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PROSEDUR PEMERIKSAAN MRI KNEE JOINT DENGAN KASUS CEDERA ANTERIOR CRUCIATE LIGAMENT (ACL) DI INSTALASI RADIOLOGI RS MARDI RAHAYU KUDUS Atika Dyah Kiranawati; Sugiyanto Sugiyanto; Agung Nugroho Setiawan
Jurnal Imejing Diagnostik (JImeD) Vol 9, No 2: JULY 2023
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v9i2.10331

Abstract

Background: MRI examination of knee joints with Anterior Cruciate Ligament (ACL) injuries at the Radiology Installation of Mardi Rahayu Kudus Hospital using spin echo sequences, including PD_TSE, PD_TSE_fatsat, T1_SE, T2_TSE, and T2_TSE_fatsat, with the addition of STIR, and using DOT engine technology. This study aims to determine the procedures for examining knee joint MRI with cases of ACL injury, as well as the role of the DOT machine in the examination.Methods: This type of research is a qualitative research with a case study approach. The research subject was an MRI examination of the knee joint with ACL injury cases. Data collection is done by using the method of observation, study, and documentation. Data analysis includes data transcription, data reduction, data presentation, as well as discussing and drawing conclusions.Results: The results showed that the STIR sequence was used as a fat comparison. The resulting ACL image is an isointense image. The use of DOT engine technology helps to standardize inspections. The advantages are ease of making cuts, time efficiency, and uniformity of inspection techniques, and not finding operational weaknesses.Conclusions: The conclusion of this study is MRI of the knee joint using spin echo and STIR sequences, with DOT engine method. STIR could be used in certain indications. 
Peranan Magnetic Resonance Imaging (MRI) Lumbal dalam Penegakan Diagnosis Kasus Low Back Pain: Studi Kasus di Instalasi Radiologi Rumah Sakit Satya Negara Jakarta Utara Wahyu Setiyoningsih; Nursama Heru Apriantoro
Jurnal Imejing Diagnostik (JImeD) Vol 9, No 2: JULY 2023
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v9i2.9990

Abstract

Background: Magnetic resonance imaging (MRI) is considered the best imaging for chronic low back pain because of high tissue contrast and no effect of ionizing radiation. The purpose of this study was to determine the management of Lumbar MRI examination with Low Back Pain Cases.Methods: The research used was a qualitative descriptive research method by collecting data by direct observation which was conducted in December 2022 at Satya Negara Hospital, North Jakarta. The research was conducted using direct observation methods, documentation and decision studies. The sample used was 1 patient.Results: The image results are strengthened by the expertise of a radiologist. The results of the study were obtained from the beginning of the patient's process of coming to radiology to perform a Lumbar MRI examination in the administration section until the examination was completed. Using a GE 1.5 T MRI machine and a whole spine coil. The sequences used are 3-plane location, calibration scan lumbar, Coronal T2, Sagittal T2, Sagittal T1, Sagittal T2 + FATSAT, Axial T2, Sagittal Myelography, Coronal Myelography.Conclusions:  This study shows that Lumbar MRI image results and the doctor's expertise show that there is grade I spondylolithesis and L4-L5 spondyloarthrosis with disc protrusion. It’s mean that MRI can provide information for making a diagnosis.
Optimasi Pengaturan pH Developer untuk Meningkatkan Efisiensi Waktu dalam Processing Film di Ruang Gelap Radiologi Leny Anggraeni; Feri Aria Candra; Yas Ichwan
Jurnal Imejing Diagnostik (JImeD) Vol 9, No 1: JANUARY 2023
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v9i1.9447

Abstract

Background: Film processing is an activity to obtain a permanent and real picture of a film, which can be seen with the eye in general conditions. The developer fluid is very influential on the image produced in the film. After exposure, it will be placed in the next step, namely the washing process, so as to produce a permanent image and make a diagnosis. Each exposure of washing film from one film to another, there is a difference in processing time. The more films that are processed, the longer the film processing time is required. The purpose of this study is to see the effect of developer pH on inefficient factors that lead to the film processing time in a dark room. Methods: The research design used was experimental with research samples tested on pH developers in the Radiology Installation of RSUD Pesawaran. Result: Calculation analysis, measurement test result of developer pH measurement to the time of generation on the film was the sig. value which was 0,000 and the degree of relationship value was - 0,983. Conclusion: Based on the provisions, the sig. value of 0.000 0.05 then Ho was rejected or it was stated that there was a relationship between variable X (pH value) and variable Y (Time). 
Penatalaksanaan Teknik Radiografi Abdomen 3 Posisi Pada Kasus Ileus Paralitik Dengan Modalitas Computed Radiography Di Instalasi Radiologi Kartina Wati, Enna
Journal of Comprehensive Science Vol. 2 No. 9 (2023): Journal of Comprehensive Science (JCS)
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/jcs.v2i9.518

Abstract

Wilhelm Conrad Rontgen, fisikawan dari Universitas Wurzburg, Jerman, menemukan sinar-X pada 1895 saat bereksperimen dengan sinar katoda. Sinar-X, yang diidentifikasinya melalui fluoresensi kristal barium platinocyanide, menjadi terobosan besar dan diberi namanya sebagai penghargaan. Di bidang medis, sinar-X banyak digunakan untuk diagnostik, termasuk dalam pemeriksaan perut akut. Perut akut, kelainan yang timbul secara mendadak, memerlukan diagnosis cepat dengan melibatkan teknik radiografi, khususnya proyeksi perut tiga posisi. Penelitian ini berfokus pada penatalaksanaan teknik radiografi abdominal tiga posisi pada kasus ileus paralitik di RS Islam Siti Khadijah Palembang pada 2019. Dengan menggunakan metode deskriptif, penelitian ini menunjukkan bahwa teknik ini memberikan gambaran perut optimal dengan memperhitungkan kenyamanan pasien. Hasil survei terhadap radiografer dan penilaian ahli radiologi mengonfirmasi kualitas radiografi yang baik, mendukung diagnosis ileus paralitik. Studi ini mencerminkan komitmen RS Islam Siti Khadijah dalam pelayanan kesehatan yang berkualitas dan keberlanjutan pengembangan fasilitas medisnya
UJI KEBOCORAN ALAT PROTEKSI DIRI (LEAD APRON ) DENGAN MENGGUNAKAN IMAGING PLAT (IP) DI INSTALASI RADIOLOGI KLINIK PRATAMA UNIVERSITAS MUHAMMADIYAH PURWOKERTO Lutfatul Fitriana; Tati Hardiyani; Muhamad Andi Maulana
Jurnal Kesehatan Tambusai Vol. 4 No. 3 (2023): SEPTEMBER 2023
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v4i3.18654

Abstract

Tindakan proteksi radiasi yang harus dilakukan oleh pekerja radiasi adalah penggunaan alat pelindung diri untuk menahan radiasi mengenai tubuh dan masuk kedalam tubuh sehingga dapat meminimalisir terjadinya kecelakaan radiasi, salah satu alat proteksi radiasi yaitu Lead Apron. Sehingga perawatan Lead apron juga sangat penting dilakukan untuk menjaga keadaan fisik dari Lead apron itu sendiri agar tetap terjaga dengan baik. Inspeksi rutin tahunan, merupakan cara yang efektif dan penting untuk menggunakan peralatan pelindung diri. Jenis penelitian ini merupakan penelitian eksperimental yang mana nantinya akan dilakukan eksposi pada 1 buah lead apron, teknik analisis data pada penelitian ini merujuk pada penelitian Lambert dan McKeon (2001), jika pada saat pengujian terlihat adanya lubang atau robekan pada Lead apron lebih dari 15 mm2 pada daerah sensitif misalnya gonad, maka Lead apron tidak dapat digunakan lagi. Hasil dari penelitian ini yaitu kondisi fisik dari Lead apron sudah terlihat lusuh dan terdapat banyak bercak pada pembungkus lead apron, setelah diraba menggunakan tangan terasa ada retakan dan gumpalan-gumpalan besi di dalam Lead apron pada semua area kuadran. Sedangkan berdasarkan hasil pengujian Lead apron dengan metode radiografi mendapatkan hasil terdapat banyak area yang terjadi patahan sehingga banyak timbal (pb) yang menumpuk menjadi satu pada area tertentu. Dari hasil perhitungan luas kerusakan pada daerah vital seluas 14.517,36 mm2, dan luas kerusakan pada daerah non vital seluas 4.037,77 mm2. Dari hasil uji tersebut dapat diartikah bahwa Lead apron mengalami kerusakan yang cukup parah sehingga tidak layak untuk digunakan lagi.
Prosedur Pemeriksaan Msct Abdomen Kontras Dengan Klinis Tumor Lower Abdomen Di Instalasi Radiologi RS Kupang Natalia Imelda Seran; I Putu Eka Juliantara; Cokorda Istri Ary Widiastuti
DIAGNOSA: Jurnal Ilmu Kesehatan dan Keperawatan Vol. 1 No. 4 (2023): November : Jurnal Ilmu Kesehatan dan Keperawatan
Publisher : Universitas Katolik Widya Karya Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59581/diagnosa-widyakarya.v1i4.1343

Abstract

Background: CT (Computed Tomography) Scan modality is very useful for obtaining a diagnosis of tumors in the abdominal cavity. The procedure carried out in abdominal MSCT uses contrast media. The contrast media commonly used in abdominal MSCT examinations can be intravenous, oral and anal. Kupang Hospital uses contrast media intravenously, orally and anally. The aim of this study was to determine the procedure for examining abdominal MSCT with clinical lower abdominal tumors using a multiphase technique using intravenous contrast media in the form of iodine water soluble with a dual syringe injector and NaCl liquid and orally with a volume of 750 ml of mineral water mixed with 5 ml of contrast media to drink before The examination then takes place via anal examination in the form of negative water contrast media mixed with iodine water soluble contrast media with a 50 cc syringe and also to find out the reasons for using contrast media intravenously, orally and anally in abdominal MSCT examinations with clinical lower abdominal tumors. Method: This research design is qualitative with a case study approach. The subjects of this study were patients with clinical lower abdominal tumors. Research respondents were 2 Radiographers, 1 Radiology Specialist. The data collection method was taken by observation, Focus Group Discussion (FGD) and documentation, then data analysis and conclusion drawing were carried out. Results: The results of this study are about the abdominal MSCT examination procedure and the reasons for using contrast media injection techniques with clinical lower abdominal tumors in the Kupang Hospital Radiology Installation. Conclusion: The use of the technique of intravenous administration of contrast media aims to anatomically visualize vascularization, distinguish blood vessels from masses, determine the level of vascular displacement or invasion by tumors and by inserting contrast media orally it aims to provide opacification of the intestine and assist in diagnosing existing abnormalities in the intestine such as ulceration, perforation, obstruction, and space occupying lesions then through anal purposes to fill the large intestine, able to provide an overview of colonic distension and colon cancer. The use of contrast media injection techniques via intravenous, oral and anal is because the patient can make preparations as expected .
Teknik Pemeriksaan Parietoacanthial (Modified Waters Methode) Pada Kasus Fraktur Orbita Lateral Dekstra Di Instalasi Radiologi Rsud Dr. Moewardi Jemamun, Agustina Erfianita; Putri, Sarika Setya; Thesia, Anggriani
Prosiding University Research Colloquium Proceeding of The 11th University Research Colloquium 2020: Bidang MIPA dan Kesehatan
Publisher : Konsorsium Lembaga Penelitian dan Pengabdian kepada Masyarakat Perguruan Tinggi Muhammadiyah 'Aisyiyah (PTMA) Koordinator Wilayah Jawa Tengah - DIY

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

Abstract

Salah satu pemeriksaan yang digunakan untuk pemeriksaan orbita adalah parietoacanthial (waters method), pada umumnya Proyeksi Parietoacanthial pada pemeriksaan orbita menggunakan posisi pasien Postero-Anterior, namun di RSUD Dr. Moewardi memodifikasi proyeksi parietoacanthial sehingga posisi pasien yang digunakan adalah Antero-Posterior. Jenis penelitian ini adalah penelitian kulitatif dengan studi kasus. Pengambilan data dilakukan pada bulan Oktober 2019 di Instalasi Radiologi RSUD Dr. Moewardi dengan melakukan pengamatan langsung. Analisis data dilakukan dengan empat langkah yaitu pengumpulan data, reduksi data, penyajian data dan penarikan kesimpulan. Proyeksi Parietoacanthial (waters method) yang dimodifikasi dari posisi Postero-Anterior menjadi Anterior-Posterior tidak ada perbedaan yang signifikan. Namun pasien dengan posisi supine akan lebih nyaman karena pasien yang mengalami fraktur tidak berpindah posisi menjadi prone.
TANGGUNG JAWAB HUKUM PETUGAS FISIKAWAN MEDIS TERHADAP KUALITAS MUTU PADA IZIN OPERASIONAL RADIOLOGI DI RUMAH SAKIT BHAYANGKARA BANDA ACEH Yohny Anwar; T. Riza Zarzani; Chermanto Chermanto
SIBATIK JOURNAL: Jurnal Ilmiah Bidang Sosial, Ekonomi, Budaya, Teknologi, dan Pendidikan Vol. 2 No. 8 (2023): July
Publisher : Lafadz Jaya Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54443/sibatik.v2i8.1196

Abstract

Medical physicists are professionals who apply the principles of Medical Physics in their practice. They work in healthcare facilities, academic institutions, or research organizations after undergoing structured education and training. Medical physicists practicing in clinical settings are protected by laws and possess competent clinical knowledge in the field of Medical Physics. The services provided by medical physicists in healthcare facilities are regulated by standards set by the Minister of Health. Several cases involving quality issues related to radiology operational permits highlight the responsibilities of medical physicists in their practice. This research aims to examine the legal regulations governing the role of medical physicists in maintaining the quality of medical permits, the efforts made to address quality issues related to operational permits in hospitals, and the legal accountability of medical physicists in ensuring the quality of operational permits. The research employs a juridical empirical and normative methodology, collecting data through literature reviews, relevant laws, and interviews conducted at Bhayangkara Hospital in Banda Aceh. The research findings indicate that there are legal regulations concerning the role of medical physicists in maintaining the quality of radiology operational permits in hospitals, including regulations on nuclear safety issued by the regulatory body. In cases of errors involving medical physicists in hospitals, the hospital and the director are held responsible and may face administrative or criminal sanctions.
Profil Kelainan Radiologi pada Remaja dengan Skoliosis Widjaya, Inge Friska; Firmansyah, Yohanes; Nathaniel, Fernando; Wijaya, Dean Ascha
MAHESA : Malahayati Health Student Journal Vol 3, No 10 (2023): Volume 3 Nomor 10 (2023)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v3i10.11178

Abstract

ABSTRACT Scoliosis is a type of spinal abnormality characterized by a lateral deviation of more than 10 degrees to the right or left. It affects 1-3% of children in the at-risk population, particularly those aged between 10 to 16 years. The main purpose of this research is to examine the radiological characteristics of scoliosis in teenagers using imaging (Spinal X-ray) at Royal Taruma Hospital. The sample for this study was selected using total sampling criteria from medical records gathered during the period from January to June 2023. The variables analyzed include age, gender, and the radiological features of scoliosis. The data was presented descriptively. Out of the 25 respondents, the average age was 15 years, with females comprising 88% of the participants. Most respondents (80%) exhibited a combination of dextroscoliosis and levoscoliosis. The median Cobb angle measurement for dextroscoliosis was 24 degrees, while for levoscoliosis, it was 26.5 degrees, both indicating moderate scoliosis. The curvature lesions for dextroscoliosis generally started at T5, and for levoscoliosis, they began at T12, with both types of scoliosis commonly ending at the level of L4. Keywords : Scoliosis, Spinal X-ray, Teenager  ABSTRAK Skoliosis merupakah salah satu bentuk kelainan tulang belakang dengan deviasi lateral lebih dari 10 derajat ke kanan atau ke kiri. Skoliosis mempengaruhi 1-3% anak-anak dalam populasi berisiko yaitu mereka yang berusia 10-16 tahun. Penelitian ini bertujuan untuk mengetahui profil kelainan radiologi pada remaja dengan skoliosis berdasarkan pemeriksaan radiologi (X-Ray Spine) di RS Royal Taruma yang dipilih sesuai kriteria secara total sampling menggunakan data rekam medis pada periode waktu Januari – Juni 2023. Variabel yang digunakan dalam penelitian ini yaitu usia, jenis kelamin, dan gambaran radiologi skoliosis. Data disajikan dalam bentuk deskriptif. Dari 25 responden, rerata usia adalah 15 tahun, didominasi oleh perempuan pada 88% responden, dan didapatkan kombinasi dextroskoliosis dan levoskoliosis pada 80% responden. Nilai median Cobb angel pada kelainan dextroskoliosis sebesar 24 derajat dan pada levoskoliosis sebesar 26,5 derajat dimana keduanya masuk dalam kategori moderate skoliosis. Letak lesi lengkungan pada dextroskoliosis dimulai dari T5 dan kelainan levoskoliosis dimulai dari T12, dan umumnya berakhir setinggi L4 baik pada dextroskoliosis maupun levoskoliosis. Kata Kunci: Remaja, Rontgen Tulang Belakang, Skoliosis
Gambaran Radiologi Magnetic Resonance Imaging (MRI) pada Pasien Meningioma di Rumah Sakit Daerah K.R.M.T Wongsonegoro Maryani, Luh Putu Endyah Santi; Nathaniel, Fernando; Wijaya, Dean Ascha; Firmansyah, Yohanes; Yogie, Giovanno Sebastian
MAHESA : Malahayati Health Student Journal Vol 3, No 9 (2023): Volume 3 Nomor 9 (2023)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v3i9.11232

Abstract

ABSTRACT Meningioma, the most prevalent tumor in central nervous system, can be thoroughly evaluated using contrast MRI. This cross-sectional study aimed to analyze radiological characteristics of meningioma patients who underwent contrast-enhanced head MRI at K.R.M.T Wongsonegoro Regional Hospital. The patients were selected based on total sampling criteria, using medical records data from January to June 2023. The study examined various variables such as primary and secondary meningioma lesions, lesion size, location, increased intracranial pressure, midline shift, infarction, cranial nerve defects, and sinusitis. Data were presented descriptively. Among 30 respondents, average age was 49.33 years, and majority were females (96.7%). Most common location for primary meningiomas was right parafalcine region (16.7%). Average dimensions of primary meningioma lesions in the anterior-posterior, lateral-lateral, and cranial-caudal directions were 4.93 cm, 4.51 cm, and 4.43 cm, respectively. Meningomatosis was the predominant imaging finding in 33.3% of respondents, while 26.7% had secondary meningioma lesions. On average, the midline shift was 5.54 mm, with 93.3% of respondents experiencing midline shift, most frequently towards left side (53.3%). Clinical and radiological reviews demonstrated that all patients had increased intracranial pressure (ICP), among them, 9.9% experienced incidents of infarction, 13.3% had defects in cranial nerve II, and 43.3% had maxillary sinusitis. The conclusion of this study is that the location of meningioma generally varies with typical symptoms in the form of a midline shift and an increase in ICP Keywords : Central Nervous System, Head Tumor, Meningioma, MRI  ABSTRAK Meningioma merupakan tumor sistem saraf pusat yang paling sering. MRI kontras mampu memberikan evaluasi cukup lengkap terhadap meningioma. Penelitian potong lintang ini bertujuan untuk mengetahui gambaran radiologi pasien meningioma yang menjalani pemeriksaan MRI kepala dengan kontras di Rumah Sakit Daerah K.R.M.T Wongsonegoro yang dipilih sesuai kriteria secara total sampling menggunakan data rekam medis pada periode waktu Januari 2023 sampai Juni 2023. Variabel dalam penelitian ini yaitu lesi meningioma primer dan sekunder, ukuran lesi meningioma, letak lesi meningioma, peningkatan tekanan intrakranial, midline shift, insiden infark, defek nervus kranial, dan sinusitis. Data disajikan dalam bentuk deskriptif. Dari 30 responden, rerata usia adalah 49,33 tahun dan didominasi oleh perempuan (96,7%). Lokasi meningioma primer umumnya di parafalcine kanan (16,7%), ukuran meningioma primer secara anterior-posterior, lateral-lateral, cranial-kaudal berturut-turut adalah 4,93 cm, 4,51 cm, dan 4,43 cm, dominasi gambaran meningioma adalah meningomatosis pada 33,3% responden, serta 26,7% responden memiliki lesi meningioma sekunder. Rerata midline shift sebesar 5,54 mm pada 93,3% responden dan umumnya bergeser ke sisi kiri (53,3%). Peninjauan dari segi klinis dan radiologi ditemukan bahwa seluruh pasien mengalami peningkatan tekanan intrakranial (TIK), terdapat 9,9% responden mengalami insiden infark, 13,3% responden mengalami defek pada nervus kranial II, dan 43,3% responden mengalami sinusitis maksilaris. Kesimpulan penelitian ini berupa letak meningioma umumnya bervariasi dengan gejala yang khas berupa midline shift dan peningkatan TIK Kata Kunci: Meningioma, MRI, Sistem Saraf Pusat, Tumor Otak

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