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All Journal Jurnal Riset Kesehatan Jurnal Imejing Diagnostik KACANEGARA Jurnal Pengabdian pada Masyarakat Poltekita : Jurnal Ilmu Kesehatan Jurnal Ilmiah Tatengkorang Jurnal Radiografer Indonesia Ahmar Metakarya: Jurnal Pengabdian Masyarakat GENIUS JOURNAL (General Nursing Science Journal) International Journal of Health Science and Technology Edukasi Masyarakat Sehat Sejahtera (EMaSS) Jurnal Rakat Sehat : Pengabdian Kepada Masyarakat Jurnal Pengabdian Masyarakat Svasta Harena Jurnal Pengabdian Kesehatan Beguai Jejama Frontiers in Community Service and Empowerment Journal of Nutrition Explorations

Luthfi Rusyadi

Poltekkes Kemenkes Surabaya, Surabaya, East Java, Indonesia

Author-ID : 852270

Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Computer Science & IT Dentistry Education Electrical & Electronics Engineering Engineering Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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VERIFICATION OF GEOMETRY ON 3D CONFORMAL RADIOTHERAPY TECHNIQUE WITH NASOPHARINGEAL CANCER CASE AT RADIOTHERAPY UNITS RADIOLOGY INSTALLATION DR. SARDJITO HOSPITAL YOGYAKARTA Kurniadiyah Nuril Izza; Luthfi Rusyadi; Jeffri Ardiyanto
Jurnal Imejing Diagnostik (JImeD) Vol 4, No 1: January 2018
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v4i1.3978

Background: Verification of geometry is a process to ensure that the position and volume of the irradiated tumor is the same as planned.Verification is done by comparing the radiographic image information of the Treatment Planning System (TPS) with radiation therapy to be provided on the Electronic Portal Imaging Device (EPID) device. This research is about geometry verification process on 3D conformal radiotherapy technique with nasopharyngeal cancer case at Radiotherapy Unit Radiology Installation Dr.Sardjito Hospital Yogyakarta which aims to know the procedure and shift of geometry verification.Methods: The type of this research is descriptive study with retrospective data. Methods of data collection used are observation, interview and documentation. The subjects consisted of 3 radiotherapists, 1 medical physician and 1 radiation oncologist. The object of the study was nasopharyngeal cancer patients who received radiotherapy with conformal 3D technique with a sample size of 10 patients. Data obtained from observations and interviews were collected and then data reduction and open coding were then presented in the form of quotations, and drawn conclusions and suggestions.Result: The results of this study indicate that the geometry verification procedure is performed on the irradiation fractions 1,2 and 3 then in the 4th fraction we take the average shift of the fractions 1,2 and 3 to obtain the new isocenter point. After obtaining the new isocenter point of verification, do it again when the fractional radiation to 10 and 20. The average variation of the geometry shift obtained is on the vertical axis of 0.46 cm (towards the posterior), on the longitudinal axis of -0.2 cm (towards the superior) and on the lateral axis of -0.2 cm (towards the left) from the isocenter point.Conclusion: know the procedure of geometry verification conducted in Radiotherapy Unit of Dr. Sardjito Yogyakarta and got the average of shifting variation on each vertical, longitudinal and lateral axis.

Analisis Informasi Citra Anatomi Fase Late Artery dengan Variasi Time Scan Delay pada Pemeriksaan MSCT Abdomen Bagus Abimanyu; Luthfi Rusyadi; Taufiq Taufiq
Jurnal Imejing Diagnostik (JImeD) Vol 3, No 1: January 2017
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v3i1.3187

Background: MSCT Abdomen late arterial phase is a radiological examination to evaluated enhancement in hypervascular lesions, stomach, bowel, pancreas parenchyma, spleen and kidney outer cortex. All the structures get bloodsupply of the artery will show an optimal increase (Smithuis, 2014). Smithuis (2014) used time scan delay 15-20 seconds. However in the Abdomen MSCT examination in the late arterial phase of Radiology Hospital Dr. Kanujoso Djatiwibowo Balikpapan used the different time scan delay. This study aimed to determine differences in contrast enhancement with time scan delay variation of contrast media and to determine the optimal time scan delay in the examination of the Abdomen MSCT late arterial phase.Methods: The research type is quantitative experimental approach. Data are taken in October and November 2016. The research population of abdomen MSCT examination clinical intra-abdominal mass cases. Total sample are 18 people with a predetermined inclusion criteria. Time scan delay variation used are 10 seconds, 15 seconds, 20 seconds. evaluated with respondents the data is processed with statistic analysis by using different test Kruskal-Wallis followed by post hock Mann-Whitney and to get the most optimal assessment visits of mean rank the Kruskal-Wallis test.Result: The results obtained p value 0,001 (p 0,05), there are shown significant differences between time scan delay 10 seconds, 15 seconds, 20 seconds at Abdomen MSCT examination in the late arterial phase of Radiology Dr. Kanujoso Djatiwibowo Balikpapan Hospital. An optimal time scan delay on Abdomen MSCT examination late arterial phase is 10 seconds premises ROI tracking on descenden aorta. From the results of tests conducted using the Kruskal-Wallis test values mean rank at the time scan delay of 10 seconds is 84,75.Conclusison: There is a difference significant anatomical image information between the time scan delay 10 seconds, 15 seconds, 20 seconds. on MSCT Abdomen examination artery in the late phase of Radiology Dr. Kanujoso Djatiwibowo Balikpapan Hospital. assessment results are tested using the Kruskal-Wallis test followed Mann-Whitney post hock obtained p value 0.001 (p 0.05), meaning that there is a difference between the third anatomical image information with time scan delay variations. Time delay optimal scan on Abdomen MSCT examination late artery phase that time scan delay 10 seconds by tracking ROI on descenden aorta. From the results of tests conducted using the Kruskal-Wallis test values mean rank at the time scan delay of 10 seconds 84.75, 56.62 ie 15 seconds, 20 seconds, namely 22.12.

Analisis Noise Pada Radiografi Thorax Pulmonum Pada Penerapan Modifikasi Faktor Eksposi Aturan 10 kV Luthfi Rusyadi; Siti Daryati; Dwi Rochmayanti; Andrey Nino Kurniawan
Jurnal Imejing Diagnostik (JImeD) Vol 7, No 2: JULY 2021
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v7i2.7473

Introduction: Quality and dose factors are very important in radiodiagnostics. To produce a constant radiographic quality, the density and contrast produced must remain constant. There is a rule that aims to produce a constant radiographic quality by adding the exposure value, namely the 10 kV rule. This study was conducted to determine the noise in the computed radiography image with the thorax organ produced by modifying the exposure factor of the 10 kV rule and whether it is still within tolerance.Methods: This quantitative research was conducted with an experimental approach. This is done by taking a series of radiographs that include three exposure factor settings, standard (60 kV, 10 mAs), increased by 10 kV (70 kV, 5 mAs) and lowered by 10 kV (50 kV, 20 mAs). Noise measurement is done by doing ROI in the background area. The exposure index and deviation index values were also recorded as quality and dose references. The data was processed and analyzed by statistical tests.Results: From the statistical test results, there is a significant relationship between kV and noise with a sig (1-tailed) of ,000. Noise on the standard exposure factor has a lower noise than the modified exposure factor with a difference of 0.2. From the quality aspect, the most optimum exposure index and deviation index indicators are in the range of 70 KV and 5 mAs.Conclusion: The results of the statistical test of the relationship of kV to noise obtained at 50 Kv and 20 mAs, 60 kV and 10 mAs gave a significance value of 0.263 and 0.435, while at 70 kV and 10 mAs with Sig. (1-tailed) of .000 which means the relationship between kV to noise is strong because the sig value is below 0.05.

Metode Pengukuran Volume Perdarahan Pemeriksaan MSCT Kepala pada Kasus Intraserebral Hemmorhage Siti Masrochah; Rinda Yuliana Lestar; Luthfi Rusyadi
Jurnal Imejing Diagnostik (JImeD) Vol 7, No 1: JANUARY 2021
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v7i1.6612

Background: Intracerebral hemorrhage is bleeding in the brain parenchyma. An accurate measurement of bleeding volume to determine the appropriate medical action. This study to determine the method of measuring the volume of intracerebral hemorrhage in MSCT examination of the head and determine the advantages and disadvantages between the manual method (Broderick, ABC's, Ellipsoid) and the software method (automatic volume, otsu).Methods: This type of descriptive qualitative research with the Literature Review. Data obtained by identifying problems then searching for keywords, looking for several journals sourced from databases such as Google Scholar, Science Direct, Springer. Data analysis by studying theoretically the method of measuring the volume of bleeding methods manually (Broderick, ABC’s, ellipsoid) and using software methods (automatic volume, otsu).Results: The results of measuring the volume of bleeding in the same patient with the manual method (Broderick) produce more bleeding volume (overestimate) that is 8750 mm3 from the 7960 mm3 automatic volume method. The manual method (Broderick, ABC’s, Ellipsoid) uses the ABC / 2 formula and uses 5 mm slice thickness, the automatic volume software method uses 1 mm slice thickness segmentation and technique, while the otsu software method uses 2.5 mm segmentation and slice thickness techniques.Conclusion: The advantages of the manual method (Broderick, ABC’s, ellipsoid) take approximately 1 minute to determine the estimated outcome of the bleeding volume, the weakness is higher in irregular bleeding. The advantages of the software method (automatic volume, otsu) in the use of precise segmentation techniques for accurate volume results, weaknesses are too long in determining the estimated bleeding volume results.

hepar image anatomical information, HU score, bolus tracking technique. Siti Masrochah; Maria Ermelinda Teme; Luthfi Rusyadi
Jurnal Imejing Diagnostik (JImeD) Vol 1, No 2: July 2015
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v1i2.3162

Background: The appropriate adjustment of HU score on bolus tracking image will give us the same time between duration of scan and duration of injecting contrast media. The optimal contrast enhancement will give the optimal information of anatomical and patological image of organ. This research aims to determine the quality of hepar image anatomy based on the variety of HU score and find out the optimal score that can provide anatomical information image of the liver.Methods: This research was a quantitative research with an experimental approach. Subjects of this study were five patients for every single variation of three HU scores variation (100 HU, 150 HU, and 200 HU). This study was conducted in dr. Kanudjoso Jatiwibowo Balikpapan Hospital on May to June 2016. The sample was taken by purposive sampling technique, because it was not done on whole of population but only focused on certain targets. Parameters used were flow rate, pressure, concentration of the contrast media and patient’s physiology . The assesment of the liver arterial phase was done by three radiology physician using checklist to determine the quality of hepar image anatomical information. Data analyzed by non-parametric statistical test of Kruskal-Wallis test with SPSS 16 version.Results: Quality of hepar anatomical information was based on the HU score variations. The statistical test score was 0.01 that means that Ho was rejected and Ha was accepted, significant differences between the quality of anatomical information of hepar image with the variety of HU score on tracking bolus technique.Conclusion: The optimal score which can provide better quality of hepar image anatomical information was on 200 HU.

Nilai Contrast to Noise Ratio (CNR) Radiograf Thorax PA antara menggunakan Grid dengan tanpa Menggunakan Grid Angga Yosainto Bequet; Luthfi Rusyadi; Fatimah Fatimah
Jurnal Imejing Diagnostik (JImeD) Vol 6, No 2: JULY 2020
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v6i2.5653

Background: In the Thoracic Radiography Technique, applying the use of a grid to control scattered radiation almost never occurs, because the organ that is radiologically examined is classified as soft tissue dominance. Consideration of using grid is very important when the thickness of the thoracic organ exceeds 10 cm, thus potentially increasing scattering radiation which will affect the value of the Contrast to Noise Ratio (CNR). The purpose of this study is to examine the difference between the use of grid and non-grid for the chest radiography techniques in the context of CNR values.Methods: In the study, a hundred healthy patient uderwent the chest posteroanterior (PA) radiographic examination, a half of the total patients was examined with grid whereas the rest without the grid embedded. All the resulted images were analyzed by means of the pixel value measurements at the specific organs of interest (costea and pulmonary tissues) in inside and outside of the lung organs, using 1,5 mm of ROI from Dicom software. The statistical analysis of the CNR values was performed by comparing the results between the groups.Results: There is a significant difference in the contrast values on the PA radiographs between those using the Grid and without using the Grid (p-value 0.001). The average contrast value on the chest radiograph with Grid is 2283.60, while without Grid is 1878.58. In the Noise values, it also deems significance (p-value = 0.001). The average of the noise values employing the Grid in the technique is 25.32, whereas without Grid is 17.84. In the Contrast to Noise Ratio (CNR), the diference seems to be significant (p-value 0.001). The average CNR radiograph of the PA chest using the Grid is 100.79, while the non-grid is 125.62.Conclusions: The application of the grid in radiography technique gives significant difference in the image results (contrast, noise, and CNR), when compare to the radiographic techniques without the grid. Using the grid in the Technique improve the qPA-thoracic quality of the chest images.

QUALITY CONTROL OF PACKED RED CELL (PRC) PRODUCT IN BLOOD DONATION UNIT Silvi Astutiningtiyas; Luthfi Rusyadi; Yeti Kartikasari
Jurnal Riset Kesehatan Vol 11, No 1 (2022): MAY 2022
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jrk.v11i1.8506

Blood Transfusion Service Standards aim to ensure the safety high quality and sufficient blood services sufficient blood reserve. The standard for blood requirements for each country according to WHO is at least 2% of the total population. The population in Indonesia has increased every year so the need for blood is also increasing causing demands for causing the quality of blood services to be better. One of the demands for the quality of blood services by knowing is to know the quality control of the blood produced. One of the blood products produced is PRC. PRC Packed Red Cells quality control checks must be carried out to determine the quality of the PRCs produced. This study aims to determine the overall quality control of PRC and the results of PRC quality control based on (volume, hemoglobin, hematocrit, hemolysis, and bacterial contamination) in the Blood Donation Unit of Banyumas Regency in 2020. This type of research is descriptive. Sampling technique with a sample quota as much as the total sample quality control packed red cell test obtained 1% of the total production of PRC components every month in the Blood Donation Unit of Banyumas. The QC research results were obtained from 430 PRC samples that met the passing standards: 426 samples (99%) volume, 426 samples (99%) hemoglobin, 380 samples (88%) hematocrit, 429 samples (99.7%) hemolysis, and 426 samples (99%) passed from bacterial contamination. The number of QCs who qualified was 373 samples (87%). These results indicate that the 2020 PRC QC obtained good and satisfying results.

Design of an Information System for Testing the Blood Characteristics on Increasing the Impact of Vibration using a Prototype “Blood Shaker Machine” Jessica Juan Pramudita; Edy Susanto; Luthfi Rusyadi
Genius Journal Vol. 3 No. 2 (2022): GENIUS JOURNAL
Publisher : Inspirasi Foundation

Objective: The general purpose of this research is to design an information system based on the application of blood characteristics testing on platelets to increase the impact of vibration by using a "Blood Shaker Machine" examined through a Haematology Analyzer (HA) and Peripheral Blood Smear (SADT) at any changes in the increase in vibration. Method: The method used in this study is to design an application-based system on the "Blood Shaker Machine" and test the increase in vibration on changes in blood quality both in terms of the number and morphology of the platelets. Result: Significant changes in the morphology of erythrocytes and platelets in the 10 Hz vibration group for 15 minutes also indicated a change in the quality of blood cells, both erythrocytes and platelets. Conclusion: There is a significant difference in erythrocyte morphology changes between before and after being vibrated at 10 Hz with a p value of 0.014 and There is a significant difference in platelet morphology between before and after being vibrated at 10 Hz with a p value of 0.000.

PERBANDINGAN INFORMASI CITRA ANTARA SEQUENCES T2 FAST FIELD ECHO DAN SUSCEPTIBILITY WEIGHTED IMAGING PADA PEMERIKSAAN MRI BRAIN IRISAN AXIAL DENGAN KASUS MICROBLEEDS Afandi; Luthfi Rusyadi; Fatimah; Jeffry Ardiyanto
JRI (Jurnal Radiografer Indonesia) Vol. 1 No. 1 (2018)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Background : The Gradient echo sequence is a sequence using RF excitation pulse varied and with flip NMV through various angle (Instead of 900). It’s sensitive in detecting the present of hemorrhages that have susceptibility and blooming effect to hemorrhages. T2 fast field echo (T2 FFE) and susceptibility weighted imaging (SWI) are part of the gradient echo pulse sequences, in which T2 FFE sequences is conventional non- steady state imaging 2D milti-slice and SWI is 3D velocity compensated sequence gradient echo. On both the sequence is very good for asses the hemorrhages particularly microbleeds. This study aims to determine differences in image information and determine the most optimal image information between T2 FFE and SWI sequences in brain MRI axial slices with microbleeds cases. Methods : Type of research is quantitative experimental approach. The data was taken from October to November 2016 at Radiology Installation of Siloam Hospital Lippo Village. The study populations was all examinations brain MRI with the microbleeds cases, 5 samples with inclusion criteria described. Scanning by using T2 FFE and SWI sequences, then evaluation by respondents furthermore the data was processed using kappa test, and analyzing the date using wilcoxon test, and then to get an assesment of the most optimal images seen from the mean rank wilcoxon test. Results : The result was p-value 0,025 (p<0,05) means that Ho refused and Ha accepted, so that statistically showed significant differences at images information between T2 FFE and SWI sequences in examinations brain MRI axial slices with microbleeds case, with mean rank on SWI sequence is 3, and mean rank on T2 FFE is 0, so it’s can be concluded that SWI sequence produces a better images information on the examination brain MRI axial slices with microbleeds cases than T2 FFE sequence. Conclusion : there is a difference of images information between T2 FFE and SWI sequences in Brain MRI axial slices with microbleeds cases, and SWI sequences produces a better images information on the Brain MRI axial slices with microbleeds cases.

PERBEDAAN INFORMASI CITRA SEKUEN THICK-SLAB SINGLE-SHOT FAST SPIN ECHO (SS-FSE) DAN SEKUEN 3D-FAST SPIN ECHO (FSE) PADA PEMERIKSAAN MAGNETIC RESONANCE CHOLANGIOPANCREATICOGRAPHY (MRCP) Anisa Nur Istiqomah; Hermina Sukmaningtyas; Luthfi Rusyadi
JRI (Jurnal Radiografer Indonesia) Vol. 1 No. 1 (2018)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Backgroud:There are sequences that have the same image and assessment functions are sequences thick-slab SS- FSE and 3D-FSE. Each hospital uses a different sequences for MRCP examination. Based on the different uses of these sequences carried out research with the aim to determine differences in image information thick-slab SS- FSE and 3D-FSE sequences and also to see better sequence for MRCP examination. Methods: Type of this research is quantitative with observation approach. Ten patient have diagnose system biliaris and pancreas disease undergo MRCP with thick-slab SS-FSE and 3D-FSE sequence. Assessment images information using questionnaire that were read by three radiologist. Inter observer agreement examined by Cohen’s Kappa test. Analysis to discover the different of anatomy information, conspicuity of lesion, and artifact using cross tabulation and Wilcoxon test. To discover better sequence observe the mean rank of wilcoxon test. Results: Result of this research demonstrate that there’s significantly different between sequence thick-slab SSFSE and 3D-FSE toward anatomy information p=0,010; conspicuity of lesion p=0,013; artifact p=0,008; Cystic Duct p=0,157; intra hepatic duct p=0,405. Conclusion:There are significant image informationdifferences of Thick-slab SS-FSE and 3D-FSE sequences in MRCP examination.Better sequence for MRCP examination is thick-slab SS-FSE because short acquisition time and less artifact also showing conspicuity of lesion clearly. Sequence 3D-FSE still used to see small ductus as intra hepatic duct.

Co-Authors Adhyanti Afandi Afif Akhsani Albani Ijazi, Nidal Taftazani Andrey Nino Kurniawan Angga Yosainto Bequet Ani Intiyati Ani Media Harumi Anisa Nur Istiqomah Ardi Soesilo W. Bagus Abimanyu Binti Yunariah Cristian NP, Arpan Doli Devi Eka Ratnasari Diah Titik Mutiarawati Dwi Purwanti Dwi Rochmayanti Edy Haryanto Edy Susanto Endarini, Lully Hanni Endro Yulianto Ergia Latifolia Ervi Husni, Ervi Evy Diah Woelansari Fahmi Hafid Fatimah Fatimah Fatimah Ferry Kriswandana Fitri Puspita Dewi Fitri Rokhmalia, Fitri Ginarsih, Yuni Halimah, Husnul Handayati, Anik Hermina Sukmaningtyas Hindaryani, Nurul I Dewa Gede Hari Wisana Imam Sarwo Inne Soesanti Ira Puspitasari Irianto Uripan, Koen Irwan Sulistio Isfentiani, Dina Islaha, Maria Isnanto Istanto, Wisnu Jeffri Ardiyanto Jeffry Ardiyanto Jessica Juan Pramudita Juliana Christyaningsih Kathiresan, Shivania Kurniadiyah Nuril Izza Leny Latifah Liliek Soetjiatie Liliek Soetjiatie Lully Hanni Endarini M. Ainul Mala Mamik Mamik Mamik Mamik Maratus Sholikah, Siti Maria Ermelinda Teme Marina Pengge Melania Rizerda Pebianti MINARTI Minarti Minarti Minarti Minarti Mujayanto Museyaroh Museyaroh Museyaroh, Museyaroh Mutiarawati, Diah Titik Nugroho, Riezky Faisal Nuning Nur Hatijah Nur Kholifah, Siti Nurwening Tyas Wisnu Pebianti, Melania Rizerda Pengge, Nuning Marina Pestariati Pestariati Pestariati, Pestariati Prionggo, Anang Puspita Zella Wigati Putri, Intan Maulina Alifia Retno Sasongko Wati Retno Sasongkowati Rinda Yuliana Lestar Rohkmalia, Fitri Sari, Ira Rahayu Tiyar Sariman, Sarina Sasongkowati, Retno Sherly Jeniawaty Shofiya, Dian Sholikah, Mar'atus Silvi Astutiningtiyas Siti Daryati Siti Mar'atus Siti Masrochah Slamet Wardoyo Sri Mulyati Sri Sulami Endah Astuti SRI UTAMI Sri Utami Sudiyono Sudiyono Suhariyadi Suhariyadi Suhariyadi Suhariyadi Suliati Suliati Suliati Suliati Sulistio, Irwan Sulistyowati, Dwi Wahyu Wulan Sumasto, Hery Suprihatin, Kusmini Supriyatin, Endah Tatarini Pipit Ika Cahyani Taufiq Taufiq Taufiqurrahman ulfa hidayah Wardana, Endra Tri Kusuma winarko, winarko Wisnu Istanto Yeti Kartikasari Yumni, Hilmi

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