gambaran radiologi penyakit saluran napas (dr. sri asriyani, sp.rad)
DESCRIPTION
Gambaran Radiologi Penyakit Saluran Napas (Dr. Sri Asriyani, Sp.rad)TRANSCRIPT
7/21/2019 Gambaran Radiologi Penyakit Saluran Napas (Dr. Sri Asriyani, Sp.rad)
http://slidepdf.com/reader/full/gambaran-radiologi-penyakit-saluran-napas-dr-sri-asriyani-sprad 1/16
BASIC OF CHEST X RAY
Sri Asr iyani
7/21/2019 Gambaran Radiologi Penyakit Saluran Napas (Dr. Sri Asriyani, Sp.rad)
http://slidepdf.com/reader/full/gambaran-radiologi-penyakit-saluran-napas-dr-sri-asriyani-sprad 2/16
RADIOLOGICAL METHODS OF
RESP. INVESTIGATION
1. PLAIN FILM / CHEST X-RAYS
2. CT SCAN
3. M R I4. ULTRASONOGRAPHY (USG)
5. NUCLEAR MEDICINE
6. ARTERIOGRAPHY
7. MCS ( = MASS CHEST SURVEY )8. TOMOGRAPHY
9. FLUOROSCOPHY
10. BRONCHOGRAPHY
7/21/2019 Gambaran Radiologi Penyakit Saluran Napas (Dr. Sri Asriyani, Sp.rad)
http://slidepdf.com/reader/full/gambaran-radiologi-penyakit-saluran-napas-dr-sri-asriyani-sprad 3/16
POSTERO-ANTERIOR ( PA ) ROUTINE
LEFT / RIGHT LATERAL (LL/RL)
RIGHT / LEFT ANTERIOR OBLIQUES
(RAO/LAO)
RIGHT / LEFT LATERAL DECUBITUS
(RLD/LLD)
TOP LORDOTIK
CHEST X-RAYS : VIEWS
7/21/2019 Gambaran Radiologi Penyakit Saluran Napas (Dr. Sri Asriyani, Sp.rad)
http://slidepdf.com/reader/full/gambaran-radiologi-penyakit-saluran-napas-dr-sri-asriyani-sprad 4/16
SYARAT-SYARAT FOTO THORAX PA bila
memungkinkan ;
• INSPIRASI CUKUP Diafragma kanan setinggi ics.9 -
10 posterior
• POSISI SIMETRIS Proyeksi tulang corp.vert. Th.
terletak ditengah sendi sternoclav kanan dan kiri• KONDISI SINAR-X SESUAI jumlah sinar cukup film
diluar cav.thorax cukup kehitaman
kualitas sinar cukup vert.Hanya terlihat s/ Th. 3 – 4.
• FILM MELIPUTI SELURUH CAVUM THORAX Puncakcavum thorax & sinus phrenico-costalis kanan – kiri
7/21/2019 Gambaran Radiologi Penyakit Saluran Napas (Dr. Sri Asriyani, Sp.rad)
http://slidepdf.com/reader/full/gambaran-radiologi-penyakit-saluran-napas-dr-sri-asriyani-sprad 5/16
This is the simulated patient in PA (posterioranterior) position.
Note that the x-ray tube is 72 inches away.
7/21/2019 Gambaran Radiologi Penyakit Saluran Napas (Dr. Sri Asriyani, Sp.rad)
http://slidepdf.com/reader/full/gambaran-radiologi-penyakit-saluran-napas-dr-sri-asriyani-sprad 6/16
NORMAL CHEST
PARENCHYME : RADIOLUCENT
PLEURA : INVISIBLE
HILAR : LEFT > RIGHT
DIAPHRAGM : RIGHT > LEFT
SINUS PHRENICO COSTALIS <
7/21/2019 Gambaran Radiologi Penyakit Saluran Napas (Dr. Sri Asriyani, Sp.rad)
http://slidepdf.com/reader/full/gambaran-radiologi-penyakit-saluran-napas-dr-sri-asriyani-sprad 7/16
Chest X-Ray in Inspiration Condition
7/21/2019 Gambaran Radiologi Penyakit Saluran Napas (Dr. Sri Asriyani, Sp.rad)
http://slidepdf.com/reader/full/gambaran-radiologi-penyakit-saluran-napas-dr-sri-asriyani-sprad 8/16
This is a PA film on the left compared with a AP supine film on the right.
The AP shows magnification of the heart and widening of the mediastinum.
Whenever possible the patient should be imaged in an upright PA position.
AP views are less useful and should be reserved for very ill patients
who cannot stand erect.
PA ( POSTERO-ANTERIOR ) AP ( ANTERO-POSTERIOR )
7/21/2019 Gambaran Radiologi Penyakit Saluran Napas (Dr. Sri Asriyani, Sp.rad)
http://slidepdf.com/reader/full/gambaran-radiologi-penyakit-saluran-napas-dr-sri-asriyani-sprad 9/16
normal PA film that is underpenetrated overpenetrated PA film
X-ray Penetration
Adequate penetration of the patient by radiationis also required for a good film.
7/21/2019 Gambaran Radiologi Penyakit Saluran Napas (Dr. Sri Asriyani, Sp.rad)
http://slidepdf.com/reader/full/gambaran-radiologi-penyakit-saluran-napas-dr-sri-asriyani-sprad 10/16
7/21/2019 Gambaran Radiologi Penyakit Saluran Napas (Dr. Sri Asriyani, Sp.rad)
http://slidepdf.com/reader/full/gambaran-radiologi-penyakit-saluran-napas-dr-sri-asriyani-sprad 11/16
This is a normal PA film without any rotation.
7/21/2019 Gambaran Radiologi Penyakit Saluran Napas (Dr. Sri Asriyani, Sp.rad)
http://slidepdf.com/reader/full/gambaran-radiologi-penyakit-saluran-napas-dr-sri-asriyani-sprad 12/16
Magnification of clavicular head and spinous process alignment
demonstrating a straight film.
7/21/2019 Gambaran Radiologi Penyakit Saluran Napas (Dr. Sri Asriyani, Sp.rad)
http://slidepdf.com/reader/full/gambaran-radiologi-penyakit-saluran-napas-dr-sri-asriyani-sprad 13/16
7/21/2019 Gambaran Radiologi Penyakit Saluran Napas (Dr. Sri Asriyani, Sp.rad)
http://slidepdf.com/reader/full/gambaran-radiologi-penyakit-saluran-napas-dr-sri-asriyani-sprad 14/16
NORMAL CHEST RADIOGRAPHY
SOFT TISSUE
LUNGSHEART
SINUS
HILA
MEDIASTINUM
DIAFRAGMA & PLEURA
RIBS
EVALUATION :
7/21/2019 Gambaran Radiologi Penyakit Saluran Napas (Dr. Sri Asriyani, Sp.rad)
http://slidepdf.com/reader/full/gambaran-radiologi-penyakit-saluran-napas-dr-sri-asriyani-sprad 15/16
R
ID
7/21/2019 Gambaran Radiologi Penyakit Saluran Napas (Dr. Sri Asriyani, Sp.rad)
http://slidepdf.com/reader/full/gambaran-radiologi-penyakit-saluran-napas-dr-sri-asriyani-sprad 16/16