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All Journal LINK Jurnal Riset Kesehatan Jurnal Imejing Diagnostik Jurnal Rekam Medis dan Informasi Kesehatan Jurnal Manajemen Informasi Kesehatan Indonesia (JMIKI) Journal of Applied Health Management and Technology Jurnal Radiografer Indonesia Journal of Social Research International Journal of Health Science and Technology

Siti Masrochah

Poltekkes Kemenkes Semarang

Author-ID : 3064167

Humanities Computer Science & IT Economics, Econometrics & Finance Education Engineering Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences

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PROCEDURE OF MULTI SLICE COMPUTED TOMOGRAPHY (MSCT) THORAX EXAMINATION USING POSITIVE CONTRAST MEDIA WITH BREAST CANCER CASE Janita Limbong, Rosari; Masrochah, Siti; Sulaksono, Nanang
JRI (Jurnal Radiografer Indonesia) Vol. 4 No. 1 (2021)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Background: The protocol for MSCT Thorax examination is axial/coronal/sagittal. The slice thickness parameter has an important role in examining MSCT Thorax in breast cancer cases using contrast media. The thinner the slice thickness, the better the detailed image obtained. The aim of this study is to explain the MSCT Thorax examination procedure in breast cancer cases using positive contrast media, the role of slice thickness in diagnosis and to find out diagnostic information on the MSCT Thorax examination in cancer cases breast. Methods: This type of research is qualitative with a literature study approach. The data were obtained by identifying the problem then looking for keywords, namely MSCT Thorax, Slice thickness, breast cancer. Literature reviews are carried out through journal search engine searches, such as: Google Scholar, American Journal Rontgenology (AJR), Pubmed, Proquest. The collected journals are reduced based on inclusion criteria so that 3 relevant journals are obtained then analyzed descriptively so that they can answer the objectives to be drawn conclusions. Results: The results of a literature study show that the MSCT Thorax examination procedure in cases of breast cancer using contrast media is fasting 6 hours before the examination, laboratory checks (urea cratinin within normal limits), releasing all metals in the body, CT scan plane, fixation tools, blankets. , contrast media, injector set. Conclusion: Contrast media dosage 1-2 ml / kg body weight, flow rate 2-4 ml / s, concentration 300-350 mgl / ml, patient position supine feet first, upper limit of lung Apex and lower limit of diaphragm (depending on needs), axial cut, coronal, sagittal, the parameters used were kV, mAs, slice thickness, matrix, WW, WL. A thin slice thickness will provide more accurate diagnostic information and a clear picture of metastases and small lesions can be seen.

Fixation Design Device On Child Support Radiographs Patient Safety and Safety Radiation Siti Masrochah; Yeti Kartikasari; Ardi Soesilo Wibowo
Jurnal Riset Kesehatan Vol 2, No 1 (2013): Januari 2013
Publisher : Poltekkes Kemenkes Semarang

This research is a descriptive exploratory. The procedure is done by designing data collection tools, further trials with 20 samples. Function test results aids fixation is to have an average score of 2.66, which means good. While the test results for each component, the majority of respondents stated that the reliability of the device is quite good with a score of 2.45 (60%), convenience tool with a score of 2.60 (70%), quality of the radiographs with a score 2.55 (85%), the child protection (security) with a score of 2.70 (70%), good design aesthetic design with a score of 2.80 (80%), addition of radiation from the others on the use of these tools do not need with a score of 2.80 (80%), and there is no additional radiation due to repetitions with a score of 2.85 (90%).

SISTEM INFORMASI PEMANTAUAN KEJADIAN LUAR BIASA (KLB) DEMAM BERDARAH BERBASIS GEOGRAPHIC INFORMATION SYSTEM (GIS) DI KOTA SEMARANG Siti Masrochah; Edy Susanto; Irmawati Irmawati
Jurnal Riset Kesehatan Vol 5, No 2 (2016): NOVEMBER 2016
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jrk.v5i2.798

Penelitian ini merupakan penelitian eksperimen dengan pendekatan eksplorasi perancangan. Metode yang digunakan pada pengembangan sistem informasi ini adalah dengan menggunakan FAST yang dimulai dari studi pendahuluan, analisis kebutuhan, pengembangan sistem, penyusunan perangkat lunak dan evaluasi sistem yang telah dirancang. Pendekatan untuk pengambilan data dilakukan dengan observasi, wawancara maupun Focus Group Discussion (FGD). Analisis data dilakukan dengan melihat skor akhir penilaian responden terhadap kinerja sistem informasi yang telah dinilai responden. Hasil penelitian menghasilkan suatu sistem informasi tentang surveilens Kejadian Luar Biasa (KLB). Penyakit yang berbasis Geographic Information System (GIS), dan terpadu dengan basis data yang di entri berdasarkan formulir W2 di Puskesmas maupun Rumah Sakit. Informasi yang dihasilkan dapat menunjukkan adanya peta lokasi kejadian KLB disertai dengan indikator warna sebagai tanda peringatan yang meliputi hijau menandakan aman, kuning menandakan adanya tanda-tanda KLB, dan merah sebagai indikasi KLB Demam berdarah maupun penyakit lainnya. Sistem informasi juga dapat menampilkan analisis KLB yang telah terjadi, dan dilengkapi analisis deskriptif. Hasil Evaluasi sistem yang diperoleh memiliki kelebihan dibanding dengan pemantauan manual, dikarenakan sistem telah dikembangkan berbasis web, sehingga berfungsi secara multi user dan mempercepat kompilasi data, sehingga memudahkan pengguna untuk melakukan pemantauan kejadian Luar Biasa (KLB) Penyakit tertentu, termasuk demam berdarah.

Teknik Pemeriksaan Kedokteran Nuklir Bone Scan di Instalasi Radiologi RSUP Dr. Kariadi Semarang Nanik Sudaryatmi; Siti Masrochah; Muhammad Erfansyah
Jurnal Imejing Diagnostik (JImeD) Vol 7, No 1: JANUARY 2021
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v7i1.6657

Background: A bone scan or commonly referred to as bone print is nuclear medicine examination using a radioactive substance or radiopharmaceutical that is inserted into the body through intravenous injection which aims to help diagnose abnormalities that occur in the bone. This imaging procedure uses a radiopharmaceutical 99mTc-MDP (methylenediphosphonate) is the most commonly used radiopharmaceutical.Methods: The patient will be injected with this radiopharmaceutical at a dose of 15-20 mCi, through the vein in the hand. Imaging can be done as soon as the radiopharmaceutical is injected or after a while to wait for the radiopharmaceutical to be distributed and absorbed by the bone, about 3-5 hours later. Imaging is done by three-phase method, namely the first phase (Vascular phase), the second phase (Blood Pool phase), and the third phase (Total body phase) l.Results: The bone scan method is an efficient examination because in 1x the imaging can provide a complete picture from the head to the foot. Evaluation of results, under normal conditions the distribution of radioactivity in the bone appears symmetrical.Conclusion: In the process of bone metastasis, it can be seen that typical pathological radioactivity can be multiple (multiple hot spots). Malignant tumors can be distinguished from benign tumors by blood pool examination.

Analisis Informasi Anatomi Dengan dan Tanpa Parallel Acquisition Technique Menggunakan Sekuen 2D Thick Slab Single Shot Fast Spin Echo pada Pemeriksaan Magnetic Resonance Cholangiopancreatography (MRCP) Rismawati Dian Aretnasih; Lidya Purna WS Kuntjoro; Siti Masrochah
Jurnal Imejing Diagnostik (JImeD) Vol 1, No 2: July 2015
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v1i2.3158

Backgroud: 2D thick slab single shot fast spin echo (SSFSE) sequence in MRCP examination is a sequence of fast spin echo (FSE) which has a long turbo factor so that the time of acquisition in this sequence is longer than usual that will potentially cause image blurring. Parallel acquisition or SENSE technique is a technique used to reduce acquisition time and improve spatial resolution. The purpose of this study was to determine differences in anatomical information with and without parallel acquisition technique in 2D thick slab SSFSE sequences on MRCP examination.Methods: This research was an experimental study. This research was conducted by Philips 1.5 T MRI unit in dr. S Hardjolukito Yogyakarta Hospital. Data were 20 MRCP images from 10 normal volunteers with and without parallel acquisition technique on sequences of 2D thick slab SSFSE. Assessment of the images was conducted qualitatively in the form of respondents's assessment of the clearance of anatomical information includes the gallbladder, right hepatic duct, left hepatic duct, common bile duct, common hepatic duct, cystic duct, and the main pancreatic duct. Quantitative data analyzed by Cohen's Kappa test, cross tabulation, and Wilcoxon tests.Results: The result showed that there was a difference between the clearance of the overall anatomical information between 2D thick slab SSFSE sequences with and without parallel acquisition technique in MRCP with p = 0.000 (p-value 0.05), based on the mean rank obtained sequences of 2D thick slab SSFSE SENSE (14.50) better than the 2D thick slab SSFSE (0.00). Analysis of each anatomy showed significant differences in all organs except the gallbladder p = 0.059, p = left hepatic duct and the common bile duct 0.059 with p = 0.08.Conclusion: Parallel acquisition technique (SENSE) was well used because it has a faster acquisition time without decreasing image resolution.

Analisa Informasi Citra MRI Cervical Potongan Sagital Pada Variasi Nilai Time Repetition (TR) Dengan Sekuens Short Tau Inversion Recovery (STIR) Siti Masrochah; Fatimah Fatimah; Nurdianty Yunitaningrum
Jurnal Imejing Diagnostik (JImeD) Vol 6, No 2: JULY 2020
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v6i2.5822

Background: STIR sequences used in the cervical spine due to the cervical spine is surrounded by lots of fluids and fat, to reinforce the picture of the cervical spine. According to Braun in 2003, TR on STIR used is 4000 ms. Meanwhile, according to Erika J. Ulbribh in 2011, TR on STIR sequences was used that 4860 ms. Based on the writer's observation in several hospitals with the same flight characteristics, the value of TR on STIR sequences different - different. At one hospital using TR 5000 ms, then at other hospitals using the TR 3000 ms. TR value is used based on the theory of 2000 ms.Methods: This research is a quantitative study with an experimental approach. Data were collected from May to June 2016 in the. The subjects of this study are volunteers by using a variation of the value of Time Repetition. It is caused during data capture none of the patients with the diagnosis of the lesion or tumour. image of five variations Repetition Time value is 4090 ms, 5190 ms, 6290 ms, 7390 ms and 8490 ms. Selection of variation based on the value of TR used.Results: From the statistical test result known that There are differences in image information MRI Cervical on the variation of the Time Repetition 4090 ms, TR 5190 ms, TR 6290 ms, TR 7390 ms, and TR 8490 ms to the value of ρ value of 0.000 (ρ 0, 05).That is because Repetition Time (TR) sequences Inversion Recovery (IR) should be long enough to provide opportunities so that Net Magnetization Vectors (NMV) can be in full recovery before the next 180 RF pulse inversion. If TR is too short then each network will be recovery with different levels which will ultimately affect the weighting (weighting) is generated.Conclusion: There are differences in Cervical MRI image information on the variation of the value of 4090 ms Repetition Time, TR 5190 ms, TR 6290 ms, TR 7390 ms, and TR 8490 ms to the value of ρ value of 0.000 (ρ 0.05).

Analisis Determinan Kesehatan Terhadap Kepatuhan Pemakaian Alat Pelindung Diri (Proteksi Radiasi) Bagi Radiografer di Wilayah Pasuruan Dan Sidoarjo Handi Sumarsono; Nur Wijayanti; Siti Masrochah
Jurnal Imejing Diagnostik (JImeD) Vol 8, No 1: JANUARY 2022
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v8i1.8076

Background: Hospitals in Pasuruan and Sidoarjo are Covid-19 referral hospitals that are very at risk of occupational infections for officers. Radiographer are workers who have more direct contact with patients, therefore nurses must apply the use of Personal Protective Equipment (APD) following the Standard Operating Procedure (SOP). The purpose of the study was to analyze the influence of health determinants (supervision, self-efficacy, and work culture) on compliance with the use of personal protective equipment (radiation protection) for radiographers in the Pasuruan and Sidoarjo regions.Methods: Design observational research with a cross-sectional approach. The population of all radiographers in the Pasuruan and Sidoarjo is 100 people. Sampled all 100 radiographers with total sampling techniques. Independent variables of supervision, self-efficacy, and work culture. Variable dependent compliance with the use of personal protective equipment (radiation protection) for radiographers.Results: The results showed there was an influence of radiographer surveillance patterns on compliance with the use of personal protective equipment (radiation protection) for radiographers (p-value 0.000), there was an effect of radiographer self-efficacy on compliance with the use of personal protective equipment (radiation protection) for radiographers (p-value 0.000), there was the influence of radiographer work culture on compliance with the use of personal protective equipment (radiation protection) for radiographers (p-value 0.000).Conclusions: Supervision, self-efficacy, and work culture are among the factors that significantly influence radiographer adherence to the use of PPE. The hope is that by having a good knowledge of K3, nurses will be more obedient to protection as prevention of infection transmission.

Analisis Informasi Citra Anatomi Pemeriksaan MRI Shoulder Joint antara Posisi Pasien Netral dan “Abduction and External Rotation” Menggunakan Sekuen Gradient Echo T2* Rini Indrati; Siti Masrochah; Made Nia Cahya Dewi
Jurnal Imejing Diagnostik (JImeD) Vol 3, No 2: July 2017
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v3i2.3195

Background : Has conducted a study of differences in anatomical image information on sequences Gradient Echo T2* to the neutral position and the Abduction and External Rotation in Radiology Panti Rapih Yogyakarta Hospital. Abduction and External Rotation positions are positions that obtained when the patient is in the supine position with the hands under the head, resulting in external rotation and abduction of the humerus. This position is useful to show the subtle picture of the infraspinatus tendon and anterior labrum is normal and can detect abnormalities of the rotator cuff. The neutral position is a position that is obtained when the patient supine with the shoulder and arm parallel to the body with a neutral or slightly towards the external rotation. The purpose of this study is to determine the difference and which one is a better position to produce anatomical image information between sequences Gradient Echo T2* with a neutral position and Abduction and External Rotation MRI of shoulder joint.Methods : This research is a quantitative research with experimental approach. The study was conducted at Radiology Installation Panti Rapih Yogyakarta Hospital, the data in the form of 10 image sequences Gradient Echo T2* use a neutral position and 10 image sequences Gradient Echo T2* use position Abduction and External Rotation MRI of shoulder joint of 10 volunteers. Ratings are subjective images of the two respondents include the glenoid labrum, rotator cuff, joint space, border line and fluid in accordance with the level of clarity. Analysis of the data from the second respondent in kappa test (Realibility inter observer) to determine the level of common perception (measure of agreement) of the respondents after the data is selected from one of the respondents and the wilcoxon test for the presence or no difference between the two positions.Result : Results wilcoxon test in this study expressed a significant difference between the neutral position and the position of Abduction and External Rotation in total one image (the value of ρ 0.001), and percriteria namely the glenoid labrum (value ρ: 0,025), rotator cuff (the value of ρ: 0,008 ), joint space (value ρ: 0,025), borderline (value ρ: 0,005), and fluid (value ρ: 0,014), of the value of ρ total of one image with a value of ρ percriteria can be concluded that the sequences Gradient Echo T2 * use position Abduction and External Rotation can generate image information of shoulder joint anatomical MRI better than on sequences Gradient Echo T2* use a neutral position.Conclusion : There was a significant difference in the overall image information between the Gradient Echo T2* sequences using neutral position and Abduction and External Rotation position in total image with a p-value of 0.001 (p0.05).

PEMERIKSAAN MRI PELVIS DENGAN MENGGUNAKAN ULTRASONIC GEL PADA KASUS ENDOMETRIOSIS DI INSTALASI RADIOLOGI MAYAPADA HOSPITAL JAKARTA SELATAN Legif Leboka Sepra; Siti Masrochah; Bagus Abimanyu
Jurnal Imejing Diagnostik (JImeD) Vol 5, No 2: July 2019
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v5i2.4474

Introduction: Pelvic MRI examination in endometriosis cases does not theoretically use an ultrasonic gel that is inserted into the vagina and rectum, but also for sequences used without using the T1 sequence. Sagittal cut fat suppression. Radiology Installation Mayapada Hospital, South Jakarta for Pelvic MRI examination with Endometriosis cases using Gel and T1_SPIR sequences from these differences the authors are interested in exploring information about Pelvic MRI examination in Endometriosis cases at Radiology Installation Mayapada Hospital, South Jakarta with the aim of knowing the role of gel and sequencing of T1_SPIR Sagittal pieces.Method: This type of research is qualitative research with a case study approach. The method of data collection is done by observation, in-depth interviews with radiographers, radiology specialists and sending doctors and documentation. Data analysis is done by an interactive model, then the data is presented in the form of the narrative text so that conclusions can be drawn.Results: The results showed that Pelvic MRI examination using Ultrasonic Gel in Endometriosis Cases in Mayapada Hospital Radiology Installation in South Jakarta used ultrasonic gel in the 50cc and 150cc vaginal organs, the sequences used were: T2W_TSE, T2W_SPIR, T1_SPIR, T1W, T2_FFE on Sagittal snippets, T2W_TSE, T2W_SPAIR, T1W_SPIR on coronal chunks, T1W_TSE, T1W_TSE_SPIR, T2W_TSE on axial chunks and DWI_3b_RT SENSE on axial chunks and SSh_URETER. The reason for using ultrasonic gel on MRI examination in the Pelvis at the Mayapada Hospital Jakarta Radiology Installation is to see a clear difference between normal tissue and pathological tissue and expressly demarcate organ boundaries and play a role in widening the vaginal cavity and rectum. The reason for adding the sagittal cut T1_SPIR sequence in the case of Endometriosis at the Mayapada Hospital Radiology Installation in South Jakarta is to show lesions suspected of blood or other intensity and to ensure bleeding.

Efek Radiasi terhadap Perubahan Jumlah Leukosit dan Eritrosit pada Pasien Kanker Payudara Sebelum dan Setelah Radioterapi Agustina Dwi Prastanti; Sri Wahyuni; Siti Masrochah
Jurnal Imejing Diagnostik (JImeD) Vol 2, No 1: January 2016
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v2i1.3169

Background: Breast cancer is second cancer after a lung cancer as a cause of death from cancer in women. Breast cancer patients underwent radiotherapy using Co-60 with a total dose of 50 Gy and fractionated doses 2 Gy/day. Ionizing radiation takes a bad affect blood cells (leucocytes and erythrocytes). The purpose of this research to find out the changing in the number of leukocytes and erythrocytes in breast cancer patients who underwent radiotherapy.Methods: The research uses the quantitative method with survey approach. Samples size in this research is 30 women who had breast cancer stage III. The independent variable of this research is radiotherapy treatment with Co-60, with 50 Gy total dose and fractionated dose about 2 Gy with 5 times in one week. The dependent variable in this research is the changing in the number of leucocytes and erythrocytes before irradiation, after 5 times irradiation and after 10 times irradiation. Data analyze used statistical with a comparative method to take a result.Results: The results have found the average number of leucocytes in breast cancer patients before radiotherapy ±6,41 thousand/µL after the irradiation 5 times decrease to ±5,38 thousand/µL and after the irradiation, 10 times decrease to ±4,50 thousand/µL. The average number of erythrocytes in breast cancer patients before radiotherapy ±4,50 million/µL, after the irradiation 5 times decrease to ±4,17 million/µL and after the irradiation 10 times to decrease to ±3.90 million/µL. Based on the statistical test, the results have found significant value 0,000 0.05, then Ha is accepted. It means there are changes in the number of leucocytes and erythrocytes in breast cancer patients before and after radiotherapy.Conclusion: Leukocyte levels change is a decline of 1:03 thousand / mL or at 16:07%. Whereas after irradiation with 5 times to 10 times after irradiation decreased by 0.88 thousand / mL or 16:36%. Erythrocyte levels change is a decline of 0:33 million / mL or at 7:33%. Whereas after irradiation with 5 times to 10 times after irradiation decreased by 0:27 million / mL or 5:04%

Co-Authors Agustina Dwi Prastanti Aisyah Amalia Dewita Rachmani Ardi Soesilo Wibowo Arie Soewondo Ary Indra Wicaksono Ary Kurniawati Ary Kurniawati Atin Nikmawati Ayu Mahanani Bagus Abimanyu Darmini Darmini Darmini Darmini Dimas Prakoso Donny Kristanto Mulyantoro Dwi Rochmayanti Dwi Rochmayanti Edy Susanto Edy Susanto Emi Murniati Farid Agusyahbana Fatimah Fatimah Fatimah Fatimah Fitri Agustina Fransisca Palupi Julanita Handi Sumarsono Hengky Saefulloh Indah Naryanti Irmawati Irmawati Irwan Katili J. Sudin Surbakti Janita Limbong, Rosari Jannah, Marichatul Jeffri Ardiyanto Legif Leboka Sepra Leny Latifah Lidya Purna WS Kuntjoro Lina Umboro Setyowati Luthfi Rusyadi Lydia Purna W.S.K M.Irwan Katili Made Nia Cahya Dewi Mahanani, Ayu Maizza Nadia Putri Maria Ermelinda Teme Muhammad Erfansyah Muhammad Nui Nanang Sulaksono, Nanang Nanik Sudaryatmi Nanik Sudaryatmi Novelsa Chintya Prabawati Nur Wijayanti Nurdianty Yunitaningrum Rasyid Rasyid Retno Wati Rinda Yuliana Lestar Rini Indrati Rini Indrati Rini Indrati Rismawati Dian Aretnasih Rizky Dika Hermawan Sagita Yudha Setya - Wijayanta Simeon Alfredo Tabe Doa Siti Daryati Soesilo Ardi Wibowo Sri Mulyati Sri Mulyati Sri Mulyati Sri Wahyuni Subinarto . Subinarto Subinarto Suharyo Hadisaputro Hadisaputro Syahara Listyawan Tezar Ridho Ramadhani Wati, Retno Yeti Kartikasari Yeti Kartikasari Yeti Kartikasari Yeti Kartikasari Yeti Kartikasari, Yeti

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