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PENGARUH TRADE-OFF NILAI TIME INVERSION TERHADAP OPTIMALISASI KUALITAS CITRA MRI LUMBOSACRAL SEKUEN STIR- SENSE CORONAL Putu Sastra Andriani; I Putu Eka Juliantara; Ni Luh Putu Sari Widari; Nyoman Supriyani
JRI (Jurnal Radiografer Indonesia) Vol. 5 No. 2 (2022): November
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55451/jri.v5i2.126

ABSTRAK Background :STIR is a fat suppression technique used in spinal MRI. The TI setting determines how much fat signaling will be suppressed. SENSE is a technique to reduce length of STIR examination time. According to Westbrook, the TI values for a 1.5 Tesla MRI 100 – 175 ms. To find the optimal TI for Lumbosacral MRI need to do a trade-off and research. Method :This research is quantitative with an experimental approach. The study used 15 samples were scanned 3 times on the STIR-SENSE Coronal sequence with TI variations 140, 150 and 160 ms. The data obtained then ROI and SNR is calculated using SPSS. Recorded the scan time. Results : Normality test, p value > 0.05 so the data distribution is normal. In the Test Of Within Subject Effect and the Test Of Between Subject Effect the value of Sig. <0.05 means there is an effect between variables. In the Pairwise Comparison test SNR significance value obtained on all data <0.05, it can be concluded there is a significant difference between the sequences. Scan time on trade-off TI of 140 and 150 ms is 2 minutes 36 seconds and on TI 160 ms 3 minutes 54 seconds. Conclusion :There is effect trade-of f TI value for optimizing the image quality of MRI Lumbosacral STIR-SENSE Coronal Sequence at Bali Mandara Hospital. The most optimal image quality ontime inversion trade-off 150 ms with mean 391.607 and a short examination time of 2 minutes 36 seconds.

KUALITAS FOTO POLOS PASIEN DENGAN DAN TANPA LAVEMENT Panji Wibowo Nurcahyo
JRI (Jurnal Radiografer Indonesia) Vol. 5 No. 2 (2022): November
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55451/jri.v5i2.128

ABSTRACT Introduction: Patient preparation aims to minimize the appearance of air and feces which can interfere with doctors assessing anatomy and pathology on radiographs, and in some cases can even cause a delay in IVP examination. The results showed that there was no statistically significant difference between KUB examination patients with and without patient preparation (Abbasi A, Siyal A and Soomro M.I, 2015). Preparation of IVP patients between outpatients and inpatients at Prof. Hospital. Dr. Margono Soekardjo Purwokerto differs in the presence or absence of lavement. Method: This type of research is descriptive research. The population of the study was request sheets for photos and plain photo radiographs for BNO IVP examination with indications of hydronephrosis. The exclusion criteria for this study were patients aged ≥ 50 years to avoid the effects of constipation. The assessment uses a questionnaire that refers to The European Commission Guideline For Evaluation Of Radiographic Images and the assessment criteria determined by the researcher. Results: up to 6 patients came from the Inpatient Installation and 6 patients came from the Outpatient Installation. Inpatient installation has a higher total score for renal outline. Inpatient installation has a lower total score for visualization of the right psoas line and bone system, but gives the same score for the left psoas line. The Inpatient Installation has a higher total score for visualizing a lot of air and feces than the Outpatient Installation for the proximal colon area, while the distal colon area has the same score. In the distal colonic area, more radiographs from inpatient settings show air and stool features that may interfere with diagnosis than outpatient settings. This can be caused by visits from guests when visiting patients. The tendency of guests to bring food and chat with patients can affect this. Conclusion: In general, radiographs from outpatients and inpatients can clearly show the organs which include, the entire urinary tract area from the upper pole of the kidney to the basal bladder, renal outline, psoas line and bone system, but visualization of a lot of air and feces is more higher than the Outpatient Installation for the proximal colon area, while the distal colon area has the same score.

PROSEDUR PEMERIKSAAN LOPOGRAFI DENGAN KLINIS SUSPECT COLON CARCINOMA Rosy Amelia Azhari; Nanang Sulaksono; Agustina Dwi Prastanti
JRI (Jurnal Radiografer Indonesia) Vol. 5 No. 2 (2022): November
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55451/jri.v5i2.129

ABSTRACT Background :The lopographic examination according to Lampignano and Kendrick (2018) uses barium sulfate contrast media which is inserted through the stoma, using plain photos, AP/PA, Lateral, Oblique, post evacuation. Installation of Radiology Hospital Prof. Dr. Margono Soekarjo Purwokerto using a non-ionic water soluble contrast media mixed with NaCl, inserted into the proximal stoma and anus with plain photos, AP, Lateral. The purpose of the study was to determine the lopographic examination procedure, the reasons for using water soluble contrast media, to find out anatomical information from the AP and Lateral. Methods :This research used qualitative approach with a case study. Data collection were used observation, interviews, documentation. Research respondents were patients, radiographers, radiologist, and dispatching doctors. Data analysis with interactive analysis model. Result : Showed that the lopographic examination was aimed at evaluating the colon after colostomy and chemotherapy. Patients undergo special preparation. The water soluble contrast medium was mixed with NaCl in a ratio of 1: 4 because it was safer than barium sulfate. The reason for insertion of contrast media through the proximal stoma and anus is the absence of a stoma to the distal colon. Anatomical information from the plain photo is the distribution of air in the colon, the AP projection looks contrast to fill the ascending colon, transverse colon, descending colon and superpositioned sigmoid colon. Laterally, the sigmoid colon and rectum are seen. Diagnostic information was not found in colonic carcinoma residif cells.

PROSEDUR PEMERIKSAAN RADIOGRAFI HIP JOINT POST-OPERASI TOTAL HIP ARTHOPLASTY Wildan Hanayzul Fahmi; Panji Wibowo Nurcahyo
JRI (Jurnal Radiografer Indonesia) Vol. 5 No. 2 (2022): November
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55451/jri.v5i2.130

ABSTRACT Background: Conventional radiographic examination of the hip joint post-operative Total Hip Arthoplasty aims to propose a prosthesis on the Hip Joint. Parameters assessed with AP Pelvis Projection include leg length, center of horizontal rotation, center of vertical rotation. Acetabular inclination, femoral stem positioning, and cement mentle thickness can be assessed on AP Unilateral Hip Projection and AP Pelvis Projection, whereas Acetabular anteversion can only be seen with inferosuperior axiolateral projections. Conventional radiographic examination of the hip joint after Total Hip Arthoplasty surgery at the Radiology Installation of Tidar Magelang Hospital was only carried out by AP Pelvis Projection. Method: This research type is qualitative with case study approach. Data collection methods consisted triangulation method of observation, interview and documentation. Research subject consist 3 radiology technologist, 1 specialist doctor, and 1 radiology doctor. Collected data will be analyzed with interactive technique transformed into transcript and then reducted. After that the data will be shown as quotation. Based on data and literature study, author will conclude. Result: Radiographic exam of hip joint post-operation Total Hip Arthoplasty in Radiology Departement of RSUD Tidar Magelang is done in accordance to standard procedure of only using AP Pelvic projection. This is done to acquire radiographic image of both sides of the hip joints, the whole prosthetic component, and reducing the radiation received. Central point set on the center of symphisis pubic, with area of collimation as wide as the detector to acquire image of the whole prosthetic. Without lateral projection the lateral view of the prosthetic cannot be acquired causing the absence of the radiographic images of both acetabular anteversion and the acetabular retroversion. Causing the angle of acetabular component of the prosthetic cannot be measured. Resulting in the loss additional information. Conclusion: AP Pelvic projection is in accordance to standard procedure of Radiology Departement of RSUD Tidar Magelang, specialist doctor’s request, and had shown the radiographic image of the whole prosthetic component. From author’s opinion, it is best that lateral projection still be done to acquire complete information of the radiographic evaluation of post-operation Total Hip Arthoplasty.

TEKNIK PEMERIKSAAN KEDOKTERAN NUKLIR PADA KELENJAR TIROID Raditya Faradina Pratiwi; Eri Puspita Sari
JRI (Jurnal Radiografer Indonesia) Vol. 5 No. 2 (2022): November
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55451/jri.v5i2.131

ABSTRACT Background: Thyroid scan is an examination of the thyroid with a gamma camera that aims to obtain functional morphological images of the thyroid and assess the ability of the thyroid gland to capture radioactive substances. From some literature that researchers reviewed, there were differences in thyroid scan procedures, such as the use of radiopharmaceuticals, the time interval for imaging after radiopharmaceutical administration (static image), and projections to produce images of the thyroid gland.. Methods: This type of research is a library research or literature review by reviewing as many as 50 journals related to Nuclear Medicine Examination during the last 10 years. Then the researchers screened the journals related to the thyroid scan examination of the thyroid gland in as many as 4 journals Results: Based on the review results, to diagnose hyperthyroidism, use 99mTc with a static image time of 15-20 minutes & 123I with a static image time of 24 hours. Use of 99mTc & 131I to detect intrathoracic goiter causing hyperthyroidism, with a static image time of 20 min after 99mTc04, and 24 hours after 131I; The projections used were anterior & posterior thoracic and anterior neck with markers on the inferior isthmus for the 99mTc 04 scan, whereas those for 131I scans were only anterior projections. And to diagnose ectopic thyroid, using AP, RAO, & lateral projection after 10 min of 99mTc 04 injection, as well as post water anterior projection, lateral view is useful for localizing other tracer uptake. Conclusions : Several techniques and uses of radiopharmaceuticals in thyroid scan examination are based on the clinical findings and the objective of the evaluation of the thyroid gland itself. The use of the right technique can greatly help the radiologist to diagnose abnormalities in patients.

STRATEGI KOMUNIKASI RADIOGRAFER MELALUI MEDIA SOSIAL: STUDI PADA AKUN INSTAGRAM PERHIMPUNAN RADIOGRAFER INDONESIA (PARI) Dessy Kushardiyanti; Syaifudin Ramadhan Hidayat
JRI (Jurnal Radiografer Indonesia) Vol. 5 No. 2 (2022): November
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55451/jri.v5i2.132

ABSTRACT BackBackground: The increasing number of social media users is currently being used by various sectors, including the health sector, which since the Covid-19 pandemic has received special attention from the public as ammunition for credible information. One of them is the Radiotherapy unit through various associations and or communities as an adhesive between radiographers. So far, Radioteapi has become a health unit that is safe in disseminating content information, no viral content has been found that contains negative content or violates the rules until it is in the name of the medical personnel in the Radiotherapy unit. This is certainly an opportunity to be used as a mediation of information in the health sector, especially through the association of medical personnel, one of which in this case is PARI. So, in the future, social media will not be limited only to the interests of members or radiographers but can be used as a manifestation of the radiographer's effective communication competence for the community. Methods: The research was conducted using a descriptive quantitative-qualitative approach with data collection methods in the form of literature studies, analysis of Instagram social media content, and interviews with PARI members. Convinience sampling was used to take samples of 2 central PARI Instragam accounts and 9 branch PARI Instagram accounts which were then processed by calculating engagement rate impressions and content strategy analysis with indicators like, comments and message content. Results: The results show that several central PARI Instagram accounts and branch managers have quite low engagement rate impressions, this can be improved by consistent content updates by considering the content strategy in the form of MEME content as entertainment as well as informative content, exposing members' experiences as positive reviews of the association, Documentation content of regular meeting activities and informative content of PARI membership updates. Conclusions: The content strategy that has been carried out at least meets the health indicators in the digital field according to a specific classification (Jean-Emmanuel Bibault, et all, 2017) in terms of reflective, responsive, relevant, and flexible information aimed at the target audience, namely between members and between radiographers. .

PEMERIKSAAN CT STONOGRAFI PADA KASUS NEFROLITHIASIS I Putu Yudha Sambawitasia; Putu Irma Wulandari; Kadek Sukadana
JRI (Jurnal Radiografer Indonesia) Vol. 5 No. 2 (2022): November
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55451/jri.v5i2.133

ABSTRACT Background : CT Stonography is a CT scan tract of the kidney that is usually used to detect the presence of stones in the kidney and other pathologies such as the presence of mass in the kidneys. CT Stonography examination with kidney stones case in Buleleng Regional General Hospital using 5 mm slice thickness. The purpose of this study is to know the examination techniques, the reasons for the use of 5 mm slice thickness, and how to determine the size of kidney stones using CT Stonography in cases of nephrolithiasis at Buleleng Regional General Hospital. Methods : This type of research is qualitative with case study approach. The subjects were 2 radiographers, 1 radiologist, and 1 sending doctor. The location of the research at Radiology Installation Buleleng Regional General Hospital. Data were analyzed using by interactive model. Results : From the results of this study examination of CT Stonography at Buleleng Regional General Hospital uses special preparation of 12 hours of fasting before the examination. Position of supine patient (head first). Area scanning from diaphragm to symphisis pubis. Scan parameters using abdomen protocol, 10 mm slice thickness. The reason for using 10 mm slice thickness is that the image can be reconstructed with a thin slice thickness number from the previous result. How to determine the size of kidney stones in patients CT Stonography at Radiology Installation Buleleng Regional General Hospital is using 3 dimensions because to see from the axial, sagittal, coronal multiplanar so that we can measure from the posterior antero direction (AP), cranio caudal (CC), or laterolaterally taken from the widest distance. Conclusion : Examination CT Stonography with nephrolithiasis cases using the position of supine patients (head first), selection of 10 mm slice thickness on CT stonography examination techniques with nephrolithiasis cases at Radiology Installation Buleleng Regional General Hospital for the results of the image can be reconstructed with the amount of thin slice thickness of the previous results. Determination of the size of kidney stones in patients with CT Stonography at Radiology Installation Buleleng Regional General Hospital is using 3 dimensions because to see from the axial, sagittal, coronal multiplanar so that we can measure from the posterior antero direction (AP), cranio caudal (CC), and laterolateral taken from the widest distance.

PENGARUH LAMA WAKTU PEMAKAIAN (USIA) DAN BENTURAN FISIK PADA KASET COMPUTER RADIOGRAPHY (CR)TERHADAP CITRA RADIOGRAFI Siti Nur Hidayati; Ikhwanata
JRI (Jurnal Radiografer Indonesia) Vol. 5 No. 2 (2022): November
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55451/jri.v5i2.134

Background: Computed Radiography (CR)is a radiographic image processing computer acquisition technology. In CR, the radiographic image results are stored in a special film cassette and expressed in the form of the gray level of the image pixels. The results of the radiographic image on the film cassette are then read by a scanner and then can be saved in the form of an image file, which can be a special digital film format called DICOM (Digital Imaging and Communication in Medicine). One of the disturbances that occur in the resulting CR image is artifact. The length of time used (age) of CR cassette can cause interference with the results of radiographic images. The longer the life of the CR cassette and the more frequent use of the CR cassette, the noise may appear in the radiographic image results. The condition of the CR cassette has a big effect on the formation od the image so that physical collision such as falling, regardless of grip or impact should be avoided when inserted into the CR reader. Methods: This type of research uses quantitative research with an experimental approach. The CR cassettes studied were 4 CR cassette with different sizes but the length of time used (age) was the same. All 4 CR cassette were exposes to the same exposure factor. The object used is the step wedge. The results of the radiographic images are evaluated subjectively by 5 respondents (radiographers) to draw conclusions. Results: The duration of use (age) of CR cassette is done properly and does not often occur, it will produce good radiographic image results and can be used to establish diagnoses. Physical impact on the CR cassette can results in artifact. Artifact contained in the results of CR images can interfere with diagnosis.

ESTIMASI NILAI DOSIS PADA PEMERIKSAAN CT SCAN KEPALA DEWASA BERDASARKAN NILAI CTDIvol DAN DLP Ni Nyoman Sri Wikanadi; I Putu Eka Juliantara; Made Purwa Darmita
JRI (Jurnal Radiografer Indonesia) Vol. 5 No. 2 (2022): November
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55451/jri.v5i2.136

ABSTRACT Background: Estimating the exact dose in CT Scan patients can be done by referring to an optimization index called DRL (Diagnostic Reference Level). Currently, the DRL for CT-Scans is expressed in CTDIvol (Computed Tomography Dose Index Volume) and DLP (Dose Length Product). The purpose of this study was to analyze the distribution of radiation dose values on a CT scan of the adult head based on the CTDIvol and DLP values referring to the IDRL reference from BAPETEN. Methods: This research is descriptive quantitative research with an observational approach. The Samples in this study were all patients who underwent Non-Contrast Head CT-Scan examinations at the radiology installation of Prof.Dr.I.G.N.G. Ngoerah Hospital, Denpasar for the period January-June 2022. Analysis of Results The estimation of radiation dose values on CT Scan examinations of the adult head was based on the recapitulation of the distribution of CTDIvol and DLP values obtained then compared with the IDRL 2021 values. Results: CTDIvol values on non-Contrast head CT examination for all patients have varied values with the lowest value of 23.28 mGy, the highest value of 62.7 mGy, an average of 47.58 mGy, and the 3rd quartile value of CTDIvol is 49.84 mGy. With the 75th percentile CTDIvol value of 49.84 mGy while the DLP value on the Head CT Examination varied in each patient with the lowest DLP value of 700.12 mGy*cm and the highest DLP value of 1597.19 mGy*cm and an average value of 1597.19 mGy*cm. DLP is 1057.95 mGy*Cm and the 3rd quartile value of DLP is 1133 mGy*cm. Conclusion: The CTDIvol and DLP values for Non-Contrast Adult Head CT Scan examination at Prof.Dr.I.G.N.G. Ngoerah Hospital Denpasar are still below the reference from BAPETEN in IDRL 2021.

KARAKTERISTIK SOFT TISSUE TUMOR EKSTREMITAS BERDASARKAN TIME INTENSITY CURVE PADA DYNAMIC CONTRAST ENHANCEMENT - MRI Putu Krisna Ariadi; Kadek Yuda Astina; Nyoman Supriyani
JRI (Jurnal Radiografer Indonesia) Vol. 5 No. 2 (2022): November
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55451/jri.v5i2.138

ABSTRACT Background: Perfusion MRI such as Dynamic Contrast Enhancement (DCE) sequences are able to provide detailed structural and metabolic information about tumor tissue, so the diagnostic imaging results can approach histologic diagnosis non-invasively. The purpose of this study was to analyze the relationship between the Time intensity curve (TIC) and the characteristics of soft tissue tumors in the extremities, and also to determine the sensitivity and specificity values. Methods: This research is a descriptive quantitative study using retrospective data. The samples of this study were all patients with soft tissue tumors of the extremities who underwent MRI examination of the extremities at the RIR Installation of Prof. RSUP. Dr. IGNG Ngoerah Denpasar and histopathological examinations were implemented during the period of June 2021-July 2022. Types I-II were associated with benign tumors. Meanwhile, the type of III-V as malignant tumors were compared with the histopathological characteristics of soft tissue tumors. Results: From 30 samples, it was found the result of the spearman rank test was about the relationship between TIC and soft tissue tumor characteristics. It was shown that the p value was 0.014 (p<0.05), and the result of diagnostics test with a 2x2 table obtained a sensitivity value of 89.47% and a specificity of 9.09% Conclusion: Time intensity curve on DCE MRI is able to distinguish the characteristics of soft tissue tumors of the extremities, especially malignancies.

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Abstract

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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