Anatomi Radiologi

Abdomen
Sistem Pencernaan

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Anatomi Mulut dan Kerongkongan

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 Gigi manusia
gigi Susu dan permanen

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Lidah

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Kelenjar Ludah Utama

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 Saluran Cerna/
Traktus gastointestinal
1. Plain film.
Barium swallow
Modalitas 2.
3. Barium meal.
pencitraan 4. Barium follow-through.
Small bowel enema.
Traktus GI 5.
6. Barium enema.
7. Ultrasound
 Transcutaneous
 Endosonography
8. Radionuclide imaging
– Gastro-esophageal reflux
– Gastric emptying
– Bile reflux study
– Meckel’s scan
– Radionuclide gastrointestinal scan
9. Angiography.
10. CT. 7
 Sialography

Foto panoramic pada sialografi , tampak

deviasi duktus Wharton
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1. Radiologi konvensional :
a. foto Plain abdominal,
tanpa persiapan : lavement & fasting
(BOF = Buiek Oversich Film)
b. Plain abdominal radiograph, dengan
persiapan : lavement & puasa
(BNO = Buiek Nier Oversich, KUB =
Kidney Urinary Bladder)

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c. foto Abdomen dengan contrast media :
Oesophagography, Gastroduodenography,
enteroclysis,
barium followthrought,
Colon in loop/Barium enema,
lopography,
Appendicogram)

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2. Pemeriksaan radiologi canggih :
a. Ultrasonography (USG)
b. CT Scan
c. Planar Imaging ( Gamma Camera )/
Scintigraphy
d. MRI (Magnetic Resonance Imaging)

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 Foto polos Abdomen

Evaluasi :
1. Pre peritoneal fat line
2. Anatomical intra abdomen organs
3. Anatomical & gas present in the gaster,
duodenum, small bowel , colon
4. Air & fluid free appaerance
5. Calsification
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 Foto BNO
• Menilai :
1. Radiopaque abnormality : stone, calsification
. 95% : Ca phosphat, Ca oxalat &
magnesium amonium phosphat hexahidrate
. 4 % : uric acid stone, radioluscent
2. Preview photo for barium enema & IVU
examination

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 OESOPHAGUS

• Normal mempunyai 3 penyempitan :

a. Setinggi os cricoid
b. Waktu menyilang bronchus
c. Waktu masuk diafragma
• Tehnik pemeriksaan : fluoroscopy
dengan menggunakan bahan kontras
BaSO4
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 Barium Swallow, Contrast Ganda

Double
Contrast

Identasi oleh
A.A

Indentasi
bronchus kiri

Single Contrast
 Barium Swallow, Contrast Tunggal

Double
Contrast
L.
A
Heart .
L.
V.
Barium Swallow, Contrast Ganda

Indentasi
bronchus kiri

Double
Contrast

Single
Contrast
GASTER

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DUODENUM

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 ULCUS DUODENI
•70% peptic ulcer terjadi pada duodenum
•Sekitar 4% dari seluruh gangguan gastrointestinal
•70% terjadi pada laki-laki
•Patologi : mucosal ulcus
penetrating ulcus
chronic indurated
perforasi
@ 80% single
@ 20% multiple: disebut “kissing ulcus”, 5% bersama
ulcus gaster
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 Barium Meal, Double Contrast
(Supine Position)
Posisi Supine :
Tampak Barium
mengumpul di fundus
akibat gravitasi

Angular Notch
Incisura
Angularis

Antrum Body
 Barium Meal + Follow-Through
(Posisi Tegak)
DJJ: Barium Meal
Normal Position= Left
side
Angular Notch
Duodenal Incisura Angularis

Cap
Pyloric Canal

2nd Part of
Duodenum
3rd Part of Body
Jejunum:
Duodenum Antrum

Ileum
Barium
Follow-
Through
 SMALL INTESTINE
• Pemeriksaan pada small intestine
menggunakan kontras BaSO4, disebut
barium follow through
• Kelainan pada small intestine :
1. Paralitic ileus, biasanya mengenai
seluruh gastrointestinal track,bila dilatasi
pada small intestine tsb. terfixir atau
diarea yang terbatas, biasanya tak
tampak fluid level.
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 Barium Follow-Through to Cecum
(Posisi Berdiri)

2nd Part of
DJJ:
Duodenum Posisi Normal =
sisi kiri
3rd Part of
Duodenum
 Small Bowel Enema

A Modified Follow-Through which is called Small

Bowel Enema note that the bowel is more distended here
This procedure involves inserting a thin tube through the mouth, esophagus and past the stomach
to inject barium, methylcellulose and water into the small bowel. This allows for better
Barium Follow-through
 COLON
• Variasi normal :
1. Redudancy dari colon descenden dan
sigmoid
2. Increased mobility caecum
3. Variasi pada haustra pattern
• Pemeriksaan : barium enema/colon in loop
menggunakan kontras barium sulfat (BaSO4).

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 Barium Enema, Contrast Tunggal
Colon
Colon transversu
asenden m

Colon
Cecum Desenden

Terminal Sigmoid
Ileum
 Barium Enema, Double Contrast
(Right Lateral Decubitus)

Flexura
Hepatica

Perhatikan
Akibat dari
gravitasi
 Barium Enema, Double Contrast
(Prone Position)

Tampak Haustra
bila hilang
curiga (IBD)

Cecum
 Barium Enema, Contrast Ganda
(Posisi Supine)

Rectum
 CT Scan Abdomen

Hepar Gaster

Lien
aorta

Paru Vertebra
 CT Scan Abdomen

Hepar Colon

Lien
aorta

Diafragma Pankreas
 CT Scan Abdomen

Hepar Usus
Halus
Colon
Kandung
empedu

Ginjal Ginjal
 CT Scan Abdomen

Colon Usus
Halus
Colon
Vena Cava
Inferior

M. Psoas Os Ilium
 CT Scan Abdomen

Colon Usus
Halus
Colon
Sigmoid

Sacrum Os Ilium
 CT Scan Abdomen
Kandung
Kemih

RECTUM

SACRUM Os Ilium
 CT Scan Abdomen
Kandung
Kemih

RECTUM

SACRUM ACETABULU
M
 CT Scan Abdomen
SIMFISI
S
PUBIS
PROSTATE

RECTUM CAPUT
FEMUR
TERIMA
KASIH