ANALISIS TEKNIK PEMERIKSAAN MSCT WHOLE ABDOMEN KONTRAS DENGAN DIAGNOSIS DIVERTIKULITIS COLON DI RUMAH SAKIT DR ZAINOEL ABIDIN BANDA ACEH
ABSTRACT
BACHELOR OF APPLIED SCIENCE PROGRAM
IMAGING RADIOLOGY TECHNOLOGY STUDY PROGRAM
RADIODIAGNOSTICS AND RADIOTHERAPY DEPARTMENT
HEALTH POLYTECHNIC OF HEALTH MINISTRY JAKARTA II
SKRIPSI, 2025
JANUR LAILI
ANALYSIS OF MSCT WHOLE ABDOMEN CONTRAST EXAMINATION
TECHNIQUES IN THE DIAGNOSIS OF COLONIC DIVERTICULITIS UNDERTAKEN
AT DR. ZAINOEL ABIDIN HOSPITAL, BANDA ACEH
xii, 5 Chapters, 51 Pages, 11 Images, 7 Table, 14 Attachments
Background: Medically, Multislice Computed Tomography (MSCT) with contrast is valuable for
detecting various acute abdominal conditions that may mimic the clinical symptoms of colonic
diverticulitis. Understanding the prevalence and demographic distribution of alternative clinically
relevant diagnoses in the patients with suspected colonic diverticulitis is essential for patient care
and appropriate triage. The use of contrast media in MSCT enhances diagnostic value and involves
both positive and negative contrast media, which can be administered orally or via enema based on
clinical indications. Furthermore, negative contrast media are categorized into liquids and gases.
Liquids such as water, isotonic solutions, and methylcellulose are primarily used for evaluating the
colon and its walls. Gaseous media, including room air and carbon dioxide, are utilized to distend
the colon, avoiding mucosal folds and providing better visualization of the colonic lumen and
structures.
Research Objectives: To explain the whole abdomen MSCT examination procedure in
contrast to the diagnosis of colon diverticulitis, to explain the techniques for the whole
abdomen MSCT examination in contrast to the diagnosis of colon diverticulitis and to
analyze the anatomical image information on the whole abdomen MSCT in contrast to the
diagnosis of colon diverticulitis before and after the research.
Place and Time: Radiology Installation at Dr. Regional General Hospital. Zainoel Abidin Banda
Aceh which will be held in January 2025.
Research Method: this research applies qualitative research method with a case study approach
to provide a detailed description of real-world conditions. As for data collection methods, they
include among the other things observation, interviews, and documentation. The primary data were
processed using an interactive analysis model to derive meaningful insights.
Research Instruments: Worksheet, interview guide and computer
Research Result: diagnostic imaging examination of MSCT Whole Abdomen with contrast in
the cases of colonic diverticulitis demonstrates that the use of negative contrast media, particularly
water, results in higher resolution imaging. Water's low attenuation allows for enhanced
visualization of tumours or cancer in the abdominal region. When intravenous contrast media are
introduced, they fill the colonic lumen, creating a clear contrast between the lumen and adjacent
structures. This facilitates radiologists in identifying and evaluating diverticula within the colon.
Conclusion: MSCT Whole Abdomen examinations for colonic diverticulitis benefit significantly
from the use of water as a negative contrast medium. Its low attenuation properties enhance the
visibility of tumours or cancer in the abdominal region. Intravenous contrast further aids in
delineating the colonic lumen, allowing radiologists to accurately evaluate the presence of
diverticula.
Keywords: MSCT Whole Abdomen, Diverticulum, Colon
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