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All Journal LINK Jurnal Riset Kesehatan Jurnal Imejing Diagnostik Proceedings of the International Conference on Applied Science and Health Jurnal Radiografer Indonesia Medical Imaging and Radiation Protection Research (MIROR) Journal

Agung Nugroho Setiawan

Poltekkes Kemenkes Semarang

Author-ID : 532595

Education Health Professions Materials Science & Nanotechnology Medicine & Pharmacology Nursing Physics Public Health

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BODY WEIGHT EFFECT ON JOINT SPACE WIDTH AND TIBIO FEMORAL ANGLE OF KNEE JOINT MEASUREMENT FOR OSTEOARTHRITIS DETECTION USING IMAGEJ Setiawan, Agung Nugroho; Suryono, Suryono; Sugiyanto, Sugiyanto; Fatimah, Fatimah; Wibowo, Gatot Murti
Proceedings of the International Conference on Applied Science and Health No 1 (2017)
Publisher : Proceedings of the International Conference on Applied Science and Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (901.553 KB)

Background: Radiograph of knee joint with Kellgren and Lawrence classification system is the gold standard for assessing knee osteoarthritis. However, these grades are still obstacles. It is sometimes not appropriate to assess the progress of osteoarthritis and very long time to see the results of such progress. Osteoarthritis diagnosis and classification have been relying on qualitative visual interpretation by a radiologist. Probably difficult to determine whether there OA in the knee or not. Image quantification of digital radiography is done by measuring the joint space width and tibio femoral angle of the knee joint using the ImageJ software, with body weight variance as one factor that could affect it. Aims: This research aims to get information of body weight effect on the measurement of the joint space width and tibio femoral angle of knee joint in OA detection. Methods: This is a cross-sectional study. Subjects were digital images of the knee joint anteroposterior (AP) projection using Computed Radiography (CR) from 21 respondents with specific criteria. Image is then quantified using ImageJ software to measure the joint space width and tibio femoral angle. Print out of examination visually evaluated by one radiologist to confirm the diagnosis of OA of the knee joint. Results: The value of the right knee joint space width lateral and medial (3.81 Â± 1.18 and 2.42 Â± 0.77), while the left lateral and medial (3.49 Â± 1.11 and 2.69 Â± 0.83). Tibio femoral angle range 168.44 to 178.39 with the average tibiofemoral angle right knee 175.18 Â± 2.04 and 173.80 Â± 2.44 left knee. Body weight has a significant correlation to the tibiofemoral angle of knee joint (p value < 0,03). Conclusion: The joint space width values that taken from digital quantificationcan be baseline data of respondents, especially for those respondents who had grade 2 or indicated osteoarthritis, to be observed or compared in the next examination.The tibio femoral angle can be addition information in relation with knee pain to detect osteoarthritis.Â

Profile Characteristics of X-ray film used in Radiology Hospital/Health Center/Clinic in Semarang Ardi Soesilo Wibowo; Johanes Dahjono; Agung Nugroho Setiawan
Jurnal Riset Kesehatan Vol 3, No 2 (2014): Mei 2014
Publisher : Poltekkes Kemenkes Semarang

The purpose of this study was to determine the characteristics of the X-ray film profile and X-ray films that have the optimal characteristics. This study was conducted on four X-ray films with different brands that are used in 13 radiology department hospital/health center/Clinics in Semarang, called A film, B film, C film and D film. Characteristic curve of each X-ray film was obtained by sensitometry method and measurement results are used to determine the value of basic fog, contrast film (average gradient), latitude and film speed. The results of the study, the characteristics profile of films that have fog basic values lower or equal 0.22 (≤ 0.22) are A, B and D films except C film. Contrast highest to lowest owned B, A, C and D films. Range from the highest to low of film latitude is D film, C film , A film and B film. Speed films produced relatively similar for all X-ray film. Optimum characteristic profile films shown in the B film. The use of X-ray film in a shooting radiograph should pay attention to the type of object being examined to produce optimal quality radiographs and understand each characteristic profile of X-ray films are used.

SERTIFIKASI KEAHLIAN PETUGAS PROTEKSI RADIASI (PPR) DAN CT SCAN DASAR TERHADAP PENYERAPAN LULUSAN DI DUNIA KERJA Edy Susanto; Emi Murniati; Agung Nugroho Setiawan
Jurnal Riset Kesehatan Vol 5, No 1 (2016): Mei 2016
Publisher : Poltekkes Kemenkes Semarang

This research aims to analyze the skills certification in Radiation Protection Officer (PPR) and Basic CT Scan for graduates in relation with the absorption of graduates employment. The type of research is descriptive qualitative study approach. Subjects were graduates from Diploma program of TRR Semarang and Purwokerto, specialist doctors and radiographers as users of graduates. Data taken from observation and check list/survey of alumni, interviews and focus group discussions. The results of this research are skills certification of Radiation Protection Officer (PPR) provides benefits in terms of radiation protection skills and provide more value when applying on the job. In addition, the ability in the field of radiation protection will ensure radiation safety for patients, radiation workers and community/environment. Basic CT Scan skills certification provides benefits in operating aircraft proficiency CT scans, particularly on the basis of the examination, as add value of graduates and make graduates quickly adjust to working conditions.

RADIATION DOSE ESTIMATION WITH CALDOSE_X VERSION 5.0 IN RADIOLOGICAL LABORATORY DEPARTMENT OF RADIODIAGNOSTIC AND RADIOTHERAPY TECHNIQUE Agung Nugroho Setiawan
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.v5i1.3995

Background: Media in the educational perspective is a strategic instrument in determining the success of the teaching and learning process. On radiographic examination, each patient is always at risk of exposure to ionizing radiation that is not necessary. Students need to learn whether the exposure factors which they use on patients is still below of the diagnostic reference level. This article purpose to get an overview of the radiation dose estimation using CALDose_X version 5.0 software as a laboratory-learning instrument in Radiological Laboratory Department of Radio diagnostic and Radiotherapy Technique, Poltekkes Kemenkes Semarang.Methods: This article contains a description of using this software. The sample type is purposive sampling, which consist of seven types of radiographic examinations belong to The Head of Bapeten Regulation Number 8 of 2011. Entrance surface air kerma (ESAK) value from each exposure factors compared with Bapeten dose limit.Results: The result showed this software able to calculate the incident air kerma of radiographic examination based on the output parameters of an X-ray tube. All of ESAK values confirm with the Bapeten dose limit.Conclusion: The CALDose_X version 5.0 can be proposed as an instructional media to teach students in estimating absorbed dose to organs and tissues of the human body, the effective dose as well as the patient’s cancer risk for radiographic examinations.

BODY WEIGHT EFFECT ON JOINT SPACE WIDTH AND TIBIO FEMORAL ANGLE OF KNEE JOINT MEASUREMENT FOR OSTEOARTHRITIS DETECTION USING IMAGEJ Agung Nugroho Setiawan; Suryono Suryono; Sugiyanto Sugiyanto; Fatimah Fatimah; Gatot Murti Wibowo; Faisal Amri; Donny Kristanto Mulyantoro
Proceedings of the International Conference on Applied Science and Health No. 1 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar

Background: Radiograph of knee joint with Kellgren and Lawrence classification system is the gold standard for assessing knee osteoarthritis. However, these grades are still obstacles. It is sometimes not appropriate to assess the progress of osteoarthritis and very long time to see the results of such progress. Osteoarthritis diagnosis and classification have been relying on qualitative visual interpretation by a radiologist. Probably difficult to determine whether there OA in the knee or not. Image quantification of digital radiography is done by measuring the joint space width and tibio femoral angle of the knee joint using the ImageJ software, with body weight variance as one factor that could affect it. Aims: This research aims to get information of body weight effect on the measurement of the joint space width and tibio femoral angle of knee joint in OA detection. Methods: This is a cross-sectional study. Subjects were digital images of the knee joint anteroposterior (AP) projection using Computed Radiography (CR) from 21 respondents with specific criteria. Image is then quantified using ImageJ software to measure the joint space width and tibio femoral angle. Print out of examination visually evaluated by one radiologist to confirm the diagnosis of OA of the knee joint. Results: The value of the right knee joint space width lateral and medial (3.81 ± 1.18 and 2.42 ± 0.77), while the left lateral and medial (3.49 ± 1.11 and 2.69 ± 0.83). Tibio femoral angle range 168.44 to 178.39 with the average tibiofemoral angle right knee 175.18 ± 2.04 and 173.80 ± 2.44 left knee. Body weight has a significant correlation to the tibiofemoral angle of knee joint (p value < 0,03). Conclusion: The joint space width values that taken from digital quantificationcan be baseline data of respondents, especially for those respondents who had grade 2 or indicated osteoarthritis, to be observed or compared in the next examination.The tibio femoral angle can be addition information in relation with knee pain to detect osteoarthritis.

PENERAPAN ADAPTIVE STATISTICAL ITTERATIVE RECONSTRUCTION PADA PERBAIKAN KUALITAS CITRA DAN DOSIS CT SCAN CHEST Marido Bisra; Gatot Murti Wibowo; Agung Nugroho Setiawan
Medical Imaging and Radiation Protection Research Journal Vol 2 No 2 (2022): Medical Imaging and Radiation Protection Research Journal
Publisher : LPPM STIKes Awal Bros Pekanbaru

The Filtered Back Projection (FBP) algorithm has been the standard algorithm for image reconstruction in computed tomography (CT) for many years, but it creates possible streak artifacts and a notable increase in image noise when radiation dose is reduced exceedingly. With technological advancement and increased computational capacities in workstations,Adaptive Statistical iterative reconstruction (ASIR) algorithms have reemerged as a potential alternative. The purpose of this review is to establish if there is a general consensus that ASIR algorithms faithfully reduce radiation dose and improve image quality in CT in comparison with the FBP algorithm. A systematic review of the literature from 2011 to 2022 was conducted using Elsevier, Google Scholar, Pubmed, AJR, dan Science Direct, Physica Medica and the Korean Journal of Radiology. A total of 11 articles were categorized as either synopsis articles or performance evaluation clinical studies. The results show that the use of IR algorithms reduces objective image noise, and at least preserves spatial resolution and low contrast detectability, even when dose is reduced. In conclusion, there is a general that ASIR algorithms can faithfully reduce radiation dose but must notice about ASIR level to improve image quality in CT in comparison with the FBP algorithm.

MODIFIKASI PEMERIKSAAN RADIOGRAFI THORAX PADA PASIEN CORONAVIRUS DISEASE 2019 (COVID-19) Rindayana Rindayana; Agung Nugroho Setiawan; Siti Daryati; Andrey Nino Kurniawan
JRI (Jurnal Radiografer Indonesia) Vol. 5 No. 1 (2022)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55451/jri.v5i1.100

Background: Patients with an indication of COVID-19 in the Intensive Care Unit and Emergency Department have special handling because they cannot be examined at the radiology installation, so it is necessary to modify the radiographic procedures. The purpose of this study was to describes the modification of procedures and the quality of the image produced from chest X-ray procedure. Methods: This type of research is a qualitative study with a case study design through the research articles from international journals. Results: The modification of the radiographic proedures of chest X-ray with COVID-19 includes preparation of patients using masks, radiographers using PPE and arranging portable x-rays from outside the patient's room glass to minimize contact with the patient. Between the X-ray source and the patient there is a glass medium as a barrier, and necessary to modify 180 - 300 cm of SID, increases of 22-28% kV and maximum use of 12.5 mili Ampere second. The projection used is Antero Posterior, with patient position semi erect in the patient bed. The image quality from the modification technique is assessed is the aspect of anatomical information, which is visible from the lungs to the costophrenic sinus, good contrast by being able to show between objects, minimizing noise and avoiding artifacts that can be caused by glass, and the exposure index assessment has a higher number than standard techniques due to factors the exposure used is higher. Conclusions: Modifications are needed to ensure the safety aspects of radiographers from infectious diseases and to obtain quality images for diagnosing diseases that are spreading in the world today.

PEMBERDAYAAN MASYARAKAT MELALUI PROGRAM ANAKKU SEHAT DAN CERDAS UNTUK PENGENTASAN STUNTING DI KABUPATEN BREBES Heni Hendriyani; Muflihah Isnawati; Susi Tursilowati; Estuasih Dyah Pertiwi; Agung Nugroho Setiawan
Jurnal LINK Vol 19, No 1 (2023): MEI 2023
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/link.v19i1.9679

Indonesia masih menghadapi masalah gizi anak meskipun pemerintah sudah berupaya maksimal, namun prevalensi stunting anak bawah lima tahun (balita) tetap tinggi yaitu 30.8% pada tahun 2018. Berdasarkan data Riskesdas 2018, dan Data SSGI tahun 2022 menunjukkan prevalensi stunting nasional masih tinggi dari angka propinsi dan nasional. Upaya untuk menanggulangi stunting yang terintegrasi yang melibatkan beberapa stakeholders dan pemerintah daerah dapat dilakukan di Kabupaten Brebes mengingat besaran masalah stunting di wilayah ini masih tinggi dan pemerintah daerah serta masyarakatnya mendukung upaya ini. Tujuan kegiatan untuk memberdayakan serta mendampingi guru PAUD dan masyarakat dalam mengatasi masalah gizi dan implementasi program “Anakku Sehat dan Cerdas”. Kegiatan pelatihan program “Anakku Sehat dan Cerdas” dilaksanakan pada 22-23 Juli 2022 di Desa Kluwut Kecamatan Bulakamba Kabupaten Brebes. Hasil dari kegiatan ini yaitu terdapat peningkatan pengetahuan pada peserta pelatihan program “Anakku Sehat dan Cerdas” dan diketahui bahwa 20% dari 80 anak yang dilakukan pengukuran antropometri mengalami stunting.

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

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.

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

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.

Co-Authors Andrey Nino Kurniawan Ardi Soesilo Wibowo Atika Dyah Kiranawati Dartini Dartini Donny Kristanto Mulyantoro Edy Susanto Emi Murniati Estuasih Dyah Pertiwi, Estuasih Dyah Faisal Amri Fatimah Fatimah fatimah Fatimah Fitri Indraratma Gatot Murti Wibowo Gatot Murti Wibowo Gatot Murti Wibowo, Gatot Murti Heni Hendriyani Johanes Dahjono M. Choiroel Anwar M.Pd S.T. S.Pd. I Gde Wawan Sudatha . Marido Bisra Mohammad Alif Nur Fathoni Muflihah Isnawati Rindayana Rindayana Siti Daryati Sugiyanto Sugiyanto Sugiyanto Sugiyanto Suryono Suryono Suryono Suryono Susi Tursilowati

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