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Analisis Pemeriksaan CT Scan Abdomen Tiga Fase dengan Suspect Hepatoma di Instalasi Radiologi RSUD Arifin Achmad Provinsi febri yuandari
JPNM Jurnal Pustaka Nusantara Multidisiplin Vol. 1 No. 2 (2023): July: Jurnal Pustaka Nusantara Multidisiplin
Publisher : SM Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59945/jpnm.v1i2.29

Abstract

Hepatoma merupakan kanker hati primer yang paling umum. Pentingnya mendiagnosa penyakit untuk menentukan terapi pengobatan sebelum kanker berstadium lanjut merupakan hal yang penting. Salah satu Pemeriksaan untuk mendeteksi Hapoma adalah CT Scan Abdomen Tiga Fase. Penggunaan rekontruksi 1.5mm, pemberian media kontras intravena dan scan delay pada pemeriksaan CT Scan Abdomen Tiga Fase di Instalasi Radiologi Rsud Arifin Achmad Provinsi Riau berbeda dengan Romans (2011) dan Nasseth (2000). Penelitian ini bertujuan untuk mengetahui prosedur pemeriksaan CT Scan Abdomen Tiga Fase, teknik pemberian media kontras, dan informasi diagnostik yang dihasilkan. Jenis Penelitian yang dilakukan adalah penelitian kualitatif dengan pendekatan studi kasus. Pengambilan data dengan cara observasi,wawancara tiga orang radiografer, satu dokter radiologi, satu orang perawat radiologi serta dokumentasi. Pengolahan data dilakukan dengan cara koding terbuka kemudian dianalisis untuk memperoleh kesimpulan. Pengambilan data dilakukan pada bulan Juni sampai bulan Juli 2023. Prosedur pemeriksaan CT Scan Abdomen Tiga Fase Suspect Hepatoma di Instalasi Radiologi RSUD Arifin Achmad Provinsi Riau meliputi persiapan pasien, persiapan alat dan teknik pemeriksaan yaitu : memposisikan pasien, entri data pada monitor konsole, pemilihan protokol dan parameter scanning, melakukan scanning pre kontras, pemasukkan media kontras, scanning post kontras, rekonstruksi citra, pencetakan film jika dibutuhkan dan pembacaan hasil radiograf oleh dokter spesialis radiologi. Jenis media kontras yang digunakan pada pemeriksaan adalah media kontras iodium dengan konsentrasi 300 mg/mL. dengan jumlah media kontras 80 mL/kg atau 1.5 mL/kg dikali berat badan pasien ditambah 50 ml NaCl dengan penggunaan flowrate 2,5 mL/detik, delay scan fase arteri 30 detik, fase vena 20 detik, dan fase parenkim/delayed 3 menit menggunakan mesin injektor
Analisis Pemeriksaan Ct Scan Cardiac Dengan Klinis Coronary Artery Disease (Cad) Di Instalasi Radiologi RSUD Provinsi NTB Fitriah; I Kadek Yuda Astina; I Bagus Gede Dharmawan
JPNM Jurnal Pustaka Nusantara Multidisiplin Vol. 1 No. 2 (2023): July: Jurnal Pustaka Nusantara Multidisiplin
Publisher : SM Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59945/jpnm.v1i2.30

Abstract

The heart is an important organ in the body because it has a vital role in maintaining human life. However, it cannot be denied that the heart can experience damage, one of which is Coronary Artery Disease (CAD), which is characterized by the presence of plaque in the coronary arteries so that the coronary arteries become narrow. There are several causes that can cause CAD, but this needs to be examined further to find out the main cause of the disease so that the treatment given can be appropriate and fast. One treatment that can be used to check CAD is via CT Scab Cardiac. However, the study regarding this examination has not been studied further, so researchers want to study the analysis of cardiac CT scan examinations with clinical Coronary Artery Disease (CAD) in the Radiology Installation of the NTB Provincial Hospital. The aim is to carry out an in-depth analysis of cardiac CT scan examinations with clinical Coronary Artery Disease (CAD) in the Radiology Installation of the NTB Provincial Regional Hospital, so that various information related to this matter can be known in depth. The research method used is qualitative with a case study approach. The data collection technique was carried out through observation, interviews and documentation from June to July 2023. The data collected was then analyzed in depth so that the research results showed that the CT Cardiac examination using the bolus tracking technique was carried out with 80 ml of contrast media and 40 ml of saline flush with The injection duration is 40 seconds and starts with a dual service AP Lateral topogram, calcium scoring scanning without contrast media, placing the locator 2 cm above the carina, placing the tracker on the descending aorta followed by cardiac scanning with several phases. The use of bolus tracking because it makes it easier for radiographers to carry out treatments in CAD with accurate results.
Analisa Image Quality pada Variasi Nilai Sensitivity Encoding MRI Brain Sekuens T1 TSE Axial di instalasi Radiologi RSUP Prof. dr. I.G.N.G.Ngoerah Denpasar Nelce Silvia Panggaliau; I Made Lana Prasetya; I Made Adhi Mahendrayana
An-Najat Vol. 1 No. 4 (2023): NOVEMBER : An-Najat: Jurnal Ilmu Farmasi dan Kesehatan
Publisher : STIKes Ibnu Sina Ajibarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59841/an-najat.v1i4.523

Abstract

Magnetic resonance imaging (MRI) is an advanced medical device in the medical field that combines computer technology, high magnetic fields (0.064-7.0 Tesla), and radio waves to create cross-sectional images of the human body. Magnetic resonance imaging (MRI) examination has advantages over other diagnostic methods, because it does not use ionizing radiation, is non-invasive, produces high resolution in soft tissues, and allows different slice marks in all planes (axial, sagittal, coronal, even oblique), so that the image results are more detailed and clear. Sensitivity Encoding is a parallel imaging technique that uses images generated from a phased array coil. SENSE reconstruction can speed up the filling of the K Space thereby reducing scan time. In MRI brain imaging, a clear contrast between organs and minimal noise is required, so a good CNR (Contrast to Noise) is needed. CNR is derived from SNR. CNR is the difference in value between two SNRs that are close to each other. The type used is quantitative research with an experimental approach. The samples of this study were 10 MRI brain patients who underwent examinations in June-July 2023 at the Radiology Installation of Prof. Dr. I. G. Ngoerah Denpasar Hospital. G. N. G. Ngoerah Denpasar The results of this study show a sig value of 0.000 <0.05, it can be concluded that Ha is accepted and Ho is rejected. This means that there is a significant difference in Contrast to Noise Ratio (CNR) on MRI examination of Brain T1 TSE Axial sequences using variations in Sensitivity Encoding values. Sensitivity Encoding value 2 is able to produce a more optimal CNR compared to the Sensitivity Encoding value, seen from the meank rank value at Sensitivity Encoding value 2 which is 55.2325 while at Sensitivity Encoding 3 is 42.8033. There is a difference in Contrast to Noise Ratio (CNR) on MRI Brain examination of T1 TSE Axial sequences by using variations in Sensitivity Encoding values 2 and 3. The Sensitivity Encoding value that can provide the most optimal Contrast to Noise Ratio (CNR) on MRI Brain examination of T1 TSE Axial sequences is Sensitivity Encoding value 2.
Evaluasi Perbandingan Informasi Citra MRI Brain Sekuen Diffusion Weighted Imaging Irisan Axial Pada Variasi Nilai SENSE di Instalasi Radiologi RSUD Provinsi NTB I Made Lana Prasetya; I Bagus Gede Dharmawan; I Wayan Ariec Sugiantara; Nandika A.J Mokoagow
An-Najat Vol. 1 No. 4 (2023): NOVEMBER : An-Najat: Jurnal Ilmu Farmasi dan Kesehatan
Publisher : STIKes Ibnu Sina Ajibarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59841/an-najat.v1i4.551

Abstract

Magnetic Resonance is a radiodiagnostic examination tool in the field of radiology, especially in the medical world. Diffusion Weighted Imaging is a method to assess molecular function and microarchitecture of the human body. DWI signal contrast can be measured with visible diffusion coefficient maps and serves as a tool for treatment response evaluation and disease progression assessment. Parallel imaging techniques involve phased array coils to process signals from a slice, then combine these slices to form an image, reducing scan time by reducing the acquired K-space lines. The formation of Sensitivity Encoding (SENSE) can shorten the insertion of K-space. This study aims to test variations of SENSE values 2.0 and 2.5 in MRI brain examinations with axial DWI sequences that are capable of visualizing anatomical information with fast scan times without compromising image quality, resulting in optimal images. This research is quantitative with an experimental approach. The sample consists of 10 patients using voluntary sampling of MRI Brain with axial DWI sequence and varying SENSE values from July to August 2023. Data were collected through questionnaires filled out by three radiology specialists at the Radiology Installation of the Provincial Hospital of West Nusa Tenggara (RSUD Provinsi NTB). The results of the Wilcoxon test showed a significant difference in anatomical information in MRI brain with axial DWI sequences between SENSE values of 2 and 2.5, with a p-value of 0.012. The mean rank value results indicated a sum of ranks of 280.00 for the SENSE 2 value, demonstrating greater optimality compared to SENSE 2.5. This study concludes that there is a significant difference in anatomical information in MRI brain with axial DWI sequences between SENSE values of 2 and 2.5. SENSE 2 tends to provide more optimal information.
IDENTIFIKASI POTENSI BAHAYA DENGAN MENGGUNAKAN METODE JOB SAFETY ANALYSIS (JSA) DI RUANG RADIOLOGI RUMAH SAKIT BHAYANGKARA KENDARI 2023 Besse Nurjannah; Wa Ode Khofifah Endarwati; Khalfia Khalfia; Meilany Amelia; Ramadhan Tosepu; Devi Savitri Effendy; Sri Susanty
Jurnal Kesehatan dan Keselamatan Kerja Universitas Halu Oleo Vol 4, No 2 (2023): Jurnal Kesehatan dan Keselamatan Kerja Universitas Halu Oleo (JK3UHO)
Publisher : FKM Universitas Halu Oleo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37887/jk3-uho.v4i2.43145

Abstract

Abstrak Petugas di ruang radiologi dapat terpapar sinar-X dari mesin rontgen atau sumber radiasi, selain itu bahaya lain yang mungkin terjadi antara lain bahaya fisik, bahaya ergonomi, bahaya biologi, dan bahaya kimia. Tujuan dari penelitian ini adalah untuk mengidentifikasi risiko yang mungkin terjadi di departemen radiologi Rumah Sakit Bhayangkara Kendari pada tahun 2023. Teknik Job safety analysis (JSA) dari penelitian kualitatif deskriptif dan observasi dilakukan untuk menilai kemungkinan risiko dan tingkat risiko. Data dikumpulkan melalui wawancara mendalam dengan informan, observasi langsung terhadap prosedur kerja, dan laporan rumah sakit. Pemilihan informan penelitian dilakukan secara non-random sampling yaitu dengan teknik purposive sampling dan snowball sampling. Ada empat informan: dua laki-laki dan dua perempuan dengan profesi sebagai radiographer, petugas proteksi radiasi, tenaga ahli/fisikawan medis dan dokter spesialis radiologi. Laptop, telepon pintar, buku, dan pensil digunakan sebagai alat bantu penelitian untuk mengambil data yang diperlukan. Hasil penelitian menunjukkan terdapat enam bahaya untuk enam item pekerjaan di ruang radiologi Rumah Sakit Bhayangkara Tingkat III yang terdiri dari risiko fisik, ergonomi, radiasi, biologi, dan kimia. Berdasarkan hasil penilaian risiko dengan menggunakan Manajemen Risiko AS/NZS 4360:2004 didapatkan hasil bahwa terdapat 4 risiko tingkat rendah, 12 risiko tingkat menengah, dan 6 risiko tingkat tinggi. Tingkat keparahan dan kemungkinan bahaya yang mungkin timbul pada setiap item pekerjaan menjadi dasar penilaian risiko. Kata Kunci : job safety analysis, penilaian risiko, potensi bahaya
Karakteristik Pemeriksaan Pasien Di Instalasi Radiologi Rumah Sakit Ananda Babelan Bekasi Periode Agustus 2021– Juli 2022 : Studi Retrospektif Nurvan, Hadi; Wardani, Arum Kesuma; Palupi, Nur Endah
JURNAL PANDU HUSADA Vol 4, No 4 (2023)
Publisher : Universitas Muhammadiyah Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30596/jph.v4i4.16541

Abstract

Rumah sakit merupakan instansi yang  memberikan pelayanan kesehatan bagi masyarakat. Salah satu pelayanan yang di berikan adalah pelayanan di instalasi radiologi.  Pemeriksaan di sini  bertujuan untuk membantu dokter dalam upaya mendiagnosis dan mengobati penyakit dengan memberi  informasi dari hasil tes radiologi yang tepat waktu dan dapat diandalkan. Untuk memastikan keandalan hasilnya, dibutuhkan perhatian  sejak awal pemeriksaan  hingga penyampaian hasil . Jenis  pemeriksaan berupa  penyinaran zat radioaktif, medan magnet, atau gelombang suara .  Pemeriksaannya di bagi atas pemeriksaan :1. Radiologi diagnostik , jenis pemeriksaan yang menggunakan: Computer tomography ( CT), MRI (Magnetic Resonance Imaging ), Foto rontgen, USG (Ultrasonografi), flouroskopi, pemeriksaan nuklir, PET (Positron Emission Tomography). 2.Radiologi Intervensi. Penelitian: deskriptif observasional  retrospektif , data pasien diambil dari catatan   Rekam Medik  Unit Radiologi  Rumah Sakit Ananda  Babelan Bekasi Periode Agustus  2021- Juli 2022. Sampel  semua pasien yang melakukan pemeriksaan radiologi. Dari data di jumpai jenis pemeriksaan yang dilakukan terbanyak radiografi /rontgen sebanyak 7611 pasien ( 82,8 %), dengan jenis kelamin yang paling banyak perempuan sebanyak 4868 pasien( 53 %) serta yang paling banyak berusia 36-45 tahun (18,6 %). Jenis pemeriksaan yang dilakukan atas permintaan dokter dan sesuai dengan kondisi si pasien agar segera dilakukan pengobatan. 
Analisis Pemeriksaan Lumbal Pada Kasus Low Back Pain (LBP) Di Instalasi Radiologi RSUD Kota Bogor Sumantri Sebayang; Kadek Yuda Astina; Triningsih Triningsih; I Kadek Sukadana; Nova Adeline
Jurnal Ilmiah Kedokteran dan Kesehatan Vol 3 No 1 (2024): Januari : Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v3i1.2253

Abstract

The aim of this research is to determine the Lumbar MRI examination procedure in LBP cases at the Bogor City Regional Hospital, namely STIR and Myelo Radial, the aim of which is to clearly see abnor malities in the intervertebral discs and stenosis in the cerebral spinal cord. 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, so that conclusions could be drawn. The results of this study show that the Lumbar MRI examination procedure in cases of Low Back Pain (LBP) at the Bogor City Regional Hospital does not require special preparation, the patient comes to radiology for screening (installation of a pacemaker). The patient removes clothing and metal objects. Before the examination, the patient is asked to urinate first, the patient's position is supine (feet first), iso center 5 cm superior to the ASIS. Then it is briefly explained that during the examination you are not allowed to move and the duration of the examination is 15 minutes and the role of the sagittal STIR sequence and Myelo Radial. The role of the sagittal STIR sequence and myelo radial to suppress fat in the cerebral spinal fluid, conus medullaris and myelum in the spinal cord and to see masses Lesions and stenosis caused by narrowing of the bulging in the intervertebral disks are clear enough to provide a Lumbar MRI image for cases of Low Back Pain (LBP).
Prosedur Pemeriksaan MRI Brain pada Kasus Trigeminal Neuralgia di Instalasi Radiologi RSUD Provinsi NTB Zainal Abidin AR Malasugi; Ni Putu Rita Jeniyanthi; I Made Adhi Mahendrayana
Jurnal Ilmiah Kedokteran dan Kesehatan Vol 3 No 1 (2024): Januari : Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v3i1.2278

Abstract

Research has been conduced on MRI Brain examiation procedures in cases of trigeminal neuralgia at the radiology installation of the NTB Privincial Hospital. The purpose of this study was to determine how the MRI Brain examination procedure in cases of trigeminal neuralgia at the radiology installation of the NTB Provincial Hospital and why the b-FFE sequence was used in the MRI Brain examination of trigeminal neuralgia cases at the Radiologi Installation of the NTB Provincial Hospital. This type of research uses qualitative research with a case study approach to MRI Brain examination in cases of trigeminal neuralgia. This research was conducted in june-july 2023 at the Radiology installation of the NTB Provincial Hospital using observation, intervie and dokumentation methods. The results of the data were processed and reduced by open coding. The results of the study of MRI Brain examination procedures in cases of trigeminal neuralgia at the Radiology Installation of the NTB Provincial Hospital. Starting with patient preparation, the patinet`s position is supine. The sequences used are DWI Axial, T2W TSE Axial, T1W FFE, T2W FLAIR, MRA, T2W TSE Coronal, T2W TSE Sagittal and b-FFE. The reason for using the b-FFE sequence is to show 12 pairs of cranial nerves, one of which is the trigeminal nerve and the b-FFE sequence can be used as a differential diagnosis against other sequences.
Analisis Variasi Penggunaan Increment Terhadap Informasi Citra Ct Scan Kepala Pada Kasus Stroke Non Hemoragic (SNH) Di Instalasi Radiologi Rsud Bali Mandara Natalia Liliosa Miu; Ni Putu R. Jeniyanthy; I Made Purwa Darmita
Jurnal Ventilator Vol. 1 No. 4 (2023): Desember : Jurnal Ventilator
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/ventilator.v1i4.656

Abstract

Background:Non-hemorrhagic strokeis a cerebrovascular disease that occurs when the blood supply to part of the brain is suddenly interrupted by occlusion, usually caused by thrombosis, embolism, and focal hypoperfusion which can cause a reduction or disruption in cerebral blood flow (CBF) and affect neurological function due to lack of glucose and oxygen. Computed tomography scanning (CT Scan) of the head is a special examination of the head that uses tomography techniques with X-ray beams penetrating the patient's head from various directions using a computer system to produce anatomical images in axial, sagittal and coronal planes..One of the parameters for a CT scan of the head is Increment Reconstruction. Reconstruction Increment is the distance between reconstruction images in volume data. Method: Typeresearch is quantitative with an experimental approach, carried out in July-August 2023 at Bali Mandara Regional Hospital. The population and sample of this study were 10 patients with indications of non-hemorrhagic stroke. Results :research results from the overall Friedman test on CT scans of the head with clinical non-hemorrhagic stroke using variations in reconstruction increments of 0.5mm, 0.9mm, 1.5mm, 2mm, the results of the most optimal anatomical image information in producing images from 4 variations of increments, namely in the 2mm increment reconstruction which has the highest mean rank value, namely 3.30 in the thalamus area, 3.40 in the lateral ventricle area, 3.25 in the white matter area, 3.40 in the gray matter area, 3.40 in the lesion area hypodense/infarction of 3.25. Conclusion:From the results of the Friedman test on CT scans of the head with clinical non-hemorrhagic strokes using variations in reconstruction increments of 0.5mm, 0.9mm, 1.5mm, 2mm against anatomical criteria, the most optimal value in producing an image is at a reconstruction increment of 2mm which has the highest mean rank value.
Perbedaan Kualitas Citra MRI Pelvis Pada Kasus Kanker Prostat dengan Variasi B Value Di Instalasi Radiologi RSUP Prof. Dr. I.G.N.G Ngoerah Luh Eka Aza Pratiwi; I Made Lana Prasetya; I Putu Sugiartha
Jurnal Ventilator Vol. 1 No. 4 (2023): Desember : Jurnal Ventilator
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/ventilator.v1i4.673

Abstract

B value is a factor that reflects the strength and timing of the gradient that will be used to generate a diffusion-weighted image. The higher the b value, the stronger the effect on diffusion. B value can be expressed in units of s/mm2 with a b value range of 500 s/mm2 to 1500 s/mm2. The use of b value in Diffusion Weighted Imaging (DWI) sequences is very important in detecting prostate cancer to distinguish malignant and benign cancer tissue because b value determines the amount of diffusion weighting and shows the sensitivity of the sequence to diffusion. The purpose of this study is to determine the difference in the quality of SNR and CNR images with b value variations in Pelvic MRI examination in prostate cancer cases. This study uses quantitative research methods with an experimental approach. The study population and samples were 4 Pelvic MRI patients with prostate cancer cases who underwent examination in July-August 2023 at the Radiology Installation of Prof.Dr.I.G.N.G Ngoerah Hospital, and each sample was subjected to b value variations of 800, 1000, 1400 and 2000 on the Diffusion Weighted Imaging (DWI) sequence. Data were processed using radiant DICOM and then analyzed using normality test and repeated anova test on SPSS 25 software. The results showed a significance value (p-value) > than 0.05, it can be concluded that H0 is accepted and Ha is rejected, which means that there is no difference in Pelvic MRI image quality in Prostate Cancer Cases with b value variations. The b value variation of 800 on Pelvic MRI examination on Diffusion Weighted Imaging (DWI) sequences with prostate cancer cases can produce more optimal image quality compared to b value variations of 1000, 1400 and 2000.

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