Background: Vertigo is a symptom that arises as a result of disturbances in the balance of the vestibular system or disorders of the central nervous system. A radiological examination that can detect clinical vertigo is an MRI examination. There is a difference in the MRI Brain examination protocol for clinical vertigo between theory and the field, namely the addition of the 3D CISS protocol. The aim of this research is to determine the role of adding 3D CISS to MRI Brain examinations in clinical vertigo.Methods: This research is qualitative descriptive research, use 10 patients, and do in January to November 2023. Data was collected by observation, conducting interviews and questionnaires. This research use 13 sequences, namely Axial T2 TSE, DWI, Axial T2 TSE Dark Fluid, T2 SWI, Sagittal T1 TSE, Sagittal T2 TSE FS, Axial T1 TSE, Coronal T2 TSE, Coronal T1 TSE, Axial T1 TSE, Coronal, Sagittal + Contrast with cuts at the upper border of the vertex and the lower border of the cerebellum and T2 3D CISS axial isotropic sequences for the cuts used, namely at the level of the sponge, showing the vestibulocochlear cranial nerve (VIII).Results: The results of the assessment on the T2 3D CISS Axial Isotropic sequence showed that anatomical detail was clearly visible as much as 75% and the spatial resolution was clearly visible as much as 75%.Conclusions: Brain MRI examination with clinical vertigo provides information that helps in understanding the causes of vertigo, allowing for a more accurate and effective treatment approach.
{"title":"Evaluasi Pemeriksaan MRI Brain dengan Klinis Vertigo di Rumah Sakit Otak dr. Drs. M. Hatta Bukittinggi","authors":"Mahfud Edy Widiatmoko, Asumsie Tarigan, Muslimatul Husna","doi":"10.31983/jimed.v10i1.10970","DOIUrl":"https://doi.org/10.31983/jimed.v10i1.10970","url":null,"abstract":"Background: Vertigo is a symptom that arises as a result of disturbances in the balance of the vestibular system or disorders of the central nervous system. A radiological examination that can detect clinical vertigo is an MRI examination. There is a difference in the MRI Brain examination protocol for clinical vertigo between theory and the field, namely the addition of the 3D CISS protocol. The aim of this research is to determine the role of adding 3D CISS to MRI Brain examinations in clinical vertigo.Methods: This research is qualitative descriptive research, use 10 patients, and do in January to November 2023. Data was collected by observation, conducting interviews and questionnaires. This research use 13 sequences, namely Axial T2 TSE, DWI, Axial T2 TSE Dark Fluid, T2 SWI, Sagittal T1 TSE, Sagittal T2 TSE FS, Axial T1 TSE, Coronal T2 TSE, Coronal T1 TSE, Axial T1 TSE, Coronal, Sagittal + Contrast with cuts at the upper border of the vertex and the lower border of the cerebellum and T2 3D CISS axial isotropic sequences for the cuts used, namely at the level of the sponge, showing the vestibulocochlear cranial nerve (VIII).Results: The results of the assessment on the T2 3D CISS Axial Isotropic sequence showed that anatomical detail was clearly visible as much as 75% and the spatial resolution was clearly visible as much as 75%.Conclusions: Brain MRI examination with clinical vertigo provides information that helps in understanding the causes of vertigo, allowing for a more accurate and effective treatment approach.","PeriodicalId":205622,"journal":{"name":"Jurnal Imejing Diagnostik (JImeD)","volume":"299 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140453829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-16DOI: 10.31983/jimed.v10i1.11076
Agustina Dwi Prastanti, Haris Sulistiyadi, Halinda Fatmayanti
Background: The oblique lumbar examination has been carried out. The position of object isn't object angle at 45° to the image receptor, but only estimate it. It caused not optimal image of scottie dog sign and spondylolysis (pressure in pars interarticularis). Therefore, an examination aid is needed to make it easier to obtain the position of the oblique lumbar object.Methods: This research design is a RnD study with the ADDIE model which is carried out with five stages, namely analysis, design, development, implementation, and evaluation. The data is carried out by observing, designing, testing, and analyzing whether there are artifacts.Results: An oblique lumbar radiographic examination fixation aid was produced from acrylic material with a thickness of 5 mm. Acrylic is shaped like a right-angled triangular prism building which has a longer base measuring 50 cm, width 42 cm, and height 25 cm. A rectangular base with a length of 50 cm is pressed against the patient's body so that the supporting part of the angled triangle that supports the patient's lumbar region or the patient's body does not shift during an oblique lumbar radiography examination. This tool has a mass dimension of 2.5kg.Conclusion: The design of the oblique lumbar radiographic examination fixation tool resembles a right-angled triangular prism with one side tilted at a 45 degree angle to adjust the position of the object so that it can obtain a good view of the Scottie dog sign to show part of the pars interarticularis.
{"title":"Rancang Bangun Alat Bantu Fiksasi Pemeriksaan Radiografi Lumbal Oblik","authors":"Agustina Dwi Prastanti, Haris Sulistiyadi, Halinda Fatmayanti","doi":"10.31983/jimed.v10i1.11076","DOIUrl":"https://doi.org/10.31983/jimed.v10i1.11076","url":null,"abstract":"Background: The oblique lumbar examination has been carried out. The position of object isn't object angle at 45° to the image receptor, but only estimate it. It caused not optimal image of scottie dog sign and spondylolysis (pressure in pars interarticularis). Therefore, an examination aid is needed to make it easier to obtain the position of the oblique lumbar object.Methods: This research design is a RnD study with the ADDIE model which is carried out with five stages, namely analysis, design, development, implementation, and evaluation. The data is carried out by observing, designing, testing, and analyzing whether there are artifacts.Results: An oblique lumbar radiographic examination fixation aid was produced from acrylic material with a thickness of 5 mm. Acrylic is shaped like a right-angled triangular prism building which has a longer base measuring 50 cm, width 42 cm, and height 25 cm. A rectangular base with a length of 50 cm is pressed against the patient's body so that the supporting part of the angled triangle that supports the patient's lumbar region or the patient's body does not shift during an oblique lumbar radiography examination. This tool has a mass dimension of 2.5kg.Conclusion: The design of the oblique lumbar radiographic examination fixation tool resembles a right-angled triangular prism with one side tilted at a 45 degree angle to adjust the position of the object so that it can obtain a good view of the Scottie dog sign to show part of the pars interarticularis.","PeriodicalId":205622,"journal":{"name":"Jurnal Imejing Diagnostik (JImeD)","volume":"456 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140454075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: To get good MRI image quality, a special coil is designed according to the type of examination with various types and sizes so that it can be adjusted to the body to be examined so that the selection of coil is very important in MRI examination. At Dr.R.Soeharso Surakarta Orthopedi Hospital, it was found on an MRI examination of the ankle joint using a foot ankle coil and also sometimes also using a flex coil. The purpose of this study was to determine the difference in anatomical information of ankle joint MRI examination on Proton Density Fat Saturation Sagittal Slices using foot ankle coil and flex coil. Methods: This research is quantitative research with an experimental approach. This research was conducted on 10 volunteers. Respondents assessed image information on the anatomy of the Achilles tendon, talocalcaneal ligament, tibiofibular ligament, talofibular ligament, talotibial ligament, tenton flexor digitorum, extensor digitorum tendon, os calcaneus, os tallus, os tibia. Results: Ten probandus were performed MRI examination of ankle joint, proton density weighting, sagittal slice using foot ankle coil and flex coil. Images are produced that can show predetermined anatomical information, namely: Achilles tendon, talocalcaneal ligament, tibiofibular ligament, talofibular ligament, talotibial ligament, tenton flexor digitorum, extensor digitorum tendon, os calcaneus, os tallus, os tibia. Based on Wilcoxon's nonparametric statistical test in table shows that the resulting p value is 0.001 (p-value is 0.05) which means that there is a significant difference in the overall anatomical information of ankle joint MRI examination on the use of foot ankle coil and flex coil proton density fat saturation sagittal slices and mean rank results (28.50) foot ankle coil (0,001) flex coil.Conclusions: The anatomical information produced in the use of foot ankle coil is better than the anatomical information produced by flex coil on MRI examination of ankle joint proton density fat saturation sagittal slice.
{"title":"Analisis Informasi Anatomi Pemeriksaan MRI Ankle Joint pada Penggunaan Foot Ankle Coil dan Flex Coil Proton Density Fat Saturation Irisan Sagital","authors":"Yeti Kartikasari, Andrey Nino Kurniawan, Subhan Syarif Hidayat","doi":"10.31983/jimed.v10i1.10268","DOIUrl":"https://doi.org/10.31983/jimed.v10i1.10268","url":null,"abstract":"Background: To get good MRI image quality, a special coil is designed according to the type of examination with various types and sizes so that it can be adjusted to the body to be examined so that the selection of coil is very important in MRI examination. At Dr.R.Soeharso Surakarta Orthopedi Hospital, it was found on an MRI examination of the ankle joint using a foot ankle coil and also sometimes also using a flex coil. The purpose of this study was to determine the difference in anatomical information of ankle joint MRI examination on Proton Density Fat Saturation Sagittal Slices using foot ankle coil and flex coil. Methods: This research is quantitative research with an experimental approach. This research was conducted on 10 volunteers. Respondents assessed image information on the anatomy of the Achilles tendon, talocalcaneal ligament, tibiofibular ligament, talofibular ligament, talotibial ligament, tenton flexor digitorum, extensor digitorum tendon, os calcaneus, os tallus, os tibia. Results: Ten probandus were performed MRI examination of ankle joint, proton density weighting, sagittal slice using foot ankle coil and flex coil. Images are produced that can show predetermined anatomical information, namely: Achilles tendon, talocalcaneal ligament, tibiofibular ligament, talofibular ligament, talotibial ligament, tenton flexor digitorum, extensor digitorum tendon, os calcaneus, os tallus, os tibia. Based on Wilcoxon's nonparametric statistical test in table shows that the resulting p value is 0.001 (p-value is 0.05) which means that there is a significant difference in the overall anatomical information of ankle joint MRI examination on the use of foot ankle coil and flex coil proton density fat saturation sagittal slices and mean rank results (28.50) foot ankle coil (0,001) flex coil.Conclusions: The anatomical information produced in the use of foot ankle coil is better than the anatomical information produced by flex coil on MRI examination of ankle joint proton density fat saturation sagittal slice.","PeriodicalId":205622,"journal":{"name":"Jurnal Imejing Diagnostik (JImeD)","volume":"507 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140453891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-16DOI: 10.31983/jimed.v10i1.10434
Cipta Ismaya Rahman, A. Annisa, M. Firdaus
Background: The human body's anatomical structure may be seen in radiological image findings. The proper exposure factor must be given in order to produce radiographic findings. The amperage value times the exposure period is equal to mAs. A darker image will result from a larger mA factor or longer exposure time. However, by choosing the appropriate exposure factor, an optimal radiograph density can be produced that can clearly display the difference in thickness and density between organs. The purpose of this study is to determine the results of how density affects the results of radiographs of the os femur.Methods: This research is quantitative using experimental methods to find out how the effect of mAs variations and how much the range of changes in value on density in AP projection femur examinations using mAs variations namely mAs 4, 8, 10, 12, 20, 25, and 32 with a fixed kV of 70 kV.Results: The results of this study indicate that there is a change in the effect of density quality on the variation of mAs on the radiograph results of the femoral os using the Friedman test p-value 0.001 which means less than 0.05. And the range of changes in density values at the caput femur, collum femur, collum femur, and greater trochanter there are changes in each mAs variation. The value of density variation against 7 mAs variations in radiograph results at variations of 4 to 32 mAs shows the density value increases by 0.14, for the range of increase in each variation it is ± from 0.02 to 0.05.Conclusions: The purpose of this study is to determine the results of how density is affected and the results of how the range of changes in density values on femur radiographs.
背景：人体的解剖结构可在放射影像结果中看到。必须给出适当的曝光系数才能产生放射影像结果。安培值乘以曝光时间等于 mAs。毫安系数越大或曝光时间越长，图像越暗。不过，通过选择适当的曝光系数，可以产生最佳的射线密度，从而清晰显示器官之间的厚度和密度差异。本研究的目的是确定密度对股骨颈射线照相结果的影响：本研究采用实验方法定量分析 mAs 变化对股骨 AP 投影密度的影响，以及在固定电压为 70 kV 的情况下，mAs 4、8、10、12、20、25 和 32 的变化值对密度的影响范围：研究结果表明，通过弗里德曼检验，密度质量对 mAs 的变化对股骨颈X光片结果的影响存在变化，P 值为 0.001，即小于 0.05。而股骨盖、股骨粗隆、股骨粗隆和股骨大转子处密度值的变化范围在每个 mAs 变化中都有变化。在 4 至 32 mAs 的变化中，X 光片结果中 7 mAs 的密度变化值显示密度值增加了 0.14，每个变化的增加范围为 ± 0.02 至 0.05：本研究的目的是确定密度如何受到影响以及股骨X光片密度值变化范围的结果。
{"title":"Pengaruh Variasi mAs terhadap Densitas pada Hasil Radiograf Os Femur","authors":"Cipta Ismaya Rahman, A. Annisa, M. Firdaus","doi":"10.31983/jimed.v10i1.10434","DOIUrl":"https://doi.org/10.31983/jimed.v10i1.10434","url":null,"abstract":"Background: The human body's anatomical structure may be seen in radiological image findings. The proper exposure factor must be given in order to produce radiographic findings. The amperage value times the exposure period is equal to mAs. A darker image will result from a larger mA factor or longer exposure time. However, by choosing the appropriate exposure factor, an optimal radiograph density can be produced that can clearly display the difference in thickness and density between organs. The purpose of this study is to determine the results of how density affects the results of radiographs of the os femur.Methods: This research is quantitative using experimental methods to find out how the effect of mAs variations and how much the range of changes in value on density in AP projection femur examinations using mAs variations namely mAs 4, 8, 10, 12, 20, 25, and 32 with a fixed kV of 70 kV.Results: The results of this study indicate that there is a change in the effect of density quality on the variation of mAs on the radiograph results of the femoral os using the Friedman test p-value 0.001 which means less than 0.05. And the range of changes in density values at the caput femur, collum femur, collum femur, and greater trochanter there are changes in each mAs variation. The value of density variation against 7 mAs variations in radiograph results at variations of 4 to 32 mAs shows the density value increases by 0.14, for the range of increase in each variation it is ± from 0.02 to 0.05.Conclusions: The purpose of this study is to determine the results of how density is affected and the results of how the range of changes in density values on femur radiographs.","PeriodicalId":205622,"journal":{"name":"Jurnal Imejing Diagnostik (JImeD)","volume":"210 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140454535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-16DOI: 10.31983/jimed.v10i1.11075
Sri Mulyati, G. M. Wibowo, Jeffri Ardiyanto, Sylvia Ishlahul Ummah
Background: The standard operating procedure with the bone window technique and bone reconstruction algorithm is referred to the MSCT protocol for paranasal sinuses in Hospital. However, the majority of radiologists select a protocol that implements the algorithm reconstruction, which is still trial and error without an organized protocol development study. There is a chance that the accuracy of the MSCT SPN and the quality of the picture data may become crucial problems. This study set out to assess and examine the algorithmic reconstruction method that can yield more accurate SPN anatomical data in sinusitis suspects.Methods: A quasi-experimental technique was taken in conducting the research. Three filters (bone, boneplus, and edge) of the reconstruction method were used to get thirty SPN images from ten patients. The images were assessed by the two expert radiologist.Results: The results of non-parametric was obtained based on statistical tests using the Friedman test ρ-value of anatomy, namely 0.00 less than 0.05. These results indicate that H0 is rejected and Ha is accepted, meaning that there are differences in anatomical information between variations of bone, boneplus, and edge reconstruction algorithms on the MSCT scan examination of the paranasal sinuses with sinusitis suspect. The Friedman test results using the mean rank values of each anatomy show that Boneplus is superior in terms of visualizing anatomy. The Friedman test's mean rank value of the entire anatomy yielded the result that the boneplus reconstruction algorithm is superior to the bone and edge reconstruction algorithm in displaying anatomical information on the MSCT scan of the paranasal sinuses with sinusitis suspect.Conclusions: Based on value mean rank For each Friedman test anatomy and the results of the frequency distribution, variations of the bone plus reconstruction algorithm are more optimal in displaying anatomical information on the MSCT Scan of the paranasal sinuses compared with the edge and bone reconstruction algorithms.
{"title":"Informasi Anatomi MSCT Sinus Paranasal pada Suspek Sinusitis dengan Variasi Rekonstruksi Algorithma","authors":"Sri Mulyati, G. M. Wibowo, Jeffri Ardiyanto, Sylvia Ishlahul Ummah","doi":"10.31983/jimed.v10i1.11075","DOIUrl":"https://doi.org/10.31983/jimed.v10i1.11075","url":null,"abstract":"Background: The standard operating procedure with the bone window technique and bone reconstruction algorithm is referred to the MSCT protocol for paranasal sinuses in Hospital. However, the majority of radiologists select a protocol that implements the algorithm reconstruction, which is still trial and error without an organized protocol development study. There is a chance that the accuracy of the MSCT SPN and the quality of the picture data may become crucial problems. This study set out to assess and examine the algorithmic reconstruction method that can yield more accurate SPN anatomical data in sinusitis suspects.Methods: A quasi-experimental technique was taken in conducting the research. Three filters (bone, boneplus, and edge) of the reconstruction method were used to get thirty SPN images from ten patients. The images were assessed by the two expert radiologist.Results: The results of non-parametric was obtained based on statistical tests using the Friedman test ρ-value of anatomy, namely 0.00 less than 0.05. These results indicate that H0 is rejected and Ha is accepted, meaning that there are differences in anatomical information between variations of bone, boneplus, and edge reconstruction algorithms on the MSCT scan examination of the paranasal sinuses with sinusitis suspect. The Friedman test results using the mean rank values of each anatomy show that Boneplus is superior in terms of visualizing anatomy. The Friedman test's mean rank value of the entire anatomy yielded the result that the boneplus reconstruction algorithm is superior to the bone and edge reconstruction algorithm in displaying anatomical information on the MSCT scan of the paranasal sinuses with sinusitis suspect.Conclusions: Based on value mean rank For each Friedman test anatomy and the results of the frequency distribution, variations of the bone plus reconstruction algorithm are more optimal in displaying anatomical information on the MSCT Scan of the paranasal sinuses compared with the edge and bone reconstruction algorithms.","PeriodicalId":205622,"journal":{"name":"Jurnal Imejing Diagnostik (JImeD)","volume":"62 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140455136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-16DOI: 10.31983/jimed.v10i1.11072
Nanang Sulaksono, Ary Kurniawati
Background: Kidney stones are a clinical condition with the presence of stones along the urinary tract of varying sizes. The aim of this research is the need for a system to automatically detect kidney stones so that it can help radiologists in diagnosing kidney stones accurately, effectively and efficiently, and patients can immediately undergo further action to cure kidney stones.Methods: The difference in research carried out by researchers is the use of artificial intelligence which uses deep learning with a convolutional neural network (CNN) algorithm. This research uses images obtained from CT scan results from public data (Kaggle) and primary hospital data. The number of images used in the Augmentation training data was 2338 normal images and 2390 kidney stone images. The augmentation testing data used 540 normal images and 446 kidney stone images. The research also involved experts, namely radiology specialists, in determining images with abnormal and normal stone tones.Results: research obtained from CT Scan images of kidney stones with augmentation and original using public data/Kaggle images, obtained using augmentation obtained a high accuracy value of 99.69%. Meanwhile, in testing data using primary/hospital data images, augmented data obtained accuracy values that were still low at 45.43% and 45.23%, respectively.Conclusions: The use of deep learning with the CNN model in training data augmentation obtained high accuracy values, however in testing data using hospital CT scan images the accuracy value was still low, but it was able to recognize images of kidney stones, so it could help in automatically diagnosing kidney stones. For future work could involve refining the model to handle variations in hospital data or exploring additional features to improve generalizability.
{"title":"Penerapan Artificial Intelligence dalam Mendeteksi Batu Ginjal secara Otomatis pada Citra CT Scan","authors":"Nanang Sulaksono, Ary Kurniawati","doi":"10.31983/jimed.v10i1.11072","DOIUrl":"https://doi.org/10.31983/jimed.v10i1.11072","url":null,"abstract":"Background: Kidney stones are a clinical condition with the presence of stones along the urinary tract of varying sizes. The aim of this research is the need for a system to automatically detect kidney stones so that it can help radiologists in diagnosing kidney stones accurately, effectively and efficiently, and patients can immediately undergo further action to cure kidney stones.Methods: The difference in research carried out by researchers is the use of artificial intelligence which uses deep learning with a convolutional neural network (CNN) algorithm. This research uses images obtained from CT scan results from public data (Kaggle) and primary hospital data. The number of images used in the Augmentation training data was 2338 normal images and 2390 kidney stone images. The augmentation testing data used 540 normal images and 446 kidney stone images. The research also involved experts, namely radiology specialists, in determining images with abnormal and normal stone tones.Results: research obtained from CT Scan images of kidney stones with augmentation and original using public data/Kaggle images, obtained using augmentation obtained a high accuracy value of 99.69%. Meanwhile, in testing data using primary/hospital data images, augmented data obtained accuracy values that were still low at 45.43% and 45.23%, respectively.Conclusions: The use of deep learning with the CNN model in training data augmentation obtained high accuracy values, however in testing data using hospital CT scan images the accuracy value was still low, but it was able to recognize images of kidney stones, so it could help in automatically diagnosing kidney stones. For future work could involve refining the model to handle variations in hospital data or exploring additional features to improve generalizability.","PeriodicalId":205622,"journal":{"name":"Jurnal Imejing Diagnostik (JImeD)","volume":"358 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140454465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-16DOI: 10.31983/jimed.v10i1.10833
Leny Anggraeni, Dian Nuramdiani
Background: Occupational safety and health (OSH) management is the main factor in hospital services, which aims to control and minimize potential dangers due to radiation. One of the evaluations used is the implementation of OSH management requirements based on the Republic of Indonesia Ministry of Health Regulation No. 1014 of 2008 and Bapeten regulation no. 4 of 2020. The aim of this research was to determine the extent of implementation of OSH management in terms of completeness of management requirements, radiation protection, room design and personal protective equipment (PPE) implemented in Radiology Department in hospital type B, Sumedang Regency.Methods: This research was a descriptive qualitative by conducting direct observations, interviews and documentation.Results: The results of the research on the design of the room without ventilation outside the CT Scan room, this aims to minimize the dose of scattered radiation that comes out, decentralization and good air circulation, has warning signs and directions for radiation danger areas, the radiation protection equipment is quite complete. Implementation of radiation management has been carried out, but not completely, there is no health monitoring at the end of the work period and upon termination of work. Radiation safety verification has been carried out periodically, quality control is only carried out externally, so it does not meet standards, internal quality control cannot be carried out because there is no survey meter.Conclusions: This research was conducted in Radiology Department room in August 2023, the results showed that in the CT Scan room there was no air ventilation, there was radiation dose monitoring for staff, overall, Radiology Installation hospital type B in Sumedang Regency area had implemented occupational safety and health.
{"title":"Implementasi Pemanfaatan Sumber Radiasi Pengion pada Ruang CT Scan ditinjau berdasarkan Peraturan BAPETEN No. 4 tahun 2020 di Instalasi Radiologi Rumah Sakit type B di Wilayah Kabupaten Sumedang","authors":"Leny Anggraeni, Dian Nuramdiani","doi":"10.31983/jimed.v10i1.10833","DOIUrl":"https://doi.org/10.31983/jimed.v10i1.10833","url":null,"abstract":"Background: Occupational safety and health (OSH) management is the main factor in hospital services, which aims to control and minimize potential dangers due to radiation. One of the evaluations used is the implementation of OSH management requirements based on the Republic of Indonesia Ministry of Health Regulation No. 1014 of 2008 and Bapeten regulation no. 4 of 2020. The aim of this research was to determine the extent of implementation of OSH management in terms of completeness of management requirements, radiation protection, room design and personal protective equipment (PPE) implemented in Radiology Department in hospital type B, Sumedang Regency.Methods: This research was a descriptive qualitative by conducting direct observations, interviews and documentation.Results: The results of the research on the design of the room without ventilation outside the CT Scan room, this aims to minimize the dose of scattered radiation that comes out, decentralization and good air circulation, has warning signs and directions for radiation danger areas, the radiation protection equipment is quite complete. Implementation of radiation management has been carried out, but not completely, there is no health monitoring at the end of the work period and upon termination of work. Radiation safety verification has been carried out periodically, quality control is only carried out externally, so it does not meet standards, internal quality control cannot be carried out because there is no survey meter.Conclusions: This research was conducted in Radiology Department room in August 2023, the results showed that in the CT Scan room there was no air ventilation, there was radiation dose monitoring for staff, overall, Radiology Installation hospital type B in Sumedang Regency area had implemented occupational safety and health.","PeriodicalId":205622,"journal":{"name":"Jurnal Imejing Diagnostik (JImeD)","volume":"535 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140453882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: The bisecting angle technique of periapical radiography is more often used in dental practice because the technique is practically adjustable and the patient's ability to adapt is better. Radiograph results are influenced by operator and patient factors, so management that is not optimal can cause a decrease in the quality of the radiograph, which affects interpretation, diagnosis, and treatment planning. The study aimed to determine the quality and frequency of errors in periapical radiographs using the bisecting technique due to errors in X-ray angulation and film placement at the Soelastri Dental and Oral Hospital (RSGM), University of Muhammadiyah Surakarta (UMS).Methods: The type of research is descriptive observational quantitative research with a retrospective approach. A total of 300 bisecting technique periapical radiographs from patients at RSGM Soelastri UMS in January–December 2021 who met the inclusion and exclusion criteria were taken in random stratification and evaluated. Radiographs are compared to ideal quality and given a National Radiological Protection Board (NRPB) rating, as well as looking at the frequency of errors that occur.Results: The rating most often obtained on periapical radiographs using the bisecting technique in the study was 2 for 181 radiographs (60.33%). The frequency of X-ray angulation errors was 62.94%, while the frequency of film placement errors was 37.06%. The highest error in X-ray angulation was cone cutting at 49.13%, while the error in film placement was in the form of apical cuts at 25.65%.Conclusions: The quality of periapical radiographs using the bisecting technique at the Radiology Installation at RSGM Soelastri UMS in the period January to December 2021 generally has a rating of 2 (diagnostically acceptable) according to the NRPB, and errors are still found in the angulation of the X-ray tube and film placement.
背景：根尖周放射摄影的分叉角技术在牙科实践中使用较多，因为该技术实际上可以调整，患者的适应能力也较好。射线照片结果受操作者和患者因素的影响，因此管理不善会导致射线照片质量下降，从而影响解读、诊断和治疗计划。本研究旨在确定苏腊卡尔塔穆罕默迪亚大学（UMS）Soelastri牙科和口腔医院（RSGM）使用分切技术拍摄的根尖周X光片的质量和因X光角度和胶片放置错误而导致的错误频率：研究类型为描述性观察定量研究，采用回顾性方法。研究对象为苏腊斯卡达穆罕默迪亚大学（UMS）2021年1月至12月期间在RSGM Soelastri UMS就诊的符合纳入和排除标准的患者，研究人员对这些患者进行了随机分层，共采集了300张分段技术根尖周炎X光片，并对其进行了评估。将X光片与理想质量进行比较，并给予国家放射防护委员会（NRPB）评级，同时观察发生错误的频率：在研究中，使用分切技术拍摄的根尖周炎 X 光片最常获得的评分是 2 分，共拍摄了 181 张 X 光片（占 60.33%）。X 射线角度错误的频率为 62.94%，而胶片放置错误的频率为 37.06%。X 射线角度误差最大的是锥形切割，占 49.13%，而胶片放置误差最大的是根尖切割，占 25.65%：根据 NRPB 标准，2021 年 1 月至 12 月期间在索拉斯特里皇家牙科医学院放射装置使用分切技术拍摄的根尖周X光片的质量一般为 2 级（诊断上可接受），但在 X 光管角度和胶片放置方面仍存在误差。
{"title":"Evaluasi Kualitas Radiograf Periapikal Teknik Bisektris : Kesalahan Penempatan Sudut Penyinaran dan Film","authors":"Nilasary Rochmanita Suparno, Ariyani Faizah, Haditsa Aulia Zahra","doi":"10.31983/jimed.v10i1.10554","DOIUrl":"https://doi.org/10.31983/jimed.v10i1.10554","url":null,"abstract":"Background: The bisecting angle technique of periapical radiography is more often used in dental practice because the technique is practically adjustable and the patient's ability to adapt is better. Radiograph results are influenced by operator and patient factors, so management that is not optimal can cause a decrease in the quality of the radiograph, which affects interpretation, diagnosis, and treatment planning. The study aimed to determine the quality and frequency of errors in periapical radiographs using the bisecting technique due to errors in X-ray angulation and film placement at the Soelastri Dental and Oral Hospital (RSGM), University of Muhammadiyah Surakarta (UMS).Methods: The type of research is descriptive observational quantitative research with a retrospective approach. A total of 300 bisecting technique periapical radiographs from patients at RSGM Soelastri UMS in January–December 2021 who met the inclusion and exclusion criteria were taken in random stratification and evaluated. Radiographs are compared to ideal quality and given a National Radiological Protection Board (NRPB) rating, as well as looking at the frequency of errors that occur.Results: The rating most often obtained on periapical radiographs using the bisecting technique in the study was 2 for 181 radiographs (60.33%). The frequency of X-ray angulation errors was 62.94%, while the frequency of film placement errors was 37.06%. The highest error in X-ray angulation was cone cutting at 49.13%, while the error in film placement was in the form of apical cuts at 25.65%.Conclusions: The quality of periapical radiographs using the bisecting technique at the Radiology Installation at RSGM Soelastri UMS in the period January to December 2021 generally has a rating of 2 (diagnostically acceptable) according to the NRPB, and errors are still found in the angulation of the X-ray tube and film placement.","PeriodicalId":205622,"journal":{"name":"Jurnal Imejing Diagnostik (JImeD)","volume":"499 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140453903","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-16DOI: 10.31983/jimed.v10i1.10816
Angga Yosainto Bequet, Panji Wibowo Nurcahyo, Susi Tri Isnoviasih
Background: CT scans have a much greater dose than conventional radiographic examinations. The thyroid organ is an organ that is sensitive to radiation which is located near the head, precisely in the inferior part of the head so that when a CT scan of the head is carried out, the thyroid organ will be exposed to radiation. The aim of this study was to determine the difference in thyroid skin dose entry value between using a thyroid shield and without a thyroid shield on a head CT scan.Methods: This study is a type of quantitative research with a pre-experimental design. The object of research is Entrance Skin Dose (ESE) of ThyroidOrgan on non-contrast head CT Scan examination. The research location is at the Radiology Department at the Regional General Hospital Prof. Dr. Margono Soekarjo Purwokerto. Sample data number is 50 people (25 samples of non-contrast head CT scans without thyroid shield, and 25 samples of non-contrast head CT scans with thyroid shield. Data was obtained by measuring the radiation dose using a dosimeter placed over the thyroid area during a non-contrast CT scan between using a thyroid shield and without using a thyroid shield. Data analysis was performed using statistical tests Results: The results of measuring the radiation dose to the samples showed that the average radiation dose to the skin surface of the thyroid organ on a non-contrast CT scan without using a thoracic shield was 884.96 µSv and using a thyroid shield was 428.64 µSv. This shows that the average radiation dose from the skin surface of the thyroid organ decreased by 456.32 µSv (51.56%).Conclusions: There is a significant difference in the amount of radiation dose to the surface of the skin of the thyroid organ in non-contrast head CT scans between using a thyroid shield and without using a shield with a dose reduction of 51.6% of the radiation dose without using a thyroid shield.
{"title":"Nilai Entrance Skin Dose Tiroid antara menggunakan Thyroid Shield dan tanpa Thyroid Shield pada Pemeriksaan CT Scan Kepala","authors":"Angga Yosainto Bequet, Panji Wibowo Nurcahyo, Susi Tri Isnoviasih","doi":"10.31983/jimed.v10i1.10816","DOIUrl":"https://doi.org/10.31983/jimed.v10i1.10816","url":null,"abstract":"Background: CT scans have a much greater dose than conventional radiographic examinations. The thyroid organ is an organ that is sensitive to radiation which is located near the head, precisely in the inferior part of the head so that when a CT scan of the head is carried out, the thyroid organ will be exposed to radiation. The aim of this study was to determine the difference in thyroid skin dose entry value between using a thyroid shield and without a thyroid shield on a head CT scan.Methods: This study is a type of quantitative research with a pre-experimental design. The object of research is Entrance Skin Dose (ESE) of ThyroidOrgan on non-contrast head CT Scan examination. The research location is at the Radiology Department at the Regional General Hospital Prof. Dr. Margono Soekarjo Purwokerto. Sample data number is 50 people (25 samples of non-contrast head CT scans without thyroid shield, and 25 samples of non-contrast head CT scans with thyroid shield. Data was obtained by measuring the radiation dose using a dosimeter placed over the thyroid area during a non-contrast CT scan between using a thyroid shield and without using a thyroid shield. Data analysis was performed using statistical tests Results: The results of measuring the radiation dose to the samples showed that the average radiation dose to the skin surface of the thyroid organ on a non-contrast CT scan without using a thoracic shield was 884.96 µSv and using a thyroid shield was 428.64 µSv. This shows that the average radiation dose from the skin surface of the thyroid organ decreased by 456.32 µSv (51.56%).Conclusions: There is a significant difference in the amount of radiation dose to the surface of the skin of the thyroid organ in non-contrast head CT scans between using a thyroid shield and without using a shield with a dose reduction of 51.6% of the radiation dose without using a thyroid shield.","PeriodicalId":205622,"journal":{"name":"Jurnal Imejing Diagnostik (JImeD)","volume":"509 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140453889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-16DOI: 10.31983/jimed.v10i1.10665
M. Irsal, G. Winarno, Shinta Gunawati Sutoro
Background: Increasing the exposure factor is often carried out by radiographers to reduce noise and maintain image quality in computer radiography (CR). Therefore, there is a need for awareness and understanding of the exposure index (EI) to implement optimization procedures in radiographic examinations. Methods: The research method is descriptive and analytical by providing questionnaires to radiographers in PA chest radiographic examinations. This research was carried out at hospitals A, B, and C in the Jakarta-Bogor area with the research carried out between August – October 2023. Statistical analysis used SPSS 27 with data coding previously. After that, the data is processed with descriptive statistics to determine the frequency, distribution, percentage, average, and standard deviation. Then, the test chi-square to determine the relationship between gender, age, education, and work experience in understanding CR optimization procedures. Next, to find out the relationship between age and weight and EI, a test was carried out by Pearson test to determine the level of relationship between the two variablesResults: was found that the level of awareness and understanding of radiographers regarding optimization procedures using EI is still low. Test results chi-square age-understanding 0.309, gender-understanding 0.772, education-understanding 0.036, experience-understanding 0.201. next are the test results Pearson for Hospital-A: age-EI 0.09, weight-EI -0.49, Hospital-B: age-EI -0.21, weight-EI 0.06, Hospital-C: age-EI -0.37, weight-EI 0.56. Conclusions: implementing EI in the optimization procedure, it needs to be confirmed by measuring the patient's radiation dose so that there are no errors in implementing the optimization.
背景：在计算机放射摄影（CR）中，放射技师通常会提高曝光系数，以减少噪音并保持图像质量。因此，有必要认识和了解曝光指数（EI），以便在射线照相检查中实施优化程序。研究方法研究方法是通过向 PA 胸部放射检查的放射技师发放问卷进行描述和分析。本研究在雅加达-茂物地区的 A、B 和 C 医院进行，研究时间为 2023 年 8 月至 10 月。统计分析使用 SPSS 27，之前已对数据进行了编码。然后，对数据进行描述性统计，以确定频率、分布、百分比、平均值和标准偏差。然后，通过卡方检验确定性别、年龄、教育程度和工作经验在理解 CR 优化程序方面的关系。接下来，为了找出年龄和体重与 EI 之间的关系，通过皮尔逊检验来确定这两个变量之间的关系水平结果：发现放射技师对使用 EI 的优化程序的认识和理解水平仍然较低。接下来是皮尔逊检验结果：医院 A：年龄-EI 0.09，体重-EI -0.49；医院 B：年龄-EI -0.21，体重-EI 0.06；医院 C：年龄-EI -0.37，体重-EI 0.56。结论：在优化程序中实施 EI 时，需要通过测量患者的辐射剂量来确认，这样才能避免在实施优化时出现误差。
{"title":"Implementasi Pemahaman Radiografer terhadap Exposure Index dalam Optimasi Prosedur Pemeriksaan Radiografi Computed Radiography","authors":"M. Irsal, G. Winarno, Shinta Gunawati Sutoro","doi":"10.31983/jimed.v10i1.10665","DOIUrl":"https://doi.org/10.31983/jimed.v10i1.10665","url":null,"abstract":"Background: Increasing the exposure factor is often carried out by radiographers to reduce noise and maintain image quality in computer radiography (CR). Therefore, there is a need for awareness and understanding of the exposure index (EI) to implement optimization procedures in radiographic examinations. Methods: The research method is descriptive and analytical by providing questionnaires to radiographers in PA chest radiographic examinations. This research was carried out at hospitals A, B, and C in the Jakarta-Bogor area with the research carried out between August – October 2023. Statistical analysis used SPSS 27 with data coding previously. After that, the data is processed with descriptive statistics to determine the frequency, distribution, percentage, average, and standard deviation. Then, the test chi-square to determine the relationship between gender, age, education, and work experience in understanding CR optimization procedures. Next, to find out the relationship between age and weight and EI, a test was carried out by Pearson test to determine the level of relationship between the two variablesResults: was found that the level of awareness and understanding of radiographers regarding optimization procedures using EI is still low. Test results chi-square age-understanding 0.309, gender-understanding 0.772, education-understanding 0.036, experience-understanding 0.201. next are the test results Pearson for Hospital-A: age-EI 0.09, weight-EI -0.49, Hospital-B: age-EI -0.21, weight-EI 0.06, Hospital-C: age-EI -0.37, weight-EI 0.56. Conclusions: implementing EI in the optimization procedure, it needs to be confirmed by measuring the patient's radiation dose so that there are no errors in implementing the optimization.","PeriodicalId":205622,"journal":{"name":"Jurnal Imejing Diagnostik (JImeD)","volume":"179 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140454395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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