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INDONESIA
Jurnal Radiografer Indonesia
ISSN : 26209950     EISSN : 28077415     DOI : https://doi.org/10.55451/jri.v1i1
Core Subject : Health,
Jurnal Radiografer Indonesia (JRI) merupakan jurnal PARI yang berisi tulisan ilmiah di bidang radiologi, antara lain Radiografi Konvensional, Radiografi Digital, CT Scan, MRI, Kedokteran Nuklir, Radioterapi dan Ilmu-ilmu terkait lainnya dalam Radiologi.
Articles 112 Documents
STUDI LITERATUR PERANAN SEKUEN DWI-STIR DAN DWI-SPAIR PADA PENCITRAAN MRI BREAST DENGAN KASUS LESI PAYUDARA Assa Watari Joan; Maghfirotul Iffah; Nyoman Supriyani; I Putu Eka Juliantara; Kadek Yuda Astina
JRI (Jurnal Radiografer Indonesia) Vol. 5 No. 1 (2022)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55451/jri.v5i1.99

Abstract

Background: Breast cancer is the most common case in Indonesia. One of the modalities for detecting breast cancer is MRI. The DWI sequence is one of the sequences used in MRI Breast. In breast DWI, the use of effective fat suppression techniques is essential. Several studies have stated that the most common fat suppression techniques used in breast MRI are STIR and SPAIR, because they are considered capable of optimally displaying lesion images. Signal intensity and image quality depend on fat suppression technique, the choice of method used for breast DWI should be considered, because it can affect lesion identification and ROI for calculating ADC used to differentiate benign and malignant lesions. Methods: This study is a literature review study with descriptive qualitative research type. Collect and analyze library sources from several published data. After being reduced based on the topic, 6 main relevant articles were found to be used as a basis to review, describing and discussing the results according to the topic and then criticizing according to the author's view and determining conclusions. Results: The results of this study showed that DWI-STIR and DWI-SPAIR on MRI Breast imaging have use in suppressing fat and can show the difference between benign and malignant lesions of the breast. With the difference in DWI-SPAIR, the results of SNR and CNR are higher, and DWI-STIR, the results are more homogeneous. Conclusion: DWI-STIR and DWI-SPAIR can suppress fat and differentiate lesions well. DWI-SPAIR is better for lesion visibility on high-tesla MRI, and DWI-STIR is better for low-tesla MRI.
MODIFIKASI PEMERIKSAAN RADIOGRAFI THORAX PADA PASIEN CORONAVIRUS DISEASE 2019 (COVID-19) Rindayana Rindayana; Agung Nugroho Setiawan; Siti Daryati; Andrey Nino Kurniawan
JRI (Jurnal Radiografer Indonesia) Vol. 5 No. 1 (2022)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55451/jri.v5i1.100

Abstract

Background: Patients with an indication of COVID-19 in the Intensive Care Unit and Emergency Department have special handling because they cannot be examined at the radiology installation, so it is necessary to modify the radiographic procedures. The purpose of this study was to describes the modification of procedures and the quality of the image produced from chest X-ray procedure. Methods: This type of research is a qualitative study with a case study design through the research articles from international journals. Results: The modification of the radiographic proedures of chest X-ray with COVID-19 includes preparation of patients using masks, radiographers using PPE and arranging portable x-rays from outside the patient's room glass to minimize contact with the patient. Between the X-ray source and the patient there is a glass medium as a barrier, and necessary to modify 180 - 300 cm of SID, increases of 22-28% kV and maximum use of 12.5 mili Ampere second. The projection used is Antero Posterior, with patient position semi erect in the patient bed. The image quality from the modification technique is assessed is the aspect of anatomical information, which is visible from the lungs to the costophrenic sinus, good contrast by being able to show between objects, minimizing noise and avoiding artifacts that can be caused by glass, and the exposure index assessment has a higher number than standard techniques due to factors the exposure used is higher. Conclusions: Modifications are needed to ensure the safety aspects of radiographers from infectious diseases and to obtain quality images for diagnosing diseases that are spreading in the world today.
ANALISIS NILAI CT-NUMBER PADA CT-SCAN THORAX DENGAN KASUS COVID-19 Gede Dharma Putra; I Putu Eka Juliantara; I Made Lana Prasetya
JRI (Jurnal Radiografer Indonesia) Vol. 5 No. 1 (2022)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55451/jri.v5i1.102

Abstract

Background : Computed Tomography (CT) scanner is an imaging tool used to obtain images of certain parts of the body using X-rays. CT-Scanner more detailed image, compared to X-ray, CT Number is the value of the X-ray attenuation coefficient (energy attenuation) determined by the average X-ray calculated in Hounsfield Units (HU) which is a standard facility that always is on the CT-Scan plane. Thorax CT-Scan is a radiological examination technique to obtain anatomical information of cross-sectional slices such as axial, coronal and sagittal. Coronavirus Disease 2019 (Covid-19 ) is an infectious disease caused by a species of coronavirus, namely severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). As a recent study, the CT-Scan abnormality that is most often observed in Covid-19 patients is ground glass opacity (GGO). Methods : This research uses descriptive quantitative with an observational approach. This measurement uses the Region Of Interest (ROI) to determine the value of the CT Number, where the Region Of Interest (ROI) is directed at the picture that contains a pathological abnormality of Grond Glass Opacity (GGO) on the CT-Scan Thorax in cases of Covid-19 then the CT Number value is compared with results of research conducted by Ali & Ghonymy, (2020). Result and Coclusion : Shows that there is a range of CT Number values ​​using quartile 3 or 75% percintile with the result of : -167 HU, Maximum : -74 minimum value : -288 HU. This means that it is a pathological Grond Glass Opacity (GGO) for Covid-19 patients.
PROSEDUR PEMERIKSAAN RADIOGRAFI VERTEBRA THORAKOLUMBAL PADA KLINIS SKOLIOSIS Muhammad Ridwan Eko Budidarmawan; Fatimah Fatimah; Sugiyanto Sugiyanto
JRI (Jurnal Radiografer Indonesia) Vol. 5 No. 1 (2022)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55451/jri.v5i1.103

Abstract

The procedure of radiographic examination of thoracolumbar vertebrae of scoliosis according to Lampignano and Kendrick (2018), journal by Gray (1983) and journal by Levy (1996) in erect patient position further recommends the PA projections because the dose to organs that are sensitive to radiation such as breast, thyroid and gonad and the risk of getting cancer in these organs is significantly reduced compared to AP projections. While the procedure for radiographic examination of thoracolumbar vertebrae of scoliosis in the Radiology Installation RSUD Bendan Pekalongan uses AP and AP right and left bending projections in erect patient position. This study aims to determine the radiographic examination procedures of thoracolumbar vertebrae in scoliosis and the reasons for using AP and AP right and left bending projections in erect patient position. This type of research is a qualitative research with a case study approach. Data was collected in March-April 2020 in the Radiology Installation RSUD Bendan Pekalongan by observation, interview and documentation. Research subjects are patients, radiographers, radiology specialists, and sending doctors. The data obtained were processed and analyzed using open coding and then presented in the form of images, plot and quotations so that conclusions can be drawn. The results showed that the thoracolumbar vertebra radiographic examination procedure in scoliosis clinical in Radiology Installation RSUD Bendan Pekalongan used AP and right and left bending AP projections in erect position because to place the object as close as possible to IR with the hope to minimize the magnification of the object on the radiograph and has been informative to assess the cobb angle in scoliosis curvature. The suggestion from the author is that Radiology Installation should coordinate with related parties such as radiology specialists, radiographers and sending doctors in order to determine what projections are needed in the case of scoliosis because there are many projections on the scoliosis radiography examination.
STUDI KASUS PEMERIKSAAN THORAX PADA PASIEN TENGGELAM YANG MENGALAMI DEKOMPRESI Siti Nur Hidayati; Cindy Oktavia Ningsi
JRI (Jurnal Radiografer Indonesia) Vol. 5 No. 1 (2022)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55451/jri.v5i1.104

Abstract

Background: Decompression is a disease caused by the release of air bubbles into the blood or body tissues during a very rapid decrease in surrounding pressure (decompression). Several cases of thorax examination in drowning patients who underwent decompression were carried out in different positions, namely the patient was supine or semi-erect. Methods: The research method used is qualitative with a descriptive approach, which carried out by means literature review, observation, interviews, and documentations. The research time is 6 months with a total sample of 10 samples. Results: Image analysis, comparison of thorax techniques in the field, and the results of the study were concluded by conducting interviews with 1 radiologist and 2 radiographers.. Conclusions: Examination of the thorax in a drowning patient who is decompressed can be performed with the patient in a supine or semi-erect position. The selection of patient position for thorax examination in drowning patients undergoing decompression is determined by looking at the general health condition of the patient. The position of the semi-erect patient is better so that it can produce a chest radiograph that is quite informative in showing lungs.
ESTIMASI DOSIS RADIASI YANG DITERIMA PASIEN PADA PEMERIKSAAN THORAX PA Kadek Sari Anggarin; I Putu Irma Wulandari; Ni Putu Rita Jenyanthi
JRI (Jurnal Radiografer Indonesia) Vol. 5 No. 1 (2022)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55451/jri.v5i1.105

Abstract

Background : Radiation dose received by patients during medical radiology examination varied among practices. This is due to difference in techniques, filter, and equipment used during examinations. This study aims to determine the value of facilities Diagnostic Reference Level (fDRL) in Radiology hospitals district Buleleng and comparison of the 75th percentile value of radiation dose received by adult Thorax PA patients with the standards established by BAPETEN. Methods: This type of research uses a quantitative method with a survey conducted at the Radiology Installation of Buleleng Regency Hospital in February 2020. The population of this study was all patients who underwent radiographic examination of Thorax PA adults (over 15 years). While the sample in this study was 30 patients with Thorax PA radiography examination adult (over 15 years). Absorbent dose measurement data is carried out directly with a digital dosimeter measuring device and then processed using SPSS. Results and Conclusion: The results of this study obtained the value of facilities Diagnostic Reference Level for examination of adult PA Thorax in Radiology Installation of Buleleng Regency Hospital is 0.0275 mGy and the percentile value of 75 absorbent doses received by PA thorax patients adult in Radiology Installation of Buleleng Regency Regional Hospital is 0.0275 mGy where the dose Radiation absorption received by PA thorax patients has met the standards set by BAPETEN in the Indonesian Diagnostic Reference Level (IDRL) 2019 radiation absorbed dose received by adult thorax PA patients, which is 0.4 mGy.
ANALISA PERUBAHAN KV TERHADAP KUALITAS CITRA DAN CTDI I Gede Eka Sukanta; Made Sayang Pratista; I Wayan Angga Wirajaya; Anak Agung Aris Diarthama
JRI (Jurnal Radiografer Indonesia) Vol. 5 No. 1 (2022)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55451/jri.v5i1.106

Abstract

Background : Improved CT Scan image quality with tube variation once reported that higher tube voltage results in better image quality. But the study was conducted to evaluate the tube voltage of 80 kv to lower the dose so that the current of the tube is not increased. Some researchers recommend scanning with low tube voltage and properly adjusted tube current to reduce radiation doses on brain CT scans. However, so far there has never been an evaluation of kV values on image quality and CTDI in the head MSCT and at Sanjawani Hospital to analyze Kv changes to image quality and CTDI multislice computed tomography on phantoms. Methods:The study was conducted on the Phantom using the parameters of the HEAD CT scan examination. This research method is quantitative research with an experimental approach. The study was conducted on the Phantom using the parameters of the HEAD CT scan examination. Results: This study was conducted by collecting kV variation data of 70, 80, 100, 120, and 140 scanned 3 times. Conclusion : The results obtained the output of spss friedman test spatial resolution, contrast resolution, nooise and artifact, the highest rank is at kV tube voltage 120. Ctdi value obtained with kV variari, is in accordance with bapeten / IDRL 2021 recommendations.
LITERATURE REVIEW TEKNIK PEMERIKSAAN RADIOLOGI MOLAR PADA KLINIS IMPAKSI DENGAN MENGGUNAKAN MULTIMODALITAS Sri Hartati; Maya Puspitasari
JRI (Jurnal Radiografer Indonesia) Vol. 5 No. 1 (2022)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55451/jri.v5i1.107

Abstract

Background: Dental tooth impaction is a state of latent or not erupted or partly erupted after a normal eruption time, Impacted teeth can be estimated clinically and can be confirmed by radiographic examination. Methods: This study aims to determine the radiological examination technique of molars in clinical impaction using multimodality based on a literature review. This research is library research. The data collection method used in this research is the method of theory study/literature study/library study. Results: Based on studies from several journal literatures, there are several radiological techniques that can be performed in clinical molar impaction such as periapical intraoral radiography, panoramic, CBCT, and MRI. On periapical intraoral radiology, the molars and panoramic radiographs do not clearly show molars impacted with the mandibular canal and inferior alveolar nerve, but on CBCT and MRI they are clearly visible using existing sequences and techniques. However, with the use of CBCT modalities, the radiation obtained is very high. Therefore, the use of a radiation-free MRI modality is a highly invasive examination for clinically impacted molars. Conclusions: With a variety of available modalities for clinically impacted molars, it is recommended to use intraoral periapical and panoramic if the case or clinical can still be seen in that modality, if not or less visible in that modality with certain cases or clinical can be used CBCT examination but do not overuse of these modalities because the ionizing radiation emitted is very high/dangerous. It is suggested that the use of dental MRI modalities could be increased in an important step towards being radiation free, improving intervention planning and thereby increasing the overall patient benefit.
PENGARUH PENGGUNAAN PARAMETER NUMBER SCAN AVERAGE TERHADAP SIGNAL TO NOISE RATIO DAN SCAN TIME PADA PEMERIKSAAN MAGNETIC RESONANCE IMAGING: STUDI LITERATURE REVIEW Kadek Agus Cahya Pramana; Ni Putu Rita Jeniyanthi; I Bagus Gede Dharmawan
JRI (Jurnal Radiografer Indonesia) Vol. 5 No. 1 (2022)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55451/jri.v5i1.108

Abstract

Background : Signal to Noise Ratio (SNR) is a comparison of the magnitude of the signal amplitude and the magnitude of the amplitude of noise an MRI image that can be used to measure the quality of an MRI image. SNR can be increased by increasing the value of the number scan average (NSA). By increasing the NSA, the SNR will also increase, the scan time will be longer and cause motion artifacts. The purpose of this study was to determine the effect of using the parameter Number Scan Average on the Signal to Noise Ratio and Scan Time on examinations using Magnetic Resonance Imaging modalities. Methods: This study uses a descriptive qualitative method with a study approach literature review regarding the effect of using the parameter Number Scan Average on the Signal to Noise Ratio and Scan Time in the examination using Magnetic Resonance Imaging modalities. Results: The use of variations in NSA values ​​has an effect on SNR and scan time. Giving high value of the NSA will increase the value of the SNR in the image but, the scan time will be longer which affects the quality of the resulting image.
TEKNIK SPLIT BOLUS TERHADAP INFORMASI ANATOMIS PADA PEMERIKSAAN CT SCAN UROGRAFI Amelia Rizqi Utami; Nanang Sulaksono; Sigit Wijokongko
JRI (Jurnal Radiografer Indonesia) Vol. 5 No. 1 (2022)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55451/jri.v5i1.109

Abstract

Background : The split bolus technique in CT Scan urography is an intravenous contrast media insertion technique by combining two phases, namely the nephrography phase and the excretory phase in one scan acquisition. In general, the CT Scan urography examination uses 3 phases, non-contrast phase, the nephrographic phase, and the excretory phase. In the role of the split bolus technique, the combination of two phases, namely the nephrographic and excretory phases. The purpose of this study was to explain the split bolus technique and the role of the split bolus technique on anatomical information in CT Scan urography. Methods : This type of descriptive research using a literature review approach. The keywords used are "Split-bolus", "CT Scan Urography". Articles were obtained based on inclusion and exclusion criteria and 7 relevant scientific articles were obtained and were used as literature sources. Data processing through article extraction. Result : The split bolus technique in CT Scan urography examination is a technique of intravenous contrast media that combines two nephrographic and excretory phases in one image acquisition with an average flow rate of 1.5 ml - 3 ml / s. This technique uses a non-ionic iodine contrast medium with a volume of 90 ml - 135 ml and a concentration of 300 mg/ml-370 mg/ml. The role of the split bolus technique on radiation dose and anatomical image information is due to the merging of the two phases in one scan which addresses the anatomy of the urinary system. In addition, the split bolus technique when combined with several reconstructions is able to increase contrast resolution and increase organ enhancement. In this technique, it is better to use the addition of a reconstruction algorithm such as 3D MIP, so that the anatomical image information obtained is more optimal.

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