PROSEDUR PEMERIKSAAN MSCT UROGRAFI PADA KASUS MASSA GINJAL DI INSTALASI RADIOLOGI RS BHAYANGKARA MAKASSAR
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Abstract
Tujuan dari penelitian ini adalah untuk mengetahui prosedur pemeriksaan MSCT Urografi pada kasus massa ginjal dengan menggunakan metode biphase atau penggunaan fase non kontras, fase Nephrographic dan fase Excretory serta penambahan pengolahan gambaran CPR (Curva Planar Reformation) di RS Bhayangkara Makassar. Penelitian yang digunakan adalah kualitatif bersifat deskriptif dengan pendekatan studi kasus. penulis melakukan prosedur suatu pemeriksaan Multi Slice Computed Tomography (MSCT) Urografi. Hasil dari penelitian ini yaitu Pemeriksaan MSCT Urografi sangat efektif dalam menegakan diagnosa massa ginjal, yang dapat menilai perubahan dinamik dari kelainan ginjal serta organ lain seperti liver dan spleen, serta meningkatkan sensitifitas dan spesifisitas misalnya untuk mengetahui tumor tersebut ganas atau tidak, menentukan staging (penderajatan atau tingkatan). Teknik MSCT urografi pada kasus massa ginjal diawali dengan pasien puasa minimal 6 jam sebelum pemeriksaan, cek ureum creatinin, sebelum dilakukan scanning pasien meminum air kemasan botol sebanyak 600ml atau semampu pasien. kemudian dilakukan scaning dengan diawali fase Non kontras, lalu fase Nephrographic yang dilakukan 65 detik setelah injeksi media kontras dan fase excretory yang dilakukan 7,5 menit setelah fase nephrographic, dengan media kontras sebanyak 60 ml dan saline 50 ml, dan pengolahan gambaran CPR (Curve planar Reformation) yang dapat menjadi solusi bagi seorang dokter spesialis radiologi untuk melihat dan memberikan penilaian terhadap kelainan pada sistem urinaria khususnya pada saluran ureter.
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References
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Dodig, D. (2017). CT urography : principles and indications CT urografija : načela i indikacije. 53(3), 292–299. https://doi.org/10.21860/medflum2017
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O’Connor, O.J. & Maher, M. M. 2010. (2010). CT Urography. American Journal of Roentgenology, 195(5): 320–324.
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Rohman, J., Sunarno, & Isdadiyanto, S. (2021). )EFEK MINUMAN BERENERGI TERHADAP HISTOPATOLOGIS GINJAL TIKUS PUTIH (Rattus norvegicus. Media Bina Wilayah, 15(7), 4835–4848.
Seftiana, A., R, K., & Nur Fadhilah, L. (2021). Teknik Multislice Computed Tomography (Msct) Cervical Pada Kasus Trauma. JRI (Jurnal Radiografer Indonesia), 4(1), 14–17. https://doi.org/10.55451/jri.v4i1.80
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
Van Oostenbrugge, T. J., Fütterer, J. J., & Mulders, P. F. A. (2018). Diagnostic imaging for solid renal tumors: A pictorial review. Kidney Cancer, 2(2), 79–93. https://doi.org/10.3233/KCA-180028
Wang, Z. J., Proyek, P., Davenport, M. S., Silverman, S. G., Ketua, W., Chandarana, H., Israel, G. M., & Leyendecker, J. R. (n.d.). Protokol massa ginjal CT v1 . 0 Panel Fokus Penyakit Radiologi Perut pada Karsinoma Sel Ginjal. 2–4.
Yin, X. A., Yang, Z. F., & Petts, G. E. (2011). Reservoir operating rules to sustain environmental flows in regulated rivers. Water Resources Research, 47(8), 1–13. https://doi.org/10.1029/2010WR009991
Baldari Diana, Sergio Capece, Pier Paolo Mainenti, Anna Giacoma Tucci, M., & Klain, Immacolata Cozzolino, Marco Salvatore, S. M. 2015. (2015). Comparison between computed tomography multislice and high-field magnetic resonance in the diagnostic evaluation of patients with renal masses. NCBI.
Dodig, D. (2017). CT urography : principles and indications CT urografija : načela i indikacije. 53(3), 292–299. https://doi.org/10.21860/medflum2017
Joffe SA, Servaes S, Okon S, H. M., (, 2003, )., 23:1441, –, 14, & 55. (n.d.). Multidetectorrow CT U rography I n the E valuation of H ematuria. RadioGraphics.
Kamel, A. I., Badawy, M. H., Elganzoury, H., Elkhouly, A., Elesaily, K., S, E., & Ismail, M. A. (2016). Clinical versus Pathologic staging of Renal Tumors: Role of Multi-Detector CT Urography. Electronic Physician, 8(1), 1791–1795. https://doi.org/10.19082/1791
Laghi, A. (2012). MDCT protocols: Whole body and emergencies. In MDCT Protocols: Whole Body and Emergencies. https://doi.org/10.1007/978-88-470-2403-8
McCANCE, K. L., & HUETHER, S. E. (2014). Pathophysiology THE BIOLOGIC BASIS FOR DISEASE IN ADULTS AND CHILDREN EIGHTH EDITION. Elsevier Health Sciences. https://doi.org/10.1088/1751-8113/44/8/085201
O’Connor, O.J. & Maher, M. M. 2010. (2010). CT Urography. American Journal of Roentgenology, 195(5): 320–324.
Pierorazio, P. M., Johnson, M. H., Patel, H. D., Sozio, S. M., Sharma, R., Iyoha, E., Bass, E. B., & Allaf, M. E. (2016). Management of Renal Masses and Localized Renal Cancer. Management of Renal Masses and Localized Renal Cancer, 167.
Rohman, J., Sunarno, & Isdadiyanto, S. (2021). )EFEK MINUMAN BERENERGI TERHADAP HISTOPATOLOGIS GINJAL TIKUS PUTIH (Rattus norvegicus. Media Bina Wilayah, 15(7), 4835–4848.
Seftiana, A., R, K., & Nur Fadhilah, L. (2021). Teknik Multislice Computed Tomography (Msct) Cervical Pada Kasus Trauma. JRI (Jurnal Radiografer Indonesia), 4(1), 14–17. https://doi.org/10.55451/jri.v4i1.80
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
Van Oostenbrugge, T. J., Fütterer, J. J., & Mulders, P. F. A. (2018). Diagnostic imaging for solid renal tumors: A pictorial review. Kidney Cancer, 2(2), 79–93. https://doi.org/10.3233/KCA-180028
Wang, Z. J., Proyek, P., Davenport, M. S., Silverman, S. G., Ketua, W., Chandarana, H., Israel, G. M., & Leyendecker, J. R. (n.d.). Protokol massa ginjal CT v1 . 0 Panel Fokus Penyakit Radiologi Perut pada Karsinoma Sel Ginjal. 2–4.
Yin, X. A., Yang, Z. F., & Petts, G. E. (2011). Reservoir operating rules to sustain environmental flows in regulated rivers. Water Resources Research, 47(8), 1–13. https://doi.org/10.1029/2010WR009991.