Jurnal Imejing Diagnostik
Jurnal Imejing Diagnostik (JImeD) memuat tulisan ilmiah dalam bidang radiologi berupa hasil penelitian dan non penelitian (konseptual).
Jurnal Imejing Diagnostik (JImeD) terbit 2 kali dalam satu tahun yaitu pada bulan Januari dan Juli oleh Jurusan Teknik Radiodiagnostik dan Radioterapi, Politeknik Kesehatan Kemenkes Semarang.
Jurnal Imejing Diagnostik (JImeD) memuat artikel ilmiah dalam bidang radiologi, meliputi : radiografi konvensional, digital radiografi, CT scan, MRI, kedokteran nuklir, radioterapi dan ilmu lainnya yang berkaitan dengan radiologi.
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<![CDATA[IMPLEMENTATION X-RAY RADIATION SAFETY MANAGEMENT IN RADIOLOGY LABORATORY OF ‘AISYIYAH YOGYAKARTA UNIVERSITY ]]>
<![CDATA[Asih Puji Utami]]>
<![CDATA[ Jurnal Imejing Diagnostik (JImeD) Vol 5, No 1: January 2019 ]]>
Publisher : <![CDATA[Poltekkes Kemenkes Semarang ]]>
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DOI: 10.31983/jimed.v5i1.3997
<![CDATA[Background:D3 Radiology Study Program is part of the new study programs at the Faculty of Health Sciences ‘Aisyiyah Yogyakarta University, which has accepted new students since 2016. In the learning process in the laboratory role is very important to support the success of the applied curriculum. So that the radiation safety management system is required in managing the laboratory, because radiation safety management is important for laboratory users, namely lecturers, assistant lecturers, and students. The purpose of this study was to analyze the implementation of X-ray radiation safety management at the Radiology Laboratory ‘Aisyiyah Yogyakarta University.Methods: This study uses descriptive qualitative research with data collection methods conducted in-depth interviews and observations. The sampling technique used was total sampling to all radiation workers as many as 12 people. Data analysis is done by reducing data, creating categorization tables and making, open coding so conclusions can be made. While presenting data in the form of quotations.Results:The results show that in the Radiology laboratory Aisyiyah YogyakartaUniversity already has a radiation protection organizational structure component consisting of an installation employer, radiation protection officers and radiation workers (8 lecturers and 4 Lecturer assistants). Health monitoring of radiation workers has been carried out during the process of submitting x-ray equipment permits. Radiology Laboratory of University 'Aisyiyah has sufficient radiation protection equipment. As for quality assurance, equipment they have quite complete. Suitability tests for radiographic equipment have been conducted during the process of permitting equipment, during learning and training for all lecturers and teaching assistants in 2016 and 2018. Monitoring individual doses are carried out using TLD, pen dosimeter, digital dosimeter.Conclusion: Document retention has been carried out but has not been well organized. While the education and training documents are still kept by each radiation worker on his personal documents.]]>
<![CDATA[THE OPTIMIZATION OF MSCT OF URINARY TRACT USING TRACKING WITH FILTERS VARIATION ]]>
<![CDATA[Nanang Sulaksono]]>;
<![CDATA[Agustina Dwi Prastanti]]>;
<![CDATA[Vederica Farida Candra]]>
<![CDATA[ Jurnal Imejing Diagnostik (JImeD) Vol 5, No 1: January 2019 ]]>
Publisher : <![CDATA[Poltekkes Kemenkes Semarang ]]>
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DOI: 10.31983/jimed.v5i1.4011
<![CDATA[Backgroud: Kidney disease is a clinical situation which is indicated by the decreasing of kidney functions and MSCT is one of the modalities to diagnose that function. Aim to identify the differences in image information with filter variation abdomen medium smooth and Mediastinum Standard.Methods: The method was the experimental research using research planning Post Test Only Group Design. The sampling was chosen consecutively. There were 3 Radiolog and 32 citra on the examination of MSCT abdomen without positive contrast media in Salatiga Public Hospital.Results :The intervention validity experiment after a tracking filter with variations, kruskal Wallis test results. There are meaningful differences shows vlue of p value 0,000 (p0,05), so that continued analysis of the Mann Whitney. The results of the analysis of the Mann Whitney pointed out that there is a difference between real or significant group of filter Medium Smooth Abdomen with Abdominal filter Medium Sharp/Mediastinum Standard Sig0.05 p value 0.000).Conclusion: a variation of the filter is able to identify the existence of a difference image information tracktus optimal unirarius MSCT abdomen after tracking by using the best filtr Medium Sharp Abdomen/Mediastinum Standard.]]>
<![CDATA[LOPOGRAPHY EXAMINATION WITH PATIENT POST-HARTMANN PROCEDURE AT RADIOLOGY DEPARTMENT RSPAU dr. S. HARDJOLUKITO YOGYAKARTA ]]>
<![CDATA[Sri Mulyati]]>;
<![CDATA[Ismi Lulu Walidaeni]]>
<![CDATA[ Jurnal Imejing Diagnostik (JImeD) Vol 5, No 1: January 2019 ]]>
Publisher : <![CDATA[Poltekkes Kemenkes Semarang ]]>
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DOI: 10.31983/jimed.v5i1.4007
<![CDATA[Backgroud: The research has been done about lopography examination with patient post-Hartmann procedure at radiology department RSPAU dr. S. Hardjolukito Yogyakarta. This research aims to know lopography examination with patient post- Hartmann procedure, giving contrast media and to know the reason of the use AP and Oblique (RPO and LPO) projection.Methods: The type of this research is qualitative with case study approach. Data were collected by observation, interview, and documentation methods. The subject of this research are radiographers, radiologist, and referring doctor. Data analyse with Interactive models.Results: The result of the research showed that lopography examination with patient post-Hartmann procedure at radiology department RSPAU dr. S. Hardjolukito Yogyakarta is done with patient preparation diet with low fibrous, a lot of waters and fasting before examination approximately 10 hours. Giving contrast media to lopography examination with patient post-Hartmann procedure is contrast media water soluble diluted NaCl with ratio 1 : 4 . Total volume is 650 cc. Giving contrast media through anus and stoma.Conclusion: The reason of the use AP and Oblique (RPO and LPO) projection is based of radiologist advise, based on confirmation with radiologist that projection can maintain the diagnose. AP projection can show entire colon and Oblique (RPO and LPO) projection can show flexure area.]]>
<![CDATA[THE ANALYSIS OF RADIATION DOSE ON REPRODUCTIVE ORGAN IN ANTEROPOSTERIOR PROJECTION ABDOMEN RADIOGRAPHY USING 10 kV RULES METHOD ]]>
<![CDATA[Bagus Dwi Handoko]]>;
<![CDATA[Mohammad Alif Nurfathoni]]>;
<![CDATA[Akhmad Haris Sulistyadi]]>
<![CDATA[ Jurnal Imejing Diagnostik (JImeD) Vol 5, No 1: January 2019 ]]>
Publisher : <![CDATA[Poltekkes Kemenkes Semarang ]]>
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DOI: 10.31983/jimed.v5i1.4012
<![CDATA[Background: Abdomen radiography is a radiographic examination procedure in the abdominal area to show abnormalities that occur in the tractus digestivus / gastrointestinal. Radiographic examination of the abdomen is directly related to the reproductive organs that are sensitive to radiation. The purpose of this study was to find out the optimization technique of AP projection radiographic Abdomen examination with the 10 kV rule method, knowing the radiation dose received by the reproductive organs using the 10 kV rule method, knowing the quality of radiographs produced on AP projection radiographic examination using the 10 kV rule method.Methods: Jenis penelitian yang digunakan adalah penelitian Pre Eksperimental yaitu dengan melakukan pengukuran terhadap kualitas hasil radiograf dengan metode kenaikan 10 kVruledisertai penurunan mAs 50%. Pengukuran dosis radiasi dengan menggunakan alat ukur radiasi ray safe X-2, sedangkan untuk pengukuran kualitas dilakukan secara kuantitatif nilai pixel value dan visual citra.Method: The type of research used in this study is Pre Experimental research, namely by measuring the quality of the results of the radiograph by increasing the method of 10 kV rule with a decrease of 50% mAs.Results :The results of radiation dose measurements received by the AP projection reproductive organs with standard exposure factors (1) are kV 70 and mAs 32 is 8.33 mGy. In the exposure factor (2) kV 80 and mAs 16 is 5.50 mGy. Exposure factor (3) with kV 90 and mAs 8 radiation doses received at reproductive organs are 3.47 mGy and exposure factor (4) with kV 90 and mAs 4 produce radiation doses of 1.18 mGy. The highest contrast value (Δ pixel value) of each exposure factor is the exposure factor (2) kV 80 mAs 16, then the exposure factor (3) kV 90 mAs 8. The lowest Contrast value ((pixel value) is the exposure factor. (4) kV 100 mAs 4. The results of radiographic quality assessment on Abdomen examination of AP projection show that by visual assessment of radiographic specialists showed that the exposure factor that produced the most optimal Abdomen radiography was exposure factor 3 at kV 90 and mAs 8.Conclusion: Optimal abdominal radiographic examination with a low radiation dose can use exposure factors of kV 80 mAs 16 and kV 90 mAs 8.]]>
<![CDATA[RADIATION EXPOSURE PROFILE IN RADIOLOGICAL DEPARTMENT TO SUPPORTING PROTECTION PROGRAMS IN HOSPITALS / RADIOLOGICAL CLINIC LABORATORY IN SEMARANG CITY ]]>
<![CDATA[Dwi Rochmayanti]]>;
<![CDATA[Siti Daryati]]>;
<![CDATA[Darmini Darmini]]>;
<![CDATA[Yeti Kartikasari]]>
<![CDATA[ Jurnal Imejing Diagnostik (JImeD) Vol 5, No 1: January 2019 ]]>
Publisher : <![CDATA[Poltekkes Kemenkes Semarang ]]>
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DOI: 10.31983/jimed.v5i1.3999
<![CDATA[Background: All acts of radiation use, both for diagnostics, therapy and nuclear medicine, must go through a process of justification, limitation and optimization so that patients, officers and the surrounding environment get as much diagnostic benefit as possible with the smallest possible radiation risk. Some problems that arise in the Hospital / clinic, often ignore and do not pay attention to work exposure safety factors. The purpose of this study was to determine the profile of occupational radiation exposure and the effectiveness of radiation shielding in the radiology department of the Semarang city then compared to the reference dose to determine the optimization of radiation protection.Methods: The type of research conducted is quantitative research with a survey and observational approach. Exposure measurements were carried out in 5 radiology department, which included 3 hospitals and 2 clinical laboratories. Documents and room observations are also carried out. For the effectiveness of the radiation barrier it is also measured before and after the radiation shielding by using a surveymeter tool. The results data are then presented in descriptive analyses.Results: The results of the study of radiation exposure profiles in five radiology institutions, four institutions there was radiation exposure recorded on the surveymeter tool, with the largest exposure value was 0.099 mSv / h (still below the safe limit of 1 mSv / year). Only one hospital is safe, and there are no leaks.Conclusions: The effectiveness of the radiation retaining wall, four hospitals have a barrier level equal to 1 mm Pb at 80 kVp irradiation, and 1 hospital (RSJ) has a radiation barrier equivalent to 0.5 mmPb.]]>
<![CDATA[DESCRIPTION ABSORPTION DOSE OF CHILDREN X-RAY THORAX IN RADIOLOGY INSTALATION DR ARIO WIRAWAN SALATIGA ]]>
<![CDATA[Siti Daryati]]>;
<![CDATA[Rini Indrati]]>;
<![CDATA[Novriyati Wahyu Illahi]]>
<![CDATA[ Jurnal Imejing Diagnostik (JImeD) Vol 5, No 1: January 2019 ]]>
Publisher : <![CDATA[Poltekkes Kemenkes Semarang ]]>
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DOI: 10.31983/jimed.v5i1.4004
<![CDATA[Backgroud:One of the most frequent radiological examinations is the child's thorax. Children have high organ sensitivity to radiation because their organs are not yet mature. The purpose of this study was to determine the radiation dose received by children during the examination of the thorax at Instalasi Radiology Rumah Sakit Paru dr. Ario Wirawan Salatiga.Methods:This research is a quantitative research with the observational approach. Research done by mounting the chip TLD in the body of the child, samples used is 10 pediatric patients 1-15 years. Then the radiation dose compared to the dose limit values recommended by UNSCEAR, for children aged 1-4 years the safe dose limit of 0.03 mGy, children 5-9 years 0.04 mGy, and for children 10- 15 years 0.05 mGy.Results: Results of measurement of radiation absorbed dose for children 1-4 years old highest by 0.116 mGy and the lowest was 0.044 mGy. For children 5-9 years the highest absorbed dose of 0.130 mGy and the lowest was 0.036 mGy, while for children 10-15 years acceptable dose of 0.043 mGy.Conclusion:Results of measurement of radiation dose in Instalasi Radiology Rumah Sakit Paru dr. Ario Wirawan Salatiga is then compared with the recommendations issued by UNSCEAR (2000) in children 1-4 years absorbed dose received exceeds the allowed limit (0.03 mGy) for receiving the average absorbed a dose of 0.085 mGy. In children 5-9 years absorbed dose received also exceeded the allowed limit (0.04 mGy) for receiving absorbed dose by an average of 0.092 mGy, while the absorbed dose in children 10-15 years who received still within safe limits (0.05 mGy) for receiving a dose of 0.043 mGy.]]>
<![CDATA[RADIATION DOSE ESTIMATION WITH CALDOSE_X VERSION 5.0 IN RADIOLOGICAL LABORATORY DEPARTMENT OF RADIODIAGNOSTIC AND RADIOTHERAPY TECHNIQUE ]]>
<![CDATA[Agung Nugroho Setiawan]]>
<![CDATA[ Jurnal Imejing Diagnostik (JImeD) Vol 5, No 1: January 2019 ]]>
Publisher : <![CDATA[Poltekkes Kemenkes Semarang ]]>
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DOI: 10.31983/jimed.v5i1.3995
<![CDATA[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.]]>
<![CDATA[ANTI RADIATION BUILDING DESIGN: LOCAL SAND TYPE ANALYSIS TO GET CONCRETE X-RADIATION RESISTANT X-RAY ]]>
<![CDATA[Muhammad Fakhrurreza]]>;
<![CDATA[Fisnandya Meita Astari]]>
<![CDATA[ Jurnal Imejing Diagnostik (JImeD) Vol 5, No 1: January 2019 ]]>
Publisher : <![CDATA[Poltekkes Kemenkes Semarang ]]>
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DOI: 10.31983/jimed.v5i1.4001
<![CDATA[Background : There are three ways to protect yourself from the danger of radiation, namely by regulating the length of irradiation (the effect of time), the use of anti-radiation material (shielding), and adjusting the distance from the radiation source (distance). In order to be safe in carrying out x-ray irradiation, patients and operators must take three steps so that radiation hazards can be minimized (Nunung, 2004). One way to check the danger of external radiation is to use a radiation barrier. This method is generally preferred, because it creates safe working conditions. Besides that the time and distance factors can be monitored continuously at the time of work, so that radiation workers can be guaranteed safety.Methods: This research is quantitative research with an experimental approach. The method of data collection in this study is observation, direct experiments and documentation. The types of sand to be used in this study are south beach sand, opaque sand, progo sand, white mountain sand and volcanic sand.Result : Concrete using sand material from South Beach has the lowest HVL value of 0.8644cm. Conclusion :The HVL value possessed by concrete with South Beach sand material is most effective in resisting x-ray radiation.]]>
<![CDATA[RADIATION DOSE REDUCTION ON BREAST AREA BY USING LEAD APRON: A PRE-EXPERIMENTAL STUDY IN ABDOMINAL CT ]]>
<![CDATA[Akhmad Haris Sulistiyadi]]>;
<![CDATA[Susi Tri Isnoviasih]]>;
<![CDATA[Dartini Dartini]]>;
<![CDATA[Eri Hiswara]]>
<![CDATA[ Jurnal Imejing Diagnostik (JImeD) Vol 5, No 1: January 2019 ]]>
Publisher : <![CDATA[Poltekkes Kemenkes Semarang ]]>
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DOI: 10.31983/jimed.v5i1.3987
<![CDATA[Backgroud: Previous researches show that the use of out of plane shielding can reduce the radiation dose received by radiosensitive organs around the scan area on CT scan. There is a special shielding designed for CT scans, but currently the type of shielding available in almost all radiology installations is the lead apron. This study aims to determine the dose received by the breast area on CT abdominal scan without shielding and its reduction by giving lead apron shielding on 1800 and 3600.Methods:This is quantitative research with a pre-experimental design. Abdominal CT scan was performed on a whole body CT phantom whose characteristics are close to human body tissue. The radiation dose received by the breast area was measured by Termoluminisence-dosemeter (TLD). TLD’s were placedon the same points. Scanning was performed using Siemens Somaris/5 Syngo, repeated in three conditions: without shielding, lead apron shielded (equivalent to 5 mm Pb) by 1800 and 3600. The rouitne protocol was used (120 kv and 200 mA) Data was analyzed by Paired t-test to determine the difference in radiation dose received and descriptive analysis for know the level of reduction.Results:The radiation dose received by the breast area without shielding, with shielding 1800, and with shielding 3600 were respectively 0.653 mSv, 0.367 mSv, and 0.242 mSv. There were significant differences in the dose received by the breast area (p value 0.05) by using shielding. Compared to unshieldied condition, there was a decrease of 43.95% when shielded 1800, and a decrease of 62.94% when shielded 1800.Conclusion:Lead apron is effective for reducing radiation dose on breast in abdominal CT. 3600 shielding provides higher reduction than 3600 shielding, so it can be considered to be applied in clinical procedure.]]>
