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Prosedur Pemeriksaan Fistulografi Pada Kasus Fistula Periumbilical Di Unit Radiologi RS PKU Muhammadiyah Wonosobo Maghfiroh, Hidayatul; Dewi, Sofie Nornalita; Astari, Fisnandya Meita
JUKEJ : Jurnal Kesehatan Jompa Vol 4 No 2 (2025): JUKEJ: Jurnal Kesehatan Jompa
Publisher : Yayasan Jompa Research and Development

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57218/jkj.Vol4.Iss2.1852

Abstract

Fistulografi merupakan pemeriksaan radiologi menggunakan media kontras water soluble  yang diinjeksikan ke dalam lubang fistula untuk memvisualisasikan jalur fistula. Belum banyak laporan yang menjelaskan variasi prosedur radiologi di rumah sakit daerah  khususnya pemeriksaan radiologi pada kasus fistula periumbilical. Penelitian ini bertujuan untuk mengetahui prosedur pemeriksaan, alasan dilakukan modifikasi pada pemasukan media kontras, dan alasan dilakukan masing-masing proyeksi. Penelitian ini merupakan jenis penelitian kualitatif deskriptif dengan pendekatan studi kasus pada satu pasien dengan diagnosa fistula periumbilical yang menjalani pemeriksaan fistulografi di Unit Radiologi RS PKU Muhammadiyah Wonosobo. Metode pengumpulan data meliputi observasi langsung, dokumentasi,  wawancara, dan studi kepustakaan. Data dianalisis dengan  cara reduksi data, penyajian data, dan ditarik kesimpulan. Prosedur pemeriksaan fistulografi pada kasus fistula periumbilical di Unit Radiologi RS PKU Muhammadiyah Wonosobo tidak memerlukan persiapan khusus dan dilakukan dengan menggunakan proyeksi AP pendahuluan, lateral dorsal decubitus post kontras, dan AP post kontras. Pemasukan media kontras dilakukan dengan menggunakan abocath ukuran 18 dan spuit 20 cc dengan total media kontras 60 ml yang dibagi menjadi 3 tahap pemasukan. Penggunaan proyeksi tersebut sudah mampu mengidentifikasi adanya fistula pada umbilical. Sebaiknya pemeriksaan fistulografi dilakukan dengan fluoroscopy untuk memperoleh gambaran secara real-time atau CT-Scan untuk memperoleh detail anatomi yang lebih baik.
Analisis Akurasi Perhitungan Nilai Ejeksi Fraksi Cardiac Magnetic Resonance untuk Meningkatkan Mutu Layanan Kesehatan di Ruang Radiologi Pelawi, Awan; Harahap, Veryyon; Purba, Yeni Trisna; Zalukhu, Nomelda; Sijabat, Auhon Berkat
Prosiding Seminar Kesehatan Nasional Vol. 2 No. 1 (2023): Desember
Publisher : 3031-8572

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36565/prosiding.v2i1.82

Abstract

Ejection Fraction (EF) is a parameter for assessing the heart's ability to pump blood throughout the body. Currently, ultrasound is frequently used to detect EF values, but it has limitations such as poor acoustic window and operator dependency. Cardiac Magnetic Resonance (CMR) examination has advantages in providing accurate EF values with two measurement methods: Short Axis and Long Axis view. This study aims to determine the accuracy of left ventricular ejection fraction values in CMR examination using short axis and long axis view methods compared to echocardiography. Method: descriptive quantitative research design on EF calculation conducted at radiology installation in Jakarta hospital from July-October 2022 with 33 patient samples. Data were obtained through observation and measurement using CVI 42 software on 1.5T GE Signa Voyager MRI device. Results: The average EF percentage on LVEF-EC measurement method was 41%, LVEF-SA 40%, and LVEF-LA 43%. The accuracy showed EC-SA average difference of 0.939 with 3% percentage and EC-LA average difference of 1.812 with 5% percentage. Conclusion: Short axis method is more accurate compared to long axis, thus can be used as standard procedure for CMR examination to provide quality diagnostic services.
Sistem Manajemen Penggunaan Alat Pelindung Diri (APD) Unit Radiologi RSU Efarina Etaham Pematang Siantar Pelawi, Awan; Purba, Yeni Trisna; Purba, Eka Anastasya; Purba, Siska Gracia Oktafiana
Prosiding Seminar Kesehatan Nasional Vol. 1 No. 1 (2022): Desember
Publisher : 3031-8572

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36565/prosiding.v1i1.88

Abstract

Radiation Safety and Health in the Utilization of Ionizing Radiation, hereinafter referred to as radiation safety, is an effort undertaken to create conditions such that the effects of ionizing radiation on humans and the environment do not exceed the determined threshold values. This study aims to examine the implementation of the Personal Protective Equipment (PPE) management system in the Radiology Unit at Efarina Etaham General Hospital, Pematangsiantar, and to provide insights and information for radiology workers regarding the PPE management system in the radiology unit. This research is descriptive in nature, utilizing a checklist measurement tool administered to two radiology workers. Based on the research conducted in the Radiology Unit at Efarina Etaham General Hospital, Pematangsiantar, regarding the Personal Protective Equipment Usage Management System, it can be concluded that radiology workers have not been using all the required PPE as mandated for a Class C hospital, such as Lead Aprons, Lead Glasses, Face Shields, Gloves, and other protective equipment. Therefore, it is recommended that the hospital management provide the necessary PPE for workers to use in carrying out their duties
Teknik Radiografi Os Humerus dengan Kasus Fraktur 1/3 Distal Humerus di Instalasi Radiologi Rumah Sakit Efarina Etaham Berastagi Kabupaten Karo Taslima, Saufa; Simanjuntak, Zilvayani
Prosiding Seminar Kesehatan Nasional Vol. 1 No. 1 (2022): Desember
Publisher : 3031-8572

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36565/prosiding.v1i1.89

Abstract

Humerus fracture is a disruption of the continuity of the humerus bone accompanied by soft tissue damage. Radiographic examination is essential for documenting and determining the extent of fractures. This study aims to determine the radiological examination procedures for humerus fractures and radiation protection efforts at the Radiology Installation of Efarina Etaham Hospital, Berastagi, Karo Regency. This is a qualitative descriptive study using secondary data collection methods through observation, physical examination, and documentation study. The subject was a 37-year-old male patient with a diagnosis of 1/3 distal humerus fracture. Radiographic examination was performed using AP (Anteroposterior) projection with exposure factors of 65 kVp, 160 mA, and 0.6 seconds, using a 24x30 cm cassette at 100 cm FFD. The results showed that the PA projection effectively visualized the fracture while providing patient comfort and reducing the risk of aggravating the injury. However, radiation protection for patients was not optimal as protective aprons could not be used to avoid interfering with the radiographic image. It is concluded that the radiographic technique applied can produce optimal diagnostic images, but radiation protection aspects need improvement, especially regarding the use of collimation and proper field size management
Teknik Pemeriksaan Cystografi pada Kasus Fistule Vesicorectal di Instalasi Radiologi RS Efarina Etaham Berastagi Purba, Juni Sinarinta; Sitohang, Putra Raja P P; Siahaan, Nopita Sari
Prosiding Seminar Kesehatan Nasional Vol. 1 No. 1 (2022): Desember
Publisher : 3031-8572

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36565/prosiding.v1i1.108

Abstract

Cystography is a radiographic examination to visualize the vesica urinaria using positive contrast media administered retrogradely through a catheter. Vesicorectal fistula is an abnormal channel connecting the urinary bladder with the rectum. This case study was conducted at the Radiology Installation of RS Efarina Etaham Berastagi on a 51-year-old male patient with suspected vesicorectal fistula. The examination used projections of AP plain, AP post-contrast, RPO, LPO, lateral, lateral double contrast, and AP post-evacuation. The examination technique used positive contrast media (Iopamidol:aquades ratio 1:4) followed by negative contrast media (air 100cc) administered retrogradely through a catheter. Double contrast technique showed smooth vesica urinaria walls with contrast entering the rectum, and air visible between the rectum and the vesica urinaria posteroinferior, confirming vesicorectal fistula. The use of double contrast (positive and negative) in cystography examination is effective for diagnosing vesicorectal fistula by providing density differences that clearly demonstrate the presence of fistula.
Gambaran Noise pada Pemeriksaan CT-Scan Brain menggunakan Protokol Fast Stroke di Instalasi Radiologi Rumah Sakit Otak DR. DRS. M. Hatta Bukittinggi Zasneda, Sabriani Suci; Kustoyo, Bambang; Hulu, Yessi Vanni; Saragih, Febby Lolasari
Prosiding Seminar Kesehatan Nasional Vol. 1 No. 1 (2022): Desember
Publisher : 3031-8572

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36565/prosiding.v1i1.111

Abstract

Stroke is one of the leading causes of death worldwide, with non-hemorrhagic stroke accounting for 85% of cases. CT-Scan examination is the primary modality for stroke diagnosis. This study aims to determine the examination technique and evaluate noise characteristics in CT-Scan brain examination using fast stroke protocol at Dr. Drs. M. Hatta Brain Hospital, Bukittinggi. This is a qualitative descriptive study conducted from June to July 2023 involving four informants consisting of one doctor and three radiographers. Data were collected through literature review, observation, in-depth interviews, and documentation. The fast stroke protocol uses parameters of 120 kVp, 210 mA, 1.25 mm slice thickness, DFOV 26.9 cm, and total exposure time 4.33 seconds. Results showed that the fast stroke protocol with 1.25 mm slice thickness produces higher noise compared to head routine protocol with 5 mm slice thickness. However, thinner slices provide better detail and can detect smaller lesions, which is crucial for early stroke detection. The head routine protocol produces smoother images with less noise but lower detail. For stroke cases, the fast stroke protocol is more optimal as it can detect smaller lesions in critical areas. Image quality is influenced by slice thickness, where thinner slices increase noise but improve spatial resolution and diagnostic accuracy. It is concluded that the fast stroke protocol is more suitable for stroke cases despite higher noise levels, as the benefits of improved lesion detection outweigh the disadvantages of increased noise
Teknik Pemeriksaan Radiografi Thorax PA pada Kasus Tuberkulosis di Unit Radiologi Rumah Sakit Umum Daerah Dr. Djasamen Saragih Pematangsiantar Harahap, Veryyon; Simamora, Khoirun Nisa; Winanda, Dita
Prosiding Seminar Kesehatan Nasional Vol. 2 No. 1 (2023): Desember
Publisher : 3031-8572

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36565/prosiding.v2i1.128

Abstract

Tuberculosis (TB) is a chronic infectious disease caused by Mycobacterium tuberculosis, primarily affecting the lungs. Chest radiography remains the primary imaging modality for diagnosing pulmonary tuberculosis. This study aims to determine the radiological examination technique for pulmonary tuberculosis cases and evaluate whether the PA or AP projection alone is sufficiently effective for establishing TB diagnosis at Dr. Djasamen Saragih Regional General Hospital, Pematangsiantar. This is a qualitative descriptive study using secondary data collection methods through observation, physical examination, and documentation. The subject was a 48-year-old male patient with a diagnosis of recurrent pulmonary tuberculosis showing patchy opacities. Radiographic examination was performed using PA projection with the patient in an erect position, exposure factors of 125 kVp and 250 mAs, using a 35x35 cm cassette at 150-180 cm FFD. The results showed that PA projection effectively visualized tuberculous lesions in the upper lung fields, including the apices. Although AP Lordotic projection could provide better visualization of apical lesions free from clavicular superimposition, the PA projection alone was deemed sufficient for establishing TB diagnosis at this facility. Radiation protection was implemented through collimation and proper field size management, though patient shielding with lead apron was not utilized to avoid interfering with the diagnostic area. It is concluded that PA projection chest radiography can adequately diagnose pulmonary tuberculosis cases, although the addition of AP Lordotic projection would be beneficial for evaluating small apical lesions that may be obscured by clavicular superimposition.
ANALISIS MANFAAT DAN TANTANGAN PENERAPAN PICTURE ARCHIVING AND COMMUNICATION SYSTEM (PACS) DI INSTALASI RADIOLOGI Darmawan, Zulkifli Tri; Angraeni, Dian; Mirfauddin, Mirfauddin; Rakhmansyah, A.AR.; Rusli, Muh; Wulandari, Andi Nur Intan; Syuhada, Firdha Adlia; Normawati, Sitti; Musdalifah, Indah
Media Ilmiah Kesehatan Indonesia Vol. 3 No. 3 (2025): SEPTEMBER
Publisher : Pakis Journal Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58184/miki.v3i3.745

Abstract

Penelitian ini bertujuan untuk menganalisis manfaat dan tantangan penerapan sistem Picture Archiving and Communication System (PACS) di Instalasi Radiologi Rumah Sakit Otak dan Jantung Pertamina Royal Biringkanaya. PACS merupakan sistem digital yang menggantikan metode penyimpanan berbasis film konvensional guna meningkatkan efisiensi pelayanan radiologi. Pendekatan yang digunakan adalah deskriptif kualitatif, dengan teknik pengumpulan data melalui kuesioner, wawancara, observasi langsung, dan dokumentasi. Partisipan dalam penelitian ini terdiri dari enam orang radiografer dan satu orang dokter radiologi. Hasil penelitian menunjukkan bahwa PACS memberikan kontribusi signifikan terhadap peningkatan pelayanan. Berdasarkan hasil kuesioner, 62% radiografer menyatakan sangat setuju dan 38% setuju terhadap manfaat PACS. Respons dokter menunjukkan 80% sangat setuju, 10% setuju, dan 10% tidak setuju. Hasil wawancara memperkuat data kuantitatif tersebut, terutama dalam hal kemudahan akses gambar, kecepatan pelaporan, dan efisiensi alur kerja. Meski demikian, tantangan seperti gangguan jaringan dan perlunya pelatihan berkelanjutan masih ditemui. Hasil observasi menunjukkan bahwa infrastruktur PACS seperti komputer dan monitor sudah memadai, serta pelatihan yang diberikan umumnya cukup. Namun, responden menyarankan adanya pembaruan sistem dan pemeliharaan berkala. Secara keseluruhan, PACS terbukti meningkatkan kualitas pelayanan radiologi tetapi optimalisasi sistem masih diperlukan melalui peningkatan infrastruktur dan kapasitas pengguna.
Rancang Bangun Alat Fiksasi pada Pemeriksaan Abdomen LLD (Left Lateral Decubitus) untuk Pembelajaran Mahasiswa di Ruang Praktikum Radiologi Hartono, Wahyanudin Yusuf Arizona; Yusnida, Arnefia Mei; Nasokha, Ildsa Maulidya Mar’atus
RIGGS: Journal of Artificial Intelligence and Digital Business Vol. 4 No. 3 (2025): Agustus - October
Publisher : Prodi Bisnis Digital Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/riggs.v4i3.2769

Abstract

Penelitian ini merancang dan membangun alat fiksasi untuk pemeriksaan radiografi abdomen Left Lateral Decubitus (LLD) guna mendukung pembelajaran mahasiswa di ruang praktikum radiologi. Alat ini menjaga kestabilan dan keamanan posisi phantom, meningkatkan pemahaman dan keterampilan mahasiswa dalam prosedur pemeriksaan radiologi. Dengan metode research & development, alat fiksasi ini terdiri dari rangka penyangga besi, bantalan phantom, dan tempat penahan kaset. Dioperasikan dengan meletakkan di atas meja pemeriksaan, memasang kaset, dan memposisikan phantom. Wawancara dengan 3 dosen menunjukkan alat ini membantu meningkatkan stabilitas posisi dan akurasi teknik radiografi mahasiswa, mempermudah praktikum, mengurangi pengulangan eksposur. Berdasarkan skor penilaian responden (3,25 skala Likert), alat dinyatakan layak dan siap diterapkan dalam praktik klinis. Alat ini mempermudah praktikum dan mendukung pembelajaran efektif.
TEKNIK PEMERIKSAAN LOPOGRAFI PADA KLINIS VENTRAL HERNIA DI INSTALASI RADIOLOGI RSI SULTAN AGUNG SEMARANG Nisa, Salsabila Aidatun; Dewi, Sofie Nornalita; Wati, Retno
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 9 No. 3 (2025): DESEMBER 2025
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v9i3.49688

Abstract

Lopografi adalah pemeriksaan kolon menggunakan media kontras yang dimasukkan melalui kolostomi untuk mengevaluasi fungsi anatomi dan fisiologi kolon distal hingga anus, khususnya pada kondisi klinis ventral hernia. Di Instalasi Radiologi RSI Sultan Agung Semarang, prosedur lopografi pada kasus ventral hernia menggunakan media kontras water soluble dengan volume 400 ml dan perbandingan 1:6, yang berbeda dari teori umum. Penelitian ini bertujuan untuk mengetahui prosedur pemeriksaan lopografi serta alasan penggunaan media kontras water soluble dengan volume dan perbandingan tersebut pada kasus ventral hernia di fasilitas tersebut. Metode penelitian yang digunakan adalah kualitatif deskriptif dengan pendekatan studi kasus, dilakukan antara Oktober 2024 hingga Juli 2025. Subjek penelitian terdiri dari tiga radiografer dan satu dokter spesialis radiologi, sedangkan objek penelitian adalah teknik pemeriksaan lopografi pada ventral hernia. Data dikumpulkan melalui observasi, dokumentasi, wawancara, dan studi pustaka, kemudian dianalisis dengan tahapan pengumpulan, reduksi, penyajian data, dan penarikan kesimpulan. Hasil menunjukkan persiapan pasien hanya meliputi penandatanganan informed consent dan pelepasan benda logam. Proyeksi pemeriksaan menggunakan posisi AP, lateral, RPO, dan LPO. Media kontras water soluble dimasukkan melalui stoma dengan volume 400 ml perbandingan 1:6 tanpa menggunakan alat takar. Media kontras ini mudah diserap tubuh dan dikeluarkan melalui urin serta keringat. Volume dan perbandingan tersebut memungkinkan media kontras melewati kolon asenden hingga rektum dengan cepat tanpa adanya obstruksi. Kesimpulannya, penggunaan media kontras water soluble dipilih karena sifatnya yang mudah diserap dan diekskresikan, serta volume 400 ml dengan perbandingan 1:6 sesuai dengan letak kolostomi di distal kanan dan mencukupi untuk menyelimuti kolon.  

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