PENGEMBANGAN BUKU TEKS BAHASA INDONESIA BERBASIS BUDI PEKERTI LUHUR UNTUKSISWA KELAS 4 SEMESTER 2 DI SDN 1 KEDUNGANYAR KECAMATAN WRINGINANOMKABUPATEN GRESIK

AbstrakDalam pembelajaran, mengembangkan buku teks adalah keterampilan yang harus dikuasai olehguru. Dalam kenyataannya, banyak guru yang masih kurang maksimal dalam kegiatan yang efektif yaitukurang tepat penggunaan buku teks dan metode, sehingga dapat mempengaruhi minat belajar siswa dikelas pada saat kegiatan belajar mengajar.Masalah dalam penelitian ini ialah bagaimana proses pengembangan buku teks bahasa Indonesiaberbasis budi pekerti luhur untuk siswa kelas IV semester 2 di SDN 1 Kedunganyar kecamatanWringinanom kabupaten Gresik?, bagaimana kualitas buku teks bahasa Indonesia berbasis budi pekertiluhur untuk siswa kelas IV semester 2 di SDN 1 Kedunganyar kecamatan Wringinanom kabupaten Gresikberdasar BNSP?, bagaimana implementasi buku teks bahasa Indonesia berbasis budi pekerti luhur untuksiswa kelas IV semester 2 di SDN 1 Kedunganyar kecamatan Wringinanom kabupaten Gresik yangdikembangkan?, bagaimana keefektivan buku teks bahasa Indonesia berbasis budi pekerti luhur untuksiswa kelas IV semester 2 di SDN 1 Kedunganyar kecamatan Wringinanom kabupaten Gresik yangdikembangkan?.Penelitian pengembangan ini merupakan penelitian pengembangan yang bertujuan untukmengetahui rancanagan pengembangan buku teks bahasa Indonesia berbasis budi pekerti luhur denganmenggunakan model pengembangan 4-D yang dikembangkan oleh Thigaranjan dkk, karena dianggapsejalan dengan tujuan penelitian ini. Model ini terdiri dari empat tahap pengembangan, yaitu tahappendefinisian (define), tahap perancangan (design), tahap pengembangan (develop), dan tahappendiseminasian (disseminate). Karena keterbatasan waktu, tahap penyebaran tidak dilaksanakan dalampenelitian ini. Dengan demikian model 4-D pembatasan pelaksanaannya hanya samapai pada tiga tahapyaitu tahap pedefinisian sampai pengembangan.Hasil penelitian tahap pengembangan menujukkan bahwa persentase hasil validasi terhadap bukuteks “Berbudi Pekerti Luhur dengan Bahasa Indonesia” oleh keempat validator dengan persentase ratarata89,85% dengan kriteria sangat baik digunakan sebagai buku teks, sedangankan hasil persentasekualitas buku oleh dua validator ahli yang berbeda dengan persentase rata-rata 79,72% dengan kriteriaberkualitas digunakan sebagai buku teks. Selain itu, hasil uji coba produk di kelas 4 SDN 1 Kedunganyarpada tanggal 30 Agustus dan 1 September 2012 menggunakan buku teks “Berbudi Pekerti Luhur denganBahasa Indonesia” dengan persentase keberhasilan kelas sebanyak 67.86%. Berdasarkan persentasetersebut dapat diketahui bahwa adanya buku teks bahasa Indonesia berbasis budi pekerti luhur dapatmenjadikan nilai siswa diatas Kriteria Ketuntaasan Minimal (KKM). Sedangakan untuk mengetahuikeefektifan buku teks “Berbudi Pekerti Luhur dengan Bahasa Indonesia” yaitu dengan penilaian keduaobsever dengan persentase rata-rata 81,11% dan respon siswa 84,52% , hal ini menunjukkan bahwakegiatan pembelajaran bahasa Indonesia sangat efektif menggunakan produk pengembangan buku teksbahasa Indonesia berbasis budi pekerti luhur.Kata Kunci: Pengembangan, Buku Teks, Berbasis, Budi Pekerti LuhurAbstractIn study, developing textbook is skill which must master by teacher. In in reality, many teacherwhich still less maximal in effective activity that is less precise usage of method and textbook, so that caninfluence enthusiasm learn student in class at the time of school activity.This research internal issue is how process development of Indonesian textbook base on augustethic kindness for the student of class of IV semester 2 in SDN 1 Kedunganyar district of Wringinanom1Header halaman genap: Nama Jurnal. Volume 01 Nomor 01 Tahun 2012, 0 - 216sub-province of Gresik?, how quality of Indonesian textbook base on august ethic kindness for the studentof class of IV semester 2 in SDN 1 Kedunganyar district of Wringinanom sub-province of Gresik basedon BNSP?, how Indonesian textbook implementation base on august ethic kindness for the student ofclass of IV semester 2 in SDN 1 Kedunganyar district of Wringinanom sub-province of Gresikdeveloped?, how effectiveness of Indonesian textbook base on august ethic kindness for the student ofclass of IV semester 2 in SDN 1 Kedunganyar district of Wringinanom sub-province of Gresikdeveloped?.Research of this development represent research of development with aim to know devicedevelopment of Indonesian textbook base on august ethic kindness by using development model 4-Ddeveloped by Thigaranjan dkk, because assumed in line with target of this research. This model consist offour development phase, that is definition phase ( define), scheme phase ( design), development phase( develop), and phase of pendiseminasian ( disseminate). Because limitation of time, spreading phase donot be executed in this research. Thereby model 4-D demarcation of its execution only at three phase thatis definition phase until development.Result of research of phase development of showing that percentage result of validasi totextbook " Kind hearted of August Ethic with Indonesian" by is fourth of validator with percentage ofmean 89,85% with criterion very is good used as by textbook, while is result of percentage of is quality ofbook by two different expert validator with percentage of mean 79,72% with criterion is with quality usedas by textbook. Besides, result of product test-drive in class 4 SDN 1 Kedunganyar on 30 August and 1September 2012 using textbook " Kind hearted of August Ethic with Indonesian" with percentage ofefficacy of class counted 67.86%. Pursuant to the percentage can know by that there is Indonesiantextbook him base on august ethic kindness can make student value above Criterion of completeMinimum ( KKM). While is to know effectiveness of textbook " Kind hearted of August Ethic withIndonesian" that is with assessment both of obsever with percentage of mean 81,11% and student respon84,52 , this matter indicate that activity of study of Indonesian very effective use product development ofIndonesian textbook base on august ethic kindness.Keywords: Development, Textbook, Base On, August Kindness Ethi

Pengembangan Buku Teks Bahasa Indonesia Berbasis Budi Pekerti Luhur Untuksiswa Kelas 4 Semester 2 di Sdn 1 Kedunganyar Kecamatan Wringinanomkabupaten Gresik

Dalam pembelajaran, mengembangkan buku teks adalah keterampilan yang harus dikuasai olehguru. Dalam Kenyataannya, banyak guru yang masih kurang maksimal dalam kegiatan yang efektif yaitukurang tepat penggunaan buku teks dan metode, sehingga dapat mempengaruhi minat belajar siswa dikelas pada saat kegiatan belajar mengajar.Masalah dalam penelitian ini ialah bagaimana proses pengembangan buku teks bahasa Indonesiaberbasis budi pekerti luhur untuk siswa kelas IV semester 2 di SDN 1 Kedunganyar kecamatanWringinanom kabupaten Gresik?, bagaimana kualitas buku teks bahasa Indonesia berbasis budi pekertiluhur untuk siswa kelas IV semester 2 di SDN 1 Kedunganyar kecamatan Wringinanom kabupaten Gresikberdasar BNSP?, bagaimana implementasi buku teks bahasa Indonesia berbasis budi pekerti luhur untuksiswa kelas IV semester 2 di SDN 1 Kedunganyar kecamatan Wringinanom kabupaten Gresik yangdikembangkan?, bagaimana keefektivan buku teks bahasa Indonesia berbasis budi pekerti luhur untuksiswa kelas IV semester 2 di SDN 1 Kedunganyar kecamatan Wringinanom kabupaten Gresik yangdikembangkan?.Penelitian pengembangan ini merupakan penelitian pengembangan yang bertujuan untukmengetahui rancanagan pengembangan buku teks bahasa Indonesia berbasis budi pekerti luhur denganmenggunakan model pengembangan 4-D yang dikembangkan oleh Thigaranjan dkk, karena dianggapsejalan dengan tujuan penelitian ini. Model ini terdiri dari empat tahap pengembangan, yaitu tahappendefinisian (define), tahap perancangan (design), tahap pengembangan (develop), dan tahappendiseminasian (disseminate). Karena keterbatasan waktu, tahap penyebaran tidak dilaksanakan dalampenelitian ini. Dengan demikian model 4-D pembatasan pelaksanaannya hanya samapai pada tiga tahapyaitu tahap pedefinisian sampai pengembangan.Hasil penelitian tahap pengembangan menujukkan bahwa persentase hasil validasi terhadap bukuteks “Berbudi Pekerti Luhur dengan Bahasa Indonesia” oleh keempat validator dengan persentase ratarata89,85% dengan kriteria sangat baik digunakan sebagai buku teks, sedangankan hasil persentasekualitas buku oleh dua validator ahli yang berbeda dengan persentase rata-rata 79,72% dengan kriteriaberkualitas digunakan sebagai buku teks. Selain itu, hasil uji coba produk di kelas 4 SDN 1 Kedunganyarpada tanggal 30 Agustus dan 1 September 2012 menggunakan buku teks “Berbudi Pekerti Luhur denganBahasa Indonesia” dengan persentase keberhasilan kelas sebanyak 67.86%. Berdasarkan persentasetersebut dapat diketahui bahwa adanya buku teks bahasa Indonesia berbasis budi pekerti luhur dapatmenjadikan nilai siswa diatas Kriteria Ketuntaasan Minimal (KKM). Sedangakan untuk mengetahuikeefektifan buku teks “Berbudi Pekerti Luhur dengan Bahasa Indonesia” yaitu dengan penilaian keduaobsever dengan persentase rata-rata 81,11% dan respon siswa 84,52% , hal ini menunjukkan bahwakegiatan pembelajaran bahasa Indonesia sangat efektif menggunakan produk pengembangan buku teksbahasa Indonesia berbasis budi pekerti luhur

Reduksi Dosis Serap Mata dengan Implementasi Software Organ Dose Modulation (ODM) pada Protokol CT Scan Sinus Paranasal

Background: CT Scan examination of the paranasal sinuses includes organs that are sensitive to radiation exposure, one of which is the lens of the eye whose damage can be known after radiation exposure of about 500 mGy. Currently found an alternative to reduce the dose received by patients is with Organ Dose Modulation (ODM) software This ODM serves to reduce radiation dose in the eye -18.9%, Brain -10.1%, Breast -31.3%, Lung -20.7% and Liver -24%. The purpose of this study is to determine the role of ODM software in dose reduction on CT Scan SPN, determine the amount of absorption dose profile with the implementation of ODM software, differences in anatomical image information with the implementation of ODM software and without ODM on CT Scan SPN.Methods: This type of research is quantitative with experimental studies, comparing the use of software with and without ODM to absorption dose reduction and anatomical image information of SPN. Samples using phantom performed Paranasal Sinus CT Scan procedure. Respondents consisted of 3 radiologists to assess the anatomical image of the maxillaris bone, bilateral maxillar sinus, and rice septum. Data analysis was carried out by statistical tests using SPSS Software to find the value of significance differences.Results: The use of ODM software on CT scans of the paranasal sinuses plays an important role in reducing the absorbed dose of the eye. Statistical test results showed a significant reduction in eye absorption dose (p-value 0.05). The dose profile resulting from the use of the ODM software is a decrease in the absorbed dose by the eye by 9.75%. The value of differences in SPN anatomical information using and without ODM resulted in a p-value of 1.00 (p-value 0.05).Conclusion: The value of the absorbed dose of eye radiation is significantly different with and without the use of ODM. However, there is no significant difference in the SPN anatomical image information. From the implementation of the ODM software, it can reduce the absorbed dose in the eye without reducing the anatomical image information

Analisis Variasi Flip Angle terhadap Informasi Citra Anatomi pada Sekuen 3D TOF MRA Brain dengan MRI 3 Tesla

Background : Magnetic Resonance Angiography is a diagnostic imaging method that can display images of blood vessels. MRA imaging on MRI 3 Tesla provides high spatial resolution making blood vessel contrast increased so that the intracranial vessels are clearer. The efficient technique that does not use contrast media in MRA is Time of Flight. 3D TOF imaging is good for visualizing intracranial vessels. In this method the appropriate flip angle will produce a hyperintense picture of the blood vessels. This study aims to determine the effect of flip angle on anatomical image information on 3D TOF MRA Brain.Methods : This type of research is a quantitative experimental approach, conducted in February 2020 in Pertamina Central Hospital, South Jakarta. Research by conducting flip angle variations of 15°, 20°, 25°, 30° in the 3D TOF sequence of the Brain against 10 volunteers. Criteria for volunteers are healthy people aged 18-25 years. The results of the images were assessed by 3 respondent, including Internal Carotid Artery, Vertebral Artery, Basilar Artery, Anterior Cerebral Artery, Posterior Cerebral Artery, Middle Cerebral Artery, Anterior Communicating Artery, Posterior Communicating Artery. Then the Kappa test was carried out followed by the Friedman test to find the highest mean rank and comparison of flip angle in anatomical information of 3D TOF MRA Brain.Results : The results showed that there was an effect of changes in the values of the flip angle to the anatomical information on 3D TOF MRA Brain with p 0,05. The optimal Flip angle value is obtained based on the highest mean rank value which is flip angle 25° with a value of 3,22. The higher the value of flip angle, the greater the signal and contrast, but many slow flowing blood vessels will hypointens.Conclussion : There are difference in anatomical image information of 3D TOF sequence among 4 variation flip angle on examination MRA Brain. Flip angle 25° is better than 15°, 20° and 30° at anatomy information on 3D TOF sequences to show intracranial artery because it has a higher mean rank value.

Standarisasi Indeks Eksposur untuk Memenuhi Kriteria Anatomi dan Aspek Teknis pada Radiografi Thorax Pediatrik

Background: Computed Radiography has an exposure index that used as an exposure indicator. But on radiographic examination, exposure index value  sometimes ignored, and in  the preliminary survey of pediatric chest examination resulting a large exposure index range. The aim of this study is to know the profile of exposure index value and the setting of the exposure factors, the assessment of anatomy criteria and technical aspect, and the right exposure factors such as kV and mAs on pediatric chest examination.Methods: The type of this research is descriptive quantitative. The research was done by collecting data related to pediatric chest radiograph (≤ 2 years) the value of exposure index was recorded, then the radiograph was assessed using questionnaires that filled by one respondent who is a radiologist. The data was analyzed by displaying the data of exposure index and anatomy criteria from questionnaires into the table form, and then conducted a descriptive analysis to be drawn conclusions.Results: The results showed the profile of exposure index value and the setting of the exposure factor  has a fairly large exposure index range of 1084 – 2175, using 40 kV and 10 mAs and the collimation still often exceeds the object. Then for the assessment of the thorax anatomical criteria and the technical aspect overall was “Good Enough”, and the right exposure factors, that is: at 6 and 7 cm chest thickness was using 60 kV and 1,6 mAs; at 11 cm chest thickness was using 60 kV and 2 mAs, FFD 100 cm, and the setting of collimation as wide as object, the exposure index generated in the normal range that is 1251 – 1382.Conclusion: The right exposure factors on pediatric chest examination, that is: at 6 and 7 cm chest thickness was using 60 kV and 1,6 mAs; at 11 cm chest thickness was using 60 kV and 2 mAs, FFD 100 cm, and the setting of collimation as wide as object.

HANDS-ON PENGUJIAN DAN EVALUASI SISTEM KOLIMATOR SEBAGAI UPAYA KESELAMATAN RADIASI RADIOLOGI

Pengujian kolimator merupakan factor yang cukup penting dan menjadi salah satu dalam parameter pengujian pesawat sinar X utnuk mendapatkan perijinan dari bapeten. Akan tetapi dilapangan, hal ini menjadi sedikit terabaikan karena tidak berhubungan secara langsung dengan produksi sinar-X, oleh karena itu dilakukan kegiatan pengabdian masyarakat dalam bentuk pelatihan dan pendampingan pengujian sistem kolimator. Kegiatan ini bertujuan Untuk memberikan pelatihan bagi radiografer dalam memastikan kinerja sistem kolimator pada pesawat sinar X, dalam rangka upaya keselamatan radiasi pada unit pelayanan radiologi Rumah Sakit di Kota Semarang. Sasaran kegiatan ini adalah radiografer di Instalasi Radiologi pada Rumah Sakit di Kota Semarang. Kegiatan dikemas dalam bentuk kegiatan pelatihan dan pendampingan yang memungkinkan para peserta mempraktekan secara langsung, sehingga materi pengabmas diharapkan dapat lebih dipahami dan diterapkan di masing-masing pesawat radiologi oleh para peserta. Materi pelatihan meliputi penjelasan mengenai quality assurance dari pesawat sinar-X, khususnya system kolimator dan dilanjutkan dengan praktek pengujian secara langsung. Hasil akhir pengabmas adalah berupa buku petunjuk pengujian. Sebagai bentuk tindak lanjut dilakukan pendampingan bagi peserta untuk melakukan di tempat masing-masingsebagai bentuk dari upaya keselamatan radiasi

OPTIMALISASI TEGANGAN TABUNG (kVp) TERHADAP KEJELASAN INFORMASI ANATOMI DAN DOSIS RADIASI PADA PEMERIKSAAN CT SCAN KEPALA AREA BASIS CRANII

Background: Tube voltage (kVp) is one of the exposure factors on a head CT scan that can be varied to achieve a minimal radiation dose. Radiology installation of Bhakti Wira Tamtama hospital has a new CT scan modality that never variation its tube voltage. The variation of tube voltage is 80 kVp, 100 kVp, and 120 kVp. The aim of this research is to know and to analyse the most optimize tube voltage which can produce the best anatomy clarity and has the lowest radiation dose on a head CT scan examination of the base skull area that dominates CT scan examination.Methods: This research is descriptive analytic research conducted with an experimental approach. The study was conducted by varying the tube voltage to be used for head CT scan examination. There are 3 variations of tube voltage 80 kVp, 100 kVp, and 120 kVp where one variation contains 16 images for analyzing the clear anatomy of the base skull area. Then assessed by radiologists as the respondent. Data was analyzed by scoring where score 1 is not clear, score 2 is clear and score 3 is very clear. Radiation dose was obtained from CTDI and DLP records.Results: The results showed that there is no difference in anatomy clarity between variation of three tube voltage with p value 0,135. The anatomical clarity assessed includes anterior skull base, central skull base (fossa cranial middle, sphenoid, temporal bone, petrosous ridge), anterior clinoid processes, posterior margin of the lesser sphenoid wings, anterior and superior rim of the greater sphenoid wings, mastoid, and posterior skull base. All of them is very clear at 100 kVp and 120 kVp with value 100%. But at 80 kVp assessed clear at anterior and posterior skull base. So the value of anatomy clarity at 80 kVp is very clear only 71%. The effect of the difference in tube voltage on the radiation dose on a head CT scan of the base skull area showed a difference in the decrease in radiation dose from 120 kVp to 100 kVp for CTDI 39.9% and DLP 40.19%. There was a decrease in radiation dose from 100 kVp to 80 kVp for CTDI 52% and DLP 49.88%.Conclusion: The tube voltage setting on head CT scan examination of the base skull area can be applied with 100 kVp because this is evidenced by the same total score at 100 kVp and 120 kVp, which is 100% is very clear, while at 80 kVp tube voltage only 71% is very clear. And the radiation dose at 100 kVp is lower than 120 kVp

Penerapan NX-Quality Assurance Software pada Computed Radiography di Instalasi RSUD Dr. Margono Soekardjo Purwokerto (Studi Kasus Analisis Penolakan pada Computed Radiography AGFA NX-8700 SU1)

Program Reject Analysis merupakan bagian dari program Quality Assurance yang berguna untuk meningkatkan kualitas pelayanan rumah sakit bidang diagnostik. Tujuan penelitian ini adalah untuk memaparkan hasil analisis penolakan citra softcopy, menjelaskan faktor penyebab penolakan dan rekomendasi pemecahan masalah untuk mengurangi angka penolakan citra softcopy. Jenis penelitian ini kuantitatif analitik dan kualitatif menggunakan metode focus group discussion (FGD). Data unduhan yang diperoleh dari NX-Quality Assurance software kemudian diolah untuk mengetahui persentase penolakan kemudian dirinci berdasarkan penyebab penolakan, jenis pemeriksaan dan kode radiografer selanjutnya dibuat diagram pareto untuk mencari prioritas penolakan dan dibuat diagram fishbone berdasarkan hasil FGD. Hasil penelitian menunjukkan total reject rate pada bulan Maret 2014 sebesar 3,02%, melampaui batas yang direkomendasikan Kemenkes yaitu d” 2%. Faktor utama penyebab penolakan adalah faktor positioning (69,69%), jenis pemeriksaan chest (43,94%) dan radiografer mahasiswa (21%-24,24%). Solusinya adalah mengadakan briefing rutin setiap hari oleh radiografer secara bergantian kepada mahasiswa praktikan disertai dengan pemberian tips sederhana dalam melakukan pemeriksaan sesuai pengalaman radiografer, mengadakan gladi lapangan terhadap praktikan baru untuk orientasi atau pengenalan alat, meningkatkan keterampilan mahasiswa dengan memberikan shift tambahan terhadap mahasiswa di luar PKL dan membangun komunikasi terhadap pasien serta meningkatkan pengetahuan tentang teknik pemeriksaan.The Reject Analysis program is part of the Quality Assurance program that is useful for improving the quality of diagnostic hospital services. The purpose of this research is to describe the result of softcopy image rejection analysis, explain the cause of rejection factor and problem solving recommendation to reduce the softcopy image rejection number. This type of research is quantitative analytic and qualitative using focus group discussion method (FGD). The download data obtained from the NX-Quality Assurance software is then processed to determine the percentage of rejection then specified based on the cause of the rejection, the type of examination and the radiographic code is then made a pareto diagram to seek priority rejection and made a fishbone diagram based on FGD results. The results showed the total reject rate in March 2014 was 3.02%, exceeding the Ministry of Health’s recommendation that is d” 2%. The main factors causing rejection are positioning factor (69,69%), chest examination type (43,94%) and student radiographer (21% -24,24%). The solution is to hold daily routine briefing by radiographer in turns to the student accompanied by the provision of simple tips in conducting examination according to the experience of radiographer, conducting a field rehearsal of new practitioners for orientation or introduction of tools, improving student skills by providing additional shifts to students outside the street vendors and build communication to patients as well as improve knowledge of examinatio

Analisis Noise Pada Radiografi Thorax Pulmonum Pada Penerapan Modifikasi Faktor Eksposi Aturan 10 kV

Introduction: Quality and dose factors are very important in radiodiagnostics. To produce a constant radiographic quality, the density and contrast produced must remain constant. There is a rule that aims to produce a constant radiographic quality by adding the exposure value, namely the 10 kV rule. This study was conducted to determine the noise in the computed radiography image with the thorax organ produced by modifying the exposure factor of the 10 kV rule and whether it is still within tolerance.Methods: This quantitative research was conducted with an experimental approach. This is done by taking a series of radiographs that include three exposure factor settings, standard (60 kV, 10 mAs), increased by 10 kV (70 kV, 5 mAs) and lowered by 10 kV (50 kV, 20 mAs). Noise measurement is done by doing ROI in the background area. The exposure index and deviation index values were also recorded as quality and dose references. The data was processed and analyzed by statistical tests.Results: From the statistical test results, there is a significant relationship between kV and noise with a sig (1-tailed) of ,000. Noise on the standard exposure factor has a lower noise than the modified exposure factor with a difference of 0.2. From the quality aspect, the most optimum exposure index and deviation index indicators are in the range of 70 KV and 5 mAs.Conclusion: The results of the statistical test of the relationship of kV to noise obtained at 50 Kv and 20 mAs, 60 kV and 10 mAs gave a significance value of 0.263 and 0.435, while at 70 kV and 10 mAs with Sig. (1-tailed) of .000 which means the relationship between kV to noise is strong because the sig value is below 0.05

MSCT Thoracolumbal Kontras pada Suspek Metastasis Tulang Belakang: Studi Kasus di Rumah Sakit Hermina Pandanaran Semarang

Background: MSCT is a routine imaging modality for detecting bone metastases. The use of 1.25 mm slice thickness reconstruction on Thoracolumbar MSCT examination at Hermina Pandanaran Hospital is different from preliminary studies. This study aims to determine MSCT Thoracolumbar contrast with 1.25 mm slice thickness and 3D reconstruction to produce information on anatomical images in suspected cases of spinal metastases. Methods: This research was qualitative with a case study approach. The respondents were 3 radiographers, 2 radiologists, and 1 referring doctor. Data collection by observation, interviews, and document studies. Processing and data analysis used open coding and analysis to obtain conclusions. Results: The examination procedure was carried out by preparing the patient to fast for 6 hours before the examination, checking the results of ureum creatinine, filling out the informed consent and doing a skin test. Contrast media as much as 1.1-1.2 ml/kg per patient's body weight plus saline half of the amount of contrast, flow rate 2.5-3 mL/s, scan delay 25 s. DFOV 25-35cm, ASIR 40%. Reconstruction of slice thickness 1.25 mm to get more detailed results so that it could produce informative images that evaluated the spine and soft tissue. MPR and 3D reconstruction so that the image looked real bone and could be viewed 360ᵒ. Conclusions: The resulting slice thickness of 1.25mm and 3D reconstruction produced anatomical image information that could visualize bone to see destructive lytic lesions due to metastases, and visualize soft tissue such as paravertebral masses or discs.