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All Journal LINK Jurnal Riset Kesehatan Jurnal Imejing Diagnostik MATAPPA: Jurnal Pengabdian Kepada Masyarakat Jurnal Radiografer Indonesia
Agustina Dwi Prastanti
Poltekkes Kemenkes Semarang
Education Health Professions Medicine & Pharmacology

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Journal : Jurnal Imejing Diagnostik

 1 
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.
Informasi Diagnostik Pemeriksaan Appendikografi Oral dan USG dalam Menegakkan Diagnosis Appendisitis Agustina Dwi Prastanti; Darmini Darmini; Andrey Nino Kurniawan
Jurnal Imejing Diagnostik (JImeD) Vol 7, No 1: JANUARY 2021
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v7i1.6651

Abstract

Background: Patients with suspected appendicitis are always asked by the sending doctor (Pediatric Surgeon) to ask for an oral appendicography examination without seeking other investigations such as ultrasound or CT scan. Whereas in the oral appendicography examination, false negative often occurs so that the patient is exposed to radiation several times until the barium reaches the caecum area and no more barium is still in the small intestine. Compared to the oral appendicography examination, ultrasound examination is easier in patient preparation, cheaper in terms of cost and more safety against the dangers of X-ray radiation.Methods: This research is a descriptive analytic study conducted with a cross sectional approach. The study was conducted by providing interventions for ultrasound examination before carrying out an oral appendicography examination. Ultrasound examination of the appendix is an examination using ultrasound waves with a frequency of 5-7.5 MHz or 2-4 MHz to diagnose appendicitis. Oral appendicography examination is a radiological examination to confirm the diagnosis of appendicitis using 100 grams of barium sulfate contrast medium diluted to a volume of 200 ml that is administered orally.Results: Diagnostic information obtained on oral appendicography examination of suspected appendicitis in radiology department Roemani Hospital, among others, can show the presence of calcification and the length of the appendix organs can be measured. Diagnostic information obtained on ultrasound examination of suspected appendicitis, among others, can show the presence of debris (pus), can evaluate the thickness of the intestinal wall and its vascularity.Conclusion: Ultrasound examination for suspected appendicitis is the first choice in diagnosing appendicitis than oral appendicography because it can be done in a faster, safer, more convenient and non-invasive manner and the cost of ultrasound is cheaper than oral appendicography.
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.
RANCANG BANGUN ALAT FIKSASI SEKALIGUS CASSETTE HOLDER UNTUK PEMERIKSAAN RADIOGRAFI ABDOMEN PROYEKSI LLD (LEFT LATERAL DECUBITUS) PADA PASIEN NON KOOPERATIF Agustina Dwi Prastanti; Kevin Ade Juliantino; Ardi Soesilo Wibowo; Siti Daryati
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.v6i1.5568

Abstract

Background: Research on the design of fixation devices as well as cassette holders for projection of abdominal radiography in LLD (left lateral decubitus) in non-cooperative patients is motivated by difficulties in fixing patients and placing tapes by radiographers during LLD (left lateral decubitus) radiographs with non-patient conditions cooperative. The purpose of making a design is to replace the patient's family role in holding patients and tapes during the examination.Methods: This type of research is applied research. The method used in data collection is designing tools, using tools, testing the performance of tools, testing the function of tools. The performance test and the function test of the tool were carried out directly on the patients at the RSK Radiology Installation Ngesti Waluyo Parakan. The results of the performance test and function test were analyzed based on the check list of respondents regarding the work value of the tool.Results: The design of this fixation tool consists of a supporting iron component, patient stand, cassette holder, strap strap. The performance test of the tool is in accordance with the specifications of the tool made by the author. Function tests are divided into two, namely function tests based on the technique of using tools and based on the radiograph produced. Function tests based on the use of tools techniques obtained a total work value of 3.1 can be concluded the function of a tool based on the technique of good use.Conclusions: Function tests based on the resulting radiographs obtained a total work value of 3.33 can be concluded that the function of a tool based on the resulting radiograph is good
Optimalisasi Tegangan Tabung (KvP) Terhadap Kejelasan Informasi Anatomi Dan Dosis Radiasi Pada Pemeriksaan CT Scan Kepala Area Basis Cranii Agustina Dwi Prastanti; Yeti Kartikasari; Robets Pribadi; Andrey Nino Kurniawan; Dwi Rochmayanti
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.v8i2.9370

Abstract

Background: Tube voltage (kVp) is one of the exposure factors on a head CT scan that can be varied to achieve a minimal radiation dose. Radiology installation of Bhakti Wira Tamtama hospital has a new CT scan modality that never variation its tube voltage. The variation of tube voltage is 80 kVp, 100 kVp, and 120 kVp. The aim of this research is to know and to analyse the most optimize tube voltage which can produce the best anatomy clarity and has the lowest radiation dose on a head CT scan examination of the base skull area that dominates CT scan examination.Methods: This research is descriptive analytic research conducted with an experimental approach. The study was conducted by varying the tube voltage to be used for head CT scan examination. There are 3 variations of tube voltage 80 kVp, 100 kVp, and 120 kVp where one variation contains 16 images for analyzing the clear anatomy of the base skull area. Then assessed by radiologists as the respondent. Data was analyzed by scoring where score 1 is not clear, score 2 is clear and score 3 is very clear. Radiation dose was obtained from CTDI and DLP records.Results: The results showed that there is no difference in anatomy clarity between variation of three tube voltage with p value 0,135. The anatomical clarity assessed includes anterior skull base, central skull base (fossa cranial middle, sphenoid, temporal bone, petrosous ridge), anterior clinoid processes, posterior margin of the lesser sphenoid wings, anterior and superior rim of the greater sphenoid wings, mastoid, and posterior skull base. All of them is very clear at 100 kVp and 120 kVp with value 100%. But at 80 kVp assessed clear at anterior and posterior skull base. So the value of anatomy clarity at 80 kVp is very clear only 71%. The effect of the difference in tube voltage on the radiation dose on a head CT scan of the base skull area showed a difference in the decrease in radiation dose from 120 kVp to 100 kVp for CTDI 39.9% and DLP 40.19%. There was a decrease in radiation dose from 100 kVp to 80 kVp for CTDI 52% and DLP 49.88%.Conclusion: The tube voltage setting on head CT scan examination of the base skull area can be applied with 100 kVp because this is evidenced by the same total score at 100 kVp and 120 kVp, which is 100% is very clear, while at 80 kVp tube voltage only 71% is very clear. And the radiation dose at 100 kVp is lower than 120 kVp.
Co-Authors Andrey Nino Kurniawan Andrey Nino Kurniawan Ardi Soesilo Wibowo Bagus Abimanyu Darmini Darmini Darmini Darmini Dwi Rochmayanti Jannah, Marichatul Kevin Ade Juliantino M. Irwan Katili Nanang Sulaksono Rini Indrati Rini Indrati Robets Pribadi Rosy Amelia Azhari Salis Nurbaiti Siti Daryati Vederica Farida Candra Wingghayarie Patra Gandhi Yeti Kartikasari