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A Case Study of The Role of Ureter Tracking Reconstruction in Clinical Urology CT Scan Examination of Kidney Stones in the Radiology Installation of RSUD dr. Loekmono Hadi Kudus Daniya, Tisya Yin; Astari, Fisnandya Meita; Mufida, Widya
TRANSPUBLIKA INTERNATIONAL RESEARCH IN EXACT SCIENCES Vol. 4 No. 4 (2025): OCTOBER
Publisher : Transpublika Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55047/tires.v4i4.1959

Abstract

This study aims to determine the clinical urology CT scan procedure for kidney stones, analyze the justification for employing ureteral tracking reconstruction, and evaluate the ideal slice thickness for achieving accurate diagnostic images. This research employed a descriptive qualitative methodology utilizing a case study technique in the Radiology Department of RSUD (Regional General Hospital) dr. Loekmono Hadi Kudus. The subjects comprised of three radiographers, one radiologist, one referring physician, and three CT scan images of the urology. Data was obtained through observation, interviews, documentation, and literature review. The data were subsequently studied through reduction, presentation, discussion, and conclusion formulation. The examination was conducted without any specific preparation, merely by consuming 500-750 ml of water and refraining from urinating. The patient was placed in a supine position, feet-first, with arms elevated above the head, exposing the area from the xiphoid process to the symphysis pubis. A 5 mm slice thickness was employed for axial imaging, while 1.5 mm was utilized for tracking reconstruction. The ureteral tracking technique offers an extensive visualization of the urinary tract, facilitating in the detection of stones and obstructions. A reduced slice thickness improves image clarity and elucidates anatomical details. The application of a thin slice thickness (≤1.5 mm) is essential for enhancing picture clarity, facilitating in the identification of small, and minimizing interpretative inaccuracies. Consequently, the use of ureteral tracking reconstruction with a thin slice thickness is highly recommended as a standard practice for urological CT scans in kidney stone cases.
IMPLEMENTASI PICTURE ARCHIVING AND COMMUNICATION SYSTEM (PACS) DALAM MENGURANGI WAKTU TUNGGU PASIEN DI INSTALANSI RADIOLOGI RS PKU MUHAMMADIYAH KARANGANYAR Mulia, Csartio; Nugroho, Anshor; Mufida, Widya
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 9 No. 3 (2025): DESEMBER 2025
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v9i3.50301

Abstract

Instalansi Radiologi di RS PKU Muhammadiyah Karanganyar pertama kali diterapkan pada bulan juli tahun 2024. Penerapan PACS diharapkan dapat mempercepat pelayanan dan mengurangi waktu tunggu pasien, meskipun masih menghadapi kendala seperti adaptasi tenaga kesehatan, kebutuhan pelatihan, kestabilan jaringan, dan biaya pemeliharaan. Tujuan penelitian ini untuk mengetahui bagaimana Implementasi PACS dalam mengurangi waktu tunggu di Instalansi Radiologi RS PKU Muhammadiyah Karanganyar. Penelitian ini menggunakan metode kualitatif deskriptif yang dilaksanakan di Instalasi Radiologi RS PKU Muhammadiyah Karanganyar pada September 2024 – Juli 2025. Informan terdiri dari tiga radiografer dan satu dokter spesialis radiologi. Data dikumpulkan melalui observasi, dokumentasi, serta wawancara mendalam, kemudian dianalisis melalui reduksi data, penyajian data naratif, dan penarikan Kesimpulan. Hasil penelitian menunjukkan bahwa implementasi Picture Archiving and Communication System (PACS) di Instalasi Radiologi RS PKU Muhammadiyah Karanganyar mampu mengurangi waktu tunggu pasien secara signifikan. Dokter dapat langsung mengakses hasil radiologi secara digital tanpa menunggu proses cetak film, sehingga mempercepat pelayanan bahkan sebelum pasien meninggalkan ruang pemeriksaan. Selain itu, PACS membantu meminimalisasi kesalahan teknis, seperti hilangnya hasil film atau salah identitas pasien. Radiografer yang pada awalnya mengalami kesulitan beradaptasi dengan sistem digital dapat terbantu melalui pelatihan internal, sehingga alur kerja menjadi lebih efisien.
Community Economic Improvement Through Processing Cassava Into Mocaf Flour Mufida, Widya; Fakhrurreza, Muhammad; Astari, Fisnandya Meita; Utami, Asih Puji; Faesol, Ahmad
Prosiding University Research Colloquium Proceeding of The 11th University Research Colloquium 2020: Bidang Pengabdian Masyarakat
Publisher : Konsorsium Lembaga Penelitian dan Pengabdian kepada Masyarakat Perguruan Tinggi Muhammadiyah 'Aisyiyah (PTMA) Koordinator Wilayah Jawa Tengah - DIY

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Abstract

Singkong yang memiliki nama latin Manihot Esculennta merupakantumbuhan jenis umbi akar atau akar pohon yang panjang fisik ratarata-rata bergaris tengah 2-3 cm dan panjang 50-8080 cm, tergantung darijenis s singkong yang ditanam. Dalam industri makanan, pengolahansingkong dapat digolongkan menjadi tiga yaitu hasil fermentasisingkong, singkong yang dikeringkan, dan tepung singkong atautepung tapiokatapioka. Di Yogyakartagyakarta terdapat suatu dusun yang memilikilahan perpertaniantanian singkong yang luas yaitu Dusun Muntuk. DusunMuntuk merupakan dusun yang sebagian besar penduduknya bekerjasebagai petani singkong, dan hasil panen para petani singkongsebagian digunakan untuk p pakanakan ternak pada musim panas dansebagian dijual dengdengan harga yang rendah. Potensiotensi budidaya danpengolahan singkong di desa Muntuk sangat besar dan hingga kinibelum dimanfaatkan secara maksimamaksimal. Melaluielalui program PengabdianMasyarakat di Dusun Muntuk dapat memberdayakan masyarakatdengan memanfaatkan hasil pepertanianrtanian berupa singkong menjadisebuah produk pangan yang bernilai jual tinggi yaitu MocafMocaf.
PKM Posyandu Remaja Kelompok “Angkatan Muda Purworejo Hargobinangun” (Ampuh) Pakem, Sleman Utami, Asih Puji; Mufida, Widya; Mulyani, Dewi Ari; Ibawi, Rizal Nur; Susilo, Sugeng Hadi
Prosiding University Research Colloquium Proceeding of The 11th University Research Colloquium 2020: Bidang Pengabdian Masyarakat
Publisher : Konsorsium Lembaga Penelitian dan Pengabdian kepada Masyarakat Perguruan Tinggi Muhammadiyah 'Aisyiyah (PTMA) Koordinator Wilayah Jawa Tengah - DIY

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Abstract

Padukuhan purworejo Hargobinangun Pakem terletak di lereng gunung merapi, yang jauh dari pusat kabupaten. Padukuhan purworejo memiliki organisasi remaja bernama AMPUH, yaitu Angkatan Muda Purworejo Hargobinangun. Anggota AMPUH berkisar antara 30-40 remaja yang berusia antara 12-15 tahun. Kegiatan yang telah dilaksanakan, diantaranya adalah menyelenggarakan perayaan hari besar nasional seperti hari kemerdekaan, hari besar islam, sumpah pemuda dan sebulan sekali menyelenggarakan kegiatan jalan santai. Namun banyak permasalahan dan kegiatan remaja terutama bidang kesehatan yang belum tersentuh. Sehingga perlu dibentuk posyandu dengan sasarannya remaja untuk memberdayakan remaja purworejo agar sehat secara mandiri. Kegiatan pelatihan kader posyandu remaja dirancang untuk memberikan edukasi kepada remaja mengenai desa Padukuhan Purworejo Hargobinangun. Pelatihan dilakukan selama satu hari sedangkan untuk praktik para kader posyandu remaja yang telah dilatih tersebut dilakukan pada bulan selanjutnya. Kegiatan ini diawali dengan memberikan pelatihan pada kader remaja untuk dapat memberikan pelayanan kesehatan yang peduli remaja, mencakup upaya promotif dan preventif. Posyandu yang telah terbentuk akan diadakan secara rutin 1 bulan sekali pada minggu kedua yang didampingi oleh Puskesmas Pakem dan kader posyandu ibu-ibu padukuhan Purworejo. Kegiatan yang dilakukan diantaranya adalah (1) Pendaftaran peserta posyandu, (2) Pengukuran Tinggi badan, Berat Badan, Lingkar Lengan, Lingkar Perut, pengecekan anemia, (3) Pencatatan hasil pengukuran, (4) Pelayanan Kesehatan, contoh : Pemeriksaan tanda-tanda vital, Konseling hasil pengisian kuesioner kecerdasan majemuk, Merujuk remaja ke faskes dan (5) KIE. Program KIE yang dapat diberikan diantaranya adalah kegiatan penyuluhan, pemutaran film, bedah buku, pengembangan ketrampilan (seperti ketrampilan membuat kerajinan tangan, ketrampilan berwirausaha, senam atau peregangan).
Prosedur Pemeriksaan MRI Lumbal pada Kasus Efusi Pleura Suspek Tuberkulosis Susanto, Fani; Rahardian, Arga Pratama; Utami, Hernastiti Sedya; Mufida, Widya
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.v9i1.9419

Abstract

Background: Clinical vertebral tuberculosis (TB) occurs outside the lungs affecting the spine. It generally infects the spine in the lower thoracic and upper lumbar spine. MRI examination is performed on clinical vertebral TB patients to determine the degree of stress and changes in bone elements in the early stages of the disease. This study aims to analyze the lumbar MRI examination procedure in cases of suspected TB pleural effusion. Methods: This research was qualitative with a case study approach. Data collection was carried out at the Radiology Unit of Premier Bintaro Hospital with the methods of observation, interviews, and documentation. Data processing and analysis were carried out descriptively. Results: Lumbar MRI examination with suspected TB pleural effusion at the Radiology Unit of Premier Bintaro Hospital was not specially prepared, the patient was examined first through the patient checklist to avoid metal materials entering the examination room. Examination using the Non-Contrast Lumbar MRI protocol included of sagittal and coronal T2, sagittal T1, sagittal Short Tau Inverse Recovery (STIR), Myelography, Axial T2, and Axial T1. The results of the examination provided sufficient diagnostic information to indicate a vertebral TB lesion. Conclusions: The procedure for examining lumbar MRI in TB cases with suspected pleural effusion at the Radiology Unit of Premier Bintaro Hospital did not require special preparation, the examination protocol used was to provide TB clinical diagnostic information, the addition of Gadolinium contrast media could be an alternative choice. 
Rancang Bangun Alat Bantu Pemeriksaan Radiologi pada Pemeriksaan Patella Metode Hughston Mufida, Widya; Faesol, Ahmad
Jurnal Imejing Diagnostik (JImeD) Vol. 10 No. 2 (2024): JULI 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v10i2.10182

Abstract

Background: Radiographic examination of the tangential projection of the patella can be done in a prone, supine body position, sitting on an examination table with legs dangling, or standing with a different angle for each method. The Hughston method is carried out with an angle of 55 degrees. Hughston's method of radiographic examination of patients is holding a frozen strap to the leg in order to obtain the desired angle so that if the patient's condition is non-cooperative, attack the radiographer to carry out the examination optimally. The purpose of this study was to make a Patella radiological examination tool using the Hughston method.Methods: This research is an experimental research by making inspection aids first followed by testing on anthropomorphic phantoms and volunteers. The results obtained are then analyzed to get conclusions and suggestions.Results: In the design of the Patella radiographic examination fixation device, the Hughston material method is used as needed and does not interfere with the image such as artifacts in the image. The specifications of the fixation device for patella radiographic examination by the Hughston method are made of acrylic which has properties that can be penetrated by radiation without causing artifacts, the height of the fixation device is 25 cm with a slope angle of 55 degrees, length 26 cm and width 20 cm. The angle of the fixation device is intended so that the supporting position of the patient's leg is extended with an angle of 55 degrees cephalad. The results of the radiograph are expected to evaluate the wear on the patellofemoral joint surface, identify the lateral half of the patella and determine the correlation between the femur and tibia. The prone position of the patient in the Hughston method cannot be used in patients with clinical fractures or patella dislocations.Conclusions: The fixation device that has been made is in accordance with the expected projection on the Hugstons projection patella radiographic examination. Trials using this fixation device use volunteers to make it easier to adjust the patient's actual position without exposure. The reason for not using a phantom is because the position of the phantom pedis is stiff so that it covers the irradiation and causes superposition
Perbedaan Nilai Dosis Radiasi Permukaan Kulit Gonad pada Radiografi Abdomen Antero Posterior pada Nilai mA dan s Berbeda dengan Nilai mAs yang Sama Isnoviasih, Susi Tri; Bequet, Angga Yosainto; Nurcahyo, Panji Wibowo; Puspita, Mega Indah; Putri, Nabila Pramitya; Mufida, Widya
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.v1i1.12308

Abstract

Background: Abdominal radiography examination is one of the examinations that is often carried out and contains radiosensitive organs, namely the gonads. Milli Ampere Second (mAs) is one of the parameters regulated in making radiographs besides kV. mAs is the product of mA and s and there are often variations in the use of mA and s values to produce the same mAs value. This study's objective was to identifythe difference in radiation dose values for the surface of the gonad skin on anteroposterior abdominal radiographs with changes in different combinations of mA and s values.sMethods: This is pre-experimental quantitative research. The research object is body phantom. Data were collected by exposing abdomen radiography the body phantom and measured the amount of radiation dose to the skin surface of the gonad. mA and s setting : 160 mA 125 ms; 200 mA 100 ms; dan 250 mA 80 ms. Data analysis was carried out using statistical tests.Results: The average radiation dose to the skin surface of the gonad organs in the combination is 160 mA 125 ms; 200 mA 100 ms; and 250 mA 80 ms, namely 883.27 µGy; 883.09 µGy; and 883.72 µGy. Statistical test results show there is no significant difference between the combination of 160 mA 125 ms; 200 mA 100 ms; and 250 mA 80 ms, namely 883.27 µGy; 883.09 µGy with a significance of 0.748 (p-value > 0.05). mAs determine the intensity of X-rays; the number of X-rays produced is proportional to milliamperes. As long as the mAs value remains constant, the amount of radiation intensity produced is the same, and the radiation dose is sameConclusions: There is no significant difference in the value of radiation dose to the skin surface of the gonad area on abdominal radiography with different combinations of mA and s values at the same mAs value
Studi Kasus Pemilihan Slice Thickness Pada Protokol Pemeriksaan CT Scan Sinus Paranasaldengan Klinis Sinusitis di Instalasi Radiologi Dr. Soedono Madiun Kusuka, Arrizal Nazaro; Mukmin, Amril; Mufida, Widya
Innovative: Journal Of Social Science Research Vol. 5 No. 4 (2025): Innovative: Journal Of Social Science Research
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/innovative.v5i4.19969

Abstract

The examination of the CT Scan of the Paranasal Sinuses with clinical sinusitis at the Radiology Installation of Dr. Soedono Madiun Hospital uses a slice thickness reformat of 0.6 mm and a maximum of 3 mm with head CT scanning with the paranasal sinus CT protocol in order to obtain slice thickness slices below 1 mm and using windo bone. The selection of the use of slice thikness 0.6 and the use of windowing bone according to the Operational Procedure (SOP). Meanwhile, according to Bruce W. Long, (2016), the CT-Scan examination of the paranasal sinuses a slice thickness of 3-5 mm.The type of research is qualitative descriptive with a case study approach to study how the procedure for CT Scan scan of the paranasal sinus in patients with indications of sinusitis at the Radiology Installation of dr. Soedono Madiun Hospital, the research was carried out in November 2024 - April 2025, with 3 radiographers and 1 specialist doctor. Data collection techniques by observation, interviews and documentation studies. Data analysis is carried out by data collection, data reduction, data presentation and then conclusions are drawn. Based on the observation results of the reason for the use of a slice thickness of 0.6 mm in the CT scan examination of the paranasal sinus with clinical sinusitis, the use of a slice thikness of 0.6 mm is in accordance with the request of the sending doctor and approved by the radiologist specialist. The use of a 0.6 mm slice thikness produces a radiographic image that has noise, but can show a more detailed anatomy of the paranasal sinuses. The selection of windowing used in CT Scan examination with clinical sinusitis uses window bone which can show the entirety of the anatomy of the facial bone cavity and can evaluate the bone structure in the sinuses whether they are infected or not. Based on this research can be concluded that the use of a 0.6 mm slice thikness on a CT scan of the paranasal sinus with clinical sinusitis can reveal a more detailed and optimal anatomy of the paranasal sinuses, thus easily helping the radiologist to establish the diagnosis appropriately. The selection of windowing is also important in conducting anatomical assessments, the bone window is used to see or display the bone structures around the paranasal sinuses in high detail, for example such as the sinus wall, nasal septum, and osteomeatal complex.
PEMERIKSAAN ESOFAGOFRAFI PADA PASIEN DENGAN KLINIS CORPUS ALIENUM DI RSJ PROF. Dr. SOEROJO MAGELANG Mufida, Widya; Yusnida, Arnefia Mei; Utami, Mega; Faesol, Ahmad
Jurnal Cahaya Mandalika ISSN 2721-4796 (online) Vol. 4 No. 3 (2023)
Publisher : Institut Penelitian Dan Pengambangan Mandalika Indonesia (IP2MI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36312/jcm.v4i3.1982

Abstract

The Antero Posterior (AP) Plain, Lateral Plain, Contrast AP, and Left Posterior Oblique (LPO) projections are used in esophagography examinations with clinical corpus alienum at the Radiology Installation of Prof. Dr. Soerojo Psychiatric Hospital Magelang. The contrast medium is water soluble iodine mixed with warm water in a 1: 1 ratio up to 200 ml. The purpose of this study is to determine the reasons for using lateral projections to see the patient's preparation before inserting contrast media in the clinical corpus alienum esophagography radiographic examination procedure. The research design was case study research with qualitative data, which was carried out at the Radiology Installation of Prof. Dr. Soerojo Psychiatric Hospital Magelang. The research was conducted from December 2021 until July 2022. The subjects of this study were one radiologist and three radiographers. The data was collected through observation, interviews, and documentation. Data analysis was carried out in some stages such as data collection, data reduction, data presentation, discussion and conclusion. The findings revealed that the esophagography examination procedure with clinical corpus alienum at Prof. Dr. Soerojo Psychiatric Hospital Magelang was performed without any special preparation. Only metal objects that may interfere with the radiographic image must be removed. Contrast media is administered orally by giving the patient a single dose, then holding the second fluid in the mouth until the radiographer instructs the patient to swallow. The Antero Posterior (AP) Plain and Lateral Plain projections are used before inserting contrast media to see the patient's preparation, determine the appropriate exposurefactor, and view the corpus alienum not only from the front side (AP projection), but also from the side (Lateral projection). The hope is that the corpus alienum can be seen without the need for esophagography, which is done with consideration for the patient's uncooperative condition
TEKNIK MAMMOGRAFI METODE DIGITAL BREAST TOMOSYNTHESIS PADA KASUS CANCER MAMMAE Astari, Fisnandya Meita; NL, Ike Ade; Ulfah, Sayyidah; Mufida, Widya
Jurnal Cahaya Mandalika ISSN 2721-4796 (online) Vol. 4 No. 3 (2023)
Publisher : Institut Penelitian Dan Pengambangan Mandalika Indonesia (IP2MI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36312/jcm.v4i3.1985

Abstract

Teknik pemeriksaan Mammografi pada kasus cancer mammae di Instalasi Radiologi RS Paru Dr. Ario Wirawan Salatiga menggunakan metode 2D konvensional sedangkan menurut (Chong, Alice, 2019) untuk teknik pemeriksaan mammografi pada kasus cancer mammae menggunakan metode Digital Breast Tomosynthesis kelebihannya yaitu tingkat deteksi kanker lebih tinggi, memiliki prognosis lebih baik, kanker invasive tambahan yang terdeteksi dengan cenderung lebih kecil, sehingga baik untuk screening pada kasus kanker. Penelitian ini bertujuan untuk mengetahui teknik pemeriksaan mammografi dan hasil gambaran radiograf pada kasus cancer mammae. Desain penelitian menggunakan jenis penelitian kualitatif dengan pendekatan studi kasus di instalasi radiologi RS Paru dr. Ario Wirawan Salatiga. Metode pengumpulan data yang digunakan yaitu studi Pustaka, observasi, wawancara dan dokumentasi. Waktu pengumpulan data dari bulan November 2021 sampai bulan Juni 2022. Subjek penelitian ini adalah 2 radiografer. Objek penelitian ini adalah Studi Kasus Teknik Pemeriksaan Mammografi pada kasus Cancer Mammae Menggunakan Metode Digital Breast Tomosynthesis. Hasil penelitian menunjukkan bahwa teknik pemeriksaan mammografi di Instalasi radiologi RS Paru dr. Ario Wirawan Salatiga menggunakan metode Digital Breast Tomosynthesis proyeksi Right Cranio Caudal (RCC), Left Cranio Caudal (LCC), Right Medio Lateral Oblique (R-MLO), dan Left Medio Lateral Oblique (L-MLO). Hasil radiograf bahwasanya pasien memiliki benjolan pada payudara sebelah kanan sehingga terdapat kemungkinan jika pasien memiliki tumor jinak, konsistensi benjolan kenyal, berbatas tegas yang dapat bergerak atau bergeser, saran penulis sebaiknya pada indikasi cancer mammae dan sejenisnya digunakan metode Digital Breast Tomsynthesis karena hasil gambaran lebih tipis dan berslice sehingga bisa lebih optimal, selalu memperhatikan persiapan dan teknik pemeriksaan mammografi.