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Sistem Informasi Pengarsipan Hasil Radiografi Di Instalasi Radiologi RSPAU Dr. Suhardi Hardjolukito Moh Fathur Rahman Djola; Ari Anggraieni; Widya Mufida
Jurnal Kesehatan Republik Indonesia Vol 1 No 9 (2024): JKRI - September 2024
Publisher : PT. INOVASI TEKNOLOGI KOMPUTER

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kasus. Penelitian dilakukan di Instalasi Radiologi RSPAU dr. Suhardi Hardjolukito pada bulan Januari 2024 – Mei 2024. Subjek dari penelitian adalah 3 radiografer. Objek penelitian ini adalah sisitem informasi arsip radiologi. Pengumpulan data dilakukan dengan cara observasi, wawancara dan dokumentasi. Analisis data yang dilakukan yaitu dengan reduksi data, penyajian data, dan penarikan kesimpulan. Sistem informasi arsip hasil radiografi di Instalasi Radiologi RSPAU dr. Suhardi Hardjolukito mengurutkan arsip berdasarkan tanggal pemeriksaan, sistem ini kurang efektif untuk mengelola arsip dalam jumlah besar. Meskipun sistem ini memudahkan pencarian hasil radiografi, terdapat kekurangan pada kapasitas penyimpanan yang terbatas. Informasi arsip digital di instalasi radiologi masih menggunakan PACS sebagai media simpan dan WhatsApp sebagai media kirim hasil radiografi. WhatsApp memudahkan akses bagi radiografer dan dokter radiologi, memungkinkan komunikasi yang efisien dan cepat. Selain sebagai media pengiriman hasil radiografi, WhatsApp juga berfungsi sebagai sarana komunikasi antar instalasi. Namun, penggunaan WhatsApp memiliki kekurangan, seperti risiko kesalahan manusia, penurunan kualitas gambar dan masalah jaringan yang tidak stabil selama pengiriman. Direkomendasikan agar Instalasi Radiologi mempertimbangkan untuk meningkatkan sistem pengarsipan digital mereka. Hal ini akan meningkatkan kemudahan pencarian dan distribusi hasil radiografi, serta memungkinkan adaptasi terhadap perkembangan yang sedang berlangsung

Peran Proyeksi Pemeriksaan Cystography dengan Klinis Batu Buli di Instalasi Radiologi RSPAU dr. Suhardi Hardjolukito Meilani Dwi Putri; Widya Mufida; Dyah Ayu Puspitaningtyas
JURNAL RISET RUMPUN ILMU KEDOKTERAN Vol. 4 No. 2 (2025): Agustus : Jurnal Riset Rumpun Ilmu Kedokteran
Publisher : Pusat riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jurrike.v4i2.6339

Cystography examination technique with clinical Bladder Stone in the Radiology Installation of RSPAU dr. Suhardi Hardjolukito in the AnteroPosterior (AP) projection uses a perpendicular vertical beam direction. Meanwhile, according to Lampignano & Kendrick, (2018) Cystography examination in the AnteroPosterior (AP) projection, the beam direction is angled 10˚-15˚ towards the caudad. The purpose of this study was to determine the Cystography examination procedure and the role of the antero posterior (AP) projection in cystography examination with clinical bladder stone using a perpendicular beam direction to the image receptor in the Radiology Installation of RSPAU dr. Suhardi Hardjolukito. This research method uses qualitative descriptive with a case study approach. This research was conducted at the Radiology Installation of RSPAU dr. Suhardi Hardjolukito from March to May 2025. The objects in this study were patients undergoing Cystography examination, with the research subjects consisting of one patient who experienced a case of Batu Buli. After the data was reduced, the data presentation was carried out in narrative form and then reviewed with a theoretical basis so that conclusions could be drawn. The results of this study indicate that the examination procedure for Cystography with clinical Batu Buli at the Radiology Installation of RSPAU dr. Suhardi Hardjolukito includes patient preparation, preparation of tools and materials, examination techniques, and gradual injection of contrast media. The gradual administration of contrast medium is effective for monitoring the patient's condition and preventing complications such as bladder rupture. This modification of the technique demonstrates that standard procedures can be adapted while maintaining optimal diagnostic quality.

PERAN PROYEKSI LEFT LATERAL DECUBITUS PADA PEMERIKSAAN COLON IN LOOP DENGAN KASUS ILEUS OBSTRUKTIF DI INSTALASI RADIOLOGI RSUD DR. SOEHADI PRIJONEGORO SRAGEN Antarizqu Kamil Husni; Widya Mufida; Ari Anggraeni
Journal of Innovation Research and Knowledge Vol. 5 No. 3: Agustus 2025
Publisher : Bajang Institute

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Penelitian ini bertujuan untuk mengkaji secara dalam mengapa dilakukan pemeriksaan colon in loop pada kasus ileus, bagaimana prosedur pemeriksaan colon in loop pada kasus ileus dan apa peran dari proyeksi LLD pada pemeriksaan colon in loop pada kasus ileus. Penelitian ini menggunakan metode kualitatif deskriptif dengan pendekatan studi kasus pada pasien yang menjalani pemeriksaan colon in loop, serta melibatkan tiga radiografer dan satu dokter spesialis radiologi. Data dikumpulkan melalui observasi, wawancara, dokumentasi, dan studi kepustakaanHasil wawancara dibuat dalam bentuk transkip wawancara, kemudian dibuat tabel kategorisasi untuk direduksi. Setelah data direduksi, penyajian data dilakukan dalam bentuk narasi kemudian akan ditelaah dengan landasan teori untuk selanjutnya dapat ditarik kesimpulan. Hasil penelitian menunjukkan bahwa alasan dialkukan pemeriksaan colon in loop pada kasus ileus yakni untuk mencari apa penyebab dari obstruksinya dan sudah setinggi apa obtsruksinya dan melihat adanya massa atau tumor di colon sudah sebesar apa. Prosedur pemeriksaan colon in loop dilakukan dengan melakukan anamnesa kepada pasien berupa gejala, keluhan serta reaksi yang muncul. Menjelaskan kepada pasien persiapan khusus seperti puasa 1 hari sebelum pemeriksaan, makan-makanan rendah serat, mengurangi berbicara, diberi obat pencahar, dan melepas benda logam yang dapat menggangu hasil radiograf. Sebelum dilakukan pemeriksaan, pasien terlebih dahulu melalukan plain foto dengan proyeksi AP dan LLD. Setelah itu dilakukan pemasukan media kontras positif dan dilakukan foto dengan proyeksi AP, Lateral, dan RPO. Selanjutnya dilakukan pemasukan media kontras negatif dengan proyeksi yang sama. Peran dari ditambahkan proyeksi LLD di plain foto bertujuan untuk melihat adanya perforasi di colon. Pemeriksaan colon in loop pada kasus ileus dilakukan untuk mengetahui serta mendeteksi obstruksi di colon. Prosedur dimulai dengan anamnesa mengenai gejala dan keluhan pasien, dilanjutkan dengan persiapan seperti puasa sehari sebelumnya, konsumsi makanan rendah serat, pemberian pencahar, dan melepas benda logam. Sebelum pemeriksaan, dilakukan foto polos proyeksi AP dan Left Lateral Decubitus untuk mendeteksi kemungkinan perforasi. Pemeriksaan dilanjutkan dengan pemasukan media kontras positif dan negatif, disertai foto proyeksi AP, Lateral, dan RPO.

OPTIMASI PENGGUNAAN FAKTOR EKSPOSI PADA PEMERIKSAAN BLASS NIER OVERZICHT (BNO) PADA PASIEN DENGAN BERAT BADAN 60-70KG Rifa Afifah; Widya Mufida; Amril Mukmin
Journal of Innovation Research and Knowledge Vol. 5 No. 3: Agustus 2025
Publisher : Bajang Institute

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Background: The abdomen is a body part frequently examined through radiography to diagnose conditions such as acute abdomen, meteorism, or ileus. Proper exposure factor settings, particularly for patients weighing 60–70 kg, are crucial for obtaining high-quality diagnostic images while minimizing radiation doses. This study aims to analyze the optimization of exposure factor usage in abdominal radiography for patients weighing 60–70 kg at Sunan Kudus Islamic Hospital. Method: This research employed a descriptive qualitative method with a case study approach. Data collection was conducted in May 2025 at the Radiology Installation of Sunan Kudus Islamic Hospital. The sample consisted of three patients undergoing abdominal examinations. Data were gathered through observations, interviews with one radiology specialist and three radiographers, as well as documentation of projections. Data were analyzed through reduction and narrative presentation based on theoretical references for conclusions. Result: The examinations were performed with AP Supine, semi-sitting, and Left Lateral Decubitus (LLD) projections using exposure settings of 75–80 kV and 20–25 mAs. The resulting images displayed clear anatomical structures such as lumbar vertebrae, pelvic collar, and both large and small intestines, without significant noise. The radiographs were able to detect conditions such as obstructive ileus, pneumoperitoneum, and meteorism with localized ileus in the mid-abdomen. All patients received high- quality images without the risk of excessive radiation. Conclusion: The exposure settings of 75–80 kV and 20–25 mAs are effective for patients weighing 60-70kg. It is recommended to establish specific Standard Operating Procedures (SOP) regarding exposure factors for patients within this weight range at the Radiology Installation of Sunan Kudus Islamic Hospital

Informasi Anatomi Pemeriksaan Pedis Pada Kasus Trauma di Instalasi Radiologi Rumah Sakit Islam Muhammadiyah Kendal Rosita Adiniyah; Widya Mufida; Redha Okta Silfina
Bunda Edu-Midwifery Journal (BEMJ) Vol. 8 No. 2 (2025): September 2025
Publisher : Akademi Kebidanan Bunga Husada Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54100/bemj.v8i2.492

Pemeriksaan pedis di Instalasi Radiologi Rumah Sakit Islam Muhammadiyah Kendal umumnya menggunakan proyeksi AP dan obliq, namun pada kasus trauma sering kali disesuaikan dengan kondisi pasien. Pada kasus TN.R, hanya menggunakan proyeksi AP dengan penyudutan antara kaset dan objek sebesar 35º. Menurut Lampignano (2018) dan penelitian Wahyuni et al. (2018), pemeriksaan pedis menggunakan proyeksi AP Axial 10º cephalad dan oblik. Tujuan penelitian ini yaitu untuk mengetahui informasi anatomi pemeriksaan pedis pada kasus trauma di Instalasi Radiologi Rumah Sakit Islam Muhammadiyah Kendal. Metode penelitian ini berupa observasi, wawancara dan dokumentasi yang dilakukan pada bulan September 2024- Mei 2025 di Instalasi Radiologi Rumah Sakit Islam Muhammadiyah Kendal. Jenis penelitian ini yaitu kualitatif deskriptif dengan pendekatan studi kasus. Subjek penelitian ini yaitu tiga orang Radiografer, satu orang Dokter Radiologi dan 1 orang Dokter Pengirim sedangkan objek penelitian ini yaitu teknik pemeriksaan pedis pada kasus trauma di Instalasi Radiologi Rumah Sakit Islam Muhammadiyah Kendal. Teknik pemeriksaan pedis pada kasus trauma di Instalasi Radiologi Rumah Sakit Islam Muhammadiyah Kendal hanya menggunakan proyeksi anteroposterior dengan penyudutan antara kaset dengan objek sebesar 35º. Informasi anatomi belum cukup karena hanya menampilkan anatomi phalang dan metatarsal, sedangkan anatomi tarsal tidak terlihat jelas. Penyudutan ini juga menyebabkan distorsi elongation yang dapat menghilangkan detail anatomi penting pada radiograf.. Kelebihan pada pemeriksaan ini yaitu pasien tidak merasa sakit selama dilakukan pemeriksaan namun kekurangannya adalah terdapat distorsi pada hasil radiograf. Proyeksi AP dengan penyudutan antara kaset dengan objek sebesar 35º digunakan karena pasien nonkooperatif dan keterbatasan alat fiksasi. Hasil citra belum optimal karena struktur ossa tarsal tidak terlihat jelas. Kelebihannya, pasien tidak merasa sakit selama pemeriksaan, namun terdapat distorsi pada radiografi. Oleh karena itu, teknik ini kurang sesuai untuk digunakan terutama pada kasus trauma.

PERHITUNGAN VOLUMETRIK PERDARAHAN DENGAN METODE VOLUME AUTOMATIK PADA PEMERIKSAAN CTSCAN KEPALA DI RSU AISYIYAH PONOROGO Arga Putra Wirasaksena; Ildsa Maulidya Mar'atus Nashoka; Widya Mufida
Journal of Innovation Research and Knowledge Vol. 5 No. 4: September 2025
Publisher : Bajang Institute

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Background: Head CT Scans for hemorrhage cases at the Radiology Unit of Aisyiyah Ponorogo Hospital use an automated volumetric method to calculate the volume of bleeding. This process involves segmenting the bleeding area, and the volume results are immediately available without manual calculations. Unlike some studies that suggest automated methods require more time, this method was chosen at Aisyiyah Ponorogo Hospital because it utilizes multislice CT Scanning technology, which allows for faster and more accurate estimation of the volume of bleeding. Methods: This study employed a descriptive qualitative approach with observation, interviews, and documentation techniques. The subjects included three radiographers and one radiologist. The study took place at the Radiology Unit of Aisyiyah Ponorogo General Hospital from March to July 2025. Data were collected through direct observation, in-depth interviews, image documentation, and literature review. Data analysis was conducted through transcription, categorization, and narrative presentation based on the research focus. Results: There are differences in the preparation of tools and materials used in bleeding cases. Calculating bleeding volume using automated segmentation-based methods still requires manual involvement and precision in shading the bleeding volume. However, automated methods remain superior because they reduce subjectivity between operators and provide consistent, measurable, accurate, efficient, and reproducible results. Calculating bleeding volume using automated methods is particularly helpful in emergency situations, where clinical decisions must be made quickly. Conclusions: Head CT Scans for hemorrhage cases have not optimized the use of head straps and blankets. The use of blankets and head straps can provide comfort and reduce movement during the examination. Automatic segmentation-based hemorrhage volume calculation improves work efficiency, result consistency, and diagnostic accuracy, while reducing the potential for subjective errors similar to manual methods. This method has nearly perfect agreement with manual methods (coefficient of 0.99), making it worthy of inclusion in medical assistive technology

STUDI KASUS TEKNIK RADIOGRAFI COLON IN LOOP PEDIATRIK DENGAN KLINIS INVAGINASI DI INSTALASI RADIOLOGI RSUD MUNTILAN Wardah Fauziyah; Ari Anggraeni; Widya Mufida
Journal of Innovation Research and Knowledge Vol. 5 No. 4: September 2025
Publisher : Bajang Institute

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Background: A pediatric colonoscopy for clinical intussusception was conducted at the Radiology Department of RSUD (Regional General Hospital) Muntilan without preoperative preparation, utilizing plain anteroposterior, lateral, and AP single-contrast projections with a total volume of approximately 1200 ml of BaSO₄. Differences were observed in the examination procedure and contrast volume compared to Mahardika's study conducted at the Dr. Moewardi Regional Hospital Radiology Department in Surakarta. This study aims to determine the best technique for conducting a pediatric colonoscopy in cases of clinical intussusception, the justification for employing BaSO₄, and the appropriate volume of contrast media used. Method: This study employed a qualitative methodology utilizing a case study approach. The research was carried out at the Radiology Department of Muntilan Regional Hospital between May and June 2025. The participants included three radiographers and one radiologist. The research was carried out in the colonoscopy department. Data were collected through interviews and documentation. Data were subsequently analyzed using data reduction, data presentation, and conclusion drawing methods. Result: The pediatric colonoscopy procedure for clinical intussusception at the Muntilan Regional Hospital Radiology Department is conducted without patient preparation. Barium sulfate (BaSO₄) is utilized as the contrast medium to generate hydrostatic pressure on the intussusception, anticipated to facilitate its release. The total volume of contrast medium is approximately 1200 ml, requiring reinsertion to adequately fill the entire colon and cecum due to contrast reflux. The anteroposterior projection facilitates visualization of the entire colon, while the lateral projection is employed to examine the sigmoid colon and rectum. Both anteroposterior and lateral projections are adequate for anatomical presentation and diagnosis. Conclusion: The pediatric colonoscopy procedure for clinical intussusception at the Muntilan Regional Hospital Radiology Department is conducted without patient preparation. Approximately 1200 ml of barium sulfate (BaSO₄) contrast medium is administered due to contrast reflux. The anteroposterior and lateral projections are adequate for diagnostic purposes

KELAYAKAN LEAD APRON DI LABORATORIUM RADIOLOGI UNIVERSITAS ‘AISYIYAH YOGYAKARTA Rofi Nur Rohman; Widya Mufida; Asih Puji Utami
Journal of Innovation Research and Knowledge Vol. 5 No. 4: September 2025
Publisher : Bajang Institute

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Alat pelindung diri penting dalam radiologi untuk melindungi dari paparan sinar-X. Di Laboratorium Radiologi Universitas ‘Aisyiyah Yogyakarta, tiga unit Lead Apron belum diuji rutin sesuai standar BAPETEN dan Kepmenkes. Penelitian ini bersifat observasional deskriptif kualitatif dengan observasi langsung dan wawancara. Pengujian dilakukan dengan membagi apron menjadi empat kuadran dan memeriksa kerusakan menggunakan imaging plate serta software radiografis. Hasilnya, dua dari tiga apron menunjukkan kerusakan minor pada area non-vital, masih dalam batas toleransi (Lambert, 2001), sehingga tetap layak pakai. Namun, pengujian belum dilakukan secara berkala, dan prosedur di lapangan tidak sepenuhnya sesuai standar. Disarankan agar pengujian dilakukan rutin tiap tahun, serta sistem penyimpanan dan perawatan ditingkatkan untuk menjaga efektivitas apron sebagai pelindung radiasi.

STUDI KASUS TEKNIK PEMERIKSAAN THORAX PADA ANAK DENGAN TEKNIK KV TINGGI DI INSTALASI RADIOLOGI RSUD DR. R. SOETIJONO BLORA Fahri An Najih; Ike Ade Nur Liscyaningsih; Widya Mufida
Journal of Innovation Research and Knowledge Vol. 5 No. 5 (2025): Oktober 2025
Publisher : Bajang Institute

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Background: on examination of the thorax in children in Radiology installation Dr. R. Soetijono Blora used high kV technique that is exposure factor used 60 kV and mAs 1 with patient age 5 months. Projection used Antero-Posterior (AP). Meanwhile, according to the theory of thorax examination of pediatric patients using KV 40, mAs 10 and 42 kV, mAs 1.6 with Antero-Posterior (AP) , Postero-Anterior (PA) and Lateral projections. This study aims to determine the techniques and objectives in the examination of the Thorax in children with high kV techniques. Research Methods: this study uses descriptive qualitative methods with a case study approach. The research was carried out at the radiology installation of Dr Soetijono hospital blora in September 2024 – May 2025. The object in this study is a pediatric patient who underwent thorax examination, with subjects consisting of 3 radiographers and 1 radiology specialist. The method of data collection is observation, documentation interviews and literature studies. Furthermore, the processed data were analyzed in the form of interview transcripts, then a categorization table was made to be reduced. After the data is reduced, the presentation of the data is done in the form of a narrative and then analyzed with a theoretical basis for further conclusions to be drawn. Results: research shows that examination of the Thorax in children in hospital dr. R. Soetijono Blora adjusted to the age and clinical condition of the patient, the projection used Antero-Posterior (AP) with supine patient position, on examination applied high kV technique of 60 kV and 1 mAs. In this examination kVp used in addition to 10 of routine thorax examination in adult patients is 50 KV and mAs 10 while the mAs value is reduced to 1. The purpose of this technique is to minimize the movement of the patient. The use of high kV is expected to produce sharp and informative images, while a small mAs value helps speed up image acquisition thereby reducing the likelihood of artifacts due to movement

ANGKA REJECT DAN UPAYA MENGURANGI REJECT FILM PADA PEMERIKSAAN RADIOLOGI PERIAPIKAL GIGI Sinta Sulastri; Ildsa Maulidya Mar'atush; Widya Mufida
Journal of Innovation Research and Knowledge Vol. 5 No. 7 (2025): Desember 2025
Publisher : Bajang Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53625/jirk.v5i7.11913

Background: Periapical radiography is an intraoral imaging technique used to visualize the structures of the teeth and periapical tissues. During the Field Practice Program (PKL) at RS TK III dr. Soetarto Yogyakarta, it was found that the incidence of film rejects remained relatively high. Several contributing factors include unstable patient positioning, sudden movements during the procedure, and suboptimal communication of instructions during image acquisition. This condition is further exacerbated by the absence of fixation devices that could help maintain patient positioning, leaving radiographers to rely solely on verbal guidance. Therefore, research is needed to identify the factors contributing to the high rate of film rejects and to explore efforts that can be implemented to reduce them, thereby optimizing the quality of periapical radiographic images. Methods: This study used a descriptive qualitative approach with data collected through interviews with 5 patients and 3 radiographers, observation of examination procedures, and documentation of film reject data from July 1 to September 23, 2025. Data analysis was conducted through reduction, presentation, and conclusion drawing to obtain a comprehensive overview of the conditions in the Radiology Department of RS TK III dr. Soetarto Yogyakarta. Results: Film reject data showed consistently high rates: 31.4% in July, 28.2% in August, and 30% in September 2025. The dominant contributing factors were patient movement, improper cassette positioning, and miscommunication during radiographic procedures. Based on interviews, several patients reported difficulties in maintaining position and following the radiographer’s instructions, while radiographers stated that the absence of fixation aids posed an additional challenge in maintaining accurate positioning. Clearer communication efforts were found to help reduce positioning errors and patient movement. Conclusions:The high rate of film rejects in periapical radiography at RS TK III dr. Soetarto Yogyakarta is primarily caused by patient movement, cassette positioning errors, and suboptimal communication. Improving communication, providing pre-examination education, and supplying fixation tools have the potential to reduce film reject rates and improve the quality of periapical radiographic images

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