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Siti Masrochah
Poltekkes Kemenkes Semarang
Humanities Computer Science & IT Economics, Econometrics & Finance Education Engineering Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences

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Teknik 3D Conformal Radioterapi (3DCRT) Pada Keganasan Sinus Paranasal Dengan Modalitas Linac Fitri Agustina; Jeffri Ardiyanto; Siti Masrochah
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.v6i2.5825

Abstract

Background: Radiotherapy is a radiation therapy action using ionizing radiation. To obtain the maximum dose of radiation in the tumour and the lowest possible dose on critical organs required a technique of radiation technique 3 Dimensional Conformal Radiotherapy (3DCRT). Radiotherapy Unit Radiology Installation Dr Sardjito Hospital Yogyakarta using 3DCRT technique. This research aims to know the radiotherapy procedure on paranasal sinus cancer using 3DCRT technique, to know the implementation of bolus beam modifier and dose optimization with the addition of electron radiation.Methods: The type of research in this thesis is qualitative research with case study approach. The research was conducted at Radiotherapy Unit Radiology Installation Dr Sardjito Hospital Yogyakarta after published Ethical Clearance.  Methods of data collection in this study are observation, interviews, and documentation.Result: The results of this study indicate that the radiotherapy procedure in paranasal sinus cancer using 3DCRT technique can produce a homogeneous dose distribution, the implementation of bolus beam modifier is capable of generating dosage homogeneity on uneven target surfaces, and the distribution of doses with electron radiation on the target in the surface area can be optimal.Conclusion: With these techniques, the goal of radiotherapy can be achieved is to give the maximum dose in the tumour and the minimum dose possible in healthy tissue located in the vicinity.
Rancang Bangun Alat Bantu Fiksasi dengan Penanda Waktu Eksposi Untuk Pemeriksaan Radiografi Abdomen Akut Siti Masrochah; Yeti Kartikasari; Bagus Abimanyu
Jurnal Imejing Diagnostik (JImeD) Vol 1, No 1: January 2015
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v1i1.3151

Abstract

Backgroud: Limitations in a radiographic projection of the Left lateral decubitus (LLD) ussually challanges most of the Radiografers who intent to apply the technique toward patients with acute abdoment clinical cases. Related problems that occasionally come up with the LLD projection are the fixed patient positioning and the waiting time it takes to keep patient in the same position. The poor quality of  the LLD radiograph and less imaged optimalisation of the free-air below the right diapragm lead to a dificult radiological interpretation. The study aims to design an aided patient fixation tool with its controlling timer used for the LLD projection; and to examine the the functional performance of the tool.Methods: the research is qualitative approached with an experimental study. Several steps following the reseach are creation of the master plan designs and selection of materials that  should be used to develop an appropriate aided patient fixation tool with controlling timer for LLD projection; evaluation of the 5 designed tool system components (seated patient, cassette holder, safety belt, electronic sensored movement, andthe timer); and qualitative testing of the tool function and veryfication. The 6 aspects of tool performances have been decided to be complianced indicators whereas 5 observers (expert Radiographers) blended in the evaluation of the aided tool, and the tool has firmed to meet its requirement if the total observer’s score is greater and equal to 2,00Results: In general, the resulted tool perfomance testing fulfilled the requirements of the tool functions as it used for some radiographic procedures of the acute abdoment-LLD projection. The tool performance scores of convenince and reliability equipment showed at 2,25 and 2,75 which meant that a general radiographic quality was looking good without any presense of the artifacts. Morover, the scores for timer and censored devices were 2,70 and 2,65 recpectively, by this clearly described  a proper function of timer control and indicator components. The total score for radiation safety evaluation contributed to the higest score amongst all aspects being assessed that was 2,80.Conclusion: The design of the aided patient fixation tool with controlling timer for LLD projection has not only met functional requirements but it has also proven to subtitute some limitations about maintaning good image quality when applied the LLD projection. Radiologic expertation on the LLD-radiograph of the acute abdoment obviously contributed to optimal clinical information
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.
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
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 TSE Factor Terhadap Signal to Noise Ratio dan Contrast to Noise Ratio pada Pembobotan T2 Turbo Spin Echo Potongan Axial MRI Brain Novelsa Chintya Prabawati; Siti Masrochah; Sri Mulyati
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.v3i2.3198

Abstract

Background: TSE factor is parameters that affect Signal to Noise Ratio (SNR) and Contrast to Noise Ratio (CNR). TSE factor for brain MRI examination is a long TSE factor. There are differences when using TSE factor. At the theory, the brain MRI examination is using TSE factor ≥16 while at Siloam  Surabaya  Hospital was using TSE factor 14. The writer ever seen some noises at brain MRI image therefore the radiographer doing modification of TSE factor. The purpose of this research are to determine the influence of modification in the TSE factor value against SNR and CNR and to define the SNR and CNR optimum from that.Methods: This research is a quantitative study with an experimental approach. This research was done by MRI Philips Achieva 1,5 T with 10 modification TSE factor (8, 10, 12, 14, 16, 18, 20, 22, 24 and 26). SNR and CNR obtained by measurement of ROI in the grey matter, white matter and CSF with the result an average signal and compared with the average standard deviation of the background image. Data was analyzed by linear regression test to know the influence of TSE factor against SNR and CNR and data was analyzed by descriptive test mean rank to obtain the optimum TSE factor value.Result: The result showed that there was the inluence of TSE factor to SNR and CNR at T2W TSE axial brain. There was a significant correlation between TSE factor with all of area SNR and CNR with coefficient correlation of SNR grey matter r=0,591, with coefficient correlation of SNR white matter r=0,604, with coefficient correlation of SNR CSF r=0,687, with coefficient correlation of CNR CSF–grey matter r=0,690, with coefficient correlation of CNR CSF-white matter r=0,658. The significant value of linear regression test is (0,000*) p value (0,05). TSE factor optimum value at T2W TSE axial brain was TSE factor value 10 for SNR with mean rank SNR 45,05 and TSE factor value 8 for CNR with mean rank CNR 35,43.Conclusion: There was the influence of TSE factor to SNR and CNR at T2W TSE axial brain. TSE factor optimum value in brain MRI T2W TSE axial is 10 to SNR and TSE factor 8 to CNR.
COMPARATIVE VERIFICATION OF IRRADIATION SET UP BETWEEN EPID SOFTWARE MOSAIQ WITH IVIEWGT IN CONFORMAL RADIOTHERAPY OF NASOPHARYNGEAL CANCER (Radiotherapy Unit Radiology Installation Dr. Sardjito Hospital Yogyakarta) Syahara Listyawan; Siti Masrochah; Rini Indrati
Jurnal Imejing Diagnostik (JImeD) Vol 4, No 1: January 2018
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v4i1.3977

Abstract

Background: Verification of the irradiation set up is a process to ensure that the position and volume of the irradiated tumor is the same as planned. Verification is done by comparing the radiographic image information of the Treatment Planning System (TPS) with radiation therapy to be provided on the Electronic Portal Imaging Device (EPID) device. Existing software on the EPID in doing verification is IViewGT and Mosaiq. Radiotherapist in Radiotherapy Unit Radiology Installation of Dr. Sardjito Hospital Yogyakarta always uses IViewGT software rather than Mosaiq software in performing standard operational procedure verification set up irradiation. The purpose of this study was to describe the verification process, to examine the results of verification and to examine the differences in the results of the verification of set up irradiation between the EPID software Mosaiq with IViewGT in conformal radiotherapy of nasopharyngeal cancer.Methods: The type of research in this thesis is quantitative analytic research. The research was conducted at Radiotherapy Unit Radiology Installation of Dr. Sardjito Hospital Yogyakarta. Data in the form of 52 portal image of nasopharyngeal cancer patients performed conformal radiotherapy. The verification process uses IViewGT and Mosaiq software on the same portal image. Data analysed by Wilcoxon test.Result: The results of the verification is the value of shift set up irradiation on X axis, Y axis and Z axis. Verification using Mosaiq software got the average shift on the X axis of 0 cm, on the Y axis the average value is -0,02 cm, on the Z axis the average value is 0,07 cm. Verification using IViewGT software obtained an average shift on the X axis of 0,02 cm, on the Y axis the average value of 0,03 cm, on the Z axis value averaging 0,02 cmConclusion: The results of this study indicate that there is no difference in verification of irradiation set up between EPID software Mosaiq with IViewGT on X axis with p value 0,361, on Y axis with p value 0,102 and on Z axis with p value 0,199.
PENGEMBANGAN METODE KUADRAN UNTUK PENENTUAN KEDALAMAN BENDA ASING DENGAN MENGGUNAKAN MODALITAS KOMPUTER RADIOGRAFI Emi Murniati; Siti Masrochah; Ary Kurniawati
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.v5i2.4463

Abstract

Background: The existence of a foreign object in the body generally can interfere with the metabolism of the body, so it can be life-threatening. Therefore it is necessary to take medical action in the form of surgery as soon as possible and precisely with x-ray examination as the guiding. With the development of the use of CR modalities, the method of determining foreign objects with the tools in the CR is considered, which is then called the quadrant method. And this study aims to explain the procedure and then the results are compared with the triangulation method which is a method of determining the depth of foreign objects previously used.Methods: The type of research carried out is exploratory description research with an experimental approach. Where the radiograph was made in cases of foreign objects with 2 methods, namely the triangulation method and quadrant method using CR. First made phantom organ femur, humerus, and thorax in which a foreign object is placed in it. The position of a foreign object is actually measured first and then the results of measuring the depth of a foreign object using the quadrant and triangulation method are compared with the results of the measurement of the actual foreign object.Results: The results showed that the making of radiographs with quadrant methods as well as triangulation methods both used 2 exposures with an x-ray so that the radiation exposure factor obtained by patients in both methods was not much different. Whereas from the comparison of the results of the measurements of the two methods it was found that the triangulation method was better than the quadrant method with smaller measurement differences when compared with the actual measurement of foreign objects. This is because the triangulation method has displayed measurement results based on a formula that uses mathematical calculations by calculating the distance and magnification of objects. And this is not obtained in the quadrant method where measurements are based on the data presented on the CR monitor screen without calculating the distance and magnification of the object first.Conclusion: Radiographic examination procedure determines the depth of foreign matter quadrant method using a computer Radiography is carried out with two projections namely anteroposterior and lateral. While the difference in the depth of the foreign body quadrant method with the depth of the foreign body is actually found that the accuracy of the measurements carried out by the triangulation method is better than the measurements carried out by the quadrant method
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.
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