Pub Date : 2022-02-11DOI: 10.31983/jimed.v8i1.7451
Fani Susanto, Herna Utami, Lutfatul Fitriana
Backgroud: Urolithiasis is the formation of crystalline mineral deposits in the urinary system. Examination of MSCT Urographic with and without administration of intravenous contrast media is used to detect various abnormalities in the urinary tract area. This study aims to analyze MSCT Urographic examination procedures in patients with clinical Urolithiasis at the Radiology Unit of Premier Bintaro Hospital.Methods: Type of study is qualitative with a case study approach. Collection data was conducted at the Radiology Unit of Premier Bintaro Hospital with specialists and documentation observation methods, interviews with radiographers and radiology. Data processing and analysis are carried out descriptively related to the results of observation, interviews and documentation so that conclusions and suggestions can be drawn.Results: Urographic MSCT examination in patients with clinical Urolithiasis performed with patient preparation by laboratory check to check kidney function (urea and creatinine), examination was performed using the MSCT rutine protocol with the addition of contrast media by scanning the unenhance phase, enhance phase includes arterial phase, phase portal vein and delay phase which is 7 minutes and 15 minutes with prone patients in the kidney vesica urinaria area, and post void. The addition of contrast media is intended to show enhancement and narrowing of the urinary tract.Conclusion: Examination of MSCT Urography in patients with clinical Urolithiasis in the Radiology Unit of Premier Bintaro Hospital is done with patient preparation laboratory check, the protocol is done by scanning the unenhance and enhance phases.
{"title":"Analisis Prosedur Pemeriksaan Multislice Computed Tomography Urografi pada Pasien dengan Klinis Urolithiasis","authors":"Fani Susanto, Herna Utami, Lutfatul Fitriana","doi":"10.31983/jimed.v8i1.7451","DOIUrl":"https://doi.org/10.31983/jimed.v8i1.7451","url":null,"abstract":"Backgroud: Urolithiasis is the formation of crystalline mineral deposits in the urinary system. Examination of MSCT Urographic with and without administration of intravenous contrast media is used to detect various abnormalities in the urinary tract area. This study aims to analyze MSCT Urographic examination procedures in patients with clinical Urolithiasis at the Radiology Unit of Premier Bintaro Hospital.Methods: Type of study is qualitative with a case study approach. Collection data was conducted at the Radiology Unit of Premier Bintaro Hospital with specialists and documentation observation methods, interviews with radiographers and radiology. Data processing and analysis are carried out descriptively related to the results of observation, interviews and documentation so that conclusions and suggestions can be drawn.Results: Urographic MSCT examination in patients with clinical Urolithiasis performed with patient preparation by laboratory check to check kidney function (urea and creatinine), examination was performed using the MSCT rutine protocol with the addition of contrast media by scanning the unenhance phase, enhance phase includes arterial phase, phase portal vein and delay phase which is 7 minutes and 15 minutes with prone patients in the kidney vesica urinaria area, and post void. The addition of contrast media is intended to show enhancement and narrowing of the urinary tract.Conclusion: Examination of MSCT Urography in patients with clinical Urolithiasis in the Radiology Unit of Premier Bintaro Hospital is done with patient preparation laboratory check, the protocol is done by scanning the unenhance and enhance phases.","PeriodicalId":205622,"journal":{"name":"Jurnal Imejing Diagnostik (JImeD)","volume":"49 8","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120981887","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 : 2022-02-11DOI: 10.31983/jimed.v8i1.8168
R.Moh. Halil
Background: Radiology is a medical service that uses all radiation energy modalities for diagnosis and therapy, including imaging techniques and the use of X-ray radiation emission, radioactive, ultrasound, and electromagnetic radiofrequency. The quality of health services is closely related to the results of health services, both medically and non-medically. The purpose of the study is to find out the factors related to the level of customer satisfaction with the quality of radiological installation services of Sidoarjo Hospital.Methods: Design observational research with a cross-sectional approach. The population of all radiology guests at Sidoarjo Hospital in East Java in January, February and March amounted to 3,439 respondents. Samples of radiology guests at Sidoarjo Hospital in East Java amounted to 358 respondents with purposive sampling techniques. Independent variables of payment method or type of insurance, social status and trust. Dependent variable is the level of customer satisfaction with the quality of service. The analysis used is univariate, bivariate and multivariate analysis.Results: The results showed that there is a relationship between payment methods or types of insurance with the level of customer satisfaction with the quality of radiological installation services of Sidoarjo Hospital (p = 0.036). There is a social status relationship with the level of customer satisfaction with the quality of radiological installation services of Sidoarjo Hospital (p =0.048). There is a relationship of patient trust with the level of customer satisfaction with the quality of radiological installation services of Sidoarjo Hospital (p = 0.000). There are factors related to the level of customer satisfaction with the quality of radiological installation services of Sidoarjo Hospital which has an effect is satisfaction with a significance level of p = 0.000 and B = 0.150.Conclusions: This research is expected to increase knowledge or input and consideration in research related to the level of customer satisfaction with the quality of radiology installation services.
{"title":"Analisis Faktor Yang Berhubungan Dengan Tingkat Kepuasan Customer Akan Mutu Layanan Instalasi Radiologi RSUD Sidoarjo","authors":"R.Moh. Halil","doi":"10.31983/jimed.v8i1.8168","DOIUrl":"https://doi.org/10.31983/jimed.v8i1.8168","url":null,"abstract":"Background: Radiology is a medical service that uses all radiation energy modalities for diagnosis and therapy, including imaging techniques and the use of X-ray radiation emission, radioactive, ultrasound, and electromagnetic radiofrequency. The quality of health services is closely related to the results of health services, both medically and non-medically. The purpose of the study is to find out the factors related to the level of customer satisfaction with the quality of radiological installation services of Sidoarjo Hospital.Methods: Design observational research with a cross-sectional approach. The population of all radiology guests at Sidoarjo Hospital in East Java in January, February and March amounted to 3,439 respondents. Samples of radiology guests at Sidoarjo Hospital in East Java amounted to 358 respondents with purposive sampling techniques. Independent variables of payment method or type of insurance, social status and trust. Dependent variable is the level of customer satisfaction with the quality of service. The analysis used is univariate, bivariate and multivariate analysis.Results: The results showed that there is a relationship between payment methods or types of insurance with the level of customer satisfaction with the quality of radiological installation services of Sidoarjo Hospital (p = 0.036). There is a social status relationship with the level of customer satisfaction with the quality of radiological installation services of Sidoarjo Hospital (p =0.048). There is a relationship of patient trust with the level of customer satisfaction with the quality of radiological installation services of Sidoarjo Hospital (p = 0.000). There are factors related to the level of customer satisfaction with the quality of radiological installation services of Sidoarjo Hospital which has an effect is satisfaction with a significance level of p = 0.000 and B = 0.150.Conclusions: This research is expected to increase knowledge or input and consideration in research related to the level of customer satisfaction with the quality of radiology installation services.","PeriodicalId":205622,"journal":{"name":"Jurnal Imejing Diagnostik (JImeD)","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125635184","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 : 2022-02-11DOI: 10.31983/jimed.v8i1.8129
Sentot Alibasah, Yuly Peristiowati, Muhammad Erfansyah
Background: In the treatment process of patients covid-19 thorak photo action is done periodically every three days, the average length of hospitalization of covid patients in the isolation room at least 9 days and or up to the results of negatip swab tests and normal thorak photo images. The purpose of the study was to analyze the effect of hospitalization days and the frequency of action on the amount of radiation absorption dose received by Covid-19 patients in Covid-19 isolation rooms, as an evaluation material to improve aspects of occupational safety and health in the environment and society (patients).Methods: Design observational research with a cross-sectional approach. The population of all Covid-19 patients in isolation rooms at RSU Karsa Husada is 200 people. A sample of 200 respondents with probability sampling techniques. Independent variables are the length of hospitalization and frequency of thoracic photos. The dependent variable is the average dose of radiation absorption in the patient.Results: The results showed no long-standing effect of hospitalization on the average dose of radiation absorption in patients (p-value 0.030) and there was a effect on the frequency of thorax photos against the average dose of radiation absorption in patients (p-value 0.000).Conclusions: This research can be developed using more specific variables and with a larger population as well as more variation.
{"title":"Analisa Hari Rawat Inap dan Frekuensi Foto Thorak Terhadap Rata-rata Dosis Serap Radiasi Pada Pasien Covid-19 di Ruang Isolasi RSU Karsa Husada Batu","authors":"Sentot Alibasah, Yuly Peristiowati, Muhammad Erfansyah","doi":"10.31983/jimed.v8i1.8129","DOIUrl":"https://doi.org/10.31983/jimed.v8i1.8129","url":null,"abstract":"Background: In the treatment process of patients covid-19 thorak photo action is done periodically every three days, the average length of hospitalization of covid patients in the isolation room at least 9 days and or up to the results of negatip swab tests and normal thorak photo images. The purpose of the study was to analyze the effect of hospitalization days and the frequency of action on the amount of radiation absorption dose received by Covid-19 patients in Covid-19 isolation rooms, as an evaluation material to improve aspects of occupational safety and health in the environment and society (patients).Methods: Design observational research with a cross-sectional approach. The population of all Covid-19 patients in isolation rooms at RSU Karsa Husada is 200 people. A sample of 200 respondents with probability sampling techniques. Independent variables are the length of hospitalization and frequency of thoracic photos. The dependent variable is the average dose of radiation absorption in the patient.Results: The results showed no long-standing effect of hospitalization on the average dose of radiation absorption in patients (p-value 0.030) and there was a effect on the frequency of thorax photos against the average dose of radiation absorption in patients (p-value 0.000).Conclusions: This research can be developed using more specific variables and with a larger population as well as more variation.","PeriodicalId":205622,"journal":{"name":"Jurnal Imejing Diagnostik (JImeD)","volume":"219 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121300535","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 : 2022-02-11DOI: 10.31983/jimed.v8i1.8076
Handi Sumarsono, N. Wijayanti, Siti Masrochah
Background: Hospitals in Pasuruan and Sidoarjo are Covid-19 referral hospitals that are very at risk of occupational infections for officers. Radiographer are workers who have more direct contact with patients, therefore nurses must apply the use of Personal Protective Equipment (APD) following the Standard Operating Procedure (SOP). The purpose of the study was to analyze the influence of health determinants (supervision, self-efficacy, and work culture) on compliance with the use of personal protective equipment (radiation protection) for radiographers in the Pasuruan and Sidoarjo regions.Methods: Design observational research with a cross-sectional approach. The population of all radiographers in the Pasuruan and Sidoarjo is 100 people. Sampled all 100 radiographers with total sampling techniques. Independent variables of supervision, self-efficacy, and work culture. Variable dependent compliance with the use of personal protective equipment (radiation protection) for radiographers.Results: The results showed there was an influence of radiographer surveillance patterns on compliance with the use of personal protective equipment (radiation protection) for radiographers (p-value 0.000), there was an effect of radiographer self-efficacy on compliance with the use of personal protective equipment (radiation protection) for radiographers (p-value 0.000), there was the influence of radiographer work culture on compliance with the use of personal protective equipment (radiation protection) for radiographers (p-value 0.000).Conclusions: Supervision, self-efficacy, and work culture are among the factors that significantly influence radiographer adherence to the use of PPE. The hope is that by having a good knowledge of K3, nurses will be more obedient to protection as prevention of infection transmission.
{"title":"Analisis Determinan Kesehatan Terhadap Kepatuhan Pemakaian Alat Pelindung Diri (Proteksi Radiasi) Bagi Radiografer di Wilayah Pasuruan Dan Sidoarjo","authors":"Handi Sumarsono, N. Wijayanti, Siti Masrochah","doi":"10.31983/jimed.v8i1.8076","DOIUrl":"https://doi.org/10.31983/jimed.v8i1.8076","url":null,"abstract":"Background: Hospitals in Pasuruan and Sidoarjo are Covid-19 referral hospitals that are very at risk of occupational infections for officers. Radiographer are workers who have more direct contact with patients, therefore nurses must apply the use of Personal Protective Equipment (APD) following the Standard Operating Procedure (SOP). The purpose of the study was to analyze the influence of health determinants (supervision, self-efficacy, and work culture) on compliance with the use of personal protective equipment (radiation protection) for radiographers in the Pasuruan and Sidoarjo regions.Methods: Design observational research with a cross-sectional approach. The population of all radiographers in the Pasuruan and Sidoarjo is 100 people. Sampled all 100 radiographers with total sampling techniques. Independent variables of supervision, self-efficacy, and work culture. Variable dependent compliance with the use of personal protective equipment (radiation protection) for radiographers.Results: The results showed there was an influence of radiographer surveillance patterns on compliance with the use of personal protective equipment (radiation protection) for radiographers (p-value 0.000), there was an effect of radiographer self-efficacy on compliance with the use of personal protective equipment (radiation protection) for radiographers (p-value 0.000), there was the influence of radiographer work culture on compliance with the use of personal protective equipment (radiation protection) for radiographers (p-value 0.000).Conclusions: Supervision, self-efficacy, and work culture are among the factors that significantly influence radiographer adherence to the use of PPE. The hope is that by having a good knowledge of K3, nurses will be more obedient to protection as prevention of infection transmission.","PeriodicalId":205622,"journal":{"name":"Jurnal Imejing Diagnostik (JImeD)","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114190370","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 : 2022-02-11DOI: 10.31983/jimed.v8i1.7765
Aris Samsul
ABSTRACT Backgound: Digital radiography is an easy method of radiological examination, so many radiology technicians often use high exposure factors because they are considered to speed up when processing images, this can increase the risk of excessive radiation doses in patients, currently the exposure index (IE) is feedback to radiology technicians for optimal images and low doses for patients. Objective: evaluating Fujifilm (S-Value) exposure index and entrance surface dose (ESD) thorax posterior-anterior as an effort to increase patient radiation protection using the ALARA principle, Method: Data taken from samples with parameters 64 kVp 16 mAs to 94 kVp 2 mAs, ESD is measured using the thermoluminescent dosimeter (TLD) chip and exposure index (S-Value) from Fujifilm's direct radiography device. Result: The relationship between S-Value and ESD has an exponential trend graph. The rise of S-Value will be followed by the ESD sequence. With the BAPETEN reference value of surface radiation dose 0.40 mGy, the minimum S-value must be achieved so that the patient's ESD does not exceed S-532 at ESD 0.39. Conclusion: The results of this study indicate that Fujifilm's S-Value allows it to be used as an evaluation of the ESD values received by patients as an effort to increase patient radiation protection. Keywords: Exposure index (S-Value), ESD, chest radiography, radiation protection
{"title":"Analisis Indeks Paparan Radiografi Digital Pada Pemeriksaan Radiologi Thoraks Postero Anterior Sebagai Upaya Peningkatan Proteksi Radiasi Pasien","authors":"Aris Samsul","doi":"10.31983/jimed.v8i1.7765","DOIUrl":"https://doi.org/10.31983/jimed.v8i1.7765","url":null,"abstract":"ABSTRACT Backgound: Digital radiography is an easy method of radiological examination, so many radiology technicians often use high exposure factors because they are considered to speed up when processing images, this can increase the risk of excessive radiation doses in patients, currently the exposure index (IE) is feedback to radiology technicians for optimal images and low doses for patients. Objective: evaluating Fujifilm (S-Value) exposure index and entrance surface dose (ESD) thorax posterior-anterior as an effort to increase patient radiation protection using the ALARA principle, Method: Data taken from samples with parameters 64 kVp 16 mAs to 94 kVp 2 mAs, ESD is measured using the thermoluminescent dosimeter (TLD) chip and exposure index (S-Value) from Fujifilm's direct radiography device. Result: The relationship between S-Value and ESD has an exponential trend graph. The rise of S-Value will be followed by the ESD sequence. With the BAPETEN reference value of surface radiation dose 0.40 mGy, the minimum S-value must be achieved so that the patient's ESD does not exceed S-532 at ESD 0.39. Conclusion: The results of this study indicate that Fujifilm's S-Value allows it to be used as an evaluation of the ESD values received by patients as an effort to increase patient radiation protection. Keywords: Exposure index (S-Value), ESD, chest radiography, radiation protection","PeriodicalId":205622,"journal":{"name":"Jurnal Imejing Diagnostik (JImeD)","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116186955","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 : 2022-02-11DOI: 10.31983/jimed.v8i1.8161
Asri Indah Aryani
Background: This study aims to determine the evaluation and influencing factors in the implementation of the Picture Archiving Communication System (PACS) at the Radiology Department of Margono Soekarjo Hospital, PurwokertoMethods: The type of the research is qualitative research with a purposive sampling approach which produces descriptive data in the form of pictures and written or spoken words from informants and observed behavior. Data obtained by researchers is by means of observation, in-depth interviews, and documentation. The data is analyzed using interactive model, for further drawn conclusions.Results: The results showed that PACS implemented in the radiology department of Margono Soekarjo Hospital, Purwokerto consisted of several components, namely Image Acquisition / Modality, PACS Core Application, Viewing / Reading Station. Image Acquisition / Modality. Factors that influence the implementation of the Picture Archiving Communication System (PACS) at the Radiology Department of Margono Soekarjo Hospital, Purwokerto, were manpower resources, Stability of power supply and Local Area Network, but in the implementation there was no SOP that could be used as operational guidelines for users of inpatient department, polyclinics, and emergency departments.Conclusions: Suggestions for accessing PACS can be done not only can it be accessed from a personal computer but it can be accessed from a laptop.
{"title":"The Implementation of PACS (Picture Archiving And Communication System) in Radiology Department of Margono Soekarjo Hospital","authors":"Asri Indah Aryani","doi":"10.31983/jimed.v8i1.8161","DOIUrl":"https://doi.org/10.31983/jimed.v8i1.8161","url":null,"abstract":"Background: This study aims to determine the evaluation and influencing factors in the implementation of the Picture Archiving Communication System (PACS) at the Radiology Department of Margono Soekarjo Hospital, PurwokertoMethods: The type of the research is qualitative research with a purposive sampling approach which produces descriptive data in the form of pictures and written or spoken words from informants and observed behavior. Data obtained by researchers is by means of observation, in-depth interviews, and documentation. The data is analyzed using interactive model, for further drawn conclusions.Results: The results showed that PACS implemented in the radiology department of Margono Soekarjo Hospital, Purwokerto consisted of several components, namely Image Acquisition / Modality, PACS Core Application, Viewing / Reading Station. Image Acquisition / Modality. Factors that influence the implementation of the Picture Archiving Communication System (PACS) at the Radiology Department of Margono Soekarjo Hospital, Purwokerto, were manpower resources, Stability of power supply and Local Area Network, but in the implementation there was no SOP that could be used as operational guidelines for users of inpatient department, polyclinics, and emergency departments.Conclusions: Suggestions for accessing PACS can be done not only can it be accessed from a personal computer but it can be accessed from a laptop. ","PeriodicalId":205622,"journal":{"name":"Jurnal Imejing Diagnostik (JImeD)","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133389690","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 : 2022-02-11DOI: 10.31983/jimed.v8i1.8043
Angga Yosainto Bequet, Panji Wibowo Nurcahyo, A. H. Sulistiyadi
Background: Cranial radiographs are routinely made in 2 projections, namely Antero Posterior (AP) and Lateral with a minimum distance of 100 cm from the radiation source to the image receptor. In addition, it has been shown that increasing the SID from 40 to 48 inches reduces the skin dose even when the requirement for an increase in mAs is considered. A 44-inch or 48-inch SID is recommended where departmental equipment and protocols allow. This study aims to determine the effectiveness of the addition of SID to decrease the radiation dose on cranium radiographs.Methods: This type of research is a pre-experimental quantitative. The study was conducted at the radiology laboratory of Diploma Three Program of Radiology Purwokerto, Semarang Health Politechnic of Ministry of Health. The research subject is a Radiographic Xray Cranial Phantom. At the time of exposure, the radiation dose was measured and the resulting image was measured CNR value.Results: The results of radiation dose measurements at each SID setting for AP cranium radiographs are shown in the table above. setting SID 100 cm produces a radiation dose of 5.58 mSv, SID 110 cm produces a radiation dose of 5.16 mSv, SID 120 cm produces a radiation dose of 5.02 mSv, SID 130 cm produces a radiation dose of 4.84 mSv, SID 140 cm produces a radiation dose of 4.64 mSv and SID 150 cm produces a radiation dose of 4.36 mSv. There are differences in radiation dose values between SID settings of 100 cm, 110 cm, 120 cm, 130 cm, 140 cm and 150 cm with a statistical test p-value 0.001. The results of statistical tests on the Contrast to Noise Ratio value on changes in the SID value of the AP cranium radiography examination showed no significant difference. The p-value of the statistical test is 0.274 which means there is no difference in the CNR value between the SID settings of 100 cm, 110 cm, 120 cm, 130 cm, 140 cm and 150 cm.Conclusions: An increase in SID causes a decrease in radiation dose. The increase in SID did not cause a significant difference to the quality of the Contrast to Noise Ratio on the AP cranium radiograph image.
{"title":"Efektifitas Penambahan Source to Image Distance (SID) terhadap Penurunan Dosis Radiasi pada Pemeriksaan Radiografi Cranium","authors":"Angga Yosainto Bequet, Panji Wibowo Nurcahyo, A. H. Sulistiyadi","doi":"10.31983/jimed.v8i1.8043","DOIUrl":"https://doi.org/10.31983/jimed.v8i1.8043","url":null,"abstract":"Background: Cranial radiographs are routinely made in 2 projections, namely Antero Posterior (AP) and Lateral with a minimum distance of 100 cm from the radiation source to the image receptor. In addition, it has been shown that increasing the SID from 40 to 48 inches reduces the skin dose even when the requirement for an increase in mAs is considered. A 44-inch or 48-inch SID is recommended where departmental equipment and protocols allow. This study aims to determine the effectiveness of the addition of SID to decrease the radiation dose on cranium radiographs.Methods: This type of research is a pre-experimental quantitative. The study was conducted at the radiology laboratory of Diploma Three Program of Radiology Purwokerto, Semarang Health Politechnic of Ministry of Health. The research subject is a Radiographic Xray Cranial Phantom. At the time of exposure, the radiation dose was measured and the resulting image was measured CNR value.Results: The results of radiation dose measurements at each SID setting for AP cranium radiographs are shown in the table above. setting SID 100 cm produces a radiation dose of 5.58 mSv, SID 110 cm produces a radiation dose of 5.16 mSv, SID 120 cm produces a radiation dose of 5.02 mSv, SID 130 cm produces a radiation dose of 4.84 mSv, SID 140 cm produces a radiation dose of 4.64 mSv and SID 150 cm produces a radiation dose of 4.36 mSv. There are differences in radiation dose values between SID settings of 100 cm, 110 cm, 120 cm, 130 cm, 140 cm and 150 cm with a statistical test p-value 0.001. The results of statistical tests on the Contrast to Noise Ratio value on changes in the SID value of the AP cranium radiography examination showed no significant difference. The p-value of the statistical test is 0.274 which means there is no difference in the CNR value between the SID settings of 100 cm, 110 cm, 120 cm, 130 cm, 140 cm and 150 cm.Conclusions: An increase in SID causes a decrease in radiation dose. The increase in SID did not cause a significant difference to the quality of the Contrast to Noise Ratio on the AP cranium radiograph image.","PeriodicalId":205622,"journal":{"name":"Jurnal Imejing Diagnostik (JImeD)","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132676058","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 : 2022-02-11DOI: 10.31983/jimed.v8i1.8259
Agustina Dwi Prastanti, Bagus Abimanyu, A. N. Kurniawan, Salis Nurbaiti
Background: Radiological examination in cervical services, Radiographers often opening the collimation wider of the size of the imaging plate for fear of being cut. This is done because it is supported by the image cropping facility on the CR. So there is a habit of opening the collimation width as wide as the imaging plate, which is often done with the assumption that it is better to widen the collimation than cut off the object. Obviously this will increase the radiation dose in patients with basic limitations. According to ICRP, patient safety must refer to the principle of radiation protection ALARA namely in the shortest possible time to get quality radiographs and patients receive the most minimum radiation exposure as possible.Methods: This research is a descriptive analytic research conducted with a cross sectional approach. The study was conducted by varying the radiation field area to be used for cervical examination. There are 10 variations of collimation area with 3 (three) exposures in each collimation. Then measured contrast, noise and radiation dose. Radiation dose is calculated by means of a babyline device.Results: The results showed that the collimation setting did not affect contrast radiography in CR because collimation was not the main factor that could affect contrast radiography on CR. The collimation setting on cervical radiography has an effect on the radiation dose, so it is necessary to adjust the collimation to get the minimum dose possible. The most optimal collimation area on cervical radiographic examination was obtained at a size of 12 x 24 cm with the smallest noise reception and dose compared to others and had higher contrast. Average contrast value achieved was 0.45 with a dose of 39.23 µGy.Conclusion: The collimation setting on cervical radiography has an effect on the radiation dose, so it is very necessary to adjust the collimation to get the minimum dose possible. The most optimal collimation area on cervical radiographic examination is obtained at a size of 12 x 24 cm with the smallest noise reception and dose compared to others and has a higher contrast.
{"title":"CR Image Optimization and Radiation Dose Limitation With Collimation Adjusting on Cervical Radiography","authors":"Agustina Dwi Prastanti, Bagus Abimanyu, A. N. Kurniawan, Salis Nurbaiti","doi":"10.31983/jimed.v8i1.8259","DOIUrl":"https://doi.org/10.31983/jimed.v8i1.8259","url":null,"abstract":"Background: Radiological examination in cervical services, Radiographers often opening the collimation wider of the size of the imaging plate for fear of being cut. This is done because it is supported by the image cropping facility on the CR. So there is a habit of opening the collimation width as wide as the imaging plate, which is often done with the assumption that it is better to widen the collimation than cut off the object. Obviously this will increase the radiation dose in patients with basic limitations. According to ICRP, patient safety must refer to the principle of radiation protection ALARA namely in the shortest possible time to get quality radiographs and patients receive the most minimum radiation exposure as possible.Methods: This research is a descriptive analytic research conducted with a cross sectional approach. The study was conducted by varying the radiation field area to be used for cervical examination. There are 10 variations of collimation area with 3 (three) exposures in each collimation. Then measured contrast, noise and radiation dose. Radiation dose is calculated by means of a babyline device.Results: The results showed that the collimation setting did not affect contrast radiography in CR because collimation was not the main factor that could affect contrast radiography on CR. The collimation setting on cervical radiography has an effect on the radiation dose, so it is necessary to adjust the collimation to get the minimum dose possible. The most optimal collimation area on cervical radiographic examination was obtained at a size of 12 x 24 cm with the smallest noise reception and dose compared to others and had higher contrast. Average contrast value achieved was 0.45 with a dose of 39.23 µGy.Conclusion: The collimation setting on cervical radiography has an effect on the radiation dose, so it is very necessary to adjust the collimation to get the minimum dose possible. The most optimal collimation area on cervical radiographic examination is obtained at a size of 12 x 24 cm with the smallest noise reception and dose compared to others and has a higher contrast.","PeriodicalId":205622,"journal":{"name":"Jurnal Imejing Diagnostik (JImeD)","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133774162","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 : 2022-02-11DOI: 10.31983/jimed.v8i1.7899
Widya Mufida
Background: In the CTA examination of cerebral angiography at the Radiology Installation of Salatiga Hospital, the flow rate used was 5 ml/s, bolus tracking contrast media was placed in 2 different places, some radiographers used the internal carotid artery and some used the aortic arch as an indicator of ROI tracking. Image acquisition is done by adjusting the scan delay post injection of contrast media and pre bolus tracking, so that the difference in the placement of the tracking affects the scan delay time and the dose given to the patient. The purpose of this study is to determine the location of accurate tracking in terms of image information and radiation dose given to the patient.Methods: This type of research is descriptive with qualitative data. The research object is the patient who performs Cerebral CTA examination with tracking location on the interna carotid artery(ICA) and aortic arch. The research subjects were 2 radiographers and 1 radiologist. Data collection was done by interview observation method.Results: Research shows that in Cerebral CTA examination using ROI tracking in the ICA area, there is a risk of contrast media entering the blood vessels if the scan delay time setting is not right, while the ROI tracking setting in the aortic arch is safer if the patient moves the tracking location is still around blood vessels but the radiation given to the patient tends to be larger as the scanning area increasesConclusions: The use of tracking ROI in the area of the internal carotid artery and aortic arch on CTA Cerebral examination can be used according to the radiographer's expertise in finding these blood vessels, the use of the right scan delay time affects the scanning results produced.
{"title":"Analisis Letak Tracking Di Area Arteri Carotis Interna Dan Arcus Aorta Pada Pemeriksaan Cta Cerebral Di Instalasi Radiologi RSUD Salatiga","authors":"Widya Mufida","doi":"10.31983/jimed.v8i1.7899","DOIUrl":"https://doi.org/10.31983/jimed.v8i1.7899","url":null,"abstract":"Background: In the CTA examination of cerebral angiography at the Radiology Installation of Salatiga Hospital, the flow rate used was 5 ml/s, bolus tracking contrast media was placed in 2 different places, some radiographers used the internal carotid artery and some used the aortic arch as an indicator of ROI tracking. Image acquisition is done by adjusting the scan delay post injection of contrast media and pre bolus tracking, so that the difference in the placement of the tracking affects the scan delay time and the dose given to the patient. The purpose of this study is to determine the location of accurate tracking in terms of image information and radiation dose given to the patient.Methods: This type of research is descriptive with qualitative data. The research object is the patient who performs Cerebral CTA examination with tracking location on the interna carotid artery(ICA) and aortic arch. The research subjects were 2 radiographers and 1 radiologist. Data collection was done by interview observation method.Results: Research shows that in Cerebral CTA examination using ROI tracking in the ICA area, there is a risk of contrast media entering the blood vessels if the scan delay time setting is not right, while the ROI tracking setting in the aortic arch is safer if the patient moves the tracking location is still around blood vessels but the radiation given to the patient tends to be larger as the scanning area increasesConclusions: The use of tracking ROI in the area of the internal carotid artery and aortic arch on CTA Cerebral examination can be used according to the radiographer's expertise in finding these blood vessels, the use of the right scan delay time affects the scanning results produced. ","PeriodicalId":205622,"journal":{"name":"Jurnal Imejing Diagnostik (JImeD)","volume":"103 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131945370","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 : 2022-02-11DOI: 10.31983/jimed.v8i1.8167
Agus Sulistianto
Background: Occupational Safety and Health (K3) is one of the labor protection systems to prevent and reduce the occurrence of health problems and accidents caused by dangerous environments and ways of working. Preventing these hazards and damages, safety is a very important factor so that it can reduce the risk due to work in radiology installations by using radiation protection. The purpose of the study is to know the impact of APD protocol compliance on employee safety, health and performance.Methods: Research design uses qualitative deskriotive methods. The selection of informants was obtained from observations and interviews to employees of radiology installations of dr. Saiful Anwar Malang Hospital. The study used purposive sampling techniques. Research instruments use observation sheets, interview guidelines and documentation study sheets. The study was conducted in November 2021 at dr. Saiful Anwar Malang Hospital.Results: The results showed radiology unit officers had compliance with APD usage protocols that impacted employee safety and occupational health. Radiology Installation Officer dr. Saiful Anwar Malang has implemented employee work safety and has compliance with occupational health. Radiology Installation Officer of rsud dr. Saiful Anwar Malang has an excellent performance.Conclusions: The results of this study can be used as a reference by health workers to measure the level of compliance in the use of PPE, as well as to improve the knowledge and attitude of health workers in using PPE. The institution is expected to further increase supervision on radiographers, especially in working to be more disciplined in implementing the use of PPE.
背景:职业安全与健康(Occupational Safety and Health, K3)是预防和减少危险环境和工作方式引起的健康问题和事故发生的劳动保护制度之一。预防这些危害和损害，安全是一个非常重要的因素，因此它可以通过使用辐射防护来减少由于在放射设备中工作而产生的风险。本研究的目的是了解APD协议合规性对员工安全、健康和绩效的影响。方法:研究设计采用定性分析方法。举报人的选择是通过对Saiful Anwar Malang医生医院放射设备的雇员的观察和访谈获得的。该研究采用了有目的的抽样技术。研究工具使用观察表、访谈指南和文件研究表。这项研究于2021年11月在塞弗·安瓦尔·玛朗医生医院进行。结果:结果显示放射科人员遵守了影响员工安全和职业健康的APD使用协议。放射科安装主任赛弗·安瓦尔·玛朗医生实施了员工工作安全，并遵守了职业健康。rsud的放射科安装主任Saiful Anwar Malang医生表现出色。结论:本研究结果可作为卫生工作者衡量个人防护用品使用依从性水平的参考，提高卫生工作者使用个人防护用品的知识和态度。预计该机构将进一步加强对放射技师的监管，特别是在实施个人防护装备使用方面更加严格。
{"title":"Kepatuhan Protokol APD Pada K3 dan Kinerja Karyawan Instalasi Radiologi RSUD dr. Saiful Anwar Malang","authors":"Agus Sulistianto","doi":"10.31983/jimed.v8i1.8167","DOIUrl":"https://doi.org/10.31983/jimed.v8i1.8167","url":null,"abstract":"Background: Occupational Safety and Health (K3) is one of the labor protection systems to prevent and reduce the occurrence of health problems and accidents caused by dangerous environments and ways of working. Preventing these hazards and damages, safety is a very important factor so that it can reduce the risk due to work in radiology installations by using radiation protection. The purpose of the study is to know the impact of APD protocol compliance on employee safety, health and performance.Methods: Research design uses qualitative deskriotive methods. The selection of informants was obtained from observations and interviews to employees of radiology installations of dr. Saiful Anwar Malang Hospital. The study used purposive sampling techniques. Research instruments use observation sheets, interview guidelines and documentation study sheets. The study was conducted in November 2021 at dr. Saiful Anwar Malang Hospital.Results: The results showed radiology unit officers had compliance with APD usage protocols that impacted employee safety and occupational health. Radiology Installation Officer dr. Saiful Anwar Malang has implemented employee work safety and has compliance with occupational health. Radiology Installation Officer of rsud dr. Saiful Anwar Malang has an excellent performance.Conclusions: The results of this study can be used as a reference by health workers to measure the level of compliance in the use of PPE, as well as to improve the knowledge and attitude of health workers in using PPE. The institution is expected to further increase supervision on radiographers, especially in working to be more disciplined in implementing the use of PPE.","PeriodicalId":205622,"journal":{"name":"Jurnal Imejing Diagnostik (JImeD)","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128834262","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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