STUDI KASUS TEKNIK PEMERIKSAAN THORAX PADA ANAK DENGAN TEKNIK KV TINGGI DI INSTALASI RADIOLOGI RSUD DR. R. SOETIJONO BLORA

Fahri An Najih; Ike Ade Nur Liscyaningsih; Widya Mufida

Authors

Fahri An Najih Universitas ‘Aisyiyah Yogyakarta
Ike Ade Nur Liscyaningsih Universitas ‘Aisyiyah Yogyakarta
Widya Mufida Universitas ‘Aisyiyah Yogyakarta

Keywords:

Thorax Examination, High KV Technique

Abstract

Background: on examination of the thorax in children in Radiology installation Dr. R. Soetijono Blora used high kV technique that is exposure factor used 60 kV and mAs 1 with patient age 5 months. Projection used Antero-Posterior (AP). Meanwhile, according to the theory of thorax examination of pediatric patients using KV 40, mAs 10 and 42 kV, mAs 1.6 with Antero-Posterior (AP) , Postero-Anterior (PA) and Lateral projections. This study aims to determine the techniques and objectives in the examination of the Thorax in children with high kV techniques. Research Methods: this study uses descriptive qualitative methods with a case study approach. The research was carried out at the radiology installation of Dr Soetijono hospital blora in September 2024 – May 2025. The object in this study is a pediatric patient who underwent thorax examination, with subjects consisting of 3 radiographers and 1 radiology specialist. The method of data collection is observation, documentation interviews and literature studies. Furthermore, the processed data were analyzed in the form of interview transcripts, then a categorization table was made to be reduced. After the data is reduced, the presentation of the data is done in the form of a narrative and then analyzed with a theoretical basis for further conclusions to be drawn. Results: research shows that examination of the Thorax in children in hospital dr. R. Soetijono Blora adjusted to the age and clinical condition of the patient, the projection used Antero-Posterior (AP) with supine patient position, on examination applied high kV technique of 60 kV and 1 mAs. In this examination kVp used in addition to 10 of routine thorax examination in adult patients is 50 KV and mAs 10 while the mAs value is reduced to 1. The purpose of this technique is to minimize the movement of the patient. The use of high kV is expected to produce sharp and informative images, while a small mAs value helps speed up image acquisition thereby reducing the likelihood of artifacts due to movement

References

Akhmadi. (2022). Literature Review Dosis Radiasi Pada Pemeriksaan Radiografi Thorax Anak. Jurnal Sains Dan Kesehatan (Jusika), 100-104.

Fadila, D., Hidayat, E. P. S., & Apriantoro, N. H. (2022). Penatalaksanaan Radiografi Thorax Pediatrik Indikasi Dengue Haemorrhagic Fever Di Rs Graha Juanda. Husada Mahakam: Jurnal Kesehatan. 12(5), 125-35

Fitriani, S. Z. (2022). Pengaruh Tegangan Tabung (Kv) Pada Pemeriksaan Thorax Terhadap Kualitas Citra Radiografi Di Bbkpmm.

Fitriani, F., Zelviani, S., & Sahara, S. (2020). Pengaruh Tegangan Tabung (Kv) Pada Pemeriksaan Thorax Terhadap Kualitas Citra Radiografi Di Balai Besar Kesehatan Paru Masyarakat Makassar. Jft: Jurnal Fisika Dan Terapannya, 7(2), 139-148.

Imam Suyudi, Y. A. (2022). Analisa Perbandingan Radiograf Pada Pemeriksaan Thoraks Dengan Menggunakan Teknik Kv Standar Dan Teknik Kv Tinggi Di Instalasi Radiologi Rumah Sakit Muhammadiyah Bandung Tahun 2022. My Campaign Journal Vol. 3 No. 03, 96-102.

Lampignano, J. P., & Kendrick, L. (2018). Bontrager’s Textbook Of Radiographic Positioning And Related Anatomy (9th Ed.). Elsevier

Nurrokhim, M. L., Rochmayanti, D., & Budiono, A. (2021). Standarisasi Indeks Eksposur untuk Memenuhi Kriteria Anatomi dan Aspek Teknis pada Radiografi Thorax Pediatrik. Jurnal Imejing Diagnostik (JImeD), 7(1), 22-27.

Ramadhan, R. (2022). Rancang Bangun Alat Fiksasi Pemeriksaan Thorax Pa (Posterior Anterior) Pada Anak Usia 2 Sampai 4 Tahun (Doctoral Dissertation, Universitas Awal Bros).

Rini Indrati, R. S. (2017). Analisa Penerimaan Dosis Serap Organ Reproduksi Pada Pemeriksaan Radiografi Abdomen Antara Penggunaan Teknik Kv Rendah Dan Teknik Kv Tinggi. 203-207.

Savitri, L. (2017). Optimisasi Proteksi Dan Keselamatan Radiasi Pada Radiologi Anak. In Seminar Keselamatan Nuklir (Vol. 33, pp. 17-22).

Sanggam Ramantisan, T. M. (2022). Pengaruh Teknik Kv Tinggi Pada Pemeriksaan Radiografi Thorak Terhadap Entrance Surface Air Kerma dan Dose Area Product Yang Diterima oleh Pasien di RSUP Dr. Kariadi Semarang. Jupeten, 2 (2), 37 – 41 (2022) , 37-41.

Siti Daryati, R. I. (2019). Gambaran Dosis Serap Pada Pemeriksaan Radiograf Thorax Anak Di Instalasi Radiologi Rumah Sakit Paru Dr. Ario Wirawan Salatiga. Jimed, Vol. 5, No. 1 , 31-33.

Wahyuddin, W., Iskandar, A. R., & Ma’rifa, N. H. T. (2020). Tatalaksana Pemeriksaan Thorax Pada Bayi Dengan Kasus Berat Badan Lahir Rendah (BBLR) Di Instalasi Radiologi RS Islam Faisal Makassar. Lontara Journal of Health Science and Technology, 1(2), 73-79.