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Peran Implementasi Picture Archiving and Communication System dalam Pelayanan Radiologi di Rumah Sakit Premier Bintaro P V L Suandari; I Putu Eka Juliantara; Erni R Rusmana
Jurnal Manajemen Kesehatan Indonesia Vol 8, No 3 (2020): Desember 2020
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jmki.8.3.2020.161-166

Abstract

Premier Bintaro Hospital is equipped with High-end modalities with various types of advanced radiological examinations. There are several service centers that require continuous imaging support, such as vascular centers, Pain Centers, Spine centers and others. Integrated storage and access to patient data is needed to improve work efficiency. With the implementation of Picture Archiving And Communication System (PACS) in Radiology Unit, there are improvements in services and increased productivity when compared to previous system. This research will discuss a number of issues related to the role of PACS in Radiology services as evaluation material for services compared with the system before PACS is implemented. This research was made to determine the role of PACS in Premier Bintaro Hospital. This research is prepared with literature review, observation, and documentation. The application of PACS in Premier bintaro Hospital basically has the same workflow compared to workflows in general. Application of HL7 interface System which is equipped with DMWL makes PACS applied will integrated properly with HIS / RIS. The advantages of implementing PACS are more on data integration, storage, data editing, and presentation of data in digital form. The lack of PACS is more focused on the stability of the connection as the basis of the data transportation path needed. The challenge faced in the future is the problem of strengthening the stability of connection and education to users related. 
TINJAUAN KUALITAS AIR PADA MATA AIR YEH SANA DI BANJAR GUNAKSA DESA CEMPAGA KECAMATAN BANGLI KABUPATEN BANGLI TAHUN 2017 I Putu Eka Juliantara; I Wayan Suarta Asmara; made bulda
Jurnal Kesehatan Lingkungan (JKL) Vol 8, No 1 (2018)
Publisher : Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (146.934 KB) | DOI: 10.33992/jkl.v8i1.346

Abstract

Abstract. Water is one of human need, availability and existence of water source should be preserved and protected from pollution. The purpose of this research to know the quality of water from "Yeh Sana" springs. The method of this research is descriptive. The results obtained are the physical parameters temperature 26,50C, TDS 300 mg/l, turbidity 2 NTU, no taste, odorless, colorless, chemical parameters pH 6,5, Nitrite 0.05 mg/l, Nitrate 10 mg/l, iron 0.3 mg/l, hardness 60 mg/l, and bacteriological parameters E. Coli 0/100 ml sample and Coliform 2.2/100 ml sample. Observation of water pollutant risk factors in "Yeh Sana" springs. A value of 2.2 from coliform indicates the presence of waste that can contaminate waters from animal and leaves. Concluded the water from "Yeh Sana" springs qualifies the quality of physics, chemical quality and does not qualify microbiological quality. Recommended for the community to cook water before drinking, always keep the springs clean, make a of protection of the springs.Keywords:, springs, water, water quality
PERBANDINGAN INFORMASI CITRA ANATOMI MRA RENAL DENGAN MENGGUNAKAN METODE TIME OF FLIGHT DAN PHASE CONTRAST DI INSTALASI RADIOLOGI RSUD ARIFIN ACHMAD PROVINSI RIAU Hadi Eka Hamdani Hadi; Eka Juliantara; Ni Nyoman Supriyani
Medical Imaging and Radiation Protection Research Journal Vol 2 No 2 (2022): Medical Imaging and Radiation Protection Research Journal
Publisher : LPPM STIKes Awal Bros Pekanbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (154.06 KB) | DOI: 10.54973/miror.v2i2.250

Abstract

Background: The hospital has standardized the selection of sequences used for MRA examination. In the Radiology Installation of Arifin Achmad Hospital, Riau Province, only one time of flight sequence was used from two non-contrast MRA sequences, namely time of flight and phase contrast. In this regard, there are two sequences of non-contrast MRA examination that need to be used in order to identify and produce a good image of the renal vessels. Methods: This study is a quantitative study with an experimental approach that aims to determine differences in information on anatomical MRA Renal images using 2 non-contrast MRA methods, namely time of flight and phase contrast. This study applies the Lemeshaw formula with a 95% confidence level, using 10 Renal MRA patients and 3 radiology specialists as respondents for image assessment. Results: The results showed that there was no difference between tof and pc sequences in the anatomy of the renal arteries and segmental arteries. However, there were significant differences shown in the anatomical assessments performed (interlobar arteries, arcate arteries, and interlobular arteries). Almost all indicators show a p-value of <0.050, with the 3d time of flight sequence showing superiority in all aspects assessed compared to the 3d phase contrast sequence. Conclusion: There is a difference in anatomical image information on the Renal MRA using 3d time of flight sequences and 3d phase contrast. In the 3d time of flight sequence, it is able to produce arterial images well but lacks in displaying venous images. On the other hand, the 3d time of flight sequence is good at showing veins and lacking in arterial imaging. Keywords: mra renal; time of flight; phase contrast
PENGARUH TRADE-OFF NILAI TIME INVERSION TERHADAP OPTIMALISASI KUALITAS CITRA MRI LUMBOSACRAL SEKUEN STIR- SENSE CORONAL Putu Sastra Andriani; I Putu Eka Juliantara; Ni Luh Putu Sari Widari; Nyoman Supriyani
JRI (Jurnal Radiografer Indonesia) Vol. 5 No. 2 (2022): November
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55451/jri.v5i2.126

Abstract

ABSTRAK Background :STIR is a fat suppression technique used in spinal MRI. The TI setting determines how much fat signaling will be suppressed. SENSE is a technique to reduce length of STIR examination time. According to Westbrook, the TI values for a 1.5 Tesla MRI 100 – 175 ms. To find the optimal TI for Lumbosacral MRI need to do a trade-off and research. Method :This research is quantitative with an experimental approach. The study used 15 samples were scanned 3 times on the STIR-SENSE Coronal sequence with TI variations 140, 150 and 160 ms. The data obtained then ROI and SNR is calculated using SPSS. Recorded the scan time. Results : Normality test, p value > 0.05 so the data distribution is normal. In the Test Of Within Subject Effect and the Test Of Between Subject Effect the value of Sig. <0.05 means there is an effect between variables. In the Pairwise Comparison test SNR significance value obtained on all data <0.05, it can be concluded there is a significant difference between the sequences. Scan time on trade-off TI of 140 and 150 ms is 2 minutes 36 seconds and on TI 160 ms 3 minutes 54 seconds. Conclusion :There is effect trade-of f TI value for optimizing the image quality of MRI Lumbosacral STIR-SENSE Coronal Sequence at Bali Mandara Hospital. The most optimal image quality ontime inversion trade-off 150 ms with mean 391.607 and a short examination time of 2 minutes 36 seconds.
ESTIMASI NILAI DOSIS PADA PEMERIKSAAN CT SCAN KEPALA DEWASA BERDASARKAN NILAI CTDIvol DAN DLP Ni Nyoman Sri Wikanadi; I Putu Eka Juliantara; Made Purwa Darmita
JRI (Jurnal Radiografer Indonesia) Vol. 5 No. 2 (2022): November
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55451/jri.v5i2.136

Abstract

ABSTRACT Background: Estimating the exact dose in CT Scan patients can be done by referring to an optimization index called DRL (Diagnostic Reference Level). Currently, the DRL for CT-Scans is expressed in CTDIvol (Computed Tomography Dose Index Volume) and DLP (Dose Length Product). The purpose of this study was to analyze the distribution of radiation dose values ​​on a CT scan of the adult head based on the CTDIvol and DLP values ​​referring to the IDRL reference from BAPETEN. Methods: This research is descriptive quantitative research with an observational approach. The Samples in this study were all patients who underwent Non-Contrast Head CT-Scan examinations at the radiology installation of Prof.Dr.I.G.N.G. Ngoerah Hospital, Denpasar for the period January-June 2022. Analysis of Results The estimation of radiation dose values ​​on CT Scan examinations of the adult head was based on the recapitulation of the distribution of CTDIvol and DLP values ​​obtained then compared with the IDRL 2021 values. Results: CTDIvol values ​​on non-Contrast head CT examination for all patients have varied values ​​with the lowest value of 23.28 mGy, the highest value of 62.7 mGy, an average of 47.58 mGy, and the 3rd quartile value of CTDIvol is 49.84 mGy. With the 75th percentile CTDIvol value of 49.84 mGy while the DLP value on the Head CT Examination varied in each patient with the lowest DLP value of 700.12 mGy*cm and the highest DLP value of 1597.19 mGy*cm and an average value of 1597.19 mGy*cm. DLP is 1057.95 mGy*Cm and the 3rd quartile value of DLP is 1133 mGy*cm. Conclusion: The CTDIvol and DLP values ​​for Non-Contrast Adult Head CT Scan examination at Prof.Dr.I.G.N.G. Ngoerah Hospital Denpasar are still below the reference from BAPETEN in IDRL 2021.
Comparison of Consistency Value of Absorbent Dose of Plastisin and Silicone Bolus Using Electron With 6 Mev Energy at Sanglah Rsup Denpasar Made Dwipa Nararta; Putu Eka Juliantara; Cory Amelia
Journal of Social Research Vol. 1 No. 12 (2022): Journal of Social Research
Publisher : International Journal Labs

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55324/josr.v1i12.368

Abstract

Background: Radiotherapy is a modality in the medical field that plays a role in the treatment of malignancy by utilizing ionizing rays by giving a lethal dose to cancer cells by causing minimal damage to normal cells. Objective: related research is to know the comparison of the consistency of the absorbed dose of the two materials at an energy of 6 MeV. Methods: used research with descriptive quantitative data processing to compare the consistency of the absorption dose values for boluses made from plasticine and boluses made from silicon at 6 MeV energy. To determine the consistency of the value of the absorption dose of boluses made of plasticine and silicone with a thickness of 1 cm each. Results: The results obtained the value of the absorbed dose which the value varies every day. Where for the absorption dose of bolus made from plasticine, the absorption dose ranges from 1.390 Gy to 1.413 Gy, with the average deviation percentage being 0.15%.
OPTIMALISASI CITRA MRI WRIST JOINT DENGAN PENERAPAN 3D ISOTROPIK PADA PEMBOBOTAN PROTON DENSITY DI INSTALASI RADIOLOGI RSUP DR. M. DJAMIL PADANG I Putu Eka Juliantara; Wellya Herlina; Triningsih Triningsih
Jurnal Syntax Admiration Vol. 3 No. 12 (2022): Jurnal Syntax Admiration
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jsa.v3i12.537

Abstract

MRI is a medical imaging modality that works by utilizing hydrogen atoms in the body. Imaging that does not use ionizing radiation but uses an external magnetic field. MRI is able to provide good soft tissue contrast based on the nature of the tissue. The wrist joint is a complex joint consisting of several bones and joints. The bones of the wrist joint consist of the wrist including the distal radius and ulna, 8 carpal bones, and the proximal part consists of 5 metacarpal bones. This type of research is a quantitative study with an experimental approach. This research will be conducted by comparing isotropic 3D sequences and PDW TSE SPAIR Cor sequences. Data collection was carried out from May to July 2022 at the Radiology Installation of RSUP DR. M. Djamil Padang. The author took the Wrist Joint MRI examination data as many as 10 volunteer samples. Based on the results of the research conducted, the researchers concluded that the results of the Wilcoxon test for each anatomy were used to see differences in the clarity of anatomical information produced by the Isotropic 3D PDW sequence and the PDW TSE SPAIR Coronal sequence. So based on the results of the Wilcoxon test, the anatomical information on the Wrist Joint MRI examination is the most optimal in producing isotropic 3D sequence anatomical information higher than the PDW TSE SPAIR Coronal sequence which is produced from the anatomical criteria of Ligament, Cartilage, TFCC, Bone, except for cartilage anatomy criteria with the isotropic 3D PDW sequence has a lower value than the TSE SPAIR Coronal PDW sequence
PERAN 3D-SWE PADA MRI: STUDI KOMPARASI SEKUEN ALTERNATIF DALAM MORPHOLOGIC ASSESSMENT KARTILAGO SENDI LUTUT I Putu Eka Juliantara
Jurnal Medika Malahayati Vol 6, No 3 (2022): Volume 6 Nomor 3
Publisher : Prodi Kedokteran Fakultas Kedokteran Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Magnetic Resonance Imaging (MRI) telah menjadi modalitas terpenting untuk penilaian perubahan patologis pada kartilago sendi lutut, baik di lingkungan klinis maupun penelitian. Salah satu keuntungan utama MRI adalah memungkinkan manipulasi kontras untuk menonjolkan jenis jaringan yang berbeda. Teknik Selective Water Excitation memberikan alternatif teknik untuk melakukan morphology assessment pada kartilago dengan menampilkan intensitas sinyal yang tinggi terhadap jaringan sekitarnya. Penelitian ini bertujuan untuk menganalisa penerapan teknik Selective Water Excitation dalam memberikan kualitas serta informasi citra kartilago pada modalitas MRI. Data diambil dengan melakukan scanning terhadap pasien MRI knee joint dengan sekuens coronal Gradient Recalled Echo (GRE) dengan Selective Water Excitation dan membandingkan dengan sekuens T2-FSE FS dan PDW. Data yang diperoleh dilakukan Analisa kuantitatif (kontras jaringan) serta kualitatif (informasi citra kartilago). Teknik 3D-SWE dapat diterapkan sebagai metode dalam morphologic assessment pada kartilago sendi lutut dengan modalitas Magnetic Resonance Imaging. Hal tersebut didukung dengan hasil uji statistik yang menunjukkan superioritas sekuens 3D-SWE dalam menampilkan informasi anatomi (homogenitas sinyal dan ketajaman citra kartilago dengan p-value < 0,001) serta peningkatan nilai CNR yang signifikan (p-value < 0,001) apabila dibandingkan dengan dua sekuens lainnya (mean difference 3DSWE-PDW = 103,06; 3DSWE-T2FS = 124,85; PDW-T2FS = 21,79).
STUDI LITERATUR PERANAN SEKUEN DWI-STIR DAN DWI-SPAIR PADA PENCITRAAN MRI BREAST DENGAN KASUS LESI PAYUDARA Assa Watari Joan; Maghfirotul Iffah; Nyoman Supriyani; I Putu Eka Juliantara; Kadek Yuda Astina
JRI (Jurnal Radiografer Indonesia) Vol. 5 No. 1 (2022)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55451/jri.v5i1.99

Abstract

Background: Breast cancer is the most common case in Indonesia. One of the modalities for detecting breast cancer is MRI. The DWI sequence is one of the sequences used in MRI Breast. In breast DWI, the use of effective fat suppression techniques is essential. Several studies have stated that the most common fat suppression techniques used in breast MRI are STIR and SPAIR, because they are considered capable of optimally displaying lesion images. Signal intensity and image quality depend on fat suppression technique, the choice of method used for breast DWI should be considered, because it can affect lesion identification and ROI for calculating ADC used to differentiate benign and malignant lesions. Methods: This study is a literature review study with descriptive qualitative research type. Collect and analyze library sources from several published data. After being reduced based on the topic, 6 main relevant articles were found to be used as a basis to review, describing and discussing the results according to the topic and then criticizing according to the author's view and determining conclusions. Results: The results of this study showed that DWI-STIR and DWI-SPAIR on MRI Breast imaging have use in suppressing fat and can show the difference between benign and malignant lesions of the breast. With the difference in DWI-SPAIR, the results of SNR and CNR are higher, and DWI-STIR, the results are more homogeneous. Conclusion: DWI-STIR and DWI-SPAIR can suppress fat and differentiate lesions well. DWI-SPAIR is better for lesion visibility on high-tesla MRI, and DWI-STIR is better for low-tesla MRI.
ANALISIS NILAI CT-NUMBER PADA CT-SCAN THORAX DENGAN KASUS COVID-19 Gede Dharma Putra; I Putu Eka Juliantara; I Made Lana Prasetya
JRI (Jurnal Radiografer Indonesia) Vol. 5 No. 1 (2022)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55451/jri.v5i1.102

Abstract

Background : Computed Tomography (CT) scanner is an imaging tool used to obtain images of certain parts of the body using X-rays. CT-Scanner more detailed image, compared to X-ray, CT Number is the value of the X-ray attenuation coefficient (energy attenuation) determined by the average X-ray calculated in Hounsfield Units (HU) which is a standard facility that always is on the CT-Scan plane. Thorax CT-Scan is a radiological examination technique to obtain anatomical information of cross-sectional slices such as axial, coronal and sagittal. Coronavirus Disease 2019 (Covid-19 ) is an infectious disease caused by a species of coronavirus, namely severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). As a recent study, the CT-Scan abnormality that is most often observed in Covid-19 patients is ground glass opacity (GGO). Methods : This research uses descriptive quantitative with an observational approach. This measurement uses the Region Of Interest (ROI) to determine the value of the CT Number, where the Region Of Interest (ROI) is directed at the picture that contains a pathological abnormality of Grond Glass Opacity (GGO) on the CT-Scan Thorax in cases of Covid-19 then the CT Number value is compared with results of research conducted by Ali & Ghonymy, (2020). Result and Coclusion : Shows that there is a range of CT Number values ​​using quartile 3 or 75% percintile with the result of : -167 HU, Maximum : -74 minimum value : -288 HU. This means that it is a pathological Grond Glass Opacity (GGO) for Covid-19 patients.
Co-Authors Adelia Chitra Sazkia Adi, Langkir Sapto Adipranata, I Made Darma Agus Resdiana, I Gede Alifia Permata Sari Anak Agung Aris Diartama Ananda, Afrilla Rika Andrila B. K. Pinontoan Andry Putra Wijaya Angga Pratama Angga Pratama Ariadi, Ilham Ariec Sugiantara, I Wayan Ariec, I Wayan Assa Watari Joan Astuti, Wulan Aulia Askar, Ishry Ahsani Ayuningrum, Rizka Cokorda Istri Ary Widiastuti Cokorda Istri Ary Widiastuti Cory Amelia Cory Amelia Dananjaya, I Made Bayu Darmawan, Ifan Aji De Sena, Bevinda Maria Cesario Dea Ryangga Dea Wemona Rahma Devina Fikli Dewa Ayu Made Pramita Dewi Dharmawan, I Bagus Gede Diartama, A.A Aris Dwi Royansyah, Firman Edwien Setiawan Saputra Edwien Setiwan Saputra Erni R Rusmana Eva Maulidiana Hikmah Gede Dharma Putra Hadi Eka Hamdani Hadi Hanisa Hanisa Hanisa, Hanisa I Bagus Gede Dharmawan I Kadek Sukadana I Kadek Sukadana I Made Lana Prasetya I Made Purwa Darmita I Made Purwa Dharmita I Nyoman Serima I Putu Sugiartha I Wayan Ariec Sugiantara I Wayan Suarta Asmara Ici Zuhra Wulandari Sekedang Ilham Ariadi Indra Mulia Utama Irma Wulandari, Putu Ishry Ahsani Aulia Askar Kadek Yuda Astina Kartyapratiwi, Putu Ayu Larashati, Ni Luh Putu Citra Lintjewas, Christina Aptriana Venia Luh Gede Yunda Rustika Putri made bulda Made Dwipa Nararta Made Purwa Darmita Made Suryantana, I Madurini, Suci Maghfirotul Iffah Martoyo, Angel Lingkan Maulana, Muhammad Farhan Mirza, Dhea Muhammad Ardiansyah Muhammad Aziz Kurniawan Muhammad Faisal Muhammad Faisal Muhammad Solehuddin Nadra Natalia Imelda Seran Natalia Imelda Seran Ni Luh Putu Ema Ardiantari Ni Luh Putu Ema Ardiantari Ni Luh Putu Sari Widari Ni Luh Putu Siska Hadriyani Ni Nyoman Sri Wikanadi Ni Nyoman Supriyani Ni Nyoman, Ratini Ni Putu Rita Jeniyanthi Ni Wayan Mega Savira Utami Nuriawan, I Made Sutha Nyoman Supriyani Nyoman Supriyani Nyoman Supriyani Pradnya Dewi, Dewa Ayu Mas Pratista, Made Sayang Putri Rizqiyah Putri, Ni Kadek Rika Adi Putu Didit Suranta Putu Rita Jeniyanthi, Ni Putu Sastra Andriani Ramli Reski Ramadhani Rifaldi Sugeha, Muhamad Fiqi Risma, Fina Widya Rizki Surya Permana Ruha, Amabel Odelia Anggri Ryangga, Dea Serima, I Nyoman Stefania Layola Pasire Stifany Elena Herlianti Duri Suandari P.V.L Sugiantara , I Wayan Ariec Sugiantara, I Wayan Ariec Sugiantara, I Wayan Ariec Sugiartha, I Putu Sugiartha, Putu Supriyani, Nyoman Surtika Umar Susanta, I Putu Adi Tajuddin, Nur Wahyu Tengku Riza Zarzani N Triningsih Triningsih Triningsih Triningsih Triningsih Triningsih Wahab, Revalita Wayan Angga Wirajaya, I Wayan Ariec Sugiantara, I Wellya Herlina Widari, Ni Luh Putu Sari widodo, Rahmat Wijaya, Made Wirawan, I Gede Eka Wisma Pratama, I Made Wulandari, Putu Irma Yumna Zahran Ramadhan Yumna Zahran Ramadhan Zulvania Do Rego Jesus