A Case Study of The Role of Ureter Tracking Reconstruction in Clinical Urology CT Scan Examination of Kidney Stones in the Radiology Installation of RSUD dr. Loekmono Hadi Kudus
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Tisya Yin Daniya*
Fisnandya Meita Astari
Widya Mufida
This study aims to determine the clinical urology CT scan procedure for kidney stones, analyze the justification for employing ureteral tracking reconstruction, and evaluate the ideal slice thickness for achieving accurate diagnostic images. This research employed a descriptive qualitative methodology utilizing a case study technique in the Radiology Department of RSUD (Regional General Hospital) dr. Loekmono Hadi Kudus. The subjects comprised of three radiographers, one radiologist, one referring physician, and three CT scan images of the urology. Data was obtained through observation, interviews, documentation, and literature review. The data were subsequently studied through reduction, presentation, discussion, and conclusion formulation. The examination was conducted without any specific preparation, merely by consuming 500-750 ml of water and refraining from urinating. The patient was placed in a supine position, feet-first, with arms elevated above the head, exposing the area from the xiphoid process to the symphysis pubis. A 5 mm slice thickness was employed for axial imaging, while 1.5 mm was utilized for tracking reconstruction. The ureteral tracking technique offers an extensive visualization of the urinary tract, facilitating in the detection of stones and obstructions. A reduced slice thickness improves image clarity and elucidates anatomical details. The application of a thin slice thickness (≤1.5 mm) is essential for enhancing picture clarity, facilitating in the identification of small, and minimizing interpretative inaccuracies. Consequently, the use of ureteral tracking reconstruction with a thin slice thickness is highly recommended as a standard practice for urological CT scans in kidney stone cases.
Almuslimiati, A., Milvita, D., & Prasetio, H. (2019). Analisis Nilai Noise dari Citra Pesawat CT-Scan pada Beberapa Rekonstruksi Kernel dengan Variasi Slice Thickness. Jurnal Fisika Unand, 8(1), 57–63.
Angella, S., & Sihombing, N. N. (2021). Prosedur Pemeriksaan CT Scan Urografi Dengan Klinis Batu Saluran Kemih Di Instalasi Radiologi Rumah Sakit Awal Bros Panam. Journal of STIKes Awal Bros Pekanbaru, 2(2), 16–21.
Astari, F. M., Mufida, W., & Fembli, M. (2024). Analysis Of Anatomical Information Using 1 Range: Case Study Of Emergency CT Scan Of The Head With Clinical Mild Head Injury. Jurnal Ilmu Dan Teknologi Kesehatan, 16(1).
Black, J. M., & Hawks, J. H. (2009). Medical Surgical Nursing: Clinical Management for Positive Outcomes (8th ed.). Elsevier Saunders.
Bontrager, K. L., & Lampignano, J. P. (2014). Textbook Of Radiographic Positioning And Related Anatomy. Eight Edition. El Sevier, St Louis.
Damasio, M. B., Darge, K., & Riccabona, M. (2013). Multi-detector CT in the paediatric urinary tract. European Journal of Radiology, 82(7), 1118–1125.
Damayanti, O., & Firdaus, M. R. (2021). Penatalaksanaan Pemeriksaan CT Scan Urologi Non Kontras dengan Klinis Nephrolithiasis di Instalasi Radiologi Rumah Sakit Advent Bandung. Jurnal Medika Radiologi, 3(1), 1–5.
Fauzi, A., & Putra, M. M. A. (2016). Nefrolitiasis. Majority, 5(2), 69–73.
Ferraro, P. M., Bargagli, M., Trinchieri, A., & Gambaro, G. (2020). Risk of kidney stones: influence of dietary factors, dietary patterns, and vegetarian–vegan diets. Nutrients, 12(3), 779.
Frank, R., Stenzl, A., Frede, T. H., Eder, R., Recheis, W., Knapp, R., Bartsch, G., & Zur Nedden, D. (1998). Three-dimensional computed tomography of the reconstructed lower urinary tract: technique and findings. European Radiology, 8(4), 657–663.
Hapipah, I., Kaseger, H., Kristiani, R. B., Simon, M. G., Making, M. A., Banase, E. F. T., Aini, L. N., Aty, Y., Sulistyana, C. S., & Jaata, J. (2022). Asuhan Keperawatan Pasien dengan Gangguan Sistem Perkemihan Berbasis SDKI, SLKI dan SIKI. In Media Sains Indonesia.
Haq, M., Prasetya, I., & Mahendrayana, I. (2025). Analisis Pemeriksaan CT Scan Urografi Pada Klinis Hidronefrosis di RS TK II Pelamonia Makassar. Journal of Syntax Literate, 10(2).
Hutami, I. A. P. A., Sutapa, G. N., & Paramarta, I. B. A. (2021). The Analysis of the Effect of Slice Thickness of Phantom on Image Quality of CT Scan at RSUD Bali Mandara. Buletin Fisika, 22(2), 77–83.
Jeniyanthi, N. P. R., Ariwidiastuti, C. I., Dharmawan, I. B. G., & Toding, T. B. (2024). Analisis Pengaruh Variasi Slice Thickness Terhadap Kualitas Citra Pemeriksaan CT Scan Urografi Pada Kasus Nefrolitiasis Di RS TK. II Pelamonia Makassar. Jurnal Ilmu Kesehatan Dan Gizi, 2(1), 152–161.
Lampignano, J., & Kendrick, L. E. (2024). Textbook of radiographic positioning and related anatomy. Elsevier Health Sciences.
Mufida, W., Faik, M., & Faesol, A. (2023). Pelatihan Optimalisasi Citra CT Urografi Dengan Media Kontras Positif dan Media Kontras Negatif. Hawa: Jurnal Pemberdayaan Dan Pengabdian Masyarakat, 1(2), 37–40.
Pearce, E. C. (2009). Anatomi dan fisiologi untuk paramedis. PT Gramedia Pustaka Utama.
Quaia, E. (2010). Imaging of the postoperative kidney. In Radiological Imaging of the kidney (pp. 811–829). Springer.
Seeram, E. (2015). Computed tomography: physical principles, clinical applications, and quality control. Elsevier.
Sherwood, L. (2020). Fisiologi manusia dari sel ke sistem. Penerbit Buku Kedokteran EGC.
Tan, H., Xie, Y., Zhang, X., Wang, W., Yuan, H., & Lin, C. (2021). Assessment of three-dimensional reconstruction in percutaneous nephrolithotomy for complex renal calculi treatment. Frontiers in Surgery, 8, 701207.
Umar, S., Juliantara, I. P. E., & Sukadana, I. K. (2023). Analisis CT Scan Urografi dengan Klinis Batu Saluran Kemih di Instalasi Radiologi Rumah Sakit Bhayangkara Makassar. Compromise Journal: Community Professional Service Journal, 1(4), 29–36.
Vaidya, S. R., & Aeddula, N. R. (2024). Chronic kidney disease. In StatPearls [Internet]. StatPearls Publishing.
Wahyuni, N. A., Aprindah, R., Rahman, S., & Veriasari, V. (2023). Karakteristik Penderita Batu Ginjal Di Rumah Sakit Bhayangkara Kendari Tahun 2021 Dan 2022. Endemis Journal, 4(2), 1728. https://doi.org/10.37887/ej.v4i2.42770
Widiastari, E. F., Graha, W. A., & Pardede, M. (2022). Lung Bullae Due to Septic Pulmonary Embolism in a 4-Year-Old Child: A Case Report. Pharmacology, Medical Reports, Orthopedic, and Illness Details (COMORBID), 1(3). https://doi.org/10.55047/comorbid.v1i3.355
Yudha, S., Hadisaputro, S., Ardiyanto, J., Indrati, R., Mulyantoro, D. K., & Masrochah, S. (2020). Benefits of Steeping Black Tea As a Negative Contrast Medium on Ct Urography Examination. Journal of Applied Health Management and Technology, 2(2), 70–77.
