Anwar, M. Choerul
Proceedings of the International Conference on Applied Science and Health

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THORAX MULTI-SLICE COMPUTER TOMOGRAPHY (MSCT) EXAMINATION TECHNIQUE IN THE CASE OF MEDIASTINUM TUMOR AT RADIOLOGY INSTALATION OF SEMARANG DISTRICT GENERAL HOSPITAL

Proceedings of the International Conference on Applied Science and Health No 1 (2017)
Publisher : Proceedings of the International Conference on Applied Science and Health

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Abstract

Background: Thorax Multi-slice computer tomography (MSCT) scan examination requires contrast medium to image the difference in density with the surrounding tissue. The contrast images is largely determined by the volume of contrast, injection rate and injection methods. Thorax CT scan is performed by slice thickness of 5-10 mm. Meanwhile, it should use the routine slice thickness of 10 mm. Slice thickness of 8-10 mm of coronal and sagittal images require reconstruction by thin slices of 1-1.5 mm and subsequently by applying 3D. Aims: This is to analyse the volume of contrast and slice thickness used in the examination of tumor mediastinum by thorax MSCT examination. Methods: This research used descriptive qualitative design with case study approach, described and explained systematically, related to the procedure of Thorax MSCT examination technique in the case of mediastinum tumor with 3 samples of 3 patient and assessment performed by three radiologist as respondents. Results: This study indicates the success of the use of proper contrast of 80 cc and slice thickness of 2-3 mm to observe lesions of mediastinal tumor. Conclusion: Thorax MSCT examination in the case of mediastinum tumor should use contrast 80 cc and slice thickness of 2-3 mm to observe lesions of mediastinal tumor and coronal and sagittal axial slices, because the sagittal slice can show the lymphadenopathy enlargement so that the mediastinum tumor is clearly visible. The print out or filming results should be included the MPR or 3D to show the presence or absence of bone destruction and metastases. 

CONSTRUCTION DESIGN OF AN ASSISTING TOOL FOR IMMOBILIZATION IN THORAX AND ABDOMEN EXAMINATION ON PEDIATRIC PATIENTS

Proceedings of the International Conference on Applied Science and Health No 1 (2017)
Publisher : Proceedings of the International Conference on Applied Science and Health

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Abstract

Background: The main idea of designing an assisting tool for immobilization in pediatric thorax and abdomen examinations is that there are radiographer’ s difficulties while performing radiographs, especially pediatric thorax and abdomen. Aims: This study aims to design of appliance assist for immobilization thorax and abdomen examination on pediatric patients. Methods: This study was an exploratory experiment by designing, applying and testing the construction of an assisting tool for immobilization in thorax and abdomen examination on pediatric patients. The methods used in data collection were interview and observation. Function test results were analyzed based on the check list of the respondents regarding the feasibility of the tool. Results: an assisting tool for immobilization in thorax and abdomen examination on pediatric patients was designed in examination table-shaped made of basic materials such as acrylic, hollow steel and Eser steel plate. Function test on the work of the assisting tool was performed by 6 respondents who applied it to the patient. Based on the function test results, there was of 89,5% respondents who stated that the tool for immobilization in thorax and abdomen examination on pediatric patients could help the performance of the radiographer in positioning and reducing the patient’s movement and there was no artifact in the radiographs. Conclusion: Function test results showed that the tool design could reduce the movement of patients and may replace the function of others to resist the movement of the patient. An assisting tool for immobilization in thorax and abdomen examination on pediatric patients should be improved further especially in choosing the material used, so that the toll will be lighter and can better reduce the patient’s mobility and the size should consider the average height of the pediatric patients.