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LARGE FOCUS VS SMALL FOCUS: STUDI KOMPARATIF TERHADAP NILAI EXPOSURE INDEX (EI) RADIOGRAFI MANUS I Putu Eka Juliantara; Putu Didit Suranta
Jurnal Ilmu Kedokteran dan Kesehatan Vol 10, No 3 (2023): Volume 10 Nomor 3
Publisher : Prodi Kedokteran Fakultas Kedokteran Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jikk.v10i3.9230

Abstract

Pemilihan ukuran fokus dalam suatu proses pencitraan radiografi secara garis besar didasari atas teknik radiografi yang akan dilakukan. Pada aplikasi modalitas Computed Radiography (CR) dosis pasien secara tidak langsung dapat diindikasikan oleh nilai Exposure Index (EI). Penelitian ini bertujuan untuk menganalisia pengaruh nilai Exposure Index (EI) menggunakan fokus besar dan fokus kecil. Penelitian ini merupakan penelitian kuantitatif deskriptif dengan pendekatan observasional. observasi dilakukan dengan dua kelompok yaitu, fokus besar dengan faktor eksposi 45 kV, 200 mA, 0.008 s dan kelompok dua fokus kecil dengan faktor eksposi 45 kV, 50 mA, 0.032 s. Nilai EI yang didapat berasal dari eksposi menggunakan objek ossa manus. Analisa data dilakukan dengan melihat sebaran nilai yang meliputi nilai minimum, maksimum, rerata beserta simpangan baku pada seluruh sampel. Perbandingan antara penggunaan fokus besar dan fokus kecil terhadap nilai Exposure Indeks (EI) dimana nilai rata-rata pada penggunaan fokus besar yaitu 409,6. Sedangkan nilai rata-rata pada penggunaan fokus kecil yaitu 523,5. Terdapat perbedaan nilai EI yang dihasilkan pada variasi penggunaan fokus dengan merujuk pada kecenderungan seluruh nilai EI yang diobservasi pada pemeriksaan ossa manus proyeksi PA, dimana nilai EI yang lebih rendah dihasilkan pada saat eksposi yaitu penggunakan fokus besar  dengan faktor eksposi 45 kV, 200 mA, 0.008 s.
The Use of HU Thresholding in Carotid-Cerebral CT Angiography: A Qualitative Study I Putu Eka Juliantara; Angga Pratama
Journal of Applied Health Management and Technology Vol 5, No 2 (2023): April 2023
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jahmt.v5i2.9575

Abstract

Background: CT scans with contrast media administration have been used to confirm the presence of pathology in the blood vessel of the brain. High accuracy and fast scanning time produced by CT scans make this modality the main choice in assessing aneurysm pathology in the brain. Technological advances and the development of CT-helical image acquisition techniques have enabled neuroradiologists to evaluate brain aneurysms in a short time. Magnetic resonance (MR) angiography has also been reported to be useful in the diagnosis of brain aneurysms, but it is generally more time-consuming than 3D CTA, and MRI is very sensitive to movement artifacts.Methods: This research is qualitative research with an observational approach that aims to determine the management of carotid-cerebral CTA artery examination in Premier Bintaro Hospital. Unstructured interviews and documentation are used as study instruments to complete the required data.Results: Cerebral Angiography CT examination technique in Premier Bintaro Hospital uses a bolus tracking scanning technique with ROI monitoring of the Carotid Internal Artery and using triggering of 100-120 HU as a peak enhancement to ROI monitoring. This has been proven to produce optimal enhancement in the Circulus of Willis (CoW) region as Volume of Investigation (VOI) in cerebral Angiography CT-Scan. Post-processing is done by displaying images ranging from axial pre-contrast, axial post-contrast, study (pathology), MIP (Axial, coronal, sagittal), Region of Interest MIP (structure labeling), 3D VRT-bone removal.Conclusion: Scanning technique with bolus tracking and ROI monitoring of the Internal Carotid Artery and using triggering of 100-120 HU as a peak enhancement on ROI monitoring can display the arterial artery image very well so that it can be post-processed easily without reducing quality and related image information.
Prosedur Pemeriksaan Msct Abdomen Kontras Dengan Klinis Tumor Lower Abdomen Di Instalasi Radiologi RS Kupang Natalia Imelda Seran; I Putu Eka Juliantara; Cokorda Istri Ary Widiastuti
DIAGNOSA: Jurnal Ilmu Kesehatan dan Keperawatan Vol. 1 No. 4 (2023): November : Jurnal Ilmu Kesehatan dan Keperawatan
Publisher : Universitas Katolik Widya Karya Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59581/diagnosa-widyakarya.v1i4.1343

Abstract

Background: CT (Computed Tomography) Scan modality is very useful for obtaining a diagnosis of tumors in the abdominal cavity. The procedure carried out in abdominal MSCT uses contrast media. The contrast media commonly used in abdominal MSCT examinations can be intravenous, oral and anal. Kupang Hospital uses contrast media intravenously, orally and anally. The aim of this study was to determine the procedure for examining abdominal MSCT with clinical lower abdominal tumors using a multiphase technique using intravenous contrast media in the form of iodine water soluble with a dual syringe injector and NaCl liquid and orally with a volume of 750 ml of mineral water mixed with 5 ml of contrast media to drink before The examination then takes place via anal examination in the form of negative water contrast media mixed with iodine water soluble contrast media with a 50 cc syringe and also to find out the reasons for using contrast media intravenously, orally and anally in abdominal MSCT examinations with clinical lower abdominal tumors. Method: This research design is qualitative with a case study approach. The subjects of this study were patients with clinical lower abdominal tumors. Research respondents were 2 Radiographers, 1 Radiology Specialist. The data collection method was taken by observation, Focus Group Discussion (FGD) and documentation, then data analysis and conclusion drawing were carried out. Results: The results of this study are about the abdominal MSCT examination procedure and the reasons for using contrast media injection techniques with clinical lower abdominal tumors in the Kupang Hospital Radiology Installation. Conclusion: The use of the technique of intravenous administration of contrast media aims to anatomically visualize vascularization, distinguish blood vessels from masses, determine the level of vascular displacement or invasion by tumors and by inserting contrast media orally it aims to provide opacification of the intestine and assist in diagnosing existing abnormalities in the intestine such as ulceration, perforation, obstruction, and space occupying lesions then through anal purposes to fill the large intestine, able to provide an overview of colonic distension and colon cancer. The use of contrast media injection techniques via intravenous, oral and anal is because the patient can make preparations as expected .
Tatalaksana Penyinaran Radioterapi 3DCRT Field in Field (FIF) dengan Imobilisasi Thorax Abdomen pada Pasien Kanker Payudara di Unit Radioterapi Rumah Sakit Lavalette Malang Ni Luh Putu Ema Ardiantari; I Putu Eka Juliantara; Dea Ryangga
DIAGNOSA: Jurnal Ilmu Kesehatan dan Keperawatan Vol. 1 No. 4 (2023): November : Jurnal Ilmu Kesehatan dan Keperawatan
Publisher : Universitas Katolik Widya Karya Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59581/diagnosa-widyakarya.v1i4.1428

Abstract

The 3DCRT field in field (FIF) technique used in Post MRM breast cancer patients at the Radiotherapy Unit at Lavalette Hospital Malang uses 4 copy fields including supraclavicular (AP), axilla (PA), tangential (ML/LM). However, in the Radiotherapy Unit at Lavalette Hospital, Malang, the immobilization device does not use a breast board but uses an abdominal thorax or AIO Breast And Lung Board. The aim of this study is to describe the management or procedures for administering 3DCRT field in field (FIF) radiotherapy with abdominal thorax immobilization in Post MRM breast cancer patients at the Radiotherapy Unit at Lavalette Hospital, Malang. Treatment of 3DCRT field in field (FIF) radiotherapy with abdominal thorax immobilization in Post MRM breast cancer patients at the Radiotherapy Unit at Lavalette Hospital Malang consists of an examination and consultation with a radiation oncology specialist, CT Simulator, then treatment planning system (TPS), verification carried out before the first fraction and participation stage. The advantage of using the 3DCRT field in field (FIF) technique with abdominal thorax immobilization in Post MRM breast cancer patients at the Radiotherapy Unit at Lavalette Hospital, Malang, is that the copying area is simple, the copying comfort is better, it can reduce hotspots, and it can reduce the dose received by the organs in the area. risk (OAR). The disadvantage is that it requires more precision, especially RTT as an operator for the use of additional immobilization devices other than the 5 degree abdominal thorax.
The Effect of Slice Thickness Variation on The Anatomical Information of CT Scan Paranasal Sinus Coronal Section in Clinical Rhinosinusitis Luh Gede Yunda Rustika Putri; I Putu Eka Juliantara; I Made Purwa Darmita
Jurnal EduHealth Vol. 14 No. 03 (2023): Jurnal EduHealt, Edition September 2023
Publisher : Sean Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54209/jurnaleduhealth.v14i3.2811

Abstract

CT Scan is an excellent technique in assessing anatomical structures, anatomical abnormalities, and visualising the presence or absence of pathological tissue in the four sinuses and their extensions. One of the important parameters on CT Scan is slice thickness. Slice thickness is a thickness of the slice that can be adjusted according to clinical requirements with a variation of values from 1 to 10 mm. The purpose of this study is to determine the effect of slice thickness variation on anatomical information of CT Scan paranasal sinus coronal section in rhinosinusitis and slice thickness variation that produces the most optimal anatomical information. This study is an analytical quantitative study with an experimental approach conducted on 10 samples who performed CT scan examination of paranasal sinus in rhinosinusitis using slice thickness variations of 0.6 mm, 1 mm, 1.5 mm and 2 mm. Based on the results of Friedman test and Wilcoxon Post Hoc test, the p value is 0.0001 (p<0.05) which means there is an effect of using slice thickness variation on anatomical information. The mean rank value in the Friedman test for slice thickness variations of 0.6 mm is 3.70, 1 mm is 3.13, 1.5 mm is 1.85, and 2 mm is 1.32 so based on the test results, slice thickness variation that shows the most optimal anatomical information is 0.6 mm.
PROSEDUR PEMERIKSAAN MAGNETIC RESONANCE IMAGING (MRI) BRAIN PADA KASUS EPILEPSI Hanisa, Hanisa; Juliantara, I Putu Eka; Widodo, Rahmat
Jurnal Ilmu Kedokteran dan Kesehatan Vol 10, No 10 (2023): volume 10 Nomor 10
Publisher : Prodi Kedokteran Fakultas Kedokteran Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jikk.v10i10.12719

Abstract

Abstrak : Prosedur Pemeriksaan Magnetic Resonance Imaging (MRI) Brain Pada Kasus Epiepsi. Magnetic resonance imaging adalah pemeriksaan pencitraan (neuroimaging) pilihan untuk fokus melihat adanya epilepsi  dan kelainan structural otak lainnya yang mungkin menjadi penyebab epilepsi. Kemajuan terhadap teknologi MRI sangat membantu dalam mendeteksi lesi epileptogenetik terutama dengan menggunakan MRI kekuatan medan yang lebih tinggi yaitu dengan pemindaian 3 Tesla, telah terbukti meningkatkan deteksi lesi dengan rasio odds lebih besar dari 2,5 dibandingkan dengan 1,5 Tesla. Jenis penelitian ini adalah deskriptif kualitatif dengan pendekatan studi kasus. Pengambilan data dilakukan pada bulan Juni 2023-September 2023 menggunakan pesawat MRI SIMENS 3,0 Tesla. Sampel pasien yang digunakan pada kajian ini adalah pasien dengan klinis epilepsi. Pengambilan data dilakukan melalui observasi, wawancara dengan radiografer, dokter radiologi dan dokumentasi pelaksanaan pemeriksaan MRI Brain pada kasus epilepsi. Deskripsi dan analisis data dilakukan berdasarkan hasil observasi, wawancara serta dokumentasi untuk kemudian diambil kesimpulan dan saran. Menurut teori pada umumnya sekuen brain pada klinis epilepsi yang digunakan meliputi T2- Weighted Axial, T2 Coronal FLAIR, T2- Weighted Axial, Coronal TIRM.Sedangkan di lapangan pada umumnya sekuen rutin yang di gunakan yaitu Axial T1, Axial T2 dark fluid, Axial T2, Axial B1000, Axial T2 SWI,T1 Sagital/ DIR Sagital, T2 Coronal, T2 Coronal Dark Fluid dan adanya penambahan sekuen khusus pada klinis epilepsi yaitu DIR coronal.
PERBANDINGAN EVALUASI ANATOMI CITRA SISTEM BILIARIS ANTARA SEKUEN T2 SPIR DAN T2 SPAIR PADA PEMERIKSAAN CHOLELITHIASIS DI INSTALASI RADIOLOGI RSUD PROVINSI NTB Madurini, Suci; Juliantara, I Putu Eka; Triningsih, Triningsih
Jurnal Ilmu Kedokteran dan Kesehatan Vol 10, No 11 (2023): Volume 10 Nomor 11
Publisher : Prodi Kedokteran Fakultas Kedokteran Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jikk.v10i11.12256

Abstract

Abstrak: Perbandingan Evaluasi Anatomi Citra Sistem Biliaris Antara Sekuen T2 Spir Dan T2 Spair Pada Pemeriksaan Cholelithiasis Di Instalasi Radiologi RSUD Provinsi NTB. Mendapatkan hasil gambar yang baik pada MRCP, maka perlu dilakukan pengaturan parameter yang tepat pada setiap pemeriksaan. Pada pemeriksaan MRCP, lemak dapat menjadi salah satu permasalahan pada gambar MRCP yang dihasilkan, karena lemak mengelilingi banyak struktur anatomi, jika tidak terdefinisi dengan baik akan mengganggu sinyal air untuk mendeteksi tumor, lesi dan adanya batu di sekitar anatomi. struktur sistem bilier. Penekanan Lemak (fat-sup) adalah teknik yang digunakan untuk menekan sinyal lemak sehingga gambar lemak akan tampak hitam (hipointense). Ada beberapa teknik sup lemak antara lain Fat Saturation (Fat-Sat), Water Excitation, Dixon, Short Taunversion Recovery (STIR), Spectral Presaturation Inversion Recovery (SPIR) dan Spectral Adiabatic Inversion Recovery (SPAIR). Untuk mengetahui perbedaan gambaran anatomi sistem bilier pada pemeriksaan MRCP menggunakan rangkaian T2 SPIR dan T2 SPAIR. Jenis penelitian ini adalah penelitian kuantitatif dengan pendekatan eksperimen dan wawancara terhadap responden. Teknik pengumpulan data dilakukan secara eksperimental pada 15 pasien MRCP dengan menggunakan sequence T2 SPIR dan T2 SPAIR dengan kasus kolelitiasis di RSUD Provinsi NTB dengan menggunakan alat MRI Phillips merek Achieva 1,5 tesla. Data berupa 90 gambar MRCP T2 SPIR dan T2 SPAIR. Penilaian hasil gambar oleh 3 orang dokter spesialis radiologi. Analisis dilakukan dengan menggunakan uji beda Wilcoxon. Hasil penelitian menunjukkan terdapat perbedaan informasi gambar anatomi pada potongan MRCP Axial antara T2 SPIR dan T2 SPAIR dengan nilai ρ < 0,05. Metode T2 SPAIR lebih baik dibandingkan T2 SPIR dalam menampilkan informasi gambar anatomi pada bagian MRCP Axial dengan nilai mean rank SPAIR 6,50 dan SPIR 0,00. Berdasarkan hasil tersebut dapat disimpulkan bahwa metode SPAIR lebih baik dibandingkan metode SPIR pada MRCP irisan Aksial.
PERAN METODE ARTERIAL SPIN LABELING (ASL) PADA MRI BRAIN PERFUSI DENGAN KASUS STROKE Aulia Askar, Ishry Ahsani; Eka Juliantara, I Putu; Nadra, Nadra
Jurnal Ilmu Kedokteran dan Kesehatan Vol 11, No 2 (2024): Volume 11 Nomor 2
Publisher : Prodi Kedokteran Fakultas Kedokteran Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jikk.v11i2.12304

Abstract

Abstrak: Peran Metode Arterial Spin Labeling (ASL) Pada MRI Brain Perfusi Dengan Kasus Stroke Magnetic resonance imaging (MRI) brain adalah tes diagnostik yang paling umum digunakan untuk melihat atau mendeteksi tumor otak dan mendeteksi adanya kanker otak. Pemeriksaan ini bekerja dengan menempatkan pasien ke dalam medan magnet dan menggunakan energi frekuensi untuk mengambil gambar otak di dalam kepala. Stroke adalah disfungsi neurologis akut yang disebabkan oleh gangguan aliran darah ke otak, disertai dengan timbulnya gejala dan tanda yang sesuai dengan area fokus otak, terjadi secara tiba-tiba atau cepat. Penelitian ini bertujuan untuk mengetahui peran pemeriksaan MRI brain dengan kasus stroke dan untuk mengetahui peran metode arterial spin labeling dalam menegakkan diagnosis kasus stroke. Penelitian ini menggunakan deskriptif kualitatif dengan pendekatan studi kasus terhadap subjek yang terdiri dari satu pasien yang memang akan melakukan pemeriksaan MRI brain dengan kasus stroke, subjek dilakukan pemeriksaan MRI 3 Tesla untuk mengetahui urutan dan prosedur serta informasi tentang peran metode arterial spin labeling yang digunakan. Peran Metode Arterial Spin Labeling (ASL) Pada MRI Brain Perfusi dengan Kasus Stroke, tujuannya untuk melihat apakah dengan menggunakan sequence ASL lebih spesifik melihat kelainan pada brain. dari arterial spin labeling mengukur aliran otak tanpa menggunakan media kontras, mengidentifikasi daerah-daerah otak yang mungkin mengalami iskemia, membedakan antara area iskemik dengan area yang normal, menilai daerah-daerah yang mungkin masih memiliki aliran darah disekitar area stroke.
Penatalaksanaan Radioterapi Kanker Duodenum Di Instalasi Cancer Center Santosa Hospital Bandung Kopo Andry Putra Wijaya; I Putu Eka Juliantara; Indra Mulia Utama
Jurnal Ilmu Kesehatan dan Gizi Vol. 2 No. 1 (2024): Januari : Jurnal Imu Kesehatan dan Gizi
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikg.v2i1.2128

Abstract

The duodenum is one of the three main parts of the small intestine and is shaped like the letter C which connects the stomach to other parts of the small intestine. Anatomically, the duodenum is located in the epigastric and umbilical regions (Corwin, 2009)
Analisa Efektifitas Penggunaan Base Plate Orfit Pada Kasus Kanker Payudara Posisi Prone Dengan Teknik Intensity Modulated Radiotherapy (IMRT) Di Instalasi Radioterapi Rumah Sakit Daerah Jakarta Timur Andry Putra Wijaya; I Putu Eka Juliantara; Devina Fikli
Jurnal Ilmu Kesehatan dan Gizi Vol. 2 No. 1 (2024): Januari : Jurnal Imu Kesehatan dan Gizi
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikg.v2i1.2150

Abstract

Radiotherapy is a treatment for cancer using high-energy radiation, usually X-rays. The type and amount of radiation received is calculated by oncologists and medical physicists to destroy cancer cells, these cells are abnormal cells. This stops the cancer cells from dividing properly and as a result the cancer cells are destroyed. This treatment is planned to protect healthy tissue as much as possible from radiation which has destructive properties, however some healthy tissue can be affected which will later cause side effects. Radiotherapy uses a Linear Accelerato (LINAC) device in its treatment. The LINAC can produce two beams, namely photons and electrons. Photon beams are usually used to illuminate tumors in deeper tissue in the body, for example breast cancer, cervical cancer and nasopharyngeal cancer, while electron beams are used for cancer therapy in surface tumors. The role of radiotherapy in the treatment of breast cancer has a long and controversial history. One of the first clinical trials ever conducted, it began in 1949, and remains the subject of new trials still being initiated today. Early trials clearly showed that radiotherapy reduced local recurrence, with a relative risk reduction now known to be approximately 70%, but a reduction in recurrence rates did not translate into a reduction in mortality. Theories explaining this difference are numerous, including the detrimental effects of radiotherapy on immune function.
Co-Authors Adi, Langkir Sapto Adipranata, I Made Darma Agus Resdiana, I Gede Ananda, Afrilla Rika 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 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 Hanisa Hanisa Hanisa, Hanisa I Bagus Gede Dharmawan I Kadek Sukadana I Made Lana Prasetya I Made Purwa Darmita I Made Purwa Dharmita I Putu Sugiartha I Wayan Ariec Sugiantara Ici Zuhra Wulandari Sekedang Ilham Ariadi Indra Mulia Utama Irma Wulandari, Putu Ishry Ahsani Aulia Askar Kadek Yuda Astina Kartyapratiwi, Putu Ayu Lintjewas, Christina Aptriana Venia Luh Gede Yunda Rustika Putri Made Dwipa Nararta Made Purwa Darmita Made Suryantana, I Madurini, Suci Maghfirotul Iffah Martoyo, Angel Lingkan Mirza, Dhea Muhammad Faisal Muhammad Faisal Nadra Natalia Imelda Seran Natalia Imelda Seran Ni Luh Putu Ema Ardiantari Ni Luh Putu Ema Ardiantari Ni Luh Putu Sari Widari Ni Nyoman Sri Wikanadi 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, Ni Kadek Rika Adi Putu Didit Suranta Putu Rita Jeniyanthi, Ni Putu Sastra Andriani Reski Ramadhani Rifaldi Sugeha, Muhamad Fiqi Risma, Fina Widya 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 Sugiartha, I Putu Sugiartha, Putu Supriyani, Nyoman Surtika Umar Susanta, I Putu Adi Tajuddin, Nur Wahyu Tengku Riza Zarzani N 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 Zulvania Do Rego Jesus