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Evaluasi Penerapan Proteksi Radiasi pada Ruangan dan Pekerja Radiasi di Instalasi Radiologi Rumah Sakit Universitas Andalas Rahmawati, Indy; Milvita, Dian; Hiswara, Eri
Jurnal Fisika Unand Vol 14 No 4 (2025)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jfu.14.4.394-400.2025

Abstract

Research has been carried out regarding the evaluation of the application of radiation protection to rooms and radiation workers in the Radiology Installation at Andalas University Hospital. The aim of the research is to evaluate the radiation dose rate on the inside and outside walls of the room, evaluate the radiation dose rate received by radiation workers, and evaluate the completeness of the work area and radiation protection for radiation workers. Evaluation of the radiation dose rate on the radiation shield wall was carried out using the TLD-100 in the CT-Scan, conventional X-ray and dental rooms. Evaluation of the radiation dose rate received by radiation workers is carried out using the TLD badge worn by radiation workers. Evaluation of the completeness of the work area is carried out by directly observing the radiology room, then conducting interviews with radiation workers. The research results showed that the highest radiation dose rate was obtained in the CT-Scan room and the lowest was outside the dental room at the entrance, without exceeding the Dose Limit Value (NBD) set by BAPETEN Regulation No. 4 of 2013 of 20 mSv/year for radiation workers and 1 mSv/year for the general public. The radiation dose rate value received by radiation workers is still below the NBD set by BAPETEN Regulation No. 4 of 2013 amounting to 20 mSv/year. The results of the evaluation of the completeness of the work area and radiation protection in general have met the provisions of BAPETEN Regulation No. 4 of 2020 except for danger signs in conventional X-ray and CT-Scan rooms.
Peran Proyeksi Pemeriksaan Cystography dengan Klinis Batu Buli di Instalasi Radiologi RSPAU dr. Suhardi Hardjolukito Meilani Dwi Putri; Widya Mufida; Dyah Ayu Puspitaningtyas
JURNAL RISET RUMPUN ILMU KEDOKTERAN Vol. 4 No. 2 (2025): Agustus : 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.v4i2.6339

Abstract

Cystography examination technique with clinical Bladder Stone in the Radiology Installation of RSPAU dr. Suhardi Hardjolukito in the AnteroPosterior (AP) projection uses a perpendicular vertical beam direction. Meanwhile, according to Lampignano & Kendrick, (2018) Cystography examination in the AnteroPosterior (AP) projection, the beam direction is angled 10˚-15˚ towards the caudad. The purpose of this study was to determine the Cystography examination procedure and the role of the antero posterior (AP) projection in cystography examination with clinical bladder stone using a perpendicular beam direction to the image receptor in the Radiology Installation of RSPAU dr. Suhardi Hardjolukito. This research method uses qualitative descriptive with a case study approach. This research was conducted at the Radiology Installation of RSPAU dr. Suhardi Hardjolukito from March to May 2025. The objects in this study were patients undergoing Cystography examination, with the research subjects consisting of one patient who experienced a case of Batu Buli. After the data was reduced, the data presentation was carried out in narrative form and then reviewed with a theoretical basis so that conclusions could be drawn. The results of this study indicate that the examination procedure for Cystography with clinical Batu Buli at the Radiology Installation of RSPAU dr. Suhardi Hardjolukito includes patient preparation, preparation of tools and materials, examination techniques, and gradual injection of contrast media. The gradual administration of contrast medium is effective for monitoring the patient's condition and preventing complications such as bladder rupture. This modification of the technique demonstrates that standard procedures can be adapted while maintaining optimal diagnostic quality.
Analisis Dosis Radiasi Pada Kelenjar Tiroid Selama Pemeriksaan Dental Panoramik Di Instalasi Radiologi RSKDGM Provinsi Sulawesi Selatan Darmawan, Zulkifli Tri; Pradana, Alfa; Mirfauddin, Mirfauddin
Jurnal Imejing Diagnostik (JImeD) Vol 11, No 2 (2025): JULY 2025
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v11i2.13240

Abstract

Background: The thyroid gland is highly sensitive to radiation and can easily be exposed during panoramic dental imaging. Although BAPETEN sets the annual public dose limit at 1 mSv, and ICRP 103 suggests a specific limit of 0.04 mGy per year for the thyroid, the use of personal protective equipment (PPE) is still often neglected in daily practice. This study aimed to assess how much radiation the thyroid receives during panoramic dental examinations without PPE.Methods: This study used a descriptive quantitative approach and was conducted at the Radiology Department of the Regional Dental and Oral Hospital, South Sulawesi. Ten patients undergoing panoramic radiography were selected. The thyroid radiation dose was calculated using five formulas: exposure dose, scatter dose, absorbed dose, equivalent dose, and effective dose. Technical factors such as tube voltage, current, exposure time, and distance to the thyroid were also recorded.Results: The absorbed dose to the thyroid gland obtained from 10 patients ranged from 0.0139 mGy to 0.0239 mGy, with a mean value of 0.0165 mGy and a standard deviation of 0.0035 mGy. These results indicate a relatively narrow distribution despite variations in patient body size and exposure parameters. All measured doses remained well below the annual organ dose limit of 0.04 mGy, as recommended by the International Commission on Radiological Protection (ICRP). However, existing literature has highlighted that even low-dose radiation exposures, when repeated and unshielded, may increase the stochastic risk of developing thyroid cancer—particularly in younger or genetically predisposed individuals. While the current findings confirm that radiation exposure during panoramic dental examinations is within acceptable limits, they also underscore the need for precautionary measures. The results support the practical implementation of the ALARA (As Low As Reasonably Achievable) principle, especially through the consistent use of thyroid shields during panoramic imaging, as a critical component of evidence-based radiation protection strategies.Conclusions: Panoramic dental imaging without thyroid shielding still produces radiation doses that are within acceptable limits. However, it is strongly recommended that PPE be used consistently, along with adherence to the ALARA principle, to ensure maximum patient safety.
Edukasi Pemeriksaan Radiologi dan Pengobatan Penyakit Tuberkulosis Paru pada Pemberdayaan dan Kesejahteraan Keluarga Desa Cepiring Timur Kabupaten Kendal Prayoga, Aryadiva Nugrahaning; Utami, Rose Malinda Andamari Wahyu; Utomo, Slamet; Afriani, Nur; Utami, Lucky Restyanti Wahyu
J.Abdimas: Community Health Vol. 6 No. 1 (2025): J.Abdimas: Community Health - Mei 2025
Publisher : LPPM STIKES Guna Bangsa Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30590/jach.v6n1.1142

Abstract

The lack of public knowledge regarding pulmonary tuberculosis can influence the increase in the spread of the disease in Indonesia. So the purpose of this community service activity is to increase the knowledge of mothers empowering the welfare of the family of neighborhood association 08 community association 04 East Cepiring Village, Cepiring District, Kendal Regency, Central Java Province, regarding pulmonary tuberculosis. The education provided is related to radiological examinations to establish the diagnosis and treatment of pulmonary tuberculosis so that it is expected to help reduce the number of incidents of the spread of the disease, especially in Kendal Regency. The stages of community service activities consist of licensing, implementation and reporting. The activity was carried out using the lecture method. Based on the community service activities that have been carried out, the results showed that there was an increase in knowledge related to radiological examinations to confirm the diagnosis of pulmonary tuberculosis by 98% and an increase in knowledge related to the treatment of pulmonary tuberculosis by 98% among mothers, empowering the welfare of families, neighborhood association 08 community association 04 East Cepiring Village, Cepiring District, Kendal Regency, Central Java Province. This increase in knowledge is expected to help reduce the number of people suffering from pulmonary tuberculosis in various regions of Indonesia, especially in Kendal Regency.
STUDI KASUS PROSEDUR PEMERIKSAAN HYSTEROSALPINGOGRAPHY DENGAN KLINIS INFERTILITAS PRIMER DI INSTALASI RADIOLOGI RSUD TIDAR KOTA MAGELANG Fifi Fitriana Bahi; Fisnandya Meita Astari; Retno Wati
Journal of Innovation Research and Knowledge Vol. 5 No. 3: Agustus 2025
Publisher : Bajang Institute

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Abstract

Background: Hysterosalpingography is an important examination in diagnosing infertility, aimed at assessing the patency of the fallopian tubes and identifying causes of obstruction or abnormalities in the uterine cavity. The hysterosalpingography examination for primary infertility at the Radiology Installation of RSUD (Regional General Hspital) Tidar, Magelang City, utilizes plain AP pelvis projection, AP, and RPO post-contrast projections with a two-stage contrast media introduction. However, there are differences in projections and contrast media introduction compared to previous studies. This research aims to understand the procedure and the reasons for using AP and RPO projections without LPO, as well as the rationale for introducing 15 ml of contrast media in two stages: 10 ml for AP and 5 ml for RPO. Methods: This study employed a qualitative case study approach. The research was conducted at the Radiology Installation of RSUD Tidar, Magelang City, from August 2024 to January 2025. The subjects of the study included three radiographers and one radiology specialist. The object of the research was the hysterosalpingography examination. Data were collected through observations, interviews, literature studies, and documentation. Data analysis involved data reduction, data presentation, discussion, and conclusion drawing. Results: The hysterosalpingography examination procedure for primary infertility at the Radiology Installation of RSUD Tidar, Magelang City, included patient preparation, equipment and material preparation, contrast media introduction, and examination techniques. The reason for including only the RPO projection without LPO was that the right fallopian tube spill was not yet visible, while the left fallopian tube spill was already visible in the AP projection. The first stage of contrast media introduction involved 10 ml for the AP projection to visualize the uterine cavity and fallopian tubes, while the second stage involved 5 ml for the RPO projection to visualize the right fallopian tube and spill into the peritoneal cavity that was not yet visible in the first stage. Conclusions: The hysterosalpingography examination for primary infertility at the Radiology Installation of RSUD Tidar, Magelang City, was performed using AP and RPO post-contrast projections without LPO, as the left fallopian tube spill was already visible in the AP projection. The rationale for the two-stage contrast media introduction was to optimize the visualization of anatomy and the spill from the fallopian tubes into the peritoneal cavity
PERAN PROYEKSI LEFT LATERAL DECUBITUS PADA PEMERIKSAAN COLON IN LOOP DENGAN KASUS ILEUS OBSTRUKTIF DI INSTALASI RADIOLOGI RSUD DR. SOEHADI PRIJONEGORO SRAGEN Antarizqu Kamil Husni; Widya Mufida; Ari Anggraeni
Journal of Innovation Research and Knowledge Vol. 5 No. 3: Agustus 2025
Publisher : Bajang Institute

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Abstract

Penelitian ini bertujuan untuk mengkaji secara dalam mengapa dilakukan pemeriksaan colon in loop pada kasus ileus, bagaimana prosedur pemeriksaan colon in loop pada kasus ileus dan apa peran dari proyeksi LLD pada pemeriksaan colon in loop pada kasus ileus. Penelitian ini menggunakan metode kualitatif deskriptif dengan pendekatan studi kasus pada pasien yang menjalani pemeriksaan colon in loop, serta melibatkan tiga radiografer dan satu dokter spesialis radiologi. Data dikumpulkan melalui observasi, wawancara, dokumentasi, dan studi kepustakaanHasil wawancara dibuat dalam bentuk transkip wawancara, kemudian dibuat tabel kategorisasi untuk direduksi. Setelah data direduksi, penyajian data dilakukan dalam bentuk narasi kemudian akan ditelaah dengan landasan teori untuk selanjutnya dapat ditarik kesimpulan. Hasil penelitian menunjukkan bahwa alasan dialkukan pemeriksaan colon in loop pada kasus ileus yakni untuk mencari apa penyebab dari obstruksinya dan sudah setinggi apa obtsruksinya dan melihat adanya massa atau tumor di colon sudah sebesar apa. Prosedur pemeriksaan colon in loop dilakukan dengan melakukan anamnesa kepada pasien berupa gejala, keluhan serta reaksi yang muncul. Menjelaskan kepada pasien persiapan khusus seperti puasa 1 hari sebelum pemeriksaan, makan-makanan rendah serat, mengurangi berbicara, diberi obat pencahar, dan melepas benda logam yang dapat menggangu hasil radiograf. Sebelum dilakukan pemeriksaan, pasien terlebih dahulu melalukan plain foto dengan proyeksi AP dan LLD. Setelah itu dilakukan pemasukan media kontras positif dan dilakukan foto dengan proyeksi AP, Lateral, dan RPO. Selanjutnya dilakukan pemasukan media kontras negatif dengan proyeksi yang sama. Peran dari ditambahkan proyeksi LLD di plain foto bertujuan untuk melihat adanya perforasi di colon. Pemeriksaan colon in loop pada kasus ileus dilakukan untuk mengetahui serta mendeteksi obstruksi di colon. Prosedur dimulai dengan anamnesa mengenai gejala dan keluhan pasien, dilanjutkan dengan persiapan seperti puasa sehari sebelumnya, konsumsi makanan rendah serat, pemberian pencahar, dan melepas benda logam. Sebelum pemeriksaan, dilakukan foto polos proyeksi AP dan Left Lateral Decubitus untuk mendeteksi kemungkinan perforasi. Pemeriksaan dilanjutkan dengan pemasukan media kontras positif dan negatif, disertai foto proyeksi AP, Lateral, dan RPO.
STUDI KASUS TEKNIK RADIOGRAFI VERTEBRAE LUMBOSACRAL PADA KLINIS SUSPECT FRAKTUR DI INSTALASI RADIOLOGI RSI SULTAN AGUNG SEMARANG Lukluatin Nabila; Anshor Nugroho; Ayu Mahanani
Journal of Innovation Research and Knowledge Vol. 5 No. 3: Agustus 2025
Publisher : Bajang Institute

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Abstract

Radiography examination of the lumbosacral vertebrae in cases of suspected fractures at the Radiology Installation of Sultan Agung Islamic Hospital uses Antero-Posterior (AP), Lateral projections, and additional Lateral Flexion and Extension projections. One of the examinations that can be used to establish a fracture diagnosis is radiography examination of the lumbosacral vertebrae with Antero-Posterior (AP), Lateral, RPO and LPO or RAO and LAO projections. This study aims to determine the technique of radiography examination of the lumbosacral vertebrae and the role of using Lateral Flexion and Extension projections in radiography examination of the lumbosacral vertebrae in cases of suspected fractures. Method: This type of research applied qualitative descriptive with a case study approach on the technique of radiographic examination of the lumbosacral vertebrae in clinical suspect fractures at the Radiology Installation of Sultan Agung Islamic Hospital of Semarang which was conducted in November 2024 - January 2025. The subjects in this study consisted of three Radiographers, one Radiology Specialist, and one Sending Doctor. Data collection was carried out using observation, interview, documentation, and literature methods. Data analysis used data reduction by simplifying the data after the data was collected, data presentation by forming a description in the form of a coding graph and drawn into conclusions. Results: Lumbosacral vertebrae radiography techniques include patient preparation, preparation of tools and materials, and lumbosacral vertebrae examination techniques in clinical suspect fractures using anteroposterior (AP), lateral, lateral flexion and extension projections. The role of lumbosacral vertebrae radiography examination with lateral flexion projection in clinical suspect fractures is to see the shift of the vertebrae bone to the front or commonly called listhesis, to see whether there is stability in the bone. In the lateral extension projection in clinical suspect fractures, it is the same as the lateral flexion projection, namely to see the shift of the vertebrae bone to the back, see the stability of spondylolisthesis more clearly, and assess the stability of the joint which will determine further actions such as installing stabilization. Conclusion: Lateral flexion projection to see the shift of the vertebrae bone to the front or commonly is called listhesis, to see whether there is stability in the bone. Lateral extension projection aims to see the shift of the vertebrae bone to the back, to see the stability of spondylolisthesis more clearly, and to assess the stability of the joint which will determine further actions such as installing stabilization
Analisis Pengulangan (REPEAT) Foto Panoramik di Instalasi Radiologi RSPAU Dr. Suhardi Hardjolukito Azizah Azizah; Anisa Nur Istiqomah; Sofie Nornalita Dewi
Nusantara: Jurnal Pengabdian kepada Masyarakat Vol. 5 No. 3 (2025): Agustus : NUSANTARA Jurnal Pengabdian Kepada Masyarakat
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/nusantara.v5i3.6500

Abstract

Panoramic radiography is an imaging technique that plays a crucial role in dental practice, particularly in supporting the diagnosis and treatment planning process. Image quality that does not meet diagnostic standards can lead to the need for repeat imaging. The high rate of repeat panoramic imaging at the Radiology Unit of Dr. Suhardi Hardjolukito Air Force Base Hospital (RSPAU) is an indicator of the need for further study of the causal factors. The purpose of this study was to identify the causes of repeat panoramic radiography examinations, calculate the percentage contribution of each factor, assess radiographers' understanding of optimal image quality criteria, and explore appropriate strategies to reduce the frequency of repeat examinations. This study used a mixed methods approach with quantitative and qualitative descriptive approaches. Data were collected through observation, interviews, questionnaires, and documentation during August–October 2024 at the Radiology Unit of Dr. Suhardi Hardjolukito Air Force Base Hospital. The sample included 15 radiographers for the questionnaire and 3 radiographers for the interviews. An analysis of 916 panoramic radiography examinations revealed 57 repeat cases, with a rate of 6.2%. The primary factors causing repeats were machine error (57.8%), followed by positioning errors (24.5%), artifacts (10.5%), human error (5.3%), and patient movement (1.8%). Radiographers' understanding of the criteria for good panoramic images was high, with 66.7% answering all questions correctly. The primary effort implemented to reduce repeat rates is the implementation of routine quality control of equipment. The high repeat rate, exceeding national tolerance limits, indicates the need for technical and procedural improvements. Routine quality control and material refresher courses are needed to reduce repeat rates and improve patient safety.  
Studi Kasus Prosedur Pemeriksaan Ct Scan Urografi Klinis Batu Ginjal di Instalasi Radiologi RSUD Brebes Yuti Meriani; Fisnandya Meita Astari; Amril Mukmin
JURNAL RISET RUMPUN ILMU KEDOKTERAN Vol. 4 No. 2 (2025): Agustus : 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.v4i2.6416

Abstract

Urinary tract examination with the CT-Scan modality is considered superior to other imaging modalities because it produces better image resolution, clear anatomical details, and is able to accurately detect abnormalities. At the Radiology Installation of Brebes Hospital, the CT-Scan Urography examination is carried out without fasting requirements. Patients are only asked to remove metal objects from the abdominal area and hold urination before the examination begins. This aims to keep the urinary bladder (VU) fully filled so that it facilitates the evaluation of the anatomy of the urinary system, especially in detecting kidney stones which are the main complaints of patients. This study aims to find out in detail the procedure for CT-Scan Urography clinical urography of kidney stones, as well as the reasons why patients are asked to hold urination and are not asked to fast before the procedure is performed. The research method used is a mix method, which is a combination of qualitative and quantitative, with data collection through observation, interviews, and documentation. The research sample consisted of 3 patients who underwent CT-Scan Urography clinical examination of kidney stones at the Radiology Installation of Brebes Hospital. The results of the study showed that the procedure started from the patient's preparation, such as removing metal objects, drinking mineral water, and holding urination so that the VU was fully filled, thus helping the visualization of organs and urinary tract. This examination does not require fasting because the CT-Scan modality is able to provide a clear picture of the anatomy of the urinary tract without interference from the digestive system. These findings confirm that the CT-Scan Urography procedure at Brebes Hospital is simple, effective, practical, and provides optimal diagnostic results for patients.
Penerapan Keselamatan Radiasi Sinar X pada Petugas Radiasi di Instalasi Radiologi Syahroni Lubis; Suharlim, Edwin; Masita Hayati, Inta; Aulia Hamidah, Mila; Pratama, Adhitya
Jurnal Jembatan Efektivitas Ilmu dan Akhlak Ahlussunah Wal Jama'ah Vol 6 No 2 (2025): Juni
Publisher : LPPM UNU CIREBON

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52188/jeas.v6i2.1275

Abstract

The use of X-rays in radiology installations plays a crucial role in medical diagnosis. However, X-rays are a form of ionizing radiation that can pose serious health risks if exposure to medical personnel is not properly controlled. This study aims to evaluate the implementation of X-ray radiation safety measures for radiology workers through a literature review. The method used is a literature review of 10 scientific both from domestic and international sources, which discuss the implementation of radiation protection in radiology facilities. The review results show that most facilities have applied the ALARA principle (As Low As Reasonably Achievable), with a 76% rate of personal protective equipment (PPE) usage, 60% performing regular dose monitoring, and only 40% regularly conducting radiation protection training. Additionally, compliance with standard operating procedures (SOPs) was recorded at 72%, while only 30% of facilities had active survey meters. These findings indicate that challenges remain in the comprehensive implementation of radiation safety. Therefore, enhanced education, supervision, and availability of protective facilities are needed to ensure the occupational safety of radiation workers in radiology departments

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