Fatimah Fatimah
Poltekkes Kemenkes Semarang

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DESIGN OF MODIFICATION EQUIPMENT TOOLS INVESTIGATION MAGNETIC RESONANCE CHOLANGIOPANCREATOGRAPHY PEDIATRIC PATIENTS IN HOSPITAL SANTO BORROMEUS BANDUNG Feni Try Sabdo; Fatimah Fatimah; Darmini Darmini
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.v4i2.3998

Abstract

Background : On examination MRCP patient pediatric in Radiology Hospital Santo Borromeus using tools made of PVC. But the use of such aids has a deficiency, ie the size is too large so that there is a distance between objects to be checked with body coils that can reducing value of the signal generated. The purpose of this research is to know the design of equipment tools investigation MRCP pediatric examination, difference of image quality and anatomical information resulting from the use of standard hospital aids and modification aids.Methods : This research is a quantitative research with experimental approach to design of modification aids in water phantom and patient pediatric examination MRCP sequence T2 FRFSE axial. The test was performed on image quality that was statistically analyzed by paired T test using SPSS 22. Beside that, the test was also conducted on anatomy information which was assessed by 2 radiologists with qualitative assessment.Results : The results of this study there are significant differences in SNR between the use of standard hospital aids and modification tools with p value 0.001. CNR differences were also significant between the use of standard hospital aids and modification aids with p value 0.001 (p 0.05).Conclusion : The results of image quality and anatomical information showed the best results in the use of tools modifications.
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.