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Medical Imaging and Radiation Protection Research (MIROR) Journal
Published by Sekolah Tinggi Ilmu Kesehatan Awal Bros Pekanbaru
ISSN : -     EISSN : 28085272     DOI : https://doi.org/10.54973/miror
Core Subject : Health, Science,
Health Professions Materials Science & Nanotechnology Medicine & Pharmacology Physics
Medical Imaging and Radiation Protection Research (MIROR) Journal is a peer-reviewed publication and archiving fundamental, translational as well as aplication in research of focused in Medical Imaging, Radiation Protection, Safety, and Nuclear Medicine.
Arjuna Subject : Fisika dan Astronomi - Radiasi
Articles 58 Documents
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HEAD CT SCAN EXAMINATION PROCEDURE IN MENINGIOMA CASES IN THE RADIOLOGY UNIT OF AWAL BROS HOSPITAL, PEKANBARU Wahyu Saputra; Putri Salsabilla
Medical Imaging and Radiation Protection Research Journal Vol 4 No 2 (2024): 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.v4i2.975

Abstract

Background: Meningioma is an intracranial tumor that originates from meningeal cells and generally has a slow growth. Computed Tomography (CT) Scan of the head plays a role in helping assess the location, size, characteristics of the lesion, and the relationship of the tumor to surrounding structures. The use of contrast material can improve visualization of the boundaries and characteristics of the mass, thus aiding the diagnosis process. This study aims to determine the procedure for CT Scan of the head with contrast material in meningioma cases in the Radiology Unit of Awal Bros Hospital, Pekanbaru. Methods: The study used a qualitative method with a case study approach. Data collection was conducted in November 2023 through observation, interviews, and documentation. The research informants consisted of three radiographers, one radiologist, and one patient. Results: The examination began with preparation of equipment and patient, examination of urea and creatinine, providing informed consent, removal of metal objects in the head area, and positioning the patient supine with the head first entering the gantry. The examination was performed through a plain head scan and continued with an examination with iopamiro contrast material using an injector. The scan results were reconstructed in axial, coronal, and sagittal sections as needed. The case examination revealed a hypodense mass with multiple hyperdense lesions measuring approximately 6.5 × 6.3 × 7.6 cm in the bilateral frontal region. Contrast enhancement enhanced the tumor boundaries. Conclusion: The head CT scan procedure with contrast for meningioma includes patient preparation, laboratory tests, plain scanning, contrast administration, contrast scanning, and image reconstruction. Contrast enhancement helps clarify the boundaries and characteristics of the meningioma mass, thus supporting the diagnostic evaluation.
MANAGEMENT OF CT SCAN HEAD EXAMINATION IN NON-COOPERATIVE INFANTS WITH CLINICAL INTRACEREBRAL HEMMORAGE AND SUBARACHNOID HEMMORAGE IN THE RADIOLOGY INSTALLATION OF AWAL BROS PANAM HOSPITAL Amreski Amreski; Ernita Safitri
Medical Imaging and Radiation Protection Research Journal Vol 4 No 2 (2024): 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.v4i2.976

Abstract

Background: Head injuries in infants require rapid and accurate imaging examinations to detect intracranial abnormalities, including intracerebral hemorrhage (ICH) and subarachnoid hemorrhage (SAH). Head CT scanning is one of the primary imaging modalities because it can provide rapid visualization of intracranial structures. However, examinations in non-cooperative infants present challenges due to patient movement, which can produce artifacts and reduce image quality. This study aimed to determine the management of head CT examinations in a non-cooperative infant with clinical ICH and SAH and to assess the ability of the examination technique to support diagnosis. Methods: This study employed a qualitative descriptive method with a case study approach. Data were obtained through observation, documentation, and interviews with the radiographer, referring physician, and the patient's family. Results: The examination was performed with the patient in the supine position, head first, with the indicator light aligned with the mid-sagittal plane (MSP) and mid-coronal plane (MCP), and the positioning reference point at the glabella. The examination parameters included a slice thickness of 5 mm, FOV of 25.0, 120 kV, 50 mA, pitch of 0.875:1, window width of 150, and window level of 40. In the non-cooperative patient, a helical technique was used to shorten the examination time and minimize motion artifacts. Conclusion: The management of head CT examination in a non-cooperative infant with clinical ICH and SAH can produce adequate diagnostic images and support the establishment of a diagnosis. The helical technique provides an effective solution for overcoming limitations in patient cooperation during the examination.
MANAGEMENT OF RADIOTHERAPY IN CLINICAL CA MAMMAE AT THE RADIOTHERAPHY INSTALLATION OF ARIFIN ACHMAD HOSPITAL PEKAN BARU Nuzul Rahmawati Fitria; Muhammad Habib Irfan
Medical Imaging and Radiation Protection Research Journal Vol 4 No 2 (2024): 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.v4i2.983

Abstract

Background: Breast cancer (Ca mammae) is one of the malignancies requiring multimodal management, one component of which is radiotherapy. The success of radiotherapy is determined not only by radiation dose delivery but also by the accuracy of simulation, target delineation, treatment planning, positioning verification, and radiation delivery. This study aimed to determine the management of radiotherapy in patients with clinical Ca mammae at the Radiotherapy Installation of Arifin Achmad Regional General Hospital, Pekanbaru. Methods: This study employed a qualitative descriptive method with a case study approach. Data were collected in June 2024 through participatory observation, interviews with radiotherapy staff and medical physicists, and documentation. The study sample consisted of one female patient diagnosed with right-sided Ca mammae at stage T4bN1M0, triple-negative, post six cycles of neoadjuvant chemotherapy, with a partial response, and post-radical mastectomy with lymph node dissection. Results: Radiotherapy management included consultation at the radiation oncology clinic, simulation using a CT simulator with a breast board and knee support, target delineation through contouring, treatment planning using a Treatment Planning System (TPS), geometric and portal verification, and radiation delivery using a LINAC. The patient received one treatment phase with a dose of 25 × 2 Gy. Conclusion: Radiotherapy management for Ca mammae at Arifin Achmad Regional General Hospital, Pekanbaru, was performed in a sequential and integrated manner, from simulation to radiation delivery. The use of a CT simulator, TPS, immobilization devices, geometric verification, and LINAC contributed to accurate radiation delivery while supporting the protection of healthy tissues.
RADIOGRAPHIC EXAMINATION OF THE CRANIUM USING POSTEROANTERIOR (PA) AND LATERAL PROJECTIONS IN PATIENTS WITH CLINICAL TUMOR FINDINGS AT IBNU SINA ISLAMIC HOSPITAL, PEKANBARU Ghea Aprillia; Wenda Erliyanda; Teguh Ilhami
Medical Imaging and Radiation Protection Research Journal Vol 5 No 1 (2025): 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.v5i1.986

Abstract

The head or skull functions as a protective structure for the brain and serves as an attachment site for facial organs such as the eyes, nose, ears, and other structures. The skull is divided into two main parts: the facial skeleton and the cranial skeleton. One of the indications for cranium radiographic examination is the presence of a tumor in the mandibular region. A tumor is a group of abnormal cells formed as a result of excessive and uncoordinated cell division. This study employed a descriptive qualitative method using a case study approach involving a patient diagnosed with a mandibular tumor in the Radiology Department of Ibnu Sina Islamic Hospital, Pekanbaru. During data collection, the researcher conducted observations and interviews with the radiographer responsible for performing the cranium examination. The results showed that the cranium radiographic examination for a tumor case was performed using Posteroanterior (PA) and Lateral projections. In the radiographic examination procedure conducted at the Radiology Department of Ibnu Sina Islamic Hospital, Pekanbaru, several differences were found compared with the theory presented in Merrill’s Atlas of Radiographic Positioning and Procedures. According to the atlas, cranium examinations are generally performed using Anteroposterior (AP) and Lateral projections. However, at Ibnu Sina Islamic Hospital, Pekanbaru, PA and Lateral projections were utilized. Despite this difference, the projections used were considered sufficient to provide optimal diagnostic information.
MANAGEMENT OF CONTRAST ABDOMEN CT SCAN EXAMINATION TECHNIQUES WITH SIQMOID COLON TUMOR CLINICAL AT PRIMA HOSPITAL PEKANBARU Sonalia meirani saputri; Hasyim Asy’ari
Medical Imaging and Radiation Protection Research Journal Vol 5 No 1 (2025): 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.v5i1.990

Abstract

Sigmoid colon tumor is one of the malignant diseases of the large intestine that requires high-accuracy imaging examinations to establish the diagnosis, determine the location of the lesion, evaluate the extent of disease spread, and assist in treatment planning. Contrast-enhanced abdominal Computed Tomography (CT) is a widely used imaging modality because it provides detailed visualization of abdominal anatomy. In patients with a clinical diagnosis of sigmoid colon tumor, contrast-enhanced abdominal CT is performed using intravenous contrast media combined with rectal (anal) contrast administration to achieve adequate colonic distension, thereby enabling optimal visualization of the lesion margins. This study aimed to describe the management technique of contrast-enhanced abdominal CT examinations in patients with a clinical diagnosis of sigmoid colon tumor at Prima Hospital Pekanbaru. This study employed a qualitative descriptive research design using a case study approach. Data were collected through direct observation of the examination procedure, interviews with radiographers and radiologists, and documentation review of the Standard Operating Procedures (SOPs) implemented in the radiology department. The examination protocol included patient preparation, laboratory assessment of blood urea and serum creatinine levels to evaluate renal function before intravenous contrast administration, intravenous catheter placement, rectal contrast administration to distend the colonic lumen, followed by intravenous contrast injection using a power injector according to the established examination protocol. Subsequently, CT scanning was performed using optimized scanning parameters to obtain high-quality diagnostic abdominal images. The results showed that the combination of rectal and intravenous contrast media improved visualization of the colonic lumen, enhanced delineation of the tumor margins, and facilitated the assessment of tumor infiltration into adjacent tissues as well as the detection of possible metastases. Appropriate patient preparation, pre-examination renal function assessment, and adherence to the standardized examination protocol were essential factors in producing optimal diagnostic image quality. Therefore, the management of contrast-enhanced abdominal CT examinations for patients with sigmoid colon tumor at Prima Hospital Pekanbaru was performed in accordance with the established procedures, providing comprehensive diagnostic information to support accurate diagnosis and appropriate treatment planning.
ELBOW JOINT RADIOGRAPHY EXAMINATION TECHNIQUE WITH FRACTURE CLINICAL IN PEKANBARU MEDICAL CENTER HOSPITAL INSTALLATION Wenda Erliyanda; Muhammad Wildan
Medical Imaging and Radiation Protection Research Journal Vol 5 No 1 (2025): 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.v5i1.991

Abstract

Elbow joint radiography is a fundamental diagnostic imaging examination that utilizes X-rays toevaluate the anatomical structures of the elbow joint and identify abnormalities, particularly fracturesinvolving the distal humerus. Accurate radiographic positioning is essential to produce optimal imagequality and provide sufficient diagnostic information for appropriate clinical management. Fractures ofthe humeral condyle require precise imaging to assess the fracture line, displacement, and involvementof the articular surface, thereby assisting physicians in determining the most appropriate treatment. Thisstudy aimed to describe the radiographic examination technique of the elbow joint in a patient with aclinical diagnosis of a left humeral condyle fracture at the Radiology Department of Pekanbaru MedicalCenter Hospital.This study employed a qualitative descriptive method using a case study approach. Data were collectedthrough direct observation of the examination procedure, interviews with the referring physician,radiographers, and the patient's family, as well as documentation of the radiographic examinationprocess. The examination protocol included patient preparation, positioning, exposure factor selection,and image evaluation. Radiographic examination was performed using two standard projections,namely anteroposterior (AP) and lateral projections, with a cassette size of 35 × 43 cm and a focus-tofilmdistance(FFD)of 100cm. TheresultsshowedthattheAPprojectioncouldnotbeperformedaccordingtothestandardpositioning technique because the patient's limited cooperation and pain restricted proper arm positioning.Consequently, the AP image was slightly modified while maintaining adequate visualization of thefracture. In contrast, the lateral projection was performed according to standard radiographic proceduresand provided satisfactory visualization of the elbow joint. The study concludes that radiographicexamination of the elbow joint in patients with left humeral condyle fractures may require positioning modifications based on the patient's clinical condition while maintaining diagnostic image quality to support accurate diagnosis and treatment planning.
ELBOW JOINT EXAMINATION TECHNIQUE WITH CLINICAL DISLOCATION OF NON COOPERATIVE PATIENTS WITH LATERAL EXAMINATION AT THE RADIOLOGY UNIT OF AWAL BROS PANAM HOSPITAL Rona Fadila; Fauzan Andrizal
Medical Imaging and Radiation Protection Research Journal Vol 5 No 1 (2025): 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.v5i1.995

Abstract

Elbow joint radiography is a diagnostic imaging examination that utilizes X-rays to evaluate theanatomical structures of the elbow joint and identify abnormalities, including dislocations. Standardelbow joint radiographic examination is generally performed using two projections, namelyanteroposterior (AP) and lateral. In the lateral projection, the elbow is normally flexed to approximately90° to provide optimal visualization of the joint space and surrounding anatomical structures. However,in patients with elbow dislocation who are uncooperative due to severe pain or trauma, standardpositioning cannot always be achieved. In such cases, modification of the radiographic technique isnecessary to ensure patient safety while maintaining diagnostic image quality. This study aimed todescribe the radiographic examination technique of the elbow joint in a non-cooperative patient with aclinical diagnosis of elbow dislocation at the Radiology Unit of Awal Bros Panam Hospital.This study employed a qualitative descriptive design using a case study approach. Data were collectedthrough direct observation of the examination procedure, interviews with radiographers andradiologists, and documentation of the radiographic examination. The examination did not requirespecific patient preparation other than removing metallic objects that could produce image artifacts.Radiographic imaging was performed using AP and modified lateral projections. Because the patientwas non-cooperative and unable to tolerate elbow flexion, the lateral projection was obtained with theelbow maintained in an extended position.The findings demonstrated that modification of the lateral projection successfully produced diagnosticimages sufficient to evaluate the elbow joint and confirm the presence of dislocation. Therefore,adapting radiographic positioning according to the patient's clinical condition is essential for achievingoptimal diagnostic outcomes while prioritizing patient comfort and safety.
CONTRAST NASOPHARYNGEAL CT SCAN EXAMINATION PROSEDURE AT THE RADIOLOGY INSTALLATION AT ARIFIN ACHMAD HOSPITAL, RIAU PROVINCE. Anisa Fitrah Ramadhani; Dini Febriyanti
Medical Imaging and Radiation Protection Research Journal Vol 5 No 1 (2025): 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.v5i1.996

Abstract

Background: Contrast-enhanced Computed Tomography (CT) of the nasopharynx is an importantimaging modality for evaluating abnormalities of the nasopharyngeal region, including inflammatorylesions and tumors. Intravenous contrast media enhance visualization of soft tissue structures, vascularanatomy, lesion extent, and involvement of adjacent tissues, thereby improving diagnostic accuracy andtreatment planning. This study aimed to describe the procedure for contrast-enhanced CT examinationof the nasopharynx performed at the Radiology Department of RSUD Arifin Achmad, Riau Province.Methods: This study employed a qualitative descriptive design using a case study approach. Data werecollected through direct observation of the examination procedure, semi-structured interviews withradiographers and radiologists, and documentation review. The study was conducted at the RadiologyDepartment of RSUD Arifin Achmad, Riau Province. Data were analyzed descriptively by comparingthe clinical practice with the standard examination protocol.Results: The examination procedure included patient identification, assessment of renal functionthrough laboratory evaluation, informed consent, intravenous catheter placement, patient positioning,and contrast-enhanced scanning. Intravenous administration of 50 mL of Iopamiro contrast mediumusing a power injector was performed according to the hospital protocol. The examination successfullydemonstrated the nasopharyngeal anatomy, vascular structures, lesion boundaries, and the relationshipbetween the lesion and adjacent tissues. Compared with several literature references recommendingapproximately 25 mL of contrast medium, the hospital protocol utilized 50 mL to achieve optimalenhancement and diagnostic image quality.Conclusion: The contrast-enhanced CT examination of the nasopharynx at RSUD Arifin Achmadfollows a standardized procedure and provides optimal diagnostic information. The administration of50 mL intravenous contrast medium improves visualization of vascular structures, differentiates bloodvessels from tumor masses, and assists in assessing vascular displacement or tumor invasion, therebysupporting accurate diagnosis and appropriate treatment planning.
PROCEDURE FOR T-TUBE CHOLANGIOGRAPHY IN PATIENTS WITH CLINICAL CHOLANGITIS AT THE RADIOLOGY UNIT OF RSAB PEKANBARU M. Syawal Syahputra; Muhammad Habib Irfan; Rona Faradila
Medical Imaging and Radiation Protection Research Journal Vol 5 No 2 (2025): 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.v5i2.998

Abstract

Background: T-tube cholangiography is a radiographic examination of the biliary system that uses a positive contrast medium injected through a T-tube catheter to evaluate biliary tract patency and detect residual stones, strictures, or postoperative complications. In clinical practice, examination procedures may vary among hospitals, particularly regarding the imaging modality and radiographic projections employed. Therefore, evaluating the examination procedure is essential to improve the quality of radiology services. Objective: This study aimed to describe the T-tube cholangiography procedure performed in a patient with clinical cholangitis at the Radiology Unit of RSAB Pekanbaru and to compare the procedure with established radiographic theories and literature. Methods: This study employed a descriptive qualitative approach using a case study design involving one patient diagnosed with cholangitis. Data were collected through direct observation, documentation, and a review of the examination procedure, including patient preparation, contrast media administration, radiographic techniques, and image evaluation. Results: The examination was performed using a conventional digital radiography (DR) X-ray system with a water-soluble iodinated contrast medium. The radiographic projections included a preliminary anteroposterior (AP) view, a post-contrast AP view, and a right posterior oblique (RPO) projection. The findings demonstrated opacification of the hepatobiliary system, multiple filling defects within the common bile duct (CBD), and passage of contrast into the duodenum without evidence of complete obstruction, indicating multiple choledocholithiasis.
RADIOTHERAPY TECHNIQUE INTENSITY MODULATED RADIATION THERAPY (IMRT) IN BREAST CANCER CASES IN PASAR MINGGU HOSPITAL Dody Arland; Nursama Heru; Khairil Anwar; Petra P Wellyam; Dea Ryangga; Danil Hulmansyah
Medical Imaging and Radiation Protection Research Journal Vol 5 No 2 (2025): 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.v5i2.999

Abstract

Background: Breast cancer is the most common type of cancer among women in Indonesia and remains one of the leading causes of cancer-related mortality. Radiotherapy plays a crucial role as both an adjuvant and curative treatment modality to improve local disease control following surgery. Advances in radiotherapy technology have led to the development of Intensity Modulated Radiation Therapy (IMRT), which enables highly conformal dose distribution to the target volume while minimizing radiation exposure to surrounding healthy tissues. Nevertheless, the clinical implementation of IMRT for breast cancer treatment in hospitals still requires evaluation of the treatment workflow and irradiation techniques to ensure optimal therapeutic outcomes.This study aimed to describe the implementation of the IMRT technique in breast cancer patients at the Radiotherapy Installation of Pasar Minggu Regional General Hospital, from the initial consultation to the completion of radiotherapy treatment. Methods: This study employed a qualitative approach using a case study design involving a breast cancer patient. Data were collected through direct observation of the radiotherapy workflow, including consultation with a radiation oncologist, CT simulation, Treatment Planning System (TPS), verification using an On-Board Imager (OBI), and radiation delivery using a Linear Accelerator (LINAC). Results: Radiotherapy planning was performed using the IMRT technique with six irradiation fields at gantry angles of 20°, 60°, 220°, 260°, 300°, and 340°. Evaluation of the Dose Volume Histogram (DVH) demonstrated that target dose coverage remained within the International Commission on Radiation Units and Measurements (ICRU) recommended range of 95–107%. Patient positioning verification using anterior–posterior/posterior–anterior (AP/PA) and lateral OBI imaging confirmed accurate patient alignment prior to treatment. The prescribed radiation dose was 5000 cGy delivered in 25 fractions of 200 cGy each.

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