average N-Gain score is 0.89 and is included in the “High” understanding improvement category. The percentage of N-Gain obtained was 89.94% and included in the effective category.Conclusions: The PACS Server Post Processing model in CLEMAGS is effective in improving user performance in managing medical imaging data. The TRIP-ID system is a medical image-based learning solution that can be practically applied in health education institutions. Further development can be directed toward the integration of artificial intelligence (AI) for automatic interpretation, as well as expanding implementation in various other educational institutions.

Pengembangan Model Aplikasi Pelatihan Pengendalian Mutu Computed Tomography (CT) Berbasis American College of Radiology (ACR) Phantom Terintegrasi Web Harnanto, Rudy; Adi, Kusworo; Dartini, Dartini; Wibowo, Gatot Murti; Rasyid, Rasyid
Jurnal Imejing Diagnostik (JImeD) Vol 11, No 2 (2025): JULY 2025
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v11i2.13457

Background: The use of Viewdex as a tool for radiographic image evaluation has limitations in flexibility for students, particularly in the installation and input of DICOM ACR image results, which can be complex. This study aims to: (1) Evaluate the performance of the CT Scan training application for the Applied Bachelor Program in Radiologic Imaging Technology at Poltekkes Kemenkes Semarang, based on ViewDex; (2) Develop a web-integrated CT Scan quality control training application based on the ACR Phantom; (3) Measure the performance of the web-integrated CT Scan quality control training application based on the ACR Phantom.Methods: The research method used is Research and Development (RD), which includes literature study, product development, field testing, evaluation, and product revision. The developed application simplifies the process of importing DICOM data, coding questions, and automatic evaluation, thus improving operational efficiency.Results: Validation by IT and QA/QC experts shows that the application meets high standards with 100% validity. Blackbox testing, which includes general functionality, security, compatibility, performance, usability, dashboard, and user interface, showed that the application is valid and operates well without significant errors. Performance evaluation through pre-test and post-test indicated a significant improvement in participants' knowledge and skills, with the Wilcoxon test yielding a p-value of 0.005, indicating a significant difference between conditions before and after using the application.Conclusions: in conclusion, the developed application is effective and efficient in enhancing student usability and learning experience, overcoming the limitations of Viewdex. This application enables efficient management and analysis of medical images and data, making it well-prepared to support CT quality control training with high-quality standards.

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