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Peranan Sekuens Dixon Pada Pemeriksaan Mri Wrist Joint Tanpa Kontras Kasus Intraosseus Hemangioma Rafa Zenitha Azzahra; I Made Lana Prasetya; Nadra
Jurnal Riset Rumpun Ilmu Kedokteran (JURRIKE) Vol. 2 No. 2 (2023): Oktober :Jurnal Riset Rumpun Ilmu Kedokteran
Publisher : Pusat riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Magnetic Resonance Imaging (MRI) is a medical diagnostic imaging technique that works on the principle of nuclear magnetic resonance. MRI aircraft can produce internal diagnostic images of human needs both in sagittal, coronal, and transverse cuts by not using ionizing radiation (X-rays) and also not using radioactive substances but based on the principle of magnetic resonance of hydrogen atomic nuclei to reveal anatomically and pathologically to establish clinical diagnoses, one of which is Intraosseus hemangioma in the wrist joint. Intraosseous hemangioma is classified as a benign tumor of a vascular nature. The use of dixon sequences is proposed for the assessment of the water content of metaphysical bone marrow, with a short scan time. Dixon sequence imaging can be used for suppression of fat in the extremities, but also for quantification of fat in bones. The research method used is descriptive research with an observational approach. Data collection was carried out from November 7, 2022 to February 7, 2023 using a 3 Tesla Mri Siemens Magnetom Vida aircraft. The patient sample used in this study was a patient with complaints of the wrist joint. Data collection is carried out through observation, interviews and documentation Wrist Joint Examination in Intraosseus Hemangioma Cases using Siemens Magnetom Vida 3 Tesla MRI aircraft has an examination procedure with sequence designs Localizer_tra, Localizer_sag + cor+tra, t1_tse_tra_2mm, t2_tse_dixon_fs_cor_2mm, t2_tse_dixon_fs_sag_2mm , t1_vibe_wo_cor_ iso,Pd_tse_fs_tra_2, 5_mm
Prosedur Pemeriksaan MRI MRCP Pada Kasus Kolelitiasis Alan Pratama; I Made Lana Prasetya; Iman Nuriman
Jurnal Riset Rumpun Ilmu Kedokteran (JURRIKE) Vol. 2 No. 2 (2023): Oktober :Jurnal Riset Rumpun Ilmu Kedokteran
Publisher : Pusat riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jurrike.v2i2.1728

Abstract

The purpose of this research is to know the inspection procedureMRCP and the role of giving bitter tea before examination asnegative oral contrast media. This research is a descriptive qualitative with a case study approach. Subjects consisted of 3 patients with clinicalCholelithiasis. Examination using MRI 1.5 Tesla to find out the procedure and the role of giving bitter tea asnegative oral contrast media. From the results obtained according to the theory of using 400 ml of black tea, 300 ml of jasmine tea and 300 ml of black tea with 40 grams of sugar. While in the field using a different type of tea with an amount of 100 ml before the inspection. Checks are carried out usingbody coil patient position iesupine, feet first. Sequence used in inspectionPlain localizer axial, sagittal andcoronal, Calibration, Axial Dual Echo FSPGR BH, Axial 2D Fiesta, Axial T2 FRFSE BH FatSat Asset, Coronal T2 Fiesta andThick slab MRCP Asset. The use of bitter tea before the examination aims to reduce the presence of artefacts in the stomach, small intestine, large intestine and can help the gallbladder organ to tend to enlarge.
Prosedur Pemeriksaan MRI Brain Pada Kasus Stroke Hemoragik Prita Prita; I Made Lana Prasetya; Rahmat Widodo
Jurnal Riset Rumpun Ilmu Kedokteran (JURRIKE) Vol. 2 No. 2 (2023): Oktober :Jurnal Riset Rumpun Ilmu Kedokteran
Publisher : Pusat riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jurrike.v2i2.1859

Abstract

Magnetic Resonance Imaging (MRI) is a medical imaging technique that combines magnetic fields and radio waves to create images and analysis of body tissue, blood circulation and metabolic function of the body. Some indications for MRI brain include detecting and identifying cases such as multiple sclerosis, infarction, hemorrhage, infection, trauma, and tumor or metastatic disease. Hemorrhagic stroke is bleeding that occurs when the blood vessels leading to the brain leak. Hemorrhagic stroke occurs when blood comes out of a blood vessel due to tearing of the blood vessel wall. Blood vessel walls can be weakened by the process of atherosclerosis and can also be due to congenital defects. The research method used was qualitative research. With a case study type of research. Data collection was carried out from July 2023 to August 2023 using a 3 Tesla MRI aircraft. The patient samples used in this study were three patients with complaints in the head. Data collection was carried out through observation, interviews and documentation. The MRI brain examination procedure in hemorrhagic stroke cases at one of the hospitals in Jakarta uses the Plain localizer axial, sagittal and coronal sequence, T1_fl2_axial, T2_tse_darkfluid_axial, T2_tse_axial, ep2d_diff_4scan_trace, asl_3d_axial, tof_cs_carotids, flow_pc3d_MRV, tof_brain_MRA, T2_swi_axial. In this case, there is a different sequence used, namely T2_swi_axial. Sequence susceptibility weighted imaging (SWI) is an innovative radiological imaging method that is often used in diagnosing neuroradiological disorders.
Teknik Pemeriksaan MRI Genu Dengan Penambahan Sequence Axial 3D Spoiled Gradient Recalled Echo Rafa Zenitha Azzahra; I Made Lana Prasetya; Intan Lesmanasari
Jurnal Riset Rumpun Ilmu Kedokteran (JURRIKE) Vol. 2 No. 2 (2023): Oktober :Jurnal Riset Rumpun Ilmu Kedokteran
Publisher : Pusat riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jurrike.v2i2.1868

Abstract

Magnetic Resonance Imaging (MRI) is a medical diagnostic imaging technique that works on the principle of nuclear magnetic resonance. MRI aircraft can produce diagnostic images of the inside of the human body in both sagittal, coronal, and transverse cuts, Magnetic resonance imaging (MRI) is a widely accepted non-invasive technique for the evaluation of cartilage lesions. The femur, tibia, fibula, and patella are united into one complex group by ligaments. According to Moeller, Genu Examination uses STIR Sequence, Sagital T2 Weighted Fat saturated, Sagittal 3D GRE, Proton Density weighted fat saturated T1 Coronal. The author's purpose in conducting this study is because Genu Examination at one of the Jakarta Hospital in the Case of Soft Tissue Tumor, Meniscus Tear and Oesteoarthritis added the Axial 3D SPGR sequence. The research method used is descriptive research with an observational approach. Data collection was carried out on June 5 to August 31 using Mri GE aircraft with a power of 1.5 Tesla. The patient samples used in this study were three patients with clinical Soft Tissue Tumor, Meniscus Tear, and Osteoarthritis. Data collection was carried out through observation, interviews and Genu Examination Documentation with the addition of Axial 3D SPGR. The examination is carried out using Quad Knee Coil, the patient's position is supine, feet first. The sequences used in the examination at one of the Jakarta hospitals are Axial Proton Density Fat saturated, Sagital Proton Density Fat saturated, Sagital T2, Coronal Proton Density Fat saturated, Coronal STIR. The role of the Axial 3D SPGR sequence is to evaluate articular cartilage due to its clear depiction of cartilage morphology and high signal to noise ratio (SNR) images.
Peranan Sekuen Stir Pada Pemeriksaan MRI Shoulder Dengan Klinis Supraspinatus Injury Di Instalasi Radiologi Rumah Sakit Umum Pusat Persahabatan Jakarta Timur Zul Fikra; I Made Lana Prasetya; Hendra Setiawan
Jurnal Riset Rumpun Ilmu Kedokteran (JURRIKE) Vol. 2 No. 2 (2023): Oktober :Jurnal Riset Rumpun Ilmu Kedokteran
Publisher : Pusat riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jurrike.v2i2.2081

Abstract

Magnetic Resonance Imaging (MRI) is a diagnostic examination modality in medical science using a magnetic field without using X-rays. MRI has the advantage of being able to create images and showing clearer and more sensitive anatomical differences in soft tissues in the body such as the extremities, brain, bone marrow and musculoskeletal to establish a clinical diagnosis, one of which is Supraspinatus Injury to the Shoulder. Supraspinatus is a tear or rupture of the tendon of the supraspinatus muscle. The supraspinatus is part of the shoulder rotator cuff. Most of the time, it is accompanied by another rotator cuff muscle tear. This can occur due to trauma or repeated microtrauma and appears as a partial or full thickness tear. The rotator cuff is a fibrous connective tissue that surrounds the top of the humerus bone and functions to maintain the stability of the glenohumeral joint by pulling the humerus towards the scapula. The research method used is qualitative descriptive research with an observational approach. Data collection was carried out from 08 August 2023 to 07 September 2023 using the Mri Philips Achieva 1.5 Hestia aircraft. The patient sample used in this study was a patient with shoulder complaints. Data collection was carried out through observation, interviews and documentation. Shoulder MRI examination in Supraspinatus Injury Cases using a Philips 1.5 Hestia MRI aircraft has an examination procedure with a sequential design Survey, STIR_TSE_Tra, T1W_TSE_Tra, T1W_TSE_TRA_FS, STIR_TSE_Cor, COR_T2W_FFE, STIR_TSE_Sag, T1W_TSE_Cor, PDW_TSE_Sag
Prosedur Teknik Penyinaran Metode Intensity Modulated Radiation Therapy(IMRT) Kelenjar Getah Bening Pada Kasus Limfoma Hodgkin (LH) Di Rumah Sakit Umum Pusat DR.Hasan Sadikin I Made Lana Prasetya; Retno Laksmi Faraningrum; Santo Aloya Dearta Saragih
Jurnal Riset Rumpun Ilmu Kedokteran (JURRIKE) Vol. 2 No. 2 (2023): Oktober :Jurnal Riset Rumpun Ilmu Kedokteran
Publisher : Pusat riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jurrike.v2i2.2086

Abstract

Latar Belakang: Lymph node cancer in the case of Hodkin's Lymphoma is a type of cancer. Lymphoma is a solid tumor of the immune system. Hodgkin lymphoma (HL) accounts for about 10% of all lymphomas. The Intensity Modulated Radiation Therapy (IMRT) technique is one of the cancer treatment techniques in Hodgkin's Lymphoma cases. The aim of this research is to determine the procedure and reasons for using the IMRT technique in lymph node cancer in Hodkin's Lymphoma cases.Metode: This research is qualitative research with a case study approach using retrospective data. The research time is from 24 to 30 May 2023 and the research location is in the Department of Radiation Oncology, RSUP Dr. Hasan Sadikin Bandung. The research subjects consisted of Radiation Oncologists, Medical Physics, Radiotherapists. Researchers collected data from patient medical records, made interview transcripts and carried out data reduction and processed it using open coding, and provided it in the form of quotations and then drew conclusions.Hasil: The procedure for irradiating Hodgkin's Lymphoma using the IMRT technique at the RSHS Department of Radiation Oncology begins with positioning the patient on the examination table with a fixation device and arranging the patient according to the reference point of the CT Simulator and making a thermoplastic mask then carrying out verification and irradiation. The IMRT technique has the advantage of using MLC so that the radiation is modulated according to the contour of the target and the disadvantage of precise dose distribution in limiting the radiation dose to organs at risk.Kesimpulan: In the case of the Department of Radiation Oncology, Dr. Hasan Sadikin Hospital, Bandung, the IMRT technique was used with consideration, namely that the IMRT technique already uses MLC which creates individual blocks automatically according to the projections depicted on the TPS.
Teknik Pemeriksaan MSCT Angiografi Pulmonary pada Kasus Pulmonary Embolism di Rumah Sakit Universitas Udayana Cokorda Istri Emi Dwiyanti; I Made Lana Prasetya; I Bagus Gede Dharmawan
JPNM Jurnal Pustaka Nusantara Multidisiplin Vol. 1 No. 3 (2023): October: Jurnal Pustaka Nusantara Multidisiplin
Publisher : SM Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59945/jpnm.v1i3.36

Abstract

Penelitian tentang teknik pemeriksaan MSCT Angiografi Pulmonary pada kasus Pulmonary Embolism di Rumah Sakit Universitas Udayana ini dilakukan pada dua subjek pasien yang berbeda yaitu pasien dengan terpasang Central Venous Catheter dan pasien yang tidak terpasang Central Venous Catheter, tujuan dari perbedaan subjek pasien tersebut yaitu untuk mengetahui perbedaan dari teknik pemeriksaan MSCT Angiografi Pulmonary pada kasus Pulmonary Embolism antara pasien yang terpasang Central Venous Catheter dengan pasien yang tidak terpasang Central Venous Catheter. Jenis penelitian ini merupakan penelitian kualitatif dengan pendekatan studi kasus. Subjek penelitian ini adalah dokter radiologi, radiografer, dan dokter pengirim pasien yang akan melakukan pemeriksaan MSCT Angiografi Pulmonary. Data dikumpulkan dengan cara observasi dan wawancara. Hasil penelitian tentang teknik pemeriksaan MSCT Angiografi Pulmonary pada kasus Pulmonary Embolism di Rumah Sakit Universitas Udayana diawali dengan memposisikan pasien tidur supine di meja pemeriksaan dengan posisi feet first, setelah itu kedua tangan pasien diletakkan disamping kepala pasien, posisikan Mid Sagital Plane (MSP) sejajar dengan lampu indikator longitudinal, sementara lampu indikator horizontal sejajar dengan Mid Coronal Plane (MCP) pasien, lampu isocenter berada di symphysis menti. Selanjutnya dilakukan scanning pre kontras terlebih dahulu, setelah scanning pre kontras selesai dilanjutkan dengan scanning angiografi pulmonary. Perbedaan yang didapatkan dari teknik pemeriksaan MSCT Angiografi Pulmonary pada kasus Pulmonary Embolism antara pasien yang tidak terpasang CVC dengan pasien yang terpasang CVC yakni terletak pada pengaturan protokol Smartprep Rx, akses penyuntikan media kontras dan NaCl, pengaturan flow rate dan volume media kontras serta NaCl yang digunakan, dan pengaturan pressure injector.
Analisa Image Quality pada Variasi Nilai Sensitivity Encoding MRI Brain Sekuens T1 TSE Axial di instalasi Radiologi RSUP Prof. dr. I.G.N.G.Ngoerah Denpasar Nelce Silvia Panggaliau; I Made Lana Prasetya; I Made Adhi Mahendrayana
An-Najat Vol. 1 No. 4 (2023): NOVEMBER : An-Najat: Jurnal Ilmu Farmasi dan Kesehatan
Publisher : STIKes Ibnu Sina Ajibarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59841/an-najat.v1i4.523

Abstract

Magnetic resonance imaging (MRI) is an advanced medical device in the medical field that combines computer technology, high magnetic fields (0.064-7.0 Tesla), and radio waves to create cross-sectional images of the human body. Magnetic resonance imaging (MRI) examination has advantages over other diagnostic methods, because it does not use ionizing radiation, is non-invasive, produces high resolution in soft tissues, and allows different slice marks in all planes (axial, sagittal, coronal, even oblique), so that the image results are more detailed and clear. Sensitivity Encoding is a parallel imaging technique that uses images generated from a phased array coil. SENSE reconstruction can speed up the filling of the K Space thereby reducing scan time. In MRI brain imaging, a clear contrast between organs and minimal noise is required, so a good CNR (Contrast to Noise) is needed. CNR is derived from SNR. CNR is the difference in value between two SNRs that are close to each other. The type used is quantitative research with an experimental approach. The samples of this study were 10 MRI brain patients who underwent examinations in June-July 2023 at the Radiology Installation of Prof. Dr. I. G. Ngoerah Denpasar Hospital. G. N. G. Ngoerah Denpasar The results of this study show a sig value of 0.000 <0.05, it can be concluded that Ha is accepted and Ho is rejected. This means that there is a significant difference in Contrast to Noise Ratio (CNR) on MRI examination of Brain T1 TSE Axial sequences using variations in Sensitivity Encoding values. Sensitivity Encoding value 2 is able to produce a more optimal CNR compared to the Sensitivity Encoding value, seen from the meank rank value at Sensitivity Encoding value 2 which is 55.2325 while at Sensitivity Encoding 3 is 42.8033. There is a difference in Contrast to Noise Ratio (CNR) on MRI Brain examination of T1 TSE Axial sequences by using variations in Sensitivity Encoding values 2 and 3. The Sensitivity Encoding value that can provide the most optimal Contrast to Noise Ratio (CNR) on MRI Brain examination of T1 TSE Axial sequences is Sensitivity Encoding value 2.
Gambaran BMI (Body Mass Index) Pasien Kanker Nasofaring Yang Menjalani Terapi IMRT di Unit Radioterapi RSUP Prof. Dr. I.G.N.G Ngoerah Serly Olivia Natalia Dato; I Made Lana Prasetya; Retno Laksmi Faraningrum
An-Najat Vol. 1 No. 4 (2023): NOVEMBER : An-Najat: Jurnal Ilmu Farmasi dan Kesehatan
Publisher : STIKes Ibnu Sina Ajibarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59841/an-najat.v1i4.550

Abstract

One of the cancers that causes the highest mortality is nasopharyngeal cancer. The number of nasopharyngeal cancer cases in Indonesia reached 19,943 new cases with a mortality rate of 13,399. Radiotherapy is the main treatment modality and part of standard care for cancer patients. The way radiotherapy works is to damage the DNA chain of tumor cells in order to kill tumor cells directly and eliminate the ability to proliferate. Giving radiation to the head and neck region has an influence on weight loss. The purpose of this study was to describe the BMI (Body Mass Index) of nasopharyngeal cancer patients who underwent IMRT therapy at the Radiotherapy Unit of Prof. Dr. I.G.N.G Ngoerah Hospital. The type of research used is quantitative research with an observational approach using retrospective data. The samples of this study were 25 patients with nasopharyngeal cancer who underwent IMRT therapy from January to December 2021 at the Radiotherapy Unit of Prof. Dr. I.G.N.G Ngoerah Hospital. The results of this study showed 25 samples of nasopharyngeal cancer patients who underwent IMRT therapy experienced weight loss with an average of 13.01 and BMI with an average of 4.93. Based on the results of the Statistical Test which shows that the p value <0.05 which means there is a decrease in body weight in nasopharyngeal cancer patients undergoing IMRT therapy in the Radiotherapy Unit of Prof. Dr. I.G.N.G Ngoerah Hospital. Of the 25 samples of nasopharyngeal cancer patients who underwent IMRT therapy, there were changes in BMI (Body Mass Index) before irradiation and after irradiation. This is evident from the normality test value and Paired Twhich shows a p value <0.05, meaning that there is a decrease in body weight in nasopharyngeal cancer patients undergoing IMRT therapy.
Evaluasi Perbandingan Informasi Citra MRI Brain Sekuen Diffusion Weighted Imaging Irisan Axial Pada Variasi Nilai SENSE di Instalasi Radiologi RSUD Provinsi NTB I Made Lana Prasetya; I Bagus Gede Dharmawan; I Wayan Ariec Sugiantara; Nandika A.J Mokoagow
An-Najat Vol. 1 No. 4 (2023): NOVEMBER : An-Najat: Jurnal Ilmu Farmasi dan Kesehatan
Publisher : STIKes Ibnu Sina Ajibarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59841/an-najat.v1i4.551

Abstract

Magnetic Resonance is a radiodiagnostic examination tool in the field of radiology, especially in the medical world. Diffusion Weighted Imaging is a method to assess molecular function and microarchitecture of the human body. DWI signal contrast can be measured with visible diffusion coefficient maps and serves as a tool for treatment response evaluation and disease progression assessment. Parallel imaging techniques involve phased array coils to process signals from a slice, then combine these slices to form an image, reducing scan time by reducing the acquired K-space lines. The formation of Sensitivity Encoding (SENSE) can shorten the insertion of K-space. This study aims to test variations of SENSE values 2.0 and 2.5 in MRI brain examinations with axial DWI sequences that are capable of visualizing anatomical information with fast scan times without compromising image quality, resulting in optimal images. This research is quantitative with an experimental approach. The sample consists of 10 patients using voluntary sampling of MRI Brain with axial DWI sequence and varying SENSE values from July to August 2023. Data were collected through questionnaires filled out by three radiology specialists at the Radiology Installation of the Provincial Hospital of West Nusa Tenggara (RSUD Provinsi NTB). The results of the Wilcoxon test showed a significant difference in anatomical information in MRI brain with axial DWI sequences between SENSE values of 2 and 2.5, with a p-value of 0.012. The mean rank value results indicated a sum of ranks of 280.00 for the SENSE 2 value, demonstrating greater optimality compared to SENSE 2.5. This study concludes that there is a significant difference in anatomical information in MRI brain with axial DWI sequences between SENSE values of 2 and 2.5. SENSE 2 tends to provide more optimal information.