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Nanang Sulaksono
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Journal : Jurnal Imejing Diagnostik

 1 
THE OPTIMIZATION OF MSCT OF URINARY TRACT USING TRACKING WITH FILTERS VARIATION Nanang Sulaksono; Agustina Dwi Prastanti; Vederica Farida Candra
Jurnal Imejing Diagnostik (JImeD) Vol 5, No 1: January 2019
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v5i1.4011

Abstract

Backgroud: Kidney disease is a clinical situation which is indicated by the decreasing of kidney functions and MSCT is one of the modalities to diagnose that function. Aim to identify the differences in image information with filter variation abdomen medium smooth and  Mediastinum Standard.Methods: The method was the experimental research using research planning Post Test Only Group Design. The sampling was chosen consecutively. There were 3 Radiolog and  32 citra on the examination of MSCT abdomen without positive contrast media in Salatiga Public Hospital.Results :The intervention validity experiment after a tracking filter with variations, kruskal Wallis test results. There are meaningful differences shows vlue of p value 0,000 (p0,05), so that continued analysis of the Mann Whitney. The results of the analysis of the Mann Whitney pointed out that there is a difference between real or significant group of filter Medium Smooth Abdomen with Abdominal filter Medium Sharp/Mediastinum Standard Sig0.05 p value 0.000).Conclusion: a variation of the filter is able to identify the existence of a difference image information tracktus optimal unirarius MSCT abdomen after tracking by using the best filtr Medium Sharp Abdomen/Mediastinum Standard.
TATALAKSANA RADIOTERAPI EKSTERNA PADA KANKER PAYUDARA DENGAN TEKNIK SIMULTANEOUS INTEGRATED BOOSTER (SIB) DI UNIT RADIOTERAPI INSTALASI RADIOLOGI RS KEN SARAS KABUPATEN SEMARANG Ardani Ardani; Edy Susanto; Nanang Sulaksono; Sri Mulyati
Jurnal Imejing Diagnostik (JImeD) Vol 6, No 1: January 2020
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v6i1.5403

Abstract

Background: Radiotherapy is a cancer treatment method using ionizing radiation. The SIB technique is a technique of providing additional radiation together with the administration of primary radiation. At Kensaras Hospital, booster treatment performed simultaneously with the administration of primary radiation or known as SIB is carried out using the IMRT technique or also known as the SIB IMRT technique. whereas according to Susworo, irradiation techniques on breast cancer are not recommended using the IMRT technique, but should use the FIF technique. The purpose of this study was to determine the governance of radiotherapy and the reasons for choosing the SIB technique.Methods: This type of research is qualitative with a case study approach. Data collection was carried out in December 2018 until May 2019 at Ken Saras Hospital. Result: The results showed that the SIB technique had several advantages, among others: better radiation conformity and able to minimize OAR doses. This is proven by obtaining doses which mostly meet ICRU standards. While for OAR doses it also meets quantec tolerance standards, except the right lung at a dose of 2000 cGy the volume exceeds 30%, which is equal to 34.55%. But the dosage according to the doctor's consideration is still said to be safe. Conclutions: The external radiotheraphy procedure including consulting a doctor, taking CT Simulator data, TPS, verification and treatment. Strengths of the SIB technique: Better irradiation conformity, suppressing OAR doses, reducing toxicity to the skin, only requiring one planning and allowing dose calculation in one planning
ANALISIS INFORMASI CITRA ANATOMI MSCT THORAX DENGAN KASUS EFUSI PLEURA KANKER PARU PADA WINDOW MEDIASTINUM POST KONTRAS MENGGUNAKAN VARIASI NILAI WINDOW WIDTH Tri Puji Hastuti; Yeti Kartikasari; Bagus Abimanyu; Nanang Sulaksono
Jurnal Imejing Diagnostik (JImeD) Vol 6, No 1: January 2020
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v6i1.5562

Abstract

Background: Malignancy of lung cancer is the biggest cause of pleural effusion. To diagnose lung cancer pleural effusion, a thorax MSCT can be examined. The MSCT parameter that affects image contrast is window width. The purpose of this study was to determine the differences in the anatomical information of thorax MSCT images in the post contrast mediastinal window to the use of window width range 350-600 HU values in cases of lung cancer pleural effusion, and to determine the appropriate window width value to obtain optimal anatomic image information on Thorax MSCT in cases of lung cancer pleural effusion.Methods: This type of research is quasi experimental. The research was conducted at the Radiology Installation of the Dr. Moewardi Hospital. The data were 60 images of the post contrast mediastinal window thorax MSCT axial slice from 10 patients with 6 window width variations (350 HU, 400 HU, 450 HU, 500 HU, 550 HU, 600 HU). An image assessment was conducted by 3 respondents regarding the resulting of 5 anatomical information. Data analysis used Friedman statistical test.Results: The results showed that there was a difference in the anatomical information of the thorax MSCT in the post contrast mediastinal window to the window width variation in cases of lung cancer pleural effusion with a significance level of p value 0,000 (ρ 0.05). Differences in anatomical image information occur in the anatomy of the aorta, limits of pleural effusion with lesions and clarity of lesions, where as there is no difference in anatomy of the right and left primary bronchus. The optimal use of the window width value for thorax MSCT in the post contrast mediastinal window cases of lung cancer pleural effusion is WW 350 HU with a rank value of 4.61.Conclusions: This study shows that the use of 350 HU window width produces better anatomical image information than the use of other window widths in the case of pleural effusion of lung cancer.
Perbandingan Informasi Citra Potongan Axial T2 Antara Turbo Spin Echo (TSE) Dengan Half-Fourier Aquisition Single-Shot Turbo Spin Echo (HASTE) Pada Pemeriksaan Magnetic Resonance Cholangiopancreatography (MRCP) Adilfi Amalia Yuniar; Dartini Dartini; Rasyid Rasyid; Bagus Dwi Handoko; Nanang Sulaksono
Jurnal Imejing Diagnostik (JImeD) Vol 7, No 2: JULY 2021
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v7i2.7464

Abstract

Backgroud: MRCP is a non-invasive imaging examination, which is used for the evaluation of biliary tract, pancreatic duct, and gallbladder. Pulse sequences which can be used to visualize organs in MRCP on T2 weighting is using a fast pulse sequences such as sequences TSE or Haste. The purpose of this research was to knowing the difference image information between T2 axial TSE with Haste and where better to use between the two sequences on axial T2 MRCP examination.Methods: This type of research is experimental observational approach, it has been carried out in the best MRI 1.5 Tesla at RSU Haji Surabaya. Sample used were 5 patients. Each patient performed two pieces of axial T2 sequences in which the TSE and Haste. Furthermore, the image submitted to the three doctors radiologist to fill out a questionnaire that has been provided to assess the image consisting of the liver, gallbladder, common bile duct (CBD), pancreas, intrahepatic duct and an assessment of the artifacts.Results: The results of analytical assessment Wilcoxon test, for the entire anatomy with ρ value of 0.002 which means that ρ 0.05, and the artifacts show the ρ value of 0.006, which means ρ 0.05. This proves that there are differences in image information between T2 axial TSE with T2 axial Haste the MRCP examination. At each of anatomy, liver has ρ value of 0,071 (ρ 0.05), gallbladder has ρ value of 0.317 (ρ 0.05), CBD has ρ value of 0.003 (ρ 0.05), pancreas has ρ value of  0.014 (ρ 0.05) and intrahepatic duct has ρ value of 0.004  (ρ 0.05). Based on the mean rank statistical test results show sequence Haste better in generating image information on the whole anatomy, but in each of anatomy based on the mean rank of gallbladder both sequences are equally good in showing gallbladder, whereas to display the liver, CBD, pancreas, and intrahepatic duct, the results showed T2 Haste mean rank better, it is because it has the characteristics of high Haste T2 signal intensity and better in reducing motion artifacts.Conclusion: Wilcoxon test analysis results expressed Ha accepted, meaning that there is a difference between the image information pieces axial T2 TSE with Haste the MRCP examination. The mean rank shows Haste superior to TSE, this is because the artifacts on TSE and therefore contributes to the respondent's assessment, other than that Haste has a high signal intensity so that it can show more clearly ducts.
Co-Authors Adilfi Amalia Yuniar Agustina Dwi Prastanti Amelia Rizqi Utami Ardani Ardani Ary Kurniawati Bagus Abimanyu Bagus Dwi Handoko Dartini Dartini Edy Susanto Hermina Sukmaningtyas Jeffri Ardiyanto Mami Dwi Yan Muhammad Izzudin Rasyid Rasyid Rosy Amelia Azhari Sigit Wijokongko Sri Mulyati Suryono Suryono Tri Puji Hastuti Vederica Farida Candra Yeti Kartikasari