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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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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.
Analisis Waktu Tunggu Pelayanan Foto Thorax pada Pasien Rawat Jalan Anugrah, M David; Fatimah, Mustika; Novitre, Ayu; Anisah, Anisah
Jurnal Imejing Diagnostik (JImeD) Vol. 10 No. 1: JANUARY 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v10i1.10487

Abstract

Background: The time between the patient's arrival and the testing findings is known as the waiting time for the results of a x-ray chest. The amount of time patients must wait to receive medical care from a health service unit, it also reflects how the hospital handles service components that are customized to the needs and demands of patients in public hospitals. This study aims to determine the suitability of waiting time for outpatient chest x-ray services with the standard of Indonesia Ministry of Health No.129/Menkes/SK/II/2008.Methods: The type of research used in this paper is qualitative by using the case study for analyzing the waiting time of x-ray chest in outpatients.Results: Eight patients, or 16% of the total had waiting time of three hours or more. Out of all patients, 84% or 42 patients had a waiting period of less than three hours. 22 minutes is the quickest waiting time, while 5 hours 56 minutes is the late waiting time. Such that in outpatients, the typical wait time for a x-ray chest picture is one hour and thirty minutes.Conclusions: Siloam Sriwijaya Hospital Palembang in adjusting the Minimum Service Standards the Hospital has met the minimum service standards of the Decree of the Minister of Health No. 129/Menkes/SK/II/2008 that the waiting time for a chest photo is ≤ 3 hours.
Evaluasi Kualitas Radiograf Periapikal Teknik Bisektris : Kesalahan Penempatan Sudut Penyinaran dan Film Suparno, Nilasary Rochmanita; Faizah, Ariyani; Zahra, Haditsa Aulia
Jurnal Imejing Diagnostik (JImeD) Vol. 10 No. 1: JANUARY 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v10i1.10554

Abstract

Background: The bisecting angle technique of periapical radiography is more often used in dental practice because the technique is practically adjustable and the patient's ability to adapt is better. Radiograph results are influenced by operator and patient factors, so management that is not optimal can cause a decrease in the quality of the radiograph, which affects interpretation, diagnosis, and treatment planning. The study aimed to determine the quality and frequency of errors in periapical radiographs using the bisecting technique due to errors in X-ray angulation and film placement at the Soelastri Dental and Oral Hospital (RSGM), University of Muhammadiyah Surakarta (UMS).Methods: The type of research is descriptive observational quantitative research with a retrospective approach. A total of 300 bisecting technique periapical radiographs from patients at RSGM Soelastri UMS in January–December 2021 who met the inclusion and exclusion criteria were taken in random stratification and evaluated. Radiographs are compared to ideal quality and given a National Radiological Protection Board (NRPB) rating, as well as looking at the frequency of errors that occur.Results: The rating most often obtained on periapical radiographs using the bisecting technique in the study was 2 for 181 radiographs (60.33%). The frequency of X-ray angulation errors was 62.94%, while the frequency of film placement errors was 37.06%. The highest error in X-ray angulation was cone cutting at 49.13%, while the error in film placement was in the form of apical cuts at 25.65%.Conclusions: The quality of periapical radiographs using the bisecting technique at the Radiology Installation at RSGM Soelastri UMS in the period January to December 2021 generally has a rating of 2 (diagnostically acceptable) according to the NRPB, and errors are still found in the angulation of the X-ray tube and film placement.
Implementasi Pemahaman Radiografer terhadap Exposure Index dalam Optimasi Prosedur Pemeriksaan Radiografi Computed Radiography Irsal, Muhammad; Winarno, Guntur; Sutoro, Shinta Gunawati
Jurnal Imejing Diagnostik (JImeD) Vol. 10 No. 1: JANUARY 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v10i1.10665

Abstract

Background: Increasing the exposure factor is often carried out by radiographers to reduce noise and maintain image quality in computer radiography (CR). Therefore, there is a need for awareness and understanding of the exposure index (EI) to implement optimization procedures in radiographic examinations. Methods: The research method is descriptive and analytical by providing questionnaires to radiographers in PA chest radiographic examinations. This research was carried out at hospitals A, B, and C in the Jakarta-Bogor area with the research carried out between August – October 2023. Statistical analysis used SPSS 27 with data coding previously. After that, the data is processed with descriptive statistics to determine the frequency, distribution, percentage, average, and standard deviation. Then, the test chi-square to determine the relationship between gender, age, education, and work experience in understanding CR optimization procedures. Next, to find out the relationship between age and weight and EI, a test was carried out by Pearson test to determine the level of relationship between the two variablesResults: was found that the level of awareness and understanding of radiographers regarding optimization procedures using EI is still low. Test results chi-square age-understanding 0.309, gender-understanding 0.772, education-understanding 0.036, experience-understanding 0.201. next are the test results Pearson for Hospital-A: age-EI 0.09, weight-EI -0.49, Hospital-B: age-EI -0.21, weight-EI 0.06, Hospital-C: age-EI -0.37, weight-EI 0.56. Conclusions:  implementing EI in the optimization procedure, it needs to be confirmed by measuring the patient's radiation dose so that there are no errors in implementing the optimization.
Nilai Dosis Radiasi pada Pemeriksaan Radiografi Abdomen AP Isnoviasih, Susi Tri; Aryani, Asri Indah; Bequet, Angga Yosainto
Jurnal Imejing Diagnostik (JImeD) Vol. 10 No. 2 (2024): JULI 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v10i2.10813

Abstract

Background: Abdominal radiography examination is one of the examinations that is routinely carried out on the abdominal area to diagnose abnormalities in the abdominal area using radiation. In the stomach area there are gonads which are organs that are sensitive to radiation. The X-rays that come out of the X-ray tube are polyenergy, that is, they are composed of low energy x-ray, medium energy x-ray and high energy x-rays. Low energy x-rays have no benefit on the radiographic image information produced, but only increase the radiation dose on the skin surface. The additional x-ray filter is able to prevent low-energy x-rays from hitting the patient. The aim of this study is to determine the difference in the dose of radiation during the abdominal examination between the use of an additional filter and the use of an additional filter without an additional filter.Methods: The research was carried out at the Radiology Unit of the Prof. Dr. Margono Soekarjo Regional Hospital, Purwokerto and the Purwokerto Radiology Study Laboratory, Poltekkes Semarang with a sample of 50 samples with variations in the use of filters including 0 mm, 1 mm Al + 0.1 mm Cu, and 1 mm Al + 0.2 mm Cu and 2 mm Al. The data measured is the radiation dose On the surface of the Gonad organ's skin.Results: The results of measuring the average dose to the skin surface of the gonad organ are 180.26 mSv on a 0 mm Al filter, 83.32 mSv on a 1 mm Al + 0.1 mm Cu filter, 58.32 mSv on a 1 mm Al + 0 filter, 2 mm Cu and 119.49 mSv on a 2 mm Al filter. The greatest reduction in radiation dose occurred when using an additional filter of 1 mm Al + 0.2 mm Cu, amounting to 68% of that without using an additional filter. The decrease in the use of other filters was 54% when using an additional filter of 1 mm Al + 0.1 mm Cu and 34% when using an additional filter of 2 mm Al. The statistical tests showed there was a difference in the radiation dose during abdominal examination between using an additional filter and without using an additional radiation filter with a significance value of 0.000 (p-value < 0.05).Conclusions: There is a difference in radiation dose during abdominal examination between using an additional filter and without using an additional filter with a significance value of 0.000 (p-value < 0.05).
Nilai Entrance Skin Dose Tiroid antara menggunakan Thyroid Shield dan tanpa Thyroid Shield pada Pemeriksaan CT Scan Kepala Bequet, Angga Yosainto; Nurcahyo, Panji Wibowo; Isnoviasih, Susi Tri
Jurnal Imejing Diagnostik (JImeD) Vol. 10 No. 1: JANUARY 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v10i1.10816

Abstract

Background: CT scans have a much greater dose than conventional radiographic examinations. The thyroid organ is an organ that is sensitive to radiation which is located near the head, precisely in the inferior part of the head so that when a CT scan of the head is carried out, the thyroid organ will be exposed to radiation. The aim of this study was to determine the difference in thyroid skin dose entry value between using a thyroid shield and without a thyroid shield on a head CT scan.Methods: This study is a type of quantitative research with a pre-experimental design. The object of research is Entrance Skin Dose (ESE) of ThyroidOrgan on non-contrast head CT Scan examination. The research location is at the Radiology Department at the Regional General Hospital Prof. Dr. Margono Soekarjo Purwokerto. Sample data number is 50 people (25 samples of non-contrast head CT scans without thyroid shield, and 25 samples of non-contrast head CT scans with thyroid shield. Data was obtained by measuring the radiation dose using a dosimeter placed over the thyroid area during a non-contrast CT scan between using a thyroid shield and without using a thyroid shield. Data analysis was performed using statistical tests Results: The results of measuring the radiation dose to the samples showed that the average radiation dose to the skin surface of the thyroid organ on a non-contrast CT scan without using a thoracic shield was 884.96 µSv and using a thyroid shield was 428.64 µSv. This shows that the average radiation dose from the skin surface of the thyroid organ decreased by 456.32 µSv (51.56%).Conclusions: There is a significant difference in the amount of radiation dose to the surface of the skin of the thyroid organ in non-contrast head CT scans between using a thyroid shield and without using a shield with a dose reduction of 51.6% of the radiation dose without using a thyroid shield.
Implementasi Pemanfaatan Sumber Radiasi Pengion pada Ruang CT Scan ditinjau berdasarkan Peraturan BAPETEN No. 4 tahun 2020 di Instalasi Radiologi Rumah Sakit type B di Wilayah Kabupaten Sumedang Anggraeni, Leny; Nuramdiani, Dian
Jurnal Imejing Diagnostik (JImeD) Vol. 10 No. 1: JANUARY 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v10i1.10833

Abstract

Background: Occupational safety and health (OSH) management is the main factor in hospital services, which aims to control and minimize potential dangers due to radiation. One of the evaluations used is the implementation of OSH management requirements based on the Republic of Indonesia Ministry of Health Regulation No. 1014 of 2008 and Bapeten regulation no. 4 of 2020. The aim of this research was to determine the extent of implementation of OSH management in terms of completeness of management requirements, radiation protection, room design and personal protective equipment (PPE) implemented in Radiology Department in hospital type B, Sumedang Regency.Methods: This research was a descriptive qualitative by conducting direct observations, interviews and documentation.Results: The results of the research on the design of the room without ventilation outside the CT Scan room, this aims to minimize the dose of scattered radiation that comes out, decentralization and good air circulation, has warning signs and directions for radiation danger areas, the radiation protection equipment is quite complete. Implementation of radiation management has been carried out, but not completely, there is no health monitoring at the end of the work period and upon termination of work. Radiation safety verification has been carried out periodically, quality control is only carried out externally, so it does not meet standards, internal quality control cannot be carried out because there is no survey meter.Conclusions: This research was conducted in Radiology Department room in August 2023, the results showed that in the CT Scan room there was no air ventilation, there was radiation dose monitoring for staff, overall, Radiology Installation hospital type B in Sumedang Regency area had implemented occupational safety and health.
Evaluasi Pemeriksaan MRI Brain dengan Klinis Vertigo di Rumah Sakit Otak dr. Drs. M. Hatta Bukittinggi Widiatmoko, Mahfud Edy; Tarigan, Asumsie; Husna, Muslimatul
Jurnal Imejing Diagnostik (JImeD) Vol. 10 No. 1: JANUARY 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v10i1.10970

Abstract

Background: Vertigo is a symptom that arises as a result of disturbances in the balance of the vestibular system or disorders of the central nervous system. A radiological examination that can detect clinical vertigo is an MRI examination. There is a difference in the MRI Brain examination protocol for clinical vertigo between theory and the field, namely the addition of the 3D CISS protocol. The aim of this research is to determine the role of adding 3D CISS to MRI Brain examinations in clinical vertigo.Methods: This research is qualitative descriptive research, use 10 patients, and do in January to November 2023. Data was collected by observation, conducting interviews and questionnaires. This research use 13 sequences, namely Axial T2 TSE, DWI, Axial T2 TSE Dark Fluid, T2 SWI, Sagittal T1 TSE, Sagittal T2 TSE FS, Axial T1 TSE, Coronal T2 TSE, Coronal T1 TSE, Axial T1 TSE, Coronal, Sagittal + Contrast with cuts at the upper border of the vertex and the lower border of the cerebellum and T2 3D CISS axial isotropic sequences for the cuts used, namely at the level of the sponge, showing the vestibulocochlear cranial nerve (VIII).Results: The results of the assessment on the T2 3D CISS Axial Isotropic sequence showed that anatomical detail was clearly visible as much as 75% and the spatial resolution was clearly visible as much as 75%.Conclusions: Brain MRI examination with clinical vertigo provides information that helps in understanding the causes of vertigo, allowing for a more accurate and effective treatment approach.
Penerapan Artificial Intelligence dalam Mendeteksi Batu Ginjal secara Otomatis pada Citra CT Scan Sulaksono, Nanang; Kurniawati, Ary
Jurnal Imejing Diagnostik (JImeD) Vol. 10 No. 1: JANUARY 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v10i1.11072

Abstract

Background: Kidney stones are a clinical condition with the presence of stones along the urinary tract of varying sizes. The aim of this research is the need for a system to automatically detect kidney stones so that it can help radiologists in diagnosing kidney stones accurately, effectively and efficiently, and patients can immediately undergo further action to cure kidney stones.Methods: The difference in research carried out by researchers is the use of artificial intelligence which uses deep learning with a convolutional neural network (CNN) algorithm. This research uses images obtained from CT scan results from public data (Kaggle) and primary hospital data. The number of images used in the Augmentation training data was 2338 normal images and 2390 kidney stone images. The augmentation testing data used 540 normal images and 446 kidney stone images. The research also involved experts, namely radiology specialists, in determining images with abnormal and normal stone tones.Results: research obtained from CT Scan images of kidney stones with augmentation and original using public data/Kaggle images, obtained using augmentation obtained a high accuracy value of 99.69%. Meanwhile, in testing data using primary/hospital data images, augmented data obtained accuracy values that were still low at 45.43% and 45.23%, respectively.Conclusions: The use of deep learning with the CNN model in training data augmentation obtained high accuracy values, however in testing data using hospital CT scan images the accuracy value was still low, but it was able to recognize images of kidney stones, so it could help in automatically diagnosing kidney stones. For future work could involve refining the model to handle variations in hospital data or exploring additional features to improve generalizability.
Informasi Anatomi MSCT Sinus Paranasal pada Suspek Sinusitis dengan Variasi Rekonstruksi Algorithma Mulyati, Sri; Wibowo, Gatot Murti; Ardiyanto, Jeffri; Ummah, Sylvia Ishlahul
Jurnal Imejing Diagnostik (JImeD) Vol. 10 No. 1: JANUARY 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v10i1.11075

Abstract

Background: The standard operating procedure with the bone window technique and bone reconstruction algorithm is referred to the MSCT protocol for paranasal sinuses in Hospital. However, the majority of radiologists select a protocol that implements the algorithm reconstruction, which is still trial and error without an organized protocol development study. There is a chance that the accuracy of the MSCT SPN and the quality of the picture data may become crucial problems. This study set out to assess and examine the algorithmic reconstruction method that can yield more accurate SPN anatomical data in sinusitis suspects.Methods: A quasi-experimental technique was taken in conducting the research. Three filters (bone, boneplus, and edge) of the reconstruction method were used to get thirty SPN images from ten patients. The images were  assessed by the two expert radiologist.Results: The results of non-parametric was obtained based on statistical tests using the  Friedman test ρ-value  of anatomy, namely 0.00 less than 0.05. These results indicate that H0 is rejected and Ha is accepted,  meaning that there are differences in anatomical information between variations of bone, boneplus, and  edge reconstruction algorithms on the MSCT scan examination of the paranasal sinuses with sinusitis suspect. The Friedman test results using the mean rank values of each anatomy show that Boneplus is  superior in terms of visualizing anatomy. The Friedman test's mean rank value of the entire anatomy  yielded the result that the boneplus reconstruction algorithm is superior to the bone and edge reconstruction algorithm in displaying anatomical information on the MSCT scan of the paranasal  sinuses with sinusitis suspect.Conclusions: Based on value mean rank For each Friedman test anatomy and the results of the frequency distribution, variations of the bone plus reconstruction algorithm are more optimal in displaying anatomical information on the MSCT Scan of the paranasal sinuses compared with the edge and bone reconstruction algorithms.

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