BULETIN. Perhimpunan Ultrasonik Kedokteran Indonesia SURAT REDAKSI. 11 st AFSUMB CONGRESS KUALA LUMPUR 29 Oktober 1 November 2014

BULETIN

Perhimpunan Ultrasonik Kedokteran Indonesia

Vol. XXVII No. 135 - 142 Juli 2014 – Maret 2015

Diterbitkan oleh: Perhimpunan Ultrasonik Kedokteran Indonesia - Untuk Kalangan Sendiri Sekretariat PUSKI: PO Box 4151 / Jkt Jakarta 10001 Website: http://www.puski.org

SURAT REDAKSI Halo apa kabar Sejawat semua? berjum­ pa kembali dengan kami Redaksi PUSKI yang hadir dengan berita-berita dan infor­ ma­ si menarik dalam bidang ultra­ sonografi. Pada edisi kali ini Redaksi akan menyaji­ kan berita mengenai kegiatan acara 11th AFSUMB Congres di Kuala Lumpur, 4th WFUMB-COE & 12th ABDA Teaching Course di Bali serta kegiatan Pendidi­ kan USG yang telah diselenggarakan oleh Program Pendidikan USG PUSKI (LPUK-USG) beserta foto-fotonya. Laporan Ilmiah akan menampilkan “Did You Measure It ?”. Selain itu Redaksi akan menyajikan tentative program Ilmi­ ah Kongres Nasional PUSKI ke-10 yang akan diadakan di Medan pada tanggal 15 - 16 November 2015 mendatang yang juga akan banyak dihadiri oleh Sejawat anggota PUSKI. Selamat membaca ... AWAS HATI-HATI TERHADAP PENIPUAN YANG SEMAKIN SERING TERJADI, YANG BER­SANGKUTAN SELALU MENGATAS NAMAKAN LPUK-USG PUSKI & SELALU MENGHUBUNGI VIA HP UNTUK TRANSFER KE REKENING ATAS NAMA PRIBADI. SURAT PANGGILAN DIKIRIM VIA FAX (ITU ADALAH PALSU). BILA TERIMA ITU MOHON KONFIRMASI KE SEKRETARIAT PUSKI: KARTINI/MANI/SELLA TELP: (021) 7230060, 7258135 FAX: (021) 7230061.

Foto bersama 11st AFSUMB Congress Kuala Lumpur, Malaysia 29 Oktober – 1 November 2014 (Foto atas) Dr. Benyamin Simatupang, Dr. Daniel Makes, SpRad (K), Dr. Yeyes T. Widjaja, Dr. Musarat Hasan, Prof. Wilaiporn Bthothisuwan, Dr. H. Sidharta

11st AFSUMB CONGRESS KUALA LUMPUR 29 Oktober – 1 November 2014 AFSUMB 2014 telah berlangsung di Kuala Lumpur Malaysia dari tanggal 29 Oktober sampai dengan 1 Novem­ ber 2014, mengambil tempat di Con­ vention Center Kuala Lumpur.

Berbagai topik USG mutakhir telah di­ presentasikan dan didiskusikan demi­ kian juga cukup banyak free paper yang ditampilkan oleh peserta dari berbagai negara.

Sebanyak kurang lebih 450 peserta hadir dari berbagai negara Asia, Aus­ tralia, Eropa dan Afrika, Indonesia di­ wakili oleh Dr. Daniel Makes, SpRad (K) sebagai Ketua PUSKI dan Dr. H. Sidharta sebagai Sekretaris PUSKI, delegasi Indonesia lainnya yang hadir adalah Dr. Yeyes Tantiani Widjaja, Dr. Evita K.B. Ifran, Sp.A dan Dr. Benya­ min Simatupang (Papua).

Disamping kegiatan rutin AFSUMB 2014 juga banyak dilakukan sessisessi edukasi oleh World Federation for Ultrasound in Medicine and Biology (WFUMB) dalam rangka lebih mening­ katkan dan menyebar luaskan keseta­ raan keilmuan bidang USG di berbagai negara di Asia. Pada ASIAN Center of Excellence

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PUSKI SUSUNAN PENGURUS PUSAT PUSKI PERIODE 2010 – 2015 Dewan Pertimbangan: Prof. Dr. I. Oetama Marsis, Sp.OG Dr. Bambang Soeprijanto, Sp.Rad (K)

Ketua: Dr. Daniel Makes, Sp.Rad (K)

Wakil Ketua: Dr. Kemas Firman, Sp.A (K)

Sekretaris: Dr. H. Sidharta

Exe­cutive meeting, Dr. Daniel Makes, SpRad (K) selaku direktur Jakarta WFUMB-COE juga diminta untuk me­ nyampaikan presentasi tentang pelak­ sanaan COE yang dipimpinnya dan presentasi ini mendapatkan cukup ba­ nyak tanggapan positif. Pada setiap kesempatan bertemu de­ ngan pengurus AFSUMB dan pe­ ngurus WFUMB-COE lainnya diutara­ kan oleh Dr. Daniel Makes, SpRad (K) adanya ke­inginan yang kuat dari Indo­ nesia untuk menjadi tuan rumah ko­n­ gres WFUMB pada masa mendatang, oleh karena pengalaman menjadi tuan

rumah kongres AFSUMB Bali pada tahun 1989 dan tahun 2012 dianggap sudah cukup memadai untuk men­ jadi modal dasar dalam menjalankan tugas sebagai tuan rumah kongres World Federation for Ultrasound in Medicine and Biology (WFUMB) di­ masa mendatang. Selain itu Dr. Daniel Makes, SpRad (K) juga telah berhasil mendapat berbagai pembicara handal yang akan ikut berbicara pada KONAS PUSKI tahun 2015 ini. Bravo AFSUMB !!

Bendahara: Dr. Irina Kurniadi, Sp.Rad

Bidang Pendidikan & Penelitian Ketua: Prof. DR. Dr. Johanes C. Mose, Sp.OG (K)

Anggota: Dr. Marulam M. Panggabean, Sp.PD, Sp.JP Dr. I Wayan Murna Yonathan, Sp.Rad Dr. Ulanya Hanna Sahelangi, Sp.Rad Dr. Judi J. Endjun, Sp.OG Dr. Irsan Hasan, Sp.PD-KGEH Dr. H.F. Wulandari, Sp.A (K) Dr. Yeyes Tantiani Widjaja Dr. Ika Belinda Gekael

Bidang Pengembangan & Kerjasama Organisasi: DR. Dr. Bambang Yudomustopo, Sp.OG

Bidang Kerjasama Luar Negeri: Dr. Taufik Jamaan, Sp.OG

Bidang Publikasi & Informatika: Dr. James Denny Djou

Bidang Advokasi Pembelaan Anggota Ketua: Prof. DR. Dr. Herkutanto, SH

Anggota: Dr. S. Hindarto Gunawan, MARS

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4th Jakarta World Federation for Ultrasound in Medicine and Biology Center of Excellence Seminar 12th Asian Breast Diseases Association (ABDA) Teaching Course & Sanur Paradise Plaza Hotel, 16 – 18 Oktober 2014 Pada tanggal 16 – 18 Oktober 2014 diselenggarakan acara 4th WFUMBCOE dan 12th ABDA Teaching Course di Sanur Paradise Plaza Hotel Bali. Acara tersebut berjalan dengan lancar dan diikuti oleh 178 peserta yang berasal dari Dalam Negeri dan Luar Negeri.

Lies Mardiyana (Indonesia), A/Prof. Gary Man-Kit Tse (Hongkong), A/Prof. Rin Yamaguchi (Japan), Prof. Tan Puay Hoon (Singapore), Prof. Shotaro Maeda (Japan), Prof. Chii-Ming Chen (Taiwan), Dr. Philip Tsau Choong Iau (Singapore), Dr. Kardinah (Indonesia), Dr. Patricia M. Widjaja (Indonesia)

Pembicara yang hadir pada acara tersebut baik dari Dalam Negeri mau­­ pun Luar Negeri antara lain: Prof. Seung Hyup Kim (Korea), Prof. John George (Malaysia), Prof. Carlo Martinoli (Itali), Dr. Ashutos Prakash (Singapura), Dr. Daniel Makes (Indonesia), Prof. I. B. Tjakra Wibawa Manuaba (Indonesia), Prof. Humairah S. Cheung (Malaysia), Prof. Wilaiporn Bhothisuwan (Thailand), Prof. Woo Kyung Moon (Korea), Prof. Yi-Hong Chou (Taiwan), Prof. Tiu Chui-Mei (Taiwan), Dr. Chin-Yu Chen (Taiwan), Dr. Teo Sze Yiun (Singapore), Dr.

Pada acara tersebut juga diramaikan dengan adanya pameran alat USG seperti : PT. Philips, PT. GE, PT. Kurnia Abadi Selaras (Esaote), PT. Karindo Alkestron (SonoDop), PT. AMPM Healthcare (Ultrasonix), PT. Setia Manggala Abadi (Sogata), PT. Green Indonesia (Samsung), PT. Murti Indah Sentosa (Toshiba), PT. Dipa Pharmalab. Kesibukan juga terlihat dari toko buku yang ikut serta dalam acara ini yaitu dari Medik Book Store.

PUSKI

KEGIATAN PROGRAM DIKLAT LPUK-USG PUSKI Pada periode bulan Juli 2014 – Maret 2015, kegiatan LPUK-USG PUSKI yang sudah dilaksanakan ada­ lah sebagai berikut : Pendidikan USG Tingkat Dasar Angkatan 35, Pen­ didikan USG Muskuloskeletal, Pen­ dididkan USG bagi PPDS Bedah seluruh Indonesia, Pendidikan USG IPD Tahap I, Pendidikan USG IPD Tahap II, Pendidikan USG IPD Tahap III, Pendidikan USG MSK, Pendidikan USG Pediatrik dan Pendidikan USG Doppler Radiologi. Berikut akan kami sampaikan cuplikan kegiatan program diklat tersebut diatas. 1. Pendidikan USG IPD Tahap I angkatan ke-53 berlangsung dari tanggal 14 – 17 Juli 2014 yang diikuti oleh dokter spesialis ilmu penyakit dalam yaitu: Dr. Ade Yudisman, SpPD (Cimahi), Dr. Devid Ergan, SpPD (Cilegon), Dr. Desy Hariyanti, SpPD, (Palembang), DR. Dr. I Gede Arinton, SpPD, K-GEH (Purwokerto), Dr. Fajar Hadi Wijayanto, SpPD (Malang), Dr. Febie Chriestya, MSc, SpPD (Jakarta), Dr. Gerie Amarendra, SpPD (Jakarta), Dr. Khairiyah Darojat, SpPD (Cibinong), Dr. Maya Dewi, SpPD (Cilacap), Dr. Panji Aryo Prabowo, SpPD (semarang), Dr. Rumi Sekarsati, SpPD (Surakarta), Dr. Sostro Mulyo, SpPD (Sulsel), Dr. Wa Ode Nelly Estika, SpPD (Makasar) 2. Pendidikan Ekokardiografi ang­ katan ke-14 yang sudah dilak­ sananakan dari tanggal 25 – 29 Agustus 2014 yang diikuti oleh berbagai disiplin ilmu yaitu : Dr. A. Dedi Rusmanto, SpPD (Trenggalek), Dr. Arief Pattiiha, SpPD (Ternate), Dr. Arifin, SpPD (Surakarta), Dr. Asdi Predi, SpPD

(Palembang), Dr. Bustoni, MARS (Bengkulu), Dr. Dedi Yanto, SpPD (Riau), Dr. Friska A. H. Silitonga, SpPD (Semarang), Dr. Gunady Wibowo R., SpPD (Semarang), Dr. Gusti Haryadi Maulana, SpPD (Kalsel), Dr. Jollis, SpEM (Sumbawa), Dr. Juliani, SpA (Yogyakarta), Dr. Luthfi, SpPD (Padang), Dr. M. Ruly, SpAn (Bekasi), Dr. Marselino Richardo, MSc, SpPD (Merauke), Dr. Maya Dewi, SpPD (Cilacap), Dr. Maya Sophia Kumayas, SpPD (Sorong), Dr. Muhamad Hidayat Santosa, SpPD (Semarang), Dr. Muhamad Luqman, SpPD (Tegal), Dr. Munirah (Samarinda), Dr. Probo Soeseno, SpPD (Semarang), Dr. Rosik Budioro, SpPD, FINASIM (Pekalongan), Dr. Said Baraba, SpPD (Tegal), Dr. Sofia Elisjabet Rumbino, SpPD (Papua), Dr. Trio A. L. Putra, SpPD (Medan), Dr. Yanti, SpPD (Pekan Baru). 3. Pendidikan USG Tingkat Dasar angkatan ke-35 diselenggarakan pada tanggal 15 September – 28 November 2014 yang diikuti oleh 15 orang peserta dari seluruh Indonesia yaitu : Dr. Adam Bambang Harimurti Darmawan (Bandung), Dr. Alfi Rahmah (Tangerang), Dr. Ellya Theresia Tjondro (Jakarta), Dr. Fauzan Achmad Maliki (Yogyakarta), Dr. Fenty Tistyowati (Bekasi), Dr. Fetta Arifah Ervanti (Depok), Dr. Jamis Condro (Kalbar), Dr. Lanny (Jakarta), Dr. Lina Marliana (Karawang), Dr. Lukas Jonathan (Bandung), Dr. Rico Natalio Fadjar (Jakarta), Dr. Ulima Simatupang (Papua), Dr. Venny Dwi Jayanti (Tangerang), Dr. Viola Stephanie Warokko (Garut), Dr. Yustina Wela (NTT).

4. Pendidikan USG IPD Tahap I angkatan ke-54 diadakan pada tanggal 29 September – 2 Oktober 2014 yang diikuti oleh : Dr. Adi Iryawan, SpPD (Lampung), Dr. Andri Justian, SpPD (Riau), Dr. Anggreini Susanti, SpPD (Papua), Dr. Arwindy Almar, SpPD (Lampung), Dr. Della Fitricana, SpPD (Sumsel), Dr. Hayatun Nufus, SpPD (Jakarta), Dr. Henhen Heryaman, SpPD (Bandung), Dr. Heryanto, SpPD (Jakarta), Dr. Lola Susianti, SpPD (Jambi), Dr. Muhammad Mukti, SpPD (Palembang), Dr. Much. Maschun Syarifudin, SpPD (Yogyakarta), Dr. Muh. Masrin, MSc, SpPD (Cianjur), Dr. Musmiani Muis, SpPD (Sulsel), Dr. Nony Dartiara, SpPD (Lampung), Dr. Nursuniwati, SpPD (Padang), Dr. Prawiro Sukito, SpPD (Jakarta), Dr. Riskaldy, SpPD (Padang), Dr. Sutowo, SpPD (Madiun), Dr. Tania Tedjo Minuljo, SpPD (Semarang), Dr. Vera Roza, SpPD (Bukit Tinggi), Dr. Yonarti, SpPD (Sulsel). 5. Pendidikan USG IPD Tahap II angkatan ke-24 diselenggarakan dari tanggal 27 – 30 Oktober 2014 yang diikuti oleh : Dr. Arif Wahyudi Nurli, SpPD (Kaltim), Dr. Augustine Purwanti Andajani, SpPD, Dr. Cut Mela Yunita Sari, SpPD (Riau), Dr. Devid Ergan, SpPD (Cilegon), Dr. Ellidya Mustika, SpPD (Bengkulu), Dr. Erick Destiano, SpPD (Palembang), Dr. Fajar Hadi Wijayanto, SpPD (Malang), Dr. Fatimah Ja’far Purba, SpPD (Riau), Dr. Husin Thamrin, SpPD (Surabaya), Dr. Ivo Flora Panjaitan, SpPD (Babel), Dr. Juspeni Kartika, SpPD (Lampung), Dr. Mohammad Mujib Hasan, SpPD, FINASIM

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PUSKI (Madura), Dr. Rosa Priambodo, SpPD (Klaten), Dr. Royke Thanos, SpPD (Kalbar), Dr. Rudy Dwi Laksono, SpPD (Medan), Dr. Sahala Sinaga, SpPD, FINASIM (Medan), Dr. Silvia Dewi, SpPD (Padang), Dr. Sostro Mulyo, SpPD (Sulsel), Dr. Syahriani, SpPD (Makasar). 6. Pendidikan USG IPD Tahap III angkatan ke-11 diselenggarakan dari tanggal 1 – 5 Desember 2014) yang diikuti oleh : Dr. Dekrit Putra N. Gampamole, SpPD (Sulut), Dr. Fajar Hadi Wijayanto, SpPD (Malang), Dr. Nina Karmila, SpPD (Sumut), Dr. Novita Angela Paliliewu, SpPD (Kalteng), Dr. Novriyanti Dewi Artika, SpPD (Medan), Dr. Rina Kriswiastiny, SpPD (Lampung), Dr. Taufik Rizkian Asir, SpPD (Padang), Dr. Yulia Marina, SpPD (Sukabumi) 7. Pendidikan USG MSK angkatan ke-11 diadakan dari tanggal 12 – 14 Desember 2014 yang diikuti oleh : Dr. Adam Bambang H. Darmawan Bandung), Dr. Anna Ariane, SpPD (Jakarta), Dr. Bony Raya Napitupulu, SpAN (Jakarta), Dr. Cut Antara Keumala Muda, SpS (Jakarta), Dr. Debby Amelia, SpS (Jakarta), Dr. Donna Octaviani, SpS (Jakarta), Dr. Eko Wahyu Wibowo (Jakarta), Dr. Esdras Ardi Pramudita, SpS (Yogyakarta), Dr. Eva Permata Sari, SpKFR (Jakarta), Dr. Fachrul Razy, SpPD (Jakarta), Dr. Farida Niken Astari N. H., SpS (Yogyakarta), Dr. G.A. Putu Yunihati, SpS (Jakarta), Dr. Hanna Danudirgo (Jakarta), Dr. Humisar Sibarani, SpAn (Lampung), Dr. I Ketut Cakra, SpS (Semarang), Dr. Jimmy G. Paliliewu, SpS (Sulut), Dr. Katrin Sumekar, SpPD (Semarang), Dr. Lina Eka Dewi, SpS (Padang), Dr. Lissalmi, SpS (Yogyakarta), Dr. Lukas Jonathan (Bandung), Dr. Michael Agus Prasetyo, SpS

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(Yogyakarta), Dr. M. Ruly, SpAN (Bekasi), Dr. Mahdian Nur, SpBS (Depok), Dr. Melani Prihartini, SpPD, (Kaltim), Dr. Meilda Sartika Dewi, SpS (Banjarmasin), Dr. N oegroho Harbani, MSc, SpS (Purwokerto), Dr. Pontjo Tjahyo Marwoto, SpKFR (Jakarta), Dr. Pricilla Gunawan, SpS (Jakarta), Dr. Rosalia Sri Sulistijawati, SpRad, MSc (Temanggung), Dr. Sri Wahyuni, SpKFR (Jakarta), Dr. Suryati Andreas (Jakarta). 8. Pendidikan USG Pediatrik angkatan ke-4 diselenggarakan dari tanggal 30 Januari – 1 Februari 2015 yang diikuti oleh : Dr. Abdi Wijaya, SpA (Palembang), Dr. Ade Djanwardi Pasaribu, SpA (Jakarta), Dr. Agus Santoso, SpA (Jakarta), Dr. Agus Saptanto, SpA (Semarang), Dr. Alpha Fardah A., SpA (Surabaya), Dr. Andy Darma, SpA (Surabaya), Dr. Ariesti Karmila, SpA, MKes (Palembang), Dr. Aryuni Mas’udah, SpA, MKes (Riau), Dr. Aspri Sulanto, SpA (Lampung), Dr. Darniyati, SpA (Palembang), Dr. Firdinand, SpA (Palembang), Dr. Handayani, SpA (Wonosobo), Dr. Herry Wibisono, SpA (Jakarta), Dr. Herwina Brahmantya, SpA (Samarinda), Dr. Hilda, M.Ked (Ped), SpA (Aceh), Dr. Ign. Adi Poerwanto, SpA (Papua), Dr. Imelda Hady, SpA (Sulsel), Dr. Kholidah Nasution, MKed (Ped), SpA (Sumut), Dr. Kiki MK Samsi, SpA (K), MKes (Depok), Dr. Kishore RJ. Siswan, SpA (Jakarta), DR. Dr. Lanny C. Gultom, SpA (Bekasi), Dr. Leni Ervina, SpA (Lampung), Dr. Liza Fitria, SpA (Jakarta), Dr. Lulu Honna, SpA, MKes (Lampung), Dr. Marsintauli Hasudungan Siregar., SpA (Banjarmasin), Dr. Mauliza, SpA (Aceh), Dr. Novaily Zuliartha, M.Ked (Ped), SpA (Sumut), Dr. Reza Ranuh, SpA (K) (Surabaya), Dr. Satrio Wibowo, M.Si, Med, SpA (K) (Malang).

9. Pendidikan USG Doppler Radiologi angkatan ke-21 diselenggarakan pada tanggal 2 – 5 Februari 2015 yang diikuti oleh : Dr. Ari Rosati, SpRad (Solo), Dr. Biddulth Sujana, SpRad (Jakarta), Dr. Dessy L. Nainggolan, SpRad (Riau), Dr. I Made Dewi Kristiawati, SpRad (Jakarta), Dr. Fatchoerochman, SpRad (Jakarta), Dr. Franky Dominggus Noya, SpRad (Merauke), Dr. Henny Damayanti, SpRad (Lampung), Dr. Jastia, SpRad (Maluku), Dr. Linda (Tangerang), Dr. Ramlah, SpRad (Kalsel),Dr. Rima Saputri, SpRad (Lampung), Dr. Shiska Novalia, SpRad (Pontianak), Dr. Srie Retno Endah, SpRad (Sulsel),Dr. Tina Marina, SpRad (Bengkulu), Dr. Tutik Sri Lestari, SpRad (Kalsel),Dr. Wiwi Susanti, SpRad (Sulteng), Dr. Yarmaniani Miliati Muchtar, SpRad (Jakarta). 10. Pendidikan USG IPD Tahap I angkatan ke-55 didakan pada tanggal 2 - 5 Maret 2015 yang diikuti oleh : Dr. Adhi Permana, SpPD (Palembang), Dr. Alex Santana, SpPD (Semarang), Dr. Ali Zainal Abidin, SpPD (Palembang), Dr. Ariyanto Nugroho, SpPD (Jakarta), Dr. Bernad Victor Samuel Manansang, SpPD (Semarang), Dr. Budi Riyanto, SpPD (Semarang), Dr. Cicilia Diah Puspitasari, SpPD (Sidoarjo), Dr. Deni Arisanti, SpPD (Padang), Dr. Dyah Maya Sari, SpPD (Lamongan), Dr. Didin Retno Endah Palupi, SpPD (Palangkaraya), Dr. Dwi Nugroho Prastowo, SpPD (Semarang), Dr. Edy Cahyady, SpPD (Aceh), Dr. Edy Nur Rachman, SpPD (Palembang), Dr. Emal Suhedi, SpPD (Palembang), Dr. Faisal, SpPD (Pekanbaru), Dr. Irwan Stiawan, SpPD (Palembang), Dr. Muhammad Syarifuddin, SpPD (Palembang), Dr. Novita

PUSKI Pane, SpPD (Palembang), Dr. Pandang, SpPD (Sukabumi), Dr. Puguh Widagdo, SpPD (Sidoarjo), Dr. R. Gina Dewiyani, SpPD (Bekasi), Dr. Rachman Edi Santoso, SpPD (Yogyakarta), Dr.

Rahmawati, SpPD (Aceh), Dr. Supartono, SpPD (Kudus), Dr. Tini Evriyanti, SpPD (Palembang), Dr. Widya Syafitri, SpPD (Riau), Dr. Widyawati, SpPD (Bengkulu), Dr. Yenny Fitrika, SpPD (Aceh), Dr.

Yuliany Saulina Fransisca, SpPD (Palembang), Dr. Yunita Maslim, SpPD (Jakarta).

DID YOU MEASURE IT ? Lynette Hassall Sonosite Australiasia Pty Ltd, Belrose, New South Wales 2085, Australia Correspondence to Lynette Hassall, Email: [email protected]

Introduction The measurement of organs and structures is an integral part of the ma­ jorty of ultrasound examinations. A discussion between four senior sonographers revealed that there were three se­parate opinions on correct caliper placements for calculation of something as supposedly simple as a bladder volu­ me. This variation prompted the thought “Why are we not all measuring the same way?” A review of a selection of reference books was interesting. Most of the refe­ rences provided a “normal range” of mea­ surements, with either limited or no ins­ truction on performing the measurement and few, if any, criteria given for patient positioning, or what constituted the cor­ rect plane to perform the measurement. In the first section, the author reviews the literature. In the second section, the author suggests criteria for making con­ sistent measurements. Bladder The method of calculation of blad­ der volume is inherently inaccurate – our calculations use the volume of an ovoid sphere, but the bladder is very rarely spherical. Tempkinˡ makes no mention of crite­ ria for measurement of the bladder, but provides a volume of “16 to 18 ounces of urine” with a wall measurement of “1 cm or less’’ (p 184). Goldberg² makes no mention of how to measure the bladder, but provides a normal volume (p 338) of 300 to 1000 mL and a wall measurement of “not exceed­ ing 5 mm”. Gill³ has a sparse section on ureters and bladder (p 172) and states that the bladder has an “average storage capa­city

of 400 to 500 mL in the adult’’. No wall measurement or instruction is given as to methods of calculating this volume. Sanders4 (p 332) informs us that “bladder volume can be calculated by multi­plying width, height, and length and halving the result”, and that both preand post-void views should be obtained. A normal adult bladder volume is given (p 331) as “about 150 to 400 cc” and we are told the normal bladder empties com­ pletely. We are also told that the thick­ ness of the bladder wall should be “3 mm thick when distended, and 5 mm thick when empty” (p 330). Kawamura5 states that the normal bladder has a potential capacity of 600 to 800 mL (p 418), with a bladder wall thick­ ness “from 3 to 6 mm, depending on the degree of bladder distension” (p 423). Kawamura continues on to explain that the bladder volume is calculated using the “formula V = width x height x depth”, but continues “the formula is sometimes presented as V = transverse x antero­ posterior (AP) x length (p 426) and that bladder capacity should be noted. How­ ever, no instructions or criteria on where or how to measure the bladder volume or wall thickness are provided. Rumack, et al.6 tells as that the blad­ der wall should be “smooth and of uniform thickness” (p 327) but give no indication of volume or size, just an instruction that the “bladder is best evaluated when it is moderately filled”. Prostate Tempkinˡ gives instruction on prostate examination only via the transrectal ap­ proach but does not discuss measure­ ment of the prostate, or normal size for the gland. Gill³ states that prostate size increases

with age (p 356), and that “glandular volu­ mes can be calculated during imaging of the prostate in the transverse plane”. Gill further states that the weight of the gland is equal to the volume in cubic centime­ ters, with the weight of the gland for a younger patient given as 20 g. He goes on to state that, after 50 years, the “gland weight doubles every 10 years”, giving a prostate gland weight of more than 40 g as enlarged in the older man. No instruc­ tion of how to perform the measurement or how to calculate the volume is given. Goldberg² (p 420) state the pros­ tate measurements are “approximately 3.5 cm in transverse dimension (width), 3.5 to 4 cm in cephalocaudal dimension (length) and 2.5 to 3 cm in anterior-poste­ rior dimension (depth), but does not state whether the measurement is performed using the transabdominal, transperieal or transrectal approach. Curry and Tempkin7 describe both a transrectal and transabdominal ap­ proach to imaging the prostate, however, a normal prostate measurement of “4 cm transverse, 3 cm in anteroposterior, 3.8 cm in length” (p210) is provided. Kawamura5 discusses the measure­ ment of the prostate gland form a trans­ rectal approach and state that the gland should be measured at the level of the verumontanum in “both transverse (35 mm to 40 mm) and a anteroposterior (15 mm to 25 mm) dimension (p 454). Rumack, et al.6 also describe a trans­ rectal approach, with measurements gi­ ven as “maximal transverse width (right to left), anteroposterior (anterior midline to rectal surface), length (maximal head to foot)” (p 402), Rumack, et al. continue on to state that “prostate volume is cal­ Bersambung ke halaman 8

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ANEKA RAGAM BE

Prof. Yi Hong Chou (President ABDA) didampingi oleh Dr. Daniel Makes, Sp.Rad (K) sedang memukul gong pada acara pembukaan 12th ABDA Teaching Course 2014

Panitia 12th ABDA Teaching Course & 4th Jakarta WFUMB-COE Seminar 2014 berfoto bersama pada acara Gala Dinner

Suasana peserta 12th ABDA Teaching Course & 4th Jakarta WFUMBCOE Seminar 2014

Persiapan tarian Tek-tekan pada acara pembukaan 12th ABDA Teaching Course 2014

Prof. Yi Hong Chou (President ABDA) bersama Dr. Daniel Makes, Sp.Rad (K) dan para pesera sedang memperagakan tarian Tek-tekan

Suasana yang penuh kehangatan dalam acara Gala Dinner 12th ABDA Teaching Course & 4th Jakarta WFUMB-COE Seminar 2014

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PUSKI

ERITA BERGAMBAR

Foto bersama peserta Program CPD Doppler Radiologi angkatan ke-21

Foto bersama peserta Program CPD USG MSK angkatan ke-11

Dr. Nina ISH Supit, Sp.Rad (K) sedang memberikan bimbingan pada Program CPD USG Doppler Radiologi angkatan ke-21

Peserta Program CPD USG IPD Tahap III angkatan ke- 11 sedang berfoto bersama

Foto bersama peserta Program CPD USG Pediatric Hepato-Biliary-Pancreatico-Intestinal angkatan ke-1

Dr. Jeevesh Kapur (Singapura) seorang Pediatric Radiologist, sedang mendemonstrasikan pemeriksaan USG Abdomen pada Program CPD USG Pediatric Hepato-Biliary-Pancreatico-Intestinal angkatan ke-1

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PUSKI Sambungan dari halaman 5

culated with the oblate spheroid formula: volume = 1.57 (W x AP x L)” and tell us that the prostate volume can be conver­ ted to weight using 1 mL of prostate tis­ sue is equivalent to 1 g”, although no fur­ ther instruction on where to measure the prostate is given. Kidney Tempkinˡ (p 114) given the instruc­ tion to measure the “long axis of the left kidney with superior to inferior measure­ ment” with no other guidance as to cor­ rect placement of the calipers. However, Tempkinˡ (p 112) describes a transverse image of the “kidney midportion” with “an­ terior to posterior measurement” instruc­ ting us to include the hilum, with calipers placed anterior and posterior (AP) on the image. Confusingly, on p 118, exactly the same instruction is given with the calipers placed transversely, rather than AP. The normal adult kidney measurement is gi­ ven as “9 cm to 12 cm long, 2.5 cm to 3.5 cm thick, and 4 cm to 5 cm wide” (p 101). Goldberg² states that “each kidney usually lies off-axis to the longitudinal plane” (p 331) and states that “to mea­ sure accurate renal lengths, scans must be obtained along this longest renal axis”. He states (p 335) that “the right kidney is 10.74 cm (± 1.35 cm SD) in length, and the left measures 11.10 cm (± 1.15 cm SD). The kidneys measure approximately 5 cm to 5.5 cm in width and approximate­ ly 3.5 cm to 4 cm in depth. Gill³ (p 170) states that the adult the adult kidneys “average 11 to 13 centime­ ters in length, 5 to 7 centimeters in width, and 2 to 3 centimeters in anteroposte­ rior thickness, with the left kidney being slightly larger”, but no instruction is given as to the method for obtaining the mea­ surements. Curry and Tempkin7 provide “normal measurements” (p 116) for the adult kidney as “approximately 9 to 12 cm in length, 2.5 to 4 cm in depth, and 4 to 6 cm in diameter”. These measurements are similar but not exactly the same as given in Tempkinˡ. The text continues with de­s­ cription of the size of paediatric kidneys, however, no description of the correct caliper placement or patient position for obtaining these measurements is given. Sanders4 (p 309) states that a normal adult kidney ultrasound measurement is “between 8 and 13 cm on length”. The paragraph continues with a parenchyma measurement of 2.5 cm thick, and a width measurement of 5 cm. Fig. 31.8 gives us a line drawing of liver, kidney and spleen superimposed on a dotted lumbar spine, and the caption states that “the longest

8

renal length should be obtained” and con­ tinues that a length measurement “taken along a standard longitudinal view of the kidney is too short”. Hagen-Anser8 tells us that the nor­ mal adult kidney varies “from 9 to 12 cm in length, 2.5 to 3 cm in thickness, and some 4 to 5 cm in width” and continues on to state that both kidneys “attain ap­ proximately the same dimensions” and that a “difference of more than 1.5 to 2 cm is significant”, although no instruction as to where to obtain the measurement is given. Kawamura5 tells us that the kidney size is “approximately 10 to 12 cm long, 5 to 7.5 cm wide, and 2 to 3 cm thick and weighs approximately 130 to 159 g” (p 322). No criteria for measurement are given. Rumack, et al.6 tells us that in the adult the kidney is “about 11 cm long, 2.5 cm thick, 5 cm wide, and weighs between 120 and 170 g” (p 323), with a discussion on correlation of kidney size with right or left side, body height, gender, and age all being relevant to changing size and vo­ lume of the kidney. Liver Tempkinˡ gives no instruction on liver measurements, and tells us “size and shape are variable” (p 53). Goldberg² instructs us to measure the liver (p 81) “in the right midclavicular line on a full view image of the liver form the dome to its inferior tip” and continues “if the entire liver cannot be pictured on one image, the two images are pieced toge­ ther, using an internal landmark such as the right portal vein. He quotes Gosink and Leymaster and states that “normal livers measure 13 cm or less” but further states “hepatomegaly is present when the liver measures 15.5 or greater”. Gill3 states that “the craniocaudal length of the right lobe of a normal adult liver is 13 to 15.5 cm” (p 97), although the method of obtaining this measurement is not explained. Curry and Tempkin7 (p 88) state that normal measurements are ‘not appli­ cable’ however, on p 78, they state that “Along the midclavicular line, the normal longitudinal measurement of the right lobe is less than or equal to 13 cm”, but go on to state that the “measurement has also been stated to be 15 to 17 cm”. The midclavicular line in this description is important, however no description of patient position is given, and a descrip­ tion of criteria or how the measurement is performed is also lacking. Sanders4 (p 234) gives us a line dia­ gram of an upper torso (Fig. 23.2) with

an instruction to measure the length in the midclavicular line. The diagram fur­ ther shows us the liver measurement is 15 cm. The text instructs us to find a landmark in the midclavicular line, and on serial scans, to always measure at the same level. On page 236 there is a discussion on hepatomegaly which tells us that the liver is “considered enlarged if it measures more than 15 cm in length at a point midway between the spine and the right side of the body” and refers us to Fig. 23.2. Hagen-Ansert8 informs us (p 198) that the liver is ‘the largest organ in the body”, and that the right lobe “exceeds the left lobe by a ratio of 6.1”, although no measurements or other criteria are provided. Kawamura5 provides us with clear and well-defined measurement criteria with Fig. 5.1 on p 117 illustrating the mea­ surements. The author states that there is a “range of normal measurements. The greatest transverse portion ranges from 20 to 22.5 cm; the greatest anteroposteri­ or measurement, from 10 to 12.5 cm and the greatest length on the right surface, from 15 to 17 cm”. The text continues to explain that “Liver length and anteropos­ terior dimensions are obtained from sa­ gittal and parasagittal sections obtained at the midline and the midclavicular line, which runs parallel to the spine midway between it and the right side of the body”, but does not state whether the measure­ ments are obtained with the patient in a supine, right anterior oblique or decubitus position. Rumack, et al.6 discuss two methods of measuring the liver length (p 82): Go­ sink who measured liver length in the midhepatic line and stated that in “75% of patients with a liver length greater than 15.5 cm hepatomegaly was pre­ sent”; Niederau, who measured both liver length and AP diameter in “both the mid­ clavicular line and midline and correlated these findings with gender, age, height, weight and body surface are” concluded that the mean midclavicular, longitudinal, liver length was 10.5 cm with 1.5 cm stan­ dard deviation, and an anteroposterior dia­meter of 8.1 cm with a standard devia­ tion of 1.9 cm. Pancreas Tempkinˡ gives no instruction on pan­ creas measurements, except to say that the normal pancreas does not need to be measured (p 97). Goldberg² gives two sets of numbers for the measurement of the pancreas, and on p 178 (Fig. 9.10) gives us a line dia­ gram of the pancreas with three arrows

PUSKI to indicate the position of the measure­ ments (unfortunately placed two pages after the written description given on p 176). We are told the measurements are to be performed at the level of to head, at the corporocaudal region and at the level of the isthmus, and the dimensions Gold­ berg has “settled on” are given as “35 mm for the head and body, and 25 mm for the isthmus”. Gill³ states that “normal measure­ ments for the adult pancreas are 3 cm for the head, 2 cm for the body and 1 to 2 cm for the tail” and in Fig. 7.6, two of these measurements are illustrated on a sonographic image. However, it is left to the observer to decide which actual measurements are being illustrated; in my opinion, as the measurements are not labeled and the diagram is too small to adequately demonstrate measurements, this is not a particularly useful illustration. Curry and Tempkin7 (p 105) give an illustration (Fig. 7.3) and description of how to perform the measurements, and also give the instruction that “Readers are advised to consult the scanning pro­ tocols at their institutions to determine the accep­table range”. The measurements that are given are for the head “ranges between 2 and 3 cm in its anterior pos­ terior dimension, though a size as high as 4 cm has been noted”; for the neck ­“bet­ween 1.5 and 2.5 cm”. This is possi­ bly the most complete set of instructions and diagram for pancreas measurement this author has seen to date. Sanders4 Chapter 22 (p 219-229), gives a detailed and constructive discus­ sion on pancreas anatomy and patho­ logy, but gives no measurements for the pancreas. Hagen-Ansert8 tells us that the pan­ creas is 10 to 15 cm long, and agrees with Arger, et al. on a “head = 2.5 cm; body = 2 cm; and tail = 2 cm” (p 247). A table (Table 14.1) is provided compa­ ring four differing measurements from four authors. There is a description of the anatomical relationships of the pancreas but no criteria or illustration of where the measurements are to be performed. Kawamura5 does provide us with cri­ teria for assessing the dimensions of the pancreas by telling us (p 244) the dimensions are best assessed using a true transverse section, and to align the transducer so the “beam intersects the pancreas perpendicular to its transverse axis”, and gives us an anteroposterior di­ mension of “no more than 2.5 cm”, body “no more than 1.2 cm” and tail “not ex­ ceeding 2 cm”. Rumack, et al.6 provide us with a de­ tailed description of the anatomy of the

pancreas, the measurements are stated as the “anteroposterior dimensions of the normal head measured 2.2 to 0.3 cm, with the body measuring 1.8 to 0.3 cm. The cephalocaudal dimension of the head has been reported as 2.01 to 0.39 cm and that of the body as 1.18 to 0.36 cm”. (I have to admit that I was somewhat confused by this explanation). Spleen Tempkinˡ gives no instruction on spleen measurements, but tell us that “size a variable but is considered normal when it appears about the same size as the adjacent left kidney” (p123). Gill³ states that “several methods can be used to assess splenic size”, (p 224) and goes on to give a measurement of “12 cm to 13 cm long, 6 to 8 cm in the AP dimension, and 4 to 6 cm in the trans­ verse dimension” as normal for an adult spleen but gives no indication of how or where to perform the measurements. Ad­ ditionally, he gives a volume calculation and splenic index method, but warns that “all normal organ measurements are rela­ tive to patient size”. Goldbergd² gives a measurement for the spleen of “11 x 7 x 3 cm with an ave­ rage weight of 150 g”, but no discussion of how or where these measurements are obtained. Curry and Tempkin7 (p139) state that size of the spleen may vary, however “generally the longest dimension superior to inferior should be no greater than 12 or 13 cm. The largest transverse dimension (anterior to posterior) should be no larger than 7 or 8 cm”. This appears somewhat unclear as the term “superior to inferior” could be interpreted to mean “diaphragm to lower pole in a straight line”, or bipo­ lar distance – upper pole to lower pole. A further text box entitled “Normal Mea­ surements” (p 142) states the spleen is “normally 12 or 13 cm in the superior to inferior axis; 6 or 7 cm in the medial to lateral axis; and 5 or 6 cm in the anterior to posterior plane”, but there are no dia­ grams to explain this description. Sanders4 (p 278) gives a definition of splenomegaly as “enlargement of the spleen”, and later (p 279) tells us that with experience “it becomes obvious when the spleen is enlarged on real-time, but cri­ teria for documenting enlargement are still unsatisfactory”. His recommendation is that if the “transducer has a 90° angle and the superior/inferior border of the spleen cannot fit on an image, the spleen is enlarged”. Hagen-Ansert8 informs us that the spleen is no of variable size and shape (p 300), and that one can compare the size

of the spleen with the size of the liver (p 307), and that in patients with splenome­ galy the spleen “may be seen as low as the umbilicus”. A formula for calculating splenic volume is given (p 308). It states that “Koga’s method utilises the decubi­ tus long axis of the spleen” and correlates the splenic volume in cubic centimeters to the “sectional area in square centime­ ters”, although no comment is made on what the normal values should be. Kawamura5 tells us that the spleen has a “variable and rather asymmetric shape” and that variations in the body’s blood supply can affect its size (p 263) and makes the surprising claim that the “volume can decrease from 350 to 200 mL in less than one minute”. The author continues on to tell us that, using autopsy specimens, the average measurements are “4 cm thick, 8 cm wide, and 12 cm long”. This is not particularly helpful as I am generally trying to assess a living pa­ tient, not an autopsy specimen. Rumack, et al.6 Tell us that the “ave­ rage adult spleen measures 12 cm in length, 7 cm in breadth, and 3 to 4 cm in thickness and has an average weight of 150 g” (p 149), the text continues on to discuss the examination technique and state that the patient is imaged in a supine position, and that the long axis of the spleen lies obliquely from the coronal plane, although no instruction or criteria on how to perform the measurements is provided. Aorta Tempkinˡ (p 34) instructs us to mea­ sure the aorta in transverse with “anterior to posterior measurement (calipers outside wall to outside wall)” and gives cri­ teria for positioning of the calipers in both proximal, middle and distal aorta. Gill³ (p 72) states that the “normal aorta measures between 2 and 3 ½ cm, in diameter” but gives no indications as to method of measurement. Goldberg² (p 283) states that the “ave­rage diameter of the aorta is taken to be 2 cm at the aortic hiatus and 1.5 cm at the aortic bifurcation”. He continues on and explains that “measurements are usually taken in the AP plane”, it is not clear whether this AP plane is performed on a transverse or longitudinal image. Sanders4 gives us no value for normal measurement for the aorta. Hagen-Ansert8 states that “the aorta is usually 2 to 4 cm in diameter” (p 184) and that ‘it is important to identify the ves­ sel in two dimensions’. Kawamura5 tells us that “as the aorta courses inferiorly, it tapers, becoming smaller in caliber” (p 56) and that “nor­

9

PUSKI mal aortic diameters have been cited at ~ 2.5 cm” (p 66) and continues on to explain that the aorta tapers, “reaching a dia­meter of about 1.5-2 cm at the level of the iliac arteries”, but continues with a discussion of ectasia. Rumack, el al.6 state that ‘the ab­ dominal aorta tapers from its cranial to its caudal extent in 95% of people, and usually measures less than 2.3 cm in dia­ meter for men and 1.9 cm for women”. They continue to tell us that the normal aorta diameter will increase with age and by up to 25% in the seventh and eighth decade (p 464) and giving us figures of “2.4 cm for a 60-year-old and 3.7 cm for a 75-year-old”. Aneurysm Gill³ (p 83) tells us that when measu­ ring an aneurysm “the sonographer should include all three planes, the lu­ men, the areas proximal and distal to the aneurysm, and the entire aneurismal dilatation to assess whether the vessel is stenosed”. Goldberg² (p 285) states that “dilation of the aorta is occasionally difficult to as­ sess” due to difference in size of the aorta due to stature or gender of the patient, but states that “a maximum AP diameter of 3 cm or a focal dilation of the aorta is usually taken as evidence of aortic aneu­ rysm”. Sanders4 tells us (p 291) that if an ane­urysm “is over 5 cm in width or antero­ posterior diameter, operation is usually required” and that looking at aneurysms on ultrasound is useful as we can reveal the ‘true internal and external dimension” of the aneurysm. Hagen-Ansert8 (p 193) discusses the statistics of possibility of rupture when the aneurysm reaches 5 cm, 6 cm and 7 cm in size and tells us the maximum diame­ ter in “transverse, antero-posterior, width and longitudinal measurement” could be stated. Kawamura5 states that a “true aneu­ rysm is identified sonographically as a dilatation of the aorta ≥3 cm near its bifur­ cation, a focal dilatation along the course of the aorta, or lack of normal tapering of the aorta”. Rumack, et al.6 discuss types of ane­u­ rysm at length and provide us with a large number of statistics (p 466) but do not give us more than an indication that there is a rupture rate of “25% for aneurysms grea­ter than 5 cm in anteroposterior dia­ meter” (p 467). We are told that an aneurysm is “any focal dilatation of the aorta or a gene­ ralised dilatation greater than 3 cm” (p 470). We are told that “it is important to

10

get an accurate outer-layer-to-outer-layer measurement in a plane perpendicular to the long axis of the vessel” and Figs. 12-37 (p 471) provide us with longitudi­ nal and anteroposterior sonographics images of an aneurysm with dotted lines indica­ting where the measurements are to be obtained. Conclusion and discussion This article is intended as a basis for discussion, and to provide the impetus for each practice to state clearly and precise­ ly, where and how to measure various organs. This is vital if we are to provide a clear and logical approach to measure­ ments during an ultrasound examination, and precise instruction for our student so­ nographers. The main conclusions are: 1. Measurements should be consis­ tent – they should be done the same way every time, by everyone in the practice. 2. Measurements should have cri­ teria – you should be able to ex­ plain what you are measuring and exactly where and how to place ­ the calipers. 3. Measurements should be repro­ ducible – not just by an individual sonographer, but throughout the practice in which you work. 4. “Practice protocols” would be a big help for reproducibility and consis­ tency. 5. A length measurement should be performed along the long axis of the organ or the long axis of the body, with criteria to specify which is to be performed. 6. A transverse measurement should be done in transverse view only, length and anteroposterior in lo­ ngitudinal view. Whether you agree with the practice protocol or not, every sonographer em­ ployed should perform the measurement using the same method. This would mean we are all getting consistent, reproducible results so our patients are getting a comparable mea­ surement every time they attend, and follow-up is a true comparison of a mea­ surement, not at the discretion of the so­ nographer performing the scan. References 1. Tempkin BB. Ultrasound Scanning Principles and Protocols (2nd ed). Amsterdam: WB Saunders; 1999. 2. Goldberg BB. Texbook of Abdominal Ultrasound. Baltimore: Williams and Williams; 1993.

3. Gill K. Abdominal Ultrasound A Prac­ titioners Guide. UK: Saunders; 2001. 4. Sanders RC. Clinical Sonogra­ phy A Practical Guide (3rd Ed). Philadelphia:Lippincott; 1998. 5. Kawamura DM. Diagnostic Medical Sonography A Guide to Clinical Prac­ tice; Abdomen and Superficial Struc­ tures (2nd ed). Philadelphia: Lippin­ cott; 1997. 6. Rumack CM. Wilson SR, Charbon­ neau JW, Johnson JM (eds). Diag­ nostic Ultrasound (3rd Ed). Amster­ dam: Elsevier Mosby; 2005. 7. Curry RA, Tempkin BB. Ultraso­ nography An introduction to normal structure and Functional Anatomy: WB Saunder; 1995. 8. Hagen-Ansert SL. Textbook of Diag­ nostic Ultrasonography (3rd Ed). ­Amsterdam: Mosby; 1989. 9. Deb Coghlan, Personal conversa­ tion, January 2008. 10. Australia Institute of Ultrasound 2008. Ultrasound in Emergency Medicine Fast Track Training Course Notes.

Suggestion for criteria: Kidney Length – the kidney is measured with the long axis at 90° to the ultrasound beam, with the cortex symmetrical at the upper and lower poles equal, to ensure maximum length measurement.

Suggestion for criteria: Bladder – maxi­ mum depth is measured from anterior to posterior, with the length measured 90° to this along the maximum length from superior to inferior. Maximum transverse diameter is always measured in trans­ verse, across the widest part of the blad­ der at 90° to the other measurements. The measurements. are taken from in­ side the bladder wall. Using these criteria will overestimate bladder volume, but this

PUSKI overestimation will be consistent and can be used on all bladder shapes.

Suggestion for criteria: Liver – the liver measurement is performed with the pa­ tient supine, in the midclavicular line, from the diaphragm to the lower edge the liver; the image should contain the gall bladder and right kidney. If you choose to measure the true length of the liver from superior to inferior (Fig. 7 and 9) the mea­ surement will be consistently shorter than the diaphragm to lower anterior edge of the liver (Fig. 8 and 10), but either of these may be used.

Suggestion for criteria: Prostate – The length of the prostate is obtained on a longitudinal image, along the line of the urethra (craniocaudal), the AP diameter is at 90° to this plane (Figs. 11 and 13). The transverse dimension is obtained in the transverse plane at the widest point (Figs 12 and 14).

Suggestion for criteria: Spleen – The spleen is measured with the patient su­ pine, the probe placed along the intercos­ tals spaces, so both the upper and lower poles are visible. The measurement is ‘bipolar’ from pole to lower pole (Figs. 15 and 18) or diaphragm to lower pole (Figs. 16 and 19). The trasverse measurement is across the width of the spleen from hi­ lum to la­teral margin (Figs. 17 and 20).

Bersambung pada edisi selanjutnya

RENCANA PROGRAM PENDIDIKAN ULTRASONOGRAFI LPUK-USG PUSKI PERIODE JANUARI – DESEMBER 2015 • 7 – 10 Januari

: Pendidikan USG IPD tahap I PPDS FK UNPAD ke-1 • 16 – 17 Januari : Pendidikan USG Pediatric Hepato-Biliary Pancreatico-Intestinal ke-1 • 21 – 24 Januari : Pendidikan USG Tingkat Dasar Berjenjang PDUI ke-29 • 30 Jan – 1 Feb : Pelatihan USG Pediatric Dasar bagi Spesialis Anak ke-4 • 2 – 5 Februari : Pelatihan USG Doppler Berwarna bagi Spesialis Radiologi ke-21 • 9 – 12 Februari : Pendidikan USG PPDS Bedah seluruh Indonesia ke-73 & 74 • 25 – 28 Februari : Pendidikan USG Tingkat Dasar Berjenjeng PDUI ke-30 • 2 – 5 Maret : Pendidikan USG IPD tahap I ke-55 • 16 – 19 Maret : Pendidikan USG PPDS Bedah seluruh Indonesia ke-75 & 76 • 26 – 28 Maret : Pendidikan USG Tingkat Dasar Berjenjang PDUI ke-31 • 9 – 11 April : Pendidikan USG Musculoskeletal ke-12 • 13 – 17 April : Pendidikan USG Ekokardiografi ke-15 • 17 – 19 April : PIT PDUI Jakarta • 23 – 25 April : Pendidikan USG Tingkat Dasar Berjenjang PDUI ke-32 • 4 – 6 Mei : Pelatihan USG Pediatric Dasar bagi Spesialis Anak ke-5 • 23 - 24 Mei : Program Pendidikan & Pelatihan USG Toraks Tingkat Dasar bagi Pulmonologist ke 1 • 25 – 28 Mei : Pendidikan USG IPD tahap I PPDS FK UI ke-16 • 8 – 11 Juni : Pendidikan USG PPDS Bedah seluruh Indonesia ke-77 & 78

• 25 – 27 Juni

: Pendidikan USG Tingkat Dasar Berjenjang PDUI ke-33 • 4 - 5 Juli : Program Pendidikan & Pelatihan USG Toraks Tingkat Dasar bagi Pulmonologist ke 2 • 23 – 25 Juli : Pendidikan USG Tingkat Dasar Berjenjang PDUI ke-34 • 27 – 30 Juli : Pendidikan USG IPD tahap I ke-56 • 3 – 6 Agustus : Pendidikan USG PPDS Bedah seluruh Indonesia ke-79 & 80 • 10 – 13 Agustus : Pelatihan USG Doppler Berwarna bagi Alumni Diklat PUSKI • 21 – 23 Agustus : Pendidikan USG Tingkat Dasar Berjenjang PDUI ke-35 • 7 – 11 September : Pendidikan USG Ekokardiografi ke-16 • 17 – 19 September : Pendidikan USG Tingkat Dasar Berjenjang PDUI ke-36 • 28 Sep – 9 Okt : Pendidikan USG Tingkat Dasar ke-36 • 19 – 22 Oktober : Pendidikan USG IPD tahap II ke-25 • 29 – 31 Oktober : Pendidikan USG Tingkat Dasar Berjenjang PDUI ke-37 • 2 – 5 November : Pendididkan USG IPD tahap I ke-57 • 12 – 14 November : Pendidikan USG Tingkat Dasar Berjenjang PDUI ke-38 • 15 – 16 November : KONAS PUSKI ke-10 MEDAN • 30 Nov – 3 Des : Pendidikan USG IPD tahap I PPDS FK UI ke-17 • 7 – 9 Desember : Pendidikan USG Musculoskeletal ke-13 • 17 – 19 Desember : Pendidikan USG Tingkat Dasar Berjenjang PDUI ke-39 CATATAN:

Rencana Program tersebut diatas dapat berubah tanpa pemberitahuan oleh karena itu PENTING untuk menghubungi Sekretariat LPUK-USG PUSKI terlebih dahulu.

SUSUNAN DEWAN REDAKSI Penanggungjawab : Dr. Daniel Makes, Sp.Rad (K) Pemimpin Redaksi : Dr. Tintin Supriatin Anggota Dewan Redaksi : Kartini, Sella, Nurmani Photo : Dokumentasi PUSKI Jakarta Alamat Redaksi : Gedung LPUK-USG, Lantai 1-3 Jl. Radio Dalam Raya No. 1B Kebayoran Baru, Jakarta Selatan 12140 Indonesia Telepon : +62 21 7258135 / 7230060 Fax : +62 21 7230061 Email : [email protected] / [email protected] Website : http://www.puski.org

11

PUSKI STOP PRESS JADWAL ACARA KONAS PUSKI KE-X (Tentative) HOTEL ARYADUTA, MEDAN, 15 - 16 November 2015 ACARA :

Minggu, 15 November 2015 RUANG : THE BALLROOM II 08.00 – 08.45 08.45 – 09.30 09.30 – 09.50 09.50 – 10.15 10.15 – 10.30 10.30 – 11.00

Plenary 1 WFUMB guideline for contrast enhanced US Plenary 2 Ultrasound Tropical Disease Ethic in Ultrasound Diagnostic Ultrasoun Safety PEMBUKAAN Rehat Kopi

RUANG : SESSI :

THE BALLROOM II ABDOMEN

11.00 – 11.30 Ultrasound in Diffuse Liver Disease 11.30 – 12.00 Ultrasound in Gallblader Pathology 12.00 – 13.00 ISHOMA 13.00 – 13.30 Pancreatic Ultrasound in the era of CT & MRI 13.30 – 14.00 Ultrasound in Portal Hypertension 14.00 – 14.30 Abdominal Lymphadenopathy: What not to miss 14.30 – 15.00 Abdominal Metastases 15.00 – 15.30 Rehat Kopi Imaging Master Class 15.30 – 16.30 Color Doppler Ultrasound in Portal Hypertension 16.30 – 17.30 Interactive Session Liver CDUS RUANG : SESSI :

THE BALLROOM III OBSTETRIC & GYNECOLOGY

11.00 – 11.30 Role of Ultrasound in Pregnancy 2015 11.30 – 12.00 Abnormal Uterine Bleeding in Different age group 12.00 – 13.00 ISHOMA

13.00 – 13.30 Ultrasound in First Trimester Anomalies 13.30 – 14.00 What is the Role of Ultrasound in Acute Pelvic Pain 14.00 – 14.30 Anomalies in Umbilical Cord & Placenta 14.30 – 15.00 Congenital Anomalies of the Uterus : Role of 3D 15.00 – 15.30 Rehat Kopi Imaging Master Class 15.30 – 16.30 Color Doppler Ultrasound in Renal Disease 16.30 – 17.30 Interactive Session Renal CDUS

Senin, 16 November 2015 RUANG : THE BALLROOM II SESSI : GENITO – URINARY ULTRASOUND 08.00 – 08.30 Scrotal Ultrasound 08.30 – 09.00 Prostate Ultrasound : Transabdominal US vs Transrectal US 09.00 – 09.30 Evaluation of the Transplanted Kidney 09.30 – 10.00 Renal Parenchynal Disease 10.00 – 10.30 Rehat Kopi 10.30 – 11.00 Characterization of Solid & Cystic Renal Masses US & MSCT 11.00 – 11.30 Ultrasound Approach to Pediatric Urinary Tract Infection 11.30 – 12.00 Renal Color Doppler US : What is new in 2015 12.00 – 13.30 ISHOMA RUANG : SESSI :

THE BALLROOM II WOMEN IMAGING

13.30 – 14.00 Malignant Breast Masses 14.00 – 14.30 Contrast US in Gynecology 14.30 – 15.00 Gestational Throphoblastic Disease 15.00 – 15.30 Rehat Kopi

15.30 – 16.30 16.30 – 17.30 17.30 –

Imaging Master Class Neck Ultrasound Interactive Session Neck Ultrasound Door Prize & Penutupan

RUANG : THE BALLROOM III SESSI : MUSCULOSKELETAL ULTRASOUND & WOMEN IMAGING 08.00 – 08.30 08.30 – 09.00 09.00 – 09.30 09.30 – 10.00 10.00 – 10.30 10.30 – 11.00 11.00 – 11.30 11.30 – 12.00 12.00 – 13.30

Shoulder Ultrasound : What is new in 2015 Knee Ultrasound : Tips & Tricks Wrist Ultrasound : What not to miss Ankle Ultrasound : Ultrasound versus MRI Rehat Kopi Unusual Breast Lesion Adnexal Cystic Masses Fibrous US Adenomyosis : Never Diagnostic Techniques ISHOMA

RUANG : SESSI :

THE BALLROOM III NECK ULTRASOUND

13.30 – 14.00 14.00 – 14.30 14.30 – 15.00 15.00 – 15.30 15.30 – 16.30 16.30 – 17.30

Thyroid Ultrasound 2015 Carotid & Vertebral Ultrasound 2015 Salivary Gland Pathology : Ultrasound vs MSCT/MRI Rehat Kopi Imaging Master Class Shoulder & Knee Ultrasound Tips & Tricks 2015 Interactive Session Shoulder & Knee Ultrasound

RUANG: THE BALLROOM II 17.30 – 18.00 Door Prize & Penutupan

Menjelang acara Muktamar IDI ke-XXIX, PUSKI akan menyelenggarakan Program Pendidikan dan Pelatihan USG Tingkat Dasar dan Tingkat Madya pada tanggal 17 November 2015 di Hotel Aryaduta Medan SELASA, 17 NOVEMBER 2015

SELASA, 17 NOVEMBER 2015

Program Pendidikan dan Pelatihan USG Tingkat Dasar BALLROOM II

Program Pendidikan dan Pelatihan USG Tingkat Madya BALLROOM III

08.00-08.30 08.30-09.00 09.00-09.30 09.30-10.00 10.00-10.30 10.30-11.00 11.00-11.30 11.30-12.00 12.00-13.00 13.00-13.30 13.30-15.30 15.30-16.00 16.00-18.00

08.00-08.30 Teknik pemeriksaan USG Leher pada Dewasa dan Pediatrik 08.30-09.00 USG Tiroid dan USG KGB leher : Tehnik, Normal Patologi 09.00-09.30 USG karotis/vertebralis : Tips & Tricks 09.30-10.00 USG tumor jinak payudara : Tehnik, Normal & Patologi 10.00-10.30 Rehat Kopi 10.30-11.00 USG tumor ganas payudara : Tehnik, Normal & Patologi 11.00-11.30 USG Doppler Berwarna pada Hepar 11.30-12.00 USG Doppler Berwarna pada Ginjal 12.00-13.00 ISHOMA 13.00-13.30 USG massa pada Abdomen Anak 13.30-14.00 USG Kepala : Tehnik, Normal & Patologi 14.00-14.30 USG Hepato-bilier-pankreas pada Pediatrik 14.30-15.00 USG Muskuloskeletal : Elbow & Wrist : Tips & Tricks 15.00-15.30 USG Muskuloskeletal : Ankle & Foot : Tips & Tricks 15.30-16.00 Rehat Kopi 16.00-17.00 Tugas Mandiri : USG leher dan USG Elbow 17.00-18.00 Tugas Mandiri : USG Wrist, Ankle & Foot

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USG Abdomen-Pelvis : Teknik & Normal Sonoanatomi USG Hepar : Tehnik, Normal & Patologi USG Kandung Empedu : Tehnik, Normal & Patologi USG Obstetri : Trimester I Rehat Kopi USG Obstetri : Trimester II & III USG Pankreas : Tehnik, Normal & Patologi USG Ginjal & Buli-buli : Tehnik, Normal & Patologi ISHOMA USG Ginekologi : Uterus & Adneksa : Tips & Tricks Tugas Mandiri Rehat Kopi Tugas Mandiri