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Analisis SNR pada Variasi Reduction Factor Sensitivity Encoding MRI Brain Sekuens DWI Axial Hernastiti Sedya Utami; Fani Susanto; Arga Pratama Rahardian; Muhammad Erfansyah
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.v7i2.7450

Abstract

Backgroud: Brain MRI examination generally has a long scanning time because many protocols that must be used, one of them is DWI sequences, which are sequences that can provide pathological information on the brain. One way to reduce scan time is to use parallel imaging sensitivity encoding (SENSE) techniques. SENSE utilizing the spatial information RF coil phased array to reduce the acquisition time by reducing the number of sampling lines K space therefore produce quality and good spatial resolution, but its has the limitations, namely the reduction of SNR. The purpose of this research was to analyze in SNR on  the variations of SENSE value in MRI brain DWI axial slices.Methods: This research is a quantitative study with an experimental approach in 15 patients MRI Brain. Data was taken by calculating the SNR value for the region of interest (ROI) in cortex cerebri, basal ganglia, thalamus, pons and cerebellum, and then ROI in noise background. Data was analyzed through Repeated Measures Anova test by comparing the differences in SNR values obtained in MRI brain DWI axial between the use of various SENSE values, that are 2.0; 3.0 and 4.0.Results: MRI image of DWI axial brain sequence with variation of reduction factor 2.0; 3.0 and 4.0 cause different SNR values. The highest SNR is found in the variation of 2.0 and the lowest value is 4.0 but the scan time is fastest at the 4.0 variation This is because there is a reduction in the phase encoding line in the K-space on each image using SENSE and the higher the reduction factor, the higher the reduction factor. SNR will decrease.Conclusion: The higher the value of SENSE variations will decrease the SNR value but the scan time is faster.
Analisis Prosedur Pemeriksaan Multislice Computed Tomography Urografi pada Pasien dengan Klinis Urolithiasis Fani Susanto; Hernastiti Sedya Utami; Lutfatul Fitriana
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.v8i1.7451

Abstract

Backgroud: Urolithiasis is the formation of crystalline mineral deposits in the urinary system. Examination of MSCT Urographic with and without administration of intravenous contrast media is used to detect various abnormalities in the urinary tract area. This study aims to analyze MSCT Urographic examination procedures in patients with clinical Urolithiasis at the Radiology Unit of Premier Bintaro Hospital.Methods: Type of study is qualitative with a case study approach. Collection data was conducted at the Radiology Unit of Premier Bintaro Hospital with specialists and documentation observation methods, interviews with radiographers and radiology. Data processing and analysis are carried out descriptively related to the results of observation, interviews and documentation so that conclusions and suggestions can be drawn.Results: Urographic MSCT examination in patients with clinical Urolithiasis performed with patient preparation by laboratory check to check kidney function (urea and creatinine), examination was performed using the MSCT rutine protocol with the addition of contrast media by scanning the unenhance phase, enhance phase includes arterial phase, phase portal vein and delay phase which is 7 minutes and 15 minutes with prone patients in the kidney vesica urinaria area, and post void. The addition of contrast media is intended to show enhancement and narrowing of the urinary tract.Conclusion: Examination of MSCT Urography in patients with clinical Urolithiasis in the Radiology Unit of Premier Bintaro Hospital is done with patient preparation laboratory check, the protocol is done by scanning the unenhance and enhance phases.
Knee Joint Radiographic Examination Technique with Anteroposterior and Lateral Projections in Osteoarthritis Cases Rofiqoh Evi Prastiwi; Bagus Aji Pangestu; Fani Susanto
Proceedings Series on Health & Medical Sciences Vol. 2 (2021): Proceedings of the 2nd International Nursing and Health Sciences Universitas Muhammad
Publisher : UM Purwokerto Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (373.259 KB) | DOI: 10.30595/pshms.v2i.222

Abstract

Radiographic examination of the knee joint in Osteoarthritis (OA) cases was generally performed using anteroposterior (AP), lateral and oblique projections. However, at the Regional General Hospital (RSUD) of Ajibarang, in the case of OA the knee joint only used AP and lateral projections. The purpose of this study was to determine the radiographic examination procedure and ensure the criteria for the image generated from the AP projection and lateral examination of the knee joint in OA cases. This research was a qualitative descriptive with a case study approach. Collecting data on 1 knee joint patient with OA in Ajibarang Hospital using observation, documentation and interviews with radiographers and radiologist. Data analysis used open coding in the form of quotations. The results showed that the AP and lateral projections were performed with the central ray perpendicular to the cassette and showed the distal femur, tibia, proximal fibula and patella, the femoropatellar joint and the knee joint were exposed and the true lateral was shown by superposition of the femoral condyles. Finally, examination of the knee joint of OA cases at Ajibarang Hospital with AP and lateral projections can still display the anatomy of interest and determine the diagnosis of OA cases.
PENINGKATAN PENGETAHUAN TENTANG DETEKSI DINI BAHAYA PENYAKITBATU GINJAL (UROLITHIASIS) DAN PENGOBATANNYA Fani Susanto; Arga Pratama Rahardian
PROSIDING SEMINAR NASIONAL LPPM UMP Vol 3 (2021): PROSIDING SEMINAR NASIONAL LPPM UMP 2021
Publisher : Lembaga Publikasi Ilmiah dan Penerbitan (LPIP)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (405.823 KB)

Abstract

Faktor penyebab urolithiasis atau batu ginjal diantaranya faktor geografis dan iklim. Urolithiasis juga lebih banyak terjadi pada daerah yang bersuhu tinggi dan area yang gersang/ kering dibandingkan dengan tempat/ daerah yang beriklim sedang. Iklim tropis, tempat tinggal yang berdekatan dengan pantai, pegunungan, dapat menjadi faktor resiko tejadinya urolithiasis. Daerah Banteran, tergolong ke dalam kawasan yang sejuk karena posisinya yang berada di bawah dari gunung slamet. Letak geografis demikian menjadikan masyarakat banteran termasuk ke dalam masyarakat dengan faktor resiko cukup tinggi untuk terkena batu ginjal. Pengabdian bertujuan untuk meningkatkan pengetahuan tentang deteksi dini bahaya penyakit batu ginjal (urolithiasis) dan pengobatannya. Metode kegiatan pengabdian masyarakat ini dilakukan dengan cara penyuluhan dan ceramah terkait materi tentang urolithiasis kepada masyarakat target, kemudian evaluasi dilakukan dengan menggunakan kuesioner pre-test dan post-tset untuk mengetahui tingkat penambahan pengetahuan masyarakat terkait urolithiasis. Hasil pengabdian menunjukkan adanya peningkatan pengetahuan tentang deteksi dini bahaya penyakit batu ginjal (urolithiasis) dan pengobatannya. Masyarakat sangat diperlukan mengedepankan dan menerapkan PHBS dalam kehidupan sehari-hari agar terhindar dari beberapa macam penyakit seperti batu ginjal.
PENINGKATAN PENGETAHUAN MASYARAKAT BANTERAN TENTANG KANKER PARU SEBAGAI UPAYA MENINGKATKAN POLA HIDUP SEHAT Arga P. Rahardian; Fani Susanto
PROSIDING SEMINAR NASIONAL LPPM UMP Vol 3 (2021): PROSIDING SEMINAR NASIONAL LPPM UMP 2021
Publisher : Lembaga Publikasi Ilmiah dan Penerbitan (LPIP)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (297.917 KB)

Abstract

Kegiatan Ipteks bagi masyarakat ini bertujuan untuk (1) meningkatkan pengetahuan masyarakat di Ranting Muhammadiyah Banteran, Kecamatan Sumbang tentang kanker paru, penyebab kanker paru, pengobatan kanker paru khususnya radioterapi, dan deteksi kanker paru berkaitan dengan pemeriksaan radiologi, dan (2) memotivasi masyarakat untuk dapat menerapkan pola hidup sehat sebagai upaya mengurangi potensi terkena kanker paru. Tujuan tersebut dicapai melalui penyuluhan dengan metode ceramah serta diskusi. Setelah kegiatan penyuluhan, evaluasi dilakukan dengan memberikan kuesioner untuk melihat perkembangan pengetahuan masyarakat terkait materi yang disampaikan. Hasil Evaluasi menyatakan bahwa kegiatan mampu meningkatkan pengetahuan masyarakat berkaitan dengan kanker paru dan dapat memotivasi masyarakat untuk menerapkan pola hidup sehat sebagai bentuk usaha pencegahan kanker paru. Adapun saran yang dapat diajukan berdasarkan hasil kegiatan ini adalah perlunya pendampingan dari pihak pemerintah desa ataupun instansi kesehatan terkait agar pola hidup sehat benar-benar menjadi budaya masyarakat Ranting Muhammadiyah Banteran. Hal tersebut tentunya agar masyarakat terhindar dari berbagai macam penyakit, khususnya kanker paru.
SOSIALISASI DETEKSI RESIKO PENYAKIT JANTUNG KORONER DENGAN PEMERIKSAAN RADIOLOGI CT CALSIUM SCORE Fani Susanto; Samudra Prihatin Hendra Basuki
PROSIDING SEMINAR NASIONAL LPPM UMP Vol 4 (2022): PROSIDING SEMINAR NASIONAL LPPM UMP 2022
Publisher : Lembaga Publikasi Ilmiah dan Penerbitan (LPIP)

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Adanya ketidakseimbangan antara ketersedian oksigen dan kebutuhan jantung memicu timbulnya Penyakit Jantung Koroner (PJK). Secara klinis PJK ditandai dengan nyeri dada / terasa tidak nyaman di dada atau dadaterasa tertekan berat. Salah satu jenis pemeriksaan CT Scan untuk deteksi resiko PJK adalah CT Calcium Score.Pemeriksaan Calsium Score /Agatston Score adalah mengkalkulasi volume/densitas pada pembuluh darah arterijantung yang mengalami proses kalsifikasi. Calsium Score adalah menilai banyaknya calsium pada pembuluh darah arteri jantung. Pengabdian bertujuan untuk meningkatkan pengetahuan tentang mengenai deteksi resiko PJKmelalui pemeriksaan radiologi CT Scan Calsium Score. Metode kegiatan pengabdian masyarakat ini dilakukandengan cara penyuluhan dan ceramah terkait materi tentang CT Calsium Score kepada masyarakat target,kemudian evaluasi dilakukan dengan menggunakan kuesioner pre-test dan post-tset untuk mengetahui tingkatpenambahan pengetahuan masyarakat terkait PJK. Hasil pengabdian menunjukkan adanya peningkatanpengetahuan tentang mengenai deteksi resiko PJK melalui pemeriksaan radiologi CT Scan Calsium Score.Masyarakat sangat diperlukan mengedepankan dan menerapkan PHBS dalam kehidupan sehari-hari agar terhindardari beberapa macam penyakit seperti PJK.
STUDI KUALITATIF: ANALISIS INFORMASI ANATOMI PADA VARIASI SLICE THICKNESS MSCT SCAN ORBITA DENGAN MEDIA KONTRAS POTONGAN AXIAL MPR Hernastiti Sedya Utami; Atika Nur Azizah; Andi Muh. Maulana; Fani Susanto; Pradana Nur Oviyanti
Jurnal Kesehatan Vol 14, No 1 (2023)
Publisher : Sekolah Tinggi Ilmu Kesehatan (STIKes) Cirebon

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38165/jk.v14i1.342

Abstract

Struktur anatomi orbita sangat kompleks sehingga memerlukan detail yang baik pada msct scan untuk melihat patologi orbita. Salah satu parameter pada msct scan orbita untuk mengetahui keakuratan struktur anatomi orbita adalah ketebalan irisan. menurut literatur ketebalan irisan untuk orbital <2mm. Sedangkan literatur lain mengatakan 3-5 mm. Tujuan dari penelitian ini adalah untuk menganalisis informasi citra yang dihasilkan dengan variasi ketebalan irisan pada orbital ct scan.Metode penelitian ini menggunakan jenis penelitian kualitatif dengan studi eksperimen. Populasi dan sampel adalah 15 pasien dengan citra MSCT scan orbita dengan rekonstruksi ketebalan irisan media kontras potongan MPR aksial yaitu 1 mm, 2 mm dan 3 mm. Informasi citra yang dinilai adalah akurasi, kejelasan struktur dan jaringan pada citra ct scan orbita potongan MPR aksial meliputi anatomi tulang hidung, saraf optik, sinus etmoidalis, sinus sfenoid, tulang lakrimal, kornea, lensa, bola mata dan sklera. Pengambilan data dilakukan dengan cara observasi dan kuisioner kepada spesialis radiologi sebagai observer dan analisis data dilakukan dengan menggunakan SPPS uji Friedman test.Hasil dari penelitian ini yaitu terdapat perbedaan antara informasi citra pada variasi ketebalan irisan CT scan MPR aksial orbital dan ketebalan irisan yang dapat memberikan informasi anatomi yang optimal pada citra axial MSCT scan MPR orbital dengan media kontras yaitu 2 mm.Kata kunci : msct scan orbital; ketebalan irisanAbstract The anatomical structure of the orbit is so complex that it requires good detail on CT scan to see the pathology of the orbit. One of the parameters on the orbital ct scan to reveal the accuracy of the orbital anatomical structure is slice thickness. according to the slice thickness literature for orbital <2mm. Whereas other literature says 3-5 mm. the purpose of this study was to analyze the image information produced with slice thickness variations on ct scan orbitals. The method of this research is qualitative with a experiment study. Population and sample were 15 patients with orbital CT scan images with contrast media slice thickness reconstruction of axial MPR pieces that were 1 mm, 2 mm and 3 mm. Assessed image information is accuracy, clarity of structure and tissue on orbital ct scan images of axial MPR pieces including anatomy of nasal bone, optic nerve, ethmoidal sinus, sphenoid sinus, lacrimal bone, cornea, lens, globe and sclera.Data retrieval is done by observation radiologist and data analysis is carried out by SPSS Friedman test.The result of this research is there is a relationship between image information on slice thickness variations of axial MPR CT scans of orbital and slice thickness which can provide optimal anatomical image information on axial images of MPR CT scans of orbitals with contrast agent that is 2 mm.Keywords: orbital msct scan; slice thickness
Analysis of Histogram and Grayscale on Chest X-Ray in Lung Cancer Using Image-J Fani Susanto; Hernastiti Sedya Utami
Indonesian Journal of Electronics, Electromedical Engineering, and Medical Informatics Vol 5 No 3 (2023): August
Publisher : Department of electromedical engineering, Health Polytechnic of Surabaya, Ministry of Health Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijeeemi.v5i3.280

Abstract

Posteranterior (PA) chest radiographic examination is a support in screening for the diagnosis of lung cancer. Computed radiography (CR) modality can produce chest images quickly, optimally and can be processed as needed. However, so far radiologists interpret images only by visual assessment, so the results are very subjective. Therefore digital medical image processing can be done by looking at the histogram and gray scale values to increase the accuracy of enforcing patient diagnoses. This study aims to analyze the comparison of histograms and gray degree values on CR chest images between normal patients and lung cancer patients. The study was conducted using 30 chest images consisting of normal and lung cancer patient groups with 15 images each. All images are calculated grayscale and display histogram graphics with the Image-J application and statistically analyzed using the Independent T-Test. The results show that there is a difference in grayscale values between normal chest images and lung cancer (p<0.001). The grayscale and histogram values on lung cancer chest images ( 103.2908 + 6.119 ) are higher and tend to the right compared to the grayscale and histogram values on normal chest images ( 64.5848 + 3.28) . Histogram and grayscale values add objective image interpretation in diagnosing lung cancer.
Prosedur Pemeriksaan MRI Lumbal pada Kasus Efusi Pleura Suspek Tuberkulosis Fani Susanto; Arga Pratama Rahardian; Hernastiti Sedya Utami; Widya Mufida
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.v9i1.9419

Abstract

Background: Clinical vertebral tuberculosis (TB) occurs outside the lungs affecting the spine. It generally infects the spine in the lower thoracic and upper lumbar spine. MRI examination is performed on clinical vertebral TB patients to determine the degree of stress and changes in bone elements in the early stages of the disease. This study aims to analyze the lumbar MRI examination procedure in cases of suspected TB pleural effusion. Methods: This research was qualitative with a case study approach. Data collection was carried out at the Radiology Unit of Premier Bintaro Hospital with the methods of observation, interviews, and documentation. Data processing and analysis were carried out descriptively. Results: Lumbar MRI examination with suspected TB pleural effusion at the Radiology Unit of Premier Bintaro Hospital was not specially prepared, the patient was examined first through the patient checklist to avoid metal materials entering the examination room. Examination using the Non-Contrast Lumbar MRI protocol included of sagittal and coronal T2, sagittal T1, sagittal Short Tau Inverse Recovery (STIR), Myelography, Axial T2, and Axial T1. The results of the examination provided sufficient diagnostic information to indicate a vertebral TB lesion. Conclusions: The procedure for examining lumbar MRI in TB cases with suspected pleural effusion at the Radiology Unit of Premier Bintaro Hospital did not require special preparation, the examination protocol used was to provide TB clinical diagnostic information, the addition of Gadolinium contrast media could be an alternative choice.