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INFORMASI DIAGNOSTIK GAMBARAN RADIOGRAF CERVICAL HASIL MULTIPLANAR RECONSTRUCTION CT-SCAN KEPALA Panji Wibowo Nurcahyo; Merliana Devina; Akhmad Haris Sulistiyadi; Siti Daryati
JRI (Jurnal Radiografer Indonesia) Vol. 4 No. 2 (2021)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (203.123 KB) | DOI: 10.55451/jri.v4i2.94

Abstract

ABSTRACT Introduction : Data at Kenyatta National Hospital (KNH) from 2012 to 2016 recorded that there were 1,432 patients with a head injury diagnosis. Of the patients diagnosed with moderate or severe head injury, 11 (3.07%) patients had head and neck injuries. The clinical pathway in the diagnosis of head injury, CT-Scan of the brain (preferably with the inclusion of the cervical vertebrae) is now the rule in assessing traumatic brain injury. At the Radiology Installation of the Salatiga City Hospital, a head CT scan with a head injury diagnosis used a scan of the area from cervical 7 to the vertex, then cervical radiographs were made using MPR. Methods : This study uses a qualitative method with a case study approach. Data collection was carried out in March 2020 by direct observation, in-depth interviews, and documentation studies.Results : Patients diagnosed with CKS and CKB were shown cervical MPR. This MPR image has no superposition, which usually shows cervical 1 and 2 superposition with the mandible even at an angle, and in the lateral projection, cervical 7 superposition with the shoulder. The disadvantage is that the radiation dose received by the patient increases, but on radiological examination there is a justification principle, namely even though using a CT-Scan with greater radiation, the benefits obtained are also greater. In addition, burst fractures can be seen on cervical radiographs from MPR. There are fractures in trauma victims that are not fully demonstrated on radiographs at cervical 1 to cervical 2, cervical 6 to 7 cervical levels, and most involve the transverse process because the patient is uncooperative. Helical CT scanning can depict significant fractures that cannot be demonstrated on conventional radiographs and should be added to the initial screening for suspected cervical trauma.Conclusion : The cervical MPR image aims to obtain four cervical projections, namely AP, lateral, right oblique, and left oblique without conventional projections with the aim of minimizing movement in patients who are at risk of aggravating spinal cord injury. Diagnostic information from MPR results is to obtain structural visualization. specific, determine the extent of the lesion, localize the lesion and bone fragments. However, the radiation dose received is greater than conventional radiographic examinations.
Hubungan Pengetahuan dan Kepatuhan Penerapan Proteksi Radiasi: Studi pada Mahasiswa Praktik Klinik Jurusan Teknik Radiodiagnostik dan Radioterapi, Poltekkes Kemenkes Semarang Akhmad Haris Sulistiyadi; Bagus Abimanyu; Yeti Kartikasari; Susi Tri Isnoviasih
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.
Rancang Bangun Alat Bantu Fiksasi Pemeriksaan Radiografi Lumbal Oblik Agustina Dwi Prastanti; Haris Sulistiyadi; Halinda Fatmayanti
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.v10i1.11076

Abstract

Background: The oblique lumbar examination has been carried out. The position of object isn't object angle at 45° to the image receptor, but only estimate it. It caused not optimal image of scottie dog sign and spondylolysis (pressure in pars interarticularis). Therefore, an examination aid is needed to make it easier to obtain the position of the oblique lumbar object.Methods: This research design is a RnD study with the ADDIE model which is carried out with five stages, namely analysis, design, development, implementation, and evaluation. The data is carried out by observing, designing, testing, and analyzing whether there are artifacts.Results: An oblique lumbar radiographic examination fixation aid was produced from acrylic material with a thickness of 5 mm. Acrylic is shaped like a right-angled triangular prism building which has a longer base measuring 50 cm, width 42 cm, and height 25 cm. A rectangular base with a length of 50 cm is pressed against the patient's body so that the supporting part of the angled triangle that supports the patient's lumbar region or the patient's body does not shift during an oblique lumbar radiography examination. This tool has a mass dimension of 2.5kg.Conclusion: The design of the oblique lumbar radiographic examination fixation tool resembles a right-angled triangular prism with one side tilted at a 45 degree angle to adjust the position of the object so that it can obtain a good view of the Scottie dog sign to show part of the pars interarticularis.
APPLICATION OF THE DESIGN AND CONSTRUCTION RESULTS OF AN OBLIQUE LUMBAR RADIOGRAPHY EXAMINATION AID Agustina Dwi Prastanti; Akhmad Haris Sulistiyadi; Bagus Abimanyu
Wealth Community Empowerment Vol. 2 No. 2: July 2025
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/welcomejournal.v2i2.13733

Abstract

Oblique lumbar radiographic examinations require assistive devices to facilitate patient positioning and produce accurate radiographs showing the Scottie dog sign. Oblique lumbar patient positioning requires the patient to be tilted 45 degrees to the right or Right Posterior Oblique (RPO) and 45 degrees to the left or Left Posterior Oblique (LPO). The results of the design and construction of the oblique lumbar radiography examination aid need to be implemented in real-world healthcare services within the hospital's radiology unit. The purpose of this community service is to introduce, educate, and implement the results of the design and construction of an oblique lumbar radiography examination aid. The community service methods are thru lectures, discussions, and hands-on practice. The community service element involves Radiographers in hospitals where there is a demand for oblique lumbar radiographic examinations, as well as student interns. The direct application of the oblique lumbar radiographic examination aid by Radiographers on patients has successfully produced oblique lumbar radiographs that clearly show the Scottie dog sign, thereby improving healthcare services, particularly in the field of radiology.
Repositori institusi berbasis AI dengan metode retrieval-augmented generation Erwan Setyo Budi; Waris Agung Widodo; Akhmad Haris Sulistiyadi
Libraria: Jurnal Ilmu Perpustakaan dan Informasi Vol 13 No 2 (2024): Desember 2024
Publisher : FPPTI Jawa Tengah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.66162/lib.v13i2.639

Abstract

The purpose of this study is to help library users search for information more quickly, accurately, and contextually, and to provide a comprehensive understanding of the concepts and architecture of institutional repositories that use the Retrieval-Augmented Generation (RAG) method. This research adopts a Design Science Research (DSR) approach to address challenges in information retrieval arising from advances in artificial intelligence. The artifact developed is an artificial intelligence-based institutional repository system using the Retrieval-Augmented Generation (RAG) method. The research results regarding the implementation of building an institutional repository with the Retrieval-Augmented Generation (RAG) approach include the stages of identifying conventional repository issues from the past to the present, designing or conceptualizing an RAG-based system, the workflow of implementing RAG technology in institutional repositories, analysis of advantages, and implications for the academic environment. This study concludes that applying RAG to institutional repositories not only increases the efficiency of information search but also enriches the user experience in finding relevant, contextual knowledge. This research offers concrete and applicable solutions to improve the quality of library services in the digital era