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All Journal Jurnal Imejing Diagnostik Jurnal Fisika FLUX Media Ilmiah Kesehatan Indonesia Lontara Journal Of Health Science And Technology
Darmawan, Zulkifli Tri
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Chemistry Earth & Planetary Sciences Education Engineering Environmental Science Health Professions Materials Science & Nanotechnology Medicine & Pharmacology Nursing Physics Public Health Veterinary

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Implementasi Penggunaan Alat Pelindung Diri pada Sinar-X Sesuai Standar Operasional Prosedur Instalasi Radiologi Mahdania, Helinda; Novita, Rati Dwi; Darmawan, Zulkifli Tri; Arman, Zulkifli; Musdalifah, Indah; Normawati, Sitti
Lontara Journal of Health Science and Technology Vol. 6 No. 1 (2025): Januari-Juni 2025
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Politeknik Muhammadiyah Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53861/lontarariset.v6i1.510

Abstract

Implementation of the use of personal protective equipment against X-rays in accordance with the Standard Operational Procedures for Radiological Installations, which has a very important role in reducing the risk of work accidents due to radiation which impact radiographers and patients during radiological examinations. This research was carried out with the aim of finding out how to implement the use of personal protective equipment for X-rays according to standard operating procedures (SOP) for the radiology installation at Ibnu Sina Hospital YW-UMI. This research used quantitative methods using questionnaires given to 8 radiographers. The research results showed that radiology workers were not yet optimal in using Personal Protective Equipment for X-rays in accordance with the Standard Operating Procedures at Ibnu Sina YW-UMI Hospital.
Analisis Dosis Radiasi Pada Kelenjar Tiroid Selama Pemeriksaan Dental Panoramik Di Instalasi Radiologi RSKDGM Provinsi Sulawesi Selatan Darmawan, Zulkifli Tri; Pradana, Alfa; Mirfauddin, Mirfauddin
Jurnal Imejing Diagnostik (JImeD) Vol 11, No 2 (2025): JULY 2025
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v11i2.13240

Abstract

Background: The thyroid gland is highly sensitive to radiation and can easily be exposed during panoramic dental imaging. Although BAPETEN sets the annual public dose limit at 1 mSv, and ICRP 103 suggests a specific limit of 0.04 mGy per year for the thyroid, the use of personal protective equipment (PPE) is still often neglected in daily practice. This study aimed to assess how much radiation the thyroid receives during panoramic dental examinations without PPE.Methods: This study used a descriptive quantitative approach and was conducted at the Radiology Department of the Regional Dental and Oral Hospital, South Sulawesi. Ten patients undergoing panoramic radiography were selected. The thyroid radiation dose was calculated using five formulas: exposure dose, scatter dose, absorbed dose, equivalent dose, and effective dose. Technical factors such as tube voltage, current, exposure time, and distance to the thyroid were also recorded.Results: The absorbed dose to the thyroid gland obtained from 10 patients ranged from 0.0139 mGy to 0.0239 mGy, with a mean value of 0.0165 mGy and a standard deviation of 0.0035 mGy. These results indicate a relatively narrow distribution despite variations in patient body size and exposure parameters. All measured doses remained well below the annual organ dose limit of 0.04 mGy, as recommended by the International Commission on Radiological Protection (ICRP). However, existing literature has highlighted that even low-dose radiation exposures, when repeated and unshielded, may increase the stochastic risk of developing thyroid cancer—particularly in younger or genetically predisposed individuals. While the current findings confirm that radiation exposure during panoramic dental examinations is within acceptable limits, they also underscore the need for precautionary measures. The results support the practical implementation of the ALARA (As Low As Reasonably Achievable) principle, especially through the consistent use of thyroid shields during panoramic imaging, as a critical component of evidence-based radiation protection strategies.Conclusions: Panoramic dental imaging without thyroid shielding still produces radiation doses that are within acceptable limits. However, it is strongly recommended that PPE be used consistently, along with adherence to the ALARA principle, to ensure maximum patient safety.
ANALISIS MANFAAT DAN TANTANGAN PENERAPAN PICTURE ARCHIVING AND COMMUNICATION SYSTEM (PACS) DI INSTALASI RADIOLOGI Darmawan, Zulkifli Tri; Angraeni, Dian; Mirfauddin, Mirfauddin; Rakhmansyah, A.AR.; Rusli, Muh; Wulandari, Andi Nur Intan; Syuhada, Firdha Adlia; Normawati, Sitti; Musdalifah, Indah
Media Ilmiah Kesehatan Indonesia Vol. 3 No. 3 (2025): SEPTEMBER
Publisher : Pakis Journal Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58184/miki.v3i3.745

Abstract

Penelitian ini bertujuan untuk menganalisis manfaat dan tantangan penerapan sistem Picture Archiving and Communication System (PACS) di Instalasi Radiologi Rumah Sakit Otak dan Jantung Pertamina Royal Biringkanaya. PACS merupakan sistem digital yang menggantikan metode penyimpanan berbasis film konvensional guna meningkatkan efisiensi pelayanan radiologi. Pendekatan yang digunakan adalah deskriptif kualitatif, dengan teknik pengumpulan data melalui kuesioner, wawancara, observasi langsung, dan dokumentasi. Partisipan dalam penelitian ini terdiri dari enam orang radiografer dan satu orang dokter radiologi. Hasil penelitian menunjukkan bahwa PACS memberikan kontribusi signifikan terhadap peningkatan pelayanan. Berdasarkan hasil kuesioner, 62% radiografer menyatakan sangat setuju dan 38% setuju terhadap manfaat PACS. Respons dokter menunjukkan 80% sangat setuju, 10% setuju, dan 10% tidak setuju. Hasil wawancara memperkuat data kuantitatif tersebut, terutama dalam hal kemudahan akses gambar, kecepatan pelaporan, dan efisiensi alur kerja. Meski demikian, tantangan seperti gangguan jaringan dan perlunya pelatihan berkelanjutan masih ditemui. Hasil observasi menunjukkan bahwa infrastruktur PACS seperti komputer dan monitor sudah memadai, serta pelatihan yang diberikan umumnya cukup. Namun, responden menyarankan adanya pembaruan sistem dan pemeliharaan berkala. Secara keseluruhan, PACS terbukti meningkatkan kualitas pelayanan radiologi tetapi optimalisasi sistem masih diperlukan melalui peningkatan infrastruktur dan kapasitas pengguna.
Analisis Dosis Radiasi Pada Kelenjar Tiroid Selama Pemeriksaan Dental Panoramik Di Instalasi Radiologi RSKDGM Provinsi Sulawesi Selatan Darmawan, Zulkifli Tri; Pradana, Alfa; Mirfauddin, Mirfauddin
Jurnal Imejing Diagnostik (JImeD) Vol. 11 No. 2 (2025): JULY 2025
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v11i2.13240

Abstract

Background: The thyroid gland is highly sensitive to radiation and can easily be exposed during panoramic dental imaging. Although BAPETEN sets the annual public dose limit at 1 mSv, and ICRP 103 suggests a specific limit of 0.04 mGy per year for the thyroid, the use of personal protective equipment (PPE) is still often neglected in daily practice. This study aimed to assess how much radiation the thyroid receives during panoramic dental examinations without PPE.Methods: This study used a descriptive quantitative approach and was conducted at the Radiology Department of the Regional Dental and Oral Hospital, South Sulawesi. Ten patients undergoing panoramic radiography were selected. The thyroid radiation dose was calculated using five formulas: exposure dose, scatter dose, absorbed dose, equivalent dose, and effective dose. Technical factors such as tube voltage, current, exposure time, and distance to the thyroid were also recorded.Results: The absorbed dose to the thyroid gland obtained from 10 patients ranged from 0.0139 mGy to 0.0239 mGy, with a mean value of 0.0165 mGy and a standard deviation of 0.0035 mGy. These results indicate a relatively narrow distribution despite variations in patient body size and exposure parameters. All measured doses remained well below the annual organ dose limit of 0.04 mGy, as recommended by the International Commission on Radiological Protection (ICRP). However, existing literature has highlighted that even low-dose radiation exposures, when repeated and unshielded, may increase the stochastic risk of developing thyroid cancer—particularly in younger or genetically predisposed individuals. While the current findings confirm that radiation exposure during panoramic dental examinations is within acceptable limits, they also underscore the need for precautionary measures. The results support the practical implementation of the ALARA (As Low As Reasonably Achievable) principle, especially through the consistent use of thyroid shields during panoramic imaging, as a critical component of evidence-based radiation protection strategies.Conclusions: Panoramic dental imaging without thyroid shielding still produces radiation doses that are within acceptable limits. However, it is strongly recommended that PPE be used consistently, along with adherence to the ALARA principle, to ensure maximum patient safety.
Uji Kesesuaian Kolimasi pada Modalitas Digital Radiography dalam Menilai Luas Penyinaran Mirfauddin, Mirfauddin; Satrio, Revan; Darmawan, Zulkifli Tri; Pradana, Alfa
Lontara Journal of Health Science and Technology Vol. 7 No. 1 (2026): Januari-Juni 2026
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Politeknik Muhammadiyah Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53861/lontarariset.v7i1.609

Abstract

The X-ray collimator is an essential device in digital radiography to ensure the accuracy of radiation field size, image quality, and patient safety. This study aimed to evaluate the collimation conformity of digital radiography equipment at the Radiology Installation of Pelamonia Hospital Makassar in determining the accuracy of radiation field size. A descriptive quantitative method was used with a collimator test tool measuring 18 × 14 cm and a source-to-image distance (SID) of 100 cm. The tests were conducted three times through direct exposure, measuring the deviation between collimator light and X-ray field. The first test showed horizontal deviation of 0.2% and vertical deviation of 0.1%. The second test recorded horizontal deviation of 0.2% and vertical deviation of 0.1%. The third test also showed horizontal deviation of 0.2% and vertical deviation of 0.1%. All results were within the tolerance limits, with individual axis deviations of ≤2% and combined total deviation of ≤3% according to national standards. In conclusion, the digital radiography equipment at Pelamonia Hospital Makassar met safety standards and is suitable for clinical use to support patient safety and optimal image quality.
Optimasi Visualisasi Celah Sendi Glenohumeral pada Kasus Trauma Bahu melalui Proyeksi Axillary View dengan Sudut 25° Caudal Wulandari, Andi Nur Intan; Ibrahim, Irsyadah; Darmawan, Zulkifli Tri; Syuhada, Firdha Adlia; Arung, Panji
Jurnal Imejing Diagnostik (JImeD) Vol. 12 No. 1 (2026): JANUARY 2026
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v12i1.14499

Abstract

Background: The shoulder joint is a complex anatomical structure with an extensive range of motion, making it highly susceptible to traumatic injuries such as fractures and dislocations. Conventional radiography often faces limitations in providing detailed visualization of these injuries, necessitating specialized projection techniques to clarify anatomical abnormalities. This study aims to evaluate the implementation of the axillary view projection using a 25° caudal angle in trauma cases at RSKB Columbia Asia Pulomas Jakarta. Methods: This study utilized a qualitative descriptive approach with a case study design at the Radiology Department of RSKB Columbia Asia Pulomas Jakarta from January to March 2025. One patient requiring shoulder joint examinations served as the primary subjects. Data were collected through direct observation of the radiographic procedures, interviews with radiographers and radiologists, and analysis of clinical documentation. Results: The examination technique involved positioning the patient seated beside the table with the arm abducted over the image receptor. The central ray was directed at the glenohumeral joint using a 25° caudal angulation. The findings indicate that the 25° caudal angle is particularly beneficial for non-cooperative patients, as it successfully opens the glenohumeral joint space and visualizes the axillary region clearly. This technique effectively revealed clinical conditions, including subluxation, glenoid avulsion, and joint space narrowing. Conclusions: The axillary view with a 25° caudal angle is a reliable and effective technique for assessing shoulder trauma. It provides superior anatomical detail regarding the relationship between the humeral head and the glenoid fossa, thereby supporting more accurate clinical decision-making in trauma management.
Analisis Aspek Geometri Penyudutan Arah Sinar Terhadap Kualitas Citra Radiografi Vertebra Servikal Proyeksi AP Cephalad Musdalifah, Indah; Wulandari, Andi Nur Intan; Darmawan, Zulkifli Tri; Harun, Herlinda Mahdania; Rusli, Muh; Normawati, Sitti; Zees, Intan Mutia Pujastuti
Jurnal Fisika Flux: Jurnal Ilmiah Fisika FMIPA Universitas Lambung Mangkurat Vol 23, No 1 (2026): Jurnal Fisika Flux: Jurnal Ilmiah Fisika FMIPA Universitas Lambung Mangkurat
Publisher : Lambung Mangkurat University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/flux.v23i1.23109

Abstract

Penelitian ini bertujuan untuk menganalisis pengaruh variasi sudut penyudutan arah sinar terhadap kualitas citra radiografi vertebra servikal pada proyeksi Anterior-Posterior (AP) ke arah cephalad. Penelitian menggunakan pendekatan kuantitatif dengan metode deskriptif analitik dan dilaksanakan di Laboratorium Radiologi Politeknik Muhammadiyah Makassar. Objek penelitian berupa phantom servikal yang dipaparkan sinar-X dengan variasi sudut 0°, 5°, 10°, 15°, 20°, 25°, dan 30° menggunakan parameter eksposi yang seragam. Setiap citra radiograf dievaluasi oleh dua orang dokter spesialis radiologi berdasarkan tingkat keterbacaan struktur anatomi vertebra servikal menggunakan lembar penilaian terstandar. Data hasil penilaian dianalisis secara statistik menggunakan uji Friedman untuk mengetahui perbedaan kualitas citra antarvariasi sudut. Hasil penelitian menunjukkan bahwa terdapat perbedaan yang signifikan pada kualitas citra radiografi akibat variasi sudut penyudutan (p < 0,05). Sudut 10° menghasilkan nilai rerata peringkat (mean rank) tertinggi sebesar 2,21, yang menunjukkan kualitas visualisasi anatomi paling optimal, dengan kontur tulang yang jelas, ruang antarvertebra terbuka, serta minimnya tumpang tindih struktur. Sebaliknya, sudut ekstrem seperti 25° dan 30° menunjukkan penurunan kualitas citra yang ditandai dengan elongasi bayangan dan berkurangnya kejelasan struktur anatomis. Dapat disimpulkan bahwa penyudutan sinar memiliki pengaruh signifikan terhadap kualitas citra radiografi servikal, dan sudut 10° merupakan sudut yang paling optimal pada proyeksi AP cephalad. Temuan ini diharapkan dapat menjadi acuan teknis dalam praktik radiografi servikal untuk meningkatkan kualitas diagnostik sekaligus mengurangi potensi eksposi ulang.
Co-Authors Angraeni, Dian Arman, Zulkifli Arung, Panji Harun, Herlinda Mahdania Herlinda Mahdania Harun Ibrahim, Irsyadah Indah Musdalifah Mirfauddin, Mirfauddin Muh Rusli Musdalifah, Indah Novita, Rati Dwi Pradana, Alfa Rakhmansyah, A.AR. Satrio, Revan Syuhada, Firdha Adlia Wulandari, Andi Nur Intan Zees, Intan Mutia Pujastuti