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Jurnal Imejing Diagnostik
Published by Poltekkes Kemenkes Semarang
ISSN : 2356301X     EISSN : 26217457     DOI : -
Core Subject : Health,
Health Professions Medicine & Pharmacology
Jurnal Imejing Diagnostik (JImeD) memuat tulisan ilmiah dalam bidang radiologi berupa hasil penelitian dan non penelitian (konseptual). Jurnal Imejing Diagnostik (JImeD) terbit 2 kali dalam satu tahun yaitu pada bulan Januari dan Juli oleh Jurusan Teknik Radiodiagnostik dan Radioterapi, Politeknik Kesehatan Kemenkes Semarang. Jurnal Imejing Diagnostik (JImeD) memuat artikel ilmiah dalam bidang radiologi, meliputi : radiografi konvensional, digital radiografi, CT scan, MRI, kedokteran nuklir, radioterapi dan ilmu lainnya yang berkaitan dengan radiologi.
Arjuna Subject : -
Articles 9 Documents
 1 
Search results for , issue "Vol. 9 No. 1: JANUARY 2023" : 9 Documents clear
Kelayakan Lead Apron sebagai Pelindung Paparan Radiasi Hambur Asriningrum, Surdiyah; Ardiana, Ardiana; Muljana, Hayat; Musrifah, Musrifah; Ariyanto, Firlianti Dewi
Jurnal Imejing Diagnostik (JImeD) Vol. 9 No. 1: JANUARY 2023
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v9i1.8877

Abstract

Background: Lead apron constitutes one of the radiation protection devices available in the Radiology Department which is normally used in diagnostic and intervention radiology examinations to reduce the scattered radiation originating from the patient. The purpose of this study is to determine the physical condition, care, and maintenance of the lead apron. Methods: This research was quantitative research with survey methods at the Radiology Department of Al Islam Hospital Bandung and Al Islam Polytechnic Laboratory, Bandung. Results: The results suggested that the lead apron test at the Radiology Department of Al Islam Hospital Bandung contained 1 apron that had a leak with the covering area of 6458.67 mm2 and had to be rejected. The lead apron test at Al Islam Polytechnic Laboratory in Bandung contained 1 apron that had a leak with the covering area of 8750 mm2 and it had to be rejected. Conclusions: The lead apron at the Radiology Department of Al Islam Hospital Bandung and Al Islam Polytechnic Laboratory had one leak apron with the covering area of more than 670 mm 2 and had to be rejected. It is necessary to pay attention to the placement of the lead apron so that the lead apron is in good condition and can be used according to its function. 
MSCT Thoracolumbal Kontras pada Suspek Metastasis Tulang Belakang: Studi Kasus di Rumah Sakit Hermina Pandanaran Semarang Puspitawati, Margarita; Rochmayanti, Dwi; Kartikasari, Yeti; Sulaksono, Nanang; Sudiyono, Sudiyono
Jurnal Imejing Diagnostik (JImeD) Vol. 9 No. 1: JANUARY 2023
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v9i1.9242

Abstract

Background: MSCT is a routine imaging modality for detecting bone metastases. The use of 1.25 mm slice thickness reconstruction on Thoracolumbar MSCT examination at Hermina Pandanaran Hospital is different from preliminary studies. This study aims to determine MSCT Thoracolumbar contrast with 1.25 mm slice thickness and 3D reconstruction to produce information on anatomical images in suspected cases of spinal metastases. Methods: This research was qualitative with a case study approach. The respondents were 3 radiographers, 2 radiologists, and 1 referring doctor. Data collection by observation, interviews, and document studies. Processing and data analysis used open coding and analysis to obtain conclusions. Results: The examination procedure was carried out by preparing the patient to fast for 6 hours before the examination, checking the results of ureum creatinine, filling out the informed consent and doing a skin test. Contrast media as much as 1.1-1.2 ml/kg per patient's body weight plus saline half of the amount of contrast, flow rate 2.5-3 mL/s, scan delay 25 s. DFOV 25-35cm, ASIR 40%. Reconstruction of slice thickness 1.25 mm to get more detailed results so that it could produce informative images that evaluated the spine and soft tissue. MPR and 3D reconstruction so that the image looked real bone and could be viewed 360ᵒ. Conclusions: The resulting slice thickness of 1.25mm and 3D reconstruction produced anatomical image information that could visualize bone to see destructive lytic lesions due to metastases, and visualize soft tissue such as paravertebral masses or discs. 
Prosedur Pemeriksaan MRI Lumbal pada Kasus Efusi Pleura Suspek Tuberkulosis Susanto, Fani; Rahardian, Arga Pratama; Utami, Hernastiti Sedya; Mufida, Widya
Jurnal Imejing Diagnostik (JImeD) Vol. 9 No. 1: JANUARY 2023
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v9i1.9419

Abstract

Background: Clinical vertebral tuberculosis (TB) occurs outside the lungs affecting the spine. It generally infects the spine in the lower thoracic and upper lumbar spine. MRI examination is performed on clinical vertebral TB patients to determine the degree of stress and changes in bone elements in the early stages of the disease. This study aims to analyze the lumbar MRI examination procedure in cases of suspected TB pleural effusion. Methods: This research was qualitative with a case study approach. Data collection was carried out at the Radiology Unit of Premier Bintaro Hospital with the methods of observation, interviews, and documentation. Data processing and analysis were carried out descriptively. Results: Lumbar MRI examination with suspected TB pleural effusion at the Radiology Unit of Premier Bintaro Hospital was not specially prepared, the patient was examined first through the patient checklist to avoid metal materials entering the examination room. Examination using the Non-Contrast Lumbar MRI protocol included of sagittal and coronal T2, sagittal T1, sagittal Short Tau Inverse Recovery (STIR), Myelography, Axial T2, and Axial T1. The results of the examination provided sufficient diagnostic information to indicate a vertebral TB lesion. Conclusions: The procedure for examining lumbar MRI in TB cases with suspected pleural effusion at the Radiology Unit of Premier Bintaro Hospital did not require special preparation, the examination protocol used was to provide TB clinical diagnostic information, the addition of Gadolinium contrast media could be an alternative choice. 
Optimasi Pengaturan pH Developer untuk Meningkatkan Efisiensi Waktu dalam Processing Film di Ruang Gelap Radiologi Anggraeni, Leny; Candra, Feri Aria; Ichwan, Yas
Jurnal Imejing Diagnostik (JImeD) Vol. 9 No. 1: JANUARY 2023
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v9i1.9447

Abstract

Background: Film processing is an activity to obtain a permanent and real picture of a film, which can be seen with the eye in general conditions. The developer fluid is very influential on the image produced in the film. After exposure, it will be placed in the next step, namely the washing process, so as to produce a permanent image and make a diagnosis. Each exposure of washing film from one film to another, there is a difference in processing time. The more films that are processed, the longer the film processing time is required. The purpose of this study is to see the effect of developer pH on inefficient factors that lead to the film processing time in a dark room. Methods: The research design used was experimental with research samples tested on pH developers in the Radiology Installation of RSUD Pesawaran. Result: Calculation analysis, measurement test result of developer pH measurement to the time of generation on the film was the sig. value which was 0,000 and the degree of relationship value was - 0,983. Conclusion: Based on the provisions, the sig. value of 0.000 <0.05 then Ho was rejected or it was stated that there was a relationship between variable X (pH value) and variable Y (Time). 
Penggunaan T2 STIR dan Fat Saturation pada Pemeriksaan MRI Lumbal Kasus Hernia Nucleus Pulposus (HNP) Agrilian, Meilita Putri; Tarigan, Asumsie; W, Mahfud Edy; Sari, Gando
Jurnal Imejing Diagnostik (JImeD) Vol. 9 No. 1: JANUARY 2023
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v9i1.9456

Abstract

Background: Signal to noise ratio (SNR) is defined as the ratio of the amplitude of the signal received by the coil to the amplitude of the noise. Methods: This research was quantitative alongside an observational approach conducted at the Radiology Installation of Satya Negara Hospital, North Jakarta. Alongside a research population of Lumbar MRI patients with HNP clinical indication from October to November 2022. The research sample was ten patients aged around 25-50 years with a diagnosis of HNP. Furthermore, an MRI examination was carried out using T2 STIR and T2 Fat Saturation sequences. Hence, the results of the Lumbar MRI image were ROI performed on common areas alongside the Corpus, Discus, CSF, Spinal Cord, and HNP area. Results: This research showed there was a significant difference in SNR values in the T2 STIR and T2 Fat Saturation sequences in common areas with a p-value of > 0.05. There was no significant difference in SNR values in the HNP-experienced area with a p-value of < 0.05. Conclusions: After a statistical test using the Paired Sample T Test, the test results obtained were p value > 0.05, namely 0.692 for the SNR value on the results of the MRI Lumbar sagittal section of the sequence T2 STIR and T2 Fat saturation in the Lumbar area experiencing HNP, which means that Ho was accepted, which means that there was no significant difference in SNR values between the T2 STIR and T2 Fat saturation sequences in the lumbar tissue that experienced HNP. 2. The SNR value of MRI images of the lumbar sagittal section of the sequence T2 STIR and T2 Fat saturation in normal lumbar tissue including Corpus, Discus, CSF, the test results obtained are p-value <0.05. This means that Ho was rejected, which means there was a significant difference in SNR values between the T2 STIR and T2 Fat saturation sequences. In the spinal cord area, the test results obtained were p value > 0.05. This meant that Ho was accepted, which meant there was no significant difference in SNR values between the T2 STIR and T2 Fat saturation sequences. 
Informasi Anatomi dan Dosis Radiasi pada MSCT Brain Pediatric Menggunakan Adaptive Statistical Iterative Reconstruction (ASiR)-V Indraratma, Fitri; Dartini, Dartini; Setiawan, Agung Nugroho
Jurnal Imejing Diagnostik (JImeD) Vol. 9 No. 1: JANUARY 2023
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v9i1.9471

Abstract

Background: Multislice CT Scan (MSCT) brain examination in pediatric cases should pay attention to the lowest possible dose but still provide optimal anatomical information. Pediatric has a higher risk of developing cancer compared to adults who receive the same dose. The purpose of this study is to obtain the optimal value of the use of the Adaptive Statistical Iterative Reconstruction (ASIR)-V technique with variations in tube current strength and Iterative Reconstruction value which is implemented in pediatric patients under the age of 5 (five) years. Methods: This research was experimental with brain image samples of pediatric patients at the Radiology Installation of RSUD dr. Moewardi Surakarta. The variations of the tube currents selected were 80, 100, and 165 mA with a combination of AR20, AR40, AR60, and AR80 variations. Anatomical information processed descriptively sourced from the assessment of 3 (three) radiologists who were experienced in assessing MSCT images. Meanwhile, the effect of tube current variation on radiation dose was tested using linear regression. Results: The results showed differences in anatomical information between the combinations of 165 mA-AR60 and 165 mA-AR80 "very clear", 165 mA-AR20 "clear", 80 mA-AR20 "fairly clear" and 100 mA-AR80 "less clear". There was an effect of strong variation of tube current on radiation dose with a regression coefficient value of 0.690. The estimated effective doses of the three tube current values were still below the national Dose Reference Level (DRL). Conclusions: It was concluded that there were differences in anatomical information on the MSCT brain pediatric examination with variations in tube current and ASiR-V, there was an effect of variations in mA on radiation dose and mA values and the optimal value of the combination of techniques studied is 80 mA and 20% Iterative Reconstruction. 
Kualitas Informasi Anatomi Radiograf pada Pemeriksaan Sternum dengan Variasi Penyudutan Arah Sinar Saputra, Rizki; Bequet, Angga Yosainto
Jurnal Imejing Diagnostik (JImeD) Vol. 9 No. 1: JANUARY 2023
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v9i1.9626

Abstract

Background: The sternum's radiographic examination involves the use of Right Anterior Oblique (RAO) and Lateral projections. However, if a patient cannot undergo RAO projection, Left Posterior Oblique (LPO) projection in the supine position and adjusting the central ray angle are alternatives. On another note, deviations from perpendicular alignment among the central ray, image receptor, and object can lead to distortions in shape, impacting image quality. Hence, a study is conducted to investigate the impact of beam angle variations on the quality of anatomical information in sternum radiographs to identify the optimal angle that yields the highest quality anatomical information in sternum radiographs. Methods: This research was quantitative research employing an experimental methodology. Data collection involved employing a single-body phantom, which underwent three exposures at each of the specified angle variations Results: Based on the results of the Kruskal Wallis test, there were significant differences in the quality of radiographic anatomic information (p value < 0.05). The angle with the most optimal quality of radiographic anatomical information was an angle of 25° to the left with a mean rank value of 11.00. Conclusions: There was a significant difference in the quality of radiographic anatomic information (p value < 0.05). The angle with the most optimal quality of radiographic anatomic information was the angle with the highest mean rank value, which was an angle of 25° to the left. 
Informasi Anatomi Mri Knee Joint Sekuen T2 Space FS dan PD Space FS pada Potongan Sagital Dengan Klinis Ruptur Anterior Cruciate Ligament (ACL) Nuridzati, Arifina; Susanto, Edy; Rasyid, Rasyid
Jurnal Imejing Diagnostik (JImeD) Vol. 9 No. 1: JANUARY 2023
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v9i1.9771

Abstract

Background: The T2 and PD sequences are the most sensitive sequences in evaluating injury to the ACL and surrounding soft tissue. Based on observations at the Radiology Installation of Dr. Sardjito Hospital Yogyakarta, the anatomical information generated in the MRI knee joint examination of the PD SPACE FS sequence is almost the same as the T2 SPACE FS sequence. The purpose of this study is to determine the differences in anatomical information and optimal sequences on MRI examination of the knee joint sagittal section sequences of PD SPACE FS and T2 SPACE FS in clinical ACL rupture.Method: This research was a quantitative study with an experimental approach, carried out at the Radiology Installation of Dr. Sardjito Hospital Yogyakarta on 10 samples with the application of different sequences for each sample, with the anatomy assessed by the informant namely ACL, meniscus, articular cartilage, and bone marrow. Further data analysis was carried out using the Wilcoxon test. Result: There was a difference in anatomical information between PD SPACE FS sequences and T2 SPACE FS sequences on MRI examination of the sagittal knee joint with clinical ACL rupture, with the ρ-value of the Wilcoxon test 0.001 or ρ-value<0.05. This was due to differences in the use of TR and TE parameters in each sequence. The PD SPACE FS sequence was more optimal in visualizing anatomical information than the T2 SPACE FS sequence with an anatomical mean rank of meniscus 3.50, articular cartilage 3.50, and bone marrow 5.50, whereas in ACL anatomy the mean rank value was the same between the two sequences, which is 2.00. Conclusion: It was because the PD SPACE FS sequence had a more heterogeneous contrast difference than the T2 SPACE FS sequence so each anatomy could be well evaluated in the PD SPACE FS sequence.
Hubungan Pengetahuan dan Kepatuhan Penerapan Proteksi Radiasi: Studi pada Mahasiswa Praktik Klinik Jurusan Teknik Radiodiagnostik dan Radioterapi, Poltekkes Kemenkes Semarang Sulistiyadi, Akhmad Haris; Abimanyu, Bagus; Kartikasari, Yeti; Isnoviasih, Susi Tri
Jurnal Imejing Diagnostik (JImeD) Vol. 9 No. 1: JANUARY 2023
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v9i1.10442

Abstract

Background: Radiation protection is very important for patient and personnel safety in radiology services. It has been given in the college through classical lectures, including in Radiodiagnostic and Radiotherapy Department Poltekkes Kemenkes Semarang. The student’s knowledge is routinely evaluated but their compliance in the clinical activities has never been specifically observed. This study aims to find out the relationship between knowledge toward compliance of the application of radiation protection on clinical practice students.Methods: This is quantitative research with a cross-sectional design. Research was conducted on 90 second-year clinical internship students of the Radiodiagnostic and Radiotherapy Department. The level of knowledge was measured by written test, while the level of compliance was observed by clinical observation. The affecting factors are investigated through indepth interview. Data were analyzed by Spearman Rank Correlation.Results: The knowledge levels among the students were "excellent” (18%), "good" (68%), and "fair" (14%). The radiation protection compliance levels were "good" (73%) and "very good" (27%). There was a significant relationship between radiation protection knowledge level toward radiation protection compliance (p value <0.05). The strength of the relationship was low (coefficient interval = 0.257). Conclusions: There was a relationship between knowledge and the level of compliance, but it was not the only influencing factor. The environment tends to have an effect on the level of compliance. Radiographers and clinical instructors should be good role model in applying radiation protection.

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