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ANGKA KEJADIAN NEFROBLASTOMA BERDASARKAN USIA DAN JENIS KELAMIN PADA CT SCAN ABDOMEN DI INSTALASI RADIOLOGI RUMAH SAKIT UMUM DAERAH DR. H. ABDOEL MOELOEK TAHUN 2015-2020 Moch Rifly Hidayat; Alfi Wahyudi; Doni Rahman Nurdiana; Esteria Maharani; Toni Prasetia
Medula Vol 13 No 6 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i6.553

Abstract

Nefroblastoma is one of the most common malignancies of primary kidney tumors in children, the incidence of nephroblastoma reaches 6-7% in cases of malignancy that occurs in children. To find out the incidence of nephroblastoma based on age and gender on an abdominal CT scan at the radiology installation at Dr.H. Abdoel Moeloek in 2015-2020. This study used a descriptive research design with retrospective method and cross sectional design. In this study, from 42 patients who were respondents, the most age group data were obtained at the age of 0-5 years with a total of 32 people with a percentage of 76.2%, followed by the age group of 6-10 years with 6 people with a percentage of 14.3% and the least was the age group of 11-15 years as many as 4 people with a percentage of 9.5%. In this study, the most common sex group was men with a total of 27 people with a percentage of 64.3%. In this study, there were 15 female respondents with a percentage of 35.7%. Obtained the age group, most at the age of 0-5 years with a total of 32 people with a percentage of 76.2%. Most of the sex group is male with a total of 27 people with a percentage of 67.6%.
Peranan Sekuent Cartigram Pada Pemeriksaan MRI Knee Joint Dengan Kasus Anterior Cruciate Ligament DI Instalasi Radiologi RSUD Sidoarjo Moh Rivaldi Lantang; A.A Aris Diartama; Triningsih Triningsih
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 3 No. 3 (2023): 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.v3i3.2341

Abstract

Background: The MRI knee joint examination procedure for clinical ACL rupture in the Radiology Installation of Sidoarjo Regional Hospital often adds a T2 Mapping MR Cartigram sequence. T2 mapping MR Cartigram is a special sequence for detecting damage to the collagen component of the cartilage matrix using a quantitative approach method by producing a color map. The aim of this research is to determine the procedure, reasons for use, and diagnostic information resulting from the T2 mapping MR Cartigram sequence. Method: This type of research is qualitative research with a case study approach. The research was conducted in March-June 2022 at the Radiology Installation of Sidoarjo Regional Hospital. Research subjects included three patients, three radiographers, one radiologist, and one sending doctor. Data was collected by means of observation, interviews and documentation and then analyzed using an interactive model system method which would be processed in the form of transcripts, then identified, reduced and categorized the data and made open coding so that conclusions could be drawn. Results: The results of the study show that the clinical MRI knee joint examination procedure for ACL rupture at Sidoarjo District Hospital includes patient preparation, equipment preparation, examination techniques and routine sequences used such as PD Fatsat, T2, T1, STIR, T2*GRE, PD 3D Cube, and additional T2 Mapping MR Cartiram sequence. The use of the T2 mapping MR Cartigram sequence aims to determine the effect of ACL rupture on cartilage damage quantitatively and objectively by placing an ROI in the cartilage area so that it can provide diagnostic information including early detection of cartilage damage, increased water content, and cartilage degenerative processes. The results of the interpretation of the analysis carried out by the Sidoarjo Regional Hospital Radiologist were only subjective, namely looking at the resulting color map to see whether it looked even and homogeneous. Conclusion: Basically, existing saturation measurements are not always the same, they will depend on the patient's diagnosis for which the action will be taken. This saturation measurement uses the AVOXimeter 1000E. no less important in the continuity of actions in the cath lab room.
ANALISIS DOSIS PAPARAN RADIASI DARI PESAWAT PANORAMIK DI INSTALASI RADIOLOGI RUMAH SAKIT UMUM DAERAH RADEN MATTAHER JAMBI Chintiya Romarti; Jesi Pebralia; Rista Mutia Anggraini
JOURNAL ONLINE OF PHYSICS Vol. 9 No. 1 (2023): JOP (Journal Online of Physics) Vol 9 No 1
Publisher : Prodi Fisika FST UNJA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jop.v9i1.27310

Abstract

This research aims to analyze the influence of distance and direction on radiation exposure values, assess the doses received by radiation workers and the general public, and evaluate the effectiveness of radiation protection from panoramic aircraft. The research method used is an experimental research method, where the researcher directly measures the variables of the study and conducts data analysis. The study was conducted by measuring radiation doses in various directions at distances ranging from 0.5 meters to 2.5 meters forward and to the right, and 0.5 meters to 1.5 meters to the left. Dose data reception was taken at operator room, service area, corridor, and waiting room points, and radiation protection effectiveness measurements were taken at corridor entrance, waiting room, and operator room points using a survey meter. The research results indicate that the radiation exposure dose is inversely proportional to the measured distance. The dose received by radiographers in the operator room is 0.107 μSv/hour, in the employee corridor, it is 0.0856 μSv/hour, and in the public waiting room, it is 0.0856 μSv/hour. The radiation protection effectiveness value in the operator room is 94.40%, at the patient entrance from the panoramic aircraft waiting room, it is 92.12%, and at the radiographer entrance from the employee corridor, it is 94.62%. According to the Tenth Value Thickness (TVT) concept, this is considered safe because the existing protection capabilities can effectively absorb radiation.
Peranan Sekuens Dixon pada Pemeriksaan MRI Cervical dengan Klinis Hernia Nucleus Pulposus di Instalasi Radiologi Rumah Sakit Pusat Pertamina Jakarta Selatan Zul Fikra; I Made Lana Prasetya; Tri Asih Budiati
Jurnal Ilmu Kesehatan dan Gizi Vol. 1 No. 4 (2023): Oktober: Jurnal Imu Kesehatan dan Gizi
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikg.v1i4.1805

Abstract

Magnetic resonance imaging (MRI) is a diagnostic examination modality in medicine using a magnetic field without using X-rays, MRI has the advantage of being able to create images and can show clearer and more sensitive anatomical differences in soft tissues in the body such as the brain,Bone marrow and musculoskeletal. An MRI machine can produce diagnostic images of the inside of the human body, both in sagittal, coronal and transverse sections, without using ionizing radiation (X-rays) and also without using radioactive substances, but based on the principle of magnetic resonance of the hydrogen atom to reveal anatomy and pathology. clinical diagnosis, one of which is Hernia Nucleus Pulposus in the Cervical vertebrae. Hernia  Nuecleus pulposus is a condition of biochemical ad physical changes in the spinal disc tissue caused by degeneration in old age,or acute external pressure that causes a bulge into the spinal canal,putting pressure on the durameter or nerve roots, thereby triggering symptoms of neurological pain. The use of the Dixon sequence was proposed for the assessment of metaphyseal bone marrow water water content,with a short scan time. Dixon sequence imaging can be used for fat suppression in the extremities and spine, but also quantification of fat in the bones.. The research method used is descriptive research with an observation approach. Data collection was carried out from 01 January 2022 to 28 February 2023 using a Mr. Philips aircraft with a power of 3 Tesla. The sample of patients used in this study were 5 patients with vertebral complaints. Data collection was carried  out  through observation,interviews and documentation. Cervical MRI examination with clinical Hernia Nucleus Pulposus using a Philips 3 Tesla MRI machine has an examination procedure with a Survey sequence design, Myelo, Sagittal TSE T2 dixon, Sagittal TSE T1, Coronal TSE STIR, Axial TSE TA, and axial mFFE
Teknik Pemeriksaan CT Scan Abdomen Pada Kasus Tumor Intra Abdomen Di Instalasi Radiologi Rumah Sakit X Dewi Rahmawati; Anak Agung Aris Diartama; Rahmat Widodo
Jurnal Ilmu Kesehatan dan Gizi Vol. 2 No. 1 (2024): Januari : Jurnal Imu Kesehatan dan Gizi
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikg.v2i1.2093

Abstract

CT-Scan (Computed Tomography Scanner) is a diagnostic support tool that has universal application for examining all body organs, such as the central nervous system, muscles and bones, throat and abdominal cavity. CT-Scan (Computed Tomography Scanner) was first used in early 1970s for medical diagnosis. This diagnostic technique is carried out by passing a collimated X-ray beam (±2 mm wide) over the patient's body and the radiation beam is captured by a detector system. The X-ray source and detector move in a plane around the patient's body.
Peranan Sekuen T1 SPACE Coronal Pada Pemeriksaan MRI Brain Dengan Klinis Epilepsi Lobus Temporal Di Unit Radiologi RSUP Prof. Dr. I.G.N.G. Ngoerah Denpasar Riana Mageles Lodia Panie; Putu Irma Wulandari; Triningsih Triningsih; Anak Agung Ayu Meidiary
Jurnal Ilmu Kesehatan dan Gizi Vol. 2 No. 1 (2024): Januari : Jurnal Imu Kesehatan dan Gizi
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikg.v2i1.2099

Abstract

Background: Magnetic resonance imaging (MRI) is a cross-sectional imaging technique based on the principle of magnetic resonance of hydrogen atoms due to radio frequency (RF) signals with the same frequency as the precession frequency (lamor frequency). MRI at the beginning of its development used a semiconductor magnetic field with a power of 0.5-1.5 Tesla, but now MRI uses a superconductor magnetic field with a power of 1.5-3 Tesla. One of the advantages of brain MRI in epilepsy cases is that it can display clear information about the anatomy and pathology of the head in general in the temporal lobe area. The use of 3D sequences with isotropic voxels such as SPACE (Sampling Perfection With Application Optimized Contrasts With Varying Flip Angle Evolution) is very useful for generating images with high resolution, thinner cuts, and multi-level reconstruction can be performed in several fragments that allow the acquisition of 3D sequences at one time. Methods: The type used is descriptive qualitative research with a case study approach by conducting interviews with 2 radiology specialists, 1 neurology specialist and 3 radiographers related to MRI brain examinations with clinical epilepsy in August-September 2023 in the Radiology Unit of Prof. Dr. I. G. Ngoerah Denpasar Hospital. G. N. G. Ngoerah Denpasar. Results and Conclusion: This study used five (5) patient data who had clinical epilepsy. Based on the results of observations, interviews and documentation in the radiology unit of Prof. Dr. I.G.N.G. Ngoerah Denpasar Hospital, it can be seen that the procedure for examining MRI Brain with clinical epilepsy is that there is no special preparation, only filling out inform consent. The patient is positioned supine on the examination table with a head fixation device with a head first body position and hands beside the body. Radiographers put the patient into the gantry by setting the isocenter i n the middle of the glabella. After positioning the patient the radiographer sets the parameters using axial T2 Turbo Spin Echo (TSE), sagittal T2 Turbo Spin Echo (TSE), coronal T2 Turbo Spin Echo (TSE), axial T2 Turbo Spin Echo (TSE) dark fluit, axial T1 Turbo Spin Echo (TSE) axial Diffusion Weighted Imaging (DWI) and Susceptibility Weighted Imaging (SWI) and coronal T1 SPACE IR isotropic sequences.In addition, the role of coronal slice T1 SPACE sequences is to clearly see the presence of partical dystrophy, to see the thickening or irregularity of the cortex cerebri clearly. In addition, it is also to see the calcification of the temporal lobe and to measure the volume of the hippocampus.
Analisis Pemeriksaan MRI Brain Pada Kasus Vertigo Di Instalasi Radiologi Rumah Sakit Balimed Denpasar Rama Yeni Ines Sirait; Ni Putu Jeniyanthi; Triningsih Triningsih; Burlian Mughnie
Jurnal Ilmu Kesehatan dan Gizi Vol. 2 No. 1 (2024): Januari : Jurnal Imu Kesehatan dan Gizi
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikg.v2i1.2101

Abstract

The background of this research is that vertigo is a symptom caused by disturbances in body balance due to the different locations of the lesions. Vertigo is not a disease but a symptomatic condition of vestibular system disorders. Evaluation of patients with audiovestibular disorders, sensorineural hearing disorders, tinnitus, and vertigo . Brain MRI is used to evaluate patients with audiovestibular dysfunction, including sensorineural hearing loss, tinnitus, and vertigo. This research method is descriptive qualitative research with a case study approach using a research design, namely observation, interviews and documentation which aims to find out why the T2 MATRIX 3D SPAIR sequence is needed for MRI brain examinations in vertigo cases at the Radiology Installation at Balimed Hospital, Denpasar. The data collection method was obtained using 3 Brain MRI patients, 3 radiology specialists and 3 radiographers. The results of this research show that the Magnetic Resonance Imaging (MRI) brain examination procedure in Vertigo cases at the Radiology installation at Balimed Hospital Denpasar uses the additional T2 MX3D SPAIR sequence for Vertigo cases because this sequence is able to show the nerve fibers in the brain. The conclusion is that the Magnetic Resonance Imaging (MRI) brain examination procedure in Vertigo cases at the Radiology installation at Balimed Hospital Denpasar does not require special preparation, only more attention is paid to the patient's condition, whether they are wearing braces or dentures because the two tools used will interfere with the results of the MRI image used. The reason for using the T2 MX3D SPAIR sequence is with the aim of adding diagnostic information from the image quality results in order to establish a diagnosis of many neurological disorders or nerve fibers, one of which is Vertigo.
Analisis Pemeriksaan CT Scan Leher Dengan Kontras Pada Kasus Tumor Tiroid Di Instalasi Radiologi RSUD Provinsi NTB Rahmah Rahmah; Kadek Yuda Astina; I Bagus Gede Dharmawan
Journal of Educational Innovation and Public Health Vol. 1 No. 4 (2023): Oktober : Journal of Educational Innovation and Public Health
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/innovation.v1i4.1910

Abstract

Background: Thyroid tumors are abnormal growths of the thyroid gland, which can be benign or malignant tumors such as papillary, follicular, medullary or anaplastic types (Aldino, 2018). CT scan of the neck according to (Lee at al, 2016) The contrast media used consists of 80 ml of non-ionic contrast media followed by 20 ml of saline given through the antecubital vein using a power injector and a 20 gauge intravenous catheter at a speed of 2.5- 3.0 ml/sec. According to (Yang et al., 2016) 80-100 ml of 300 mg/L omnipaque contrast media is injected through the cubital vein at a rate of 2.7-3.0 mL/s. And according to (Deng et al., 2019), 80 ml of iopromide (300 mgl/mL) contrast media is injected intravenously at a rate of 3 ml/sec. The aim of this research is to determine the procedure for a CT scan of the neck with contrast in cases of thyroid tumors in the radiology installation at the NTB Provincial Regional Hospital. Method: The type of research carried out is qualitative research with a case study approach. Data were collected by observation, interviews with one radiologist and three radiographers and documentation. Data collection was carried out from June to July 2023. Data analysis was carried out using an interactive model system. Results: This study shows that the contrast media used in CT scans of the neck uses 50 ml contrast media on the grounds that 50 ml contrast media can confirm the diagnosis because in the case of tumors in the thyroid you only want to see whether there is enhancement of the tumor. And the contrast media injection is carried out manually by a radiology nurse on the grounds that it is sufficient to confirm the diagnosis if it is carried out with proper control so that the examination is simpler and the processing time is faster. Conclusion: There is a difference in the CT scan of the neck between theory and the NTB provincial hospital where in theory Lee et al (2016) explains that 80 ml of contrast media is used and an injector is used at a speed of 2.5-3.0 ml/s while the provincial hospital NTB uses 50 ml contrast media and is injected manually by a radiology nurse on the grounds that this can confirm the diagnosis.
Peranan Sekuen Stir Pada Pemeriksaan MRI Shoulder Dengan Klinis Supraspinatus Injury Di Instalasi Radiologi Rumah Sakit Umum Pusat Persahabatan Jakarta Timur Zul Fikra; I Made Lana Prasetya; Hendra Setiawan
JURNAL RISET RUMPUN ILMU KEDOKTERAN Vol. 2 No. 2 (2023): Oktober :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.v2i2.2081

Abstract

Magnetic Resonance Imaging (MRI) is a diagnostic examination modality in medical science using a magnetic field without using X-rays. MRI has the advantage of being able to create images and showing clearer and more sensitive anatomical differences in soft tissues in the body such as the extremities, brain, bone marrow and musculoskeletal to establish a clinical diagnosis, one of which is Supraspinatus Injury to the Shoulder. Supraspinatus is a tear or rupture of the tendon of the supraspinatus muscle. The supraspinatus is part of the shoulder rotator cuff. Most of the time, it is accompanied by another rotator cuff muscle tear. This can occur due to trauma or repeated microtrauma and appears as a partial or full thickness tear. The rotator cuff is a fibrous connective tissue that surrounds the top of the humerus bone and functions to maintain the stability of the glenohumeral joint by pulling the humerus towards the scapula. The research method used is qualitative descriptive research with an observational approach. Data collection was carried out from 08 August 2023 to 07 September 2023 using the Mri Philips Achieva 1.5 Hestia aircraft. The patient sample used in this study was a patient with shoulder complaints. Data collection was carried out through observation, interviews and documentation. Shoulder MRI examination in Supraspinatus Injury Cases using a Philips 1.5 Hestia MRI aircraft has an examination procedure with a sequential design Survey, STIR_TSE_Tra, T1W_TSE_Tra, T1W_TSE_TRA_FS, STIR_TSE_Cor, COR_T2W_FFE, STIR_TSE_Sag, T1W_TSE_Cor, PDW_TSE_Sag
Analisis Pemeriksaan MRI Pelvis Pada Kasus Kanker Serviks Di Instalasi Radiologi RSUP Persahabatan Hildaimawanti Hildaimawanti; Ni Putu Rita Jeniyanthi; Triningsih Triningsih; I Kadek Sukadana
JURNAL RISET RUMPUN ILMU KEDOKTERAN Vol. 2 No. 2 (2023): Oktober :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.v2i2.2088

Abstract

The aim of this research is to find out the procedures for Pelvic MRI examinations in Cervical Cancer Cases at the Radiology Installation at Persahabatan Hospital, to find out the reasons for using T1W SPIR and to find out the reasons for using T2W SPAIR in Pelvic MRI examinations in cervical cancer cases. This type of research uses descriptive qualitative methods with a case study approach. Data collection methods are carried out through observation, interviews and documentation. Then data analysis was carried out using open coding charts and categorization tables, so that conclusions could be drawn. The results of this study indicate that the Pelvic MRI examination procedure in cases of cervical cancer at Persahabatan Hospital using contrast media requires special preparation, namely the patient fasting from eating fibrous foods 1 day before the examination, taking laxatives 12 hours before the examination, and checking urea creatinine. The patient is injected with 20 cc of ultrasonic gel in the rectum and vagina which functions as a marker. The purpose of using the T1W SPIR sequence is to compare enhancement before and after administration of contrast media. The use of T2W SPAIR in pelvic MRI examinations to assess pathological fluid by suppressing fat signals.

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