Garuda - Garba Rujukan Digital

ANALISA PERBEDAAN INFORMASI DIAGNOSTIK CT SCAN KEPALA PADA KASUS STROKE ISKEMIK DENGAN PILIHAN KOMBINASI SLICE THICKNESS DAN INTERVAL RECONSTRUCTION Mami Dwi Yan; Nanang Sulaksono; Jeffri Ardiyanto
JRI (Jurnal Radiografer Indonesia) Vol. 4 No. 2 (2021)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

ABSTRACT Background: Stroke is a diseas that has a high mortality rate as the third most common disease that causes death in the world. To diagnose the location and type stroke, a neuro imaging examination is need, which is by examining the CT Scan of the head. The purpose of this study was to determine differences in diagnostic information on CT scan of the head in cases of ischemic stroke with a choice combination of 3 mm slice thickness with 1.5 mm interval reconstruction and 2 mm slice thickness with 1 mm interval reconstruction, and to find out which combination is the most optimal in producing diagnostic information in cases of ischemic stroke. Methods: This type of research is quantitative research with experimental approach. The study was conducted at Telogorejo Hospital Semarang. The sampel in this study were 10 patients with expertise results of ischemic stroke. The resultan data was 10 head scan radiographs with ischemic stroke and each radiograph is reformatted with combination of 3 mm slice thickness with 1.5 interval reconstruction and 2 mm slice thickness with 1 mm interval reconstruction. Assesment of diagnostic information data was done by 3 respondents. before data analysis, first kappa test was done to three respondents and then tested wilcoxon. Result :The result of this research is the difference of diagnostic information between combination of 3 mm slice thickness with 1.5 mm interval reconstruction and 2 mm slice thickness with 1 mm interval reconstruction. A combination of 2 mm slice thickness with 1 mm interval reconstruction with mean rank 21.00 is the most optimal combination for head scan with ischemic stroke cases.

PERANAN PROYEKSI STITCH VIEW LONG LEG PADA PEMERIKSAAN KNEE JOINT DENGAN INDIKASI OSTEOARTHRITIS Purwa Puspita Arum; Panji Wibowo Nurcahyo
JRI (Jurnal Radiografer Indonesia) Vol. 4 No. 2 (2021)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

ABSTRACT Introduction: Long Leg View is an x-ray examination of all parts of the lower extremity using a long vertical cassette which aims to measure the angle between the mechanical axis of the femur and tibia. Knee Joint examination with indications of osteoarthritis at the Radiology Installation of RSUP Dr. Sardjito Yogyakarta uses supine AP projection, Lateral recumbent, Skyline, and Stitch View Long Leg. Methods: This research is a qualitative research with a case study approach. Collecting data by means of observation, documentation, and in-depth interviews with patients, sending doctors, radiologists, and radiographers. Data collection was carried out in March 2018 at the Radiology Installation of Dr. RSUP. Sardjito Yogyakarta. The data obtained were analyzed using an interactive model. Results: On the Stitch View Long Leg examination at the Radiology Installation, Dr. Sardjito Yogyakarta uses a collimation area from the pelvis to the ankle joint. According to the resident doctor of orthopedic surgery and traumatology, Dr. Sardjito Yogyakarta, Stitch View Long Leg is able to see the shape of the foot formation, namely the O formation or X formation. In addition, according to radiology specialists, looking at the alignment deviation of the lower extremities can be used to assess the grade of osteoarthritis. Under normal conditions, the anatomical axis of the femur and tibia forms an angle of 6º ± 2º, while the mechanical axis line under normal conditions is 8 mm ± 7 mm medial to the center of the knee joint line. The alignment of varus and valgus has been associated with the development of medial or lateral osteoarthritis. Conclusion: Stitch View Long Leg aims to assess the grade of osteoarthritis through assessment of lower extremity alignment deviations, see the overall mechanical and anatomical alignment of the lower extremities, help determine the calculation of the angle of bone cutting during Total Knee Replacement surgery, and see the right and left symmetrical balance of genu.

PROSEDUR PEMERIKSAAN MAGNETIC RESONANCE SPECTROSCOPY (MRS) CEREBRAL PADA KASUS GLIOBLASTOMA Muhammad Syafi’ie; Imtiyaz Putri Hafizhah
JRI (Jurnal Radiografer Indonesia) Vol. 4 No. 2 (2021)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55451/jri.v4i2.91

ABSTRACT Background: Magnetic Resonance Imaging (MRS) can be applied to characterize existing musculoskeletal disorders to help determine the next medical examination. According to Florez-Alvarez et al. (2020), MRS examination in glioblastoma cases was carried out with multi voxel technique using 144 ms TE to optimally evaluate Choline (Cho) and N-acetyl asparate (NAA). Meanwhile, MRS examination in glioblastoma cases at the Radiology Department of RSUP DR. Sardjito was performed with multi voxel method using a TE of 40 ms. Methods: This research was conduted at the Radiology Department of RSUP DR. Sardjito Yogyakarta used a Siemens Sykra 3T in April 2021 for a patient with a diagnosis of glioblastoma who had complaints of dizziness and weakness of the right side of the body. This cerebral MRS examination using multi voxel method using a TE of 40 ms. Results: Based on the results of cerebral MRS examination in cases of glioblastoma at the Radiology Department of RSUP DR. Sardjito Yogyakarta, obtained the spectrum of Cho (11.0) NAA (0.00) in the tumor area, Cho (3.89) NAA (3.23) in the panumbra area, and Cho (5.91) NAA (12.7) in the healthy tissue area that can indicate a cell damage and can be graded with more complex calculation. Conclusions: The MRS examination was carried out using a 40 ms TE with multi voxel localixzer technique could more optimally evaluate the spectrum of Cho and NAA metabolites, where the two metabolites became the main reference in determining tumor pathology, especially glioblastoma when compare to 144 ms TE.

PERAN RADIOGRAFER DALAM PEMERIKSAAN ULTRASONOGRAFI (USG) Akhmadi; Rahayu Nia Pratiwi; Diah Rusita; Nurhasuna
JRI (Jurnal Radiografer Indonesia) Vol. 4 No. 2 (2021)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

ABSTRACT Background: USG is one of the many areas of specialization for radiographers in Indonesia to develop their professional careers. Many countries in the world have implemented an ultrasound education system as an alternative field in the career development of health workers, in order to support the improvement of health facility services for the community. Especially in the Southeast Asia region, there has been special ultrasound education, namely in Malaysia, Singapore, and Thailand. In Indonesia, the USG education program has been specifically included in the radiographer education curriculum system, so that ultrasound is one part of the competence possessed by radiographers.Methods: This study uses a library research method or literature review, and a qualitative descriptive approach, through interviews, regarding the role of the radiographer in USGResults: Of the 3 (three) journals, literature reviews were conducted, sourced from Europe, especially England, and interviews were conducted with the researchers, then continued with 1 (one) interview from the United States sonographer, and 1 (one) interview from the Australian Sonologist. All of them explain the active role of the radiographer on ultrasound.Conclusions: Radiographers can play an active role in ultrasound services, especially in the field of ultrasound examination techniques, which will then produce a report in the form of an ultrasound image, and the results of an interim report, which will then be concluded by the doctor, in this particular case by the Radiology Specialist

PROSEDUR TERAPI RADIASI EKSTERNA PADA PASIEN KANKER KANDUNG KEMIH DENGAN METASTASIS ARTICULATIO COXAE Dwi Sugeng Supriyadi; Dria Wanadi; Himawan Setyono
JRI (Jurnal Radiografer Indonesia) Vol. 4 No. 2 (2021)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

ABSTRACT Background: It has been conducted research about external radiation therapy technique of bladder cancer with articulatio coxae metastasis at Dr. Moewardi Hospital Surakarta in order to explain the procedure of external radiation therapy in bladder cancer with articulatio coxae metastasis and the purpose of asymmetric radiation field that used in external radiation therapy of bladder cancer with articulatio coxae metastasis. Methods: The type of research conducts is an observational research with case report approach conducted by using direct observation method, interview with radiation oncologist and radiation technologies as well as documenting the data about external radiation therapy of bladder cancer with articulatio coxae metastasis. Results: From the research result, it is obtained the data that external radiation therapy technique of bladder cancer patient with articulatio coxae metastasis is used asymmetric whole pelvic field where right border more wide than left border. The purpose of using asymmetric field is to reach articulatio coxae metastasis in radiation field, to decrease skin dose and time efficiency of radiation therapy. Conclusions: From a technical point of view, for time efficiency by considering many patients, there is only one plane therapy and the plane can be carried out in an asymmetrical field between the right and left. While the goal from a clinical perspective is to reach the articulatio coxae into the radiation field and reduce the dose received by the skin.

INFORMASI DIAGNOSTIK GAMBARAN RADIOGRAF CERVICAL HASIL MULTIPLANAR RECONSTRUCTION CT-SCAN KEPALA Panji Wibowo Nurcahyo; Merliana Devina; Akhmad Haris Sulistiyadi; Siti Daryati
JRI (Jurnal Radiografer Indonesia) Vol. 4 No. 2 (2021)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

ABSTRACT Introduction : Data at Kenyatta National Hospital (KNH) from 2012 to 2016 recorded that there were 1,432 patients with a head injury diagnosis. Of the patients diagnosed with moderate or severe head injury, 11 (3.07%) patients had head and neck injuries. The clinical pathway in the diagnosis of head injury, CT-Scan of the brain (preferably with the inclusion of the cervical vertebrae) is now the rule in assessing traumatic brain injury. At the Radiology Installation of the Salatiga City Hospital, a head CT scan with a head injury diagnosis used a scan of the area from cervical 7 to the vertex, then cervical radiographs were made using MPR. Methods : This study uses a qualitative method with a case study approach. Data collection was carried out in March 2020 by direct observation, in-depth interviews, and documentation studies.Results : Patients diagnosed with CKS and CKB were shown cervical MPR. This MPR image has no superposition, which usually shows cervical 1 and 2 superposition with the mandible even at an angle, and in the lateral projection, cervical 7 superposition with the shoulder. The disadvantage is that the radiation dose received by the patient increases, but on radiological examination there is a justification principle, namely even though using a CT-Scan with greater radiation, the benefits obtained are also greater. In addition, burst fractures can be seen on cervical radiographs from MPR. There are fractures in trauma victims that are not fully demonstrated on radiographs at cervical 1 to cervical 2, cervical 6 to 7 cervical levels, and most involve the transverse process because the patient is uncooperative. Helical CT scanning can depict significant fractures that cannot be demonstrated on conventional radiographs and should be added to the initial screening for suspected cervical trauma.Conclusion : The cervical MPR image aims to obtain four cervical projections, namely AP, lateral, right oblique, and left oblique without conventional projections with the aim of minimizing movement in patients who are at risk of aggravating spinal cord injury. Diagnostic information from MPR results is to obtain structural visualization. specific, determine the extent of the lesion, localize the lesion and bone fragments. However, the radiation dose received is greater than conventional radiographic examinations.

PERAN RADIOGRAFER DALAM PENANGGULANGAN PENYEBARAN COVID-19 Prahardi; Syaifudin Ramadhan Hidayat
JRI (Jurnal Radiografer Indonesia) Vol. 4 No. 2 (2021)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

ABSTRACT Background: Radiographers as part of health workers have a big role in handling COVID-19 during the pandemic. Radiographers not only play an important role in making good diagnostic images, but also in efforts to prevent the transmission of COVID-19 infection. Radiographers can take many roles in preventing the spread of COVID-19, including providing education about health protocols to patients and families and disinfecting workspaces and equipment. However, this role is often overlooked by radiographers Methods: This type of research is descriptive analytic which describes the actual situation of the respondent who is the object of research. The data was obtained from the survey results which were then processed using the cross sectional study method Results: The results of a survey of 22 radiographers who work in the Banyumas area, only 42.9% always ask the patient or patient's family to wash their hands before entering the examination room, 33.3% sometimes ask to wash their hands while 23.8% do not ask or suggest to wash hands when entering the examination room. In terms of disinfection of equipment and workspaces, there were 4.7% of radographers who never carried out disinfection, 28.6% occasionally carried out disinfection and 66.7% who always carried out disinfection. Conclusions: Radiographers have an important role in preventing the spread of COVID-19. There are still many radiographers who do not play an important role in preventing the spread of COVID-19. It is necessary to raise awareness to radiographers besides they have the main task of making radiographs or therapy for patients properly and correctly, they also have an important role in overcoming the spread of covid-19

PROSEDUR BRAKHITERAPI INTRAKAVITER HIGH DOSE RATE PADA KANKER SERVIK Himawan Setyono; Dwi Sugeng Supriyadi; Dria Wanadi
JRI (Jurnal Radiografer Indonesia) Vol. 4 No. 2 (2021)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

ABSTRACT Background: Radiotherapy hold an important role in cervical cancer treatment. The majority of cervical cancer treatment will be more effective with combination of teletherapy and brachitherapy. In radiotherapy installation facility of Regional General Hospital Dr. Moewardi Surakarta brachitherapy use a high dose rate cobalt 60. The aim of study is to understand cervical cancer intracavity brachitherapy procedure with high dose rate cobalt 60 radiation. Methods: The method of this research was qualitative researchwith case study approachment by observing, interviewing with radiation oncologist doctor, radiotherapy radiographer and medical physicist, and reviewing patient medical record document, simulator image data, treatment planing system resultand patient exposure data. Results: The result of this research showed that cervical cancer brachitherapy procedure in radiotherapy installation facility of Regional General Hospital Dr. Moewardi Surakarta is using one intrauterine applicator, and two ovoid applicator. Applicator position verified by C-arm simulator. Dose calculation is done using TPS GZP 3 and manchester system where point with 2x8.5 Gyor 3x7 Gy. The brachitherapy unit used is GZP 3 Cobalt 60 Afterloading TherapyUnit high dose rate. Conclusions: The reason of using a high dose rate cobalt 60 radiation is to make the time efficient so an optimal result is obtained.

PERBANDINGAN TEKNIK RADIOGRAFI CLAVICULA PADA KLINIS FRAKTUR Ismanto; Vega Melati Putri
JRI (Jurnal Radiografer Indonesia) Vol. 4 No. 2 (2021)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

ABSTRACT Background: The clavicle radiograph is one of the examinations that can diagnose fracture pathology. Radiographic examination of the clavicle generally uses the Antero Posterior (AP) and AP Axial projections 15°-30° cranially. But in fact radiology installations differ in using the position of the patient and the direction of the beam. The purpose of this paper is to determine the radiographic technique of the clavicle in clinical fractures from differences in patient position and beam direction and its effect on the results of the picture. Methods: This type of research is descriptive with a literature study approach, looking for research journals on google scholar, and science direct from November to December 2020, using the keywords clavicle, clavicle, clavicle radiograph, clavicle, clavicle fracture, clavicle x-ray. Of the 15 journals obtained, 4 journals met the criteria. Results: Examination using 2 projections is only able to provide visualization from a superior and inferior point of view. Examination using 4 projections is able to show viewing angles from anterior, posterior, inferior, and superior. So it can visualize the image better. The 15cranially AP projection is preferred over the 15caudally AP projection, because the measurement results are not shortened, and the fracture distance is more visible. No statistically significant difference was found for the difference in arm orientation between arm flexion and arm extension in shortening measurements. The degree of change in the location of the fracture image results in a vertical direction significantly shows greater results when the examination is carried out with the patient in an erect position when compared to the supine patient position. Conclusions: Based on the projection, the use of 4 projections can eliminate the effect of clavicle fracture distance, and provide a 3-dimensional image. Giving the direction of the beam with an angle above 15 with a cranially direction produces an optimal picture. In terms of patient position, the optimal image results in the erect position.

ANALISIS VARIASI WINDOW WIDTH TERHADAP INFORMASI CITRA ANATOMI MSCT STONOGRAFI Muhammad Izzudin; Hermina Sukmaningtyas; Nanang Sulaksono
JRI (Jurnal Radiografer Indonesia) Vol. 4 No. 2 (2021)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

ABSTRACT Background : Multi Slice Computed Tomography is a diagnostic imaging method that can display cross section anatomy in the axial, sagital, and coronal areas. MSCT Stonography imaging both visualizes the anatomy of the urinary tract and stone pathology supported by the presence of ureter tracking techniques and without using contrast media. On this method, the appropriate window width will produce an optimal anatomical picture. The Study aims to determine the effect of window width on anatomical image information on MSCT Stonography. Methods : Type of research is quantitative experimental approach, conducted in January-February 2020 in Hasan Sadikin Bandung hospital, Bandung. Research with variations in window width 300 HU, 350 HU, 400 HU, 450 HU, and 500 HU on MSCT stonography og 10 patients. Criteria’s patients is patients with clinical kidney stones, willing to be a research sample. Result imagery rated two respondents, include parenchymal kidney, pelvic calices kidney, ureters, vesica urinary, and stones kidney. Then do Kappa test continued testing Friedman to know the highest mean rank and the influence og the window width oh the image og MSCT stonography. Results : Based on the result of the Friedman statistical test overall anatomy obtained significance value (p-value) = 0.000 < 0.05 means that there is an influence of window width value, the contrast resolution will increase and the better the firm boundary, but the resulting image will be more radioluscent. Based on Friedman’s mean rank test result obtained the highest mean rank of 3,54 in a variation of window width 300. The most optical window displays anatomy information using window width 300. Conclussion : There are difference in anatomical image information of MSCT stonography among 5 variation window width on examination MSCT stonography. Window width 300 HU is better at anatomy information on MSCT stonography to show better contrast, crisp sharpness, no blur image.

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

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