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PENGARUH PENGGUNAAN WINDOW DISPLAY TERHADAP GAMBARAN URETER DENGAN KASUS UROLITHIASIS PADA PEMERIKSAAN CT STONOGRAM DI RSUP DR.HASAN SADIKIN BANDUNG : THE EFFECTS OF WINDOW DISPLAY USAGE ON THE URETER IMAGES WITH UROLITHIASIS RESULTED BY CT STONOGRAM EXAMINATION IN CENTRAL GENERAL HOSPITAL OF DR. HASAN SADIKIN BANDUNG Rahmat, Lili Julia
JURNAL TERAS KESEHATAN Vol 5 No 2 (2022): Jurnal Teras Kesehatan
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Politeknik Al Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38215/jtkes.v5i1.94

Abstract

MSCT stonogram plays an important role in establishing diagnosis in urolithiasis. The examination technique is carried out without the use of contrast agents as required in other modalities. The purpose of this study was to determine the effect of window level on MSCT stonography on ureteral images. The research was conducted at RSUP.DR.Hasan Sadikin Bandung. This is an analytic observational research with a cross-sectional study design. Tools used in this research are MSCT Hitachi scenaria 128 slices, multi planar reformat (MPR) and curve planar reformat (CPR) image reconstruction using Terarecon with iNtuition client software ver 4.4.12.100. Data were taken from 14 random samples of patients with urolithiasis cases who had undergone MSCT stonography examination. The data were assessed by three Consultant Radiologists and then analysed by a statistical test of IBM SPSS statistics ver. 25.0 in 2019. Results showed that Ho was rejected and Ha was accepted. They explain that the change in the window level on the MSCT stonogram examination with urolithiasis cases affects the resulted ureteral images with p value of 0.041 (p < 0.05). Therefore, it can be concluded that the use of window width 350 and Window level 60 can visualize very clear pictures of the ureter after CPR reconstruction.
MANFAAT TEH OLOONG TERHADAP GAMBARAN URETER PADA PEMERIKSAAN MSCT STONOGRAFI PADA KASUS UROLITHIASIS DI RUMAH SAKIT UMUM PUSAT DR.HASAN SADIKIN BANDUNG Rahmat, Lili Julia; Damayanti, Oktarina; Aediana, Aediana; Nilasari, Vini
Jurnal Cahaya Mandalika ISSN 2721-4796 (online) Vol. 3 No. 3 (2022)
Publisher : Institut Penelitian Dan Pengambangan Mandalika Indonesia (IP2MI)

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

The European Society of Urogenital Radiology mendefinisikan MSCT urografi atau ct stonografi sebagai pemeriksaan diagnostic yang dioptimalkan untuk pencitraan ginjal, ureter, dan kandung kemih dengan slice thickness tipis. MSCT stonografi sangat berperan penting dalam menegakkan diagnose batu saluran kencing tanpa menggunakan zat kontras positif akan tetapi untuk menegaskan gambaran ureter pada pemeriksaan ct stonografi pasien diharuskan minum air putih sebelum dilakukan scaning. Tujuan penelitian ini adalah untuk mendeskripsikan secara singkat manfaat teh oolong sebagai pengganti air putih dalam mempertegas gambaran ureter berupa adanya dilatasi ureter maupun peningkatan Hounsfield unit (HU). Penelitian ini dilakukan di Rumah Sakit Umum Pusat DR. Hasan Sadikin Bandung menggunakan modalitas MSCT Hitachi Scenaria 128 slice dengan slice thickness 5 mm , collimation 0,625 x 84 dan Pitch 1,0781. Jenis penelitian adalah penelitian observasional analitik dengan rancangan penelitian merupakan crossectional study terhadap 30 sample pasien yang dilakukan pemeriksaan ct stonografi dengan kasus uretrolithiasis secara acak yang terbagi dua kelompok yaitu 15 sample menggunakan teh oloong dan 15 sample tanpa teh oloong Rekontruksi citra multi planar reformat dan curve planar reformat dilakukan menggunakan Terarecon iNtuition client ver. 4.4.12.100. Uji chi square dilakukan untuk mengetahui adanya hubungan pemberian teh oolong terhadap gambaran ureter yang terdiri dari variable terukur yaitu proksimal ureter (PU), medial ureter (MU) dan distal ureter (DU)
Evaluasi Dosis Paparan Radiasi Pada Pemeriksaan MSCT Stonografi Kasus Urolithiasis Di Rumah Sakit Umum Pusat Dr. Hasan Sadikin Bandung. Rahmat, Lili Julia; Oktarina Damayanti; Ardiana
JURNAL TERAS KESEHATAN Vol 9 No 1 (2026): Jurnal Teras Kesehatan
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM) Politeknik Al Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38215/20zmyg78

Abstract

Multislice Computed Tomography (MSCT) stenography is one of the preferred modalities for evaluating urolithiasis due to its high diagnostic accuracy. However, the increasing use of CT imaging has raised concerns regarding patient radiation exposure. This study aims to evaluate the radiation dose received by patients undergoing MSCT stenography at Dr. Hasan Sadikin General Hospital, Bandung, and to assess the influence of technical parameters on dose variability. This is a quantitative descriptive study using a cross-sectional approach. A total of 40 adult patients (male and female) who underwent MSCT stenography were selected as samples. Radiation dose data, including CTDIvol and DLP, were collected directly from the CT console and supported by patients’ medical records. Multiple linear regression analysis was performed to assess the relationship between CT dose and technical parameters such as kV, mAs, scan range, and volume of focus (VOF). The research showed that the average CTDIvol was 11.83 mGy and the average DLP was 644.64  mGy·cm, both of which exceeded the international Diagnostic Reference Levels (DRLs). Statistical analysis showed that only the mAs parameter had a significant effect on CTDIvol (p = 0.043), while other parameters such as kV, scan range, and VOF showed no significant influence.