Ardiana -, Suwandi

Evaluasi Pemeriksaan Ct Scan Thorax Tanpa Kontras Dengan Klinis Tuberculosis Paru Di Instalasi Radiologi Rumah Sakit Umum Daerah Al Ihsan Pemprov Jabar

Introduction

Evaluasi pemeriksaan ct scan thorax tanpa kontras dengan klinis tuberculosis paru di instalasi radiologi rumah sakit umum daerah al ihsan pemprov jabar. Evaluasi CT Scan thorax tanpa kontras untuk diagnosis TBC paru di RSUD Al Ihsan. Temukan pentingnya parameter 0.75 mm slice thickness & 100 kVp dalam detail gambar serta dosis pasien. Bantu konfirmasi diagnosis TBC.

Abstract

Radiological imaging has an important role in diagnosis and detection of pulmonary tuberculosis. The research aimed to determine the CT Scans of thorax in cases of pulmonary tuberculosis. The research method was a qualitative descriptive. Data collection was carried out by direct observation of examination process and interview some radiologists, pulmonary specialists and four radiographers. There was a difference between theory and parameters at Al Ihsan Hospital. Using a scan slice thickness parameter of 0.75 mm because it iwas more detailed in viewing fine images of pulmonary tuberculosis, resulting in high detail. As well as using a low voltage of 100 kVp to ensure exposure to the dose received by the patient. The CT scan of thorax without contrast plays an important role in helping to confirm the diagnosis of pulmonary tuberculosis to see whether there were other lesions that can support the diagnosis of pulmonary tuberculosis.

Review

This paper addresses the critical role of radiological imaging, specifically non-contrast CT scans of the thorax, in the diagnosis and detection of pulmonary tuberculosis (TB). Conducted at Al Ihsan Regional General Hospital, the research employs a qualitative descriptive methodology to evaluate current practices. The study's aim to determine the utility of CT scans in TB cases is highly relevant, given the persistent global challenge of TB, and provides valuable insight into local hospital protocols by gathering data through direct observation and interviews with a multidisciplinary team including radiologists, pulmonary specialists, and radiographers. A key strength of this work lies in its practical investigation of imaging parameters. The abstract highlights a notable difference between theoretical guidelines and the actual parameters implemented at Al Ihsan Hospital. Specifically, the adoption of a 0.75 mm scan slice thickness is emphasized for its superior detail in visualizing fine pulmonary TB lesions, resulting in high diagnostic detail. This is coupled with the use of a low voltage of 100 kVp, a crucial consideration for minimizing patient radiation dose. These findings are particularly valuable as they demonstrate an optimized local approach that prioritizes both diagnostic accuracy and patient safety, underscoring the vital role of non-contrast CT in confirming diagnosis and identifying supporting lesions. While the qualitative descriptive nature of the study provides rich contextual understanding of local practices, a more detailed elaboration on the specific theoretical guidelines that differed from the hospital's practice would enhance the paper's broader applicability. Nevertheless, the explicit identification of optimized parameters for enhanced detail and dose reduction offers valuable practical insights for radiographers and radiologists in similar settings. Future research could consider a more quantitative assessment of diagnostic accuracy and dose reduction outcomes, or a comparative analysis with other imaging modalities, to further validate these findings and contribute to best practice guidelines for TB imaging globally. Overall, this paper offers a pertinent snapshot of effective local adaptation in the radiological diagnosis of pulmonary TB.

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