bluuebunny/crossref_metadata_2025 huggingface dataset:
Kontekstualisasi Ekonomi Kreatif Partisipatif Menuju Kemandirian Pesantren
Authors: Darul Ma`arif
Published: February 2022

Abstrak

Petumbuhan dan perkembangan pesantren di Indonesia jelas mewarnai sejarah pendidikan Islam di Indonesia. Sejalan dengan perubahan sosial akibat modernisasi-industrialisasi pasti membutuhkan pesantren untuk memberikan reaksi atau respon yang memadai. Rekasi pesantren terhadap perubahan yang terjadi sejauh ini lembut dan keras. Ada yang terbuka da nada yang dekat. Oleh karena itu, fungsi pesantren tidak hanya sebagai pusat untuk menghasilkan pemikir agama (center of excellence), sebagailembaga yang mencetak sumber daya manusia, tetapi juga diharapkan menjadi lembaga yang dapat memberdayakan masyarakat (agen pembangunan). Melihat fungsinya, pesantren sebenarnya dapat bertindak sebagai lembaga perantara yang diharapkan menjadi dinamis dan katalisator untuk memberdayakan sumber daya manusia, mendorong pembangunan disemua bidang, termasuk di bidang ekonomi. Sebagai konsekuensi dari keterlibatan masyarakat dalam memperkuat ekonomi diantara pesantren, ia belum tersentuh secara kreatif dan serius dalam bentuk integrasi integral dan eksplisit oleh pesantren. Tradisi itu sendiri tidak cukup untuk bermetamorfosis sebagai nilai-nilai masyarakat sipil yang beradab, universal dan berorientasi jauh ke depan. Tujuan dari penelitian ini adalah untuk memunculkan spirit pesantren khususnya dalam mewujudkan ekonomi kreatif pastisipatif untuk dapat menopang laju perekonomian pesantren serta meningkatkan peran masyarakat sekitar dalam pengelolaan dan pengembangan ekonomi pesantren.
Telaah Kritis Praktik Pendistribisuan Dan Manfaat Zakat Fitrah Di Desa Ngadirojo Soko Ponorogo Tahun 2019
Authors: Yayuk Ambar Wati  , Ahmad Royani
Published: February 2022

Abstract

Zakat fitrah is a zakat that must be issued by every individual who is Muslim whose time is related to the holy month of Ramadan. The purpose of zakat fitrah is to purify the soul and fulfill the needs of the needy and poor people on Eid al-Fitr. For the determination of mustahiq must be exactly as specified in Islamic law so that the purpose of zakat fitrah implemented.The practice of managing zakat fitrah in Ngadirojo Village, Sooko District, Ponorogo Regency is left to each mosque in the village. The distribution is carried out by distributing zakat fitrah to people in need and orphanages. But there are still mosques where the distribution of zakat fitrah is distributed evenly by the zakat committee to local residents without looking and considering the economic situation as a mustahiq. In the village there is also one mosque that utilizes zakat fitrah for khataman activities at the end of Ramadan. Why is zakat fitrah in one mosque in Ngadirojo village distributed evenly to local residents without looking at the poor or rich and why does zakat fitrah be used for religious activities? then how about a review of Islamic Law on these practices? This type of research conducted in this study is field research, namely data obtained from direct searches regarding the management of zakat fitrah in Ngadirojo Village, Sooko District, Ponororgo Regency. In getting the data, the compiler made observations and interviews directly to Mudin (zakat fitrah manager in Ngadirojo Village), zakat fitrah committee, and local residents. While the approach that the authors did in this study uses a normative approach, which is to solve the problem using the Qur'an, the hadith, and opinions of the scholars. In analyzing the constituent data using qualitative analysis by analyzing all data collected then described by the inductive method.The practice of the distribution of zakat fitrah in some mosques in Ngadirojo Village distributed to people in need and orphanages is in accordance with Islamic Law. But the distribution of zakat fitrah which is distributed evenly and the use of zakat fitrah for khataman events at the Ar-Rohmah Mosque, Hamlet Wates, Ngadirojo Village cannot be justified in Islamic Law because it does not match what is stated in the Koran at-Taubah verse 60 and not in accordance with the Prophet's hadith.
ANALISIS TINGKAT PAPARAN RADIASI DI AREA SETINGGI MATA DOKTER OPERATOR SELAMA PEMERIKSAAN DIAGNOSTIK CORONARY ANGIOGRAPHY DI RUANG CATHLAB
Authors: Devi Aprilia Primaningtyas  , Soegardo Indra Praptono  , Lailatul Muqmiroh
Published: February 2022

Background : The radiation exposure of interventional cardiology can provide biological effects on patients and workers that is deterministic and stochastic effects. One organ that accepts the possibility of deterministic effects are the eyes. To find out the possibility of cataracts is measuring the level of radiation exposure in the area of radiation workers at eye level during the diagnostic coronary angiography procedures.

Method: the measurement of the level of radiation exposure in the area of physician eye-level using a survey meter directly at the physician position. Measurements were made on the variation of the projection during diagnostic coronary angiography examination including PA-Cranial, LAO-Cranial, LAO-Caudal, RAO-Cranial, RAO-Caudal, RAO and LAO.

Result: Measuring the level of radiation exposure in the area at physician eye-level during diagnostic coronary angiography obtained on sample A of 15.34 μSv for 69.17 seconds (1 minute 9.17 seconds and sample B of 25.11 μSv for 46 seconds. The total dose, DAP (dose Area Product) and fluoroscopy time of the operator A is higher than the operator B.

Conclusion: The level of radiation exposure in the area of physician eye-level during diagnostic coronary angiography examination obtained does not exceed the dose limit value (NBD) is 75 μSv /h.
PENGARUH VARIASI BERAT BADAN TERHADAP KENAIKAN TEMPERATUR TUBUH DAN NILAI SPECIFIC ABSORPTION RATE PADA PEMERIKSAAN MRI BRAIN
Authors: Dimas Prakoso  , Fatimah  , Bagus Abimanyu  , Dartini
Published: February 2022

Background : MRI brain is a routine examination, after finished examination will felt warm and sweaty on the back. The heat produced by the SAR effect affected by the body weight examined. This research to determine increasing body temperature and SAR value after MRI brain examination based on different body weight.

Methods :The kind of this research is experiment. Research has been done at thirteen (13) samples with characteristic as follows : consisted of 3 men and 10 women with variation of body weight 45 kg until 75 kg. Samples had normal body temperature, no abnormalities in the head, and no claustrophobia. Each samples measure body weight and body temperature before MRI examination, then performed examination of MRI brain used brain routine protocol during 19 minutes 49 seconds. After that, measure body temperature again to find the increasing body temperature and saw the SAR value on SAR information. Then analyzed the affection of the variation of body weight and increasing body temperature, and variation of body weight and SAR value. Data were analysed statistically by using Linear Regression test.

Results : The results showed that there were significant affection between variation of body weight and increasing body temperature (p value<0,05) significant with very strong influence (R Square=0,889) and negative correlation with equation y=2,098–0,024x.On variation of body weight and SAR value showed that there were significant affection (p value<0,05) with medium influence (R Square=0,596) and positive correlation with equation y=0,214+0,004x.

Conclusion : Based on these results indicate thatmore body weight, increase body temperature will decrease due to the fat in people overweight and more body weight, SAR value will increase according the amount of RF exposure required
GAMBARAN PELAYANAN PRIMA RADIOLOGI DI INSTALASI RADIOLOGI RUMAH SAKIT PANTI RAPIH YOGYAKARTA
Authors: Asih Puji Utami  , Kesawa Sudarsih  , Maulina Cahya Rochimayati
Published: February 2022

Service in the field of radiology is one aspect that must be considered by the Yogyakarta Panti Rapih Hospital to improve service quality. Based on a preliminary study of the results of the questionnaire with a sample of 20 respondents who have done 2 of them, namely as many as three respondents disagree about the waiting time for all types of checks to get very fast results, a respondent does not agree on speed in providing services, this study aims to find out Overview of Prima Radiology Services at the Radiology Installation of Panti Rapih Hospital in Yogyakarta.

This type of research is quantitative descriptive with a cross sectional study approach. The study was conducted by taking a sample of 97 respondents by distributing questionnaires to some patients. After the data collected will then be analyzed using the SPSS program (Statistical Product and Service Solution) version 22.

Results: The results of the study based on the ability variable were 67% agreed. Based on attitude variables, as many as 82.5% agreed. Based on appearance variables, 57.7% agreed. Based on the attention variable as much as 84.5% stated strongly agree. Based on the action variable as much as 80.4% said they agreed, based on the variable responsibility, 83.5% agreed. Based on the 6 aspects of excellent service, it can be concluded based on good categories if the total score is baik 90 and not good if the total score is ≤ 90, so that the score is 81.4% good, and 18.6% is not good. Radiology Installation of Panti Rapih Hospital in Yogyakarta should provide information on taking X-rays readings before and after the examination, it is necessary to increase patience with patients, be able to control emotions while providing services, have a sense of empathy for patients, provide fast service
PERANAN ALAT BANTU PENGIRIMAN ARSIP AEROCOM PNEUMATIC TUBE SYSTEM PADA PEMERIKSAAN VERTEBRAE CERVICAL DENGAN KASUS TRAUMA
Authors: Ryzki Mega Mentari  , Nanang Sulaksono
Published: February 2022

Background :The cervical vertebrae consist of seven vertebral bones separated by intervertebral discs and connected by complex ligamentous tissue. Examination of cervical vertebrae includes Axial, Lateral, RPO and LPO AP projections. Axial AP projections are carried out with15-200 cephalad angles. At PKU Muhammadiyah Hospital Gamping vertebrae radiographic examination cervical AP projection was done without cornering this case there was a difference with the theory so the author wanted to know more about the examination procedure.

Methods :This type of research is qualitative research with a case study approach. This research was conducted at the Radiology Installation of PKU MuhammadiyahGamping Hospital and was carried out in March - May 2018. This research was carried out by observation, documentation, radiogarfer interviews and radiology doctors.Results :The results of the study found that cervical vertebrae radiographic examination procedures in trauma cases used two projections, namely AP and Lateral projections. On vertebrae examination cervical projection of AP is done without cornering. The reason for not being cornered is because the radiograph has revealed the corpus, intervertebral disc, spinousprocesus. Cervical vertebrae examination with trauma cases requires further action. In the Radiology Installation PKU Muhammadiyah Hospital, Gamping, was assisted by the delivery of aerocom pneumatic tube system files, in its role this tool was very helpful if the sending doctor wanted to immediately find out the radiographic results of the patient with the trauma case.
PENGUJIAN KELAYAKAN ALAT PELINDUNG DIRI ( LEAD APRON DAN THYROID SHIELD)
Authors: Thalia Devi Prama Dani  , Darmini
Published: February 2022

Radiation Protection Tool in Radiology Departement Of RS PKU Muhammadiyah Yogyakarta there are four Lead Apron and Thyroid Shield. Maintance of Lead Apron and Thyroid Shield has not done well and has not been done by X-ray testing. This study aims to determine maintance of Lead Apron and Thyroid Shield, determine  the results of Lead Apron and Thyroid Shield, to determine Lead Apron and Thyroid Shield tests are still feasible to use or not. The kind of research that used is descriptive quantitative research with survey approach. Data collection is done by direct observation, testing, measurement and documentation. The observations were conducted directly an four Lead Apron and Thyroid Shield in Radiology Departement Of RS PKU Muhammadiyah Yogyakarta. The testing was done with radiating all Lead Apron and Thyroid Shield and recorded with Computed Radiography. The data obtained are then analyzed. Appropriatness Lead Apron and Thyroid Shield are not feasible to use if the damage in the form a hole of 2 mm or area exceeds 3,14 mm2 and damage in the form of fault with a lenght exceeding 4 mm. The results of this research  indicate that the maintance of Lead Apron and Thyroid Shield is not done well and correctly. Lead Apron and Thyroid Shield placed hung up, folded and placed not on a special cabinet. According the result Lead Apron and Thyroid Shield can be recognized that there is one Lead Apron is not feasible because it has hole damage in the form of 2 mm or area exceeds 3,14 mm2 and damage in the form of fault with a lenght exceeding 4 mm. But for Lead Apron A, B, D and Thyroid Shield although there are indentation and fractures but not exceeding the specified standart so it is still feasible to use.
Perbandingan Rata-Rata Densitas Pada Hasil Foto Thorax Proyeksi Antero Posterior (AP) Supine dan Duduk Tegak
Authors: Ali Amroji  , Raditya Faradina Pratiwi  , Agnes Adriana
Published: February 2022

Background: This research aims for knowing the differences of the average density thorax photo in position AP Supine and AP of Sitting Position. In the AP projections Supine and AP sit upright will get an average density that is not significant and affect the quality of the image to be not optimal. So that further efforts are needed so that the use of the AP projection sits upright to obtain an optimal picture quality such as the use of the AP projections Supine (Firdausy, 2011)

Methods: This Scientific research is quantitative with evaluating the average differences on the four points. First patient's sample did four photos, meanwhile the second patients only done with two photos. The density Measurement using densitometry, this Measurement is for knowing the average point from evert photo and exposure factor changes using certain formula and later on will be compared the first photo until the last photo. Creating percentage for the increased mAs value on the Thorax Projection of the sitting position.

Results: This research shows that Thorax Projection AP of Sitting position can be combined with the average density with the photos of the Thorax Projection AP Supine

Conclusions: This research shows, a significant difference in average density was obtained between the images of the AP Supine Projection and the AP Sit Upright. The average density value in the AP Supine Radiograph is greater than the AP Seated Upright and to produce an average density that is almost the same for the AP supine projection with FFD 100 cm and the AP projection sitting upright with FFD 150 it is necessary to add an mAs value of 50% to the AP projection sits upright from the mAs value used in the supine AP projection
PENATALAKSANAAN TERAPI RADIASI EKSTERNA PADA KASUS KANKER VULVA DENGAN TEKNIK IMRT DAN ALAT FIKSASI PENGGANJAL LUTUT KHUSUS
Authors: Septi Hidhayani  , Agus Budiman  , Mayarani  , Susy Suswaty
Published: February 2022

Introduction: Invasive vulvar cancer is very small. Usually occurs in women, but at the same time. An average of 90% - 92% of vulvar cancer patients are squamous cell carcinomas. Treatment of vulvar cancer is surgery, radiotherapy, chemotherapy or even combination according to the stages and references of each patient. In Dr. Cipto Mangunkusumo, Radiotherapy was selected to be one of the treatment options for stage III-IV vulvar cancer because it can provide maximum value on target and minimum on healthy tissue by using IMRT technique and frog leg position with special sterofoam feed fixation tool.

Objective: Describe the procedure for managing external radiation therapy in cases of vulvar cancer with IMRT technique and a special fungicide feeding device at the Radiotherapy Department Dr. Rsupn. Cipto Mangunkusumo.

Method: The type of descriptive skin research by observing directly and recording the required data and approach with case study, discussion and question and answer with radiotherapist, radiation oncologist and patient at the Department of Radiotherapy RSUPN. Cipto Mangunkusumo in march 2018. The sample used is 1 primary data sample of patients with vulvar carcinoma squamosa cell IVA.

Results: Patients with IV carcinoma of squamous cell carcinoma A treatment plan with qualitative RT objective, using 10 MV energy, radiation plan 25 x @ 2 Gy. With IMRT technique and special fixture fixture tool from sterofoam to position the patient to form the frog spring.

Conclusion: The use of IMRT techniques and semi frog leg positioning is highly appropriate and effective for vulvar cancer. It comes from DVH achievement doses at very maximum targets and on the minimal surrounding organs and patient comfort. The cost value of the IMRT technique is 0.2 cm
PENGARUH VARIASI INTERSLICE GAP TERHADAP KUALITAS CITRA DAN INFORMASI CITRA ANATOMI PADA MRI BRAIN POTONGAN AXIAL T1WI SPIN ECHO
Authors: M. Ainul Mala  , Luthfi Rusyadi  , Sudiyono
Published: February 2022

Background : Interslice gap is the distance between slices, usually its value is based on the percentage of slice thickness, interslice gap is one of the parameters that can affect the quality of MRI image. Rarely are radiographers willing and able to manipulate the value of the interslice gap, so it can produce a good image. The purpose of this study is, to determine the effect of interslice gap variation on quality on MRI brain pieces axial T1WI spin echo, to know the difference of interslice gap variation to anatomical image information on MRI brain T1WI spin echo axial, to know the value of interslice gap which has an optimal anatomical image information on MRI brain T1WI spin echo axial.

Methods : This type of research is quantitative and qualitative with an experimental approach. The research was conducted at the General Hospital of dr. Sardjito Yogyakarta. The data were 32 images of MRI brain T1WI spin echo from the variation of interslice gap used 0%, 10%, 20%, and 30% from slice thickness 5 mm. The test was performed on image quality that was statistically analyzed by linear regression test. While for information of anatomical image analyzed with Friedman test, from friedman test can be known information of best anatomical image, seen from mean rank.

Results : The results of this study indicate that there is an effect of interslice gap variation on quality on MRI brain of T1WI spin echo axial pieces, seen from p value of SNR (0.010) and CNR (0.001) <0.05. In addition there is influence, there is also differences in anatomical image information on MRI brain pieces axial T1WI spin echo, seen from p value that is 0.001 <0.05. seen from the mean rank interslice gap 10% has the best anatomical image information.

Conclusion : There is an effect of interslice gap on image quality on MRI brain axial of T1WI spin echo, there is difference of MRI brain anatomical image information of T1WI spin echo axial with interslice gap variation, interslice gap 10% value has the most optimal information.
ANALISIS INFORMASI ANATOMI PADA REKONSTRUKSI MAXIMUM INTENSITY PROJECTION (MIP) DENGAN VARIASI SLICE THICKNESS PADA PEMERIKSAAN CT ANGIOGRAFI KEPALA DENGAN KASUS TUMOR OTAK
Authors: Fransisca Palupi Julanita  , Siti Masrochah  , Soesilo Ardi Wibowo
Published: February 2022

Background : The existence of differences in the selection of slice thickness in the reconstruction of Maximum Intensity Projection (MIP) in the cerebral artery in some hospitals that may affect the anatomical information will require appropriate slice thickness adjustment to obtain anatomical information on CT Angiography examination in the case of brain tumor. The aim of this research is to know the difference of anatomical information on reconstruction of MIP of cerebral artery with variation of slice thickness and to find optimal slice thickness to produce anatomical information on CT Angiography examination with brain tumor case.

Methods:This type of research is quantitative with an experimental approach, using a sample of 8 patients. In each patient reconstruction of cerebral artery MIP with 5 mm, 10 mm, 15 mm, 20 mm, 25 mm and 30 mm slice thickness was used. Then the results of the cerebral artery image were assessed by 3 radiologists who subjectively assessed the anatomical information by filling out the prepared questionnaires to determine the exact slice thickness that resulted in a clear cerebral artery anatomy information. Data analysis was done by Friedman test using SPSS

Results: From this research can be concluded that Ho is rejected and Ha accepted which means there is difference of anatomical information on MIP reconstruction with variation of slice thickness at CT examination of head angiography with brain tumor case with value of p value < 0,001. Friedman test yields mean rank value at 30 mm slice thickness is 21,31 able to show the picture of cerebral artery that is ACA, MCA and PCA clearly when compared with slice thickness which is 5 mm, 10 mm, 15 mm, 20 mm and 30 mm. As for SOL on MIP reconstruction less clear in showing its picture with mean value value 12.00.

Conclusion:CT examination of head angiography in tumor cases in MIP reconstruction should be used for 30 mm slice thickness. And to see SOL, CT Angiography head examination should use MPR reconstruction.

 

Keywords: Maximum Intensity Projection (MIP), cerebral artery, slice thickness, CT Angiography head
PERBEDAAN INFORMASI CITRA ANATOMI MRI PELVIS SEKUENS T1 WEIGHTED POTONGAN SAGITAL PADA KASUS KANKER SERVIKS DENGAN VARIASI SUPRESSION LEVEL SPECTRAL ADIABATIC INVERSION RECOVERY (SPAIR)
Authors: Fitri Puspita Dewi  , Luthfi Rusyadi  , Sudiyono
Published: February 2022

Background : MRI Pelvic examination with cervical cancer case using the fat suppression SPAIR method to suppress fat to get an optimal picture. In SPAIR, there are three variations of fat suppression namely Strong Supression Level, SPAIR Supression Level Medium and SPAIR Supression Level Weak. At the Radiology Installation at Saiful Anwar Malang Hospital, the pelvic MRI examination used a weak SPAIR sequence while Dr. Sardjito uses strong SPAIR. This study aims to determine differences in information on pelvic MRI anatomical images and to find out better information on anatomical images on MRI pelvis T1 weighted sagittal sequences in cervical cancer cases with variations in Supression Level Spectral Adiabatic Inversion Recovery (SPAIR)

Methods : The research used quantitative research method with experimental approach where is done in Radiology Installation of Dr. Sardjito Hospital Yogyakarta. The date were collected by examining MRI Pelvic with cervical cancer cases in 6 patients. Then scanning isdone on the sagittal piece with SPAIR Strong T1 Sequence, SPAIR Mediumand SPAIR Weak. Presented to three radiologist doctors of assess. Once the image judged by the three respondents, the the assessment results are summarized and then in a statistical test using SPSS version 16.0 with the method of friedman.

Results : The result showed that there were significant diference of anatomical  information between the SPAIR Strong, SPAIR Medium and SPAIR Weak on the MRI pelvic exmination of the sagittal cut in case of cervical cancer with p-value 0.003 (p<0.005). the SPAIR Weak variation has better anatomical information in MRI Pelvic examination of the sagittal cut in case of cervical cancer with  Mean Rank value of SPAIR Weak variation 3.00, followed by SPAIR Strong sequence with value 1.92 and low SPAIR Medium sequence with value 1.08.

Conclusion : Significant values ​​were obtained with p value = 0.003 (p <0.05) which means that there is information on anatomical information on MRI pelvis T1 weighted sagittal sequences in cervical cancer cases with the Spectral Adiabatic Inversion Recovery (SPAIR) Level suppression. Information on better anatomical images on MRI pelvis T1 weighted sagittal sequences in cervical cancer cases with the most optimal variation of Adiabatic Inversion Revovery (SPAIR) Suppression, namely weak SPAIR with mean rank of 3.00.

 

Keywords : SPAIR, Cervices Cancer, MRI Pelvi
PERBEDAAN INFORMASI ANATOMI CITRA CT-SCAN SINUS PARANASAL POTONGAN CORONAL DENGAN VARIASI REFORMAT SLICE THICKNESS PADA KASUS RINOSINUSITIS KRONIS
Authors: Safina Yulianarrahma  , Bekti Safarini  , Nanang Sulaksono
Published: February 2022

Background : Chronic rhinosinusitis is defined as inflammation of the nose characterized by two or more symptoms, one of which should be either obstruction, facial pain pressure, reduction of smell for more than 12 weeks. Multiplanar reconstruction is a computer program that can create coronal, sagittal, and paraxial images from a stack of contiguous transverse axial scans. There are several parameters that support CT-Scan image quality, one of which is slice thickness. The slice thickness is an incision where the value chosen by the operator is in accordance with clinical requirements. The purpose of this research is to find out difference of image anatomic information in coronal ct scan paranasal sinuses with reformat slice thickness variations in chronic rhinosinusitis and the optimal reformat slice thickness.

Method : This type of research is an experimental quantitative that was located in the Radiology Installation of dr. Moewardi Hospital Surakarta on March-May 2019. This research used 8 samples and 3 respondents, where slice thickness coronal was reformatted with variations 1 mm, 1,5 mm, 2 mm, 2,5 mm, and 3 mm. Anatomical criteria assessed were nasal septum deviation, mucosal thickening, and concha bullosa. In this research, Kappa test was conducted to determine the degree of allignment between respondents. Then analyzed by Friedman test to determine difference of image anatomic information in coronal ct scan paranasal sinuses with reformat slice thickness variations in chronic rhinosinusitis and to find out which the optimal reformat slice thickness by looking at the highest mean rank.

Result : The results of this research showed a significant difference between the use reformat slice thickness variations to the anatomy criteria with p value < 0,05. Reformat slice thickness 1 mm seems very clear on nasal septum deviation, mucosal thickening, and concha bullosa, 1,5 mm and 2 mm seems very clear on nasal septum deviation and mucosal thickening, 2,5 mm seems very clear on nasal septum deviation, 3 mm seems very clear on nasal septum deviation and concha bullosa.

Conclusion : Based on the result that there is a difference  of image anatomic information in coronal CT-Scan paranasal sinuses in chronic rhinosinusitis with the most optimal reformat slice thickness is 1 mm.
PENGARUH PERUBAHAN SUDUT GANTRY TERHADAP NOISE PADA PEMERIKSAAN CT SCAN DENGAN TEKNIK SEQUENCE
Authors: Afif Akhsani  , Luthfi Rusyadi  , Fatimah
Published: February 2022

Background: Noise is a fluctuation in the value of CT number and Standard Deviation which is one parameter in the assessment of CT Scan image quality. This study aims to see the effect of changes in the angle of the gantry on noise and conformity with the BAPETEN standard of the value of the CT Number and Standard Deviation fluctuations produced.

Methods: This type of research is quantitative with an experimental approach. The research subjects used water phantom to assess the value of CT Number and Standard Deviation by placing ROI on the resulting image. The SPSS test is used to see the relationship between changes in noise and noise. CT Number, Uniformity and Noise Uniformity tests are performed to assess CT Number and Standard Deviation in accordance with BAPETEN regulations.

Results: An increase in noise is indicated by fluctuations in the value of CT Number and Standard Deviation resulting from the placement of the ROI at the center of each image produced by each change in the angle of the gantry. The average value of CT Number at the gantry angle 00 (-1.43), 50 (-1.48), 100 (-1.47), 150 (-1.58), 200 (-1.62), 250 (-1.68), 300 (-1.7). The average value of the Standard Deviation at the 00 gantry angle (2.36), 50 (2.35), 100 (2,3), 150 (2,33), 200 (2,42), 250 (2,57), 300 (2.62). There is a significant relationship to the Pearson correlation test between changes in gantry angle and CT Number and Standard Deviation values. CT Number, Uniformity, and Noise Uniformity Test results were used to assess the fluctuations of CT Number and Standard Deviation due to changes in the angle of the gantry in accordance with the standard BAPETEN No. 2 of 2018 on all changes in the 00 gantry angle to -300 with a range of 50.

Conclution:. Noise fluctuations are caused by changes in the thickness of the scanning area object from changes in the gantry angle. The greater the change in angle of the gantry, the greater the thickness of the scanning area object. Changing the gantry angle causes the scanning area to change from the circle to the ellipse.
ANALISIS FAKTOR PENYEBAB REPEAT EXPOSURE CITRA DIGITAL DENGAN MENGGUNAKAN COMPUTED RADIOGRAPHY (CR)
Authors: Dwi Lestari  , Fatimah
Published: February 2022

Background:Repeat Analysis Program is a documenting system of digital image repetition and determining cause of them, so it can be minimize or reduce repetition number. The research purposes are to know percentage of exposure repetition, causative factor of repetition and to determine the solutions for reduce repetition number.

Methods: This type of this research is a descriptive quantitative  with a survey method approach. Data was taken since March to April, 2018 at Radiology Installation of Islamic Hospital Klaten by took some samples of digital image exposure repetition from all radiological examinations either contrast or not. Being did Focus Group Discussion with five respondents. Data was processed and made a Pareto diagram to knew the cause of dominant factor for digital image repetition and made a fishbone diagram to determined the solution based on the cause of image repetition.

Results: Results showed a total  repeat rate at March to April 2018  is  3,43%. The result is surpass the remommended limit of KMK No. 129/Menkes/SK/II/2008 which  ≤ 2%. The main cause is positioning (43,06%), and the type of examination that is thorax (57,66%).

Conclution: The solutions are to improve the radiographer skills in positioning non-cooperative patients, determination of exposure factor, and giving education to patient.
ANALISA PEMERIKSAAN GENU JOINT PROYEKSI ANTEROPOSTERIOR (AP) POSISI SUPINE DENGAN VARIASI PENYUDUTAN CENTRAL RAY
Authors: Dwi Laila Sukmawati  , Tris Budiyono  , Puput Khusniatul M  , Muhammad Faik
Published: February 2022

ABSTRACT

The purpose of this study was to determine the different information on the greatest open joint gap with the variation of central ray angling in the genu joint examination. This type of research employed descriptive quantitative research with an experimental approach on three volunteers with pelvic thickness of 25 cm, 20 cm, and 16 cm measured from the anterior superior iliac spines (ASIS) to the examination table surface.. The results showed that the greatest open joint gap was in the genu joint Anteroposterior projection (AP) with pelvic thickness of 25 cm and 20 cm, respectively 5.21 mm and 8.74 mm at 50 cephalad central ray obstruction. The largest open joint gap in the pelvic thickness of 16 cm was 5.94 mm in the 50 caudad central ray angle.
PERBEDAAN DENSITAS DAN KONTRAS THORAX DENGAN MENGGUNAKAN GRID DAN TANPA GRID
Authors: Asih Puji Utami  , Justhika Anggriani  , Anisa Nur Istiqomah
Published: February 2022

ABSTRACT

Thorax examination involves the projection of Posterior Anterior, Posterior Anterior and Lateral Anterior. When doing a thorax examinationin a standing position, the object must face the bucky PA or Lateral projection stand. The study aims to determine the difference between density and thorax radiograph contrast using a grid and without a grid. The study employed quantitative descriptive method. The results show that radiographs using grids had a low density and high contrast due to the grid function which absorbed scattered radiation coming out of X-ray tubes, so that the image could distinguish between soft tissue, bone and mediastinum. Whereas on a no-grid radiograph, it had high density and contrast because all the radiation coming out of the X-ray tube was absorbed by the image receptor, therefore the resulting image was too black and not optimal in distinguishing soft tissue, bone and mediastinum. In examining the thorax, it will be more optimal by using a grid, but it can also be regulated by exposure factors.
PERBANDINGAN POSISI KNEE JOINT FLEKSI DAN EXTENSI PEMERIKSAAN LUMBOSACRAL ANTERO POSTERIOR (AP) SUPINE DALAM MEMPERLIHATKAN DISCUS INTERVERTEBRALIS
Authors: Noerma Kurniawa Ceccare , Cahyati Yeni , Agung Basuki Rizki
Published: February 2022

Background : Supine examination of lumbosacral antero posterior projection (AP) is used to obtain a clear lumbosacral radiograph, one of which shows an intervertebral disc. The objective the research was to determine the knee joint flexion position and knee joint extension position on the antero posterior lumbosacral (AP) Supine examination in the appearance of intervertebral discs. 

Methods : Research of the position of the knee joint flexion and extension on the lumbosacral antero posterior (AP) Supine examination in displaying intervertebral discs, this is a comparative descriptive study, the researchers compared the position of the knee joint flexion and extension on Supine's lumbosacral antero posterior (AP) examination in showing the intervertebral disc so that it can be seen which position is better in performing Supine antero posterior (AP) lumbosacral radiographic examination in showing the intervertebral disc and which radiograph results. the best in establishing the diagnosis

Result : From the research data in showing the knee joint flexion and extension position, the mean value of the joint gap on Supine's lumbosacral (AP) examination in showing L-1 intervertebral disc in the knee joint flexion position was 8.8 mm while the knee joint extension position was 8.8 mm. 7 mm intervertebral disc L-2, knee joint flexion is 10.2 mm, while knee joint extension is 9.2 mm, intervertebral disc L-3, knee joint flexion is 9 mm, while knee joint extension is 7.8 mm , intervertebral disc L-4 knee joint flexion position is 11 mm while knee joint extension is 9.8 mm, lumbal sacrum joint knee joint flexion is 9 mm while knee joint extension is 6.6 mm.

Conclusion : The position of the knee joint flexion on the lumbosacral antero posterior (AP) examination Supine is better at showing the anatomical structure of the vertebral bodies, intervertebral discs, intervertebral foramen L1-L4, spinous processes, sacrum, and intervertebral disc joint gaps, intervertebral disc. The position of the knee joint extension on the examination of the lumbosacral antero posterior (AP) Supine can reveal the anatomical structures of the vertebral bodies, intervertebral discs, intervertebral foramen L1-L4, spinous processes, sacrum, but in revealing intervertebral disc joints, Intervertebral disc.
PROSEDUR PEMERIKSAAN MRI CERVICAL DENGAN KONTRAS PADA KASUS SPONDILITIS MYELOPATHY
Authors: Nornalita Dewi Sofie , Haryani Diyah
Published: February 2022

Background: Magnetic Resonance (MRI) examination is one of  the best way to diagnose spondylotic disease. It is an invasive imaging that does not use any ionic radiadion and able to visualize spinal cord and subarachnoid space. In order to gain a specific information, there are some modifications made by radiographer in the cervical MRI in the case of myelopathy spondylotic done at RSUD  Banyumas. The modifications include choice of sequence, contrast media usage, and coil type usage. The aim of this research is to understand the purpose of those modification that already done in cervical MRI in the case of myelopathy spondylotic doe at RSUD Banyumas.

 

Methods: This study use descriptive qualitative method with a case study approach conducted at RSUD Banyumas. The time of the study was November 2017. The study was conducted on a cervical MRI patient in the case of myelopathy spondylotic. Data collection was carried out by observing and interviewing two radiographers, one radiology specialist at RSUD Banyumas regarding purpose of those modification that already done in cervical MRI in the case of myelopathy spondylotic doe at RSUD  Banyumas. The collected datas were arranged to become transcribe and were analyzed to get a discussion and conclusion.

 

Results: Procedure of cervical MRI patient  in the case of myelopathy spondylotic at RSUD Banyumas started with patient preparation, including fasting, health history screening, cloth changing and demetalization. Sequences that are used include sagittal and transversal T1WI SE, sagittal, transversal, and  coronal T2WI FSE,  MR myelography, added by sagittal, transversal,  and coronal T1WI SE post contrast media. Carotis coil are used in this examination instead of neck coil.

 

Conclusions: The modification in examination of cervical MRI myelopathy spondylotic patient at RSUD Banyumas is done regarded to radiologist and neurologist request, and also due to patieny condition. All of the sequences that are used have its own purpose which complimen each other, the contrast media used in order to visualize a specific patology.
PENERIMAAN DOSIS ORGAN KRITIS PADA PEMERIKSAAN CEREBRAL DSA DENGAN BIPLANE C-Arm
Authors: Oinike Adelina , Winarno Guntur , Purwatinigsih Purwatinigsih
Published: February 2022

Background:Cerebral Digital Substraction Angiography (DSA) screening is widely used in hospitals to find out even treat strokes and vascular abnormalities. During the examination, the patient received radiation from a C-Arm Biplane. The estimated dose received by the patient has been measured on the monitor screen which is the DAP value, but to find out the actual dose received by the patient, it is necessary to measure directly using the TLD attached to the patient's body during the examination. 

Method: Measurement of critical organ dose is done by attaching TLD-100 chips on the surface of the eye, thyroid, and gonad to 6 different patients.

Results: The purpose of this study was to measure and evaluate the amount of dose received by the patient's critical organs during Cerebral DSA examination.

Conclusion: The results showed that (1) the amount of eye dose received by the patient during cerebral DSA examination was 23.01 mGy to 144,787 mGy. (2) the amount of thyroid dose received by the patient during cerebral DSA examination is 15,348 mGy to 76,162 mGy. (3) the amount of gonad dose received by the patient during Cerebral DSA examination is 0.09 mGy to 229,848 mGy. (4) DAP values during Cerebral DSA examination obtained values in the range of 77088 mGycm2 to 167718 mGycm2.
PERANAN MRI ABDOMEN PADA KASUS HERLYN WERNER WUNDERLICH
Authors: Dessy Witrianti Ratna , Iman Nuzul , Serfina Fajarini Eunike
Published: February 2022

Background: Herlyn-Werner-Wunderlich syndrome (HWW) is a very rare genetic syndrome, a combination of anomalies between the mullerian and mesonephric ducts characterized by uterine didelphys, hemivaginal obstruction, and ipsilateral renal agenesis, also known as Obstructed Hemivaginal syndrome and Ipsilateral Renal Anomaly (OHVIRA). Magnetic Resonance Imaging (MRI) is an effective diagnostic support tool for finding out anatomical abdominal abnormalities with the right choice of protocol sequences to obtain optimal MRI images.

Method: This study used a qualitative descriptive approach by presenting a case of a 20 year old female patient who had complaints of lower abdominal pain, no previous medical history and irregular menstruation. MRI Abdomen without contrast was performed using an MRI 1.5 Tesla signa explorer GE Healthcare at EMC Tangerang Hospital. Using the Coronal T2 SSFSE sequence, T1 fat sat LAVA, Axial T2 SSFSE, T1 fat sat LAVA breath hold method and Coronal 3D IFIR (MRA renal without contrast). Specifically for the pelvic area with the Axial T2 Propeller, Coronal T2 fat sat, and Sagittal T2 sequences.

Result: In the Axial T2 propeller sequence, pelvic area retrieval revealed two separate uterine corpuses (uterus didelphys) accompanied by a heterogeneous oval lesion most likely originating from the left side of the vagina (hemivagina). Whereas in the Coronal T2 sequence the whole abdomen was taken and confirmed by the Coronal 3D IFIR, the right kidney was anatomically visible while the left kidney was not visible (agenesis).

Conclusion: Abdominal MRI is a very accurate diagnostic tool to perform Herlyn-Werner-Wunderlich (HWW) syndrome  without contrast agent with SSFSE T2 sequences, T2 propeller and 3D IFIR which have an important role in visualizing the quality of MRI images.
PERANAN TEKNIK SPLIT-BOLUS TERHADAP KUALITAS CITRA PADA PEMERIKSAAN MSCT LEHER
Authors: Lustyana Devi Hefty , Safarini Bekti , Sulaksono Nanang
Published: February 2022

Background : According to the theory, Neck MSCT examination were performed using monophasic injection techniques. Split-bolus is an innovative technique that divides intravenous (IV) contrast media into two or three boluses and combines phase images in single scanning. The MSCT split-bolus scan with a combination of parenchymal and vascular enhancement is a valid alternative approach compared to the standard monophasic MSCT protocol. The purpose of this study was to determine the split-bolus technique in neck MSCT examination and its role in the quality of the image.

Method : This research is a descriptive qualitative study with a literature review study method. Data is collected by the documentation method. The electronic database was searched using the keywords "head and neck" AND ("contrast" OR "injection") AND ("Split bolus" OR "Biphasic Contrast" OR "Dual bolus" OR "Double bolus" OR "Multi-phase" OR "Quadruple-Phase"). The inclusion criteria used were a research article on a split-bolus technique in a single scan on MSCT neck examination. Three articles met the inclusion criteria. Data analysis was performed using the annotated bibliography method.

Result : The results of this study indicate that the contrast media used in the MSCT examination of the neck with a split-bolus technique are non-ionic iodine contrast media with a total volume of 80-100 mL and a concentration of 300-370 mg / mL. Contrast media injection is done by dividing contrast media in the first and second boluses using a ratio of 3 : 2 or 1 : 1 of the total volume of contrast media followed by saline injection. The flow rate used is 2 - 3 mL / s with a fixed delay time between 70 - 120 seconds. The split - bolus techniques have a role in contrast resolution of image quality. The image quality produced on neck MSCT examination using split bolus technique can increase vaskular and tumor  enhancement without reducing parenchymal enhancement and lesions. In a patient with metastasis, this technique can reduce artifacts due to excessive contrast media in the arteries and veins so the lymph nodes appear more clearly.

Conclusion : Based on the result, the split - bolus techniques have a role in contrast resolution of image quality.
PERANAN HEART RATE TERHADAP KUALITAS CITRA PADA PEMERIKSAAN CT ANGIOGRAPHY CARDIAC
Authors: Susanti Titin , Arinawati Arinawati , Sulaksono Nanang
Published: February 2022

Background: Cardiac angiography CT examination is a non-invasive measure to evaluate coronary blood vessels. Multislice CT with a high level of sensitivity and specificity is required to be able to reconstruct data from a constantly moving heart, resulting in diagnostic and informative image quality. Heart movement or heart rate plays a role in the occurrence of motion artifacts so that a stable heart rate is required at the time of data acquisition. The purpose of this paper is to see the role of the heart rate in cardiac CT Angiography examination and to determine the value of the heart rate to obtain the best image quality.

Methods: The research method uses a literature study approach by describing the article. Article searches use Science Direct, Radiopedia, American Journal Radiography, and Google Search to find articles that match inclusion and exclusion criteria so that 4 articles are obtained and then they are reviewed.

Results:: The study results show that the heart rate plays a very important role in producing image quality from CT examination. Cardiac angiography, a stable heart rate will minimize the occurrence of artifacts, which is one of the points in the image quality parameter. A stable heart rate to get the best image quality is at ≤60 BPM when data acquisition with low heart rate variability

Conclusion: .Nilai heart rate untuk mendapatkan kualitas citra yang informatif dan diagnostik pada nilai heart rate 60 bpm, sehingga kualitas citra akan baik.
HOMOGENISASI DENSITAS FOTO VERTEBRAE THORACAL PROYEKSI ANTERO POSTERIOR (AP) DENGAN MENGGUNAKAN FILTER BAJI 7°, 10° DAN 15°
Authors: Amroji Ali , Halimahtusyadiah Halimahtusyadiah
Published: February 2022

Background: The different thickness of the thoracic vertebrae between the top and bottom causes the radiograph to have uneven density. The use of heel effect anode in the examination of the thoracal vertebrae of the AP projection has not been able to even out the radiograph density, so it is necessary to use a tool in the form of a wedge filter. This study aims to find the correct angle of inclination of the wedge filter to produce a radiograph with a sufficiently even density between the top and bottom of the AP projection thoracic vertebrae. The wedge filter tested tilt angle of 7 °, 10 ° and 15 °.

Methods: The research used quantitative methods, conducted from January to May 2018. The sample consisted of 4 volunteers and 10 radiographers as respondents.

Results: The results showed that the examination of the thoracal vertebrae of the AP projection without using a filter obtained an average value of 2.50 from the respondents, while using a wedge filter with a tilt angle of 7 ° got a value of 2.80, with a tilt angle of 10 º got a value of 3.43 and with an angle of inclination. 15 º gets a score of 2.93, so it can be denied that the use of a wedge filter with an angle of 10º is able to produce a more even radiograph density between the top and bottom of the AP projection spine.

Conclusions : To produce a more even radiograph density between the top and bottom of the thoracal vertebrae, the AP projection can be done using a wedge filter with an angle of 10°.