Asumsie Tarigan
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THE EFFECT OF USING 4 POINTS LOCKS AND 9 POINTS LOCKS MASKS ON PATIENT SET-UP IN NASOPHARYNX CANCER Rina Anggraeni; Muhammad Irsal; Shinta Gunawati Sutoro; Mahfud Edy Widiatmoko; Asumsie Tarigan; Fitrus Ardoni; Nursama Heru Apriantoro
Indonesian Physical Review Vol. 7 No. 1 (2024)
Publisher : Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/ipr.v7i1.229

Abstract

The set-up aims to find out the value of the shift that occurs while the patient is undergoing the irradiation process on the X-axis (right-left), Y-axis (caudal-cranial), and Z-axis (anterior-posterior). The procedure for collecting research data is by making direct observations and being involved in measuring set-up shifts. The data used amounted to 20 nasopharyngeal cancer patients. Set-up shift measurement data were taken sequentially from fractions 1-33 for each patient using 4 and 9 points locks masks. Analysis of statistical test data using SPSS version 25, to determine the effect of using 4 and 9 points locks masks on shifts in nasopharyngeal cancer irradiation set-up patients with fraction group: Group 1 (fraction 1), Group 2 (Fraction 2 – 15), Group 3 (16-33)  using the Wilcoxon test because the normality test results were not fulfilled. If the p-value ≤ 0.05, there is an effect of using 4 and 9 points locks mask on shifts, while for p-value ≥ 0.05, there is no effect of using 4 and 9 points locks mask on set-up shifts in nasopharyngeal cancer irradiation set-up. The results of the shift in the set-up of 4 and 9 points lock irradiation vertically in the lateral, longitudinal, and vertical directions tend to be positive (left, caudal, posterior). There was no effect of all fraction groups using 4 and 9 points locks on the shift in nasopharyngeal cancer irradiation set-up p-value> 0.05.
Evaluasi Pemeriksaan MRI Brain dengan Klinis Vertigo di Rumah Sakit Otak dr. Drs. M. Hatta Bukittinggi Mahfud Edy Widiatmoko; Asumsie Tarigan; Muslimatul Husna
Jurnal Imejing Diagnostik (JImeD) Vol 10, No 1: JANUARY 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v10i1.10970

Abstract

Background: Vertigo is a symptom that arises as a result of disturbances in the balance of the vestibular system or disorders of the central nervous system. A radiological examination that can detect clinical vertigo is an MRI examination. There is a difference in the MRI Brain examination protocol for clinical vertigo between theory and the field, namely the addition of the 3D CISS protocol. The aim of this research is to determine the role of adding 3D CISS to MRI Brain examinations in clinical vertigo.Methods: This research is qualitative descriptive research, use 10 patients, and do in January to November 2023. Data was collected by observation, conducting interviews and questionnaires. This research use 13 sequences, namely Axial T2 TSE, DWI, Axial T2 TSE Dark Fluid, T2 SWI, Sagittal T1 TSE, Sagittal T2 TSE FS, Axial T1 TSE, Coronal T2 TSE, Coronal T1 TSE, Axial T1 TSE, Coronal, Sagittal + Contrast with cuts at the upper border of the vertex and the lower border of the cerebellum and T2 3D CISS axial isotropic sequences for the cuts used, namely at the level of the sponge, showing the vestibulocochlear cranial nerve (VIII).Results: The results of the assessment on the T2 3D CISS Axial Isotropic sequence showed that anatomical detail was clearly visible as much as 75% and the spatial resolution was clearly visible as much as 75%.Conclusions: Brain MRI examination with clinical vertigo provides information that helps in understanding the causes of vertigo, allowing for a more accurate and effective treatment approach.