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PROCEDURE OF MULTI SLICE COMPUTED TOMOGRAPHY (MSCT) THORAX EXAMINATION USING POSITIVE CONTRAST MEDIA WITH BREAST CANCER CASE Janita Limbong, Rosari; Masrochah, Siti; Sulaksono, Nanang
JRI (Jurnal Radiografer Indonesia) Vol. 4 No. 1 (2021)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Background: The protocol for MSCT Thorax examination is axial/coronal/sagittal. The slice thickness parameter has an important role in examining MSCT Thorax in breast cancer cases using contrast media. The thinner the slice thickness, the better the detailed image obtained. The aim of this study is to explain the MSCT Thorax examination procedure in breast cancer cases using positive contrast media, the role of slice thickness in diagnosis and to find out diagnostic information on the MSCT Thorax examination in cancer cases breast. Methods: This type of research is qualitative with a literature study approach. The data were obtained by identifying the problem then looking for keywords, namely MSCT Thorax, Slice thickness, breast cancer. Literature reviews are carried out through journal search engine searches, such as: Google Scholar, American Journal Rontgenology (AJR), Pubmed, Proquest. The collected journals are reduced based on inclusion criteria so that 3 relevant journals are obtained then analyzed descriptively so that they can answer the objectives to be drawn conclusions. Results: The results of a literature study show that the MSCT Thorax examination procedure in cases of breast cancer using contrast media is fasting 6 hours before the examination, laboratory checks (urea cratinin within normal limits), releasing all metals in the body, CT scan plane, fixation tools, blankets. , contrast media, injector set. Conclusion: Contrast media dosage 1-2 ml / kg body weight, flow rate 2-4 ml / s, concentration 300-350 mgl / ml, patient position supine feet first, upper limit of lung Apex and lower limit of diaphragm (depending on needs), axial cut, coronal, sagittal, the parameters used were kV, mAs, slice thickness, matrix, WW, WL. A thin slice thickness will provide more accurate diagnostic information and a clear picture of metastases and small lesions can be seen.

HOMOGENISASI DENSITAS FOTO VERTEBRAE THORACAL PROYEKSI ANTERO POSTERIOR (AP) DENGAN MENGGUNAKAN FILTER BAJI 7Â°, 10Â° DAN 15Â° Amroji, Ali; Halimahtusyadiah, Halimahtusyadiah
JRI (Jurnal Radiografer Indonesia) Vol. 4 No. 1 (2021)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Background: The different thickness of the thoracic vertebrae between the top and bottom causes the radiograph to have uneven density. The use of heel effect anode in the examination of the thoracal vertebrae of the AP projection has not been able to even out the radiograph density, so it is necessary to use a tool in the form of a wedge filter. This study aims to find the correct angle of inclination of the wedge filter to produce a radiograph with a sufficiently even density between the top and bottom of the AP projection thoracic vertebrae. The wedge filter tested tilt angle of 7 Â°, 10 Â° and 15 Â°. Methods: The research used quantitative methods, conducted from January to May 2018. The sample consisted of 4 volunteers and 10 radiographers as respondents. Results: The results showed that the examination of the thoracal vertebrae of the AP projection without using a filter obtained an average value of 2.50 from the respondents, while using a wedge filter with a tilt angle of 7 Â° got a value of 2.80, with a tilt angle of 10 Âº got a value of 3.43 and with an angle of inclination. 15 Âº gets a score of 2.93, so it can be denied that the use of a wedge filter with an angle of 10Âº is able to produce a more even radiograph density between the top and bottom of the AP projection spine. Conclusions : To produce a more even radiograph density between the top and bottom of the thoracal vertebrae, the AP projection can be done using a wedge filter with an angle of 10Â°.

TEKNIK MULTISLICE COMPUTED TOMOGRAPHY (MSCT) CERVICAL PADA KASUS TRAUMA Seftiana, Aning; R, Khalifah; Nur Fadhilah, Lina
JRI (Jurnal Radiografer Indonesia) Vol. 4 No. 1 (2021)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Background: Cervical trauma is a very common injury of severity and varying prognosis. Cervical CT Scan is an examination of the cervical spine including other tissues using the MSCT tool to find out the anatomy on the cervical spine with axial, sagittal, coronal. The purpose of this study was to know the technique and result of cervical MSCT images in case trauma. Methods: This type of research is library research (library research), which is a series of research related to the method of collecting library data or research where the object of research is explored through a variety of library information (books, proceedings, articles, and scientific journals). Literature research or literature review is research that critically examines or reviews the knowledge, ideas, or findings contained in the academic-oriented literature, and formulates theoretical and methodological contributions to certain topics. The focus of the literature research that the author has done is related to the Cervical Multislice Computed Tomography (MSCT) technique in cases of trauma. Results: Based on the results of images on MSCT cervical trauma cases to obtain anatomical information that is able to show the firm boundaries of the corpus lamina, spinosus process, tranverse process, and fragment fracture, using axial, sagittal, and coronal slice recontruction. Conclusions : Based on a review of several journal literature, the cervical MSCT examination technique in trauma cases used a 64 x collimation 0.6 mm, with axial section reconstruction of 1 mm thickness, coronal and sagittal sections of 1.5 mm thickness, 3D, and volume rendering. In severe polytrauma patients the technique is performed with the addition of an intravenous contrast material. The results of images on MSCT cervical trauma cases to obtain anatomical information that is able to show the firm boundaries of the corpus, lamina, spinous process, transverse process, and fragment fractures, using axial, sagittal, and coronal slice reconstruction.

PERBANDINGAN CITRA MRI PEDIS SEQUENCE PROTON DENSITY FAT SATURATED DAN STIR (SHORT TAU INVERSION RECOVERY) POTONGAN SAGITAL Wahyudiarti, Endah; Winarno, Guntur; Gunawati, Shinta; Prananto, Legia; Heru, Nursama
JRI (Jurnal Radiografer Indonesia) Vol. 4 No. 1 (2021)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Bakcground: The differences in fat suppression MR images between Proton Density Fat Saturated sequence with STIR sequence in MRI pedis sagital view. This research aims to analyze the differences of SNR, CNR, and the details MR images. Methods: Secondary data were using by non-probability sampling technique with 10 purposive sampling of pedis MR images Proton Density Fat Saturated sequence and STIR sequence sagittal view in DICOM were done by using imageJ software. The instrument of this research consisted of a worksheet and questionnaire. Result: This research showed SNR p value/sig 0,000 < 0,05 and CNR p value/sig 0,575 > 0,05. In Proton Density Fat Saturated sequence sagittal view the detail of ekstra-articular fluids value is 1,76, tendon Achilles value is 2,88, joint space value is 2,86 and bone marrow value is 2,04, contrast resolution value is 2,418, noise ratio value is 2,32. Pedis MR images of STIR sequence sagittal view the details of ekstra-articular fluids value is 2,92, tendon Achilles value is 3,28, joint space value is 2,84 and bone marrow value is 3,4, contrast resolution value is 3,022 and noise ratio value is 2,44. Conclusion: There is a significant difference of SNR value, no significant differences in CNR value and value of MRI pedis sequence Proton Density Fat Saturated sagittal detail is clear enough to show tendon achiles, bone marrow, joint space and not clear to show ekstra-articular fluids. STIR nice to show tendon achiles and bone marrow and clear enough to show ekstra-articular fluids and joint space.

PERANAN ADAPTIVE ITERATIVE DOSE REDUCTION 3D (AIDR 3D) DALAM MENINGKATKAN KUALITAS CITRA MSCT ABDOMEN Ainiyah , Nur; Wijokongko , Sigit; Sulaksono , Nanang
JRI (Jurnal Radiografer Indonesia) Vol. 4 No. 1 (2021)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Background: Abdominal MSCT has better sensitivity and specificity, however its radiation exposure is high. Adaptive Iterative Dose Reduction (AIDR) 3D is an iterative reconstruction technology on Toshiba which produces a better image quality by reducing noise and streak artifacts in low dose. Based on authorâ€™s observation, abdominal MSCT performed at the hospital uses a standard routine abdominal MSCT protocol without adjusting the level of AIDR 3D. AIDR 3D has several strength level allowing an optimal image quality. This study was aimed to explain the role of AIDR 3D in improving the image quality and radiation dose of abdominal MSCT. Methods: This research method is descriptive with the literature study approach, by collecting articles from ProQuest, Google Scholar, PubMed, SpringerLink, and ScienceDirect about the role of AIDR 3D on abdominal MSCT published 2013-2020. The articles were selected according to the inclusion criteria. So there were 4 relevant journals which were then analyzed by making a journal summary, evaluating, giving opinions so that conclusions and suggestions can be drawn. Result: The results showed that AIDR 3D can improve the image quality of abdominal MSCT by reducing noise, artifacts and increasing CNR, SNR, image sharpness. Noise reduction and CNR increase, the most prominent SNR is found in AIDR 3D Strong, followed by Standard and Mild. AIDR 3D can reduce radiation doses better without reducing image quality Conclusion: AIDR 3D can improve image quality on abdominal MSCT and the use of integrated AIDR 3D SUREExposore 3D can reduce radiation doses better without reducing image quality. Reduction of radiation dose between 23% to 76%.

STUDI LITERATUR TEKNIK PEMERIKSAAN RADIOLOGI VESIKA URINARIA PADA PASIEN ANAK DENGAN KLINIS VESICOURETERAL RELFLUX (VUR) Hartati, Sri; Heriputranti, Naomi
JRI (Jurnal Radiografer Indonesia) Vol. 4 No. 1 (2021)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Background: VUR (Vesicoureteral Reflux) is a condition in which urine flows back from the bladder to one or both ureters or sometimes to the kidneys. Several types of modalities are used to support this clinical examination. The modalities that can be used to support this examination include: Voiding Cystourethrography, DRCG (Direct Radionuclide Cystourethrography), ceVUS (Contrast Enhancement Voiding Urosonography), and MRI (Magnetic Resonance Imaging) Methods: This research is a type of research that is library research, a method of collecting library data or research where the object of research is explored through a variety of library information (books, proceedings, articles and scientific journals). Results: Radiological examination of the clinical bladder with VUR can be performed with various radiological modalities including Voiding Cystourethrography, Direct Radionuclide Cystography (DRCG), Magnetic Resonance Imaging (MRI), and Contrast Enhancement Urosonography (ceVUS). Each examination uses a contrast material that is adjusted to the modality used. Conclusions: From the various modalities that can be used, it is assessed from the level of effectiveness and efficiency as well as the minimum radiation exposure dose. The ceVUS technique is the most appropriate technique to describe VUR because it does not use ionizing radiation but this technique will be difficult to perform in certain conditions such as the pathological condition of the patient.

ANALISIS INFORMASI CITRA MRI GENU POTONGAN AXIAL ANTARA SEQUENCE SHORT TAU INVERSION RECOVERY (STIR) DAN SEQUENCE T2-SPECTRAL ATTENUATION INVERSION RECOVERY (T2-SPAIR) Ramandasari, Suci; Gunawati, Shinta; Winarno, Guntur; Edy W, Mahfud; Heriyanto, Fransiscus
JRI (Jurnal Radiografer Indonesia) Vol. 4 No. 1 (2021)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Background : This research aims to analyze the information of genu axial section image quality using T2 STIR and SPAIR sequences at Mayapada Hospital. Methods : The design of this research is quantitative analytics with experimental approaches conducted at the Mayapada Hospital Radiology Installation with the study population taken from all MRI genu examination patients during September-December 2020 with a study sample of 5 patients aged 18-40 years with various complaints on Genu. Then, reconstruction is carried out with a stunt cut techniques on STIR and SPAIR sequence. Result : The result of this study showed a difference in T2 STIR d an T2 SPAIR with p value of 0.025 < 0.05. Conclusion : The contrast of MRI genu sequence STIR is brighter than SPAIR sequence as evidenced by the calculation of CNR value of STIR sequence 8,388 higher than SPAIR sequence value of 5,345. So it can be concluded that in MRI genu examination, the CNR value on the STIR sequence of a stunt pieces with SPAIR sequence of a stunt pieces has a significant difference.

TEKNIK PEMERIKSAAN BARIUM ENEMA PADA PASIEN ANAK DENGAN DENGAN KLINIS MORBUS HIRSCHPRUNG Hartati, Sri; Yusda, Aldistira
JRI (Jurnal Radiografer Indonesia) Vol. 4 No. 1 (2021)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Background: Based on differences in theory with the field that focuses on 4 different factors, namely the use of Iodine contrast material which should be BaSO4 (Bontrager, 2012), the use of Nelaton Catheter which should be a Polycatheter or Barium set (Bontrager, 2012) and (Ballinger, 2012), the addition of Prone position on plain abdominal photo examination should only be in the Supine position, using the Oblique R / L position (Optional) which should only be plain AP photo, AP contrast, Lateral contrast, and AP Post evacuation (Bontrager, 2012) Methods: Qualitative descriptive, which is carried out by means of observation, interviews, literature review and documentation (photo taking), research This was carried out for 6 months with a total population of ten patients and a sample of three patients with details of one primary sample and two secondary samples. Results: Image analysis, and comparison of Barium Enema Pediatric examination techniques in the territory with the field obtained from interviews with three radiographers and three radiologists. Conclusions : The pediatric Barium enema examination technique is performed under fluoroscopy control with the ratio of contrast material to the liquid is 1: 4 and 1: 2 for Hirschprung Suspect and 2: 3 for clinical Morbus Hirschprung on Colostomy as well as AP and PA projection shooting techniques for preliminary photos, AP supine with contrast, lateral to contrast, and photographs 24 hours after examination (post evacuation).

ANALISIS EMBOLI PARU MENGGUNAKAN DUAL ENERGY LUNG PERFUSION BLOOD VOLUME CT ANGIOGRAFI PULMONAL PADA PESAWAT DUAL SOURCE CT SCAN Himmatus Suroyya, Sherin; Nurcahyo, Kukuh; Winarno, Guntur; Gunawati , Shinta
JRI (Jurnal Radiografer Indonesia) Vol. 4 No. 1 (2021)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Background: DECT-based scanning protocol with dual source CT scan, recommended for pulmonary perfusion, the protocol aims to evaluate pulmonary artery and pulmonary perfusion from CT contrast examination. Purpose: The purpose of this research was to determine how the pulmonary angiography CT scan technique to analyze pulmonary embolism using Dual Energy Lung Perfusion Blood Volume on Dual Source CT Scan. Methods : This research is a qualitative descriptive with primary data sources, namely CT Scan of Pulmonary Angiography patients with a Pulmonary Embolism Suspect using 128 slice Dual Source Dual Energy Siemens Somatom CT Scan analyzed using PBV Dual Energy Lung using the Region Of Interest (ROI) analysis technique and using material decomposition parameters, from July to October 2020 at National Central General Dr. Cipto Mangunkusumo Jakarta Hospital. Results: The results obtained were the process from the beginning of the patient registration, which was carried out by CT Pulmonary Angiography examination in the administration until the examination was completed. The CT scan technique for pulmonary angiography was conducted using 128 slice Dual Source Dual Energy Siemens Somatom CT Scan to analyze pulmonary embolism using the post processing Lung Perusion Blood Volume application. Conclusion : The results of the examination of the patient showed a picture of pulmonary embolism in the superior and inferior branches of the right pulmonary artery, and still visible contrast flow to the distal branch.

ANALISIS PERBANDINGAN VARIASI 3 FILTER PADA REKONSTRUKSI CITRA PEMERIKSAAN CT SCAN MASTOID Sutrisno, Novianty; Ade Kusumaputra, Pramudya; Winarno, Guntur; Gunawati, Shinta
JRI (Jurnal Radiografer Indonesia) Vol. 4 No. 1 (2021)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Background : This study aims to determine the differences in the quality of anatomical image information and to determine the best reconstruction variation of the Mastoid CT scan. Methods : The design of this study was quantitative and qualitative analysis, conducted in the radiology unit of Banten Hospital with the study population was all patients who underwent a head CT scan. The sample was taken using a purposive sampling technique specifically for the Mastoid CT Scan examination with clinical mastoiditis. Image reconstruction was performed with three variations of the filter, namely bone standard, bone smooth, and bone sharp for analysis. Result : The results obtained were that there were no significant differences in the SNR values of the three filter variations, but there were differences in the CNR values of the three filter variations. Conclusion : Based on the study conducted, it can be concluded that data obtained qualitatively according to clinical and the results of interviews with ENT specialists and radiologists that the bone sharp filter gets the highest rate which is used to analyze Mastoid CT images, and it is recommended to assess mastoid CT images with clinical mastoiditis.

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Jl. Bambu Apus Raya Blok Kav A2 No.23 RT.12/RW.3, Bambu Apus Cipayung, Jakarta Timur Jakarta 13890

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Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name Fatimah

Contact Email mail@pari.or.id

Phone +6281325656709

Journal Mail Official mail@pari.or.id

Editorial Address Jl. Bambu Apus Raya Blok Kav A2 No.23 RT.12/RW.3, Bambu Apus Cipayung, Jakarta Timur Jakarta 13890

Location Kota adm. jakarta timur, Dki jakarta INDONESIA

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Contact Name
Fatimah

Contact Email
mail@pari.or.id

Phone
+6281325656709

Journal Mail Official
mail@pari.or.id

Editorial Address
Jl. Bambu Apus Raya Blok Kav A2 No.23 RT.12/RW.3, Bambu Apus Cipayung, Jakarta Timur Jakarta 13890

Location
Kota adm. jakarta timur,

Dki jakarta

INDONESIA