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ANALISIS INFORMASI CITRA ANATOMI MSCT SCAN ORBITA POTONGAN AXIAL DENGAN VARIASI KERNEL DENGAN WINDOW SINUS DAN WINDOW BASE ORBITA PADA KASUS TRAUMA Endang Dwi Endarti; Jeffry Ardianto; Andrey Nino Kurniawan
JRI (Jurnal Radiografer Indonesia) Vol. 2 No. 2 (2019)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Background: Trauma on the Orbits is very precisely evaluated by MSCT Scan and can analyze well the bone structure and surrounding soft tissue. One of the main parameters on MSCT Scan is the algorithm or kernel reconstruction. The improper use of the kernel can affect spatial resolution and contrast resolution, so evaluating MSCT Scan image information of Orbits with the use of window and the kernel variation is the main problem discussed. The purpose of this study was to determine differences in anatomical information on MSCT Scan of Orbits images with sinuses window variations and base orbits window with kernel of H30s Medium Smooth, H40s Medium, H70s Sharp in trauma cases and find out the best window and kernel variations in displaying anatomical information of Orbits MSCT Scan. Methods: This research is quantitative research. The research subjects were 2 Radiology Specialists as research respondents. The sample used was 10 patients. The raw data acquisition that has been obtained is reconstructed into a sinuses window and orbits base window with kernel H30s Medium Smooth, H40s Medium, H70s Sharp. Data obtained between respondents were carried out by the Cohen’s Kappa test, then the Friedman test with significance <0.05 and the best variation was obtained from the mean rank Friedman test. Results: The results of the study show that. In the variation of medium smooth H30s window and medium H40s and very sharp H70s sinus window featuring orbital walls. and most clearly in the sinus window H70s very sharp. In the window base the orbitals H30s medium smooth and H40s medium. Show clarity in the anterior chamber, lens and medial rectus muscle. Conclusion: The orbital H70s window base is very sharp showing clarity on the optic nerve, anterior chamber, lateral rectus muscle and orbital wall. Based on the results of the mean rank, the Friedman test showed that variations in the orbits window base with the Sharp H70s kernel were the best variations in each anatomic area.

PENGARUH PENEMPATAN ISOCENTER TERHADAP KUALITAS CITRA DAN INFORMASI CITRA ANATOMI MRI BRAIN T1 FAST SPIN ECHO POTONGAN SAGITAL DI NASION DAN GLABELLA Jackwin Surya. D. B; Sigit Wijokongko; Nanang Sulaksono
JRI (Jurnal Radiografer Indonesia) Vol. 2 No. 2 (2019)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Background : Before conducting an MRI examination, there will be a positioning. One of the positions carried out is the placement of isocenter. Isocenter is a magnetic center point where each gradient will be centered at that midpoint (Brown and Semelka, 2010). Different isocenter placements can affect image quality (Caramanos et al, 2010). In practical experience in the Telogorejo Semarang SMC Hospital, the placement of the isocenter in the nation while in Dr. Soetomo and Premier Surabaya Hospital placed Isocenter in Glabella. To examine the effect of isocenter placement on image quality and MRI brain T1 fast spin echo anatomical image information in the nasion and glabella and determine the optimal isocenter placement between the nasion and glabella. Method : This type of research is quantitative with an experimental approach. This research was conducted at Telogorejo SMC Hospital Semarang. Data in the form of 16 MRI images of sagittal brain pieces of T1 Fast Spin Echo weighting on isocenter placement in the nasion and glabella of 8 volunteers. Testing is done using the SPSS program where the image quality is analyzed by linear regression test, while for anatomical image information is analyzed by the Wilcoxon test. Result : The results of this study indicate that there is an effect of isocenter placement on the quality of MRI brain images of T1 fast spin echo sagittal pieces as seen from p value SNR (0.039) and CNR (0.010) <0.05 and from SNR percentage effect of 16.85% while CNR of 5, 8%. in addition to the influence, there are also differences in the anatomical image information of the MRI brain T1 fast spin echo sagittal section which is seen from the p value generated is 0.001 <0.05. Conclusion : Judging from the mean rank per anatomy, isocenter placement in the nasion is optimal in providing information on the mesencephalon, medulla oblongata, and cerebral subarachnoid space.

PERBEDAAN INFORMASI ANATOMI CITRA CT-SCAN SINUS PARANASAL POTONGAN CORONAL DENGAN VARIASI REFORMAT SLICE THICKNESS PADA KASUS RINOSINUSITIS KRONIS Safina Yulianarrahma; Bekti Safarini; Nanang Sulaksono
JRI (Jurnal Radiografer Indonesia) Vol. 2 No. 2 (2019)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Background : Chronic rhinosinusitis is defined as inflammation of the nose characterized by two or more symptoms, one of which should be either obstruction, facial pain pressure, reduction of smell for more than 12 weeks. Multiplanar reconstruction is a computer program that can create coronal, sagittal, and paraxial images from a stack of contiguous transverse axial scans. There are several parameters that support CT-Scan image quality, one of which is slice thickness. The slice thickness is an incision where the value chosen by the operator is in accordance with clinical requirements. The purpose of this research is to find out difference of image anatomic information in coronal ct scan paranasal sinuses with reformat slice thickness variations in chronic rhinosinusitis and the optimal reformat slice thickness. Method : This type of research is an experimental quantitative that was located in the Radiology Installation of dr. Moewardi Hospital Surakarta on March-May 2019. This research used 8 samples and 3 respondents, where slice thickness coronal was reformatted with variations 1 mm, 1,5 mm, 2 mm, 2,5 mm, and 3 mm. Anatomical criteria assessed were nasal septum deviation, mucosal thickening, and concha bullosa. In this research, Kappa test was conducted to determine the degree of allignment between respondents. Then analyzed by Friedman test to determine difference of image anatomic information in coronal ct scan paranasal sinuses with reformat slice thickness variations in chronic rhinosinusitis and to find out which the optimal reformat slice thickness by looking at the highest mean rank. Result : The results of this research showed a significant difference between the use reformat slice thickness variations to the anatomy criteria with p value < 0,05. Reformat slice thickness 1 mm seems very clear on nasal septum deviation, mucosal thickening, and concha bullosa, 1,5 mm and 2 mm seems very clear on nasal septum deviation and mucosal thickening, 2,5 mm seems very clear on nasal septum deviation, 3 mm seems very clear on nasal septum deviation and concha bullosa. Conclusion : Based on the result that there is a difference of image anatomic information in coronal CT-Scan paranasal sinuses in chronic rhinosinusitis with the most optimal reformat slice thickness is 1 mm.

PROSEDUR PEMERIKSAAN MSCT ANGIOGRAFI KEPALA DENGAN KLINIS STROKE Karina Widya Armelia; Jeffri Ardiyanto; Andrey Nino Kurniawan
JRI (Jurnal Radiografer Indonesia) Vol. 2 No. 2 (2019)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Background : Reconstruction used to showing the patology of stroke is MPR (Multi Planar Reconstruction). Procedure reformat and filming of MSCT Angiography examination with the clinical of stroke in Radiology Hospital Dr. Moewardi just used 3D MIP, but there was dissatisfaction with the radiologist, so the radiologist do additional reformat independently. The purpose of this study was to explain the procedure of head angiography with MSCT examination in case of stroke to know the reason for head Angiography scanning and to know the reason for using reformat and filming just in 3D MIP. Methods : The type of research used a qualitative researchwith case study appoarch. The data were collected from March to April at Radiologi Hospital Dr. Moewardi by observation, interview with radiology technologist, radiologost and referring physician, and also documentation. Data were analyzed by using interactive model. Results : The result of the research shows that the procedure of Head Angiography examination with MSCT in stroke cases is done by the area from mandibula to vertex. Injection contrast media 370 mg/mL in intra vena with 90 mL and ringer laktat 30 mL. The examination began with scanning of the scanogram, pre contrast, and post contrast. Reformat and filming just in 3D MIP with AP projection, lateral, right oblique and left oblique several in positive and negative. Conclusion : The reason reformat and filming just in 3D MIP because it has revealed vascularization from various angles to be evaluated and the results obtained look like a picture of Digital Substraction Angiography (DSA), making it easier for the referring physician to carry out further examination of coiling with the DSA method.

TATA LAKSANA BRAKHITERAPI CO-60 TEKNIK INTRAKAVITER LENGKAP PADA KASUS KANKER SERVIKS Nugroho Yudho Susilo; Rini Indrati; Nanang Sulaksono
JRI (Jurnal Radiografer Indonesia) Vol. 2 No. 2 (2019)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Background: Brachytherapy is a radiation treatment by bringing radiation sources closer to the primary tumor which aims to provide additional therapeutic doses (booster) after external radiation administration so that the optimal dose will be achieved. In general brachytherapy uses closed radioactive sources namely Radium, Cobalt-60, Cesium- 137, and Iridium-192.Intracaviter technique is a type of brachytherapy technique in which the radiation source is placed in a hilt and inserted into a body organ that contains a tumor. to obtain the optimal dose distribution. Methods: The type of research used is qualitative research with a case study approach. The study was conducted by observation, documentation and interviews. The subjects of this study were one radiation oncology specialist, one medical physicist, one radiotherapy radiographer, and one radiotherapy nurse at the Radiotherapy Installation of Dr. Moewardi Hospital. Stages The data analysis in this study used the data analysis method which was done descriptively using interactive models. Results: The results showed that the management of radiotherapy in cervical cancer patients at Radiotherapy Hospital Dr. The procedure consists of several procedures, namely the control of a specialist oncologist of radiation after external radiation, supporting examinations (check vital signs, laboratory, ECG, and chest X-ray), undergoing hospitalization a day before irradiation of brachytherapy, spinal anesthesia before applying the applicator, applying an applicator, simulating the position of the applicator with AP and Lateral x-ray projections, calculating the dose (2 x 850 cGy) and irradiation time in the TPS (Treatment Planning System) room based on the Manchester system dose distribution, and irradiation in the brachytherapy room. Conclusion: Management of brachytherapy consists of several procedures, namely the control of radiation oncology specialists, supporting examinations, undergoing hospitalization the day before exposure, spinal anesthesia, applying applicators, simulating applicator positions, calculating doses and exposure time in the TPS (Treatment Planning System) ) based on the Manchester system dose distribution, and carried out irradiation in the brachytherapy room. The reason for using three Co-60 sources in one fraction of brachytherapy irradiation is because it can shorten the irradiation time and minimize the time error arising when the source moves. Evaluation of Co-60 brachytherapy patients in cervical cancer cases can be estimated in the form of tumor response, in patients experiencing total response and not experiencing side effects such as cystitis or progitis.

PERBEDAAN INFORMASI ANATOMI CITRA MRI CERVICAL PADA KASUS HERNIA NUCLEUS PULPOPUS (HNP) DENGAN SEKUEN T2W FAST SPIN ECHO (FSE) ANTARA PENGGUNAAN FLOW COMPENSATION DAN TANPA FLOW COMPENSATION Nidaa Azmii Susdiningtyas; Farrah Hendara Ningrum; Nanang Sulaksono; Sudiyono
JRI (Jurnal Radiografer Indonesia) Vol. 2 No. 2 (2019)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Background : Flow compensation is one technique that can reduce artifacts due to the flow of cerebrospinal fluid in MRI examination of the cervical in cases of Hernia Nucleus Pulposus specifically in T2 Weighted Fast Spin Echo (FSE) sequence images. Method : This research is quantitative study with an experimental approach. This study using 10 pasient at Cempaka Putih Hospital in Jakarta. Wilcoxon test to determine the level of cervical MRI anatomical information distribution in the case of HNP between using flow compensation and without flow compensation, mean rank value to get the better image information. Result : From the results of statistical tests, it is known that there are differences in Cervical MRI image information in the HNP case with the T2W FSE between the use of flow compensation and without flow compensation as indicated by the p-value 0.000 (p-value ≤ 0.05), this difference is due to flow compensation which can suppress flow artifacts on objects resulting in a better picture. The mean rank value in the overall anatomy of the MRI Cervical MRI image shows a better value using flow compensation with the highest value in the anatomy of the intervertebral disc, CSF, and spinal cord, 5.00 in axial view. Whereas the sagittal view in the anatomy of the vertebral corpus and spinal cord show the same value between using flow compensation and without flow compensation. Conclusion : There are differences in overall anatomical image information of MRI Cervical using flow compensation and without Flow compensation except corpus vertebralis and spinal cord in sagital view.

PENGARUH PERUBAHAN SUDUT GANTRY TERHADAP NOISE PADA PEMERIKSAAN CT SCAN DENGAN TEKNIK SEQUENCE Afif Akhsani; Luthfi Rusyadi; Fatimah
JRI (Jurnal Radiografer Indonesia) Vol. 2 No. 2 (2019)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Background: Noise is a fluctuation in the value of CT number and Standard Deviation which is one parameter in the assessment of CT Scan image quality. This study aims to see the effect of changes in the angle of the gantry on noise and conformity with the BAPETEN standard of the value of the CT Number and Standard Deviation fluctuations produced. Methods: This type of research is quantitative with an experimental approach. The research subjects used water phantom to assess the value of CT Number and Standard Deviation by placing ROI on the resulting image. The SPSS test is used to see the relationship between changes in noise and noise. CT Number, Uniformity and Noise Uniformity tests are performed to assess CT Number and Standard Deviation in accordance with BAPETEN regulations. Results: An increase in noise is indicated by fluctuations in the value of CT Number and Standard Deviation resulting from the placement of the ROI at the center of each image produced by each change in the angle of the gantry. The average value of CT Number at the gantry angle 00 (-1.43), 50 (-1.48), 100 (-1.47), 150 (-1.58), 200 (-1.62), 250 (-1.68), 300 (-1.7). The average value of the Standard Deviation at the 00 gantry angle (2.36), 50 (2.35), 100 (2,3), 150 (2,33), 200 (2,42), 250 (2,57), 300 (2.62). There is a significant relationship to the Pearson correlation test between changes in gantry angle and CT Number and Standard Deviation values. CT Number, Uniformity, and Noise Uniformity Test results were used to assess the fluctuations of CT Number and Standard Deviation due to changes in the angle of the gantry in accordance with the standard BAPETEN No. 2 of 2018 on all changes in the 00 gantry angle to -300 with a range of 50. Conclution:. Noise fluctuations are caused by changes in the thickness of the scanning area object from changes in the gantry angle. The greater the change in angle of the gantry, the greater the thickness of the scanning area object. Changing the gantry angle causes the scanning area to change from the circle to the ellipse.

ANALISIS FAKTOR PENYEBAB REPEAT EXPOSURE CITRA DIGITAL DENGAN MENGGUNAKAN COMPUTED RADIOGRAPHY (CR) Dwi Lestari; Fatimah
JRI (Jurnal Radiografer Indonesia) Vol. 2 No. 2 (2019)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Background:Repeat Analysis Program is a documenting system of digital image repetition and determining cause of them, so it can be minimize or reduce repetition number. The research purposes are to know percentage of exposure repetition, causative factor of repetition and to determine the solutions for reduce repetition number. Methods: This type of this research is a descriptive quantitative with a survey method approach. Data was taken since March to April, 2018 at Radiology Installation of Islamic Hospital Klaten by took some samples of digital image exposure repetition from all radiological examinations either contrast or not. Being did Focus Group Discussion with five respondents. Data was processed and made a Pareto diagram to knew the cause of dominant factor for digital image repetition and made a fishbone diagram to determined the solution based on the cause of image repetition. Results: Results showed a total repeat rate at March to April 2018 is 3,43%. The result is surpass the remommended limit of KMK No. 129/Menkes/SK/II/2008 which ≤ 2%. The main cause is positioning (43,06%), and the type of examination that is thorax (57,66%). Conclution: The solutions are to improve the radiographer skills in positioning non-cooperative patients, determination of exposure factor, and giving education to patient.

ANALISA PEMERIKSAAN GENU JOINT PROYEKSI ANTEROPOSTERIOR (AP) POSISI SUPINE DENGAN VARIASI PENYUDUTAN CENTRAL RAY Dwi Laila Sukmawati; Tris Budiyono; Puput Khusniatul M; Muhammad Faik
JRI (Jurnal Radiografer Indonesia) Vol. 2 No. 2 (2019)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

ABSTRACT The purpose of this study was to determine the different information on the greatest open joint gap with the variation of central ray angling in the genu joint examination. This type of research employed descriptive quantitative research with an experimental approach on three volunteers with pelvic thickness of 25 cm, 20 cm, and 16 cm measured from the anterior superior iliac spines (ASIS) to the examination table surface.. The results showed that the greatest open joint gap was in the genu joint Anteroposterior projection (AP) with pelvic thickness of 25 cm and 20 cm, respectively 5.21 mm and 8.74 mm at 50 cephalad central ray obstruction. The largest open joint gap in the pelvic thickness of 16 cm was 5.94 mm in the 50 caudad central ray angle.

PERBEDAAN DENSITAS DAN KONTRAS THORAX DENGAN MENGGUNAKAN GRID DAN TANPA GRID Asih Puji Utami; Justhika Anggriani; Anisa Nur Istiqomah
JRI (Jurnal Radiografer Indonesia) Vol. 2 No. 2 (2019)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

ABSTRACT Thorax examination involves the projection of Posterior Anterior, Posterior Anterior and Lateral Anterior. When doing a thorax examinationin a standing position, the object must face the bucky PA or Lateral projection stand. The study aims to determine the difference between density and thorax radiograph contrast using a grid and without a grid. The study employed quantitative descriptive method. The results show that radiographs using grids had a low density and high contrast due to the grid function which absorbed scattered radiation coming out of X-ray tubes, so that the image could distinguish between soft tissue, bone and mediastinum. Whereas on a no-grid radiograph, it had high density and contrast because all the radiation coming out of the X-ray tube was absorbed by the image receptor, therefore the resulting image was too black and not optimal in distinguishing soft tissue, bone and mediastinum. In examining the thorax, it will be more optimal by using a grid, but it can also be regulated by exposure factors.

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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