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All Journal Jurnal Imejing Diagnostik SANITAS: Jurnal Teknologi dan Seni Kesehatan Jurnal Ners Jurnal Radiografer Indonesia Journal of Social Research JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit)
Yeti Kartikasari, Yeti
Technic of Radiodiagnostic and Radiotherapy Department, Polytechnic Health Ministry of Semarang
Humanities Computer Science & IT Economics, Econometrics & Finance Education Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences

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VARIASI PENGGUNAAN REKONTRUSI ALGORITMA FBP, iDose4 DAN ITERATIVE MODEL RECONTRUCTION (IMR) TERHADAP KUALITAS CITRA MCST THORAK LOW DOSE UNTUK MENDETEKSI NODUL PARU Anikmah, Siti; Kartikasari, Yeti; Kurniawati, Ary
JRI (Jurnal Radiografer Indonesia) Vol. 3 No. 2 (2020)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (278.335 KB) | DOI: 10.55451/jri.v3i2.72

Abstract

Background: Pulmonary nodules are often found accidentally when thorax imaging is done. The size and rate of nodule growth are the most important predictors of imaging for malignancy. When the low dose protocol applied to the thorax MSCT will affect image quality, such as increased noise and decreased spatial resolution, so that the detection of nodules becomes less accurate. For noise limitation the reconstruction of the FBP, iDose4 and IMR algorithm is used. The purpose of this literature study is to evaluate variations in the FBP, iDose4 and IMR algorithm in improving image quality. Methods: This method is a qualitative research with a descriptive approach using comprehensive literatures studies Results: The result show that noise reduction is highest at IMR and lowest at FBP. The highest number of detected nodules on IMR especially for solid nodules < 4 mm and the lowest on FBP. Pathological findings with the best quality on IMR and quality are limited to FBP. Visibility of normal and abnormal findings, iDose4 is better than IMR and FBP especially for reticular patterns. Effective doses are reduced by 44 % to 59 % based on this literature study. In clinical practice, IMR shows the potential for pathological recovery at low dose level and IMR can improved measured image quality based on noise, high contrast spatial resolution and low contrast detectability. Conclusion: So IMR is the most effective algorithm applied for scanning low dose MSCT thorax for detection of pulmonary nodules.
Design and Development of A Patient Lifter For Brachytherapy Procedures in Cervical Cancer Treatment Kurniawan, Rudy; BE, Marsum; Masrochah, Siti; Darmini, Darmini; Kartikasari, Yeti
SANITAS: Jurnal Teknologi dan Seni Kesehatan Vol 15 No 1 (2024): SANITAS Volume 15 Nomor 1 Tahun 2024
Publisher : Politeknik Kesehatan Kemenkes Jakarta II

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36525/sanitas.2024.513

Abstract

The role of a patient lifter in brachytherapy is crucial for ensuring safe and efficient patient transfer during treatment. The use of fabric slings for patient transfer in brachytherapy at MRCCC Siloam Hospitals Semanggi is considered ineffective as it requires at least 6-7 medical staff to move a patient. The development of medical devices, such as brachytherapy patient lifters, is critical for maintaining safety, as any failure or malfunction can cause serious injuries to both medical personnel and patients. This study aims to design a brachytherapy transfer table and evaluate its effectiveness in minimizing physical strain on healthcare workers during patient transfers. Research methods implementing a rigorous development process is essential to minimize the risk of failure by ensuring that validation and verification activities are conducted objectively, reproducibly, and are well documented. This research introduces an approach based on the formal R&D Borg and Gall method for developing brachytherapy patient lifters. Results Functional tests demonstrated the overall success of the brachytherapy patient transfer table, with a 100% validity rating from five experts. The test results showed a significant value of 0.000, less than 0.05, indicating a significant difference between conditions before and after the design of the patient transfer table. The development of the brachytherapy patient transfer table has been highly successful and effective at MRCCC Siloam Hospitals Semanggi. The device also holds potential for further development in studies with larger sample sizes.
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

Abstract

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.
MSCT Thoracolumbal Kontras pada Suspek Metastasis Tulang Belakang: Studi Kasus di Rumah Sakit Hermina Pandanaran Semarang Puspitawati, Margarita; Rochmayanti, Dwi; Kartikasari, Yeti; Sulaksono, Nanang; Sudiyono, Sudiyono
Jurnal Imejing Diagnostik (JImeD) Vol. 9 No. 1: JANUARY 2023
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v9i1.9242

Abstract

Background: MSCT is a routine imaging modality for detecting bone metastases. The use of 1.25 mm slice thickness reconstruction on Thoracolumbar MSCT examination at Hermina Pandanaran Hospital is different from preliminary studies. This study aims to determine MSCT Thoracolumbar contrast with 1.25 mm slice thickness and 3D reconstruction to produce information on anatomical images in suspected cases of spinal metastases. Methods: This research was qualitative with a case study approach. The respondents were 3 radiographers, 2 radiologists, and 1 referring doctor. Data collection by observation, interviews, and document studies. Processing and data analysis used open coding and analysis to obtain conclusions. Results: The examination procedure was carried out by preparing the patient to fast for 6 hours before the examination, checking the results of ureum creatinine, filling out the informed consent and doing a skin test. Contrast media as much as 1.1-1.2 ml/kg per patient's body weight plus saline half of the amount of contrast, flow rate 2.5-3 mL/s, scan delay 25 s. DFOV 25-35cm, ASIR 40%. Reconstruction of slice thickness 1.25 mm to get more detailed results so that it could produce informative images that evaluated the spine and soft tissue. MPR and 3D reconstruction so that the image looked real bone and could be viewed 360ᵒ. Conclusions: The resulting slice thickness of 1.25mm and 3D reconstruction produced anatomical image information that could visualize bone to see destructive lytic lesions due to metastases, and visualize soft tissue such as paravertebral masses or discs. 
Analisis Informasi Anatomi Pemeriksaan MRI Ankle Joint pada Penggunaan Foot Ankle Coil dan Flex Coil Proton Density Fat Saturation Irisan Sagital Kartikasari, Yeti; Kurniawan, Andrey Nino; Hidayat, Subhan Syarif
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

Abstract

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.
Hubungan Pengetahuan dan Kepatuhan Penerapan Proteksi Radiasi: Studi pada Mahasiswa Praktik Klinik Jurusan Teknik Radiodiagnostik dan Radioterapi, Poltekkes Kemenkes Semarang Sulistiyadi, Akhmad Haris; Abimanyu, Bagus; Kartikasari, Yeti; Isnoviasih, Susi Tri
Jurnal Imejing Diagnostik (JImeD) Vol. 9 No. 1: JANUARY 2023
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v9i1.10442

Abstract

Background: Radiation protection is very important for patient and personnel safety in radiology services. It has been given in the college through classical lectures, including in Radiodiagnostic and Radiotherapy Department Poltekkes Kemenkes Semarang. The student’s knowledge is routinely evaluated but their compliance in the clinical activities has never been specifically observed. This study aims to find out the relationship between knowledge toward compliance of the application of radiation protection on clinical practice students.Methods: This is quantitative research with a cross-sectional design. Research was conducted on 90 second-year clinical internship students of the Radiodiagnostic and Radiotherapy Department. The level of knowledge was measured by written test, while the level of compliance was observed by clinical observation. The affecting factors are investigated through indepth interview. Data were analyzed by Spearman Rank Correlation.Results: The knowledge levels among the students were "excellent” (18%), "good" (68%), and "fair" (14%). The radiation protection compliance levels were "good" (73%) and "very good" (27%). There was a significant relationship between radiation protection knowledge level toward radiation protection compliance (p value <0.05). The strength of the relationship was low (coefficient interval = 0.257). Conclusions: There was a relationship between knowledge and the level of compliance, but it was not the only influencing factor. The environment tends to have an effect on the level of compliance. Radiographers and clinical instructors should be good role model in applying radiation protection.
Modification of 3 MSCT Parameters Using Iterative Reconstruction Techniques for Radiation Dose, Image Quality, and Anatomical Information Simanungkalit, Nunut; Mardiyono, Mardiyono; Kartikasari, Yeti
Journal of Social Research Vol. 2 No. 12 (2023): Journal of Social Research
Publisher : International Journal Labs

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55324/josr.v2i12.1594

Abstract

Cardiovascular Computed Tomography Angiography (CCTA) examination in diagnosing and evaluating congenital heart disease in pediatrics can make radiation exposure controversial and can lead to cancer risk. Development of parameter settings or modifications, namely tube voltage (kVp), pitch, and rotation time as an effort to optimize radiation dose to produce very low radiation dose. Apart from that, iterative reconstruction techniques are used as a reconstruction method to reduce noise to improve image quality. This study aimed to determine the effect of modifying 3 parameters using the iterative reconstruction technique on radiation dose, image quality, and anatomical information in pediatric CCTA examinations with clinical congenital heart disease at Harapan Kita Heart Hospital. Experimental research with a nonequivalent design. The results of this research are that the modification of 3 MSCT parameters and the iterative reconstruction technique produces a very low radiation dose which is significant at p = 0.000, with an average CTDIvol of 0.314 mGy, DLP 5.518 mGy.cm and can maintain different but not significant image quality, namely p = 0.72 in pulmonary artery SNR, p = 0.88 in ascending aorta SNR, p = 0.37 in pulmonary artery CNR and p = 0.41 in ascending aorta CNR so that it can provide anatomical information on contrast enhancement in the aorta and pulmonary artery area p = 0.02, extra cardiac analysis p = 0.04, contrast filling atria and ventricles p = 0.05, arterial and venous abnormalities p = 0.01, artifacts p = 0.17. Anatomical information is still informative in making a diagnosis. This study used a sample of 30 patients in the control group and intervention group using a purposive sampling method. Modification of 3 MSCT parameters with iterative reconstruction techniques provides an important contribution to the development of safe and informative scanning techniques for diagnosis.
Kesenjangan Pendidikan dan Praktik: Analisis Kualitatif Pemanfaatan Lulusan Ultrasonografi di Fasilitas Pelayanan Kesehatan Indonesia Nurhasuna, Nurhasuna; Susanto, Edy; Nugroho, Agung; Wibowo, Gatot Murti; Kartikasari, Yeti; Hariri, Ahmad
Jurnal Ners Vol. 10 No. 1 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i1.52204

Abstract

Penelitian ini dilatarbelakangi oleh belum optimalnya pemanfaatan lulusan konsentrasi ultrasonografi (USG) di fasilitas pelayanan kesehatan, meskipun pendidikan berbasis kompetensi telah diterapkan. Tujuan penelitian adalah menganalisis kesesuaian penempatan kerja, relevansi kompetensi, serta faktor pendukung dan penghambat pemanfaatan profesional lulusan USG Poltekkes Kemenkes Jakarta II. Penelitian menggunakan desain deskriptif kualitatif dengan pengumpulan data melalui tiga Focus Group Discussion, wawancara mendalam dengan pemberi kerja, serta analisis dokumen tracer study dan kurikulum. Analisis tematik Braun dan Clarke digunakan untuk mengidentifikasi pola temuan. Hasil penelitian menunjukkan empat tema utama: pola kerja yang belum sepenuhnya sesuai kompetensi, relevansi kompetensi yang kuat namun tidak selalu diakui, faktor pendukung berupa kurikulum komprehensif, paparan klinik, dan mentorship, serta hambatan struktural seperti ketiadaan pengakuan formal profesi sonografer, ketidakjelasan klasifikasi jabatan, dan ambiguitas regulasi lingkup praktik. Sebanyak 59,04% lulusan bekerja sebagai sonografer penuh atau sambilan, sementara sisanya berada pada peran umum atau non-klinis. Kesimpulannya, lulusan memiliki kompetensi teknis yang baik, tetapi pemanfaatan mereka masih terhambat oleh ketidaksinkronan antara pendidikan, regulasi, dan struktur ketenagakerjaan. Reformasi kebijakan dan penegasan lingkup praktik diperlukan untuk meningkatkan integrasi profesional sonografer.
Co-Authors Andrey Nino Kurniawan, Andrey Nino Anikmah, Siti Bagus Abimanyu, Bagus Bagus Dwi Handoko, Bagus Dwi BE, Marsum Budiati, Tri Asih Darmini Darmini Dwi Rochmayanti edy susanto Fachry Abda El Rahman Gatot Murti Wibowo, Gatot Murti Hariri, Ahmad Hidayat, Subhan Syarif Jeffri Ardiyanto Kurniawati, Ary Mahanani, Ayu Nanang Sulaksono, Nanang Nugroho, Agung Nur Hayati Nurhasuna, Nurhasuna Puspitawati, Margarita Rini Indrati, Rini Rudy Kurniawan Simanungkalit, Nunut Siti Masrochah Sri Mulyati Sudiyono Sudiyono Sulistiyadi, Akhmad Haris Susi Tri Isnoviasih