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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

STUDI KASUS TEKNIK PEMERIKSAAN RADIOGRAFI FEMUR DENGAN PENYUDUTAN ARAH SINAR MEDIOLATERAL 20 DEJARAT KLINIS FRAKTUR DI INSTALASI RADIOLOGI RSUD KOTA YOGYAKARTA Alfin Ramadhani Suharyono; Ayu Mahanani; Dina Widyasari
Journal of Innovation Research and Knowledge Vol. 5 No. 4: September 2025
Publisher : Bajang Institute

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Background: Femoral fracture is one of the most common bone injuries, especially in the elderly, and requires proper radiological treatment and diagnosis. Radiographic examination with Anteroposterior (AP) and Lateral projections are basic projections to assess and see abnormalities in the femur, while in the Radiology Installation of the Yogyakarta City Hospital using Anteroposterior (AP) and Lateral 200 projections. Based on these conditions, this study aims to determine the technique of radiographic examination of the femur and the reasons for using the Lateral 200 projection in cases of femoral fractures in the Radiology Installation of the Yogyakarta City Hospital. Methods: The type of research used is qualitative research with a case study approach. The research location is in the Radiology installation of the Yogyakarta City Hospital. The research was conducted from September 2024 to May 2025. Data collection was carried out through observation, interviews, documentation and literature studies. Data were collected through observation, interviews, and documentation of one radiology specialist and two radiographers with at least 5 years of work experience. The object of the study was the femur bone with clinical fractures, while the tools included observation guidelines, interview guidelines, and documentation tools. Result and Dicussion: The examination procedure begins with preparing equipment such as an X-ray machine, a 35×43 cm detector, markers, grids, and sandbags for fixation. Patient preparation includes removing metal objects in the examination area to prevent artifacts. The reason for using a 200 Lateral projection is because the patient's uncooperative condition due to pain or limited mobility often makes it difficult to perform. The 200 beam angle in the Lateral projection is an alternative that allows images from the Lateral side to be obtained without having to change the patient's position significantly. The radiograph results with a 20° Lateral projection are able to show abnormalities, although anatomically not as sharp as the true Lateral projection. Conlusions: Modified Lateral projection technique with a 20° angle has been proven effective in obtaining adequate diagnostic information in non-cooperative femoral fracture patients. This technique not only maintains the quality of the radiograph but also increases patient comfort during the procedure

STUDI KASUS PROSEDUR PEMERIKSAAN RADIOGRAFI THORAX PADA KASUS DENGUE HAEMORAGIC FEVER (DHF) DI INSTALASI RADIOLOGI RS ROEMANI MUHAMMADIYAH SEMARANG Umi Uswatun Khasana; Ayu Mahanani; Taufiq Facruddin Zen
Journal of Innovation Research and Knowledge Vol. 5 No. 4: September 2025
Publisher : Bajang Institute

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Introduction: Dengue Hemorrhagic Fever (DHF) is a dengue fever disease that can be fatal if not treated quickly and appropriately. Generally, the supporting actions taken are thorax examinations to see if there is fluid in the pleura. Thorax examinations in pleural effusion cases are performed using AP, PA and Lateral Dicubitus projections with a 5-minute patient tilt preparation. While at Roemani Hospital, Semarang, thorax examinations in DHF cases use AP and RLD (PA) projections with a 30-minute tilt preparation. The purpose of this study was to determine the thorax examination procedure for DHF cases at the Radiology Installation of Roemani Hospital, Semarang, and to determine the reasons for the RLD projection using a 30-minute waiting time. Methods: This study uses qualitative research with a case study approach conducted at Roemani Muhammadiyah Hospital, Semarang in December 2024-May 2025. The data collection methods used were observation, documentation and interviews with radiographers and radiologists. Data analysis was obtained from data collection at Roemani Hospital Semarang, after which the data was reduced to take the important things and then presented in the form of scientific papers and conclusions were drawn. Results: The results of the study showed that in the examination of the thorax of DHF cases in the RLD projection using waiting time, the reason is so that the fluid is maximally collected below and in the examination of the thorax using AP and RLD (PA) projections the reason for using the RLD projection in the PA position is to minimize fixation tools and because of the equipment factor at Roemai Hospital Semarang. Conclusion: The procedure for examining the thorax of DHF cases at the Radiology Installation of Roemani Hospital Semarang was carried out with AP and RLD (PA) projections. Patient preparation was carried out with a waiting time of 30 minutes the reason for the 30-minute waiting time on the RLD projection is so that the fluid is maximally collected below and in the RLD projection using the PA position is to make it easier for the patient and minimize fixation tools and equipment factors

STUDI KASUS TEKNIK PEMERIKSAAN FISTULOGRAFI DALAM KASUS FISTULA UMBILICULITIS DI RUMAH SAKIT MUNTILAN Nur Aisa Fadila; Ayu Mahanani; Ildsa Maulidya Mar’athus Nasokha
Journal of Innovation Research and Knowledge Vol. 5 No. 4: September 2025
Publisher : Bajang Institute

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Pendahuluan: Fistula Umbiliculitis jarang terjadi terutama pada orang dewasa, kondisi ini dapat menganggu Kesehatan. Pemeriksaan fistulografi sangat dibutuhkan untuk mengetahui jalur fistula. Namun belum banyaak yang data terkait kasus fistula umbiliculitis ini, sehingga membutuhkan penelitian lebih lanjut, terkait pemeriksaan fistulografi pada kasus fistula umbiliculitis, dan alasan menggunakan proyeksi AP polos dan Lateral post kontras. Tujuan penelitian ini untuk mengetahui teknik pemeriksaan fistulografi pada kasus fistula umbiliculitis dan alasan menggunakan proyeksi AP dan Lateral. Metode: jenis penelitian ini adalah kualitatif dengan cara pendekatan studi kasus. Subjek penelitian dengan melakukan wawancara dengan tiga radiografer dan satu dokter spesialis radiologi, dan objek penelitian ini pada fistula umbiliculitis. metode pengumpulan data yang digunakan untuk mempermudah informasi dalam penelitian yaitu: Observasi, wawancara, dokumentasi, kepustakaan, kemudian peneliti menganalisis dengan cara reduksi data, penyajian data dan menarik kesimpulan. Hasil: Pemeriksaan fistulografi pada kasus fistula umbiliculitis di RSUD Muntilan dilakukan tanpa persiapan khusus. Hanya dua proyeksi yang digunakan, yaitu AP polos dan lateral post kontras, karena sudah cukup untuk melihat jalur fistula. Proyeksi AP, PA post kontras tidak digunakan karena posisi spuit menutupi fistel dan ada risiko media kontras tumpah jika spuit dilepas. Data diperoleh melalui observasi, dokumentasi, dan wawancara dengan radiografer serta dokter radiologi. Kesimpulan: Pemeriksaan fistulografi pada kasus fistula umbiliculitis di RSUD Muntilan dilakukan tanpa persiapan khusus, hanya melepas benda logam dan menandatangani informed consent. Alat dan bahan sesuai teori, namun menggunakan abocath dan tanpa fluoroskopi. Media kontras disuntikkan bertahap, namun banyak yang keluar kembali (refluks). Proyeksi yang digunakan hanya AP polos dan lateral post kontras karena dianggap cukup, meski proyeksi LPO seharusnya bisa memberi gambaran lebih lengkap, namun tidak dilakukan karena keterbatasan teknis dan kondisi pasien

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.

PROSEDUR PEMERIKSAAN COLON IN LOOP PEDIATRIK DI INSTALASI RADIOLOGI RSU PKU MUHAMMADIYAH BANTUL (Studi Kasus Pada Pasien Dengan Klinis Konstipasi Kronis Berusia 3 Tahun) Reksal Makaramah; Sofie Nornalita Dewi; Ayu Mahanani
Journal of Innovation Research and Knowledge Vol. 5 No. 4: September 2025
Publisher : Bajang Institute

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Background: The Colon in Loop examination is an important radiographic procedure for evaluating cases of chronic constipation in pediatric patients. At PKU Muhammadiyah Bantul Hospital, there are differences in procedures compared to existing literature, particularly regarding patient preparation, types of contrast media used, and projection techniques. The aim of this study is to determine the procedure for the Colon In Loop examination, patient preparation, types of contrast media used, and projection techniques at the Radiology Installation of PKU Muhammadiyah Bantul Hospital.Method: This research employed a qualitative approach with a descriptive method and case study design. The study was conducted at the Radiology Installation of PKU Muhammadiyah Bantul Hospital from May to June 2025, involving three radiographers and one radiology specialist as subjects. Data collection methods included observation, interviews, documentation, and literature review. Data analysis was performed through data collection, data reduction, data presentation, and conclusion drawing.Result: The results indicated that the Colon In Loop examination procedure only required general preparation and did not involve any special preparation. The contrast media used was water-soluble, and the antero-posterior (AP) projection was employed, as it was adjusted to the non-cooperative condition of pediatric patients. Conclusion: The procedure for the Colon In Loop examination in pediatric patients at the Radiology Installation of PKU Muhammadiyah Bantul Hospital involved only general preparation without any special preparation. The contrast media used was a water-soluble mixture of iohexol and NaCl, administered gradually, as its non-ionic nature prevents excessive absorption by the body and provides stability when entering the bloodstream, making it safer for patients. The use of the antero- posterior (AP) projection was tailored to the non-cooperative condition of pediatric patients. It is recommended that examinations be conducted using X-ray equipment equipped with fluoroscopy to visualize the flow of contrast media

STUDI KASUS PEMERIKSAAN RADIOGRAFI KNEE JOINT DENGAN KLINIS OSTEOARTHRITIS DI INSTALASI RADIOLOGI RS ORTHOPEDHI PROF.DR.SOEHARSO SURAKARTA Risaldi Derheman; Ayu Mahanani; Retno Wati
Journal of Innovation Research and Knowledge Vol. 5 No. 5 (2025): Oktober 2025
Publisher : Bajang Institute

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Introduction: Radiographic examination of the knee joint is performed to evaluate the condition of the knee joint, including cartilage and surrounding soft tissues. At Prof. Dr. Soeharso Orthopedic Hospital Surakarta, examinations for osteoarthritis cases utilize anteroposterior (AP) and lateral projections, with an additional lateral flexion-extension projection. This approach differs from theoretical standards, which recommend AP, AP oblique, lateral, and AP/PA weight-bearing projections as additional views. Method: This research is a case study employing a qualitative descriptive approach. It was conducted at the Radiology Installation of Prof. Dr. Soeharso Orthopedic Hospital Surakarta from May to June 2025. Subjects included three radiographers and one radiology specialist physician, with the research objects comprising knee joint examinations in patients with osteoarthritis. Data were collected through observation, interviews, documentation, and literature review. Data analysis involved reduction, presentation via coding graphs, and conclusion drawing. The study obtained Ethical Clearance No: PP.01.03/D.XXV.2/3897/2025. Results: Knee joint examinations required no special preparation, except for the removal of metallic objects such as knee braces. The projections used include AP, lateral, and additional lateral flexionextension in the supine position, utilizing a 35x43 cm cassette, centering point at the midpoint of the knee, and FFD of 100 cm. The lateral flexion-extension projection aimed to assess joint flexibility and ligament conditions (ACL and PCL), which were crucial for determining orthopedic interventions such as total knee replacement (TKR) or high tibial osteotomy (HTO). Conclusion: The lateral flexion-extension projection is beneficial for evaluating joint flexibility and ligament integrity, serving as a valuable supplementary reference in radiographic examinations of the knee joint for osteoarthritis

Prosedur Pemeriksaan Radiografi Cervical Dinamik pada Klinis Herniated Nucleus Pulposus (HNP) di Instalasi Radiologi RSUD Brebes Putri Apriani; Ari Anggraeni; Ayu Mahanani
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 5 No. 3 (2025): November : Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v5i3.8355

Background: Herniated Nucleus Pulposus (HNP) in the cervical region is a condition in which the intervertebral disc protrudes and may compress the nerve roots, causing pain and movement disorders. At the Radiology Department of RSUD Brebes, there are differences in cervical examination techniques compared to standard theory, namely the use of hyperflexion and hyperextension projections. Objective: This study aims to further examine the radiographic techniques used in cervical examinations with clinical indications of Herniated Nucleus Pulposus (HNP), particularly the use of additional lateral hyperflexion and hyperextension projections. Method: This research employed a qualitative method with a case study approach. Data collection was conducted through observation, interviews, documentation, and literature review at the Radiology Department of RSUD Brebes. Informants included five people: three radiographers, one radiology specialist, and one referring physician. Data were analyzed using reduction, presentation, and conclusion drawing techniques. Results: Dynamic cervical radiographic examination for clinical HNP at RSUD Brebes utilized additional hyperflexion and hyperextension projections with the patient standing sideways at the bucky stand, the Central Point (CP) located at cervical 4, and the Central Ray (CR) perpendicular horizontally. Focus Film Distance (FFD) was 100 cm, with exposure factors of 77 kV and 10 mAs. Patient preparation required no special measures, only removing metal objects around the cervical region such as earrings and necklaces. The rationale for using hyperflexion and hyperextension projections in dynamic cervical examinations for HNP cases at RSUD Brebes was to determine whether there was compression or displacement at the intervertebral disc. Conclusion: Dynamic cervical radiographic techniques for HNP cases at RSUD Brebes were conducted using hyperflexion and hyperextension projections. This examination was also used to evaluate degenerative conditions commonly occurring with aging and to assess cervical movement, since this region is more dynamic compared to thoracic and lumbar vertebrae, thus helping identify movement limitations in patients to support diagnosis.

Studi Kasus Pemeriksaan Lopography dengan Klinis Post Colostomy di Instalasi Radiologi RSUD Caruban Kabupaten Madiun Zhafirah Egina Salsabila; Ayu Mahanani; Fisnandya Meita Astari
JURNAL RISET RUMPUN ILMU KESEHATAN Vol. 4 No. 3 (2025): Desember : Jurnal Riset Rumpun Ilmu Kesehatan
Publisher : Pusat riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jurrikes.v4i3.6367

A lopography or barium enema colostomy is a radiographic examination of the colon using a contrast medium inserted through a colostomy. This examination aims to evaluate the condition of the colon after the colostomy, including detecting the presence of obstructions or masses in the gastrointestinal tract. The contrast medium used is a type of non-ionic soluble water that is inserted through the stoma and anus orifice until it fills the entire colon, characterized by the exit of contrast through the stoma. The examination was carried out using several radiographic projections, including plain photographs of the AP abdomen, as well as post-contrast projections of the Antero Posterior (AP), Right Posterior Oblique (RPO), Left Posterior Oblique (LPO), and lateral. This study aims to find out the procedure for the Lopography examination at the Radiology Installation of Caruban Hospital and the medical reasons for the use of two channels of input of contrast media, namely through the stoma and anus. The method used is qualitative descriptive research with a case study approach. The study was carried out from November to May 2025, with one post-colostomy patient as a sample. Data collection was carried out through direct observation, interviews with medical personnel, and documentation of radiographic procedures. Data analysis includes data reduction, data presentation, and conclusion drawn. The results of the study showed that the procedure of Robotic examination did not require any special preparation before the procedure. The non-ionic contrast medium used is mixed with aquades at a ratio of 1:3 (about 200 cc), and inserted through both the stoma and the anus to obtain a thorough visualization of the colon. The selection of two input paths aims to ensure that there are no blockages or masses that block the contrast flow. The projections used are adjusted to provide maximum information about the structure of the colon after colostomy

Pemeriksaan Lopografi Pediatric dengan Klinis Fistula Rectrovagina Post Colonostomy di Instalasi Radiologi RSUP Dr. Sardjto Stefanie Nihe; Ari Anggraen; Ayu Mahanani
JURNAL RISET RUMPUN ILMU KESEHATAN Vol. 4 No. 3 (2025): Desember : Jurnal Riset Rumpun Ilmu Kesehatan
Publisher : Pusat riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jurrikes.v4i3.6791

One part of the large intestine can be affected by an anal fistula or rectovaginal fistula due to infection of the anal glands. In patients who have undergone colonostomy, radiological examinations such as lopography are necessary to detect abnormalities, especially in the anal region. Pediatric lopography with clinical rectovaginal fistula post colonostomy at the Radiology Department of Dr. Sardjito General Hospital involves inserting contrast media into the proximal section through the proximal stoma with an anteroposterior projection and into the distal section through the anal opening with a lateral projection. The study aimed to determine the contrast enema examination procedure in pediatric patients with clinical rectovaginal fistula post-colonostomy, including examination techniques, patient preparation, equipment and materials used, as well as handling problems such as blockages in the distal intestine. Methods: The study was conducted in May–June 2025 using a qualitative descriptive method through observation, interviews, and documentation, involving three radiographers and one radiologist. Data analysis was performed through data collection, data reduction, data presentation, discussion, and conclusion drawing. Results: The results showed that lopography examinations used water-soluble iodine contrast media mixed with NaCl at a ratio of 1:3, which was inserted through the proximal stoma and anus. Preparation included fasting from breast milk, confirming patient identity, informedconsent, and preparation of equipment such as an X-ray machine with fluoroscopy, catheters, syringes, and Computed Radiography.

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