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PENGARUH VARIASI ROTASI TUBUH TERHADAP INFORMASI ANATOMI PADA PEMERIKSAAN RADIOGRAFI SHOULDER JOINT METODE SCAPULAR Y VIEW 人体旋转变化对解剖学信息的影响
Pub Date : 2019-07-15 DOI: 10.31983/JIMED.V5I2.4475
Agustina Dwi Prastanti, A. Wibowo, Rovikhotus Sa'idah
Background: Shoulder joint examination of the scapular "Y" method in one hospital uses a body rotation of 35 0 – 45 0 whereas in theory the position of the patient's body is rotated so mid coronal plane (MCP) forms an angle of 45 0 – 60 0 to the image receptor (IR). Therefore it is necessary to conduct research to obtain optimal anatomy information of shoulder joint. The purpose of this research is to know the information of shoulder joint anatomy and to know the optimal body rotation in showing the anatomy information of shoulder joint. Methods: The type of research is experimental research with descriptive approach. Methods of data collection conducted by experiment and observation. This research conducted with phantom thorax which was exposed six times, same exposure factor and the variation body rotation 35 0 , 40 0 , 45 0 , 50 0 , 55 0 , 60 0 and complete questioner. The questionnaire was completed by three radiologists. Scoring results of the respondents are processed and presented in the tables and graphs to be described and analyzed. Results: The results examination shoulder joint with scapular "Y" method is a different assessment variation on each shoulder joint anatomy information, distortion on the radiographs, and the optimal rotation of the body is a rotation of 55 0 to IR. This refers theory from Frank, Long, and Smith (2012) that the clinical indication of suspected dislocation shoulder joint scapular "Y" method uses the patient standing upright and the position of the body object is rotated so that the MCP of the body forms an angle of 45 0 -60 0 to IR. Conclusion: The radiographic technique of the AP projection pedis with a variation of 35 0 , 40 0 , 45 0 , 50 0 , 55 0 , 60 0 produces different anatomical information. There are distortions and differences in anatomical information which includes the location of the coracoid process under the clavicula, humeral head superposition with glenoid cavity, body of scapula free from ribs, acromion projected laterally and not superposition, medial border scapula superposition with lateral border scapula. The greater the body's rotation towards IR, the greater the distortion that occurs. The optimal angle in generating anatomical information on the scapular “Y” view method examination is 50 o that very useful to evaluate dislocation of shoulder joint.
背景:一家医院肩胛骨“Y”型方法检查肩关节时,患者的身体旋转角度为35°0 ~ 45°0,而理论上,患者的身体位置是旋转的,因此冠状中平面(MCP)与图像受体(IR)形成45°0 ~ 60°0的角度。因此,有必要进行研究以获得最佳的肩关节解剖信息。本研究的目的是了解肩关节的解剖信息,了解肩关节解剖信息显示的最佳身体旋转方式。方法:采用描述性的实验研究方法。通过实验和观察收集数据的方法。本研究采用暴露6次的幻胸,相同暴露因子和变化体旋转35 0、40 0、45 0、50 0、55 0、60 0和完整的问询者。问卷由三位放射科医生完成。对被调查者的评分结果进行处理,并以表格和图表的形式呈现,以进行描述和分析。结果:肩胛骨“Y”法检查肩关节的结果是不同的,评估各肩关节解剖信息的变异,x线片上的畸变,而身体的最佳旋转角度是旋转55°至IR。这是参考Frank, Long, and Smith(2012)的理论,临床指征疑似脱位肩关节肩胛骨“Y”型法,采用患者直立站立,旋转体物位置,使机体MCP与IR形成45 0 -60 0的夹角。结论:前足突位35 0、40 0、45 0、50 0、55 0、60 0的x线摄影技术可获得不同的解剖信息。在锁骨下喙突位置、肱骨头与肩胛盂重叠、肩胛骨体无肋骨、肩峰向外突出而不重叠、内缘肩胛骨与外侧缘肩胛骨重叠等解剖信息上存在畸变和差异。身体向红外方向的旋转越大,发生的畸变就越大。肩胛骨“Y”位法检查产生解剖信息的最佳角度为50°,对评估肩关节脱位非常有用。
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引用次数: 0
PERBEDAAN HASIL GAMBARAN FASE NON DELAY DENGAN FASE DELAY DI AREA BLADDER PADA PEMERIKSAAN PET/CT 在PET/CT检查中,非延时和延时视觉结果的不同
Pub Date : 2019-07-01 DOI: 10.31983/JIMED.V5I2.4405
D. Prakoso, Ratianto Ratianto, G. M. Wibowo
Background : PET/CT examination is an examination performed by injection of a radiopharmaceutical that consist of 18 F-FDG which given intravenously to evaluate lesions in whole body. However, some PET/CT examination  using delay phase for certain pathologies and if the doctor unsure about the resultiong image. This study peform the difference image in quantitative of PET/CT examination between non delay phase and delay phase in area bladder and surrounding. Methods : The type of  research conducted is quantitatif  research with a case study approach, the research that provides a detail description of the actual situation in the hospital. Subjects in the form of radiographers, nuclear medicine specialist, and scientific literature and objects are images of non delay and delay phase PET/CT in the bladder area. Data is taken by observation, interview, and documentation. Results : Assessment image of PET/CT using the value of SUV by ROI on several organ such us the baldder, rectum, ileum, and sacrum. In the non delay and delay phase, the value of the SUV was compared and the result on rectum area was increased, in other organ such as the bladder, ileum, and sacrum the value of SUV was decreased. Conclutions : The difference of image between non delay and delay phase can be seen from the value of SUV organ. SUV value can high in the bladder area because of the accumulation of FDG and scanning from the head so when scanning the pelvis value of SUV is high and can infuluence the image of surrounding organs.
背景:PET/CT检查是一种通过静脉注射由18个F-FDG组成的放射性药物来评估全身病变的检查。然而,一些PET/CT检查使用延迟相位对于某些病理和如果医生不确定的结果图像。本研究对膀胱及周围非延迟期与延迟期PET/CT检查的定量差异图像进行了研究。方法:采用个案研究法进行定量研究,详细描述医院的实际情况。以放射技师、核医学专家、科学文献和对象的形式进行研究的对象是膀胱区域的非延迟期和延迟期PET/CT图像。数据是通过观察、采访和记录获得的。结果:PET/CT应用ROI值对膀胱、直肠、回肠、骶骨等脏器进行评价。在非延迟期和延迟期比较,SUV在直肠面积的值升高,在膀胱、回肠、骶骨等其他器官的值降低。结论:从SUV器官的价值可以看出非延迟期与延迟期的影像差异。由于FDG的积聚和从头部扫描,膀胱区域的SUV值会很高,所以在扫描骨盆时SUV值很高,会影响周围器官的成像。
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引用次数: 0
RADIATION DOSE REDUCTION ON BREAST AREA BY USING LEAD APRON: A PRE-EXPERIMENTAL STUDY IN ABDOMINAL CT 铅围裙在腹部ct上降低乳房辐射剂量的实验前研究
Pub Date : 2019-01-31 DOI: 10.31983/JIMED.V5I1.3987
A. H. Sulistiyadi, Susi Tri Isnoviasih, D. Dartini, E. Hiswara
Backgroud: Previous researches show that the use of out of plane shielding can reduce the radiation dose received by radiosensitive organs around the scan area on CT scan. There is a special shielding designed for CT scans, but currently the type of shielding available in almost all radiology installations is the lead apron. This study aims to determine the dose received by the breast area on CT abdominal scan without shielding and its reduction by giving lead apron shielding on 180 0 and 360 0 . Methods: This is quantitative research with a pre-experimental design. Abdominal CT scan was performed on a whole body CT phantom whose characteristics are close to human body tissue. The radiation dose received by the breast area was measured by Termoluminisence-dosemeter (TLD). TLD’s were placedon the same points. Scanning was performed using Siemens Somaris/5 Syngo, repeated in three conditions: without shielding, lead apron shielded (equivalent to 5 mm Pb) by 180 0 and 360 0 . The rouitne protocol was used (120 kv and 200 mA) Data was analyzed by Paired t-test to determine the difference in radiation dose received and descriptive analysis for know the level of reduction. Results: The radiation dose received by the breast area without shielding, with shielding 180 0 , and with shielding 360 0 were respectively 0.653 mSv, 0.367 mSv, and 0.242 mSv. There were significant differences in the dose received by the breast area (p value <0.05) by using shielding. Compared to unshieldied condition, there was a decrease of 43.95% when shielded 180 0 , and a decrease of 62.94% when shielded 180 0 . Conclusion: Lead apron is effective for reducing radiation dose on breast in abdominal CT. 360 0 shielding provides higher reduction than 360 0 shielding, so it can be considered to be applied in clinical procedure.
背景:以往的研究表明,在CT扫描中使用面外屏蔽可以降低扫描区域周围的放射敏感器官所受的辐射剂量。有一种为CT扫描设计的特殊屏蔽,但目前几乎所有放射学设备中可用的屏蔽类型都是铅围裙。本研究旨在确定不加遮挡的CT腹部扫描乳腺区域所受的剂量,以及在180和360处给予铅围裙遮挡后所减少的剂量。方法:采用预实验设计的定量研究方法。在接近人体组织特征的全身CT幻像上进行腹部CT扫描。乳房区域接受的辐射剂量用热释光剂量计(TLD)测量。顶级域名的位置是相同的。使用Siemens Somaris/5 Syngo进行扫描,在无屏蔽、铅圈屏蔽(相当于5 mm Pb) 180°和360°三种情况下重复扫描。采用常规方案(120 kv和200 mA),对数据进行配对t检验以确定所受辐射剂量的差异,并进行描述性分析以了解降低水平。结果:无屏蔽、屏蔽180、屏蔽360乳腺区域所受辐射剂量分别为0.653 mSv、0.367 mSv、0.242 mSv。屏蔽后乳腺区域所受剂量差异有统计学意义(p值<0.05)。与未屏蔽时相比,屏蔽1800时降低43.95%,屏蔽1800时降低62.94%。结论:铅围裙能有效降低腹部CT对乳房的辐射剂量。360度屏蔽比360度屏蔽提供更高的复位,因此可以考虑在临床手术中应用。
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引用次数: 0
RADIATION EXPOSURE PROFILE IN RADIOLOGICAL DEPARTMENT TO SUPPORTING PROTECTION PROGRAMS IN HOSPITALS / RADIOLOGICAL CLINIC LABORATORY IN SEMARANG CITY 在三宝垄市放射科的辐射暴露概况,以支持医院/放射临床实验室的防护计划
Pub Date : 2019-01-01 DOI: 10.31983/jimed.v5i1.3999
D. Rochmayanti, S. Daryati, D. Darmini, Y. Kartikasari
Background : All acts of radiation use, both for diagnostics, therapy and nuclear medicine, must go through a process of justification, limitation and optimization so that patients, officers and the surrounding environment get as much diagnostic benefit as possible with the smallest possible radiation risk. Some problems that arise in the Hospital / clinic, often ignore and do not pay attention to work exposure safety factors. The purpose of this study was to determine the profile of occupational radiation exposure and the effectiveness of radiation shielding in the radiology department of the Semarang city  then compared to the reference dose to determine the optimization of radiation protection. Methods: The type of research conducted is quantitative research with a survey and observational approach. Exposure measurements were carried out in 5 radiology department, which included 3 hospitals and 2 clinical laboratories. Documents and room observations are also carried out. For the effectiveness of the radiation barrier it is also measured before and after the radiation shielding by using a  surveymeter tool. The results data are then presented in descriptive analyses. Results: The results of the study of radiation exposure profiles in five radiology institutions, four institutions there was radiation exposure recorded on the  surveymeter tool, with the largest exposure value was 0.099 mSv / h (still below the safe limit of 1 mSv / year). Only one hospital is safe, and there are no leaks. Conclusions: The effectiveness of the radiation retaining wall, four hospitals have a barrier level equal to 1 mm Pb at 80 kVp irradiation, and 1 hospital (RSJ) has a radiation barrier equivalent to 0.5 mmPb.
背景:所有的辐射使用行为,无论是诊断、治疗还是核医学,都必须经过一个合理、限制和优化的过程,以便患者、医务人员和周围环境在尽可能小的辐射风险下获得尽可能多的诊断效益。在医院/诊所出现的一些问题,往往忽视和不重视工作暴露的安全因素。本研究的目的是确定三宝垄市放射科的职业辐射暴露概况和辐射屏蔽的有效性,然后与参考剂量进行比较,以确定辐射防护的优化。方法:采用调查与观察相结合的定量研究方法。在5个放射科(包括3所医院和2个临床实验室)进行了暴露测量。还进行了文件和房间观察。在辐射屏蔽之前和之后,还使用测量工具测量了辐射屏障的有效性。结果数据随后以描述性分析的形式呈现。结果:对5个放射机构的辐射暴露剖面进行了研究,其中4个机构在测量仪工具上记录了辐射暴露,最大暴露值为0.099 mSv / h(仍低于1 mSv /年的安全限值)。只有一家医院是安全的,而且没有泄漏。结论:辐射挡墙的有效性,在80 kVp照射下,4家医院的防护水平相当于1 mmPb, 1家医院(RSJ)的防护水平相当于0.5 mmPb。
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引用次数: 0
LOPOGRAPHY EXAMINATION WITH PATIENT POST-HARTMANN PROCEDURE AT RADIOLOGY DEPARTMENT RSPAU dr. S. HARDJOLUKITO YOGYAKARTA 日惹国立国立大学放射科哈德jolukito博士对病人进行哈特曼手术后的地形图检查
Pub Date : 2019-01-01 DOI: 10.31983/JIMED.V5I1.4007
S. Mulyati, Ismi Lulu Walidaeni
Backgroud: The research has been done about lopography examination with patient post-Hartmann procedure at radiology department RSPAU dr. S. Hardjolukito Yogyakarta. This research aims to know lopography examination with patient post- Hartmann procedure, giving contrast media and  to know the reason of the use AP and Oblique (RPO and LPO) projection. Methods: The type of this research is qualitative with case study approach. Data were collected by observation, interview, and documentation methods. The subject of this research are radiographers, radiologist, and referring doctor. Data analyse  with Interactive models. Results: The result of the research showed that lopography examination with patient post-Hartmann procedure at radiology department RSPAU dr. S. Hardjolukito Yogyakarta is done with patient preparation diet with low fibrous, a lot of waters  and fasting before examination approximately 10 hours. Giving contrast media to lopography examination with patient post-Hartmann procedure is contrast media water soluble diluted NaCl with ratio 1 : 4 . Total volume is 650 cc. Giving contrast media through anus and stoma. Conclusion: The reason of the use AP and Oblique (RPO and LPO) projection is based of  radiologist advise, based on confirmation with radiologist that projection can maintain the diagnose. AP projection can  show entire colon and Oblique (RPO and LPO) projection can show flexure area.
背景:本研究是在日惹RSPAU放射科的S. Hardjolukito博士进行的关于患者术后哈特曼程序的地理检查。本研究旨在了解患者Hartmann手术后的造影检查,给予造影剂,并了解使用AP和斜位(RPO和LPO)投影的原因。方法:本研究采用个案定性研究方法。采用观察法、访谈法和文献法收集资料。本研究的对象为放射技师、放射科医师和转诊医生。使用交互式模型进行数据分析。结果:研究结果表明,RSPAU dr. S. Hardjolukito Yogyakarta放射科的患者术后哈特曼程序的地形图检查是在患者准备低纤维饮食,大量饮水和检查前禁食约10小时完成的。患者哈特曼术后地形检查造影剂为1:4比例的水溶性稀释NaCl。总容积650毫升,通过肛门和造口给予造影剂。结论:采用AP和斜位(RPO和LPO)投影的原因是基于放射科医生的建议,基于与放射科医生的确认,投影可以维持诊断。AP投影可显示整个结肠,斜位(RPO和LPO)投影可显示屈曲区域。
{"title":"LOPOGRAPHY EXAMINATION WITH PATIENT POST-HARTMANN PROCEDURE AT RADIOLOGY DEPARTMENT RSPAU dr. S. HARDJOLUKITO YOGYAKARTA","authors":"S. Mulyati, Ismi Lulu Walidaeni","doi":"10.31983/JIMED.V5I1.4007","DOIUrl":"https://doi.org/10.31983/JIMED.V5I1.4007","url":null,"abstract":"Backgroud: The research has been done about lopography examination with patient post-Hartmann procedure at radiology department RSPAU dr. S. Hardjolukito Yogyakarta. This research aims to know lopography examination with patient post- Hartmann procedure, giving contrast media and  to know the reason of the use AP and Oblique (RPO and LPO) projection. Methods: The type of this research is qualitative with case study approach. Data were collected by observation, interview, and documentation methods. The subject of this research are radiographers, radiologist, and referring doctor. Data analyse  with Interactive models. Results: The result of the research showed that lopography examination with patient post-Hartmann procedure at radiology department RSPAU dr. S. Hardjolukito Yogyakarta is done with patient preparation diet with low fibrous, a lot of waters  and fasting before examination approximately 10 hours. Giving contrast media to lopography examination with patient post-Hartmann procedure is contrast media water soluble diluted NaCl with ratio 1 : 4 . Total volume is 650 cc. Giving contrast media through anus and stoma. Conclusion: The reason of the use AP and Oblique (RPO and LPO) projection is based of  radiologist advise, based on confirmation with radiologist that projection can maintain the diagnose. AP projection can  show entire colon and Oblique (RPO and LPO) projection can show flexure area.","PeriodicalId":205622,"journal":{"name":"Jurnal Imejing Diagnostik (JImeD)","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124066601","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}
引用次数: 0
ANTI RADIATION BUILDING DESIGN: LOCAL SAND TYPE ANALYSIS TO GET CONCRETE X-RADIATION RESISTANT X-RAY 抗辐射建筑设计:局部砂型分析得到混凝土x射线抗辐射x射线
Pub Date : 2019-01-01 DOI: 10.31983/JIMED.V5I1.4001
Muhammad Fakhrurreza, Fisnandya Meita Astari
Background : There are three ways to protect yourself from the danger of radiation, namely by regulating the length of irradiation (the effect of time), the use of anti-radiation material (shielding), and adjusting the distance from the radiation source (distance). In order to be safe in carrying out x-ray irradiation, patients and operators must take three steps so that radiation hazards can be minimized (Nunung, 2004). One way to check the danger of external radiation is to use a radiation barrier. This method is generally preferred, because it creates safe working conditions. Besides that the time and distance factors can be monitored continuously at the time of work, so that radiation workers can be guaranteed safety. Methods:  This research is quantitative research with an experimental approach. The method of data collection in this study is observation, direct experiments and documentation. The types of sand to be used in this study are south beach sand, opaque sand, progo sand, white mountain sand and volcanic sand. Result :  Concrete using sand material from South Beach has the lowest HVL value of 0.8644cm.  Conclusion : The HVL value possessed by concrete with South Beach sand material is most effective in resisting x-ray radiation.
背景:保护自己免受辐射危害的方法有三种,即调节照射时间(时间的影响)、使用防辐射材料(屏蔽)和调节与辐射源的距离(距离)。为了安全进行x射线照射,患者和操作人员必须采取三个步骤,以尽量减少辐射危害(Nunung, 2004)。检查外部辐射危害的一种方法是使用辐射屏障。这种方法通常是首选的,因为它创造了安全的工作条件。此外,可以在工作时对时间和距离因素进行连续监测,从而保证辐射工作人员的安全。方法:本研究采用实验方法进行定量研究。本研究的资料收集方法为观察、直接实验和文献资料。本研究中使用的砂类型有南滩砂、不透明砂、progo砂、白山砂和火山砂。结果:南滩砂料混凝土的HVL值最低,为0.8644cm。结论:南滩砂材料混凝土抗x射线辐射的HVL值最有效。
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引用次数: 0
RADIATION DOSE ESTIMATION WITH CALDOSE_X VERSION 5.0 IN RADIOLOGICAL LABORATORY DEPARTMENT OF RADIODIAGNOSTIC AND RADIOTHERAPY TECHNIQUE 应用caldose_x 5.0在放射诊断与放疗技术放射实验室进行辐射剂量估算
Pub Date : 2019-01-01 DOI: 10.31983/jimed.v5i1.3995
Agung Nugroho Setiawan
Background: Media in the educational perspective is a strategic instrument in determining the success of the teaching and learning process. On radiographic examination, each patient is always at risk of exposure to ionizing radiation that is not necessary. Students need to learn whether the exposure factors which they use on patients is still below of the diagnostic reference level. This article purpose to get an overview of the radiation dose estimation using CALDose_X version 5.0 software as a laboratory-learning instrument in Radiological Laboratory Department of Radio diagnostic and Radiotherapy Technique, Poltekkes Kemenkes Semarang. Methods: This article contains a description of using this software. The sample type is purposive sampling, which consist of seven types of radiographic examinations belong to The Head of Bapeten Regulation Number 8 of 2011. Entrance surface air kerma (ESAK) value from each exposure factors compared with Bapeten dose limit. Results: The result showed this software able to calculate the incident air kerma of radiographic examination based on the output parameters of an X-ray tube. All of ESAK values confirm with the Bapeten dose limit. Conclusion: The CALDose_X version 5.0 can be proposed as an instructional media to teach students in estimating absorbed dose to organs and tissues of the human body, the effective dose as well as the patient’s cancer risk for radiographic examinations.
背景:从教育的角度来看,媒体是决定教与学过程成功与否的战略工具。在放射检查中,每个病人总是处于不必要的电离辐射暴露的风险中。学生需要了解他们在病人身上使用的暴露因子是否仍然低于诊断参考水平。本文旨在综述利用CALDose_X 5.0软件作为实验室学习仪器在三宝朗大学放射诊断与放疗技术放射实验室进行辐射剂量估算的情况。方法:本文包含使用该软件的描述。样本类型为目的抽样,由7种类型的放射检查组成,属于2011年第8号Bapeten条例的头部。各暴露因子的入口表面空气可汗(ESAK)值与Bapeten剂量限值进行比较。结果:该软件能够根据x射线管的输出参数计算出射线检查的入射空气角。所有ESAK值与Bapeten剂量限值一致。结论:CALDose_X 5.0版可以作为一种教学媒介,用于指导学生估计人体器官和组织的吸收剂量、有效剂量以及放射检查中患者的癌症风险。
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引用次数: 0
IMPLEMENTATION X-RAY RADIATION SAFETY MANAGEMENT IN RADIOLOGY LABORATORY OF ‘AISYIYAH YOGYAKARTA UNIVERSITY 日惹大学放射实验室x射线辐射安全管理的实施
Pub Date : 2019-01-01 DOI: 10.31983/JIMED.V5I1.3997
Asih Puji Utami
Background: D3 Radiology Study Program is part of the new study programs at the Faculty of Health Sciences ‘Aisyiyah Yogyakarta University, which has accepted new students since 2016. In the learning process in the laboratory role is very important to support the success of the applied curriculum. So that the radiation safety management system is required in managing the laboratory, because radiation safety management is important for laboratory users, namely lecturers, assistant lecturers, and students. The purpose of this study was to analyze the implementation of X-ray radiation safety management at the Radiology Laboratory ‘Aisyiyah Yogyakarta University. Methods: This study uses descriptive qualitative research with data collection methods conducted in-depth interviews and observations. The sampling technique used was total sampling to all radiation workers as many as 12 people. Data analysis is done by reducing data, creating categorization tables and making, open coding so conclusions can be made. While presenting data in the form of quotations. Results: The results show that in the Radiology laboratory Aisyiyah YogyakartaUniversity already has a radiation protection organizational structure component consisting of an installation employer, radiation protection officers and radiation workers (8 lecturers and 4 Lecturer assistants). Health monitoring of radiation workers has been carried out during the process of submitting x-ray equipment permits. Radiology Laboratory of University 'Aisyiyah has sufficient radiation protection equipment. As for quality assurance, equipment they have quite complete. Suitability tests for radiographic equipment have been conducted during the process of permitting equipment, during learning and training for all lecturers and teaching assistants in 2016 and 2018. Monitoring individual doses are carried out using TLD, pen dosimeter, digital dosimeter. Conclusion: Document retention has been carried out but has not been well organized. While the education and training documents are still kept by each radiation worker on his personal documents.
背景:D3放射学研究项目是Aisyiyah Yogyakarta大学健康科学系新研究项目的一部分,该项目自2016年起接受新生。在学习过程中,实验室的作用是非常重要的,是应用课程成功的支撑。因此,在实验室的管理中需要有辐射安全管理制度,因为辐射安全管理对实验室的使用者,即讲师、助理讲师和学生来说是很重要的。本研究的目的是分析日惹大学放射学实验室x射线辐射安全管理的实施情况。方法:本研究采用描述性定性研究,结合数据收集方法进行深入访谈和观察。采用的抽样技术是对所有辐射工作人员进行抽样,抽样人数多达12人。数据分析是通过减少数据、创建分类表和编写开放式编码来完成的,这样就可以得出结论。同时以引用的形式呈现数据。结果:日方大学放射学实验室已形成由安装单位、辐射防护人员和辐射工作人员(讲师8人、讲师助理4人)组成的辐射防护组织结构。在提交x射线设备许可证的过程中,对辐射工作人员进行了健康监测。艾思亚大学放射实验室有足够的辐射防护设备。至于质量保证,他们的设备也相当齐全。在2016年和2018年的设备许可过程中,在所有讲师和助教的学习和培训期间,对射线照相设备进行了适用性测试。使用TLD、笔式剂量计、数字剂量计监测个体剂量。结论:文献保存工作已开展,但组织工作不到位。而教育和培训文件仍然保存在每个辐射工作人员的个人文件上。
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引用次数: 0
THE OPTIMIZATION OF MSCT OF URINARY TRACT USING TRACKING WITH FILTERS VARIATION 利用过滤器变化跟踪优化尿路MSCT
Pub Date : 2019-01-01 DOI: 10.31983/jimed.v5i1.4011
N. Sulaksono, Agustina Dwi Prastanti, Vederica Farida Candra
Backgroud : Kidney disease is a clinical situation which is indicated by the decreasing of kidney functions and MSCT is one of the modalities to diagnose that function. Aim to identify the differences in image information with filter variation abdomen medium smooth and  Mediastinum Standard. Methods : The method was the experimental research using research planning Post Test Only Group Design. The sampling was chosen consecutively. There were 3 Radiolog and  32 citra on the examination of MSCT abdomen without positive contrast media in Salatiga Public Hospital. Results : The intervention validity experiment after a tracking filter with variations, kruskal Wallis test results. There are meaningful differences shows vlue of p value 0,000 (p<0,05), so that continued analysis of the Mann Whitney. The results of the analysis of the Mann Whitney pointed out that there is a difference between real or significant group of filter Medium Smooth Abdomen with Abdominal filter Medium Sharp/Mediastinum Standard Sig<0.05 p value 0.000). Conclusion: a variation of the filter is able to identify the existence of a difference image information tracktus optimal unirarius MSCT abdomen after tracking by using the best filtr Medium Sharp Abdomen/Mediastinum Standard.
背景:肾脏疾病是一种以肾脏功能下降为表现的临床状况,MSCT是诊断肾脏功能的方法之一。目的通过对腹部介质平滑和纵膈标准的滤波变化来识别图像信息的差异。方法:采用研究计划后验组设计进行实验研究。采样是连续选择的。萨拉提加公立医院无阳性造影剂的MSCT腹部影像学检查3例,影像学检查32例。结果:干预效度实验经过变异跟踪滤波后,得到kruskal - Wallis检验结果。有意义的差异显示p值为0000 (p< 0.05),以便继续对曼惠特尼进行分析。Mann Whitney分析结果指出,真实或显著组的filter Medium Smooth腹部与Abdominal filter Medium Sharp/Mediastinum Standard之间存在差异(Sig<0.05 p值0.000)。结论:一种变异的滤波方法能够识别出存在差异的图像信息,最优的unirarius MSCT腹部跟踪后采用最优的滤波方法Medium Sharp腹腔/纵膈标准。
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引用次数: 2
THE DIFFERENCE OF ANATOMICAL INFORMATION AND IMAGE QUALITY OF NASOPHARYNX CARCINOMA CT SCAN WITH SLICE THICKNESS VARIATION ON AXIAL SLICE IN RSUD DR MOEWARDI SURAKARTA Moewardi surakarta博士研究鼻咽癌ct轴向层厚度变化对解剖信息和图像质量的影响
Pub Date : 2018-07-01 DOI: 10.31983/JIMED.V4I2.3992
Aisyah Amalia Dewita Rachmani, Siti Masrochah, S. Mulyati
Background : The use of Slice thickness examination of nasopharyngeal CT based on theory (Seeram, 2001) using 3 mm and according (Ballinger, 2010) using 5 mm, while in hospital Dr. Moewardi Surakarta the slice thickness used is 5 mm according to theory and 7 mm based on the radiographer. The purpose of this research is to know the difference of anatomical information and image quality of CT scan of nasopharynx of carcinoma case and to know the slice thickness that produces anatomical information and the best image quality CT Scan nasopharynx case carcinoma. Method : The type of research is a quantitative with experimental approach. The data were obtained from 10 nasopharynx CT patients with carcinoma using variations of slice thickness 3 mm, 5 mm, and 7 mm. The assesment of anatomical information and image quality by spreading questionnaire at 3 doctor radiolog. Data were tested with Shapiro Wilk for normality data, then friedman test. To determine the optimal slice thickness using descriptive mean rank test. Results : The results showed that there were differences in anatomical information and image quality of nasopharyngeal CT scan of axial slice using slice thickness. The probability value of this study is p value = 0,000 (<0,05). Optimal slice thickness on nasopharyngeal CT scan for anatomical information using slice thickness of 5 mm with the highest mean rank of 2.61 and for viewing image quality it is best to use slice thickness of 7 mm with a mean rank of 3.00. Conclusion : There are differences in anatomical information and image quality on nasopharynx CT scans of carcinoma cases using slice thickness variations. The optimal slice thickness is 5 mm slice thickness to anatomical information and the optimal slice thickness is 7 mm  to quality image.
背景:鼻咽CT层厚检查基于理论(Seeram, 2001)使用3mm,根据(Ballinger, 2010)使用5mm,而在医院Moewardi Surakarta医生根据理论使用5mm,根据放射医师使用7mm。本研究的目的是了解鼻咽癌病例CT扫描解剖信息和图像质量的差异,了解鼻咽癌病例CT扫描产生解剖信息的层厚度和最佳图像质量。方法:采用定量结合实验的研究方法。数据来自10例鼻咽癌患者,分别使用3 mm、5 mm和7 mm的切片厚度变化。采用问卷调查法评价3位医生的影像学解剖信息和图像质量。数据采用Shapiro Wilk正态性检验,然后采用friedman检验。采用描述性平均秩检验确定最佳切片厚度。结果:鼻咽CT轴向层扫描在解剖信息和图像质量上存在差异。本研究的概率值p值= 0000(< 0.05)。鼻咽部CT扫描最佳切片厚度为5mm,平均rank最高为2.61;观察图像质量最佳切片厚度为7mm,平均rank最高为3.00。结论:不同鼻咽癌CT扫描在解剖信息和图像质量上存在差异。对解剖信息的最佳切片厚度为5mm,对质量图像的最佳切片厚度为7mm。
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Jurnal Imejing Diagnostik (JImeD)
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