Siti Masrochah, Siti
Technic of Radiodiagnostic and Radiotherapy Department, Polytechnic Health Ministry of Semarang

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The Image Information Of Mri Brain In Axial Diffusion Weighted Image (Dwi) With Variation B Value In Ischemic Stroke Masrochah, Siti; Kartikasari, Yeti; Mahanani, Ayu
International Journal of Health Science and Technology Vol 2, No 1 (2020): Juli
Publisher : Universitas 'Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/ijhst.v2i1.1825

Abstract

The purpose of the research is to identify the differences between image information of MRI Brain in axial plane Diffusion Weighted Image (DWI) sequence and variation b value in case ischemic stroke, and to determine optimal b value in examination MRI Brain in case Ischemic Stroke. This research was a quantitative research with experimental approach. This research was done in Panti Rapih Hospital, Yogyakarta and used 8 ischemic stroke patients with 3 variasion b value (500s/mm2, 1000 s/mm2, 1500 s/mm2) and 3 radiologists as respondents. The data were analyzed using Friedman test. Result showed that there was difference between image information of MRI Brain in axial plane Diffusion Weighted Image (DWI) sequence and variation b value in case ischemic stroke with p0.05 which means there is a difference between Basal Ganglia, Cerebellum, and the border of the infarction. Meanwhile, Cortex Cerebri, Thalamus and Pons obtained no difference in image information and the optimal b value for MRI Brain examination of ischemic stroke 1500 s/mm2. Based on the result there was a difference  between image information of MRI Brain in axial plane Diffusion Weighted Image (DWI) sequence and variation b value in case ischemic stroke. Optimal value of variation b value for MRI Brain examination of ischemic stroke was 1500 s/mm2.
PROCEDURE OF MULTI SLICE COMPUTED TOMOGRAPHY (MSCT) THORAX EXAMINATION USING POSITIVE CONTRAST MEDIA WITH BREAST CANCER CASE Janita Limbong, Rosari; Masrochah, Siti; Sulaksono, Nanang
JRI (Jurnal Radiografer Indonesia) Vol. 4 No. 1 (2021)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (432.425 KB) | DOI: 10.55451/jri.v4i1.78

Abstract

Background: The protocol for MSCT Thorax examination is axial/coronal/sagittal. The slice thickness parameter has an important role in examining MSCT Thorax in breast cancer cases using contrast media. The thinner the slice thickness, the better the detailed image obtained. The aim of this study is to explain the MSCT Thorax examination procedure in breast cancer cases using positive contrast media, the role of slice thickness in diagnosis and to find out diagnostic information on the MSCT Thorax examination in cancer cases breast. Methods: This type of research is qualitative with a literature study approach. The data were obtained by identifying the problem then looking for keywords, namely MSCT Thorax, Slice thickness, breast cancer. Literature reviews are carried out through journal search engine searches, such as: Google Scholar, American Journal Rontgenology (AJR), Pubmed, Proquest. The collected journals are reduced based on inclusion criteria so that 3 relevant journals are obtained then analyzed descriptively so that they can answer the objectives to be drawn conclusions. Results: The results of a literature study show that the MSCT Thorax examination procedure in cases of breast cancer using contrast media is fasting 6 hours before the examination, laboratory checks (urea cratinin within normal limits), releasing all metals in the body, CT scan plane, fixation tools, blankets. , contrast media, injector set. Conclusion: Contrast media dosage 1-2 ml / kg body weight, flow rate 2-4 ml / s, concentration 300-350 mgl / ml, patient position supine feet first, upper limit of lung Apex and lower limit of diaphragm (depending on needs), axial cut, coronal, sagittal, the parameters used were kV, mAs, slice thickness, matrix, WW, WL. A thin slice thickness will provide more accurate diagnostic information and a clear picture of metastases and small lesions can be seen.
Examination of Hysterosalpingography in Patients With Suspected Infertility at The Radiology Department of Dr.R. Soetrasno Rembang Hospital Wati, Retno; Masrochah, Siti
International Journal of Health Science and Technology Vol 3, No 2 (2021): November
Publisher : Universitas 'Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/ijhst.v3i2.2306

Abstract

Hysterosalpingography (HSG) is the most commonly used imaging diagnostic to determine the tubal patency in patient with indications of infertility. The technique used in the HSG procedure is different in some studies. The aim of this study was to determine the technique of hysterosalpingography (HSG) examination with patients suspected of infertility in dr.R. Soetrasno Rembang hospital. The method was a case study approach. Results showed HSG examination using plain photo Anteroposterior (AP) projection, AP projection with 3 cc contrast media and 7 cc contrast media, then post evacuation. The AP projection already revealed uterus, fallopian tubes, spill on the peritoneum, reduce radiation dose, and the pain of patients. They used 3 cc and 7 cc of contrast media because the examination did not use fluoroscopy. The 3 cc of contrast media views the uterus only then 7 cc view the fallopian tube and its spill. HSG plays a crucial role to determine the cause of infertility, especially to evaluate the morphology and patency of the fallopian tubes in women so the radiology team should become familiar with examination techniques used, give the patient education to avoid movement, and hold their body motionless also taking a mild pain reliever before the HSG examination.
ANALYSIS OF IMAGE INFORMATION WHEN EMPLOYING THE DIFFUSION WEIGHTED IMAGING (DWI) SEQUENCES WITH ‘B’ VALUE VARIATION FOR INTRACRANIAL TUMOR CASE Putri, Maizza Nadia; W.S.K, Lydia Purna; Masrochah, Siti
Journal of Applied Health Management and Technology Vol 4, No 1 (2022): January
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (249.648 KB) | DOI: 10.31983/jahmt.v4i1.8242

Abstract

Background: One variation of pulse sequence used in MRI Brain examination is Diffusion Weighted Image (DWI). In the DWI sequence, the value of 'b' which the operator must choose when setting the parameters, affects the signal intensity. In radiology installations, radiographers often use a 'b' value of 1000 s/mm2 with various pathologies. The purpose of this study was to determine the effect of setting the value of 'b' (1000.1500.2000 s/mm2) on image information and to determine the best setting of the three selected 'b' values in generating DWI signals for cases of intracranial tumors.Methods: This research is experimental study. This research uses MR GE 1.5 Tesla. 6 radiographic images were created with three 'b' value settings. Three radiologists then assessed areas of white matter, gray matter, proc. coronoid, basal ganglia and tumor lesions. The results were then analyzed using the Friedman statistical test.Results: The results showed that there were differences in signal intensity and image quality between the three setting values of 'b' with p value 0.005. The mean rank indicates that the best setting 'b' value in producing high signal intensity in Basal ganglia, Proc. coronoid and tumor lesions is 1500 s/mm2 (Mean rank: 2.75 and 2.42). then for white matter and gray matter the best 'b' value setting is 1000 s/mm2 (average rating: 2.50).Conclusion: There is a significant difference in MRI Brain image information with variations in the "b" values of 1000 s/mm2, 1500 s/mm2 and 2000 s/mm2 with pulse sequence Diffusion Weighted Imaging (DWI) using GE 1.5 Tesla MRI modality in patients with intracranial tumors (p 0.05). Keyword : DWI , ‘b’ value,  Brain, Tumor, image information
BENEFITS OF STEEPING BLACK TEA AS A NEGATIVE CONTRAST MEDIUM ON CT UROGRAPHY EXAMINATION Yudha, Sagita; Hadisaputro, Suharyo Hadisaputro; Ardiyanto, Jeffri; Mulyantoro, Donny Kristanto; Masrochah, Siti
Journal of Applied Health Management and Technology Vol 2, No 2 (2020): April 2020
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (823.425 KB) | DOI: 10.31983/jahmt.v2i2.5697

Abstract

The use of water as a contrast medium requires large amounts of water to fill the lumen of the Urinary Tractus and more water is reabsorbed by the body than is secreted into urine. Steeping Black tea contains Caffeine which is able to increase blood flow in the kidneys thus inhibiting the process of absorption of Na, Ca and Mg causing stimulation of the kidneys to increase the amount of urine production. The purpose of this study is to prove that drinking black tea can increase urine production as a negative contrast medium to see differences in the distension and density of the Urinary Tract on CT Urography examination. This type of research uses True Experimental with Pretest-Posttest Control Group Design research design. Patients selected by Simple Random Sampling. Analysis: Paired t test and Independent t test. The results of the study of the use of 600 ml steeping Black Tea as a negative contrast medium on CT Urography examination did not show the difference in mean difference between the left renal Pelvis p value 0.956, Left UVJ 0.640, Right UVJ 0.935 while on the right renal Pelvis p value 0.001 showed differences in mean difference between the left renal Pelvis p value 0.956, Left UVJ 0.640, Right UVJ 0.935 while on the right renal Pelvis p value 0.001 intervention and control group. Hasil pengukuran p value  densitas Vesika urinaria sebesar 0,678. Conclusion: Black tea can be used as a negative contrast medium on CT Urographic examination but when compared with mineral water it does not show a significant difference.