JRI (Jurnal Radiografer Indonesia)

Prosedur Pemeriksaan Retrograde Urethrography pada Pasien Post Internal Urethrotomy

2025-12-03T03:53:10+00:00

Background: Retrograde urethrography (RUG) is a key imaging technique in the evaluation of urethral strictures, especially after internal urethrotomy. Although standard practice uses plain radiograph AP and RPO post-contrast projection, an additional AP post-contrast projection is applied at RSUD Dr. Adhyatma, MPH Central Java Province. This study aimed to describe the RUG procedure in post-internal urethrotomy patients and the rationale for using the AP post-contrast projection.

Methods: This qualitative case study involved interviews with radiographers and radiologists, field observations, documentation, and literature review. Data were analyzed descriptively.

Results: The RUG procedure in post-internal urethrotomy patients at RSUD Dr. Adhyatma, MPH uses three projections; AP plain, AP post-contrast, and RPO post-contrast.

Conclusions: The addition of the AP post-contrast projection aids in differentiating air from true strictures by enhancing the accuracy of filling defect interpretation when combined with the RPO projection.

Peranan T2 HASTE dan T2 HASTE Fat Saturation pada Kasus Kanker Serviks di Instalasi Radiodiagnostik RSUP Dr. Hasan Sadikin Bandung

2025-12-02T09:01:52+00:00

Background: MRI pelvic examination procedure of cervical cancer case in Radiodiagnostic installation of RSUP Dr. Hasan Sadikin Bandung using T2 HASTE sequence and T2 HASTE Fat Saturation where the sequence is not used by some literature. This study aims to determine the examination procedure and the reason for the addition of the sequence in the pelvic MRI examination with cervical cancer cases.

Methods This study is a qualitative research with a case study approach. Respondents in this study include 3 patients, 3 radiographers, 3 Radiology Specialists, and 1 dispatcher. Data collection is done by observation, interview, and documentation. Data analysis using interactive models with the stages of data collection, data reduction, data presentation, discussion and conclusion.

Results: Pelvic MRI examination protocol with cervical cancer cases on pre contrast using localizer sequences, T2 HASTE sagittal, axial, and coronal, T2 HASTE Fat Saturation sagittal, T1 TSE sagittal and axial, DWI, T2 TSE STIR coronal. While in post contrast using sequence T1 VIBE Dynamic sagittal, T1 TSE Fat saturation axial, sagittal and coronal. The reason for the addition of T2 HASTE is to see lesions in the cervical area, measure the magnitude of the mass, reduce moving artifacts due to diaphragm movement, and be able to show enlarged lymph nodes in the pelvic area. The addition of T2 HASTE Fat Saturation is used to determine and detect the composition of cervical cancer lesions from cystic, solid, or bleeding.

Conclusion: T2 HASTE can detect and measure the magnitude of the mass while T2 haste Fat Saturation can see the components of the mass.

Efektifitas Pemberian Musik terhadap Tingkat Kecemasan Pasien Mammografi

2025-12-03T03:52:52+00:00

Background: Music therapy is effective in reducing anxiety. High levels of anxiety can interfere with patient comfort, reduce cooperation, and reduce image quality. 67% of women experience discomfort during mammography examinations. This study aims to analyze the effectiveness of music interventions in reducing anxiety levels in mammography patients.

Methods: This study employed a quasi-experimental design with a prospective approach, conducted at Karsa Husada General Hospital, Batu. A total of 32 participants were equally divided into two groups: the intervention group (who listened to music during the examination) and the control group (no music). Anxiety levels were assessed using the Hritt Marie Åhlander questionnaire and heart rate measurements before and after the procedure. Data were analyzed using the Wilcoxon test, paired t-test, and Mann–Whitney test via SPSS version 16.

Results: There was no significant difference in pre-intervention anxiety scores between the control group (28.5 ± 3.9) and the intervention group (31.2 ± 4.9) (p = 0.093). However, post-intervention results showed a significant difference between the intervention group (26.6 ± 2.8) and the control group (25.1 ± 3.3) (p = 0.000). Heart rates increased in the control group (from 73.0 ± 11.3 to 81.0 ± 14.5 bpm), while they decreased in the intervention group (from 91.1 ± 15.4 to 71.3 ± 8.5 bpm), showing a significant difference (p = 0.028). Both meassurenmet demonstrated a significant reduction in anxiety following music therapy (p = 0.000).

Conclusion: Music intervention during mammography is effective in reducing patient anxiety levels. This intervention can be implemented as part of quality improvement efforts in radiology services.

Analisis Nilai QFlow Arteri Tungkai Bawah pada Kelompok Usia 18-23 Tahun Menggunakan Pemeriksaan TRANCE MRA

2025-12-03T03:52:36+00:00

Background: Magnetic Resonance Angiography (MRA) using the TRANCE technique is a non-invasive, non-contrast method capable of visualising lower-limb vessels. Although effective for assessing arterial flow, reference values for QFlow parameters—particularly peak velocity and pulsatility index (PI)—remain limited in young adults. This study aims to describe the measurement procedure and determine QFlow values in the abdominal aorta, iliac arteries, and tibial arteries among individuals aged 18–23 years using TRANCE MRA.

Methods: This descriptive qualitative study included nine healthy subjects aged 18–23 years who met the inclusion and exclusion criteria. TRANCE MRA was performed using a Philips Ingenia 3T MRI scanner with a 2D-QFlow sequence. Peak velocity and PI values were obtained by delineating regions of interest (ROIs) on each arterial segment.

Results: The highest mean peak velocity was recorded in the abdominal aorta (92.80 cm/s), followed by the left iliac artery (87.21 cm/s), right iliac artery (81.56 cm/s), right tibial artery (47.30 cm/s), and left tibial artery (42.60 cm/s). The highest PI was observed in the right tibial artery (1.77), followed by the left iliac artery (1.72), right iliac artery (1.62), left tibial artery (1.58), and abdominal aorta (0.77).

Conclusions: Measurement of QFlow parameters—peak velocity and PI—using TRANCE MRA is feasible and demonstrated physiologically normal values in all subjects, indicating preserved arterial haemodynamics. These findings may provide preliminary reference data and reinforce the potential of TRANCE MRA as a non-invasive tool for vascular assessment in young adults.

Teknik Radioterapi Eksternal 2D dengan Booster pada Kasus Kanker Serviks di Instalasi Radioterapi RS PKU Muhammadiyah Gombong

2025-12-03T03:52:20+00:00

Background: Cervical cancer is a leading cause of cancer incidence and mortality among Indonesian women, second only to breast cancer. External radiotherapy is a primary treatment, particularly in advanced stages, with 2D techniques still widely used in resource-limited settings. Optimisation can be achieved by adding booster fractions to increase tumour dose without elevating exposure to surrounding tissues. This study evaluates the effectiveness of 2D external radiotherapy with booster for cervical cancer at PKU Muhammadiyah Hospital Gombong, focusing on clinical responses, adverse effects, and protocol compliance.

Methods: A qualitative case-study design was employed from May to June 2025, involving healthcare professionals directly engaged in treatment. Data were gathered through in-depth interviews, observations, and document reviews, analysed thematically using triangulation and member checking. The procedure included consultation, patient education, conventional simulation, manual dose planning, and positioning verification. Treatment involved 25 fractions of 2 Gy (50 Gy total), followed by 10 booster fractions of 2 Gy (20 Gy total) to the primary tumour.

Results: The technique demonstrated favourable clinical responses, including tumour reduction and symptom relief, with mild-to-moderate side effects and no severe toxicity. All procedures adhered to protocols, though position verification was limited by resources.

Conclusions: 2D external radiotherapy with booster is effective and safe for cervical cancer treatment in resource-limited settings. The addition of booster fractions improves tumour control without significant side effects. Enhanced position verification is recommended to optimise clinical practice in the future.

Analisis Berat Badan terhadap Pergeseran Titik Koordinat X, Y, Z dengan Teknik Volumetric Modulated Arc Therapy pada Kasus Kanker Serviks di Instalasi Onkologi Radiasi Tzu Chi Hospital

2025-12-03T03:52:08+00:00

Background: Cervical cancer is one of the most common gynecological malignancies in Indonesia and globally. Radiotherapy is one of the primary treatment modalities for this disease. Volumetric Modulated Arc Therapy (VMAT), when combined with Cone Beam Computed Tomography (CBCT), is widely used to improve the precision of radiation delivery. This combination plays a crucial role in maintaining treatment accuracy, especially when patient position changes due to weight fluctuations.

Methods: This study aimed to investigate the correlation between patient weight and positional shifts in X, Y, and Z coordinates during VMAT verification in cervical cancer patients. A descriptive qualitative design with an experimental approach was used. A sample of 10 patients with normal and overweight Body Mass Index (BMI) categories was selected. Data collection included observation of treatment sessions, interviews with radiation staff, and documentation of CBCT verification results. Measurements were performed specifically during the 1st, 11th, and 21st treatment fractions to evaluate positional consistency during therapy.

Results: This study showed that patients in the overweight BMI group generally experienced greater coordinate shifts compared to those with a normal BMI. All recorded shifts were within acceptable tolerance limits, less than 0.5 cm. These results demonstrate that body weight affects positional stability during therapy and highlight the importance of careful and ongoing verification before each radiation administration.

Conclusions: There were no significant differences in X, Y, and Z coordinate shift values between patients with normal and overweight BMI. Verification of patient position using CBCT before radiation, along with the application of the VMAT technique, has been shown to be accurate and effective in ensuring optimal care delivery.

Analisis Efektivitas Penerapan Proteksi Radiasi pada Ruangan CT Scan di Rumah Sakit Bhayangkara Makassar

2025-12-03T03:51:52+00:00

Background: Radiation protection in CT Scan rooms is essential to ensure the safety of radiology workers from ionizing radiation exposure. BAPETEN standards regulate protective equipment and room design to ensure annual radiation doses do not exceed 20 mSv. However, compliance with these standards varies in practice. The purpose of this study is to analyze the effectiveness of radiation protection implementation in the CT Scan room of Bhayangkara Hospital Makassar, focusing on the availability of protective equipment and staff compliance in its use.

Methods: This study applied a descriptive qualitative approach through direct observation, interviews, and documentation in May 2025. The analysis focused on the conformity of CT Scan room design to BAPETEN Regulation No. 4 Year 2020, and the availability and use of personal protective equipment (PPE) by radiology personnel.

Results: The CT Scan room met regulatory standards, with dimensions of 6×7×3 meters and brick walls lined with lead. Lead aprons were available; however, gonad shields, thyroid shields, lead glasses, and lead gloves were not provided. Furthermore, staff discipline in wearing thermoluminescent dosimeters (TLDs) was inconsistent.

Conclusion: Radiation protection implementation in the CT Scan room of Bhayangkara Hospital Makassar partially meets regulatory standards. The lack of complete PPE and inconsistent TLD usage remain significant challenges to achieving optimal radiation protection.

Efektivitas Penggunaan Pendose dalam Mengevaluasi Nilai Dosis Radiasi Petugas pada Operasional Alat C-Arm Di Rumah Sakit Umum Daerah Al Ihsan Pemprov Jawa Barat

2025-12-02T09:01:27+00:00

Background: The use of C-Arm in interventional radiology procedures has,potential to expose both patients and radiation workers to ionize the radiation. Therefore, radiation dose monitoring is essential to ensure occupational safety in accordance with radiation protection principles. This study aimed to evaluate the radiation dose received by radiation workers using a personal dosimeter (Pendose) and to measure the output dose of the C-Arm device at Al-Ihsan General Regional Hospital, West Java.

Methods: This research employed a descriptive quantitative method with direct data collection from 64 examinations involving 10 radiographers. The data recorded included C-Arm output dose (mGy) and personal dose measured with Pendose (µSv) after each procedure. Descriptive statistical analysis was conducted, including mean, minimum, maximum, and standard deviation values, and data visualization was presented in the form of comparative and distribution charts..

Results: The results showed that the mean C-Arm output dose was 52.8 mGy (range 0–1226.6 mGy; SD = 187.2), while the mean Pendose dose was 0.52 µSv (range 0–18.3 µSv; SD = 2.26). Most examinations produced low radiation doses, but some procedures showed extreme values. The histogram indicated that the majority of doses were distributed within the lower range, with a few outliers in certain cases.

Conclusions: The radiation doses received by workers were relatively low and within safe limits, which is likely due to the short fluoroscopy duration and appropriate imaging techniques. Nevertheless, the presence of high-dose variations in several cases highlights the importance of continuous dose monitoring and the application of the ALARA principle in clinical practice.

Pengaruh Sikap dan Pengetahuan terhadap Kepatuhan Menerapkan Proteksi Radiasi Sinar-X (Studi Kasus Praktik Radiologi Mahasiswa PKL ATRO di RSUD H.Abdul Aziz Marabahan)

2025-12-03T03:49:59+00:00

Background: This research investigates how attitudes and knowledge contribute to the compliance of ATRO internship students in applying X-ray radiation protection at H. Abdul Aziz Marabahan Regional Hospital.

Methods: A quantitative approach with multiple regression analysis was employed. The study involved 50 ATRO interns, all of whom were selected through a total sampling technique. Data collection was carried out using structured questionnaires. The analysis process included descriptive statistics, assumption tests (normality, linearity, and multicollinearity), along with instrument validity and reliability checks. Hypotheses were tested using multiple regression, supported by t-tests, F-tests, and calculations of both effective and relative contributions.

Results: The analysis indicated that most students scored high on attitude, knowledge, and compliance. The attitude factor (X1) significantly affected compliance (Y), with a coefficient of 0.541, significance value of 0.000 (<0.05), and a Tcount of 5.384 (>1.675, Ttable). Likewise, the knowledge factor (X2) also had a significant impact, with a coefficient of 0.437, significance value of 0.000 (<0.05), and a Tcount of 4.351 (>1.675, Ttable).

Conclusions: Both attitude and knowledge were proven to significantly influence the compliance of ATRO interns in practicing X-ray radiation safety during their clinical training at H. Abdul Aziz Marabahan Regional Hospital.

Evaluasi Penggunaan Filter Edge Enhancement pada Radiograf Thorax Penderita dengan Klinis Tuberkulosis Paru

2025-12-02T09:02:23+00:00

Introduction: According to the 2021 Global Tuberculosis Report, Indonesia has an estimated 824,000 TB cases, yet only 393,323 were recorded in the national system. Approximately 91% of Mycobacterium tuberculosis infections occur in the lungs, making transmission to healthy individuals highly likely. Chest radiography remains one of the key methods for diagnosing pulmonary tuberculosis.

Method: This analytical study used a cross-sectional approach. Researchers applied an edge enhancement filter to chest radiographs of patients with clinical pulmonary tuberculosis and then compared filtered and unfiltered images. A radiology specialist assessed both sets of radiographs based on predetermined evaluation criteria.

Results: A total of 30 chest radiographs were processed using an edge enhancement filter in MATLAB, producing 60 images: 30 without filtering and 30 with filtering. All images were reviewed by a radiology specialist for findings related to pneumothorax, pleural effusion, pleural thickening and calcification, fluidopneumothorax, cavities, interstitial opacities, nodules, miliary pattern, fibrosis, calcification, bullae, emphysema, bronchiectasis, atelectasis, ground-glass opacity, hilar and mediastinal lymphadenopathy, and mediastinal shift. Not all parameters were visible in every radiograph, as detectability depends on disease severity.

Conclusion: Edge enhancement filters influence the visual quality of chest radiographs. Their use increases contrast between adjacent structures, thereby improving the clarity of boundaries between normal and abnormal lung regions.