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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 279 Documents
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Pengaruh Perubahan Suhu dan Tekanan Udara Terhadap Jumlah Koloni Kuman Pada Ruang Kamar Operasi RSUD Dr. Soetomo Surabaya Budi Minarno; Yuly Peristiowati
Jurnal Imejing Diagnostik (JImeD) Vol 8, No 2: JULY 2022
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v8i2.8215

Abstract

Background: Hospital as one of the health facilities where health efforts are held. Health efforts are every activity to maintain and improve health, aiming to realize an optimal degree of health for the community. The cause of the disease can be in the floor, air, medical and non-medical equipment, that's one of the priorities of the hospital is patient safety. The purpose of the study was to find out the effect of changes in temperature and air pressure on the number of bacterial colonies in the operating room of Dr. Soetomo Regional General Hospital Surabaya.Methods: Design observational research with a cross-sectional approach. The population of all operating room rooms in Dr. Soetomo Regional General Hospital Surabaya is 86 rooms. Sampled all 86 spaces with total sampling techniques. Independent variables are temperature and air pressure. The dependent variable is the number of germ colonies.Results: The results showed no effect on the effect of room temperature on the number of bacterial colonies in the emergency operating room. In this case the temperature standard used is Permenkes RI Number 7 of 2019 obtained the category of room temperature with a standard of 22-27oC (p = 0.221). However, there is an effect of room temperature on the number of bacterial colonies in the emergency operating room (p =0.009) in Kepmenkes Number 1204 / Menkes / SK / X / 2004 obtained the room temperature category with a standard of 19-24oC. There is an influence of air pressure on the number of bacterial colonies in the emergency operating room based on Decree No. 7 of 2019, namely p = 0.002 and Kepmenkes Number 1204 / Menkes / SK / X / 2004 which is p = 0.000.Conclusions: A simple indicator of pressure monitoring is the tape attached at each entrance of the operating room, relatively immobile so that the possibility of air pressure inside the operating room with outside is balanced, when it should be positive pressure.
Informasi Anatomi Mri Knee Joint Sekuen T2 Space FS dan PD Space FS pada Potongan Sagital Dengan Klinis Ruptur Anterior Cruciate Ligament (ACL) Arifina Nuridzati; Edy Susanto; 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-value0.05. 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.
Efektifitas Variasi Window Width Terhadap Informasi Anatomi CT Scan Sinus Paranasal Citra Jaringan Lunak Pada Kasus Sinusitis Tezar Ridho Ramadhani; Siti Masrochah; Ary Kurniawati
Jurnal Imejing Diagnostik (JImeD) Vol 9, No 2: JULY 2023
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v9i2.10330

Abstract

Background: Selection window width (WW) and window level (WL) must be precise to produce an optimal overview of anatomical information on CT scan paranasal sinuses soft tissue window in case of sinusitis. WW affects controlling contrast resolution. A wide window width will appear the less contrast of image. The aim of the study is to know the difference in anatomical information with variation WW and to know the most optimal WW value for CT scan paranasal sinuses soft tissue window in case of sinusitis.Methods: The research design is a quantitative experimental study, using WW variations (90, 120, 200, 350, 400). Anatomical assessment of osteomeatal unit, agger nasi cell, ethmoid roof, onodi cells, sphenoid sinus, optic nerve, middle turbinate, uncinate process, haller cells, And ethmoidal bulla. The friedman test is used to know a significant difference and the highest value of mean rank to know the most optimal WW value.Results: There is difference in information on each anatomical object with a significance value of 0.05 and there is difference in the total information on anatomical object with a significance value of 0.000 0.05. WW 120 is most optimal to display osteomeatal unit, agger nasi cell, ethmoid roof, onodi cells, middle turbinate, uncinate process, and ethmoidal bulla. WW 90 is most optimal to display sinus sphenoidalis, optic nerve, and haller cells.Conclusions: WW 120 is most optimal to display total anatomical information on CT scan paranasal sinuses soft tissue window in case of sinusitis.
Informasi Anatomi dan Dosis Radiasi pada MSCT Brain Pediatric Menggunakan Adaptive Statistical Iterative Reconstruction (ASiR)-V Fitri Indraratma; Dartini Dartini; Agung Nugroho Setiawan
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. 
Rancang Bangun Alat Ukur Jarak dengan Sensor Ultrasonik untuk Pesawat Sinar-X Mobile Muhammad Erfansyah; Budi Santoso; Puji Hartoyo
Jurnal Imejing Diagnostik (JImeD) Vol 9, No 2: JULY 2023
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v9i2.10388

Abstract

Background: Many mobile X-ray aircraft currently do not have meters to measure the distance from the x-ray source to the patient, this makes it very difficult for a radiographer to adjust the position and distance correctly. Currently, there is still a need to develop more efficient and accurate distance measuring tools to support Mobile X-ray Aircraft maintenance.Methods: This research is experimental, making a distance measuring instrument using an ultrasonic sensor with the help of a microcontroller.Results: The device is applied for measuring the distance horizontally and vertically from 90 cm up to 130 cm. Step wisely from 90 cm to 130 cm at incrementally 10 cm. This device will be installed in the tube x-ray mobile device. Comparison is made for the distance in the vertical position of timed by the device to the measured distance using standard technique deviations more less then 0.044 % and in the horizontal 0.036.Conclusions: This concludes that the results obtained sufficiently by the device are accurate and can be recommended for x-ray mobile device accessory.
Kualitas Informasi Anatomi Radiograf pada Pemeriksaan Sternum dengan Variasi Penyudutan Arah Sinar Rizki Saputra; Angga Yosainto Bequet
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. 
PROSEDUR PEMERIKSAAN MRI KNEE JOINT DENGAN KASUS CEDERA ANTERIOR CRUCIATE LIGAMENT (ACL) DI INSTALASI RADIOLOGI RS MARDI RAHAYU KUDUS Atika Dyah Kiranawati; Sugiyanto Sugiyanto; Agung Nugroho Setiawan
Jurnal Imejing Diagnostik (JImeD) Vol 9, No 2: JULY 2023
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v9i2.10331

Abstract

Background: MRI examination of knee joints with Anterior Cruciate Ligament (ACL) injuries at the Radiology Installation of Mardi Rahayu Kudus Hospital using spin echo sequences, including PD_TSE, PD_TSE_fatsat, T1_SE, T2_TSE, and T2_TSE_fatsat, with the addition of STIR, and using DOT engine technology. This study aims to determine the procedures for examining knee joint MRI with cases of ACL injury, as well as the role of the DOT machine in the examination.Methods: This type of research is a qualitative research with a case study approach. The research subject was an MRI examination of the knee joint with ACL injury cases. Data collection is done by using the method of observation, study, and documentation. Data analysis includes data transcription, data reduction, data presentation, as well as discussing and drawing conclusions.Results: The results showed that the STIR sequence was used as a fat comparison. The resulting ACL image is an isointense image. The use of DOT engine technology helps to standardize inspections. The advantages are ease of making cuts, time efficiency, and uniformity of inspection techniques, and not finding operational weaknesses.Conclusions: The conclusion of this study is MRI of the knee joint using spin echo and STIR sequences, with DOT engine method. STIR could be used in certain indications. 
Kelayakan Lead Apron sebagai Pelindung Paparan Radiasi Hambur Surdiyah Asriningrum; Ardiana Ardiana; Hayat Muljana; Musrifah Musrifah; Firlianti Dewi Ariyanto
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. 
Peranan Magnetic Resonance Imaging (MRI) Lumbal dalam Penegakan Diagnosis Kasus Low Back Pain: Studi Kasus di Instalasi Radiologi Rumah Sakit Satya Negara Jakarta Utara Wahyu Setiyoningsih; Nursama Heru Apriantoro
Jurnal Imejing Diagnostik (JImeD) Vol 9, No 2: JULY 2023
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v9i2.9990

Abstract

Background: Magnetic resonance imaging (MRI) is considered the best imaging for chronic low back pain because of high tissue contrast and no effect of ionizing radiation. The purpose of this study was to determine the management of Lumbar MRI examination with Low Back Pain Cases.Methods: The research used was a qualitative descriptive research method by collecting data by direct observation which was conducted in December 2022 at Satya Negara Hospital, North Jakarta. The research was conducted using direct observation methods, documentation and decision studies. The sample used was 1 patient.Results: The image results are strengthened by the expertise of a radiologist. The results of the study were obtained from the beginning of the patient's process of coming to radiology to perform a Lumbar MRI examination in the administration section until the examination was completed. Using a GE 1.5 T MRI machine and a whole spine coil. The sequences used are 3-plane location, calibration scan lumbar, Coronal T2, Sagittal T2, Sagittal T1, Sagittal T2 + FATSAT, Axial T2, Sagittal Myelography, Coronal Myelography.Conclusions:  This study shows that Lumbar MRI image results and the doctor's expertise show that there is grade I spondylolithesis and L4-L5 spondyloarthrosis with disc protrusion. It’s mean that MRI can provide information for making a diagnosis.
Hubungan Pengetahuan dan Kepatuhan Penerapan Proteksi Radiasi: Studi pada Mahasiswa Praktik Klinik Jurusan Teknik Radiodiagnostik dan Radioterapi, Poltekkes Kemenkes Semarang Akhmad Haris Sulistiyadi; Bagus Abimanyu; Yeti Kartikasari; Susi Tri Isnoviasih
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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