STANDAR PERALATAN RADIOLOGI RS

KELAS B KEPMENKES NO
1014/MENKES/SK/XI/2008 TENTANG
STANDAR PELAYANAN RADIOLOGI
DIAGNOSTIK
DI SARANA PELAYANAN
KESEHATAN

NO PERALATAN KELENGKAPAN JUMLAH

1 CT Multislice Minimal 64 slice dengan injector. Dilengkapi 1 UNIT

dengan work station, DICOM 3
Printer. Optional sesuai kebutuhan
2 Analog X-ray Multipurpose radiografi fungsional (dapat untuk
Fixed Unit dan segala jenis pemeriksaan konvensional 3 Unit
atau Digital radiografi)
3 Mobile x-ray Controle table digital atau manual, High tension
transformer/ generator, X-ray tube dengan
kapasitas 40 150 KV dan minimal 500 MA,
2 Unit
Meja stationer dengan bucky dan bucky stand,
Expose time : 0.01 1 detik, High X-ray voltage
generator 40 150 KV, Generator
4 Analog / digital, stereotactic, system bucky 18 x
24, 24 x 30, magnification device, stereotactic
Mammography device, compression system (manual atau 1 Unit
motorized), radiation shield
5 Digital atau analog, x-ray generator high
frequency, KV range 40 120, mA range 25
100, exposure time 0.02 5 sec. II diameter 20
C-arm 35 cm, TV monitor min 17 inch, cassette 1 Unit
holder suites 24 x 30, DICOM 3, C-arm free
space rotation, vertical, horizontal
6 Perlengkapan Surveimeter
proteksi Digital Pocket Dosimeter Sesuai kebutuhan
radiasi Film badge/TLD, jumlah sesuai jumlah pekerja
7 Beam alignment test tool, densitometer,
Quality sensitometer, collimator tool, automatic beam
Assurance dan analyzer, safe light test, termometer untuk cairan Sesuai kebutuhan
Quality Control prosessing filem alat pengukur suhu dan
kelembaban disesuaikan dengan alat
8 Peralatan dan obat-obatan untuk RJP sesuai
Emergency kit dengan standar anestesi Sesuai kebutuhan
9 Automatic processor 2 Unit
Kamar gelap ID Camera/labelling 1 Unit
Alat pelindung Sarung tangan karet, masker, celemek plastik, Sesuai kebutuhan
 diri head cap
10 Viewing box Double bank, sesuai kebutuhan Sesuai kebutuhan
Perlengkapan Surveimeter
11 proteksi Digital Pocket Dosimeter Sesuai kebutuhan
radiasi Film badge/TLD, jumlah sesuai jumlah pekerja
Beam alignment test tool, densitometer,
Quality sensitometer, collimator tool, automatic beam
12 Assurance dan analyzer, safe light test, termometer untuk cairan Sesuai kebutuhan
Quality Control prosessing filem alat pengukur suhu dan
kelembaban disesuaikan dengan alat
Peralatan dan obat-obatan untuk RJP sesuai
13 Emergency kit dengan standar anestesi Sesuai kebutuhan
Automatic processor 2 Unit
14 Kamar gelap ID Camera/labelling 1 Unit
Alat pelindung Sarung tangan karet, masker, celemek plastik,
15 diri head cap Sesuai kebutuhan
16 Viewing box Double bank, sesuai kebutuhan Sesuai kebutuhan

NO PERALATAN KELENGKAPAN JUMLAH

Multipurpose,
Transducer linier dan curve/sektoral 2.5 10
1 USG mHz 1 Unit
Monitor dan printer USG
Multipurpose radiografi fungsional (dapat untuk
segala jenis pemeriksaan konvensional
radiografi).
Controle table digital atau manual
Analog X-ray High tension transformer/ generator
Fixed Unit X-ray tube dengan kapasitas 30 150 KV dan
2 1 Unit
dan atau minimal 100 mA
Digital Meja stationer dengan bucky dan bucky stand
Expose time : 0.01 2 detik
High X-ray voltage generator 30 150 KV
Generator
3 Mobile x-ray Punya 2 tuas tangkai tube agar pergerakan 1 Unit
 dapat leluasa.
Kekuatan 30 100 KV, minimal 100 mA
Kelengkapan proteksi radiasi : minimal 2 apron
Beroda, dengan atau tanpa battery
Digital; Focal spot : 0.7mm x 0.7mm; tube
voltage : 60-70kV; tube current : 4-7 mA;
4 Dental X- ray exposure time 0.01 3.2 sec; Total filtration : 2.0 1 Unit
mmAl; half value layer : 1,5 mmAl.
Lead apron, tebal 0.25 - 0,5 mm Pb,
Neck Pb, 0.25 0.5 mm Pb
Peralatan Gonad Pb, 0.25 0.5 mm Pb
5 protektif Kaca mata Pb, 1 mm Pb Sesuai kebutuhan
radiasi Tabir mobile minimal 200 cm (t)x100 cm (l)
setara 2 mm Pb, ukuran kaca sesuai kebutuhan,
tebal 2 mm Pb
Perlengkapan
6 proteksi Film badge/TLD, jumlah sesuai jumlah pekerja Sesuai kebutuhan
radiasi

STANDAR RADIOLOGI RS KELAS A

NO PERALATAN KELENGKAPAN JUMLAH
Multi function diagnostic dan therapy, vascular type,
intensifying screen imager 30 35 inch, road map, land
1 DSA marking, rotation view (double tube, flat detector), DICOM 1 Unit
3 compliance
Minimal 1,5 Tesla. Optional sesuai kebutuhan, DICOM 3
compliance, neuro radiology, oncology, pediatric, musculo
2 MRI 1 Unit
sceletal, cardiology, spectroscopy, dilengkapi dengan work
station, injector, metal detector
Diatas 64 slice dengan injector. Dilengkapi dengan work
3 CT Multislice station, dicomp DICOM 3. Printer. Optional sesuai 1 Unit
kebutuhan
Multipurpose fluoroskopi, High frequency X ray generator
125 KV, Controle table, Undertable tube/low radiation,
Digital system atau compatible computed radiography
(CR), Ceiling/floor tube support, Tilting table dan bucky
4 Fluoroskopi 1 Unit
rapid spot film 4 image 2S, Cassette system, Minimal 18 x
24, 24 x 30, Maksimal 35 x 35, High image intensifier, TV
camera/CCTV, High density resolution, TV monitor 19
inch
Multipurpose, color doppler, 3D
Transducer linier dan curve/sektoral 2.5 10 mHz,
5 USG transducer 3D, transducer transcranial, transrectal/vaginal, 2 Unit
Monitor dan printer USG
 Multipurpose radiografi fungsional
Controle table digital atau manual
High tension transformer/ generator
Analog X-ray X-ray tube dengan kapasitas 40 150 KV dan minimal 500
6 Fixed Unit dan mA 4 Unit
atau Digital Meja stationer dengan bucky dan bucky stand
Expose time : 0.01 1 detik
High X-ray voltage generator 40 150 KV
Generator
Punya 2 tuas tangkai tube agar pergerakan dapat leluasa
Kekuatan 30 100 KV, minimal 100 mA
7 Mobile x-ray Kelengkapan proteksi radiasi : minimal 2 apron, tebal 0.25 3 Unit
mm Pb
Beroda, dengan atau tanpa battery
Digital, stereotactic, system bucky 18 x 24, 24 x 30,
magnification device, compression system (manual atau
8 Mammography motorized), radiation shield. Optional sesuai kebutuhan 1 Unit
(work station/viewer : 5 MP), mammo printer.
CCD System, High Tension Generator (Direct current
rectifying method; X-ray tube focal spot : 0.5mm x 0.5mm;
tube voltage : 85kV (57-85kV); tube current : 12 mA;
Digital Exposure time : 12-16 sec (panoramic mode), 0.2-4 sec
9 Panoramic/Cep (TMJ dan Cephalo mode); inherent filtration : more than 1 Unit
halometri, 2.5mm Al-equivalent; Film size : 150mmx300mm
(panoramic mode), 240mmx300mm (cephalo mode);
power requirement : AC 100V, 50/60Hz.
Digital; Focal spot : 0.7mm x 0.7mm; tube voltage : 60-
10 Dental X-ray, 70kV; tube current : 4-7 mA; exposure time 0.01 3.2 sec; 1 Unit
Total filtration : 2.0 mmAl; half value layer : 1,5 mmAl.
Digital, x-ray generator high frequency, KV range 40 120,
mA range 25 100, exposure time 0.02 5 sec. II
11 C-arm diameter 20 35 cm, TV monitor min 17 inch, cassette 2 Unit
holder suites 24 x 30, DICOM 3, C-arm free space rotation,
vertical, horizontal
Computed All radiographic examination, cassette all size, out put
12 Radiography power 90 100 atau 65 70, pixel matrix size good 2 Unit
(CR) quality, patient ID, work station, DICOM 3
Picture Server, data storage, viewer, printer, peralatan radiologi,
Archiving LAN, internet, bisa/upgraded dihubungkan dengan RIS
13 (Radiology Integrated System) dan teleradiologi 1 Unit
Communication
System (PACS)
Lead apron, tebal 0.25 - 0,5 mm Pb,
Sarung tangan, 0.25 0.5 mm Pb
Kaca mata Pb, 1 mm Pb
Peralatan Pelindung tiroid Pb, 1 mm Pb Sesuai
14 Pelindung gonad Pb, 0.25 0.5 mm Pb
protektif radiasi kebutuhan
Tabir mobile minimal 200 cm (t)x100 cm (l) setara 2 mm
Pb + kaca Pb, ukuran kaca sesuai kebutuhan, tebal 2 mm
Pb
15 Perlengkapan Surveimeter Sesuai
 proteksi radiasi Digital Pocket Dosimeter jumlah
pekerja
Film badge/TLD,
Quality Beam alignment test tool, densitometer, sensitometer,
collimator tool, automatic beam analyzer, alat pengukur Sesuai
16 Assurance dan
Quality Control suhu dan kelembaban disesuaikan dengan alat kebutuhan
Peralatan dan obat-obatan untuk RJP sesuai dengan Sesuai
17 Emergency kit standar anestesi kebutuhan
Sesuai
18 Viewing box Double bank, sesuai kebutuhan kebutuhan
19 Generator set Sesuai kebutuhan
NO PERALATAN KELENGKAPAN JUMLAH

Digital, stereotactic, system bucky 18 x

24, 24 x 30,
8 Mammography magnification device, compression 1 Unit
system (manual atau motorized),
radiation shield. Optional sesuai
kebutuhan (work station/viewer : 5
MP), mammo High
CCD System, printer.
Tension Generator
(Direct current rectifying method; X-
ray tube focal spot : 0.5mm x
0.5mm; tube voltage : 85kV (57-85kV);
Digital tube current :
9 1 Unit
Panoramic/Cephalo 12 mA; Exposure time : 12-16 sec
metri, (panoramic mode),
0.2-4 sec (TMJ dan Cephalo mode);
inherent filtration
: more than 2.5mm Al-equivalent; Film
size :
Digital; Focal spot : 0.7mm x 0.7mm;
tube voltage :
10 Dental X-ray, 60-70kV; tube current : 4-7 mA; 1 Unit
exposure time 0.01
3.2 sec; Total filtration : 2.0 mmAl; half
value layer :
 Digital, x-ray generator high frequency,
KV range 40
11 C-arm 120, mA range 25 100, exposure time 2 Unit
0.02 5 sec. II
diameter 20 35 cm, TV monitor min
17 inch, cassette holder suites 24 x
30, DICOM 3, C-arm free space

NO PERALATAN KELENGKAPAN JUMLAH

All radiographic examination, cassette

Computed
12 Radiography all size, out put power 90 100 atau 65 2 Unit
70, pixel matrix size good quality,
(CR)
patient ID, work station, DICOM 3

Server, data storage, viewer, printer,

peralatan radiologi, LAN, internet,
Picture Archiving
bisa/upgraded dihubungkan dengan
13 Communication 1 Unit
RIS (Radiology Integrated System) dan
System (PACS)
teleradiologi

Lead apron, tebal 0.25 -

0,5 mm Pb, Sarung

tangan, 0.25 0.5 mm Pb

Peralatan Kaca mata Pb, 1 mm Pb Sesuai

14
protektif kebutuh
radiasi Pelindung tiroid Pb, 1 mm Pb an
Pelindung gonad Pb, 0.25 0.5 mm Pb

Tabir mobile minimal 200 cm (t)x100

cm (l) setara 2 mm Pb + kaca Pb,
ukuran kaca sesuai kebutuhan, tebal

NO PERALATAN KELENGKAPAN JUMLAH

 Surveimeter
Sesu
Perlengkapan
15 Digital Pocket Dosimeter ai
proteksi radiasi
jumla
Film badge/TLD, h
peker
Beam alignment test tool,
Quality Assurance densitometer, sensitometer, Sesuai
16 dan
collimator tool, automatic beam kebutuh
Quality Control analyzer, alat pengukur suhu dan an
kelembaban disesuaikan dengan
alat

Peralatan dan obat-obatan untuk RJP Sesuai

17 Emergency kit
sesuai dengan standar anestesi kebutuh
an

Sesuai
18 Viewing box Double bank, sesuai kebutuhan
kebutuh
an

19 Generator set Sesuai kebutuhan