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STUDI KASUS TEKNIK PEMERIKSAAN THORAX PADA ANAK DENGAN TEKNIK KV TINGGI DI INSTALASI RADIOLOGI RSUD DR. R. SOETIJONO BLORA Fahri An Najih; Ike Ade Nur Liscyaningsih; Widya Mufida
Journal of Innovation Research and Knowledge Vol. 5 No. 5 (2025): Oktober 2025
Publisher : Bajang Institute

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Background: on examination of the thorax in children in Radiology installation Dr. R. Soetijono Blora used high kV technique that is exposure factor used 60 kV and mAs 1 with patient age 5 months. Projection used Antero-Posterior (AP). Meanwhile, according to the theory of thorax examination of pediatric patients using KV 40, mAs 10 and 42 kV, mAs 1.6 with Antero-Posterior (AP) , Postero-Anterior (PA) and Lateral projections. This study aims to determine the techniques and objectives in the examination of the Thorax in children with high kV techniques. Research Methods: this study uses descriptive qualitative methods with a case study approach. The research was carried out at the radiology installation of Dr Soetijono hospital blora in September 2024 – May 2025. The object in this study is a pediatric patient who underwent thorax examination, with subjects consisting of 3 radiographers and 1 radiology specialist. The method of data collection is observation, documentation interviews and literature studies. Furthermore, the processed data were analyzed in the form of interview transcripts, then a categorization table was made to be reduced. After the data is reduced, the presentation of the data is done in the form of a narrative and then analyzed with a theoretical basis for further conclusions to be drawn. Results: research shows that examination of the Thorax in children in hospital dr. R. Soetijono Blora adjusted to the age and clinical condition of the patient, the projection used Antero-Posterior (AP) with supine patient position, on examination applied high kV technique of 60 kV and 1 mAs. In this examination kVp used in addition to 10 of routine thorax examination in adult patients is 50 KV and mAs 10 while the mAs value is reduced to 1. The purpose of this technique is to minimize the movement of the patient. The use of high kV is expected to produce sharp and informative images, while a small mAs value helps speed up image acquisition thereby reducing the likelihood of artifacts due to movement
RANCANG BANGUN ALAT BANTU FIKSASI PADA PEMERIKSAAN WEIGHT BEARING BILATERAL KNEE JOINT DI INSTALASI RADIOLOGI RSU MUHAMMADIYAH SITI AMINAH BUMIAYU Muhamad Ari Gufron; Fisnandya Meita Astari; Djoko Sukwono
Journal of Innovation Research and Knowledge Vol. 5 No. 5 (2025): Oktober 2025
Publisher : Bajang Institute

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Background: The knee joint is part of the lower extremity that connects the upper leg to the lower leg. It is the largest and most complex joint in the body. Osteoarthritis (OA) is a slow progressive disease characterized by metabolic, biochemical, and structural changes in the joint cartilage and surrounding tissues, leading to joint dysfunction. Radiographic examination of the knee joint using weight-bearing techniques provides more accurate information for diagnosing osteoarthritis compared to non-weight-bearing techniques. However, at Muhammadiyah Siti Aminah Hospital Bumiayu, this examination was still performed in a supine position due to limitations in bucky stands and the absence of appropriate fixation devices. This study is aimed to design a fixation device for weight-bearing bilateral knee joint examination and to evaluate the performance of the developed fixation device. Method: This research was a quantitative study with an experimental approach. The researcher designed and built a 4-in-1 fixation assistance device that can support the patient, hold the cassette, provide a platform for lateral projection support, and offer handles for patient safety and comfort. Functionality and performance tests were conducted through questionnaires distributed to 6 radiographers at the Radiology Installation of Muhammadiyah Siti Aminah Hospital Bumiayu. The data were processed and analyzed using the Guttman scale and calculated using appropriate formulas. Results: The functionality test results showed a success rate of 93%, while the performance test achieved 86%. The fixation device could support a load of up to 132 kg and was reported to facilitate the examination process by the majority of respondents. Conclusion: The developed fixation assistance device is deemed suitable for use in weight-bearing bilateral knee joint examinations. It effectively supports the efficiency of radiographers' work and enhances patient comfort, although it is recommended that future developments focus on making the device lighter and incorporating adjustable platforms
PROSEDUR PEMERIKSAAN RADIOGRAFI SHOULDER JOINT DENGAN KLINIS OSTEOARTHRITIS PROYEKSI AP METODE ROCKWOOD DI INSTALASI RADIOLOGI RS INDRIATI Alifia Permata Sari; Ike Ade Nur Liscyaningsih; Taufiq Fachruddin Zen
Journal of Innovation Research and Knowledge Vol. 5 No. 5 (2025): Oktober 2025
Publisher : Bajang Institute

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Radiography of the shoulder joint is a supportive examination to assess the condition of the shoulder joint structures, particularly in patients with osteoarthritis. Osteoarthritis is a degenerative joint disease characterized by pain, stiffness, and changes in joint shape, which can interfere with daily activities. This condition is one of the pathologies that can be detected through shoulder joint examination using the Rockwood method. This study aims to determine the procedure for shoulder joint examination using the Anteroposterior (AP) projection with the Rockwood method at Indriati Hospital of Solo Baru. The use of the AP projection with the Rockwood method is considered sufficient to assess the structure and stability of the acromioclavicular joint without the need for additional projections. This method is chosen because it avoids rotation that may cause pain, provides clear visualization, and is safer, more comfortable, and efficient for patients with pain or limited mobility. The research employed was qualitative, employing data collection techniques such as observation, documentation, and interviews with three radiographers and one radiologist. Data analysis was conducted using source triangulation and technique triangulation, then presented in narrative form and conclusions were drawn. The radiographic examination of the shoulder joint in osteoarthritis patients at Indriati Hospital of Solo Baru utilized the AP projection with the Rockwood method, positioning the patient standing and angling the beam 35° caudal. The examination was performed without special preparation, only requiring the removal of metallic objects. The resulting image showed a distance of 5.3 mm from the acromion to the humeral head, indicating joint space narrowing, consistent with the characteristics of osteoarthritis. This method was deemed effective as it provided clear visualization without extreme rotation and was sufficient for establishing a diagnosis
PENGARUH PENGGUNAAN PACS TERHADAP BEBAN KERJA RADIOGRAFER DI INSTALASI RADIOLOGI RS PKU MUHAMMADIYAH YOGYAKARTA Dwi Cahya Wibowo; Ari Anggraeni; Ike Ade Nur Liscyaningsih
Journal of Innovation Research and Knowledge Vol. 5 No. 5 (2025): Oktober 2025
Publisher : Bajang Institute

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Latar belakang: PACS merupakan sistem digital yang menggantikan proses manual dalam pengarsipan, penyimpanan, dan distribusi gambar radiologi. Pada Instalasi Radiologi RS PKU Muhammadiyah Yogyakarta, PACS telah digunakan untuk memfasilitasi digitalisasi pengarsipan dan distribusi gambar. Namun, tingginya beban kerja radiografer masih menjadi kendala dalam aspek teknis operasional. Penelitian ini bertujuan untuk mengetahui pengaruh penggunaan PACS terhadap beban kerja dan efisiensi kerja radiografer. Metode: Jenis penelitian ini adalah mix method dengan pendekatan deskriptif yang dilaksanakan di Instalasi Radiologi RS PKU Muhammadiyah Yogyakarta sejak September 2024 hingga Juni 2025. Data kuantitatif dikumpulkan melalui dokumentasi dan dianalisis menggunakan metode Workload Indicator of Staffing Need (WISN) untuk menghitung kebutuhan ideal tenaga radiografer berdasarkan jumlah pemeriksaan, waktu standar, serta tenaga yang tersedia. Data kualitatif diperoleh melalui observasi, wawancara, dan dokumentasi terhadap tiga radiografer dan satu dokter spesialis radiologi untuk menggali pengalaman kerja dan konteks penggunaan PACS. Analisis dilakukan melalui reduksi data dan penyajian naratif untuk memperkuat hasil kuantitatif. Hasil: Hasil penelitian menunjukkan bahwa penerapan PACS meningkatkan efisiensi kerja radiografer dengan mengurangi tugas manual, beban administratif, serta mempercepat akses data dan proses pelayanan, sehingga mendukung percepatan diagnosis. Namun, analisis WISN menunjukkan jumlah radiografer yang tersedia 9 orang masih di bawah kebutuhan ideal 13 orang. Disarankan kepada manajemen Instalasi Radiologi RS PKU Muhammadiyah Yogyakarta untuk menambah tenaga radiografer sesuai hasil perhitungan WISN guna mengurangi beban kerja berlebih serta menjaga mutu dan efisiensi pelayanan radiologi
Perbandingan Efektivitas Modalitas Radiologi Dalam Deteksi Dini Kanker Payudara Yudia Nurul Eliza; Febie Irsandy Syahruddin; Abdul Syukur Kuddus
NERSMID : Jurnal Keperawatan dan Kebidanan Vol. 9 No. 1 (2026): Mei Dalam Proses
Publisher :

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55173/nersmid.v9i1.277

Abstract

Cancer is one of the leading causes of death worldwide. Breast cancer is one of the more common in women, which appears as a malignant tumor in breast tissue consisting of mammary glands, milk ducts, connective tissue, and adipose. This study aimed to compare the effectiveness of radiologic modalities in the early detection of breast cancer, focusing on grayscale ultrasound, mammography and MRI examinations. The research method included a literature review of previous studies that discussed the comparative effectiveness of radiologic modalities in the early detection of breast cancer. The analysis showed that mammography, ultrasound and MRI are the imaging methods used to detect breast cancer, with each having advantages and disadvantages in terms of sensitivity and specificity. MRI has the highest sensitivity, especially for detecting small tumors and in women with dense breast tissue, but has lower specificity than mammography. Mammography, despite the use of radiation, is effective for early detection, especially in women with high risk factors. Ultrasound is often used as a follow-up examination or to evaluate lumps detected on mammogram.
Uji Kesesuaian Berkas Cahaya Kolimator Pada Pesawat SINAR-X di Ruang Pemeriksaan Konvensional Instalasi Radiologi RSIA Zainab Khanza Suryani; Aulia Annisa; Danil Hulmansyah; Marido Bisra
JPNM Jurnal Pustaka Nusantara Multidisiplin Vol. 3 No. 3 (2025): October : Jurnal Pustaka Nusantara Multidisiplin
Publisher : SM Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59945/jpnm.v3i3.660

Abstract

Penggunaan pesawat sinar-X dalam radiologi diagnostik harus memenuhi standar keselamatan serta kualitas gambar optimal melalui program kendali mutu. Salah satu komponen penting yang perlu diuji adalah kolimator. Di Instalasi Radiologi RSIA Zainab Pekanbaru, pesawat sinar-X digunakan sejak tahun 2014 dengan uji kalibrasi rutin setiap tahun, namun tidak termasuk uji kesesuaian berkas cahaya kolimator. Sedangkan berdasarkan KEMENKES RI No. 1250 Tahun 2009 tetang uji kesesuaian berkas cahaya kolimator bahwasanya dilakukan pengujian dalam satu bulan sekali. Penelitian ini bertujuan untuk mengevaluasi kesesuaian berkasi cahayai kolimatori terhadap berkasi sinar-Xi padai pesawati sinar-Xi konvensional di RSIA Zainab. Jenisi penelitiani yangi digunakani adalahi metodei kuantitatifi deskriptifi dengani pendekatani observasionali. Instrumen yang digunakan meliputi Collimatori Testi Tooli dani Beami Alignmenti Testi Tooli. Pengujian dilakukan tiga kali pada dua ukuran focal spot (kecil dan besar) dengan FFD 100 cm. Berdasarkan hasil pengujian menunjukkan bahwa nilai penyimpangan kolimasi pada sumbu X dan Y tidak melebihi batas toleransi Kemenkes RI, yaitu ≤ 2% dari FFD, dan penyimpangan pusat berkas masih dalam batas ≤ 3°. Dengan demikian, pesawat sinar-X di RSIA Zainab memenuhi standar kesesuaian kolimasi serta layak digunakan secara aman dan efektif.
Uji Celah (Shutter) Kolimator Pesawat Sinar-X di Instalasi Radiologi RSIA Zainab Pekanbaru Fitri, Zalia; Annisa, Aulia; Indrapuri, Sri Ayu
JPNM Jurnal Pustaka Nusantara Multidisiplin Vol. 3 No. 3 (2025): October : Jurnal Pustaka Nusantara Multidisiplin
Publisher : SM Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59945/jpnm.v3i3.669

Abstract

Penggunaan sinar-X dalam radiologi membantu diagnosis, namun berisiko jika tidak dikendalikan dengan baik. Kolimator berfungsi membatasi area radiasi melalui celah (shutter). Ketidakteraturan frekuensi pengujian celah (shutter) dapat menyebabkan kebocoran radiasi. Pesawat sinar-X mobile di Instalasi Radiologi RSIA Zainab Pekanbaru belum dilakukan pengujian celah kolimator secara berkala sesuai standar. Penelitian ini bertujuan mengevaluasi celah kolimator pada pesawat sinar-X mobile di Instalasi Radiologi RSIA Zainab Pekanbaru. Penelitian ini menggunakan metode kuantitatif deskriptif dengan pendekatan observasional. Pengujian dilakukan melalui tiga kali eksposi dengan pengaturan shutter berbeda, menggunakan kaset dan sistem Computed Radiography (CR). Hasil citra dianalisis menggunakan perangkat lunak untuk mengukur densitas dan dibandingkan dengan standar KEMENKES RI No. 1250 Tahun 2009. Hasil pengujian celah shutter menunjukkan adanya peningkatan densitas pada area yang seharusnya tidak terkena paparan, dengan nilai melebihi batas densitas kaset tanpa radiasi. Rata-rata nilai pada tiga kali pengujian mengindikasikan adanya kebocoran radiasi pada celah (shutter) kolimator, baik di sisi transversal maupun longitudinal. Berdasarkan standar KEMENKES RI No. 1250 Tahun 2009, kolimator dinyatakan belum efisien karena masih terdapat indikasi penghitaman akibat paparan radiasi.
Aspek Etika Medikolegal Atas Penggunaan Artificial Intelligence Pada Praktik Kedokteran Bidang Radiologi Alam, Chessa Rahadi; Hehalatu, Alga; Amarantha, Dessy; Jalaludin, Jalaludin; Lestari, Ayang Prima; Aristiara, Adiwirya; Prayuti, Yuyut
COMSERVA : Jurnal Penelitian dan Pengabdian Masyarakat Vol. 5 No. 4 (2025): COMSERVA: Jurnal Penelitian dan Pengabdian Masyarakat
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/comserva.v5i4.3312

Abstract

This study aimed to determine ethicomedicolegal aspects of the Use of Artificial Intelligence in the practice of radiology medicine. According to Health Law No. 17 of 2023 Article 273 paragraph 1, it is explained that medical personnel and health workers in carrying out their practices have the right to receive legal protection as long as they carry out their duties in accordance with professional standards, professional service standards, operational procedure standards, and professional ethics, as well as patient health needs. This type of research is descriptive analytical, namely describing the applicable laws and regulations related to the ethicomedicolegal aspects. The results of the study indicate that legal protection for health workers in the use of Artificial Intelligence is still lacking, so additional studies are needed. The need for strong regulations such as training and delegation of authority in accordance with applicable health laws to protect health workers from unwanted things.
STUDI KASUS PEMERIKSAAN RADIOGRAFI KNEE JOINT DENGAN KLINIS OSTEOARTHRITIS DI INSTALASI RADIOLOGI RS ORTHOPEDHI PROF.DR.SOEHARSO SURAKARTA Risaldi Derheman; Ayu Mahanani; Retno Wati
Journal of Innovation Research and Knowledge Vol. 5 No. 5 (2025): Oktober 2025
Publisher : Bajang Institute

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Introduction: Radiographic examination of the knee joint is performed to evaluate the condition of the knee joint, including cartilage and surrounding soft tissues. At Prof. Dr. Soeharso Orthopedic Hospital Surakarta, examinations for osteoarthritis cases utilize anteroposterior (AP) and lateral projections, with an additional lateral flexion-extension projection. This approach differs from theoretical standards, which recommend AP, AP oblique, lateral, and AP/PA weight-bearing projections as additional views. Method: This research is a case study employing a qualitative descriptive approach. It was conducted at the Radiology Installation of Prof. Dr. Soeharso Orthopedic Hospital Surakarta from May to June 2025. Subjects included three radiographers and one radiology specialist physician, with the research objects comprising knee joint examinations in patients with osteoarthritis. Data were collected through observation, interviews, documentation, and literature review. Data analysis involved reduction, presentation via coding graphs, and conclusion drawing. The study obtained Ethical Clearance No: PP.01.03/D.XXV.2/3897/2025. Results: Knee joint examinations required no special preparation, except for the removal of metallic objects such as knee braces. The projections used include AP, lateral, and additional lateral flexionextension in the supine position, utilizing a 35x43 cm cassette, centering point at the midpoint of the knee, and FFD of 100 cm. The lateral flexion-extension projection aimed to assess joint flexibility and ligament conditions (ACL and PCL), which were crucial for determining orthopedic interventions such as total knee replacement (TKR) or high tibial osteotomy (HTO). Conclusion: The lateral flexion-extension projection is beneficial for evaluating joint flexibility and ligament integrity, serving as a valuable supplementary reference in radiographic examinations of the knee joint for osteoarthritis
Leukositosis, Neutrofilia, Radiologi Pneumonia, dan Usia Lanjut sebagai Faktor Risiko Derajat Kritis Pasien COVID-19 di Rumah Sakit Semen Padang : Studi Kasus Kontrol Efrida, Efrida
Majalah Kedokteran Andalas Vol. 46 No. 3 (2023): Supplementary July 2023
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/mka.v46.i5.p805-812.2023

Abstract

Latar Belakang: Pandemi Coronavirus Disease 2019 (COVID-19) disebabkan oleh Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2), telah menyebabkan morbiditas dan mortalitas yang tinggi di seluruh dunia. Banyaknya kasus terkonfirmasi di seluruh dunia mendorong pemahaman komprehensif tentang faktor risiko COVID-19, sehingga dapat membantu pencegahan penyakit, perkembangan penyakit, dan hasil yang dapat merugikan pasien. Tujuan: Menganalisis faktor risiko yang berhubungan dengan derajat keparahan penyakit pasien COVID-19 di Rumah Sakit Semen Padang. Metode: Penelitian ini merupakan penelitian analitik observasional dengan pendekatan case-control menggunakan 100 data rekam medis pasien COVID-19 yang dirawat di Rumah Sakit Semen Padang pada tahun 2021. Parameter yang diperiksa berupa komorbid, rontgen foto toraks, dan parameter labor yaitu leukosit, neutrofil, limfosit, RNL, dan D-dimer. Teknik pengambilan sampel adalah consecutive sampling. Analisis bivariat menggunakan uji Chi-Square. Hasil dianggap bermakna jika nilai p<0,05. Hasil: Karakteristik pasien rawatan COVID-19: laki-laki sebanyak 51% dan perempuan 49%, kelompok umur lansia (>60 tahun) sebanyak 45%, 65% pasien memiliki komorbid, 63% pasien memiliki hasil pemeriksaan radiologi pneumonia. Hasil penelitian ini menunjukkan terdapat hubungan antara kelompok umur, hasil pemeriksaan radiologi, jumlah leukosit, dan jumlah neutrofil dengan derajat keparahan pasien COVID-19. Simpulan: Kelompok umur lansia, radiologi pneumonia, leukositosis, dan neutrofilia menjadi faktor risiko pasien COVID-19 derajat kritis di Rumah Sakit Semen Padang tahun 2021.

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