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ANILISIS IMAGE QUALITY CT SCAN THORAX DENGAN VARIASI LUNG WINDOW KERNEL PADA MSCT SIEMENS SOMATOM EMOTION 6 IMAGE QUALITY ANALYSIS CT SCAN THORAX LUNG WINDOWS WITH KERNEL VARIATIONS USING MSCT SIEMENS SOMATOM EMOTION 6 Angga Yosainto Bequet; Yeti Kartikasari; Sri Mulyati; Susi Tri Isnoviasih
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.v5i2.4431

Background: To be able to show the Lung anatomy in detail in CT Scan Thorax lung window then required a sharp image quality. One way to improve image sharpness is to use kernel settings. The purpose of research is to know the difference of the quality of anatomical image with kernel variation CT Scan Thorax Lung Window and know the proper kernel selection to produce CT scan of thorax lung windows the bestMethods: Type of research is an experiment. The study was conducted using a CT image scan of thorax on axial lung window slices in cases of lung tumors in the kernel B50s, B60s, B70s, B80s, and U90s. The research was conducted by measuring the CT image quality of thorax scan on the windows lung by way of questionnaire assessment to 5 radiologist as the observer to CT Scan image to determine the level of clarity of anatomical criteria.Results: The results showed that there were significant differences in the quality of anatomical imagery with kernel variation of B50s, B60s, B70s, B80s, U90s with p-value 0.05. CT images can thorax lung windows that have the best anatomical image quality of the samples taken are shown by the use of the kernel U90s.Conclusions: There are significant differences in the quality of anatomical imagery with kernel variation of B50s, B60s, B70s, B80s, U90s. The kernel that generates image detail for CT thorax lung windows is the U90s kernel

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

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.

INFORMATION DIFFERENCES OF CORATAL ANATOMI MAGNETIC RESONANCE IMAGE ANTHOMY MAGNETIC RESONANCE (MRCP) IN T2 FRFSE (FAST RECOVERY FAST SPIN ECHO) SELECTION BETWEEN USE OF ARC WITH NO ARC Yeti Kartikasari; Jeffry Ardiyanto; Ary Lasminar Firdani
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.v4i2.4010

Background : MRCP is a biliary tract and pancreatic duct imaging technique, one technique that uses a breath hold. The technique speeds up acquisition time by using the Parallel Imaging ARC method so that it reduces the encoding phase on K-Space to reduce breath hold. Therefore it can increase image sharpness and reduce blurring image. The purpose of this study was to determine the differences in anatomical image information between using ARC and without using ARC on MRCP examination of coronal T2 FRFSE sequence pieces and to find better anatomical image information between using ARC and without using ARC on MRCP examination of FRFSE T2 sequences.Method : The type of research conducted by the author is quantitative research with an experimental approach. This research was carried out with 1.5 T MRI at Santo Borromeus Hospital, Bandung. Data in the form of 16 MRCP anatomical images of coronal chunks of T2 FRFSE sequences from 8 patients using ARC and without using ARC. Scores on the image are carried out in the gallbladder, cystic duct, common hepatic duct, intra-hepatic duct, common bile duct and pancreatic duct using questionnaires to 3 radiology specialists (respondents). The results of the respondents were analyzed using Wilcoxon statistical test to find out the differences in MRCP anatomical information on FR2E T2 sequences between using ARC and without using ARC and to find better anatomical image information from the two sequences seen from the mean rank value.Result : The results showed that there were significant differences in MRCP anatomical image information of coronal T2 FRFSE sequences between the use of ARC and without using ARC with a significance value of 0.05. Based on mean rank results, MRCP information on T2 FRFSE sequence coronal pieces using ARC has a mean rank value of 4.50 while MRCP T2 FRFSE coronal sequence sequences using without ARC have a mean rank value of 0.00, meaning FRFSE T2 sequences using ARC have better image information than FRFSE T2 without using ARC.Conclusion : Suggestion, the parallel imaging technique of the ARC method was applied on the MRCP examination of T2 FRFSE sequences and the data from this study could be used as baseline data to add ARC as the operational standard of the MRCP examination procedure.

PERBEDAAN INFORMASI CITRA ANATOMI SEKUEN DIFFUSION WEIGHTED IMAGING (DWI) ANTARA PENGGUNAAN PROPELLER DENGAN TANPA PROPELLER PADA PEMERIKSAAN MRI BRAIN DENGAN KASUS STROKE Yeti Kartikasari; M. Irwan Kartili; Dwi Rochmayanti; Nindya Aprilia
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.v6i1.5565

Background: Stroke is a brain disease where an acute nerve function is occurred due to the cerebral vascular disorders. To establish a diagnosis the stroke, it can be identified by employing the Diffusion Weighted Imaging (DWI) sequence in the MRI examination. Artifacts still exist on the MRI image which in turn reduce the resolution when using the DWI sequence. Adding the PROPELLER data acquisition method in the DWI sequence possibly improves the quality of brain images. The purpose of this study is to know the difference on the quality of anatomical image information between the DWI sequences with PROPELLER and without PROPELLER methods, and to determine adequate anatomical image appearance that created in amongst of the two methods, specifically for the stroke disease.Methods: this research is quantitative research with experimental approach. This study was conducted using MRI 1.5 T at Bethesda Hospital Yogyakarta. Data were 16 images from 8 patients using DWI sequences using PROPELLER without PROPELLER on MRI Brain examination with stroke. The results of the image were evaluated on 7 criteria: cortex cerebri, basal ganglia, thalamus, pons, cerebellum, stroke (infarction) and artifacts using questionnaires given to 3 respondents. Data analysis was done by Wilcoxon test to know the difference of anatomical image information on DWI sequence using PROPELLER without PROPELLER and to know better anatomical image information from both sequences seen from mean rank value.Results: The results shown, there is a significant difference on the quality of anatomical image information and the artifacts between the use of DWI sequence with and without PROPELLER methods ( 0.05). Based on the mean rank results, the DWI PROPELLER sequence has a higher mean rank value 4.50 compared to the DWI sequence without PROPELLER 0.00.Conclusions: The DWI PROPELLER sequence has better image results compared to the DWI sequence without PROPELLER.

RADIATION EXPOSURE PROFILE IN RADIOLOGICAL DEPARTMENT TO SUPPORTING PROTECTION PROGRAMS IN HOSPITALS / RADIOLOGICAL CLINIC LABORATORY IN SEMARANG CITY Dwi Rochmayanti; Siti Daryati; Darmini Darmini; Yeti Kartikasari
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.v5i1.3999

Background: All acts of radiation use, both for diagnostics, therapy and nuclear medicine, must go through a process of justification, limitation and optimization so that patients, officers and the surrounding environment get as much diagnostic benefit as possible with the smallest possible radiation risk. Some problems that arise in the Hospital / clinic, often ignore and do not pay attention to work exposure safety factors. The purpose of this study was to determine the profile of occupational radiation exposure and the effectiveness of radiation shielding in the radiology department of the Semarang city then compared to the reference dose to determine the optimization of radiation protection.Methods: The type of research conducted is quantitative research with a survey and observational approach. Exposure measurements were carried out in 5 radiology department, which included 3 hospitals and 2 clinical laboratories. Documents and room observations are also carried out. For the effectiveness of the radiation barrier it is also measured before and after the radiation shielding by using a surveymeter tool. The results data are then presented in descriptive analyses.Results: The results of the study of radiation exposure profiles in five radiology institutions, four institutions there was radiation exposure recorded on the surveymeter tool, with the largest exposure value was 0.099 mSv / h (still below the safe limit of 1 mSv / year). Only one hospital is safe, and there are no leaks.Conclusions: The effectiveness of the radiation retaining wall, four hospitals have a barrier level equal to 1 mm Pb at 80 kVp irradiation, and 1 hospital (RSJ) has a radiation barrier equivalent to 0.5 mmPb.

Factors that influence suffered of Low Back Pain (LBP) in MRI examination patients in Hospitals Semarang City Sri Mulyati; Rini Indrati; Yeti Kartikasari; Jeffri Ardiyanto
International Journal of Health Science and Technology Vol 1, No 2 (2019): November
Publisher : Universitas 'Aisyiyah Yogyakarta

Low back pain can be caused by a variety of musculosceletal diseases, psychological disorders and mobilization. Patients who performed MRI examinations were mostly caused by indications of Low Back Pain (LBP). LBP became an important problem in the United States, in Indonesia an estimated 40% of the population of Central Java aged over 65 years have suffered from low back pain, the prevalence in men is 18.2% and in women is 13.6%. In recent years, Magnetic resonance imaging (MRI) has been used widely, including for diagnosis of LBP. This study aims to identify factors that affect the suffered of low back pain in patients undergoing an MRI examination which consists of personal factors covering : age, habits, smoking exercise habits, height, obesity, and work factors (tenure, work duration). The research categorize as a quantitative research with cross-sectional design. This study used a sample of all cases of MRI examination with complaints of low back pain as many as 60 patients. Statistical tests using chi square and non-parametric Mann Whitney tests. From the results of the study found that those who suffer of LBP are mostly from personal factors covering : men, have jobs that have more burden (weight), more at the age of ≥ 35 years, no smoking, no exercise, height ≥ 163 cm, overweight / obesity, with tenure of ≥ 10 years, with a work duration ≥ 8 hours a day, and type of LBP suffered in the chronic categorized. The factors that caused LBP in this study were personal factors in the most dominant sequence is caused by age, smoking habits, exercise habits, height, BMI, tenure and work duration and type of LBP chronik.

Optimalisasi Tegangan Tabung (KvP) Terhadap Kejelasan Informasi Anatomi Dan Dosis Radiasi Pada Pemeriksaan CT Scan Kepala Area Basis Cranii Agustina Dwi Prastanti; Yeti Kartikasari; Robets Pribadi; Andrey Nino Kurniawan; Dwi Rochmayanti
Jurnal Imejing Diagnostik (JImeD) Vol 8, No 2: JULY 2022
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v8i2.9370

Background: Tube voltage (kVp) is one of the exposure factors on a head CT scan that can be varied to achieve a minimal radiation dose. Radiology installation of Bhakti Wira Tamtama hospital has a new CT scan modality that never variation its tube voltage. The variation of tube voltage is 80 kVp, 100 kVp, and 120 kVp. The aim of this research is to know and to analyse the most optimize tube voltage which can produce the best anatomy clarity and has the lowest radiation dose on a head CT scan examination of the base skull area that dominates CT scan examination.Methods: This research is descriptive analytic research conducted with an experimental approach. The study was conducted by varying the tube voltage to be used for head CT scan examination. There are 3 variations of tube voltage 80 kVp, 100 kVp, and 120 kVp where one variation contains 16 images for analyzing the clear anatomy of the base skull area. Then assessed by radiologists as the respondent. Data was analyzed by scoring where score 1 is not clear, score 2 is clear and score 3 is very clear. Radiation dose was obtained from CTDI and DLP records.Results: The results showed that there is no difference in anatomy clarity between variation of three tube voltage with p value 0,135. The anatomical clarity assessed includes anterior skull base, central skull base (fossa cranial middle, sphenoid, temporal bone, petrosous ridge), anterior clinoid processes, posterior margin of the lesser sphenoid wings, anterior and superior rim of the greater sphenoid wings, mastoid, and posterior skull base. All of them is very clear at 100 kVp and 120 kVp with value 100%. But at 80 kVp assessed clear at anterior and posterior skull base. So the value of anatomy clarity at 80 kVp is very clear only 71%. The effect of the difference in tube voltage on the radiation dose on a head CT scan of the base skull area showed a difference in the decrease in radiation dose from 120 kVp to 100 kVp for CTDI 39.9% and DLP 40.19%. There was a decrease in radiation dose from 100 kVp to 80 kVp for CTDI 52% and DLP 49.88%.Conclusion: The tube voltage setting on head CT scan examination of the base skull area can be applied with 100 kVp because this is evidenced by the same total score at 100 kVp and 120 kVp, which is 100% is very clear, while at 80 kVp tube voltage only 71% is very clear. And the radiation dose at 100 kVp is lower than 120 kVp.

Hubungan Pengetahuan dan Kepatuhan Penerapan Proteksi Radiasi: Studi pada Mahasiswa Praktik Klinik Jurusan Teknik Radiodiagnostik dan Radioterapi, Poltekkes Kemenkes Semarang Akhmad Haris Sulistiyadi; Bagus Abimanyu; Yeti Kartikasari; Susi Tri Isnoviasih
Jurnal Imejing Diagnostik (JImeD) Vol 9, No 1: JANUARY 2023
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v9i1.10442

Background: Radiation protection is very important for patient and personnel safety in radiology services. It has been given in the college through classical lectures, including in Radiodiagnostic and Radiotherapy Department Poltekkes Kemenkes Semarang. The student’s knowledge is routinely evaluated but their compliance in the clinical activities has never been specifically observed. This study aims to find out the relationship between knowledge toward compliance of the application of radiation protection on clinical practice students.Methods: This is quantitative research with a cross-sectional design. Research was conducted on 90 second-year clinical internship students of the Radiodiagnostic and Radiotherapy Department. The level of knowledge was measured by written test, while the level of compliance was observed by clinical observation. The affecting factors are investigated through indepth interview. Data were analyzed by Spearman Rank Correlation.Results: The knowledge levels among the students were "excellent” (18%), "good" (68%), and "fair" (14%). The radiation protection compliance levels were "good" (73%) and "very good" (27%). There was a significant relationship between radiation protection knowledge level toward radiation protection compliance (p value 0.05). The strength of the relationship was low (coefficient interval = 0.257). Conclusions: There was a relationship between knowledge and the level of compliance, but it was not the only influencing factor. The environment tends to have an effect on the level of compliance. Radiographers and clinical instructors should be good role model in applying radiation protection.

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