Radiology Installation Research Articles

THE EFFECT OF RADIATION PROTECTION TRAINING ON RADIATION SAFETY CULTURE

Radiology examination in Indonesia is bound by radiation protection policy. Radiographers, as radiation workers, must ensure radiation safety during radiology examinations. A strong safety culture needs to be implemented, considering that radiology installations use radiation that can adversely affect health. Radiation protection training is one of the most critical factors contributing to forming a radiation safety culture. This study aims to analyze the effect of radiation protection training on radiation officers on improving radiation safety culture, identifying radiation safety culture before and after radiation protection training on radiation officers. This study uses a quasi-experiment with a pre-test-post-test group design, which will observe and then measure the radiation safety culture of the experimental group before and after radiation protection training by providing a pre-test and post-test. The data obtained are then processed and interpreted as a results report. From 32 respondents, it was shown that elements of safety culture such as awareness and concern, knowledge and competence, commitment, motivation, supervision, and responsibility increased after participating in training. By this study, an increase in aspects of safety culture was obtained from before training to after training with a sig. (2-tailed) value of 0.000 is lower than the alpha level of 5% (0.05). Radiation protection training has become an effective means to improve and grow the radiation safety culture in hospital facilities. Keywords: radiation protection training, radiation safety culture, radiation officers, radiation examination.

ESTIMATION OF DOSE ESTIMATION USING THE SPECIFIC DOSE SIZE METHOD OF RADIOGRAPH IMAGE REPEAT ANALYSIS AS A FORM OF RADIATION SAFETY IN THE RADIOLOGY INSTALLATION OF KLATEN ISLAMIC HOSPITAL

Repeat analyses are radiographs that are not clinically acceptable and are requested to be retaken. The primary purpose of the repeat analyses program is to take corrective action, record the repeated radiographic images, and determine the cause of the repetition so that it can be minimized or even eliminated. Klaten Islamic Hospital needs to keep its radiology services optimal and safe for patients as a referral hospital. One indicator of the quality of service is the low repetition rate of radiographic images. This study aims to determine the percentage of factors causing the repetition of radiographic images and suggested solutions to minimize repeat radiographic images in the Radiology Department. Survey research with a quantitative approach to repeating radiographic images at the Radiology Department. The study was conducted in February-May 2024 using observation, survey, and documentation. The percentage of repetition of radiographic images at the Radiology Installation of Klaten Islamic Hospital in the first month was 2.72%, in the second month was 3.04%, in the third month was 4.05%, and in the fourth month was 3.43%. Factors causing the repetition of radiographic images include miscollimation (clipped), artifacts, exposure factors, tools, and patient movement. Suggested solutions to minimize the factors causing the repetition of radiographic images in the Radiology Installation of Klaten Islamic Hospital are good communication between radiographers and patients, double checking before exposure, clear instructions to patients, ensuring there are no objects that can become artifacts, using appropriate exposure parameters, calibrating and testing suitability regularly, reporting if there is equipment damage, and using immobilization techniques. Keywords: Repeat Analyses, Digital Radiography, radiation safety for patient.

The Effect of Tube Voltage Variations on CT Scan Image Quality at Prof. I G. N. G. Ngoerah General Hospital, Denpasar, Indonesia

Aims: Knowing the SNR and CNR values obtained from the image results that have been varied in the tube voltage. Knowing the effect of variations in the tube voltage value on the quality of the CT scan image that will be produced. Place and Duration of Study: Radiology installation of Prof. I G. N. G. Ngoerah General Hospital, Denpasar from May 2024 to August 2024. Methodology: This study used a Canon Aquilion LB CT Scanner to scan a TOS phantom containing 6 materials (polypropylene, nylon, acrylic, derlin, air, and water) with varying tube voltages (80 kV, 100 kV, 120 kV, 135 kV). The data were analyzed using PSPP and Excel to calculate SNR and CNR, and statistical tests for normality, Pearson correlation, and simple regression were performed. Results: The image data analyzed includes the average value of the object ROI, the average ROI background, and the standard deviation of the background. The data is grouped based on the variation of the tube voltage, the average value and standard deviation of the ROI on each material, and the standard deviation of the background. The results obtained for the relationship between the variation of the tube voltage and the SNR value are that the tube voltage affects the SNR value by 94,02% in polypropylene, 97,79% in nylon, 97,71% in acrylic, 96,42% in derlin, and 94,22% in air. And for the relationship between the tube voltage and the CNR value, the tube voltage affects the CNR value by 93,65% in polypropylene, 97,35% in nylon, 96,81% in acrylic, 95,62% in derlin, and 94,65% in air. Conclusion: Selecting the right tube voltage is important to optimize CT scan image quality, with 120 kV and 135 kV recommended for organs such as the kidney, liver, and lungs as they produce better SNR and CNR. Organs with significant attenuation differences show increased SNR and CNR, while soft tissues such as fat experience decreased contrast at high voltages. The use of tube voltage must be adjusted to diagnostic needs and evaluated through quality control according to BAPETEN regulation Number 2 of 2018.

Correlation of Necrotizing Enterocolitis (Nec) on Radiology Examination of Plain Abdomen Photo and Ultrasonography (USG)

Introduction: Necrotizing enterocolitis (NEC) is an inflammatory condition caused by infectious agents with a background of immaturity of local defense mechanisms and hypoxic-ischemic damage to the intestinal mucosa. Plain abdominal radiography can be used to examine this condition. The results of diagnostic imaging of the neonatal gastrointestinal tract have relatively limited accuracy, and limit improvements in diagnostic efforts and determine the severity. The results of the examination can also be used with ultrasound. This study aims to analyze the correlation of NEC examination using plain radiography and ultrasound. Methods: This type of research uses a retrospective cohort study. The subjects of the study were 39 patients who underwent plain radiography and ultrasound examinations related to NEC conditions. The data source for this study is secondary data obtained through an intermediary media, namely PACS. The secondary data source for this study is data that has been recorded at the Radiology Installation of Hasan Sadikin Hospital in the period January 2023-June 2024. The Spearman correlation test was used to test the hypothesis of a correlation between NEC examinations using plain radiography and ultrasound. Results: The results of the Spearman correlation test showed no significant correlation between NEC examination using plain radiographs and USG with a correlation coefficient value of 0.138. The findings that can be taken from this study are that there is an increase in grade in patients who undergo USG examination. This finding proves the importance of conducting USG examination to confirm NEC conditions more accurately. Conclusion: There is no significant correlation between NEC examination using plain radiographs and USG. Examination using USG can confirm NEC more accurately, as evidenced by an increase in grade in 43.58% of study subjects.

CHARACTERISTICS OF RADIOLUCENT LESIONS ASSOCIATED WITH IMPACTED TEETH AT RSGM UNPAD

Background: Impacted teeth occur when teeth fail to erupt or cannot fully erupt along the dental arch in the normal pattern of dental growth. Untreated impacted teeth can cause pain, tooth decay, inflammatory lesions, odontogenic cysts, and tumors. Pathological lesions in impacted teeth that are not clinically visible are usually found on routine radiographic examinations. Panoramic radiography is used as an initial imaging technique to evaluate impacted teeth and associated lesions. Purpose: This study aims to see the characteristics of radiolucent lesions associated with impacted teeth based on panoramic radiographic archives of patients at RSGM Unpad. Methods: This is an observational descriptive study with purposive sampling technique using secondary data of panoramic radiographs from the Dental Radiology Installation RSGM Unpad. The radiographs were inverted to enhance the visualization of characteristics such as location, shape, borders and associations. The data is presented in the table of frequency and distribution. Results: 346 samples of radiolucent lesions associated with impacted teeth were obtained from 8034 impacted teeth. There were 323 (93,4%) pericoronal lesions, 344 (99,4%) monolocular lesions, 218 (63%) had well-defined borders, and 345 (99,7%) lesions caused bone destruction. The prevalence of radiolucent lesions associated with impacted teeth is 4.3%. Conclusion: The characteristics of radiolucent lesions associated with impacted teeth at the Dental Radiology Installation RSGM Unpad most common are pericoronal lesions, monolocular shape, well-defined borders, and the effect on the surrounding structure is bone destruction.Impacted, Panoramic Radiograph, Radiolucent Lesion

Uji Kelayakan Alat Pelindung diri Lead Apron di Instalasi Radiologi Rumah Sakit Daerah Mangusada Badung

Lead apron is a type of personal protective equipment in the form of an apron and made of lead which is designed to protect the body from the dangers of radiation. Menurut Keputusan Menteri Kesehatan Republik Indonesia Nomor 1250/MENKES/SK/XII/2009 regarding Quality Control Guidelines to protect the density and physical condition of the lead apron, testing is required once a year and may be carried out before one year if necessary. To maintain the quality of the lead apron, it needs to be stored in a good manner and avoid stacking and folding it. Because it can cause damage which will reduce its function as radiation protection equipment. Lead apron storage should be stored flat without folds or on a special shelf. The aim of this research is to test lead aprons in the Radiology Installation of Regional Hospitals Mangusada Badung to determine the feasibility of the lead apron. The type of research used is descriptive quantitative research with a survey approach, observation, namely by carrying out testing, measurement and documentation. This research was conducted in July. The results of this study indicate that lead apron testing in the Radiology Installation of Regional Hospitals Mangusada Badung What has been done is that the four lead aprons are still in good condition and still suitable for use.

Linear measurement of condyles in edentulous patients with Kennedy classification based on panoramic radiographs

Objectives: This research is aimed to determine the value of linear measurement of the condyle position in partial edentulous patients of Kennedy classification based on panoramic radiographs at Ulin General Hospital and Gusti Hasan Aman Oral and Dental Hospital. Materials and Methods: This research is a descriptive-analytic study with a cross-sectional study design. The population used in the study is a digital panoramic radiograph from the Radiology Installation of Ulin General Hospital and Gusti Hasan Aman Oral and Dental Hospital from January 2018 - January 2024 database. Condyle linear measurement landmarks used are anterior joint space, superior joint space, and posterior joint space, according to the research of Ikeda and Kawamura (2013). Results: The results showed that the largest AJS value is the Kennedy Class I and the smallest is the Kennedy Class IV. The largest SJS value is the Kennedy class III and the smallest is the Kennedy class IV. The largest PJS value is Kennedy class II and the smallest is Kennedy class I. Based on gender, men's joint space value is bigger than women's. However, a significant difference was found in the PJS value of Kennedy class I patients, whose value for men is smaller than that of women. Conclusion: The condyle linear measurement of partially edentulous patients based on Kennedy classification Class I, II, III, IV has an abnormal condyle position and has experienced disc displacement with reduction.

The comparison of Mandibular Cortical Index based on dental status in women using panoramic radiographs

Objectives: The aim of this study is to analyze the difference of the Mandibular Cortical Index (MCI) between dentate and edentulous regions in women using panoramic radiographs. Materials and Methods: This is a comparative analytical observational research with a cross-sectional approach. The samples used were 250 female panoramic radiographs, which were divided into 125 dental region samples and 125 edentulous samples which were available at the Dental Radiology Installation, Dental and Oral Teaching Hospital (RSGM-P) Faculty of Dentistry, Trisakti University. MCI assessment uses i-Dixel software version 2.2.0.3. Morita Japan. The comparative test was carried out using the Mann-Whitney test to determine whether there was a significant difference or not. Results: There is a significant difference in MCI based on dental status with p-value = 0.000 (p <0.05). The percentage of category C1 was found higher (26%) in the dentate group than edentulous group (9,2%), whereas the percentage of category C3 was found higher in the edentulous group (16,3%) than dentate group (3,2%). Conclusion: There is a significant difference in MCI based on dental status with p-value = 0.000 (p <0.05). The percentage of category C1 was found higher (26%) in the dentate group than edentulous group (9,2%), whereas the percentage of category C3 was found higher in the edentulous group (16,3 %) than dentate group (3,2%).

ANALYSIS OF DIFFERENCES IN IMAGE QUALITY WITH VARIATIONS IN SLICE THICKNESS IN CT-SCAN BRAIN EXAMINATIONS WITH TRAUMA CASES AT THE RADIOLOGY INSTALLATION OF RSI SITI RAHMAH PADANG

Research has been carried out on the analysis of differences in image quality with slice thickness variations in CT-Scan brain examinations with trauma cases at the Radiology Installation at RSI Siti Rahmah Padang. This study aims to determine the difference in image quality with varying slice thicknesses of 3 mm, 5 mm, and 7 mm in CT-Scan brain examinations with trauma cases and what slice thickness is capable of producing optimal image quality in establishing a diagnosis in CT-Scan brain examinations. with trauma cases. This research was conducted in January 2022 - June 2022 with a quantitative type of research with experimental methods, using purposive sampling techniques and questionnaire data distributed to respondents were processed using the weight mean score formula and the SPSS Friedman method. According to the weight mean score formula, the highest average value for the slice thickness variations of 3 mm, 5 mm and 7 mm is a slice thickness of 3 mm with an average value of 3.64, contrast resolution has an average value of 3.67, noise is 3. 49 and the results of the CT-Scan brain examination in the bone window in trauma cases had an average of t3.74. Based on the SPSS results of the Friedman method, it was found that there was a significant difference in the results of slice thickness variations of 3 mm, 5 mm and 7 mm in the CT-Scan brain examination with trauma cases because (p-value < 0.05), this shows that Hₒ was rejected and Hₐ was accepted. A good slice thickness variation for showing trauma on a CT-Scan brain examination is a slice thickness of 3 mm in the bone window, because if there is a very small fracture it can be seen more clearly.

Pengolahan Citra Digital EKG Rumah Sakit Tk.IV Samarinda

In the hospital itself, especially in the MCU Poly Radiology Installation, it is a unit that performs services such as Medical Check Up, making health certificates, and carrying out routine checks at an institution. ECG examination is one of the services most frequently performed routinely by patients. Examinations carried out include medical check-ups, monitoring of long-term therapy, patient to assessment before surgery, individual screening for high-risk jobs, examinations before participating in sporting events, and overall examinations as a condition of employment. This study carried out the process of withdrawing information or object descriptions or identifying objects contained in images by compressing or reducing image data. By using EKG data from TK.IV Samarinda Hospital by carrying out processing stages such as converting analog data to digital, cropping, and applying filters to EKG images. After the filter is applied to the image, it is found that after 5 types of image processing (RGB Image, Grayscale Image, Binary Image, Thresholding Image, and Edge Detection Image) on the results of the ECG signal it can be concluded that the processed signal retains the features of the existing signal and information. . Of the five types of processing methods, the clearest result is conversion to Edge Detection imagery.

Perbandingan Hasil Radiografi Efusi Pleura Pada Proyeksi Right Lateral Decubitus (RLD) Dan Left Lateral Decubitus (LLD) Pada Klinis Dengue Haemoragic Fever (DHF) Di RSU. Wisata Universitas Indonesia Timur

Dengue Hemorrhagic Fever (DHF) is an infectious disease that can be fatal in a relatively short time. This disease is classified as "difficult to differentiate" from other dengue fever diseases. If without quick and appropriate treatment, the sufferer could fall into an even more fatal condition. And generally the supporting action taken is an X-ray examination of the chest to assess the presence of fluid in the pleura as a result of the Aedes Aegypti mosquito virus. The purpose of this research is to know the Comparison of Radiographic Results of Pleura Effusion on Right Lateral Decubitus Projection and LLD ( Left Lateral Decubitus ) in DHF ( Dengue Haemoragic Fever ) case. This research was conducted in RSU.Wisata Radiology installation of Universitas Indonesia Timur with quantitative research method with experimental design approach. Data collection is done by finding literature, observation, interview, and documentation. From the results of the research that the image of pleural effusion with RLD projection ( Right Lateral Decubitus ) shows better radiographic picture in assessing the level of pleural effusion with clinical DHF ( Dengue Haemoragic Fever ).

Implementation of a Radiation Safety Management System in Conventional Spaces in the Radiology Installation

Klungkung Regional General Hospital is one of the health services owned by the Klungkung district government in the form of a hospital, managed by the Klungkung district government and recorded as a type B hospital. At the Klungkung Regional General Hospital, there are several things that are not in accordance with the radiation safety management system determined by BAPETEN. Some of these things that are not suitable such as the lack of compliance of radiation workers with the standard operating procedures (SOPs) of radiation work in conventional rooms which are often found things outside the provisions, the use of equipment such as aprons and there are doors in the radiological examination room that have leaks, because environmental exposure measurements have been made in the area and leaks were found, and also monitoring the health of radiation workers who have not been optimal. This type of research uses descriptive qualitative research methods with an observational approach from the routine activities of radiation workers at the Radiology Installation of the Klungkung Regional General Hospital. The Radiology Installation of the Klungkung Regional General Hospital has met the BAPETEN Perka standard No.4 of 2020 but there are still some that have not met the standards for the Implementation of the Radiation Safety Management System in the Conventional Room at the Radiology Installation of the Klungkung Regional General Hospital, including the conventional room inspection door to the operator room experiencing a leak, it has been reported to the relevant party in this case for follow-up so that the detected radiation leak can Dealt with immediately.

PENGARUH KUALITAS JASA PELAYANAN TERHADAP CITRA INSTALASI RADIOLOGI DI RUMAH SAKIT GIGI DAN MULUT PENDIDIKAN UNIVERSITAS MUHAMMADIYAH YOGYAKARTA

Background : RSGM-P UMY already have tools such as the installation of radiological medical support enforcement destined diagnose oral disease. Problems that arise sometimes results are not as expected , and response less in service . The purpose of this study to analyze and explain the effect of partial and simultaneous quality radiology services to the installation image in RSGM-P UMY. Method : using quantitative methods , research subjects dentists and coass student in RSGM- P UMY . Installation of radiological research object . Types of studies using cross-sectional data was obtained from questionnaires and analyzed using multiple regression. Results: The regression equation based on existing variables positively influence the assurance (0.069), empathy (0.171), reliability (0.073), responsiveness (0,037), services (0.450), professionalism (0.326) and there was a negative , namely physical appearance (-0.016). Based on the t test of the quality of service simultaneously affect the installation image RSGMP UMY , based on the F test ( Anova : Sig . 0,000 ) is the quality of service simultaneously affect the image RSGMP UMY installation , and test results influence the determination coefficient percentage at 39.5 % . Conclusion: The services quality there are assurance, empathy , reliability , responsiveness , physical appearance have partial can’t effect on image radiologi installation. Variable service and professionalism have an influence on the image of radiological installations RSGMP UMY . The variable quality services have an simultan effect on the image of radiological installations RSGMP UMY.

Evaluasi Kualitas Radiograf Periapikal Teknik Bisektris : Kesalahan Penempatan Sudut Penyinaran dan Film

Background: The bisecting angle technique of periapical radiography is more often used in dental practice because the technique is practically adjustable and the patient's ability to adapt is better. Radiograph results are influenced by operator and patient factors, so management that is not optimal can cause a decrease in the quality of the radiograph, which affects interpretation, diagnosis, and treatment planning. The study aimed to determine the quality and frequency of errors in periapical radiographs using the bisecting technique due to errors in X-ray angulation and film placement at the Soelastri Dental and Oral Hospital (RSGM), University of Muhammadiyah Surakarta (UMS).Methods: The type of research is descriptive observational quantitative research with a retrospective approach. A total of 300 bisecting technique periapical radiographs from patients at RSGM Soelastri UMS in January–December 2021 who met the inclusion and exclusion criteria were taken in random stratification and evaluated. Radiographs are compared to ideal quality and given a National Radiological Protection Board (NRPB) rating, as well as looking at the frequency of errors that occur.Results: The rating most often obtained on periapical radiographs using the bisecting technique in the study was 2 for 181 radiographs (60.33%). The frequency of X-ray angulation errors was 62.94%, while the frequency of film placement errors was 37.06%. The highest error in X-ray angulation was cone cutting at 49.13%, while the error in film placement was in the form of apical cuts at 25.65%.Conclusions: The quality of periapical radiographs using the bisecting technique at the Radiology Installation at RSGM Soelastri UMS in the period January to December 2021 generally has a rating of 2 (diagnostically acceptable) according to the NRPB, and errors are still found in the angulation of the X-ray tube and film placement.

Implementasi Pemanfaatan Sumber Radiasi Pengion pada Ruang CT Scan ditinjau berdasarkan Peraturan BAPETEN No. 4 tahun 2020 di Instalasi Radiologi Rumah Sakit type B di Wilayah Kabupaten Sumedang

Background: Occupational safety and health (OSH) management is the main factor in hospital services, which aims to control and minimize potential dangers due to radiation. One of the evaluations used is the implementation of OSH management requirements based on the Republic of Indonesia Ministry of Health Regulation No. 1014 of 2008 and Bapeten regulation no. 4 of 2020. The aim of this research was to determine the extent of implementation of OSH management in terms of completeness of management requirements, radiation protection, room design and personal protective equipment (PPE) implemented in Radiology Department in hospital type B, Sumedang Regency.Methods: This research was a descriptive qualitative by conducting direct observations, interviews and documentation.Results: The results of the research on the design of the room without ventilation outside the CT Scan room, this aims to minimize the dose of scattered radiation that comes out, decentralization and good air circulation, has warning signs and directions for radiation danger areas, the radiation protection equipment is quite complete. Implementation of radiation management has been carried out, but not completely, there is no health monitoring at the end of the work period and upon termination of work. Radiation safety verification has been carried out periodically, quality control is only carried out externally, so it does not meet standards, internal quality control cannot be carried out because there is no survey meter.Conclusions: This research was conducted in Radiology Department room in August 2023, the results showed that in the CT Scan room there was no air ventilation, there was radiation dose monitoring for staff, overall, Radiology Installation hospital type B in Sumedang Regency area had implemented occupational safety and health.

Measurement of X-Ray Radiation Exposure in Thorax Examinations at Radiology Installation of Wajak Husada General Hospital

The Study aims to measure radiation exposure on X-ray aircraft on chest radiography at the Radiology installation at Wajak Husada General Hospital. Measurements were carried out on the X-ray source tube and in the X-ray room environment at Wajak Husada General Hospital. This research aims to determine the value of radiation exposure and whether the examination room is safe for workers and the general public. Data collection in this research was direct observation in the radiology examination room; then, radiation exposure using a survey meter at points around the X-ray room. The highest exposure to X-ray aircraft was in the control panel room, which was 0.19 µSv/h or 0.88 mSv/y and was still below the dose limit value set by the Regional Head of Bapeten Regulation Number 4 of 2020, namely the dose limit value for workers of 20 mSv/ year and the community it is one mSv/year, concluded that the X-ray aircraft and environment are suitable for use and safe to occupy to implement radiology services.

The Difference of Mean WSS Value on The Carotid Bifurcation and The Medial Segment of Common Carotid Artery Using Vector Flow Ultrasonography in Hypertensive Patients at Prof Dr. I.G.N.G Ngoerah General Hospital February-April 2022

Background : Hypertension is a risk factor for atherosclerosis which increases the risk of stroke. Transitions in blood vessels such as bifurcations are associated with changes in the velocity and pattern of blood flow that decrease wall shear stress (WSS) and is believed to be a risk factor for atherosclerosis. Shear stress on the common carotid artery also decreased with increasing blood pressure. This study aims to determine the difference of mean WSS value on the carotid bifurcation and the medial segment of common carotid artery using vector flow ultrasonography in hypertensive patients. Methods: This study used a cross-sectional design with the research location at the Radiology Installation of Prof. Dr. I.G.N.G Ngoerah Hospital Denpasar in February-April 2022. The sample of this study was hypertensive patients who came to the Radiology Installation of Prof. Dr. I.G.N.G Ngoerah Hospital and met the inclusion criteria as many as 32 people. The examination was carried out by a consultant of head and neck radiology, using an ultrasound device with a linear transducer probe that has a probe frequency range of 3-9 Mhz. Results: The average age of the sample in this study was 50 years, with 9 males (28.1%), 23 females (71.9%). The results showed that the average maximum WSS value on the carotid bifurcation (3.37±0.96) Pa, the mean value (1.15±0.45) Pa, while the average maximum WSS value on the medial segment of the common carotid artery (4 ,41±1.45)Pa, the mean value (1.78±0.54)Pa. The average maximal and mean WSS value on carotid bifurcation were lower than the medial segment of the common carotid artery in hypertensive patients (p<0,05). The results of multivariate analysis on WSS values after controlling for confounding variables, obtained the average maximal and mean WSS value on carotid bifurcation, remained lower than the medial segment of the common carotid artery (p<0,05). Conclusion: there were significant differences in the mean wall shear stress (WSS) of the carotid bifurcation and the medial segment of the common carotid artery in hypertensive patients. Suggestions that can be done next are in facilities that have vector flow ultrasonography facilities, it is recommended to measure the WSS value in hypertensive patients as additional information as a predictor of atherosclerosis

Radiography Hystero Salpingography (HSG) With the Allegation of Nonpatency of Both Fallopii Tubes at Columbia Asia Hospital Medan

Hystero Salpingography (HSG) radiography with suspected non-patency of both fallopian tubes at the Radiology Installation of Columbia Asia Hospital, Medan. Scientific Writing for the Diploma III Radiodiagnostic Engineering and Radiotherapy Study Program Sinar Amal Bhakti Foundation Medan 2021. Hystero Salpingography (HSG) is an examination of the uterus and salpinx using radio opaque contrast media via a uterine canule carried out by a radiologist with the patient supine on the flouroscopy table, examination This can also be done with conventional radiography using a tube from above. Non-patent tubes are tubes that are occluded so that sperm cannot reach the ampulla to fertilize the ovum. The aim of the examination is to show the anatomy and abnormalities accurately by means of contrast injection using a catheter. This research was conducted at the Radiology Installation at Columbia Asia Hospital, Medan. The examination technique uses an antero-posterior projection which aims to optimally show the anatomical structure of the uterus and fallopian tubes. The aircraft used in this research is a Philips Pesawar General X-ray Unit with the Bucky Diagnost CS.Optimus 80 type and a capacity of 500 mA. The cassette used measures 18x24 cm. The film processing process used is Computed Radiography (CR).

Differences of Gonial Index value in male and female hypertension patients using panoramic radiography

Objectives: This study is aimed to measure the Gonial index (GI) value in male and female hypertensive patients using panoramic radiography. Materials and Methods: This is a comparative analytical research. The sampling technique used was the purposive sampling technique. The sample of this study was primary data from panoramic radiographs of hypertensive patients who had been X-rayed at the Radiology Installation of Ulin General Hospital, Banjarmasin. Results: There was no significant difference in the gonial index (GI) values between men (17.83 mm) and women (19.17 mm), with the size of the right region of the female 20.33 mm and the left of the female 16.67 mm and the size of the right region of the male is 17.03 mm and the left male is 19.97 mm. Conclusion: There was no significant difference between the gonial index (GI) values ​​between women and men, although the decrease of bone density in women is higher than in men.

Analisis Pengaruh Penggunaan Picture Archiving and Communication System (PACS) Terhadap Waktu Tunggu Pelayanan Radiologi

The waiting time for radiology services is the grace period from the patient in the photo to receiving the results that have been experienced by the radiologist. One that affects the waiting time for radiology services is the use of PACS in radiology. PACS is a system that functions to receive, store, display and distribute radiological medical images. Since 2022, the Radiology service at one of Hospital in Pekanbaru has carried out a digital system, namely the use of PACS on all computers. The use of PACS at one of Hospital in Pekanbaru does not always run efficiently, not infrequently there are several examinations that get the results of doctor expertise/doctor's reading results that are long enough, even exceeding the minimum service standards. The purpose of this study was to determine the effect of using Picture Archiving and Communication System (PACS) on the waiting time for Radiology services. This research is a type of descriptive quantitative research through document studies. This research was conducted at the Radiology Installation one of Hospital in Pekanbaru by taking samples of 300 data for 2021 and 300 data for 2023. From the results of this study, it was found that there was an influence of the use of PACS on Radiology service time seen from the tcount of 4.688 which was greater than the ttable of 1.6474 with a large influence of 4%.