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EXPOSURE INDEX (EI) SEBAGAI ALAT OPTIMISASI PADA SISTEM RADIOGRAFI DIGITAL: IMPLEMENTASI DAN TANTANGAN BAGI RADIOGRAFER Putu Irma Wulandari
JRI (Jurnal Radiografer Indonesia) Vol. 6 No. 1 (2023): Mei
Publisher : Perhimpunan Radiografer Indonesia (PARI)

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Background: The existence of ”exposure creep” in digital radiography systems has been debated over years, raising concern in image optimisation. Therefore, effective implementation of Exposure Index (EI) as a tool for optimisation has been stressed to address this issue. However, the concept of ”exposure creep” and Exposure Index (EI) might not be familiar to all Indonesian radiographers. This study aims to explore the current literature related to EI, including the development, current status, and challenges in its implementation. Methods: Literatures were explored in various databases using the following keywords; “Exposure Creep”, Radiation dose in Digital Radiography, Optimisation in Digital Radiography, Exposure Index, Deviation Index, etc. Only references, such as books, journal articles, and official reports in Bahasa Indonesia and English are included in this study. Results: The term “Exposure Creep” refers describe a gradual increase in exposures following the implementation of digital radiography systems. Exposure Index is used as a feedback for radiographers regarding exposures in image acquisition. However, in the beginning of its development there have been several issues, leading to confusion to users. Therefore, the development of the standardized Exposure Index (IEC 624924-1) has been proposed. This article also addresses several challenges in EI implementation and take-home points for radiographers. Conclusions: Radiographers should be familiar with the basic concept of EI in order to effectively implement it as an optimisation tool.

UJI KESESUAIAN PESAWAT PANORAMIC CHEPALOMETRIC DI LABORATORIUM JURUSAN TEKNIK RADIODIAGNOSTIK DAN RADIOTERAPI, POLTEKKES KEMENKES SEMARANG (UJI MENGGUNAKAN FILM GAFCHROMIC) Andrey Nino Kurniawan; Dwi Rochmayanti; Agustina Dwi Prastanti
JRI (Jurnal Radiografer Indonesia) Vol. 6 No. 1 (2023): Mei
Publisher : Perhimpunan Radiografer Indonesia (PARI)

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ABSTRACT Background: X-ray equipment used for radiographic examination according to Bapeten regulations must undergo a compliance test, both for new installation and for relocating. The Panoramic Chepalometry in the Department of Radiodiagnostics and Radiotherapy Techniques Semarang is a new device and has undergone a relocation from the initial installation. In addition, the unique condition of the Panoramic Chepalometry is direct image processing or direct radiography, so a special method is needed for testing x-ray collimation beams, namely using gafchromic films Methods: The research is experimental with a one shot case study at the Laboratory of the Department of Radiodiagnostic and Radiotherapy Techniques, Poltekkes Kemenkes Semarang. The research object is a Panoramic cephalometry device. The measuring instrument used was Raysave, and the test parameters measured were: X-ray beam, voltage accuracy, time accuracy, linearity, reproducibility, HVL, and tube container leakage. The analysis of the test results is adjusted to Bapeten regulation no. 2 of 2018 Results: Parameter test results obtained: X-ray beam is still within normal limits, voltage accuracy measurement results obtained a maximum error of 2.73% (max. limit 6%), time accuracy obtained a maximum error of 7.8% (max. limit 10 %), linearity was not measured because the mA value was fixed, reproducibility was obtained CV at a voltage of 0.0012 and radiation output of 0.0006 (CV≤ 0.05), x-ray beam quality (HVL) was obtained at 3.72 mm Al at 80 kVp (HVL limit ≥ 2.3 mm Al), and no leakage in the tube housing Conclusions: The results of the panoramic cephalometric compliance test at the Laboratory of the Department of Radiodiagnostic and Radiotherapy Techniques, Poltekkes Kemenkes Semarang, on 7 test parameters as a whole are still within normal limits according to Perka Bapeten no.2 of 2018

PENATALAKSANAAN RADIOTERAPI KANKER PAYUDARA TEKNIK IMRT Ira Wulandari; Nursama Heru Apriantoro; Sriyatun Sriyatun; Moh Haris
JRI (Jurnal Radiografer Indonesia) Vol. 6 No. 1 (2023): Mei
Publisher : Perhimpunan Radiografer Indonesia (PARI)

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ABSTRACT Background: Radioteraphy is one of treatment theraphy to cancer. Radiation techniques in the breast cancer at Cancer Dharmais Hospital can be done with several techniques such as 3 Dimensional Conformal Radiotherapy (3DCRT), Intensity Modulated Radiotherapy (IMRT), Volumetric Modulated Arch Therapy (VMAT) depending on the planning by the radiation oncologist based on the stage and purpose of radiation. The purpose this research is to evaluation the treatment of radiotherapy using the IMRT breast cancer at Cancer Dharmais Hospital. Methods: The type of the research is used qualitative with a case study approarch of breast cancer using IMRT technique in a 47 years old female with IIa stage, curative therapy with fraksination 25x2 Gray (Gy). Results: The treatment of radioteraphy to breast cancer with the IMRT technique was chosen taking into account the low stage of the cancer, the location of the cancer that is difficult to reach when using the 3DCRT technique, the purpose of giving radiation that is curative, and the large number of Organ At Risk (OARs) must be protected. Conclusions: The treatment of radiotherapy to breast cancer using the IMRT tecnique at Cancer Dharmais Hospital is done through in several stages, such as : consulting a Radiation Oncologist at the Radiotherapy Polyclinic, do a simulation on the Computer Tomograpy (CT) simulator, calculated dose at Treatment Planning System (TPS), Process of geometry verification is done before the treatment and then continued with the process of treatment in the linac room.

ANALISIS KUALITAS CITRA ANATOMI MSCT UROGRAPHY DENGAN VARIASI INTERATIVE MODEL RECONTRUCTION (IMR) Ary Kurniawati; Nanang Sulaksono; Devi Mawarlina; Siti Anikmah; Dadang Nugroho
JRI (Jurnal Radiografer Indonesia) Vol. 6 No. 1 (2023): Mei
Publisher : Perhimpunan Radiografer Indonesia (PARI)

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ABSTRACT Background: The urinary system consists of two kidneys and ureters, urinary bladder, and urethra. Various modalities in radiology can be used to radiologically detect abnormalities in the urinary system, one of which is MSCT. MSCT Urography with tracking technique can identify urolithiasis in the ureters. Iterative reconstruction is used to reduce the dose received by the patient without reducing image quality. Iterative Model Reconstruction (IMR) is the second-generation IR algorithm from the previous generation, namely iDose (Philips Healthcare). This study aims to determine the optimal anatomy image quality with IMR variations on non-contra Urography MSCT images using tracking techniques. Methods: This type of research is an experiment with data obtained from a comparison of the quality of anatomical images from tracking images with IMR variations. Place of data collection at the Radiology Installation of RSUD RAA Soewondo Pati. Time for data collection From 2022. An assessment of the quality of the anatomical images was carried out by 2 radiologists. Data analysis was carried out using the Friedman statistical test method. The level of significance (level of significance) is 95% or α> 0.05 and is done by assessing the p-value. For a significant level of assessment p <0.05 then Ho is rejected and p> 0.05 then Ho is accepted. Results: There are differences in information on each anatomy of the renal parenchyma, pelvic calices, ureters, and perirenal space in the use of IMR variations. The results showed that the optimal IMR variation value was IMR 3 with a mean rank value of 2.7. Increasing the use of IMR levels reduces noise and increases spatial resolution, so that IMR level 3 has the best assessment of anatomical information. Conclusions: We recommend that the non-contrast MSCT Urography examination with the Tracking Technique use IMR 3 which can produce optimal anatomical image information on the kidney parenchyma, pelvic calices, ureters, and perirenal space.

RANCANG BANGUN ALAT FIKSASI PEMERIKSAAN RADIOGRAFI ABDOMEN PROYEKSI LEFT LATERAL DECUBITUS Dhea Mirza; Widya Nurmayanti; Devi Purnamasari
JRI (Jurnal Radiografer Indonesia) Vol. 6 No. 1 (2023): Mei
Publisher : Perhimpunan Radiografer Indonesia (PARI)

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ABSTRACT Background: Radiologic fixation device is a tool made of specially designed iron plate that is used by radiology officers to assist in treating patients. As in the LLD (Left Lateral Decubitus) projection abdominal radiography, non-cooperative patients need an assistive device to facilitate the examination. LLD projection abdominal fixation device This can be used to place cassettes of various sizes, limit patient movement, ensure that the cassette and grid remain attached to the posterior part of the patient without being touched by the patient's family, make the left side of the patient's abdomen not cut, and provide radiation safety to the patient, patient's family, and staff. This study aims to design a fixation tool for projection abdominal radiography examinations LLD and test tools. Methods: This research is an applied type of research by designing a fixation device for LLD. projection abdominal radiography examination as well as testing these tools through questionnaires and documentation studies. The research was conducted at the Radiology Laboratory of Awal Bros University from May to June. Results: The LLD projection abdominal examination fixation device, this tool composed of 5 components: patient seat, metal support, cassette holder, foam pad and strap. Conclusions: From the results of data collection using a questionnaire, it was found that the LLD projection abdominal examination fixation tool has met the performance test in accordance with the specifications of the tool and has good value in terms of the components of the tool, durability, efficiency of the tool and the resulting radiograph.

PROSEDUR PEMERIKSAAN RADIOGRAFI SINUS PARANASAL (SPN) DENGAN KASUS SINUSITIS Nada Nabilah; Agustina Dwi Prastanti; Darmini Darmini3
JRI (Jurnal Radiografer Indonesia) Vol. 6 No. 1 (2023): Mei
Publisher : Perhimpunan Radiografer Indonesia (PARI)

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ABSTRACT Background : The radiographic procedure of the paranasal sinuses according to Long et al., (2016) uses Lateral projection, Caldwell Method, Parietoacanthial (Open Mouth and Closed Mouth) and Submentovertical. Caldwell method projection can be done with the image receptor 150 angled technique and the vertical image receptor technique by attaching the image receptor and propping the forehead with a soft bag. However, the radiographic examination procedure of the paranasal sinuses at the Radiology Installation of RSUD Karanganyar was carried out on the caldwell method projection, using a vertical image receptor technique, the patient's forehead and nose attach to the image receptor without a soft bag. Methods :The purpose of this study was to determine the radiographic examination procedure of the paranasal sinuses in cases of sinusitis and to find out the reasons for using the Caldwell Method with the patient's forehead and nose attached to the image receptor without a soft bag. This type of research is a qualitative with a case study approach This research was conducted by means of observation, documentation, and deepening with radiology specialists and radiographers. Observational data were processed and analyzed using open coding, interview data were processed, analyzed, and presented in the form of quotations so that conclusions could be drawn. Results : The results showed that the radiographic examination of the paranasal sinuses at the Radiology Installation of RSUD Karanganyar used a Lateral projection, Waters Closed Mouth, and Caldwell Method with a vertical image receptor technique and adjustment of the position of the forehead and nose against the image receptor. Conclusion : The reason the forehead and nose are positioned against the image receptors in the Caldwell Method projection is for convenience and to view the frontal sinus clearly without magnification.

PENGARUH FAKTOR EKSPOSI TERHADAP KUALITAS CITRA RADIOGRAFI PADA PEMERIKSAAN THORAX Raditya Faradina Pratiwi; Elitha Sundari Pulungan; Dewi Andini
JRI (Jurnal Radiografer Indonesia) Vol. 6 No. 1 (2023): Mei
Publisher : Perhimpunan Radiografer Indonesia (PARI)

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ABSTRACT Background: The exposure factor is one of the factors that influence and determine the quality and quantity of X-ray radiation required in making radiographic images. Every radiographic examination requires precision in the use of exposure factors in both conventional radiographic modalities and in the use of CR. Selection of the right exposure factor using both conventional radiography and Computed Radiography (CR) can produce radiographs with optimal results. Methods: This type of research is a library research or literature review by reviewing as many as 50 journals related to image quality on radiograph of thorax during the last 10 years. Then the researchers screened the journals related to the the effect of exposure factors on image quality radiograph of thorax in as many as 4 journals . Results: Image quality analysis is carried out based on image visualization (observation) parameters which include contrast and image sharpness. The exposure factors of 60 kV and 25 mAs in the image shows good gradations, namely the difference from bright white to perfect grayish black and the difference between the phantom object and the area around the object. When using a 60 kV tube voltage, you can see abnormalities in the ribs. Using exposure factors of 75 kV and 3.2 mAs and 65 kV and 8 mAs the resulting images have the highest contrast. Conclusions: Based on the review results, there are several exposure factors that can be used in thorax examination, including 55 kV and 8 mAs due to factor regulation. This exposure is the optimization of the PA thorax examination, the use of the 60 kV and 25 mAs exposure factors, radiographic images can be read and have met good image quality on the object and 60 kV produces maximum contrast, this is in accordance with the theory of using tube voltage to see abnormalities that occurs in the ribs. The highest contrast on the chest X-ray image was obtained using the exposure factors of 75 kV and 3.2 mAs and 65 kV and 8 mAs.

ANALISA KEPATUHAN PENGGUNAAN DOSE CONSTRAINT DI INSTALASI RADIOLOGI RUMAH SAKIT SEBAGAI IMPLEMENTASI ASAS OPTIMISASI DALAM KESELAMATAN RADIASI Maizza Nadia Putri; Agi Febrian Trihadijaya; Talitha Arabella Hanum
JRI (Jurnal Radiografer Indonesia) Vol. 6 No. 1 (2023): Mei
Publisher : Perhimpunan Radiografer Indonesia (PARI)

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ABSTRACT Background: No data has yet been found regarding the evaluation of the use of Dose Constraints in a hospital radiology installation. The purpose of this study was to determine the percentage of adherence to the use of dose constraints in a radiology installation as well as analysis and follow-up. Methods: The research was conducted by making observations at 30 Hospitals on the island of Java, the researchers distributed a questionnaire survey in the form of 20 data using the exposure factor for Thorax PA examination which would then be inputted through the Si-INTAN application to obtain ESAK values. Results: Based on 600 data on the use of exposure factors from 30 samples of hospitals on the island of Java, it was found that 21 or 70% of the hospitals adhered to the use of dose constraints and as many as 9 or 30% of hospitals do not comply with the use of the determined dose constraint. Conclusions: Of the 9 hospitals that were not compliant with the use of the dose constraint, the highest ESAK value was obtained from RS-18, which was 0.939 mGy, which reached twice the stipulated I-DRL Thorax examination value. It can be seen that these hospitals used the most mAs. higher than other hospitals. The mAs values used range from 10-28 mAs. When compared with the lowest ESAK value, namely RS-3, it only uses 5 mAs for an adult thorax examination. to suppress ESAK doses to be lower we can use high tube voltages. to obtain an exposure with the same transmission at a patient thickness of 20 cm, namely by increasing one of the irradiation parameters of the tube voltage value by compensating for a decrease in the tube current-time value to produce an image density that is almost the same,and using very low mAs also results in a dose radiation is very small.

PEMERIKSAAN RADIOGRAFI COLON IN LOOP PADA BAYI MENGGUNAKAN KONTRAS POSITIF DENGAN KLINIS HIRSCHPRUNG DISEASE Saleh Mursyid; Muh Amirul Mukminin; Hesti Andriyani Putri
JRI (Jurnal Radiografer Indonesia) Vol. 6 No. 1 (2023): Mei
Publisher : Perhimpunan Radiografer Indonesia (PARI)

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ABSTRACT Background: The development of radiology is growing rapidly because radiodiagnostics is a very important diagnostic tool and cannot be separated in a diagnosis. There are two radiodiagnostic examinations in radiology installations, namely without contrast media and radiological examinations with contrast media. One of the radiological examinations with contrast media is a colon in a circle. Methods: This research is a qualitative descriptive study conducted in April 2022. The sample in this study were patients who underwent Colon In Loop Examination in Infants Using Positive Contrast with Clinical Hirschsprung's Disease at the Radiology Installation of RSUD A.M Parikesit Tenggarong. Results: Insertion of contrast in colon in loop examination In infants using positive contrast with clinical Hirschsprung's disease can already establish a doctor's diagnosis. And from the results of the expertise with the doctor from the results of the picture the catheter was placed at the end of the baby's anus, the contrast was injected and it looked smooth closing the sigmoid rectum and descending colon, it looked like the distal rectum was narrowed and it looked like proximal rectal dilatation, an impression of hisprung disease. Conclusion: Colon in loop examination technique in infants to see clinically Hirschsprung's disease would be better to use positive contrast because it can be excreted through micturition and sweat and more thoroughly see narrowing, easier, better to see other abnormalities

OPTIMALISASI KUALITAS CITRA ANATOMI DENGAN VARIASI IDOSE DAN INTERATIVE MODEL RECONTRUCTION (IMR) PADA MSCT UROGRAPHY NON KONTRAS DENGAN TEKNIK TRACKING Nanang Sulaksono; Ary Kurniawati
JRI (Jurnal Radiografer Indonesia) Vol. 6 No. 1 (2023): Mei
Publisher : Perhimpunan Radiografer Indonesia (PARI)

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ABSTRAK Background: The urinary tract (urinary system) consists of the two kidneys and ureters, the urinary bladder, and the ureters. There are several ways to examine abnormalities in the urinary tract radiologically. including the current CT scan, CT Scan (MSCT) is one of the modalities to evaluate and diagnose urinary tract disorders. MSCT of the urinary tract without using positive contrast media is able to identify images of the urinary tract in cases of urolithiasis. iDose and Interative Model Reconstruction (IMR) are the second generation of IR algorithms from the previous generation, namely iDose. This technology can also lower the dose to the patient and also improve the quality of the resulting image. Method: This type of research is an experiment with an observational approach with comparisons. This type of research is an experiment with data obtained from a comparison of noise values and the quality of anatomical images from tracking images with iDose and IMR variations. And an assessment was carried out by 3 radiologists. Place of data collection in radiology RSUD RAA Soewondo Pati. Time for data collection From April to November 2022. in assessing anatomical images using statistical tests. Data analysis was carried out using the Wilcoxon statistical test method because the data were ordinal with paired groups. The Wilcoxon statistical test was used to test the hypothesis and see the level of difference in anatomical image information. The level of significance (level of significance) is 95% or α> 0.05 and is done by assessing the p-value. For a significant level of assessment p <0.05 then Ho is rejected and p> 0.05 then Ho is accepted. Results: Friedman test on each anatomical part of the urinary tract system on Non-Contrast Urography MSCT images with Tracking Techniques with iDose 1-6 and IMR 1-3 variations, there are differences in anatomical image information with a p value of .000 (p <0.05). In the anatomy of the renal parenchyma, the highest mean rank is iDose 3 with a value of 8.15. In pelvic anatomy and kidney calices, the highest mean rank is at iDose 6 with a value of 8.05. In ureteral anatomy, the highest mean rank is iDose 3 with a value of 8.05. In the anatomy of the perirenal space, the highest mean rank is iDose 3 with a value of 8.20. Based on the results of the mean rank Friedman test to find out the optimal I Dose and IMR values, it was obtained iDose 1 with a mean rank value of 4.65, iDose 2 with a mean rank value of 4.95, iDose 3 with a mean rank value of 8.3, iDose 4 with a mean rank value of mean rank 6.4, iDose 5 with a mean rank value of 6.55, iDose 6 with a mean rank value of 7.75, IMR 1 with a mean rank value of 1.65, IMR 2 with a mean rank value of 2.05, and IMR 3 with a mean value rating 2.7. Conclusion: Changes in the values of iDose and IMR variations affect the anatomical image information of Non-Contrast MSCT Urography with Tracking Techniques, this is based on the results of the mean rank Friedman test performed on each anatomy of the renal parenchyma, pelvic calices, ureters and perirenal space which shows a difference. Based on the results of Friedman's mean rank test conducted on the entire anatomy of the renal parenchyma, ureters, and perirenal space, it showed that the optimal iDose and IMR variation values were iDose 3 with a mean rank value of 8.3.

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Fatimah

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Jl. Bambu Apus Raya Blok Kav A2 No.23 RT.12/RW.3, Bambu Apus Cipayung, Jakarta Timur Jakarta 13890

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Kota adm. jakarta timur,

Dki jakarta

INDONESIA

Abstract

Abstract

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Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name Fatimah

Contact Email mail@pari.or.id

Phone +6281325656709

Journal Mail Official mail@pari.or.id

Editorial Address Jl. Bambu Apus Raya Blok Kav A2 No.23 RT.12/RW.3, Bambu Apus Cipayung, Jakarta Timur Jakarta 13890

Location Kota adm. jakarta timur, Dki jakarta INDONESIA

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Contact Name
Fatimah

Contact Email
mail@pari.or.id

Phone
+6281325656709

Journal Mail Official
mail@pari.or.id

Editorial Address
Jl. Bambu Apus Raya Blok Kav A2 No.23 RT.12/RW.3, Bambu Apus Cipayung, Jakarta Timur Jakarta 13890

Location
Kota adm. jakarta timur,

Dki jakarta

INDONESIA