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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 268 Documents
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Analisis Jeda Waktu Pembacaan Imaging Plate Terhadap Signal to Noise Ratio pada Citra Computed Radiography Dwi Rochmayanti; Defia Ayusari; Andrey Nino Kurniawan
Jurnal Imejing Diagnostik (JImeD) Vol 1, No 2: July 2015
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v1i2.3155

Abstract

Backgroud: Imaging plate (IP) is a storage media on computed radiography (CR). IP that has been exposed and does not process immediately will decrease the latent image exponentially over time and degrade the image quality. Normally, 25% of signal will be lost if IP was scanned at 10 minutes till 8 hours after exposure. So It will decrease the image quality. Image quality is determined by several factors. One of them is the signal-to-noise ratio (SNR). This study aims to determine the effect of reading time delay of IP to SNR on CR image.Methods: This research was a quantitative study with an experimental approach. Population of this study was CR digital image with various time delay of IP reading. Samples were 51 digital images of water phantom read by IP reading with time interval was 0 hours, 0.5 hours, 1 hour; 1.5 hour, 2 hours, 2.5 hours, 3 hours, 3.5 hours, 4 hours, 4.5 hours, 5 hours, 5.5 hours, 6 hours, 6.5 hours, 7 hours, 7.5 hours and 8 hours after exposure. Image pixel value and noise was weasured by ImageJ software to determine the value of SNR, then analyzed statistically with the regression test.Results: There was effect of reading time delay to SNR on CR image. Time delay affected 30,5% decreasing of SNR. Generally, time delay of IP reading decrease the SNR. The average decrease was 1.55% of SNR.Conclusion: The decrease of the SNR value was not big enough, only 1.55%. However, it will better when IP read as soon as possible after exposure to reduce the decrease of image quality.
Analisis Kualitas Udara di Kamar Gelap yang Menggunakan Pengolahan Film Secara Manual dan Otomatis Ary Kurniawati; Dartini Dartini; Asri Indah Aryani
Jurnal Imejing Diagnostik (JImeD) Vol 2, No 2: July 2016
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v2i2.3178

Abstract

Backgroun: Dark room is the room where the film is being processed as the final stage of the radiographic process, beside its function as a place of handling film and film storage. According to the MSDS, chemical liquid used in film processing can affect human health. It’s spill can cause irritation and burns on skin and eyes, irritation and injury to the digestive tract, while its  mist or dried residue can cause irritation of the respiratory tract. Good dark room air circulation is required.Methods: The study was observational study with measurement data retrieval techniques in the darkroom of four hospitals. The collected data then compared to the air quality requirement according Kepmenkes RI No.1204/Menkes/SK/X/2004 and No.1405/Menkes/SK/XI/2002.Result: The results showed that the physical air quality including temperature and humidity in the 1st, 2nd, 3rd and 4th darkroom was higher than the standards. The average air flow in the 1st, 2nd and 3rd  darkroom were up to standards, but there was no airflow in the 4th darkroom. Results of ambient air quality measurements  in the 1st, 2nd, 3rd and 4th including CO, NO2, SO2 and T.VOC did not meet the standards, while the presence of H2S and NH3 were not detected.Conclusion: Total dust levels in the 1st, 3rd and 4th  darkroom did not exceed the maximum concentration in indoor air ( 0.15 mg/m3), while the 2nd darkroom exceed the standard ( 0, 15 mg/m3). Using of air-conditioning and a dehumidifier with periodic maintenance is needed to resolve the discrepancy physical air quality, beside periodic cleaning and indoor air excahnge maintenance to resolve high levels of dust and gas pollutants.
TREATMENT OF RADIATION EXTERNAL FOR BRAIN METASTASIS WITH 3D-CRT WITHOUT USING MLC AT RADIOTHERAPY INSTALLATION OF KEN SARAS HOSPITAL Nurul Fatimah MZ; Eko Kuntjoro; Darmini Darmini
Jurnal Imejing Diagnostik (JImeD) Vol 4, No 1: January 2018
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v4i1.4006

Abstract

Background: Brain metastases are common manifestations of malignancies that spread types of cancer such as breast cancer, lung cancer can spread to the brain. Radiotherapy in brain metastases is the chosen palliative treatment because it is considered less invasive. Purpose of this research is to know radiation, radiation optimization with 3D-CRT technique without using MLC at Ken Saras Hospital Radiotherapy Installation.Methods: This research is a qualitative research with case study approach. Data were collected in January-February 2018 at Ken Saras Hospital Radiotherapy Installation with observation, interview and documentation method with Radiation Oncology Specialist, Medical Physicist and Radiografer / Radiotherapist. Data obtained from the study were analyzed by interactive model, making the interview transcript subsequently reduced and processed in the form of open coding, presented in the form of quotations and then can be drawn conclusions.Result: The results showed that external radiation management on 3D-CRT brain metastasis technique without using MLC at Ken Saras Hospital Radiotherapy Installation included patient consultation, CT Simulator shooting images, contouring, medical physics planning and radiation verification and treatment. Optimization of brain metastases radiation without using MLC is done by using gantry and collimator variations.Conclusion : Brain metastases with 3D-CRT technique without using MLC at the Hospital Radiotherapy Installation including patient consultation, CT Simulator firing, medical physics planning then verification and radiation treatment. Optimization of brain metastases with 3D-CRT technique without MLC at Ken Saras Hospital's Radiotherapy Installation can be done using a variety of gantry and collimator variations.
IMPLEMENTATION X-RAY RADIATION SAFETY MANAGEMENT IN RADIOLOGY LABORATORY OF ‘AISYIYAH YOGYAKARTA UNIVERSITY Asih Puji Utami
Jurnal Imejing Diagnostik (JImeD) Vol 5, No 1: January 2019
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v5i1.3997

Abstract

Background:D3 Radiology Study Program is part of the new study programs at the Faculty of Health Sciences ‘Aisyiyah Yogyakarta University, which has accepted new students since 2016. In the learning process in the laboratory role is very important to support the success of the applied curriculum. So that the radiation safety management system is required in managing the laboratory, because radiation safety management is important for laboratory users, namely lecturers, assistant lecturers, and students. The purpose of this study was to analyze the implementation of X-ray radiation safety management at the Radiology Laboratory ‘Aisyiyah Yogyakarta University.Methods: This study uses descriptive qualitative research with data collection methods conducted in-depth interviews and observations. The sampling technique used was total sampling to all radiation workers as many as 12 people. Data analysis is done by reducing data, creating categorization tables and making, open coding so conclusions can be made. While presenting data in the form of quotations.Results:The results show that in the Radiology laboratory Aisyiyah YogyakartaUniversity already has a radiation protection organizational structure component consisting of an installation employer, radiation protection officers and radiation workers (8 lecturers and 4 Lecturer assistants). Health monitoring of radiation workers has been carried out during the process of submitting x-ray equipment permits. Radiology Laboratory of University 'Aisyiyah has sufficient radiation protection equipment. As for quality assurance, equipment they have quite complete. Suitability tests for radiographic equipment have been conducted during the process of permitting equipment, during learning and training for all lecturers and teaching assistants in 2016 and 2018. Monitoring individual doses are carried out using TLD, pen dosimeter, digital dosimeter.Conclusion: Document retention has been carried out but has not been well organized. While the education and training documents are still kept by each radiation worker on his personal documents.
TREATMENT OF RADIOTHERAPY FOR SERVIKS CANCER WITH SEPARATION MORE THAN 20 CENTIMETERS USING COBALT-60 AT UNIT RADIOTHERAPY INSTALLATION RADIOLOGY RSUP DR. KARIADI SEMARANG Galang Harta Widjaya; Fatimah Fatimah; Sudiyono Sudiyono
Jurnal Imejing Diagnostik (JImeD) Vol 4, No 1: January 2018
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v4i1.3975

Abstract

Background: Cervical cancer is a type of cancer that emerges from the cervix. In the early stages of the tumor, treatment therapy will be performed surgically on organs affected by cancer cells, at an advanced stage will be done adjuvant therapy with curative goals through a combination of chemotherapy, surgery, and radiotherapy. In radiotherapy treatment is done with several techniques such as Brachyterapi, IMRT, 3DCRT, and 2D with external aircraft radiation modality with Linac (Linear Accelator) and Cobalt-60. For Brachyterapi (internal radiation) technique, the radiation source is directly placed on the target tumor by using the after loading technique generally, whereas the external radiation techniques of 3DCRT and IMRT are generally performed on external radiation plane using MLC (Multi leaf Collimator) by following the target shape tumors resulting from CT Simulator and TPS (Treatment Planning System) calculations. For IMRT alone the technique used is almost the same as 3DCRT technique. In cobalt-60 is generally used for the treatment of radiation therapy has an average energy of 1.25 MV. At 1.25 MV cobalt energy with 10x10 cm field area will get maximal energy at depth (d max) 0.5 cm and energy will decrease to half (d half) at a depth of 11 centimeter on water media. So that in planning of radiation using cobalt-60 plane have limited separation diameter less than 20centimeter.Methods: This type of research is qualitative with case study approach. the data was collected in October-December 2017 at radiotherapy Installation of Dr. Kariadi General Hospital Semarang by observation methodology, interview with Radiation Oncologist Specialist, Medical Physiciast and Radiographer. the data obtained from the study were analyzed by an interactive model, creating the interview transcripts subsequently reduced and processed within the type of open coding, given within the type of quotations then are often drawn conclusions.Result: The results of this study demonstrate that the management of cervix cancer radiation utilizing 2D procedure in radiotherapy installation of Dr. Kariadi General Hospital Semarang includes patient examination, planning medical physics, verification and radiation treatments. 2D techniques are used pupose to paliative radiation, homogenity of dose and the location of the target volume is close to the Organ at Risk. Field radiation evaluation was performed before first and third irradiation, patient evaluation after five times of radiation and  evaluation after 25rd radiation.Conclusion: The reason for doing the external radiation exposure of cervical cancer with tumor stage further consideration according to the Anatomical Pathology with pT3aN0M0 stage. So the purpose of palliative external radiation. with cervical cancer using cobalt-60 teletherapy air as much as 50 Gy with a fractionation s25 times, and each fractionation with doses of 2Gy. The reason for doing the external radiation exposure of cervical cancer with tumor stage further consideration according to the Anatomical Pathology with pT3aN0M0 stage. So the purpose of palliative external radiation. with cervical cancer using cobalt-60 teletherapy air as much as 50 Gy with a fractionation 25 times, and each fractionation with doses of 2Gy. The reason for doing the external radiation exposure of cervical cancer with tumor stage further consideration according to the Anatomical Pathology with pT3aN0M0 stage. So the purpose of palliative external radiation
THE OPTIMIZATION OF MSCT OF URINARY TRACT USING TRACKING WITH FILTERS VARIATION Nanang Sulaksono; Agustina Dwi Prastanti; Vederica Farida Candra
Jurnal Imejing Diagnostik (JImeD) Vol 5, No 1: January 2019
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v5i1.4011

Abstract

Backgroud: Kidney disease is a clinical situation which is indicated by the decreasing of kidney functions and MSCT is one of the modalities to diagnose that function. Aim to identify the differences in image information with filter variation abdomen medium smooth and  Mediastinum Standard.Methods: The method was the experimental research using research planning Post Test Only Group Design. The sampling was chosen consecutively. There were 3 Radiolog and  32 citra on the examination of MSCT abdomen without positive contrast media in Salatiga Public Hospital.Results :The intervention validity experiment after a tracking filter with variations, kruskal Wallis test results. There are meaningful differences shows vlue of p value 0,000 (p0,05), so that continued analysis of the Mann Whitney. The results of the analysis of the Mann Whitney pointed out that there is a difference between real or significant group of filter Medium Smooth Abdomen with Abdominal filter Medium Sharp/Mediastinum Standard Sig0.05 p value 0.000).Conclusion: a variation of the filter is able to identify the existence of a difference image information tracktus optimal unirarius MSCT abdomen after tracking by using the best filtr Medium Sharp Abdomen/Mediastinum Standard.
MANAGEMENT OF 3D CONFORMAL RADIOTHERAPY IN PATIENT WITH NASOPHARYNGEAL CARCINOMA IN SUB DEPARTMENT OF RADIOTHERAPY RUMKITAL DR. RAMELAN Anis Istiawan; Jeffri Ardiyanto; Ardi Soesilo Wibowo
Jurnal Imejing Diagnostik (JImeD) Vol 4, No 1: January 2018
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v4i1.4002

Abstract

Background: Nasopharyngeal carcinoma is the most common malignant tumor among malignant ENT tumors in Indonesia, where nasopharyngeal carcinoma is included in the top five largest malignant tumors with the highest frequency, whereas in the head and neck areas occupy the first place. The purpose of this study is to know the 3D-CRT management in patients with nasopharynx carcinoma and to know the result of manual radiotherapy verification process using Image Computed Radiography Portal at Sub Department Radiotherapy Rumkital Dr. Ramelan.Methods: This research type is qualitative with case study approach. The study subjects were 1 person nasopharyngeal carcinoma patients. The subjects of the study were 2 person oncologist, 1 medical physicist, 3 radiotherapy radiograph (RTT). Data were collected by observation, interview and documentation. Data analysis is done descriptivelyResult: The results showed management of 3D conformal nasopharyngeal carcinoma in Rumkital Radiotherapy Sub Department was in accordance with the literature and manual radiotherapy verification with Image Computed Radiography (PICR) Portal in Sub Department of Radiotherapy. Ramelan result can be accepted as replacement of Electronic Image Image Device (EPID).Conclution: result of management 3D conformal nasopharyngeal carcinomal can be accepted as replacement of Electronic Image Image Device (EPID)
THE DIFFERENCE OF ANATOMICAL INFORMATION AND IMAGE QUALITY OF NASOPHARYNX CARCINOMA CT SCAN WITH SLICE THICKNESS VARIATION ON AXIAL SLICE IN RSUD DR MOEWARDI SURAKARTA Aisyah Amalia Dewita Rachmani; Siti Masrochah; Sri Mulyati
Jurnal Imejing Diagnostik (JImeD) Vol 4, No 2: July 2018
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v4i2.3992

Abstract

Background : The use of Slice thickness examination of nasopharyngeal CT based on theory (Seeram, 2001) using 3 mm and according (Ballinger, 2010) using 5 mm, while in hospital Dr. Moewardi Surakarta the slice thickness used is 5 mm according to theory and 7 mm based on the radiographer. The purpose of this research is to know the difference of anatomical information and image quality of CT scan of nasopharynx of carcinoma case and to know the slice thickness that produces anatomical information and the best image quality CT Scan nasopharynx case carcinoma.Method : The type of research is a quantitative with experimental approach. The data were obtained from 10 nasopharynx CT patients with carcinoma using variations of slice thickness 3 mm, 5 mm, and 7 mm. The assesment of anatomical information and image quality by spreading questionnaire at 3 doctor radiolog. Data were tested with Shapiro Wilk for normality data, then friedman test. To determine the optimal slice thickness using descriptive mean rank test.Results : The results showed that there were differences in anatomical information and image quality of nasopharyngeal CT scan of axial slice using slice thickness. The probability value of this study is p value = 0,000 (0,05). Optimal slice thickness on nasopharyngeal CT scan for anatomical information using slice thickness of 5 mm with the highest mean rank of 2.61 and for viewing image quality it is best to use slice thickness of 7 mm with a mean rank of 3.00.Conclusion : There are differences in anatomical information and image quality on nasopharynx CT scans of carcinoma cases using slice thickness variations. The optimal slice thickness is 5 mm slice thickness to anatomical information and the optimal slice thickness is 7 mm  to quality image.
LOPOGRAPHY EXAMINATION WITH PATIENT POST-HARTMANN PROCEDURE AT RADIOLOGY DEPARTMENT RSPAU dr. S. HARDJOLUKITO YOGYAKARTA Sri Mulyati; Ismi Lulu Walidaeni
Jurnal Imejing Diagnostik (JImeD) Vol 5, No 1: January 2019
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v5i1.4007

Abstract

Backgroud: The research has been done about lopography examination with patient post-Hartmann procedure at radiology department RSPAU dr. S. Hardjolukito Yogyakarta. This research aims to know lopography examination with patient post- Hartmann procedure, giving contrast media and  to know the reason of the use AP and Oblique (RPO and LPO) projection.Methods: The type of this research is qualitative with case study approach. Data were collected by observation, interview, and documentation methods. The subject of this research are radiographers, radiologist, and referring doctor. Data analyse  with Interactive models.Results: The result of the research showed that lopography examination with patient post-Hartmann procedure at radiology department RSPAU dr. S. Hardjolukito Yogyakarta is done with patient preparation diet with low fibrous, a lot of waters  and fasting before examination approximately 10 hours. Giving contrast media to lopography examination with patient post-Hartmann procedure is contrast media water soluble diluted NaCl with ratio 1 : 4 . Total volume is 650 cc. Giving contrast media through anus and stoma.Conclusion: The reason of the use AP and Oblique (RPO and LPO) projection is based of  radiologist advise, based on confirmation with radiologist that projection can maintain the diagnose. AP projection can  show entire colon and Oblique (RPO and LPO) projection can show flexure area.
DESIGN OF MODIFICATION EQUIPMENT TOOLS INVESTIGATION MAGNETIC RESONANCE CHOLANGIOPANCREATOGRAPHY PEDIATRIC PATIENTS IN HOSPITAL SANTO BORROMEUS BANDUNG Feni Try Sabdo; Fatimah Fatimah; Darmini Darmini
Jurnal Imejing Diagnostik (JImeD) Vol 4, No 2: July 2018
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v4i2.3998

Abstract

Background : On examination MRCP patient pediatric in Radiology Hospital Santo Borromeus using tools made of PVC. But the use of such aids has a deficiency, ie the size is too large so that there is a distance between objects to be checked with body coils that can reducing value of the signal generated. The purpose of this research is to know the design of equipment tools investigation MRCP pediatric examination, difference of image quality and anatomical information resulting from the use of standard hospital aids and modification aids.Methods : This research is a quantitative research with experimental approach to design of modification aids in water phantom and patient pediatric examination MRCP sequence T2 FRFSE axial. The test was performed on image quality that was statistically analyzed by paired T test using SPSS 22. Beside that, the test was also conducted on anatomy information which was assessed by 2 radiologists with qualitative assessment.Results : The results of this study there are significant differences in SNR between the use of standard hospital aids and modification tools with p value 0.001. CNR differences were also significant between the use of standard hospital aids and modification aids with p value 0.001 (p 0.05).Conclusion : The results of image quality and anatomical information showed the best results in the use of tools modifications.

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