Siti Masrochah
Poltekkes Kemenkes Semarang

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Journal : Jurnal Imejing Diagnostik

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

Abstract

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.
DIFFERENCES IMAGE QUALITY OF SIGNAL TO NOISE RATIO (SNR) IN SENSITIVITY ENCODING (SENSE) APPLIED ON MAGNETIC RESONANCE CHOLANGIOPANCREATOGRAPHY (MRCP) EXAMINATION SEQUENCES TSE T2 CORONAL Hengky Saefulloh; Siti Masrochah; Fatimah Fatimah
Jurnal Imejing Diagnostik (JImeD) Vol 4, No 2: July 2018
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v4i2.4003

Abstract

Background : Magnetic Resonance Cholangiopancreatography (MRCP) is a non invasive imaging examinations, which are used to evaluate the tractus billiaris, pancreatic ducts and gall bladder. In the last decade, one way to lower the scan time is with the method of parallel imaging. Parallel imaging has a basic function is the reduction of the time of the scan, as well as maintain the contrast of the image without the need for a system of higher performance gradients. Reduction of scan time in parallel imaging has some benefits. First, it is very useful for sequences that depends on the scanning time is short as a single breath hold. Second, the overall inspection time can be reduced, especially in patients with complaints of pain are great at certain positions such as pain when lying down, in patients of children or in cases of civil defence emergency. Breath hold itself has the purpose to avoid the image of the blur of movement organs. When breathing there is movement of the thoracic and abdominal organs in the cavum. However, the characteristics of each person has different breath hold. When the patient's breath hold insufficient at the time scanning takes place then the resulting image results become less than optimal and may cause artifacts in the picture. The scanning time on the MRCP examination sequences long enough to cause patients to press the emergency buzzer, this caused the patient to feel less comfortable at the time of the examination to take place, and the resulting examination in repeated from the beginning. Therefore researchers wanted to apply the technique of parallel imaging in examination of MRCP on T2 Coronal because of parallel imaging has benefits that are very useful for sequences that depends on the scanning time is short like a breath hold.Methods : This type of research is research experiments. This research was conducted on MRI 1.5 Tesla in Hospitals Tarakan from Jakarta and carried out in 8 volunteers. The results of the performed image ROI value to get SNR, ROI was performed on the area of the right hepatic duct, left hepatic duct, gall bladder, common bile duct and cystic duct so the obtained average value for signal compared to the ROI on background (standard deviation noise). Data analysis was done by using different test with a test of T-test to tell the difference between the use of SENSE against SNR.Results : The results of the calculation of the value of the average SNR of image sequence, MRCP Sequences TSE T2 Coronal without the SENSE on the anatomy of the right hepatic ductus 54.49; left hepatic ductus 55.54; gall bladder 91.07; the common bile duct 68.94 and cystic duct 60.46. While the value of SNR in image sequence, MRCP Sequences TSE T2 Coronal TSE that use the SENSE on the anatomy of the right hepatic duct 45.77; left duct heatic 46.88; gall bladder 77.87; the common bile duct 60.72 and cystic duct 50.58Scan time difference that is the average value of the scan time on Coronal T2 TSE piece sequences without SENSE for 1 minute 32 seconds while in the Coronal T2 TSE piece sequences using SENSE during 49 seconds or reduced by 46.7% compared with sequences TSE standards without SENSE on examination MRCP T2 Coronal.Conclusion : Based on the results of the study explains that there is a difference between the use of SENSE against SNR in the T2 Coronal TSE sequence in MRCP examination with the highest level of the overall significance of the p-value 0.05. On the use of SENSE decline SNR but scan time becomes shorter 46,7% compared with no use of SENSE
THE DIFFERENCE OF ANATOMICAL INFORMATION AND IMAGE QUALITY OF NASOPHARYNX CARCINOMA CT SCAN WITH SLICE THICKNESS VARIATION ON AXIAL SLICE IN RSUD DR MOEWARDI SURAKARTA Aisyah Amalia Dewita Rachmani; Siti Masrochah; Sri Mulyati
Jurnal Imejing Diagnostik (JImeD) Vol 4, No 2: July 2018
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v4i2.3992

Abstract

Background : The use of Slice thickness examination of nasopharyngeal CT based on theory (Seeram, 2001) using 3 mm and according (Ballinger, 2010) using 5 mm, while in hospital Dr. Moewardi Surakarta the slice thickness used is 5 mm according to theory and 7 mm based on the radiographer. The purpose of this research is to know the difference of anatomical information and image quality of CT scan of nasopharynx of carcinoma case and to know the slice thickness that produces anatomical information and the best image quality CT Scan nasopharynx case carcinoma.Method : The type of research is a quantitative with experimental approach. The data were obtained from 10 nasopharynx CT patients with carcinoma using variations of slice thickness 3 mm, 5 mm, and 7 mm. The assesment of anatomical information and image quality by spreading questionnaire at 3 doctor radiolog. Data were tested with Shapiro Wilk for normality data, then friedman test. To determine the optimal slice thickness using descriptive mean rank test.Results : The results showed that there were differences in anatomical information and image quality of nasopharyngeal CT scan of axial slice using slice thickness. The probability value of this study is p value = 0,000 (0,05). Optimal slice thickness on nasopharyngeal CT scan for anatomical information using slice thickness of 5 mm with the highest mean rank of 2.61 and for viewing image quality it is best to use slice thickness of 7 mm with a mean rank of 3.00.Conclusion : There are differences in anatomical information and image quality on nasopharynx CT scans of carcinoma cases using slice thickness variations. The optimal slice thickness is 5 mm slice thickness to anatomical information and the optimal slice thickness is 7 mm  to quality image.
TEKNIK PEMERIKSAAN KEDOKTERAN NUKLIR SIDIK TIROID DI INSTALASI RADIOLOGI RSUP DR. KARIADI SEMARANG Nanik Sudaryatmi; Siti Masrochah; Rasyid Rasyid
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.v6i1.5567

Abstract

Background: Examination of thyroid scintigraphy or thyroid gland scintigraphy is a nuclear medicine examination using radioactive substances or radiopharmaceuticals that are inserted into the body through intravenous injections which aim to obtain functional morphological imaging of the thyroid and to assess the ability of the thyroid gland to capture radioactive substances or radiopharma-ceuticals.Methods: This imaging prosedure using Tc-99m (Technisium-99m) radiopharmaceuticals as much as 2-5 mCi. To get maximum results, patients are asked to stop taking drugs that can interfere with iodine accumulation in the thyroid gland.Results: Imaging was carried out 10-15 minutes after injection of the radiopharmaceutical. Marked with the thyroid cartigalo, jugulum and surgical sutures. The scanning process lasts for 5-10 minutes.Conclusions: The imaging results of hot nodules are generally identical to autonomic thyroid nodules, about 10-30% of cold nodules are found in the thyroid malignancy process while the rest are thyroid cysts.
Metode Pengukuran Volume Perdarahan Pemeriksaan MSCT Kepala pada Kasus Intraserebral Hemmorhage Siti Masrochah; Rinda Yuliana Lestar; Luthfi Rusyadi
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.v7i1.6612

Abstract

Background: Intracerebral hemorrhage is bleeding in the brain parenchyma. An accurate measurement of bleeding volume to determine the appropriate medical action. This study to determine the method of measuring the volume of intracerebral hemorrhage in MSCT examination of the head and determine the advantages and disadvantages between the manual method (Broderick, ABC's, Ellipsoid) and the software method (automatic volume, otsu).Methods: This type of descriptive qualitative research with the Literature Review. Data obtained by identifying problems then searching for keywords, looking for several journals sourced from databases such as Google Scholar, Science Direct, Springer. Data analysis by studying theoretically the method of measuring the volume of bleeding methods manually (Broderick, ABC’s, ellipsoid) and using software methods (automatic volume, otsu).Results: The results of measuring the volume of bleeding in the same patient with the manual method (Broderick) produce more bleeding volume (overestimate) that is 8750 mm3 from the 7960 mm3 automatic volume method. The manual method (Broderick, ABC’s, Ellipsoid) uses the ABC / 2 formula and uses 5 mm slice thickness, the automatic volume software method uses 1 mm slice thickness segmentation and technique, while the otsu software method uses 2.5 mm segmentation and slice thickness techniques.Conclusion: The advantages of the manual method (Broderick, ABC’s, ellipsoid) take approximately 1 minute to determine the estimated outcome of the bleeding volume, the weakness is higher in irregular bleeding. The advantages of the software method (automatic volume, otsu) in the use of precise segmentation techniques for accurate volume results, weaknesses are too long in determining the estimated bleeding volume results.
Teknik Penyinaran Radioterapi Tiga Dimensi (3D) pada Pasien dengan Kasus Kanker Sarkoma Sinovial di Unit Radioterapi Instalasi Radiologi RSUP dr. Kariadi Semarang Rizky Dika Hermawan; Siti Masrochah; Fatimah Fatimah
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.v7i2.7472

Abstract

Background: Synovial sarcoma is a neoplasm that is clinically, morphologically, and genetically distinct. This spindle cell tumor shows epithelial differentiation that is not constant. Radiotherapy is one of the modes of treatment for synovial sarcoma cancer by using ionizing rays to kill or eliminate (eradicate) all cancer cells in the tissue. The goal of radiotherapy (radiation therapy) is to provide the required number of radiation doses precisely to the radiation target area without damaging the surrounding healthy tissue.Methods: The type of research used is an observational approach. With the patient object the remaining palmar synovial sarcoma. Data collection was carried out by direct observation of the patient. Data analysis was carried out by collecting data and documents, then drawing conclusions.Results: 3D irradiation technique in patients with synovial sarcoma cases at Dr. Kariadi Semarang is the administration of patient registration and doctor's examination with a plan of administering a total dose of 40 Gy with fractionation of 2 Gy per day and superficial brachytherapy or 30 gy electron. Making prints and checking the ct scan in the area of the hand then calculating the doctor and calculating tps. Verification of the ap field and then irradiating at an angle of PA (180º), AP (0º)Conclusion: 3D irradiation technique in patients with synovial sarcoma cases at Dr. Kariadi Semarang is patient administration, radiation planning, making molding and ct scan, contouring and tps calculations then doing field leverage and irradiation.
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

Abstract

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.
IMAGE INFORMATION VALUE OF VARIATION ANALYSIS VALUE SENSITIVIY ENCHODING (SENSE) USING T2 WEIGHTED TURBO BALANCE FIELD ECHO (BTFE) SEQUENCE IN THE MRCP IN RADIOLOGICAL INSTALLATION SILOAM HOSPITAL SURABAYA Ary Indra Wicaksono; Emi Murniati; Siti Masrochah
Jurnal Imejing Diagnostik (JImeD) Vol 4, No 2: July 2018
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v4i2.3994

Abstract

Background : MRCP is an examination used to evaluate the system billiary, pancreas and gall bladder with channel because of the possible presence of stones, tumors and other diseases. To diagnose the MRCP examination,one sequence in use is T2 weighted Turbo Field Echo Balance (T2W BTFE) which in its parameters No Sensitivity Enchoding (SENSE). The purpose of this study was to determine the Information analysis Anatomical differences with variation of Sensitivity Encoding (SENSE) on T2-weighted sequences BTFE the MRCP examination, And to investigate value Sensitivity Encoding (SENSE) optimal T2-weighted sequences BTFE the MRCP examination.Methods : The method of this research is experimental with approach quasi-experimental design with control. This research is done in Siloam Hospital Surabaya. MRCP image data in the form of axial 40 of the 10 patients with 4 variation of Sensitivity Encoding (SENSE), which are 1.4, 1.6, 1.8, and 2. Assessment of information image data done by 3 respondents. Analysing process done with Friedman test.Results : The results showed that there MRCP image information differences with variation in sensitivity encoding (SENSE) on T2-weighted sequences BTFE with a significance level of p value 0.001. Differences in image information occurs in liver, Gall Blader, Pancreas and CBD (Common Bile Duct). The use value Sensitivity Encoding (SENSE) on T2-weighted sequences for optimal BTFE MRCP is a 1.8 with a mean rank 3.85.Conclusion : The optimal use value Sensitivity Encoding (SENSE) on T2-weighted sequences for optimal BTFE MRCP is a 1.8.