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All Journal Nautical: Jurnal Ilmiah Multidisiplin Indonesia Jurnal Pengabdian Ilmu Kesehatan Jurnal Rumpun Ilmu Kesehatan Klinik: Jurnal Ilmiah Kedokteran dan Kesehatan Journal of Educational Innovation and Public Health Medical Laboratory Journal
I Kadek Sukadana
AKTEK Radiodiagnostik Dan Radioterapi Bali
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Evaluasi Nilai CTDIvol Dan DLP Pada Pemeriksaan MSCT Abdomen Kontras Selama Periode Januari-Maret 2023 Di RSUP Dr Hasan Sadikin Bandung : Dengan Pendekatan ALADAIP Anjelina Merry; Anak Agung Aris Diartama; I Kadek Sukadana
Jurnal Rumpun Ilmu Kesehatan Vol. 3 No. 3 (2023): November : Jurnal Rumpun Ilmu Kesehatan
Publisher : Politeknik Pratama Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jrik.v3i3.2684

Abstract

Background: Abdominal MSCT examination is a type of radiodiagnostic examination that uses the MSCT device. Considering that the abdomen is close to organs that have radiosensitive properties such as the gonads and ovaries, it is necessary to monitor the radiation dose received so that it does not exceed the predetermined I-DRL value. The prevalence of contrast Abdominal MSCT examinations in the Radiodiagnostic Installation at Dr Hasan Sadikin Bandung Hospital was recorded during the last 3 months, there were 327 Contrast Abdominal MSCT examinations out of a total of 880 examinations with a percentage of contrast Abdominal MSCT examinations of 0.37%. This proves that contrast Abdominal MSCT examinations are often carried out but evaluation has never been carried out regarding the radiation dose received by the patient. Method: The type of research used in this research is descriptive quantitative with an observational approach by collecting data from patients with contrast Abdominal MSCT examinations during the period January-March 2023 with a sample of 128 patients. The local DRL value is calculated using the 2nd quart formula in the SPSS statistical application, then this local DRL value is compared with the I-DRL value determined by BAPETEN. Results: Calculation of the 50th percentile value of CTDIvol and DLP on 128 samples. The results show a CTDIvol value of 15.91 mGy and DLP of 740 mGy*cm. The DRL (50 percentile) values ​​based on gender are 13.71 mGy and 743 mGy*cm for men, and 17.74 mGy and 792 mGy*cm for women. Based on abdominal thickness, patients with a thickness of 10-19 cm have values ​​of 12.19 mGy and 587 mGy*cm, while patients with a thickness of 20-30 cm have values ​​of 22.57 mGy and 965 mGy*cm. For the most clinical cases (Ca Recti) the values ​​were 11.27 mGy and 586 mGy*cm. Conclusion: The 2nd quartile value (50 percentile) of CTDIvol and DLP received by patients during the Contrast Abdominal MSCT examination at the Radiodiagnostic Installation of RSUP Dr. Hasan Sadikin Bandung is in accordance with the standard values ​​set by BAPETEN/I-DRL 2021. However, special attention is needed for patients with an abdominal thickness of 20-30 cm, where the CTDIvol value exceeds the standards set by BAPETEN/I-DRL 2021.
Analisis Nilai CTDIvol Dan DLP Pada Pemeriksaan CT Scan Brain Non Kontras Dewasa Untuk Periode Januari – Desember 2022 Di Instalasi Radiologi Rumah Sakit X Jakarta Pusat Pricilia Shalry Horuoby; Anak Agung Aris Diartama; I Kadek Sukadana
Jurnal Rumpun Ilmu Kesehatan Vol. 3 No. 3 (2023): November : Jurnal Rumpun Ilmu Kesehatan
Publisher : Politeknik Pratama Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jrik.v3i3.2687

Abstract

Background: CT scans are used for various types of examinations such as examinations of the head, thorax, abdomen and so on. The most frequently performed CT scan is a CT scan of the head. However, in the medical field, especially radiology, CT scans have the highest dose compared to other radiation equipment. Efforts to reduce radiation doses and radiation effects are by estimating the correct dose given to CT Scan patients using an optimization index called DRL (Diagnostic Level Reference), namely by evaluating the values ​​of CTDIvol and DLP on CT scans of the head, which have been determined in accordance with BAPETEN/I-DRL 2021 standards. Method: This research is a descriptive quantitative study with an observational approach which aims to analyze CTDIvol and DLP values ​​based on retrospective data on non-contrast brain CT scans at the Radiology Installation at Hospital X, Central Jakarta. Results: Calculation of the 2nd quartile (50th percentile) value of CTDIvol and DLP in Adult Non-Contrast Brain CT Scan examinations for the January-December 2022 Period at the Radiology Installation at X Hospital, Central Jakarta is CTDIvol 55.51 mGy and DLP 867.00 mGy* cm. Conclusion: The 50 percentile value of CTDIvol and DLP in the Adult Non-Contrast Brain CT Scan examination for the January-December 2022 period at the Radiology Installation at X Hospital, Central Jakarta is in accordance with the standards set by BAPETEN/I-DRL 2021. Where is the value for CT Non-Contrast Head Scan, namely a CTDIvol value of 60 mGy and a DLP value of 1275 mGy*cm.
Analisis Multi Slice Computed Tomography (MSCT) Nasofaring Dengan Klinis Karsinoma Nasofaring Di Instalasi Radiodiagnostik RSUP Dr. Hasan Sadikin Bandung Destri Bestari Palimbong; Anak Agung Aris Diartama; I Kadek Sukadana
Jurnal Pengabdian Ilmu Kesehatan Vol. 3 No. 3 (2023): November: Jurnal Pengabdian Ilmu Kesehatan
Publisher : Politeknik Pratama Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jpikes.v3i3.2672

Abstract

Background: Nasopharyngeal carcinoma is cancer that occurs in the nasopharyngeal mucosa which shows squamous cell differentiation. MSCT has become a reliable imaging technique for assessing the extent of nasopharyngeal carcinoma. Nasopharyngeal MSCT examination procedure with clinical nasopharyngeal carcinoma at the Radiodiagnostic Installation of Dr. RSUP. Hasan Sadikin Bandung uses a head protocol and slice thickness of 3-5 mm. This study aims to determine the Nasopharyngeal MSCT examination procedure for clinical nasopharyngeal carcinoma using a head protocol with manual intravenous contrast injection. Method: The type of research used is descriptive qualitative research with a case study approach. This research was conducted at the Radiodiagnostic Installation of RSUP Dr. Hasan Sadikin Bandung The subjects in this study consisted of three patients, two radiographers and three radiologists. Data collection methods are carried out through observation, interviews and documentation. The data analysis technique used is an interactive analysis model.
Analysis Of MRI Knee Joint Examination In Meniscus Tear Case With STIR Sequence And T2 Medic Sagittal Cut At Radiology Installation Of Balimed Hospital Denpasar Wahyu Jaya Andre Saputra; I Made Lana Prasetya; I Kadek Sukadana
Journal of Educational Innovation and Public Health Vol. 2 No. 1 (2024): Januari : Journal of Educational Innovation and Public Health
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/innovation.v2i1.2103

Abstract

Knee injuries are often encountered in general practice and in hospitals. One injury that can occur is injury to the meniscus which causes a meniscus tear. The meniscus is a fibro cartilage disc which is the content of the knee joint and is divided into two, namely the lateral meniscus and the medial meniscus. To confirm the diagnosis of injured ligaments is by carrying out an MRI examination. MRI examination of the knee joint using T2* Multi Echo Rechalled Gradient Echo can provide optimal images in cases of meniscus tears. MRI examination of the knee joint using MEDIC is very useful for cervical imaging, cartilage, joint and musculoskeletal examination. The advantage of the MEDIC sequence is that it can be used for 2D and 3D imaging and can reduce chemical shift artifacts. Based on the journal taken by the author, the sequence needed to clinically show a meniscus tear on an MRI Knee Joint examination is sagittal STIR and sagittal T2 MEDIC. then the most optimal sequence in clinically showing a meniscus tear is chosen to increase the efficiency of the examination time. The type of research used is qualitative research with a case study approach. The subjects used in this research were 3 Radiology Specialist Doctors and 3 Radiographers. The STIR and T2 MEDIC sequences on the MRI Knee Joint examination have their respective roles in confirming the diagnosis of Tear Meniscus. The STIR sequence plays a role in assessing the Anterior Cruriated Ligament, Posterior Cruriated Ligament, radiologists also want to see edema or swelling that occurs in the patient's genu. The MEDIC T2 sequence plays a role in assessing the medial and lateral meniscus, the radiologist also wants to see blood production in the patient's genu. The STIR and T2 MEDIC sequences in the MRI Knee Joint examination at the Balimed Denpasar Hospital installation are able to confirm the diagnosis, especially in the clinical Tear Meniscus, because with these two sequences, the picture of the Medial Meniscus, Lateral Meniscus, Anterior Cruriated Ligament, Posterior Cruriated Ligament, product blood and edema can be clearly seen.
Analisis Pemeriksaan CT Scan Abdomen Dengan Kontras Pada Klinis Ileus Obstruktif di Rumah Sakit Bhayangkara Makassar Alifah Rizky Octavia; Ni Putu Rita Jeniyanthi; I Kadek Sukadana
Journal of Educational Innovation and Public Health Vol. 2 No. 1 (2024): Januari : Journal of Educational Innovation and Public Health
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/innovation.v2i1.2104

Abstract

The diagnosis of obstructive ileus is comfirmed by a CT Scan of the abdomen. The CT Scan of the Abdomen examination procedure with contrast in clinical obstructive ileus at Bhayangkara Hospital Makassar uses intravenous contrast injection. This study aims to analyze abdominal CT Scans with contrast in cases of obstruktive ileus and the contrast media injection technique used. This type of research is descriptive qualitative with a case study approach. This research was conducted at Bhayangkara Hospital Makassar. Data collection methods and were carried out by means of observation, interviews, and documentation. The results of this study show that the abdominal protocol, then pre contrast scanning is carried out. 50 ml of contrast is admistered intravenously. The abdominal CT Scan examination procedure with contras in cases of obstructive ileus at Bhayangkara Hospital Makassar only uses intravenous administration of contrast media because it is sufficient for diagnosis and the examination time is shorter.
Analisis Pemeriksaan Lumbal Pada Kasus Low Back Pain (LBP) Di Instalasi Radiologi RSUD Kota Bogor Sumantri Sebayang; Kadek Yuda Astina; Triningsih Triningsih; I Kadek Sukadana; Nova Adeline
Jurnal Ilmiah Kedokteran dan Kesehatan Vol 3 No 1 (2024): Januari : Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Sekolah Tinggi Ilmu Ekonomi Trianandra

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v3i1.2253

Abstract

The aim of this research is to determine the Lumbar MRI examination procedure in LBP cases at the Bogor City Regional Hospital, namely STIR and Myelo Radial, the aim of which is to clearly see abnor malities in the intervertebral discs and stenosis in the cerebral spinal cord. This type of research uses descriptive qualitative methods with a case study approach. Data collection methods are carried out through observation, interviews and documentation. Then data analysis was carried out using open coding charts, so that conclusions could be drawn. The results of this study show that the Lumbar MRI examination procedure in cases of Low Back Pain (LBP) at the Bogor City Regional Hospital does not require special preparation, the patient comes to radiology for screening (installation of a pacemaker). The patient removes clothing and metal objects. Before the examination, the patient is asked to urinate first, the patient's position is supine (feet first), iso center 5 cm superior to the ASIS. Then it is briefly explained that during the examination you are not allowed to move and the duration of the examination is 15 minutes and the role of the sagittal STIR sequence and Myelo Radial. The role of the sagittal STIR sequence and myelo radial to suppress fat in the cerebral spinal fluid, conus medullaris and myelum in the spinal cord and to see masses Lesions and stenosis caused by narrowing of the bulging in the intervertebral disks are clear enough to provide a Lumbar MRI image for cases of Low Back Pain (LBP).
Perbandingan Kualitas Citra CT-Scan Kepala Pada Kasus Trauma Dengan Variasi Increment Di Rumah Sakit Balimed Zulvania Do Rego Jesus; I Putu Eka Juliantara; I Kadek Sukadana
Calory Journal : Medical Laboratory Journal Vol. 1 No. 4 (2023): December : Calory Journal : Medical Laboratory Journal
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/caloryjournal.v1i4.91

Abstract

Trauma is emotional and psychological stress in general due to unpleasant events or experiences related to violence. The word trauma can also be used to refer to events that cause excessive stress. An event can be called traumatic if the event causes extreme stress and exceeds the individual's ability to cope. The results of research related to variations in reconstruction increments in trauma cases show that the optimal increment reconstruction value on CT scan trauma head case trauma value increment reconstruction 2,5mm. Type study is quantitative with an experimental approach to analysis Quality information Citra Ct-Scan head with variations iincrement case trauma, with variations of 0,7mm, 0,9mm. Data collection was carried out in August-September 2023 at Balimed Regional Hospital. The author took examination dataas many as 10 patients. Research results from uji normality test on an clinical CT scan of the head in trauma cases use variations increments reconstruction 0,7mm, 0,9mm, can be seen that the mean increment value 0,7 mm produces a mean of 38,56 in the Ventricle-GM area, 15, 13 in the WM-GM area. And the mean increment value 0,9mm produces a mean of 19,88 in the ventricle-GM area, 7,1 in the WM-GM area. From the normality test on CT scan of the head in trauma cases using increment variations reconstruction 0,7mm, 0,9mm, it illustrates the image quality of the 2 increment variations, namely the increment variation value of 0,7 mm has the highest CNR value, namely a mean of 38, 56 in the ventricular-GM area, in the WM-GM area it was 15,13. Meanwhile, the increment variation value 0,9 mm produces 19.88 in the ventricular-GM area, in the WM-GM area 7,1. So this shows that an increment variation 0,7mm is the most optimal increment variation in improving the image quality of a CT scan of the head in trauma cases
Estimasi Nilai Dosis Radiasi Yang Diterima Pasien Selama Pemeriksaan Angiografi Koroner Di RSUD DR Doris Sylvanus Palangka Raya Jackson Charlos; Putu Irma Wulandari; Kadek Sukadana
Nautical : Jurnal Ilmiah Multidisiplin Indonesia Vol. 1 No. 9 (2022): Nautical: Jurnal Ilmiah Multidisiplin Indonesia
Publisher : ARKA INSTITUTE

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

Abstract

Penerimaan dosis radiasi pada pasien Penggunaan media kontras menjadi kunci utama dalam pemeriksaan PCI (Percutaneous Coronary Intervention). Ada berbagai macam jenis media kontras salah satunya media kontras berbahan iodine. Penggunaan jumlah volume media kontras yang terlalu banyak dapat menyebabkan gangguan fungsi ginjal. Maka dari itu, jumlah volume media kontras perlu diperhatikan dalam penggunaannya untuk menghindari efek samping yang tidak diharapkan. Penelitian ini menggunakan penelitian kuantitatif deskriptif, Pengumpulan data dilakukan pada bulan juni - Juli 2022 di RSUD dr Doris Sylvanus Palangkaraya dengan dua cara yaitu, melakukan observasi dan dengan 10 tenaga kesehatan mengenai prosedur penggunaan media kontras pada pemeriksaan (PCI) pada bulan Oktober-Desember 2021 dan mendokumentasikan data 25 pasien yang mendapat media di buku register pasien RSUD Ulin Banjarmasin. Hasil dari penelitian ini yaitu 10 tenaga kesehatan yang diwawancara didapatkan hasil 1 topik yaitu prosedur penggunaan media kontras di RSUD Ulin Banjarmasin, meliputi beberapa sub topik. Dari 25 pasien yang diberikan media kontras pada pemeriksaan PCI didapatkan jumlah volume media kontras tertinggi yaitu 270mL dan jumlah media kontras terendah yaitu 70mL.
Co-Authors Alifah Rizky Octavia Anak Agung Aris Diartama Anak Agung Aris Diartama Anjelina Merry Destri Bestari Palimbong I Made Lana Prasetya I Putu Eka Juliantara Jackson Charlos Kadek Yuda Astina Ni Putu Rita Jeniyanthi Nova Adeline Pricilia Shalry Horuoby Putu Irma Wulandari Sumantri Sebayang Triningsih Triningsih Wahyu Jaya Andre Saputra Zulvania Do Rego Jesus