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Perbandingan Rata-Rata Densitas Pada Hasil Foto Thorax Proyeksi Antero Posterior (AP) Supine dan Duduk Tegak Ali Amroji; Raditya Faradina Pratiwi; Agnes Adriana
JRI (Jurnal Radiografer Indonesia) Vol. 2 No. 1 (2019)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Background: This research aims for knowing the differences of the average density thorax photo in position AP Supine and AP of Sitting Position. In the AP projections Supine and AP sit upright will get an average density that is not significant and affect the quality of the image to be not optimal. So that further efforts are needed so that the use of the AP projection sits upright to obtain an optimal picture quality such as the use of the AP projections Supine (Firdausy, 2011) Methods: This Scientific research is quantitative with evaluating the average differences on the four points. First patient's sample did four photos, meanwhile the second patients only done with two photos. The density Measurement using densitometry, this Measurement is for knowing the average point from evert photo and exposure factor changes using certain formula and later on will be compared the first photo until the last photo. Creating percentage for the increased mAs value on the Thorax Projection of the sitting position. Results: This research shows that Thorax Projection AP of Sitting position can be combined with the average density with the photos of the Thorax Projection AP Supine Conclusions: This research shows, a significant difference in average density was obtained between the images of the AP Supine Projection and the AP Sit Upright. The average density value in the AP Supine Radiograph is greater than the AP Seated Upright and to produce an average density that is almost the same for the AP supine projection with FFD 100 cm and the AP projection sitting upright with FFD 150 it is necessary to add an mAs value of 50% to the AP projection sits upright from the mAs value used in the supine AP projection

PENATALAKSANAAN TERAPI RADIASI EKSTERNA PADA KASUS KANKER VULVA DENGAN TEKNIK IMRT DAN ALAT FIKSASI PENGGANJAL LUTUT KHUSUS Septi Hidhayani; Agus Budiman; Mayarani; Susy Suswaty
JRI (Jurnal Radiografer Indonesia) Vol. 2 No. 1 (2019)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Introduction: Invasive vulvar cancer is very small. Usually occurs in women, but at the same time. An average of 90% - 92% of vulvar cancer patients are squamous cell carcinomas. Treatment of vulvar cancer is surgery, radiotherapy, chemotherapy or even combination according to the stages and references of each patient. In Dr. Cipto Mangunkusumo, Radiotherapy was selected to be one of the treatment options for stage III-IV vulvar cancer because it can provide maximum value on target and minimum on healthy tissue by using IMRT technique and frog leg position with special sterofoam feed fixation tool. Objective: Describe the procedure for managing external radiation therapy in cases of vulvar cancer with IMRT technique and a special fungicide feeding device at the Radiotherapy Department Dr. Rsupn. Cipto Mangunkusumo. Method: The type of descriptive skin research by observing directly and recording the required data and approach with case study, discussion and question and answer with radiotherapist, radiation oncologist and patient at the Department of Radiotherapy RSUPN. Cipto Mangunkusumo in march 2018. The sample used is 1 primary data sample of patients with vulvar carcinoma squamosa cell IVA. Results: Patients with IV carcinoma of squamous cell carcinoma A treatment plan with qualitative RT objective, using 10 MV energy, radiation plan 25 x @ 2 Gy. With IMRT technique and special fixture fixture tool from sterofoam to position the patient to form the frog spring. Conclusion: The use of IMRT techniques and semi frog leg positioning is highly appropriate and effective for vulvar cancer. It comes from DVH achievement doses at very maximum targets and on the minimal surrounding organs and patient comfort. The cost value of the IMRT technique is 0.2 cm

PERUBAHAN VOLUME TUMOR POST-RADIASI EKSTERNA PADA PASIEN KANKER NASOFARING Aidilawarti K. S.; Guntur Winarno; Asumsie Tarigan; Moh. Haris
JRI (Jurnal Radiografer Indonesia) Vol. 2 No. 1 (2019)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Introduction: The radiotherapists provides fractional treatment effectively and efficiently. The expected radiation response can be achieved for tumor volume change so that the principle in radiotherapy is to kill as many cancer cells as possible. However, due to the prognostic factors that may affect the radiation response such as Epstein-Barr Virus, TNM stage system, primary tumor, patient age, sex, type of treatment, and histopathology. Objective: This study is intended to analyze changes in the volume of external post-radiation tumors in nasopharyngeal cancer patients. Methods: This study is a descriptive quantitative study to determine changes in tumor volume from pro-radiation to post-radiation in patients with nasopharyngeal cancer. The sample used was the secondary data which belongs to Radiotherapy Installation at Dharmais Cancer Hospital Jakarta in patients with nasopharyngeal cancer in 2017. The study sample was taken on subjects who meet the criteria of inclusion and exclusion. Results: From the 51 study samples, the results are obtained based on stages, post-radiation tumor volume changes from stage II, III, and IV by 206.56643cc, 135.81397cc, and 168.83302cc. By sex, post-radiation tumor volume changes of male and female sexes were 174,18946cc and 176,02196cc. By age, post-radiation tumor volume changes in the age group 20-39 years, 40-49 years and> 50 years of 183.42215cc, 175.36875cc, and 166.95548cc. Conclusion: It can be concluded that the largest tumor volume change which leads to radiation effectiveness and better prognosis based on stage is at stage II, based on sex is on female gender, and by age was in the age group of 20-39 years. Keywords: Tumor volume change, Post-radiation, Nasopharyngeal cancer

PENATALAKSANAAN RADIASI EKSTERNA KASUS KANKER NASOFARING TEKNIK 2D MENGGUNAKAN PESAWAT COBALT 60 R. Prahardi; Guntur Winarno; Asumsie Tarigan; Elena Marliani
JRI (Jurnal Radiografer Indonesia) Vol. 2 No. 1 (2019)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Introduction: Nasopharyngeal cancer occupies the third place as a type of malignancy in the order of the number of patients receiving radiation treatment at the radiotherapy center in Indonesia. Treatment of nasopharyngeal cancer can be done with Radiotherapy or with Chemotherapy. In RSMS for nasopharyngeal cancer cases using 2D technique using cobalt plane 60. Methods: Data collection is done by monitoring the patient at the first time to the radiotherapy installation to complete the treatment. Patients were irradiated with 2D techniques using a Cobalt 60 type GWXJ80 NPIC plane and a HMD-IB type simulator. Results: 45-year-old male patients with stage IVA were irradiated using 2D techniques, with doses for opposite lateral left right field 35x2 Gy irradiation time 47 s, supraclavicula field 25x2 Gy radiation time 73 s, etxoid field 33x2 Gy time irradiation 75 s and 8x2 Gy AP-PA field booster. Conclusion: Management of external radiation of nasopharyngeal cancer cases in RSMS using 2D technique with cobalt plane 60. Fields used there are 4 ie etmoid field, supraclavicula, opposing lateral kIri and right, and AP-PA field for booster. Keywords: radiotherapy, nasopharyngeal cancer, 2 dimension (2D), cobalt 60, radiation procedure.

PENGARUH VARIASI INTERSLICE GAP TERHADAP KUALITAS CITRA DAN INFORMASI CITRA ANATOMI PADA MRI BRAIN POTONGAN AXIAL T1WI SPIN ECHO M. Ainul Mala; Luthfi Rusyadi; Sudiyono
JRI (Jurnal Radiografer Indonesia) Vol. 2 No. 1 (2019)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Background : Interslice gap is the distance between slices, usually its value is based on the percentage of slice thickness, interslice gap is one of the parameters that can affect the quality of MRI image. Rarely are radiographers willing and able to manipulate the value of the interslice gap, so it can produce a good image. The purpose of this study is, to determine the effect of interslice gap variation on quality on MRI brain pieces axial T1WI spin echo, to know the difference of interslice gap variation to anatomical image information on MRI brain T1WI spin echo axial, to know the value of interslice gap which has an optimal anatomical image information on MRI brain T1WI spin echo axial. Methods : This type of research is quantitative and qualitative with an experimental approach. The research was conducted at the General Hospital of dr. Sardjito Yogyakarta. The data were 32 images of MRI brain T1WI spin echo from the variation of interslice gap used 0%, 10%, 20%, and 30% from slice thickness 5 mm. The test was performed on image quality that was statistically analyzed by linear regression test. While for information of anatomical image analyzed with Friedman test, from friedman test can be known information of best anatomical image, seen from mean rank. Results : The results of this study indicate that there is an effect of interslice gap variation on quality on MRI brain of T1WI spin echo axial pieces, seen from p value of SNR (0.010) and CNR (0.001) <0.05. In addition there is influence, there is also differences in anatomical image information on MRI brain pieces axial T1WI spin echo, seen from p value that is 0.001 <0.05. seen from the mean rank interslice gap 10% has the best anatomical image information. Conclusion : There is an effect of interslice gap on image quality on MRI brain axial of T1WI spin echo, there is difference of MRI brain anatomical image information of T1WI spin echo axial with interslice gap variation, interslice gap 10% value has the most optimal information.

ANALISIS INFORMASI ANATOMI PADA REKONSTRUKSI MAXIMUM INTENSITY PROJECTION (MIP) DENGAN VARIASI SLICE THICKNESS PADA PEMERIKSAAN CT ANGIOGRAFI KEPALA DENGAN KASUS TUMOR OTAK Fransisca Palupi Julanita; Siti Masrochah; Soesilo Ardi Wibowo
JRI (Jurnal Radiografer Indonesia) Vol. 2 No. 1 (2019)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Background : The existence of differences in the selection of slice thickness in the reconstruction of Maximum Intensity Projection (MIP) in the cerebral artery in some hospitals that may affect the anatomical information will require appropriate slice thickness adjustment to obtain anatomical information on CT Angiography examination in the case of brain tumor. The aim of this research is to know the difference of anatomical information on reconstruction of MIP of cerebral artery with variation of slice thickness and to find optimal slice thickness to produce anatomical information on CT Angiography examination with brain tumor case. Methods:This type of research is quantitative with an experimental approach, using a sample of 8 patients. In each patient reconstruction of cerebral artery MIP with 5 mm, 10 mm, 15 mm, 20 mm, 25 mm and 30 mm slice thickness was used. Then the results of the cerebral artery image were assessed by 3 radiologists who subjectively assessed the anatomical information by filling out the prepared questionnaires to determine the exact slice thickness that resulted in a clear cerebral artery anatomy information. Data analysis was done by Friedman test using SPSS Results: From this research can be concluded that Ho is rejected and Ha accepted which means there is difference of anatomical information on MIP reconstruction with variation of slice thickness at CT examination of head angiography with brain tumor case with value of p value < 0,001. Friedman test yields mean rank value at 30 mm slice thickness is 21,31 able to show the picture of cerebral artery that is ACA, MCA and PCA clearly when compared with slice thickness which is 5 mm, 10 mm, 15 mm, 20 mm and 30 mm. As for SOL on MIP reconstruction less clear in showing its picture with mean value value 12.00. Conclusion:CT examination of head angiography in tumor cases in MIP reconstruction should be used for 30 mm slice thickness. And to see SOL, CT Angiography head examination should use MPR reconstruction. Keywords: Maximum Intensity Projection (MIP), cerebral artery, slice thickness, CT Angiography head

RANCANG BANGUN INTEGRASI TOMBOL EKSPOSI DENGAN LAMPU TANDA RADIASI DAN PENGUNCI PINTU OTOMATIS Ali Amroji; Ismanto; Novia Legita Maharani
JRI (Jurnal Radiografer Indonesia) Vol. 2 No. 1 (2019)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Background: Generally the use of radiation sign lamp in radiology department hospitals at Jabodetabek area is still manual by pressing button the switch on or off, also the door is opened when the radiation sign lamp are on, although there is no x-ray examination in the room. This often becomes ambiguousby the public. This study aims to minimize ambiguous in order to improve radiation safety by build a miniature automatic integration system with an exposure button with a radiation sign lamp and automatic door lock for indicator radiation safety on a radiology department hospital. Method: This study uses an experimental research method, by build hardware on a miniature that resembles a radiology examination room, then tested the usage function with 3 radiographers as respondents by providing a function test form and the results processes using the formula average. Results: Respondents' answers with an average result of 3.6 showed that this miniature design was successful / able to illustrate the efforts of radiation safety and radiation protection by means of automatic work that was able to minimize the ambiguous of people's understanding of radiation signaling lamps and radiological doors.

PROSEDUR PEMERIKSAAN MRI WRIST JOINT PADA KASUS DISRUPSI DISTAL RADIOULNAR JOINT DENGAN MENGGUNAKAN GENU COIL Hendriawan; M. Irwan Katili; Dartini
JRI (Jurnal Radiografer Indonesia) Vol. 2 No. 1 (2019)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

ABSTRACT Background: Procedure of MRI wrist joint examination on disruption case of Distal Radioulnar Joint at radiology installation of RS Panti Rapih Yogyakarta using genu coil. The purpose of this research is to know the procedure of MRI wrist joint examination in DRUJ disruption case using genu coil, to know the reason for the use of genu coil for the examination of wrist joint and to know the reason for adding the PD FatSat sequence and STIR on MRI wrist joint examination. Methods: The type of this research is qualitative research with case study approach. Data collection by observation, interview, and documentation. This study was conducted from February to June 2018. Respondents in this study were 1 radiologist, 1 sending doctor and 3 radiographers, and the subjects of this study is 1 patient with diagnoses having DRUJ disorder or disruption. Data analysis in this research using interactive model. Result: The results of this study showed that the procedure of MRI wrist joint examination in DRUJ disruption case at radiology installation of RS Panti Rapih using genu coil and using 10 examination sequences were: axial PD FatSat, axial T1 FSE, axial T2 FSE, axial STIR irFSE, coronal PD FatSat, coronal T1 FSE, coronal T2 FSE, coronal STIR irFSE, sagital PD FatSat, dan sagital T1 FSE. The reason for using genu coil on the MRI wrist joint examination because genu coil can deliver the signal well, so it can produce a good picture, and because the size of the coil is large then has a wide coverage so that all of parts wrist joint is covered. The reason for the addition of FatSat and STIR sequences is FatSat to suppress fat around the wrist joint so the odim fluid or effusion fluid in the joints can be seen more clearly, and STIR sequence has a very high ability to exhibit pathological disorders. Conclusion : Procedure for MRI examination of wrist joints in disruption case of DRUJ using genu coil at Radiology Installation of Panti Rapih Hospital Yogyakarta.The reason for the wrist joint MRI examination using the coil genu becouse the result of wrist joint examination so far can produce a good picture. And the reason for the wrist joint MRI examination in disruption of DRUJ case was added by the Fat Sat and STIR sequences, which were to suppress the fat around the wrist joint so the liquid odim or effusion fluid in the joint could be seen more clearly.

PROSEDUR PEMERIKSAAN MAGNETIC RESONANCE IMAGING (MRI) BRAIN PERFUSI DENGAN METODE ARTERIAL SPIN LABELING (ASL) PADA PASIEN TUMOR Novelin Safitri Maulida; Edy Susanto; Emi Murniati
JRI (Jurnal Radiografer Indonesia) Vol. 2 No. 1 (2019)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Background : Examination procedure of Magnetic resonance imaging (MRI) Brain Perfusion in patient with tumor disease at Radiology Department of National Brain Hospital used the MR Perfusion sequence with the Dynamic Susceptibility Contrast (DSC) method with the addition of Arterial Spin Labeling (ASL) method which was also used to determine CBF values. Nevertheless CBF values can also be obtained from the use of the DSC method. The application of these two roles in patient with tumor disease certainly has their respective roles in providing accurate information for the diagnosis. The purpose of this study was to determine the role of the application of MR perfusion with the Arterial Spin Labeling (ASL) method and the Dynamic Susceptibility Contrast (DSC) method for the diagnosis of patient with tumor disease at Radiology Department of National Brain Hospital. Methods :The type of this research is qualitative with case study approach. The data were collected from March – April 2019 at at Radiology Department of National Brain Hospital by using observation method, interview with radiology specialist doctor, sending doctor, FGD, and documentation. Data obtained from the study were analyzed by making the transcript then reduced in the form of categorization table and open coding, presented in quote form and then can be drawn conclusion. Result : Brain perfusion MRI examination procedures in tumor patients begin with examination preparation, preparation of tools and materials, carry out the examination using the MRI Brain protocol with contrast and without contrast. The use of contrast uses the Dynamic Susceptibility Contrast (DSC) method and non-contrast use using the Arterial Spin Labeling (ASL) method where both complement each other to inform perfusion parameter values. Conclusion : The conclution of this study indicate still needed the application of both MR perfusion methods, namely the ASL method and the DSC method. The ASL method will provide additional information in the form of absolute values of Cerebral Blood Flow that are not affected by permeability, besides that the DSC method is able to provide Cerebral Blood Volume values that are used as a parameter of Perfusion MR evaluation. Keyword : ASL, DSC, Tumor, CBF

PERBEDAAN INFORMASI CITRA ANATOMI MRI PELVIS SEKUENS T1 WEIGHTED POTONGAN SAGITAL PADA KASUS KANKER SERVIKS DENGAN VARIASI SUPRESSION LEVEL SPECTRAL ADIABATIC INVERSION RECOVERY (SPAIR) Fitri Puspita Dewi; Luthfi Rusyadi; Sudiyono
JRI (Jurnal Radiografer Indonesia) Vol. 2 No. 1 (2019)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Background : MRI Pelvic examination with cervical cancer case using the fat suppression SPAIR method to suppress fat to get an optimal picture. In SPAIR, there are three variations of fat suppression namely Strong Supression Level, SPAIR Supression Level Medium and SPAIR Supression Level Weak. At the Radiology Installation at Saiful Anwar Malang Hospital, the pelvic MRI examination used a weak SPAIR sequence while Dr. Sardjito uses strong SPAIR. This study aims to determine differences in information on pelvic MRI anatomical images and to find out better information on anatomical images on MRI pelvis T1 weighted sagittal sequences in cervical cancer cases with variations in Supression Level Spectral Adiabatic Inversion Recovery (SPAIR) Methods : The research used quantitative research method with experimental approach where is done in Radiology Installation of Dr. Sardjito Hospital Yogyakarta. The date were collected by examining MRI Pelvic with cervical cancer cases in 6 patients. Then scanning isdone on the sagittal piece with SPAIR Strong T1 Sequence, SPAIR Mediumand SPAIR Weak. Presented to three radiologist doctors of assess. Once the image judged by the three respondents, the the assessment results are summarized and then in a statistical test using SPSS version 16.0 with the method of friedman. Results : The result showed that there were significant diference of anatomical information between the SPAIR Strong, SPAIR Medium and SPAIR Weak on the MRI pelvic exmination of the sagittal cut in case of cervical cancer with p-value 0.003 (p<0.005). the SPAIR Weak variation has better anatomical information in MRI Pelvic examination of the sagittal cut in case of cervical cancer with Mean Rank value of SPAIR Weak variation 3.00, followed by SPAIR Strong sequence with value 1.92 and low SPAIR Medium sequence with value 1.08. Conclusion : Significant values were obtained with p value = 0.003 (p <0.05) which means that there is information on anatomical information on MRI pelvis T1 weighted sagittal sequences in cervical cancer cases with the Spectral Adiabatic Inversion Recovery (SPAIR) Level suppression. Information on better anatomical images on MRI pelvis T1 weighted sagittal sequences in cervical cancer cases with the most optimal variation of Adiabatic Inversion Revovery (SPAIR) Suppression, namely weak SPAIR with mean rank of 3.00. Keywords : SPAIR, Cervices Cancer, MRI Pelvi

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Abstract

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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