PENGARUH PENGGUNAAN WINDOW DISPLAY TERHADAP GAMBARAN URETER DENGAN KASUS UROLITHIASIS PADA PEMERIKSAAN CT STONOGRAM DI RSUP DR.HASAN SADIKIN BANDUNG
THE EFFECTS OF WINDOW DISPLAY USAGE ON THE URETER IMAGES WITH UROLITHIASIS RESULTED BY CT STONOGRAM EXAMINATION IN CENTRAL GENERAL HOSPITAL OF DR. HASAN SADIKIN BANDUNG
DOI:
https://doi.org/10.38215/jtkes.v5i1.94Kata Kunci:
MSCT stonogram, urolithiasis, window display, window level.Abstrak
MSCT stonogram sangat berperan penting dalam menegakkan diagnosa pada kasus urolitiasis (batu saluran kencing). Teknik pemeriksaan ini dilakukan tanpa menggunakan zat kontras seperti yang diwajibkan pada pemeriksaan menggunakan modalitas lainnya. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh window level pada MSCT stonografi terhadap gambaran ureter yang dihasilkan. Penelitian dilakukan di RSUP.DR.Hasan Sadikin Bandung. Jenis penelitian adalah penelitian observasional analitik dengan rancangan penelitian merupakan crossectional study. Alat yang digunakan dalam penelitian ini adalah MSCT Hitachi scenaria 128 slice, rekontruksi citra multi planar reformat (MPR) dan curve planar reformat (CPR) menggunakan Terarecon dengan software iNtuition client ver 4.4.12.100. Data diambil dari 14 sample pasien dengan kasus urolithiasis yang telah melakukan pemeriksaan msct stonografi yang diambil secara acak, penilaian dilakukan oleh tiga dokter ahli Radiologi Konsulen dan kemudian analisis dilakukan melalui uji statistik menggunakan IBM SPSS statistics ver. 25.0 tahun 2019. Hasil statistik memperlihatkan bahwa Ho ditolak dan Ha diterima. Hal ini menjelaskan bahwa perubahan window level pada pemeriksaan msct stonogram dengan kasus urolithiasis berpengaruh terhadap hasil gambaran ureter dengan p value = 0,041 (p < 0,05). Sehingga dapat disimpulkan penggunaan window width 350 dan Window level 60 dapat memvisualisasikan gambaran ureter yang sangat jelas setelah dilakukan rekontruksi CPR.
Unduhan
Referensi
Bogart, J. A. (2018). BODY CT secrets (1nd ed.). New York USA: mosby.
BONTRAGER_ Radiographic Positioning and Related Anatomy, 6th ed, KL Bontrager.pdf. (n.d.).
Clark, S., Whitley, A. S., Jefferson, G., Holmes, K., Sloane, C., Anderson, C., & Hoadley, G. (n.d.). POSITIONING IN.
Eliason, N. E. (2006). A Textbook. In American Speech (Vol. 15). https://doi.org/10.2307/486972
Elliot K.Fishman, R. Brooke Jeffrey, J. (2004). Multidetector computed tomography - Principles, Techniques & Clinical Applications (1st ed.; J. Kim, Ed.). Retrieved from https://www.google.co.zw/#q=multidetector+computed+tomography
H. Ellis James, MD, F. (2017). ACR Manual on Contrast Media ACR Committee on Drugs and Contrast Media. ACR.
Hamimi, A., & El Azab, M. (2016). MSCT renal stone protocol; Dose penalty and influence on management decision of patients: Is it really worth the radiation dose? Egyptian Journal of Radiology and Nuclear Medicine, 47(1), 319–324. https://doi.org/10.1016/j.ejrnm.2015.11.001
Ilmiah Kesehatan Sandi Husada, J., Dwi Kaniya, T., Uyun, D., Departemen Radiologi, B., Sakit Urip Sumoharjo Bandar Lampung, R., & Departemen Radiologi Rumah Sakit Abdul Moeloek Bandar Lampung, B. (2020). Ct-Scan Non Kontras Pada Pasien Batu Saluran Kemih Non-Contrast CT Scan In Patients with Urinary Stones. Juni, 11(1), 284–291. https://doi.org/10.35816/jiskh.v10i2.272
JOHN T. HANSEN. (2014). NETTER’S ANATOMY COLORING BOOK (2nd Editio). New York USA.
Lilienthal, C. (2011). Urinary tract. Australian Doctor, (14-OCTOBER), 51–52. https://doi.org/10.5005/jp/books/11368_13
Mosby, T. (2015). RADIOGRAOHIC POSITIONS & RADIOLOGC PROCEDURES (10nd ed.). New York USA: mosby.
O’Connor, O. J., & Maher, M. M. (2010). CT Urography. American Journal of Roentgenology, 195(5), 320–324. https://doi.org/10.2214/AJR.10.4198
Parihar, B. (2019). ROLE OF NON-CONTRAST COMPUTED TOMOGRAPHY IN EVALUATION OF KIDNEY , URETER , AND URINARY BLADDER. (January), 38–41.
Paz, M. R., García, M. O., & P. Rodríguez Fernández. (2010). CT urography?: Saline infusion vs furosemide. European Journal of Radiology, 1–40.
SEERAM, E. (2014). Computed Tomography: Physical Principles, Clinical Applications, and Quality Control. In S. Elsevier (Ed.), Radiology (3nd ed., Vol. 194). https://doi.org/10.1148/radiology.194.3.782
Silverman, S. G., Leyendecker, J. R., & Amis, E. S. (2009). What is the current role of CT urography and MR urography in the evaluation of the urinary tract? Radiology, 250(2), 309–323. https://doi.org/10.1148/radiol.2502080534
Soomro, H. U., Hammad Ather, M., & Salam, B. (2016). Comparison of ureteric stone size, on bone window versus standard soft-tissue window settings, on multi-detector non-contrast computed tomography. Arab Journal of Urology, 14(3), 198–202. https://doi.org/10.1016/j.aju.2016.06.006
Unduhan
Diterbitkan
Terbitan
Bagian
Lisensi
Hak Cipta (c) 2022 JURNAL TERAS KESEHATAN
Artikel ini berlisensiCreative Commons Attribution-ShareAlike 4.0 International License.
Authors who publish articles in Jurnal Teras Kesehatan agree to the following terms:
- Authors retain copyright of the article and grant the journal right of first publication with the work simultaneously licensed under a CC-BY-SA or The Creative Commons Attribution–ShareAlike License.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access)
