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Studi Kasus Pemeriksaan Lopography dengan Klinis Post Colostomy di Instalasi Radiologi RSUD Caruban Kabupaten Madiun Zhafirah Egina Salsabila; Ayu Mahanani; Fisnandya Meita Astari
JURNAL RISET RUMPUN ILMU KESEHATAN Vol. 4 No. 3 (2025): Desember : Jurnal Riset Rumpun Ilmu Kesehatan
Publisher : Pusat riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jurrikes.v4i3.6367

Abstract

A lopography or barium enema colostomy is a radiographic examination of the colon using a contrast medium inserted through a colostomy. This examination aims to evaluate the condition of the colon after the colostomy, including detecting the presence of obstructions or masses in the gastrointestinal tract. The contrast medium used is a type of non-ionic soluble water that is inserted through the stoma and anus orifice until it fills the entire colon, characterized by the exit of contrast through the stoma. The examination was carried out using several radiographic projections, including plain photographs of the AP abdomen, as well as post-contrast projections of the Antero Posterior (AP), Right Posterior Oblique (RPO), Left Posterior Oblique (LPO), and lateral. This study aims to find out the procedure for the Lopography examination at the Radiology Installation of Caruban Hospital and the medical reasons for the use of two channels of input of contrast media, namely through the stoma and anus. The method used is qualitative descriptive research with a case study approach. The study was carried out from November to May 2025, with one post-colostomy patient as a sample. Data collection was carried out through direct observation, interviews with medical personnel, and documentation of radiographic procedures. Data analysis includes data reduction, data presentation, and conclusion drawn. The results of the study showed that the procedure of Robotic examination did not require any special preparation before the procedure. The non-ionic contrast medium used is mixed with aquades at a ratio of 1:3 (about 200 cc), and inserted through both the stoma and the anus to obtain a thorough visualization of the colon. The selection of two input paths aims to ensure that there are no blockages or masses that block the contrast flow. The projections used are adjusted to provide maximum information about the structure of the colon after colostomy
Pemeriksaan Lopografi Pediatric dengan Klinis Fistula Rectrovagina Post Colonostomy di Instalasi Radiologi RSUP Dr. Sardjto Stefanie Nihe; Ari Anggraen; Ayu Mahanani
JURNAL RISET RUMPUN ILMU KESEHATAN Vol. 4 No. 3 (2025): Desember : Jurnal Riset Rumpun Ilmu Kesehatan
Publisher : Pusat riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jurrikes.v4i3.6791

Abstract

One part of the large intestine can be affected by an anal fistula or rectovaginal fistula due to infection of the anal glands. In patients who have undergone colonostomy, radiological examinations such as lopography are necessary to detect abnormalities, especially in the anal region. Pediatric lopography with clinical rectovaginal fistula post colonostomy at the Radiology Department of Dr. Sardjito General Hospital involves inserting contrast media into the proximal section through the proximal stoma with an anteroposterior projection and into the distal section through the anal opening with a lateral projection. The study aimed to determine the contrast enema examination procedure in pediatric patients with clinical rectovaginal fistula post-colonostomy, including examination techniques, patient preparation, equipment and materials used, as well as handling problems such as blockages in the distal intestine. Methods: The study was conducted in May–June 2025 using a qualitative descriptive method through observation, interviews, and documentation, involving three radiographers and one radiologist. Data analysis was performed through data collection, data reduction, data presentation, discussion, and conclusion drawing. Results: The results showed that lopography examinations used water-soluble iodine contrast media mixed with NaCl at a ratio of 1:3, which was inserted through the proximal stoma and anus. Preparation included fasting from breast milk, confirming patient identity, informedconsent, and preparation of equipment such as an X-ray machine with fluoroscopy, catheters, syringes, and Computed Radiography.
Prosedur Pemeriksaan Radiografi Vertebrae Cervical pada Kasus Phlegmon di Instalasi Radiologi RSUD Kota Yogyakarta Sefiana Nurul Hikmah; Amril Mukmin; Ayu Mahanani
JURNAL RISET RUMPUN ILMU KEDOKTERAN Vol. 4 No. 1 (2025): April : 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.v4i1.4997

Abstract

Phlegmon is a serious infection affecting the maxillofacial area. Cases of phlegmon cause more than 50% mortality before the development of antibiotics, and 90% are due to acute infection of molar teeth. Examination of cervical vertebrae can help the diagnosis by using AP Axial, Lateral, right posterior oblique (RPO)/left posterior oblique (LPO) projections of 15º-20º cephalad, and right anterior oblique (RAO)/left anterior oblique (LAO) 15º-20º caudad while in the Radiology Installation of Yogyakarta City Hospital, using AP Axial projection 15º cephalad, Lateral and oblique (RPO and LPO) with perpendicular beam direction without other modalities such as MRI and CT Scan. This study aims to further examine radiographic examination procedures and projections of RPO and LPO with perpendicular ray directions. This type of research is qualitative with a case study approach at the Radiology Installation of Yogyakarta City Hospital from September 2024 to May 2025. Data were collected by observation, documentation and interviews with 3 radiographers and 1 radiology specialist. Data analysis was done by data reduction, data presentation and conclusion drawing. The results showed 3-position photographs to evaluate the overall condition of the cervical vertebrae and surrounding tissues. RPO and LPO projections are not angled according to the applicable SOP and have no significant effect, because the main focus of phlegmon is soft tissue evaluation and is not related to the evaluation of nerve abnormalities in the intervertebral foramen. However, for phlegmon cases with serious severity, other modalities such as MRI, CT scan or ultrasound should be added in order to detect soft tissue and the cause of phlegmon for further action.
Analisis Kebutuhan, Dimensi Dan Sirkulasi Ruang Radiologi Rumah Sakit Bina Sehat Pasuruan Maulana, Yusuf Satria; Saraswati, Ratri Septina
UMPAK : Jurnal Arsitektur dan Lingkungan Binaan Vol 6, No 1 (2023): Maret
Publisher : Program Studi Arsitektur, Fakultas Teknik dan Informatika, Universitas PGRI Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26877/umpak.v6i1.18679

Abstract

AbstrakPelayanan radiologi merupakan pelayanan kesehatan yang menggunakan sinar peng-ion ataupun bahan radioaktif sehingga penggunaan bahan tersebut mempunyai dua sisi yang saling berlawanan, yaitu dapat berguna bagi penegakan diagnosa dan terapi penyakit dan di sisi lain akan sangat berbahaya bila penggunaannya tidak tepat dan tidak terkontrol.Pelayanan terbaik yang bisa diberikan kepada customer sehingga kebutuhan/ keinginan/ harapan customer dapat terpenuhi (pelanggan puas), Penilaian Mutu pelayanan dapat untuk mengetahui keberhasilan atau kegagalan pelayanan dengan demikian akan dapat menghargai keberhasilan dan memperbaiki kegagalan.Instalasi Radiologi merupakan salah satu instalasi penunjang di rumah sakit yang berperan penting dalam menegakkan diagnosa penyakit pasien. Instalasi radiologi perlu suatu penataan pengorganisasian didalam menjalankan fungsinya.. Dari permasalahan tersbut perlu dikaji lebih lanjut mengenai kebutuhan, dimensi dan standar ruang-ruang radiologi untuk dapat memberikan layanan yang baik dan nyaman hingga terpenuhinya Kebutuhan Dimensi dan Sirkulasi Ruang Ruang Radiologi yang teratur dan sesuai peraturan yang ada. Tujuan analisis Standar Ruang Radiologi ini adalah untuk mengetahui kondisi kebutuhan ruang, dimensi dan sirkulasi unit radiologi pada RS Bina Sehat Pasuruan menurut standar layanan minimalnya, serta dapat memebrikan rekomendasi untuk perbaikannya.Kata Kunci : Kebutuhan Ruang, Dimensi , Radiologiract AbstractRadiology services are health services that use ionizing rays or radioactive materials so that the use of these materials has two opposing sides, which can be useful for establishing diagnosis and treatment of diseases and on the other hand it will be very dangerous if its use is inaccurate and uncontrolled. the best that can be given to the customer so that the needs / desires / expectations of the customer can be fulfilled (satisfied customer), the Service Quality Assessment can to find out the success or failure of the service so that it will be able to appreciate success and correct failure. which plays an important role in establishing a patient's disease diagnosis. Radiology installation needs an organizational arrangement in carrying out its functions. Radiology services should be optimized by implementing optimal operational management. With optimal performance, it is expected that Radiology Installation can provide excellent service to patients.. From the aforementioned problems, it is necessary to study further the needs, dimensions and standards of radiological spaces to be able to provide good and comfortable services to fulfill the Radiological Spatial Space Requirements and Circulation that are regular and in accordance with existing regulations. The purpose of the Radiology Room Standard analysis is to determine the condition of the space requirements, dimensions and circulation of the radiology unit at the Bina Sehat Hospital in Pasuruan according to its minimum service standards, and can provide recommendations for improvement. Keywords: Space Needs, Dimensions, Radiology 
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.  
Analisa Pengunaan JSON pada Minimnya Pemahaman Tentang HL7 untuk Implementasi RME (Rekam Medis Elektronik) pada Radiologi Rumah Sakit Andriawan, Jimmy; Al Azam, Moh. Noor
Jurnal Ilmu Komputer dan Bisnis Vol. 15 No. 1 (2024): Vol. 15 No. 1 (2024)
Publisher : STMIK Dharmapala Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47927/jikb.v15i1.703

Abstract

Menurut Peraturan Menteri Kesehatan Republik Indonesia nomor 1171/MENKES/PER/VI/2011 tentang Sistem Infomasi Rumah Sakit pasal 1 ayat 1 menyebutkan bahwa “Setiap rumah sakit wajib melaksanakan Sistem Informasi Rumah Sakit” atau HIS. Maka untuk mengefisienkan pelayanan pasien dalam penyediaan dokumen rekam medis, rumah sakit menerapkan EMR. RIS dan PACS merupakan bagian yang tidak terpisahkan dari operasional pelayanan radiologi. PACS merupakan sistem pengarsipan dan distribusi citra medis, sementara RIS lebih berperan dalam pengaturan alur kerja layanan radiologi. Rumah sakit yang mengimplementasi EMR, mampu memaksimalkan efisiensi biaya dan SDM, serta efisiensi alur kerja pelayanan pasien radiologi. Metodologi yang digunakan adalah deskripsi kualitatif, kemudian mengklasifikasi kriteria inklusi dan eksklusi. Hasil yang diperoleh dari penelitian, bahwasannya implementasi EMR dapat dilakukan oleh setiap rumah sakit, dengan pemanfaatan format JSON yang lebih familiar untuk menutupi kurangnya pemahaman pada pengembang HIS atas kurangnya pemahaman metode HL7 message yang sebagai standart transaksi data pada integrasi digitalisasi medis.
Pengukuran Laju Paparan Radiasi Pada Ruang Pesawat Konvensional Di Instalasi Radiologi RSUP Dr Tadjuddin Chalid Makassar Normawati, Sitti; Rustiah, Waode; Ansar, Asnaeni; Harun, Herlinda Mahdania; Aryanto, Bambang; Fajriah, Nur
Madu : Jurnal Kesehatan Vol 12, No 1 (2023): Juni 2023
Publisher : Program Studi DIV Kebidanan Fakultas Ilmu Kesehatan Universitas Muhammadiyah Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31314/mjk.12.1.98-103.2023

Abstract

The purpose of writing to find out how the value of radiation exposure rate in the convensional room at the radiology installation of Dr Tadjuddin Chalid Makassar sentral general hospital.This research was conducted at installation of Dr Tadjuddin Chalid Makassar sentral general hospital 2020/2021 with descriptive method.the operational space Radiology of Dr Tadjuddin Chalid Makassar sentral general hospita is obtained is ≤ 10 mGray / hour then the convensional room space Radiologyif you look at the exposure tolerance limit 10 mGray / hour from the dose limit value provisions 20 mGray/ year is categorized as safe for workers and the environment The rate of radiation exposure in.

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