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Jurnal Imejing Diagnostik
ISSN : 2356301X     EISSN : 26217457     DOI : -
Core Subject : Health,
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 268 Documents
Analisa Hari Rawat Inap dan Frekuensi Foto Thorak Terhadap Rata-rata Dosis Serap Radiasi Pada Pasien Covid-19 di Ruang Isolasi RSU Karsa Husada Batu Sentot Alibasah; Yuly Peristiowati; Muhammad Erfansyah
Jurnal Imejing Diagnostik (JImeD) Vol 8, No 1: JANUARY 2022
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v8i1.8129

Abstract

Background: In the treatment process of patients covid-19 thorak photo action is done periodically every three days, the average length of hospitalization of covid patients in the isolation room at least 9 days and or up to the results of negatip swab tests and normal thorak photo images. The purpose of the study was to analyze the effect of hospitalization days and the frequency of action on the amount of radiation absorption dose received by Covid-19 patients in Covid-19 isolation rooms, as an evaluation material to improve aspects of occupational safety and health in the environment and society (patients).Methods: Design observational research with a cross-sectional approach. The population of all Covid-19 patients in isolation rooms at RSU Karsa Husada is 200 people. A sample of 200 respondents with probability sampling techniques. Independent variables are the length of hospitalization and frequency of thoracic photos. The dependent variable is the average dose of radiation absorption in the patient.Results: The results showed no long-standing effect of hospitalization on the average dose of radiation absorption in patients (p-value 0.030) and there was a effect on the frequency of thorax photos against the average dose of radiation absorption in patients (p-value 0.000).Conclusions: This research can be developed using more specific variables and with a larger population as well as more variation.
Analisis Faktor Yang Berhubungan Dengan Tingkat Kepuasan Customer Akan Mutu Layanan Instalasi Radiologi RSUD Sidoarjo R.Moh. Halil
Jurnal Imejing Diagnostik (JImeD) Vol 8, No 1: JANUARY 2022
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v8i1.8168

Abstract

Background: Radiology is a medical service that uses all radiation energy modalities for diagnosis and therapy, including imaging techniques and the use of X-ray radiation emission, radioactive, ultrasound, and electromagnetic radiofrequency. The quality of health services is closely related to the results of health services, both medically and non-medically. The purpose of the study is to find out the factors related to the level of customer satisfaction with the quality of radiological installation services of Sidoarjo Hospital.Methods: Design observational research with a cross-sectional approach. The population of all radiology guests at Sidoarjo Hospital in East Java in January, February and March amounted to 3,439 respondents. Samples of radiology guests at Sidoarjo Hospital in East Java amounted to 358 respondents with purposive sampling techniques. Independent variables of payment method or type of insurance, social status and trust. Dependent variable is the level of customer satisfaction with the quality of service. The analysis used is univariate, bivariate and multivariate analysis.Results: The results showed that there is a relationship between payment methods or types of insurance with the level of customer satisfaction with the quality of radiological installation services of Sidoarjo Hospital (p = 0.036). There is a social status relationship with the level of customer satisfaction with the quality of radiological installation services of Sidoarjo Hospital (p =0.048). There is a relationship of patient trust with the level of customer satisfaction with the quality of radiological installation services of Sidoarjo Hospital (p = 0.000). There are factors related to the level of customer satisfaction with the quality of radiological installation services of Sidoarjo Hospital which has an effect is satisfaction with a significance level of p = 0.000 and B = 0.150.Conclusions: This research is expected to increase knowledge or input and consideration in research related to the level of customer satisfaction with the quality of radiology installation services.
Analisis Prosedur Pemeriksaan Multislice Computed Tomography Urografi pada Pasien dengan Klinis Urolithiasis Fani Susanto; Hernastiti Sedya Utami; Lutfatul Fitriana
Jurnal Imejing Diagnostik (JImeD) Vol 8, No 1: JANUARY 2022
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v8i1.7451

Abstract

Backgroud: Urolithiasis is the formation of crystalline mineral deposits in the urinary system. Examination of MSCT Urographic with and without administration of intravenous contrast media is used to detect various abnormalities in the urinary tract area. This study aims to analyze MSCT Urographic examination procedures in patients with clinical Urolithiasis at the Radiology Unit of Premier Bintaro Hospital.Methods: Type of study is qualitative with a case study approach. Collection data was conducted at the Radiology Unit of Premier Bintaro Hospital with specialists and documentation observation methods, interviews with radiographers and radiology. Data processing and analysis are carried out descriptively related to the results of observation, interviews and documentation so that conclusions and suggestions can be drawn.Results: Urographic MSCT examination in patients with clinical Urolithiasis performed with patient preparation by laboratory check to check kidney function (urea and creatinine), examination was performed using the MSCT rutine protocol with the addition of contrast media by scanning the unenhance phase, enhance phase includes arterial phase, phase portal vein and delay phase which is 7 minutes and 15 minutes with prone patients in the kidney vesica urinaria area, and post void. The addition of contrast media is intended to show enhancement and narrowing of the urinary tract.Conclusion: Examination of MSCT Urography in patients with clinical Urolithiasis in the Radiology Unit of Premier Bintaro Hospital is done with patient preparation laboratory check, the protocol is done by scanning the unenhance and enhance phases.
Manajemen Proteksi Dan Keselamatan Radiasi Dalam Penggunaan Pesawat Sinar-X C-Arm Di Kamar Bedah Rumah Sakit Umum Haji Surabaya Mas Winarto; Indasah Indasah
Jurnal Imejing Diagnostik (JImeD) Vol 8, No 1: JANUARY 2022
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v8i1.8153

Abstract

Background: Occupational Health and Safety efforts should be organized to realize optimal work productivity in all workplaces, especially places that are at risk of health hazards, are susceptible to disease or have employees of at least 10 people. Radiology services using C-Arm X-ray aircraft in the Surgical Room is very important because it is needed as a guding of surgery. This shows that the need to study further related to radiation protection and safety management in the use of C-ARM X-ray aircraft in the surgical room of Haji Surabaya General Hospital.Methods: Design observational research using qualitative descriptive methods. The study setting used the selection of informants through primary data and secondary data. The study used purposive sampling techniques. The research instrument uses observation sheets and interview guidelines. The trial was conducted at RSU Haji Surabaya held in March-June 2021. Data analysis techniques used in research are data reduction, data presentation and conclusion withdrawal.Results: The results of the study showed licensing requirements, the use of C-Arm X-Ray aircraft in the surgical room unit of RSU Haji Surabaya already has permission from the head of BAPETEN and meets radiation safety requirements in the use of X-ray aircraft. The use of C-Arm X-Ray aircraft in the surgical room unit of RSU Haji Surabaya already has a radiation safety responsibility consisting of permit holders and other parties related to the implementation of the use of X-ray aircraft.Conclusions: The potential danger of radiation in the use of X-rays is very large, the safety factor is important so as to minimize the risk of work in radiology installations and the impact of radiation on radiation workers. Five research variables consisting of licensing, management requirements, protection requirements, engineering requirements, and safety verification in this study have met the requirements.
Analisis Multilevel Faktor Berbasis Health Belief Model Terhadap Keterpaparan Covid-19 Pada Radiografer di Wilayah Jawa Timur Adhi Artono
Jurnal Imejing Diagnostik (JImeD) Vol 8, No 1: JANUARY 2022
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v8i1.8173

Abstract

Background: The situation of the Covid-19 pandemic is a lesson for Indonesia, especially in the field of health. Problems in the field of health are increasingly evident in the era of the Covid-19 pandemic. The use of PPE is the lowest level of control because it is difficult to obtain when its use is massive, often inappropriate selection and way of use, uncomfortable so it requires compliance supervision and accuracy of use, and in some ways can affect the work process. Judging from the importance of the use of personal protective equipment for radiographers, researchers want to know the influence of health belief model-based factors on the high exposure of Covid-19 on radiographers in East Java.Methods: Design observational research with a cross-sectional approach. The population of all hospitals in East Java region is 152 people. A sample of all 110 radiographers with proportional random sampling techniques. Independent variables are predisposing factors (age, gender, education level, knowledge and length of work), reinforcing factors (policies and assessments) and enabling factors (availability of PPE). Variable dependent exposure of Covid-19 on radiographers in East Java region. The analyses used are univariate, bivariate and multilevel analysis.Results: The results showed that hospital-type conditions had a low contextual influence on the variation in exposure to covid 19 in radiographers by 12.49%. The relationship value shows the number p = 0.341, which means insignificant. The table also showed a likelihood ratio = 0.0043 meaning that there was no statistically significant difference between the models without taking into account contextual influences and models that took into account contextual influences. In this case, the type of hospital.Conclusions: This research is expected to increase knowledge or input and consideration in research related to Covid-19 exposure to radiographers.
Analisis Indeks Paparan Radiografi Digital Pada Pemeriksaan Radiologi Thoraks Postero Anterior Sebagai Upaya Peningkatan Proteksi Radiasi Pasien Aris Samsul
Jurnal Imejing Diagnostik (JImeD) Vol 8, No 1: JANUARY 2022
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v8i1.7765

Abstract

ABSTRACT Backgound:  Digital radiography is an easy method of radiological examination, so many radiology technicians often use high exposure factors because they are considered to speed up when processing images, this can increase the risk of excessive radiation doses in patients, currently the exposure index (IE) is feedback to radiology technicians for optimal images and low doses for patients. Objective: evaluating Fujifilm (S-Value) exposure index and entrance surface dose (ESD) thorax posterior-anterior as an effort to increase patient radiation protection using the ALARA principle, Method: Data taken from samples with parameters 64 kVp 16 mAs to 94 kVp 2 mAs, ESD is measured using the thermoluminescent dosimeter (TLD) chip and exposure index (S-Value) from Fujifilm's direct radiography device. Result: The relationship between S-Value and ESD has an exponential trend graph. The rise of S-Value will be followed by the ESD sequence. With the BAPETEN reference value of surface radiation dose 0.40 mGy, the minimum S-value must be achieved so that the patient's ESD does not exceed S-532 at ESD 0.39. Conclusion: The results of this study indicate that Fujifilm's S-Value allows it to be used as an evaluation of the ESD values received by patients as an effort to increase patient radiation protection. Keywords:  Exposure index (S-Value), ESD, chest radiography, radiation protection
Pengaruh Fraksinasi Terapi Radiasi Terhadap Body Mass Index Pada Kanker Kepala Leher Di Beberapa Instalasi Onkologi Radiasi Ismil banida nuryaman
Jurnal Imejing Diagnostik (JImeD) Vol 8, No 1: JANUARY 2022
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v8i1.8159

Abstract

ABSTRACTBackground: Radiotherapy is the main therapy for the treatment of malignancies, one of which is nasopharyngeal cancer. Radiotherapy uses megavolt (mV) energy to kill cancer cells, therefore radiation is given in fractionation so that healthy cells around tumors can repair themselves. The fractionation was given five times a week with a total of 33 fractions. Besides having a curative effect, radiotherapy can also cause side effects. Radiation is given to the head and neck area, causing the upper digestive organs to experience side effects that reduce the patient's food intake and decrease body weight and body mass index (BMI).Methods: The research design used is descriptive analytic by observing, Analysis using SPSS Version 24.00 Chi-Square test program (p0.05)., and using a questionnaire. This study was conducted in the Radiotherapy Installation of oncology radiation of MRCCC Siloam Semanggi, RSPAD Gatot Soebroto, Dharmais Cancer Hospital, PS.Minggu Hospital, Santosa Bandung Kopo Hospital and Siloam TB Simatupang in July-October 2021 using primary data with a sample of 108 radiotherapy patients for nasopharyngeal cancerResults: In average HNC patients experienced decrement of 3.61 of their BMI and weight loss of 9,77 kg until the last week of radiotherapy. The biggest decrement of BMI occured in the third to fourth weeks of radiotherapy. Patients who undergoing radiotherapy and chemotherapy had a bigger BMI decrement than patients who undergoing radiotherapy only. as radiotherapy side effects to BMI decrement in HNC patients after radiotherapy treatment.Conclusions: Based on the results of this study, it can be concluded that all nasopharyngeal cancer patients who underwent radiotherapy experienced a decrease in BMI and also experienced side effects of xerostomia or dry mouth. Keywords: Fractionation, radiotherapy, Nasopharyngeal Cancer, Body Mass Index, Xerostomia
CR Image Optimization and Radiation Dose Limitation With Collimation Adjusting on Cervical Radiography Agustina Dwi Prastanti; Bagus Abimanyu; Andrey Nino Kurniawan; Salis Nurbaiti
Jurnal Imejing Diagnostik (JImeD) Vol 8, No 1: JANUARY 2022
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v8i1.8259

Abstract

Background: Radiological examination in cervical services, Radiographers often opening the collimation wider of the size of the imaging plate for fear of being cut. This is done because it is supported by the image cropping facility on the CR. So there is a habit of opening the collimation width as wide as the imaging plate, which is often done with the assumption that it is better to widen the collimation than cut off the object. Obviously this will increase the radiation dose in patients with basic limitations. According to ICRP, patient safety must refer to the principle of radiation protection ALARA namely in the shortest possible time to get quality radiographs and patients receive the most minimum radiation exposure as possible.Methods: This research is a descriptive analytic research conducted with a cross sectional approach. The study was conducted by varying the radiation field area to be used for cervical examination. There are 10 variations of collimation area with 3 (three) exposures in each collimation. Then measured contrast, noise and radiation dose. Radiation dose is calculated by means of a babyline device.Results: The results showed that the collimation setting did not affect contrast radiography in CR because collimation was not the main factor that could affect contrast radiography on CR. The collimation setting on cervical radiography has an effect on the radiation dose, so it is necessary to adjust the collimation to get the minimum dose possible. The most optimal collimation area on cervical radiographic examination was obtained at a size of 12 x 24 cm with the smallest noise reception and dose compared to others and had higher contrast. Average contrast value achieved was 0.45 with a dose of 39.23 µGy.Conclusion: The collimation setting on cervical radiography has an effect on the radiation dose, so it is very necessary to adjust the collimation to get the minimum dose possible. The most optimal collimation area on cervical radiographic examination is obtained at a size of 12 x 24 cm with the smallest noise reception and dose compared to others and has a higher contrast.
Efektifitas Penambahan Source to Image Distance (SID) terhadap Penurunan Dosis Radiasi pada Pemeriksaan Radiografi Cranium Angga Yosainto Bequet; Panji Wibowo Nurcahyo; Akhmad Haris Sulistiyadi
Jurnal Imejing Diagnostik (JImeD) Vol 8, No 1: JANUARY 2022
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v8i1.8043

Abstract

Background: Cranial radiographs are routinely made in 2 projections, namely Antero Posterior (AP) and Lateral with a minimum distance of 100 cm from the radiation source to the image receptor. In addition, it has been shown that increasing the SID from 40 to 48 inches reduces the skin dose even when the requirement for an increase in mAs is considered. A 44-inch or 48-inch SID is recommended where departmental equipment and protocols allow. This study aims to determine the effectiveness of the addition of SID to decrease the radiation dose on cranium radiographs.Methods: This type of research is a pre-experimental quantitative. The study was conducted at the radiology laboratory of Diploma Three Program of Radiology Purwokerto, Semarang Health Politechnic of Ministry of Health. The research subject is a Radiographic Xray Cranial Phantom. At the time of exposure, the radiation dose was measured and the resulting image was measured CNR value.Results: The results of radiation dose measurements at each SID setting for AP cranium radiographs are shown in the table above. setting SID 100 cm produces a radiation dose of 5.58 mSv, SID 110 cm produces a radiation dose of 5.16 mSv, SID 120 cm produces a radiation dose of 5.02 mSv, SID 130 cm produces a radiation dose of 4.84 mSv, SID 140 cm produces a radiation dose of 4.64 mSv and SID 150 cm produces a radiation dose of 4.36 mSv. There are differences in radiation dose values between SID settings of 100 cm, 110 cm, 120 cm, 130 cm, 140 cm and 150 cm with a statistical test p-value 0.001. The results of statistical tests on the Contrast to Noise Ratio value on changes in the SID value of the AP cranium radiography examination showed no significant difference. The p-value of the statistical test is 0.274 which means there is no difference in the CNR value between the SID settings of 100 cm, 110 cm, 120 cm, 130 cm, 140 cm and 150 cm.Conclusions: An increase in SID causes a decrease in radiation dose. The increase in SID did not cause a significant difference to the quality of the Contrast to Noise Ratio on the AP cranium radiograph image.
Kepatuhan Protokol APD Pada K3 dan Kinerja Karyawan Instalasi Radiologi RSUD dr. Saiful Anwar Malang Agus Sulistianto
Jurnal Imejing Diagnostik (JImeD) Vol 8, No 1: JANUARY 2022
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v8i1.8167

Abstract

Background: Occupational Safety and Health (K3) is one of the labor protection systems to prevent and reduce the occurrence of health problems and accidents caused by dangerous environments and ways of working. Preventing these hazards and damages, safety is a very important factor so that it can reduce the risk due to work in radiology installations by using radiation protection. The purpose of the study is to know the impact of APD protocol compliance on employee safety, health and performance.Methods: Research design uses qualitative deskriotive methods. The selection of informants was obtained from observations and interviews to employees of radiology installations of dr. Saiful Anwar Malang Hospital. The study used purposive sampling techniques. Research instruments use observation sheets, interview guidelines and documentation study sheets. The study was conducted in November 2021 at dr. Saiful Anwar Malang Hospital.Results: The results showed radiology unit officers had compliance with APD usage protocols that impacted employee safety and occupational health. Radiology Installation Officer dr. Saiful Anwar Malang has implemented employee work safety and has compliance with occupational health. Radiology Installation Officer of rsud dr. Saiful Anwar Malang has an excellent performance.Conclusions: The results of this study can be used as a reference by health workers to measure the level of compliance in the use of PPE, as well as to improve the knowledge and attitude of health workers in using PPE. The institution is expected to further increase supervision on radiographers, especially in working to be more disciplined in implementing the use of PPE.