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TATALAKSANA RADIOTERAPI EKSTERNA PADA KANKER PAYUDARA DENGAN TEKNIK SIMULTANEOUS INTEGRATED BOOSTER (SIB) DI UNIT RADIOTERAPI INSTALASI RADIOLOGI RS KEN SARAS KABUPATEN SEMARANG Ardani Ardani; Edy Susanto; Nanang Sulaksono; Sri Mulyati
Jurnal Imejing Diagnostik (JImeD) Vol 6, No 1: January 2020
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v6i1.5403

Abstract

Background: Radiotherapy is a cancer treatment method using ionizing radiation. The SIB technique is a technique of providing additional radiation together with the administration of primary radiation. At Kensaras Hospital, booster treatment performed simultaneously with the administration of primary radiation or known as SIB is carried out using the IMRT technique or also known as the SIB IMRT technique. whereas according to Susworo, irradiation techniques on breast cancer are not recommended using the IMRT technique, but should use the FIF technique. The purpose of this study was to determine the governance of radiotherapy and the reasons for choosing the SIB technique.Methods: This type of research is qualitative with a case study approach. Data collection was carried out in December 2018 until May 2019 at Ken Saras Hospital. Result: The results showed that the SIB technique had several advantages, among others: better radiation conformity and able to minimize OAR doses. This is proven by obtaining doses which mostly meet ICRU standards. While for OAR doses it also meets quantec tolerance standards, except the right lung at a dose of 2000 cGy the volume exceeds 30%, which is equal to 34.55%. But the dosage according to the doctor's consideration is still said to be safe. Conclutions: The external radiotheraphy procedure including consulting a doctor, taking CT Simulator data, TPS, verification and treatment. Strengths of the SIB technique: Better irradiation conformity, suppressing OAR doses, reducing toxicity to the skin, only requiring one planning and allowing dose calculation in one planning
ANILISIS IMAGE QUALITY CT SCAN THORAX DENGAN VARIASI LUNG WINDOW KERNEL PADA MSCT SIEMENS SOMATOM EMOTION 6 IMAGE QUALITY ANALYSIS CT SCAN THORAX LUNG WINDOWS WITH KERNEL VARIATIONS USING MSCT SIEMENS SOMATOM EMOTION 6 Angga Yosainto Bequet; Yeti Kartikasari; Sri Mulyati; Susi Tri Isnoviasih
Jurnal Imejing Diagnostik (JImeD) Vol 5, No 2: July 2019
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v5i2.4431

Abstract

Background: To be able to show the Lung anatomy in detail in CT Scan Thorax lung window then required a sharp image quality. One way to improve image sharpness is to use kernel settings. The purpose of research is to know the difference of the quality of anatomical image with kernel variation CT Scan Thorax Lung Window and know the proper kernel selection to produce CT scan of thorax lung windows the bestMethods: Type of research is an experiment. The study was conducted using a CT image scan of thorax on axial lung window slices in cases of lung tumors in the kernel B50s, B60s, B70s, B80s, and U90s. The research was conducted by measuring the CT image quality of thorax scan on the windows lung by way of questionnaire assessment to 5 radiologist as the observer to CT Scan image to determine the level of clarity of anatomical criteria.Results: The results showed that there were significant differences in the quality of anatomical imagery with kernel variation of B50s, B60s, B70s, B80s, U90s with p-value 0.05. CT images can thorax lung windows that have the best anatomical image quality of the samples taken are shown by the use of the kernel U90s.Conclusions: There are significant differences in the quality of anatomical imagery with kernel variation of B50s, B60s, B70s, B80s, U90s. The kernel that generates image detail for CT thorax lung windows is the U90s kernel
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.
Pengembangan Kemitraan Desa Binaan Melalui Pengembangan Kampung Tematik Jahe-Temulawak di Kelurahan Kramas, Kecamatan Tembalang, Semarang Sri Mulyati; Jeffri Ardiyanto; Ardi Soesilo W.; Luthfi Rusyadi
KANGMAS: Karya Ilmiah Pengabdian Masyarakat Vol 2 No 3 (2021): KANGMAS: Karya Ilmiah Pengabdian Masyarakat
Publisher : Neolectura

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37010/kangmas.v2i3.423

Abstract

Kramas Village is one of the target areas/Guided Villages of the Department of Radiodiagnostic Engineering and Radiotherapy. The development of the partnership of the assisted villages was carried out by the academic community of the D-IV Radiology Engineering Study Program, TRR Department as a form of implementing the Tri Dharma PT, especially for Community Service. Synergy from PT and the target area is expected to improve the welfare of the community in the target area or overcome problems that exist in the community. Therefore, it is necessary to have training and mentoring activities in order to increase the productivity of traditional herbal medicine processing activities made from temulawak, which are later expected to help improve the welfare of the residents of thematic villages in particular and the Kramas area in general. This community service method is carried out by providing counseling related to food-beverage production related to the household industry with resource persons from the Semarang City Health Office, how to apply for a PIRT permit, how to make products have a brand/labeling. In addition, regular assistance is carried out in the Kramas community which is the thematic Ginger-Temulawak village in Tembalang District, Semarang City. After counseling about processed traditional herbal foods, drinks and packaged foods and others, the residents were very enthusiastic about participating. And the enthusiasm to register their products that have the opportunity to apply for PIRT for durable products, while packaged herbal drinks do not require PIRT. With proper processing, labeling, and attractive packaging produced by the residents of the Ginger-Temulawak thematic village, it is hoped that they can have leverage to add economic value, or the selling price of products with a wider market share.
Factors that influence suffered of Low Back Pain (LBP) in MRI examination patients in Hospitals Semarang City Sri Mulyati; Rini Indrati; Yeti Kartikasari; Jeffri Ardiyanto
International Journal of Health Science and Technology Vol 1, No 2 (2019): November
Publisher : Universitas 'Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (635.798 KB) | DOI: 10.31101/ijhst.v1i2.1110

Abstract

Low back pain can be caused by a variety of musculosceletal diseases, psychological disorders and mobilization. Patients who performed MRI examinations were mostly caused by indications of Low Back Pain (LBP). LBP became an important problem in the United States, in Indonesia an estimated 40% of the population of Central Java aged over 65 years have suffered from low back pain, the prevalence in men is 18.2% and in women is 13.6%.  In recent years, Magnetic resonance imaging (MRI) has been used widely, including for diagnosis of LBP. This study aims to identify factors that affect the suffered of low back pain in patients undergoing an MRI examination which consists of personal factors covering : age, habits, smoking  exercise habits, height, obesity, and work factors (tenure, work duration). The research categorize as a quantitative research with cross-sectional design. This study used a sample of all cases of MRI examination with complaints of low back pain as many as 60 patients. Statistical tests using chi square and non-parametric Mann Whitney tests. From the results of the study found that those who suffer  of LBP are mostly from personal factors covering :  men, have jobs that have more burden (weight), more at the age of ≥ 35 years, no smoking, no exercise, height ≥ 163 cm, overweight / obesity, with tenure of ≥ 10 years, with a work duration ≥ 8 hours a day, and type of LBP suffered in the chronic categorized. The factors that caused LBP in this study were personal factors in the most dominant sequence is caused by age, smoking habits, exercise habits, height, BMI, tenure and work duration and type of LBP chronik.
ANALISIS PERBEDAAN KUALITAS CITRA DAN INFORMASI ANATOMI PADA PEMERIKSAAN MRI LUMBAL SEKUEN T2WI FAST SPIN ECHO (FSE) POTONGAN SAGITAL DENGAN VARIASI NILAI TIME REPETITION Merah Bagus YB; Darmini Darmini; Sri Mulyati
JRI (Jurnal Radiografer Indonesia) Vol. 3 No. 1 (2020)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (353.283 KB) | DOI: 10.55451/jri.v3i1.53

Abstract

Background: Lumbar MRI examination at T2 weighted is recommended using the Fast Spin Echo (FSE) sequence because it can detect early symptoms of a pathology, such as edema, tumors, infections, fractures, ligament injuries, and produce images with strong signals in CSF including details of nerve roots. Based on the observations of researchers at MRCCC Siloam Hospital Semanggi Jakarta that uses TR values ​​in the range of 3500-7500 ms with 3 Tesla MRI. This study aims to determine the differences in image quality and anatomical information as well as knowing the TR values ​​that produce best quality and anatomical information on Lumbar MRI on T2WI FSE. Methods: This type of research is an experiment, then a different friedman test was carried out to determine differences in image quality and anatomical information with variations in TR values ​​that produced best image quality and anatomical information. Result: Friedman test shows there are significant differences between the variation of TR on anatomical information produced with p-value < 0.001. The friedman test results obtained p-value SNR < 0.001, CNR < 0.001 and scan time < 0.001. TR which produces best image quality and anatomical information is TR 5500ms with mean rank 2.32 on Lumbar MRI examination by T2WI FSE sequence sagital slices.