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All Journal Journal of Innovation Research and Knowledge Jurnal Riset Rumpun Ilmu Kedokteran (JURRIKE) Jurnal Riset Rumpun Ilmu Kesehatan (JURRIKES) Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Ayu Mahanani
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Humanities Economics, Econometrics & Finance Education Health Professions Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary

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Prosedur Pemeriksaan Radiografi Vertebrae Cervical pada Kasus Phlegmon di Instalasi Radiologi RSUD Kota Yogyakarta Sefiana Nurul Hikmah; Amril Mukmin; Ayu Mahanani
JURNAL RISET RUMPUN ILMU KEDOKTERAN Vol. 4 No. 1 (2025): April : 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.v4i1.4997

Abstract

Phlegmon is a serious infection affecting the maxillofacial area. Cases of phlegmon cause more than 50% mortality before the development of antibiotics, and 90% are due to acute infection of molar teeth. Examination of cervical vertebrae can help the diagnosis by using AP Axial, Lateral, right posterior oblique (RPO)/left posterior oblique (LPO) projections of 15º-20º cephalad, and right anterior oblique (RAO)/left anterior oblique (LAO) 15º-20º caudad while in the Radiology Installation of Yogyakarta City Hospital, using AP Axial projection 15º cephalad, Lateral and oblique (RPO and LPO) with perpendicular beam direction without other modalities such as MRI and CT Scan. This study aims to further examine radiographic examination procedures and projections of RPO and LPO with perpendicular ray directions. This type of research is qualitative with a case study approach at the Radiology Installation of Yogyakarta City Hospital from September 2024 to May 2025. Data were collected by observation, documentation and interviews with 3 radiographers and 1 radiology specialist. Data analysis was done by data reduction, data presentation and conclusion drawing. The results showed 3-position photographs to evaluate the overall condition of the cervical vertebrae and surrounding tissues. RPO and LPO projections are not angled according to the applicable SOP and have no significant effect, because the main focus of phlegmon is soft tissue evaluation and is not related to the evaluation of nerve abnormalities in the intervertebral foramen. However, for phlegmon cases with serious severity, other modalities such as MRI, CT scan or ultrasound should be added in order to detect soft tissue and the cause of phlegmon for further action.
ANALISIS PENGULANGAN (REPEAT) RADIOGRAFI PADA MODALITAS DIGITAL RADIOGRAFI (DR) DI INSTALASI RADIOLOGI RSU PKU MUHAMMADIYAH BANTUL M. Efendi; Ayu Mahanani; Asih Puji Utami
Journal of Innovation Research and Knowledge Vol. 5 No. 8 (2026): Januari 2026
Publisher : Bajang Institute

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Abstract

Background: Digital Radiography (DR) is a digital imaging system that replaces conventional film with digital detectors to produce faster and more efficient diagnostic images. Although this technology has the ability to correct contrast and density errors, repeat examinations still occur due to patient positioning errors, artifacts, and other technical factors. Based on preliminary data from the Radiology Installation of PKU Muhammadiyah Bantul Hospital, image repeats have never been thoroughly analyzed, even though repeats affect radiation dose increases and radiographers' work efficiency. Objective: This study aims to determine the percentage level of repeat radiography and identify the factors causing repeat examinations using the Digital Radiography (DR) modality at the Radiology Installation of PKU Muhammadiyah Bantul Hospital. Method: The study used a qualitative approach with a case study design. Data were collected through direct observation, interviews with three radiographers, and documentation of examination data during April–June 2025. Interview data analysis included interview transcripts, data reduction, coding, categories, and themes, followed by conclusions. The repeat results were analyzed descriptively by calculating the percentage of repeats and grouping the causes of repeats based on technical and human error categories. The results were used to assess the implementation of Quality Assurance (QA) and Quality Control (QC) programs in the radiology installation. Results: Of the total 4,835 radiographic examinations, 35 cases of repeat cases (0.73%) were found, which is below the maximum limit of ≤2% as stipulated in KMK No. 129/Menkes/SK/II/2008. The main factors causing repeat cases were cut objects (0.44%) and artifacts (0.38%), followed by minor cases due to cassettes not being ready (0.12%). Although most radiographers understand the theory and working principles of DR, there is still a mismatch between theory and practice in patient positioning and pre-exposure examination. Conclusion: The results of the study showed that the repeat rate of radiography at PKU Muhammadiyah Bantul General Hospital was classified as very good (0.73%), indicating the implementation of effective and efficient radiology quality management. These results confirm that radiographers have implemented the principles of QA, QC, and ALARA (As Low As Reasonably Achievable) well, thus reducing repeats below national standards. The main error factors come from human error aspects such as patient positioning and metal artifacts, not equipment damage. Regular evaluation, technical training, and increased accuracy in patient positioning are needed to maintain image quality and patient safety continuously.
Teknik Pemeriksaan Radiografi Wrist Joint pada Kasus Fraktur di Instalasi Radiologi RSU PKU Muhammadiyah Delanggu Tira Arini; Anisa Nur Istiqomah; Ayu Mahanani
JURNAL RISET RUMPUN ILMU KESEHATAN Vol. 5 No. 1 (2026): April: 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.v5i1.7979

Abstract

Radiographic examination of the wrist plays a crucial role in diagnosing fractures, particularly in traumatic cases, and requires precise projection selection, proper immobilization, and adequate radiation protection to obtain high-quality diagnostic images. In theory, wrist radiography commonly includes anteroposterior (AP) and lateral projections; however, observations at the Radiology Installation of RSU PKU Muhammadiyah Delanggu showed that fracture examinations are generally limited to posteroanterior (PA) and lateral projections. This difference highlights a gap between theoretical recommendations and clinical practice, as several references emphasize the importance of projection variation to enhance diagnostic accuracy. This study aimed to describe the wrist joint radiographic examination procedures for fracture cases at RSU PKU Muhammadiyah Delanggu and to examine the immobilization techniques applied during the procedure. A descriptive qualitative design with a case study approach was used, conducted from May to June 2025. The subjects included three radiographers, while the object of study was wrist radiography in fracture cases. Data were obtained through direct observation, interviews, and documentation, and analyzed descriptively. The findings showed that PA and lateral projections were consistently used, with immobilization achieved using sandbags and foam pads to ensure stability and minimize motion artifacts. Radiation protection was implemented through lead aprons, collimation, and appropriate exposure adjustments. Overall, the procedures followed established radiography guidelines, particularly the Bontrager standard, ensuring both diagnostic quality and patient safety.
Co-Authors Alfin Ramadhani Suharyono Amril Mukmin Anisa Nur Istiqomah Anshor Nugroho Ari Anggraen Ari Anggraeni Asih Puji Utami Dina Widyasari Fisnandya Meita Astari Ildsa Maulidya Mar’athus Nasokha Lukluatin Nabila M. Efendi Nur Aisa Fadila Putri Apriani Reksal Makaramah Retno Wati Risaldi Derheman Sanifa Winda Sari Sefiana Nurul Hikmah Sofie Nornalita Dewi Stefanie Nihe Taufiq Facruddin Zen Tira Arini Umi Uswatun Khasana Zhafirah Egina Salsabila