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STUDI KASUS TEKNIK RADIOGRAFI VERTEBRAE LUMBOSACRAL PADA KLINIS SUSPECT FRAKTUR DI INSTALASI RADIOLOGI RSI SULTAN AGUNG SEMARANG Lukluatin Nabila; Anshor Nugroho; Ayu Mahanani
Journal of Innovation Research and Knowledge Vol. 5 No. 3: Agustus 2025
Publisher : Bajang Institute

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Radiography examination of the lumbosacral vertebrae in cases of suspected fractures at the Radiology Installation of Sultan Agung Islamic Hospital uses Antero-Posterior (AP), Lateral projections, and additional Lateral Flexion and Extension projections. One of the examinations that can be used to establish a fracture diagnosis is radiography examination of the lumbosacral vertebrae with Antero-Posterior (AP), Lateral, RPO and LPO or RAO and LAO projections. This study aims to determine the technique of radiography examination of the lumbosacral vertebrae and the role of using Lateral Flexion and Extension projections in radiography examination of the lumbosacral vertebrae in cases of suspected fractures. Method: This type of research applied qualitative descriptive with a case study approach on the technique of radiographic examination of the lumbosacral vertebrae in clinical suspect fractures at the Radiology Installation of Sultan Agung Islamic Hospital of Semarang which was conducted in November 2024 - January 2025. The subjects in this study consisted of three Radiographers, one Radiology Specialist, and one Sending Doctor. Data collection was carried out using observation, interview, documentation, and literature methods. Data analysis used data reduction by simplifying the data after the data was collected, data presentation by forming a description in the form of a coding graph and drawn into conclusions. Results: Lumbosacral vertebrae radiography techniques include patient preparation, preparation of tools and materials, and lumbosacral vertebrae examination techniques in clinical suspect fractures using anteroposterior (AP), lateral, lateral flexion and extension projections. The role of lumbosacral vertebrae radiography examination with lateral flexion projection in clinical suspect fractures is to see the shift of the vertebrae bone to the front or commonly called listhesis, to see whether there is stability in the bone. In the lateral extension projection in clinical suspect fractures, it is the same as the lateral flexion projection, namely to see the shift of the vertebrae bone to the back, see the stability of spondylolisthesis more clearly, and assess the stability of the joint which will determine further actions such as installing stabilization. Conclusion: Lateral flexion projection to see the shift of the vertebrae bone to the front or commonly is called listhesis, to see whether there is stability in the bone. Lateral extension projection aims to see the shift of the vertebrae bone to the back, to see the stability of spondylolisthesis more clearly, and to assess the stability of the joint which will determine further actions such as installing stabilization
ANALISIS PERBANDINGAN SNR DAN CNR PADA CITRA DIGITAL RADIOGRAPHY KEPALA NON KONTRASMENGUNAKAN METODE PENGOLAHAN CITRA PHYTON Kalpin, Kalpin; Anshor Nugroho; Muhammad Fakhrurreza
Journal of Innovation Research and Knowledge Vol. 5 No. 4: September 2025
Publisher : Bajang Institute

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Background: This study compares SNR and CNR in non-contrast head X-rays using Python. Head image quality is crucial due to its complex anatomical structure and the importance of small details in determining a diagnosis. Python is used to objectively analyze image clarity, read medical data, calculate SNR and CNR values, and display the results visually. This research is expected to help physicians obtain clearer images, accelerate diagnoses, and improve the quality of radiology services. Methods: This research was conducted at the Radiology Laboratory of Aisyiyah University Yogyakarta from March to May 2025. The subjects used were not live patients, but rather cranium phantoms, which are artificial models of human heads typically used for training or research to ensure safety. In this study, three different X- ray settings were used: 70 kV 10 mAs, 75 kV 12 mAs, and 80 kV 15 mAs. Each setting produced head X-rays with varying levels of brightness and sharpness. The images were saved in a medical-specific format called DICOM. Next, the images were analyzed using the Python programming language through the Google Colab platform. This analysis was carried out to calculate two important things: SNR (Signal-to-Noise Ratio), which describes how clear the image signal is compared to interference or "noise," and CNR (Contrast-to-Noise Ratio), which indicates how easy it is to distinguish two tissues or parts in the image. This calculation was carried out both before and after the image was improved through the image enhancement process. In this way, researchers can assess whether image processing actually makes head X-rays clearer and more useful for medical diagnosis. Results: The results showed that after image processing with Python, the SNR values increased in some settings, resulting in cleaner images, but the CNR values decreased in all images. This means that although the images appear sharper and clearer visually, the ability to distinguish anatomical structures is reduced. Therefore, improving visual quality through image enhancement does not always translate into improved diagnostic quality, requiring caution when applying it to radiology. Conclusion: The conclusion of this study is that processing non-contrast head radiographic images using Python can improve the SNR value in several parameter variations, so that the image appears cleaner from noise interference. However, the CNR value tends to decrease in all variations, which means the ability to distinguish anatomical structures is reduced. This shows that increasing visual acuity of the image is not always directly proportional to improving diagnostic quality, so image enhancement techniques need to be applied carefully to maintain a balance between image clarity and clarity of anatomical details to support medical diagnosis
PROSEDUR PEMERIKSAAN MICTURATING CYSTOURETROGRAPHY (MCU) PEDIATRIK DENGAN KLINIS HIDRONEFROSIS DI INSTALASI RADIOLOGI RUMAH SAKIT UNS Sanifa Winda Sari; Anshor Nugroho; Ayu Mahanani
Journal of Innovation Research and Knowledge Vol. 5 No. 4: September 2025
Publisher : Bajang Institute

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Baground: Micturating Cystourethrography (MCU is a radiological examination performed in pediatric patients using contrast media to assess the function, structure, and abnormalities of the urinary bladder (vesica urinaria) and urethra. The standard MCU technique typically employs AP and RPO post- contrast projections, with contrast media introduced via a catheter or abocath. At UNS Hospital, however, only the AP projection is used, and contrast media is introduced using the drip infusion method. This study aims to examine the MCU examination procedure performed at the Radiology Department of UNS Hospital, specifically focusing on the drip infusion method of contrast administration and the exclusive use of the AP projection. Method: This study employed qualitative descriptive method with case study approach. Data collection was conducted at UNS Hospital between December 2024 and May 2025. The research subjects were three radiographers and one radiology specialist, while the research object was pediatric patients with hydronephrosis. Data were collected through observation, interviews, documentation, and literature review. Data analysis involved data reduction, data presentation, and conclusion drawing.Results: Observations and interviews showed that at UNS Hospital, the procedure is performed using two projections: AP plain film and AP post-contrast. Contrast media is administered using the drip infusion technique with an IV set, allowing the contrast to enter gradually. The use of the AP projection alone is considered sufficient, as it provides adequate diagnostic information for radiologists while also accommodating the patient’s condition.Conclusion: At the Radiology Department of UNS Hospital, Micturating Cystourethrography is conducted using two projections, namely AP plain film and AP post-contrast, with contrast media administered via the drip infusion method to ensure gradual entry. The AP projection alone is sufficient to provide adequate diagnostic information while also allowing for adjustments based on the patient’s condition.
ANALISIS KUALITAS CITRA DIGITAL RADIOGRAPHY ABDOMEN NON-KONTRAS BERDASARKAN NILAI SNR DAN CNR DENGAN TEKNIK PENGOLAHAN CITRA PHYTON Ridho Hadi Nugraha; Anshor Nugroho; Anisa Nur Istiqomah
Journal of Innovation Research and Knowledge Vol. 5 No. 5 (2025): Oktober 2025
Publisher : Bajang Institute

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Background: Non-contrast abdominal radiography is an important diagnostic procedure in radiology for detecting abnormalities in the abdominal organs. Image quality is evaluated through the Signal-to-Noise Ratio (SNR) and Contrast-to-Noise Ratio (CNR) to measure the signal-tonoise ratio and the ability to distinguish contrast between anatomical structures. Image processing using Python allows for improved image quality at low exposures, in line with the ALARA (As Low As Reasonably Achievable) principle of minimizing radiation dose without compromising diagnostic accuracy. However, studies on optimizing non-contrast abdominal images using this technique are still limited, particularly in reducing the effects of scattered radiation on thick objects such as the abdomen. Methods: This study employed a quantitative experimental approach. An adult abdominal phantom was used. The study was conducted in the Radiology Laboratory of Universitas ‘Aisyiyah Yogyakarta, from March 2025 to May 2025. Data collection was conducted through documentation and processing using Python on Google Colab. The SNR and CNR values of noncontrast abdominal images before and after image enhancement were calculated using Non-Local Means (NLM) and Histogram Equalization (HE). The Shapiro-Wilk normality test and paired sample t-test were then performed. Results: The calculated SNR value increased from an average of 8.73 to 11.66, and the CNR increased from an average of 1.69 to 4.28. The data were normally distributed (p>0.05), and there was a significant difference in SNR (p=0.0019) and CNR (p=0.0003) before and after enhancement (p<0.05). Conclusion: Based on the results of this study, image processing using Python effectively improves the quality of non-contrast abdominal radiographic images at low exposures, supporting diagnostic accuracy and reducing radiation dose.
Effectiveness of Using Analog Grid and Virtual Grid in Thoracic Radiography Examination Mahanani, Ayu; Anshor Nugroho; Arnefia Mei Yusnida
Jurnal Teknokes Vol. 18 No. 3 (2025): September
Publisher : Jurusan Teknik Elektromedik, Politeknik Kesehatan Kemenkes Surabaya, Indonesia

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Chest radiography is essential for diagnosing thoracic abnormalities, but scattered radiation often reduces image contrast and diagnostic accuracy. Conventional analog grids mitigate scatter yet increase patient dose, while virtual grids offer digital correction with potentially lower radiation exposure. This study aimed to compare image quality and radiation efficiency between analog and virtual grids in thoracic radiography, contributing empirical evidence on the feasibility of adopting virtual grids as safer and more efficient alternatives. Three imaging protocols (Analog Grid, Virtual Grid 1, and Virtual Grid 2) were compared using identical exposure parameters on a phantom. Image quality was evaluated both objectively and subjectively. Results showed that Virtual Grid 2 achieved the highest score (4.47), slightly outperforming the Analog Grid (4.20) despite using lower radiation, while Virtual Grid 1 scored the lowest. ANOVA confirmed significant differences among the three methods, though the t-test between Analog Grid and Virtual Grid 2  showed no significant difference. A moderate negative correlation indicated that a reduced dose does not always compromise image quality when supported by advanced processing. In conclusion, Virtual Grid 2 demonstrates strong potential as a reliable alternative to analog grids, enabling excellent image quality with minimal radiation and supporting safer radiographic practices.
ANALISIS PERBANDINGAN HASIL RADIOGRAF THORAX DENGAN DAN MENGGUNAKAN FILTER CLAHE DALAM PERBAIKAN SNR DAN CNR Fahri Nur Gusniadi; Anshor Nugroho; Ike Ade Nur Liscyaningsih
Journal of Innovation Research and Knowledge Vol. 5 No. 7 (2025): Desember 2025
Publisher : Bajang Institute

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Latar Belakang: Radiografi thorax merupakan pemeriksaan radiologi yang sering dilakukan untuk menilai kondisi paru-paru dan organ di dalam rongga dada. Namun, hasil citra sering kali mengalami penurunan kualitas akibat noise dan kontras yang rendah, sehingga menyulitkan proses interpretasi. Untuk mengatasi hal tersebut, metode Contrast Limited Adaptive Histogram Equalization (CLAHE) yang diimplementasikan menggunakan pemrograman Python digunakan guna meningkatkan kualitas citra melalui peningkatan kontras secara lokal tanpa menambah noise berlebih Metode: Penelitian ini menggunakan pendekatan kuantitatif dengan metode eksperimen menggunakan phantom thorax di Laboratorium Radiologi Universitas ‘Aisyiyah Yogyakarta. Eksposur dilakukan dengan faktor 75 kV dan 20 mAs, kemudian hasil citra disimpan dalam format DICOM dan diproses menggunakan Python dengan metode CLAHE. Nilai Signal to Noise Ratio (SNR) dan Contrast to Noise Ratio (CNR) dihitung sebelum dan sesudah proses image enhancement untuk mengetahui pengaruh pengolahan citra terhadap kualitas radiograf. Hasil: Hasil penelitian menunjukkan peningkatan nilai SNR dari 1,29 menjadi 1,94 dan peningkatan nilai CNR dari 0,78 menjadi 2,02 setelah dilakukan image enhancement menggunakan CLAHE. Namun, hasil uji paired sample t-test menunjukkan nilai p-value SNR = 0,282 dan CNR = 0,192 (p ≥ 0,05), sehingga secara statistik tidak terdapat perbedaan yang signifikan. Kesimpulan: Metode CLAHE berbasis Python terbukti mampu meningkatkan kualitas citra radiografi thorax secara numerik, meskipun peningkatan tersebut tidak signifikan secara statistik. Dengan demikian, metode ini memiliki potensi dalam perbaikan kualitas citra, namun diperlukan optimasi parameter dan metode lanjutan agar hasil peningkatan dapat lebih signifikan secara kuantitatif.