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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 : Lembaga Pengembangan Kinerja Dosen

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 RADIOGRAFI OS CLAVICULA PADA KASUS EVALUASI POST ORIF DI INSTALASI RADIOLOGI RSUD WONOSARI Puspitaningtyas, Dyah Ayu; Ambarwati, Novita
Medical Imaging and Radiation Protection Research Journal Vol 3 No 1 (2023): Medical Imaging and Radiation Protection Research (MIROR) Journal
Publisher : LPPM Universitas Awal Bros

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54973/miror.v3i1.259

Abstract

In order to assess the most recent condition of the fracture after 10 months of pen installation, the right clavicle examination approach used in the post-orif evaluation case at the Radiology Installation of the Wonosari Hospital was the Anteriorposterior (AP) projection. This type of study, which was conducted at the Wonosari Hospital's radiology department, is a descriptive study using a case study methodology. collecting patient information via requests for photos, medical examinations, and direct observations. Because the radiographic data are thought to be able to provide information to make a diagnosis, the right clavicle is only examined with a post-orif evaluation case at the Radiology Installation of Wonosari Hospital, using just the Anterior-Posterior (AP) projection without forming an angle.
PROSEDUR PEMERIKSAAN MRI PELVIS PADA KASUS KANKER SERVIKS DI INSTALASI RADIOLOGI RSUP PROF.DR.R.D.KANDOU MANADO Angel, Angel Grace Meray; Astina, Kadek Yuna; Triningsih
Medical Imaging and Radiation Protection Research Journal Vol 3 No 1 (2023): Medical Imaging and Radiation Protection Research (MIROR) Journal
Publisher : LPPM Universitas Awal Bros

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54973/miror.v3i1.260

Abstract

Pelvic MRI examination procedure in case of cervic cancer in Radiology installation prof.Dr.R.D Kandou Manado is used as a reference for the author to conduct research with the aim of knowing the advantages and disadvantages of using 2 examination protocols .Cervical cancer is a disease characterized by uncontrolled cell growth and abnormal cell spread. Cervical cancer is the leading cause of cancer death for women in developing countries. Cervical cancer is the second most common cancer in the world from all cancers in women, this cancer reaches up to 15%. Currently, MRI is used as a way to diagnose cervical cancer. At the Radiology Installation of Prof.Dr.R.D.Kandou Hospital Manado, this examination uses a combination of 2 protocols, namely Abdomen-Pelvis MRI. This is a reference for the author to conduct research with the aim of knowing the advantages and disadvantages of using 2 examination protocols.This research is a qualitative research with a case study approach. In reviewing the problem, the author does not prove or reject the hypothesis made before the study but processes the data and analyzes the data non-numeric. This study used a sample of 5 cervical cancer patients and 3 research subjects for interviews. Results: Pelvis MRI examination procedure in cases of cervical cancer at Prof. RSUP. Dr. R. D. Kandou Manado includes patient preparation before MRI examination, equipment preparation, patient position, instrument position, examination protocol setting using 2 protocols, namely pelvic and abdominal MRI. The reason for using 2 protocols for pelvic MRI examination in cervical cancer cases at Prof. Hospital. Dr. R. D. Kandou Manado, the main thing is the doctor's request, in addition to the accuracy of the diagnosis, it can also detect the presence of metastases to organs other than the uterus. The advantages of using 2 pelvic MRI examination protocols in cervical cancer cases at Prof. Hospital. Dr. R. D. Kandou Manado, namely for the accuracy of diagnosing and knowing whether there are metastases in other organs, such as the liver, kidneys, lungs. While the lack of using 2 pelvic MRI examination protocols in cervical cancer cases, namely the examination time is longer than 1 examination protocol, but the difference is not too long. This examination does not use 2 examination protocols. However, specifically for examination with cervical cancer cases, 2 combinations are used as 1 examination protocol, namely the upper abdomen and pelvis. The purpose of using the
PERBANDINGAN PENGGUNAAN TEH KOTAK ORIGINAL DAN TEH KOTAK BLACKCURRANT SEBAGAI MEDIA KONTRAS ORAL NEGATIF TERHADAP INFORMASI ANATOMI PADA PEMERIKSAAN MRCP DI INSTALASI RADIOLOGI RSUP PROF. DR. R. D KANDOU MANADO Ema, Ema Grivid Kuntag; Wulandari, Putu Irma; Sukadana, Kadek
Medical Imaging and Radiation Protection Research Journal Vol 3 No 1 (2023): Medical Imaging and Radiation Protection Research (MIROR) Journal
Publisher : LPPM Universitas Awal Bros

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54973/miror.v3i1.261

Abstract

The principle of using contrast media is to influence the magnetic field and relaxation times of T1 and T2. Contrast media in MRCP consists of positive and negative contrast media. Gadolinium is a positive contrast medium with intravenous injection, while the negative contrast medium used must contain manganese (Mn) or iron (Fe) (Westbrook et al, 2016). Research conducted by Suhardi et al (2013) states that the use of positive contrast media is increasingly rarely used due to the high price and difficult to obtain, it also has side effects on patients, such as weakness, nausea and vomiting. According to Fatimah et al (2018), natural ingredients with relatively high manganese (Mn) content that can be used as negative oral contrast media, one of which is the manganese content in packaged oolong tea, which is 0.9 mg. At the Radiology Installation of Prof. RSUP. DR. R. D. Kandou Manado by using boxed tea as a substitute for positive contrast media which is expensive and has side effects on patients.This type of research is a qualitative research with interview, observation and experiment methods. This study used the original box tea and blackcurrant box tea as negative oral contrast media to 3 volunteers. The examination was carried out twice for each volunteer, using the original box tea in the first week and blackcurrant box tea in the second week. The results of the images obtained will be asked for opinions through interviews with respondents, namely 1 radiology doctor and 2 radiographers. Data is processed using a coding system. MRCP examination procedure at Prof. RSUP. DR. R. D Kandou Manado includes patient preparation with the patient fasting 6 hours before the examination with the aim of avoiding fluid in the duodenum which can interfere with the biliary tract and bile duct into the duodenum. Instructions for drinking boxed tea contrast media were carried out 10-15 minutes before the examination, followed by preparation of equipment, patient position, protocol and examination technique. The resulting image does not provide a difference between the use of the original box tea and blackcurrant box tea on the anatomical image information on MRCP. The advantages of using negative oral contrast media, Teh Kotak, is able to help reduce signals from CBD and Vater's ampulla, as well as being able to display MRCP images that are better than using other negative contrast media. Patients with diabetes are not recommended to use this contrast medium.    
ANALISA NILAI CTDI DAN DLP PADA PEMERIKSAAN CT-SCAN ABDOMEN DI INSTALASI RADIOLOGI RSUD PROVINSI NTB Mantofani, Nizar Azmi; Juliantari, Putu Eka; Mahendrayana, Made Adhi
Medical Imaging and Radiation Protection Research Journal Vol 3 No 1 (2023): Medical Imaging and Radiation Protection Research (MIROR) Journal
Publisher : LPPM Universitas Awal Bros

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54973/miror.v3i1.263

Abstract

One of the efforts to optimize radiation protection and safety in the implementation of diagnostic and interventional radiology procedures for patients is to apply the Diagnostic Reference Level (DRL) according to the type and object of examination carried out. The level of diagnostic guidance for medical exposure or DRL is highly recommended to be used as a guide for medical practitioners in optimizing protection in each type of diagnostic and interventional radiology examination and is used to prevent unnecessary radiation exposure in patients. Each Radiology Installation needs to conduct a routine evaluation of the dose value received by the patient and compare it with the latest Indonesian Diagnostic Reference Levels (IDRL) so that its implementation becomes effective. This study aims to evaluate the value of CTDI and DLP in the Adult Abdomen CT-Scan Examination at the NTB Provincial Hospital. This study uses descriptive quantitative research with a survey approach that aims to evaluate the value of CTDI and DLP in the Adult Abdomen CT-Scan examination at the NTB Provincial Hospital. This study was conducted by collecting data sourced from the Abdominal CT-Scan Examination. The facilities DRL value is calculated by using the quartile formula 3 (75 percentile) in Microsoft excel automatically, then compared with the latest IDRL value. The calculation of the quartile value of 3 (75 percentile) from CTDI and DLP received by patients at the adult Abdominal CT-Scan Examination at the NTB Provincial Hospital, obtained as many as 60 samples. Drl or quartile 3 (75 percentile) values obtained for CT-Scan Abdomen Contrast were 16.60mGy for CTDIvol and 1344.57mGy*cm for DLP. As for the Non-Contrast Abdominal CT-Scan of 15.15mGy for CTDIvol and 797.97mGy.cm for DLP. The value of 75 percentile of CTDI and DLP received by patients on the adult Abdominal CT-Scan Examination while at the Provincial Hospital is in accordance with the recommendations of BAPETEN / IDRL 2021.  
GAMBARAN PENGETAHUAN RADIOGRAFER TENTANG PENCEGAHAN DISTORSI PADA HASIL PEMERIKSAAN RADIOGRAFI DI RUANG RADIOLOGI RSUD CUT NYAK DHIEN MEULABOH Sari, Kartika; Supriyanti; Nadia Surahmi
PERISAI: Jurnal Pendidikan dan Riset Ilmu Sains Vol. 3 No. 2 (2024): Juni Jurnal PERISAI
Publisher : LPPM - Universitas Serambi Mekkah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32672/perisai.v3i2.1878

Abstract

Adapun tujuan penelitian ini untuk mengetahui gambaran pengetahuan radiografer tentang pencegahan distorsi pada hasil gambaran radiografi. Penelitian ini dilakukan dengan melakukan observasi lapangan dengan membagikan kuesioner kepada 9 orang radiografer dengan tujuan untuk mengetahui gambaran pengetahuan radiografer tentang distorsi. Pemilihan sampel dilakukan dengan teknik sampel acak sederhana (simple random sampling). Yang dilakukan pada radiografer yang melakukan pekerjaan jadwal dinas pagi dan sore. Pengumpulan data dilakukan melaui observasi, studi kepustakaan, dan kuesioner Adapun hasil yang didapat berupa gambaran pengetahuan radiografer tentang distorsi dan juga faktor-faktor yang dapat mencegah terjadinya distorsi, pengetahuan radiografer tentang posisi objek adalah faktor yang dapat menyebabkan terjadinya distorsi lebih berada pada kategori tinggi dari pada faktor penyebab terjadinya distorsi.
Gambaran Radiologi Toraks Dan Neutrophil Lymphocyte Ratio (NLR) Dapat Menggambarkan Outcome Pada Anak Dengan COVID-19 Di Rumah Sakit Bunda Thamrin Medan Rangkuti, Muhammad Farhan; Airlangga, Eka
JURNAL PANDU HUSADA Vol 5, No 2 (2024)
Publisher : Universitas Muhammadiyah Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30596/jph.v5i2.19820

Abstract

Abstrak: WHO telah menyatakan COVID-19 sebagai pandemi global yang penyebarannya berlangsung cepat dengan angka kematian meningkat setiap tahunnya. Penyebaran tidak hanya pada dewasa tetapi juga anak-anak. Manifestasi klinis yang timbul pada anak yang terinfeksi berupa tanpa gejala hingga gejala berat. Identifikasi awal pemeriksaan laboratorium yang sederhana seperti pengukuran NLR dan rontgen toraks merupakan pemeriksaan yang penting dan langkah awal yang bisa dilakukan pada anak dengan COVID-19. Desain penelitian ini adalah penelitian deskriptif analitik dengan metode potong lintang (cross sectional). Sampel pada penelitian ini berjumlah 134 sampel. Pengambilan data dilakukan dengan data sekunder, di mana data yang di ambil pada hari pertama anak di rawat dengan COVID-19, data ini diperoleh dari hasil rekam medis di RS Bunda Thamrin Medan, selanjutnya data dikumpulkan untuk dilakukan analisa data. Dari 134 sampel didapatkan nilai NLR kategori normal sebanyak 105 orang (78,4%), ringan sebanyak 27 orang (20,1%) dan sedang sebanyak 2 orang (1,5%). Gambaran rontgen toraks normal sebanyak 90 orang (67.2%), infiltrat parikardial sebanyak 12 orang (9%), infiltrat perihilar sebanyak 11 orang (8,2%), infiltrat sentral sebanyak 6 orang (4,5%), infiltrat kedua lapang paru sebanyak 7 orang (5,2%), ground glass opacities (GGO) sebanyak 5 orang (3,7%),  konsolidasi sebanyak 1 orang (0,7%), peningkatan corakkan bronkovaskular sebanyak 1 orang (0,7%), dan perselubungan homogen sebanyak 1 orang (0,7). Dari hasil uji Chi-Square didapatkan hubungan yang signifikan antara NLR dan Outcome (p=0,046) dan juga terdapat hubungan antara rontgen toraks dan Outcome (p=0,004). Hasil penelitian ini menunjukkan bahwa NLR anak dengan COVID-19 lebih dari 78% adalah kategori normal dan foto toraks yang paling banyak ditemukan adalah normal, serta terdapat hubungan signifikan antara kejadian outcome dengan NLR dan rontgen toraks.
Prosedur Pemeriksaan Dacryocystografi Pada Kasus Dacryosistitis Kronis Di Instalasi Radiologi RSUP. Dr.Wahidin Sudirohusodo Makassar Rini Hatma Rusli; Bambang Ariyanto; Akhmadi Akhmadi; Miranda Waas; Amelia Niwele
Jurnal Sains dan Kesehatan Vol. 6 No. 2 (2022): Desember : Jurnal Sains dan Kesehatan (JUSIKA)
Publisher : Universitas Muhamadiyah Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jusika.v6i2.512

Abstract

Dacryocystography examination is the examination of the radiologist to show the nasolacrimal duct by using a positive contrast medium. The purpose of this examination is to describe the system of tear duct blockage and the level of blockage. This research method is descriptive with aproachcase study conducted in RSUP. Dr. WahidinSudirohusodo Makassar on Juni 2019. The inspection technique is done by using the projection Antero Posterior (AP), which contrast material is inserted throught the tear duct in the lacrimal punctum which empties into the concha nasalis inferior. From the result of the examination has been done, it can be concluded that the contrast as much as 1 cc inserted throught the superior lacrimal punctum, contrast restrained and spilled out. Contrast as much as 1 cc inserted throught the inferior lacrimal punctum, the contrast seems to fill out the inferior palpebra area. From the research, lacrimal duct obstruction impression superior and inferior.
Prosedur Pemeriksaan Rodiografi Appendicografi pada Kasus Colic Abdomen di Unit Radiologi RSUD Ibu Fatmawati Soekarno Kota Surakarta Sari, Amanda; Putri, Aninda; Ramadhan, Ixshan Budi
Jurnal Pendidikan Tambusai Vol. 8 No. 1 (2024): April 2024
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai, Riau, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jptam.v8i1.13960

Abstract

Berdasarkan observasi yang penulis lakukan pada Bulan Januari 2024 di Unit Radiologi RSUD Ibu Fatmawati Soekarno Kota Surakarta pada prosedur pemeriksaan Appendicografi pada kasus Colic Abdomen digunakan persiapan pasien pada pagi hari sebelum pemriksaan tidak dberikan Dlucolax Supositoria dengan media kontras barium 50 gram dan di campur air hangat 150 ml. Hal ini berbeda dengan teori yaitu menurut (2018), pada prosedur pemeriksaan Appendicrografi persiapan pasien pada pagi hari sebelum pemriksaan diberikan Dlucolax supositoria dengan media kontras barium 50 gram dan di campur air hangat 250 ml. Jenis penelitian ini kualitatif deskriptif dengan pendekatan studi kasus.waktu pengambilan data bulan januari 2024. Subyek dari penelitian ini adalah satu dokter pengirim, satu dokter spesialis Radiologi, tiga Radiografer dan satu pasien. Objek dari penelitian ini adalah prosedur pemeriksaan Appendicografi dengan klinis colic abdomen. Metode pengumpulan data dilakukan dengan observasi wawancara dan dokumentasi. Setelah semua dokumen terkumpul kemudia membuat transkrip selanjutnya penulis mereduksi data dan pendapat informan. kamudian penulis mengkaji dengan literatur sehingga penulis membuat kesimpulan. Hasil penelitian menunjukkan bahwa pemeriksaan Appendicografi pada kasus Colic Abdomen di RSUD Ibu Fatmawati Soekarno Kota Surakarta, menggunakan proyeksi AP Polos, AP dan RPO Pos Kontras. Proyeksi AP Polos, AP dan RPO Post Kontras.Ukuran Plat Detector yang digunakan 35 x 43 cm, arah sinar vertical tegak lurus,titik bidik pada MSP pada pertengahan crista iliaca, FFD 100 cm,eksposi dilakukan saat pasien ekspirasi. Alasan tidak dilakukanya persiapan pasien Appendicografi di pagi hari dengan tidak memberikan Dulcolax supersistoria karena colon sudah bersih sedangkan pemberian media kontras yang hanya 50 gram yang sudah dicampur 150 air hangat, hal ini di lakukan karena sudah dapat menegakkan diagnosa pada pasien.
Teknik Pemeriksaan Radiografi Colon In Loop pada Kasus Colitis di Instalasi Radiologi RSUD Muntilan Nenomnanu, Rolly; Sari, Amanda; Putri, Amanda Aura
Jurnal Pendidikan Tambusai Vol. 8 No. 1 (2024): April 2024
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai, Riau, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jptam.v8i1.14699

Abstract

Berdasarkan observasi yang penulis lakukan pada bulan Desember-Januari 2023 di Instalasi Radiologi RSUD Muntilan pada kasus Colitis digunakan pemeriksaan Colon In Loop proyeksi AP polos (FPA), Lateral Post kontras, AP Post Kontras, dan AP post kontras negatif. Tujuan dari penelitian artikel ini adalah untuk mengetahui prosedur pemeriksaan Colon In Loop dengan pada kasus Colitis dan alasan dilakukannya teknik pemeriksaan Colon In Loop pada kasus Colitis di Instalasi Radiologi RSUD Muntilan. Jenis penelitian ini adalah Kuantitatif Deskriptif dengan pendekatan studi kasus. Waktu pengambilan data bulan Desember 2023. Subyek dari penelitian ini adalah satu dokter pengirim, satu dokter spesialis Radiologi, dua radiografer, satu mahasiswa Praktek dan satu pasien. Objek dari penelitian ini adalah teknik radiograf Colon In Loop pada kasus Colitis. Metode pengumpulan data dilakukan dengan observasi, wawancara dan dokumentasi. Setelah semua dokumen terkumpul kemudian data dikaji dan dibandingkan dengan teori sehingga dapat ditarik kesimpulan dan saran. Hasil penelitian menunjukan bahwa teknik pemeriksaan radiografi Colon In Loop pada kasus Colitis dengan metode pemasukan media kontras yaitu double kontras dua tingkat, menggunakan proyeksi AP polos (FPA) kemudian pemasukan media kontras positif sebanyak 300-400 ml untul foto lateral sinistra dan AP pelvis, selanjutnya ditambahkan larutan barium lalu difoto AP full filling. Pasien di instruksikan untuk buang air besar setelah itu pemasukan kontras negatif hingga udara mengisi ileum internal kemudian difoto AP.

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