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Prosedur Pemeriksaan Radiografi Cervical Dinamik pada Klinis Herniated Nucleus Pulposus (HNP) di Instalasi Radiologi RSUD Brebes Putri Apriani; Ari Anggraeni; Ayu Mahanani
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 5 No. 3 (2025): November : Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v5i3.8355

Abstract

Background: Herniated Nucleus Pulposus (HNP) in the cervical region is a condition in which the intervertebral disc protrudes and may compress the nerve roots, causing pain and movement disorders. At the Radiology Department of RSUD Brebes, there are differences in cervical examination techniques compared to standard theory, namely the use of hyperflexion and hyperextension projections. Objective: This study aims to further examine the radiographic techniques used in cervical examinations with clinical indications of Herniated Nucleus Pulposus (HNP), particularly the use of additional lateral hyperflexion and hyperextension projections. Method: This research employed a qualitative method with a case study approach. Data collection was conducted through observation, interviews, documentation, and literature review at the Radiology Department of RSUD Brebes. Informants included five people: three radiographers, one radiology specialist, and one referring physician. Data were analyzed using reduction, presentation, and conclusion drawing techniques. Results: Dynamic cervical radiographic examination for clinical HNP at RSUD Brebes utilized additional hyperflexion and hyperextension projections with the patient standing sideways at the bucky stand, the Central Point (CP) located at cervical 4, and the Central Ray (CR) perpendicular horizontally. Focus Film Distance (FFD) was 100 cm, with exposure factors of 77 kV and 10 mAs. Patient preparation required no special measures, only removing metal objects around the cervical region such as earrings and necklaces. The rationale for using hyperflexion and hyperextension projections in dynamic cervical examinations for HNP cases at RSUD Brebes was to determine whether there was compression or displacement at the intervertebral disc. Conclusion: Dynamic cervical radiographic techniques for HNP cases at RSUD Brebes were conducted using hyperflexion and hyperextension projections. This examination was also used to evaluate degenerative conditions commonly occurring with aging and to assess cervical movement, since this region is more dynamic compared to thoracic and lumbar vertebrae, thus helping identify movement limitations in patients to support diagnosis.
ANALISIS KEBUTUHAN SUMBER DAYA DI INSTALASI RADIOLOGI RSUD XXX BERDASARKAN PERMENKES NO. 24 TAHUN 2020 Alamri, Gifara Syawaliah; Mukmin, Amril; Utami, Asih Puji
CENDEKIA: Jurnal Ilmu Pengetahuan Vol. 5 No. 4 (2025)
Publisher : Pusat Pengembangan Pendidikan dan Penelitian Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51878/cendekia.v5i4.7145

Abstract

This research was motivated by the gap between the human resource standards mandated by Minister of Health Regulation No. 24 of 2020 and the actual conditions in the Radiology Unit of XXX Regional Hospital. The regulation requires administrative staff and radiology nurses, but initial observations indicated the absence of both professions, potentially leading to overlapping duties and service inefficiencies. Therefore, this study focused on analyzing the human resource (HR) needs at the unit and identifying strategies to address them. This study used a qualitative descriptive approach, with data collected through in-depth interviews with the Head of the Radiology Unit and two radiographers, as well as a documentation study conducted in May 2025. The results confirmed that the Radiology Unit of XXX Regional Hospital did not meet the standards stipulated by Minister of Health Regulation No. 24 of 2020 due to the lack of administrative staff and radiology nurses. Key findings indicate that this shortage leads to overlapping duties and an increased workload for radiographers. It was concluded that to maintain smooth operations, the installation implemented an adaptive strategy in the form of optimizing existing personnel through rotating task allocation and collaboration with other units such as the Emergency Room. ABSTRAKPenelitian ini dilatarbelakangi oleh adanya kesenjangan antara standar ketenagaan yang diamanatkan oleh Permenkes No. 24 Tahun 2020 dengan kondisi riil di Instalasi Radiologi RSUD XXX. Peraturan tersebut mensyaratkan adanya tenaga administrasi dan perawat radiologi, namun observasi awal menunjukkan ketiadaan kedua profesi tersebut, yang berpotensi menyebabkan tumpang tindih tugas dan inefisiensi pelayanan. Oleh karena itu, penelitian ini berfokus untuk menganalisis kesenjangan kebutuhan sumber daya manusia (SDM) di instalasi tersebut dan mengidentifikasi strategi yang diterapkan untuk mengatasinya. Penelitian ini menggunakan pendekatan kualitatif deskriptif, dengan pengumpulan data melalui wawancara mendalam terhadap Kepala Instalasi Radiologi dan dua radiografer, serta studi dokumentasi pada Mei 2025. Hasil penelitian mengonfirmasi bahwa Instalasi Radiologi RSUD XXX belum memenuhi standar Permenkes No. 24 Tahun 2020 karena tidak memiliki tenaga administrasi dan perawat radiologi. Temuan utama menunjukkan bahwa kekurangan ini menyebabkan tumpang tindih tugas dan meningkatnya beban kerja radiografer. Disimpulkan bahwa untuk menjaga kelancaran operasional, pihak instalasi menerapkan strategi adaptif berupa optimalisasi tenaga yang ada melalui pembagian tugas secara bergilir dan kerja sama dengan unit lain seperti IGD.
Analisis Perhitungan Unit Cost Pelayanan Radiologi dengan Metode Activity Based Costing di Rumah Sakit Umum Daerah Pakuhaji Kabupaten Tangerang Savitri, Dwi Leonita; Komara, Endang; Veranita, Mira
Jurnal Pendidikan Tambusai Vol. 8 No. 3 (2024)
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai, Riau, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Penelitian ini bertujuan untuk menghitung seberapa besar biaya yang diperlukan dalam satuan kegiatan rontgen thorax dengan metode ABC di Rumah Sakit Umum Daerah Pakuhaji Kabupaten Tangerang. Jenis penelitian yang dilakukan adalah penelitian deskriptif kualitatif dengan pendekatan studi kasus. Berdasarkan penelitian ini disimpulkan bahwa Cara perhitungan jumlah unit cost menggunakan metode activity based costing, adalah dengan menentukan aktivitas yang terkait dengan biaya untuk setiap kategori. Cost Driver adalah faktor yang menjelaskan pengeluaran biaya overhead dan merupakan kejadian yang menyebabkan timbulnya biaya. Biaya overhead ini terbagi menjadi dua komponen utama: indirect resource overhead, dan direct resource overhead. Lalu kemudian dilakukan perhitungan biaya langsung atau direct cost dalam pemeriksaan rontgen thorax. Kemudian data mengenai direct cost dan total biaya overhead dijumlahkan untuk mendapatkan hasil perhitungan unit cost. Penjumlahan dari direct cost dan total biaya overhead ini akan memberikan gambaran yang jelas mengenai unit cost untuk pemeriksaan rontgen thorax. Terdapat selisih antara biaya unit cost yang dihitung menggunakan metode Activity-Based Costing (ABC) dan real cost serta tarif INA-CBGs. Tarif real cost yang diterapkan di Rumah Sakit Umum Daerah Pakuhaji lebih rendah dibandingkan dengan unit cost yang dihasilkan melalui metode ABC. Hal ini menunjukkan bahwa rumah sakit tersebut tidak memperoleh keuntungan dari tarif yang diberlakukan saat ini. Namun, di sisi lain, tarif INA-CBGs yang telah ditetapkan oleh pemerintah untuk layanan pemeriksaan rontgen thorax ternyata lebih tinggi daripada unit cost yang dihitung menggunakan metode ABC. Dengan demikian, rumah sakit masih bisa meraih keuntungan dari layanan tersebut. Kendala yang dihadapi dalam perhitungan unit cost dengan metode Activity Based Costing dalam penelitian ini adalah sistem keuangan rumah sakit belum menyediakan data yang menyeluruh dan spesifik, sehingga diperlukan evaluasi dalam hal sistem pencatatan keuangan. Hal ini dapat mempengaruhi akurasi dan kelengkapan analisis keuangan dalam penelitian ini.
HUBUNGAN KOMUNIKASI EFEKTIF RADIOGRAFER DENGAN KEPUASAN PASIEN RAWAT JALAN PADA PEMERIKSAAN THORAX DI INSTALASI RADIOLOGI SENTRAL RSUP DR. M DJAMIL PADANG Mareta, Santa; Sari, Oktavia Puspita; Rahmadianti, Yori; Fitrah, Tiara Annisa
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 8 No. 2 (2024): AGUSTUS 2024
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v8i2.31893

Abstract

Komunikasi efektif antara tenaga kesehatan dan pasien memiliki peranan yang penting dalam menentukan kepuasan pasien. Survei awal yang dilakukan penulis kepada 15 pasien di Instalasi Radiologi Sentral RSUP DR. M Djamil Padang, terdapat 9 pasien yang tidak menerima instruksi pemeriksaan dengan baik, dan 6 pasien diantaranya yang menerima instruksi pemeriksaan dengan baik. Hal ini terlihat ditemukan pasien bergerak saat pemeriksaan, hal ini dibuktikan adanya hasil gambaran yang tidak jelas (membayang), memakai pakaian dalam, kalung, semacam benda dari besi yang terlihat pada hasil radiograf pemeriksaan thorax, sehingga mengakibatkan adanya pengulangan foto pada pemeriksaan thorax. Penelitian ini bertujuan untuk mengetahui hubungan komunikasi efektif Radiografer dengan kepuasan pasien rawat jalan pada pemeriksaan thorax di Instalasi Radiologi Sentral RSUP DR. M Djamil Padang. Jenis penelitian adalah kuantitatif dengan design cross secctional, penelitian ini dilakukan di Instalasi Radiologi Sentral RSUP DR. M. Djamil Padang, pada bulan Agustus 2023 – Februari 2024. Sampel penelitian ini berjumlah 98 orang. Pengumpulan data primer dilakukan dengan menggunakan kuesioner, data yang didapat kemudian diolah menggunakan aplikasi SPSS dengan analisis bivariat dengan uji chi-square. Hasil penelitian didapatkan nilai p value = 0,000 (nilai p value < 0,05) sehingga Ho ditolak dan Ha diterima. Maka dapat bahwa terdapat hubungan yang signifikan antara komunikasi efektif radiografer dengan kepuasan pasien
Optimasi Pengaturan pH Developer untuk Meningkatkan Efisiensi Waktu dalam Processing Film di Ruang Gelap Radiologi Anggraeni, Leny; Candra, Feri Aria; Ichwan, Yas
Jurnal Imejing Diagnostik (JImeD) Vol. 9 No. 1: JANUARY 2023
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v9i1.9447

Abstract

Background: Film processing is an activity to obtain a permanent and real picture of a film, which can be seen with the eye in general conditions. The developer fluid is very influential on the image produced in the film. After exposure, it will be placed in the next step, namely the washing process, so as to produce a permanent image and make a diagnosis. Each exposure of washing film from one film to another, there is a difference in processing time. The more films that are processed, the longer the film processing time is required. The purpose of this study is to see the effect of developer pH on inefficient factors that lead to the film processing time in a dark room. Methods: The research design used was experimental with research samples tested on pH developers in the Radiology Installation of RSUD Pesawaran. Result: Calculation analysis, measurement test result of developer pH measurement to the time of generation on the film was the sig. value which was 0,000 and the degree of relationship value was - 0,983. Conclusion: Based on the provisions, the sig. value of 0.000 <0.05 then Ho was rejected or it was stated that there was a relationship between variable X (pH value) and variable Y (Time). 
Rancang Bangun Alat Bantu Pemeriksaan Radiologi pada Pemeriksaan Patella Metode Hughston Mufida, Widya; Faesol, Ahmad
Jurnal Imejing Diagnostik (JImeD) Vol. 10 No. 2 (2024): JULI 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v10i2.10182

Abstract

Background: Radiographic examination of the tangential projection of the patella can be done in a prone, supine body position, sitting on an examination table with legs dangling, or standing with a different angle for each method. The Hughston method is carried out with an angle of 55 degrees. Hughston's method of radiographic examination of patients is holding a frozen strap to the leg in order to obtain the desired angle so that if the patient's condition is non-cooperative, attack the radiographer to carry out the examination optimally. The purpose of this study was to make a Patella radiological examination tool using the Hughston method.Methods: This research is an experimental research by making inspection aids first followed by testing on anthropomorphic phantoms and volunteers. The results obtained are then analyzed to get conclusions and suggestions.Results: In the design of the Patella radiographic examination fixation device, the Hughston material method is used as needed and does not interfere with the image such as artifacts in the image. The specifications of the fixation device for patella radiographic examination by the Hughston method are made of acrylic which has properties that can be penetrated by radiation without causing artifacts, the height of the fixation device is 25 cm with a slope angle of 55 degrees, length 26 cm and width 20 cm. The angle of the fixation device is intended so that the supporting position of the patient's leg is extended with an angle of 55 degrees cephalad. The results of the radiograph are expected to evaluate the wear on the patellofemoral joint surface, identify the lateral half of the patella and determine the correlation between the femur and tibia. The prone position of the patient in the Hughston method cannot be used in patients with clinical fractures or patella dislocations.Conclusions: The fixation device that has been made is in accordance with the expected projection on the Hugstons projection patella radiographic examination. Trials using this fixation device use volunteers to make it easier to adjust the patient's actual position without exposure. The reason for not using a phantom is because the position of the phantom pedis is stiff so that it covers the irradiation and causes superposition
Implementasi Pemanfaatan Sumber Radiasi Pengion pada Ruang CT Scan ditinjau berdasarkan Peraturan BAPETEN No. 4 tahun 2020 di Instalasi Radiologi Rumah Sakit type B di Wilayah Kabupaten Sumedang Anggraeni, Leny; Nuramdiani, Dian
Jurnal Imejing Diagnostik (JImeD) Vol. 10 No. 1: JANUARY 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v10i1.10833

Abstract

Background: Occupational safety and health (OSH) management is the main factor in hospital services, which aims to control and minimize potential dangers due to radiation. One of the evaluations used is the implementation of OSH management requirements based on the Republic of Indonesia Ministry of Health Regulation No. 1014 of 2008 and Bapeten regulation no. 4 of 2020. The aim of this research was to determine the extent of implementation of OSH management in terms of completeness of management requirements, radiation protection, room design and personal protective equipment (PPE) implemented in Radiology Department in hospital type B, Sumedang Regency.Methods: This research was a descriptive qualitative by conducting direct observations, interviews and documentation.Results: The results of the research on the design of the room without ventilation outside the CT Scan room, this aims to minimize the dose of scattered radiation that comes out, decentralization and good air circulation, has warning signs and directions for radiation danger areas, the radiation protection equipment is quite complete. Implementation of radiation management has been carried out, but not completely, there is no health monitoring at the end of the work period and upon termination of work. Radiation safety verification has been carried out periodically, quality control is only carried out externally, so it does not meet standards, internal quality control cannot be carried out because there is no survey meter.Conclusions: This research was conducted in Radiology Department room in August 2023, the results showed that in the CT Scan room there was no air ventilation, there was radiation dose monitoring for staff, overall, Radiology Installation hospital type B in Sumedang Regency area had implemented occupational safety and health.
Analisis Perbedaan Sekuen 3D DIR pada MRI Brain Kasus Epilepsi (Studi Komparasi 3D T2 FLAIR SPACE) di Instalasi Radiologi RSUP Prof. Dr. I.G.N.G. Ngoerah Yulianus, Evhal; Prasetya, I Made Lana; Triningsih, Triningsih
Jurnal Imejing Diagnostik (JImeD) Vol. 10 No. 2 (2024): JULI 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v10i2.11568

Abstract

Background: Double Inversion Recovery (DIR) is a newer sequence compared to the T2 FLAIR sequence in MRI Brain examinations used for epilepsy cases. Further research is needed to determine the optimal sequence for MRI Brain in epilepsy cases.Methods: This research is a quantitative study with an experimental approach. This study uses DIR and T2 SPACE sekuen to assess image quality in terms of Contrast to Noise Ratio (CNR). The data will be analyzed using SPSS.Results: The normality test shows a p-value < 0.05, indicating that the data is not normally distributed. In the Wilcoxon test, the negative rank indicates a decrease in image quality (CNR) from the DIR sequence to T2 FLAIR SPACE. The test statistics show a p-value < 0.05, indicating a significant difference in image quality (CNR) between the DIR and T2 FLAIR SPACE sekuen.Conclusions: The Contrast to Noise Ratio (CNR) image quality in Double Inversion Recovery (DIR) is higher compared to T2 FLAIR SPACE, thus making the DIR sequence more optimal in assessing image quality (CNR) compared to the T2 FLAIR SPACE sequence.
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.
SISTEM PRIOTEKSI RADIASI : Analisis Terhadap Bidang Radiologi Rumah Sakit anwar, edi daenuri
Phenomenon : Jurnal Pendidikan MIPA Vol. 1 No. 1 (2011): Jurnal Pendidikan MIPA
Publisher : Faculty of Science and Technology, Universitas Islam Negeri Walisongo Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21580/phen.2011.1.1.444

Abstract

Fisika kesehatan berkembang sangat pesat, hal tersebut merupakan tuntutan yang harus terpenuhi seiring dengan perkembangan kedokteran dan penyakit yang multi kompleks. Fisika menawarkan berbagai konsep   untuk memudahkan, membantu dan menjawab permaslahan dalam bidang kedok- teran. Jawaban tersebut adalah munculnya berbagai alat seperti CT-Scan, general x-ray, dan lain-lain. Alat- alat tersebut disebut sebagai alat-lat radiologi yang berfungsi untuk perawatan (tera- pi), diagnosa dan pembunuhan penyakit tanpa melakukan oper- asi.   Tetapi disamping kemudahan-kemudahan yang diberikan ternyata alat-alat tersebut  juga memberikan efek negative bagi tubuh yang terkena paparan radiasi.General x-ray atu sering disebut sinar-x merupakan alat yang dimiliki banyak rumah sakit, kebanyakan untuk mendiag- nosa suatu penyakit.  Untuk meminimalisir efek negative yang ditimbulkan maka perlu adanya system proteksi yang baik, se- hingga aman bagi pengguna,operator, dokter, pasien dan ma- syarakat pada umumnya.

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