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Prosedur pemeriksaan MRI Ankle pada Kasus Achiles Tear Ruptur di Instalasi Radiologi General Hospital Kasih Ibu Denpasar Muhammad Farid Novrie Nur Rahman; Ni Putu Rita Jeniyanthi; Triningsih Triningsih
Nautical : Jurnal Ilmiah Multidisiplin Indonesia Vol. 1 No. 10 (2023): Nautical: Jurnal Ilmiah Multidisiplin Indonesia
Publisher : ARKA INSTITUTE

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Penelitian ini bertujuan untuk mengkaji lebih dalam tentang pemeriksaan MRI pada achiles tear ruptur menggunakan head coil. Jenis penelitian yang digunakan adalah jenis penelitian kualitatif dengan pendekatan studi kasus pada pemeriksaan MRI ankle pada kasus Achiles Tear Ruptur dengan menggunakan head coil. Hasil dari penelitian ini menyatakan bahwa head coil merupakan coil yang dapat berperan sebagai pemancar RF sckaligus dan penerima sinyal schingga sering disebut transreceiver. Keuntungan head coil yaitu merupakan coil yang memiliki dua preamplifier (penerima dua sinyal) yang mendapatkan phase 90° yang berbeda, sehingga dapat meningkatkan SNR dan mengurangi pulse power sampai setengahnya. Keuntungan yang lainnya yaitu menghasilkan homogenitas yang baik dibanding semua koil, dan penggunaan head coil pada pemeriksaan MRI Ankle sudah cukup untuk menampilkan informasi diagnostic ankle jika ada kelainan kasus Achiles Tear Ruptur.

Perbedaan Informasi Citra Diagnostik T2WI Spir dan T2WI Dixon MRI Lumbal Potongan Sagital Dengan Kasus Hernia Nucleus Pulposus (HNP) Adi Widya Hartana; Kadek Yuda Astina; Triningsih Triningsih
DIAGNOSA: Jurnal Ilmu Kesehatan dan Keperawatan Vol. 1 No. 4 (2023): November : Jurnal Ilmu Kesehatan dan Keperawatan
Publisher : Universitas Katolik Widya Karya Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59581/diagnosa-widyakarya.v1i4.1459

Herniated nucleus pulposus (HNP) is the leading cause of back pain in old age, occurring as a result of tearing of the fibrous annulus and the nucleus pulposus exiting through the tear. To optimize pathology, fat suppression techniques are needed to suppress fat and fluid. Fat Suppression techniques include Dixon and SPAIR. The use of Dixon is relatively longer but can produce four images at once, while SPIR has the advantage of being more resistant to inhomogeneous magnetic fields. The purpose of this study was to determine the difference between T2WI SPIR and T2WI diagnostic image information Dixon Sagital Cut Lumbar MRI with Hernia Nucleus Pulposus (HNP) cases as well as find out which one is better between the two techniques. The type of research used is quantitative research with an experimental approach that uses prospective data aimed at determining the difference in diagnostic image information T2WI SPIR and T2WI Dixon MRI examination of Sagital Cuts. The study population is patients who perform Lumbar MRI examinations with HNP cases at the Radiology Installation of NTB Provincial Hospital for the period May-July 2023. This study applied total sampling, using a research sample of 17 patients. The results showed a difference in image information between the T2WI SPIR and T2WI Dixon sequences on Lumbar MRI examination of Sagital Cut with a p-velue value smaller than Î± (<0.05), namely in the anatomy of the Spinal Cord with a p-value (0.021), and the anatomy of the Corpus Vertebraewith value p-value (0.001). The T2 Spir sequence is more optimal in showing anatomical information on the Sagittal Cut lumbar MRI examination compared to the T2 Dixon sequence. due to the more homogeneous emphasis of fat on the anatomy of the Spinal Cord and Corpus Vertebrae

Peranan Sekuent Cartigram Pada Pemeriksaan MRI Knee Joint Dengan Kasus Anterior Cruciate Ligament DI Instalasi Radiologi RSUD Sidoarjo Moh Rivaldi Lantang; A.A Aris Diartama; Triningsih Triningsih
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 3 No. 3 (2023): November : Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Amik Veteran Porwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v3i3.2341

Background: The MRI knee joint examination procedure for clinical ACL rupture in the Radiology Installation of Sidoarjo Regional Hospital often adds a T2 Mapping MR Cartigram sequence. T2 mapping MR Cartigram is a special sequence for detecting damage to the collagen component of the cartilage matrix using a quantitative approach method by producing a color map. The aim of this research is to determine the procedure, reasons for use, and diagnostic information resulting from the T2 mapping MR Cartigram sequence. Method: This type of research is qualitative research with a case study approach. The research was conducted in March-June 2022 at the Radiology Installation of Sidoarjo Regional Hospital. Research subjects included three patients, three radiographers, one radiologist, and one sending doctor. Data was collected by means of observation, interviews and documentation and then analyzed using an interactive model system method which would be processed in the form of transcripts, then identified, reduced and categorized the data and made open coding so that conclusions could be drawn. Results: The results of the study show that the clinical MRI knee joint examination procedure for ACL rupture at Sidoarjo District Hospital includes patient preparation, equipment preparation, examination techniques and routine sequences used such as PD Fatsat, T2, T1, STIR, T2*GRE, PD 3D Cube, and additional T2 Mapping MR Cartiram sequence. The use of the T2 mapping MR Cartigram sequence aims to determine the effect of ACL rupture on cartilage damage quantitatively and objectively by placing an ROI in the cartilage area so that it can provide diagnostic information including early detection of cartilage damage, increased water content, and cartilage degenerative processes. The results of the interpretation of the analysis carried out by the Sidoarjo Regional Hospital Radiologist were only subjective, namely looking at the resulting color map to see whether it looked even and homogeneous. Conclusion: Basically, existing saturation measurements are not always the same, they will depend on the patient's diagnosis for which the action will be taken. This saturation measurement uses the AVOXimeter 1000E. no less important in the continuity of actions in the cath lab room.

Peranan Sekuen T1 SPACE Coronal Pada Pemeriksaan MRI Brain Dengan Klinis Epilepsi Lobus Temporal Di Unit Radiologi RSUP Prof. Dr. I.G.N.G. Ngoerah Denpasar Riana Mageles Lodia Panie; Putu Irma Wulandari; Triningsih Triningsih; Anak Agung Ayu Meydiari
Jurnal Ilmu Kesehatan dan Gizi Vol. 2 No. 1 (2024): Januari : Jurnal Imu Kesehatan dan Gizi
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikg.v2i1.2099

Background: Magnetic resonance imaging (MRI) is a cross-sectional imaging technique based on the principle of magnetic resonance of hydrogen atoms due to radio frequency (RF) signals with the same frequency as the precession frequency (lamor frequency). MRI at the beginning of its development used a semiconductor magnetic field with a power of 0.5-1.5 Tesla, but now MRI uses a superconductor magnetic field with a power of 1.5-3 Tesla. One of the advantages of brain MRI in epilepsy cases is that it can display clear information about the anatomy and pathology of the head in general in the temporal lobe area. The use of 3D sequences with isotropic voxels such as SPACE (Sampling Perfection With Application Optimized Contrasts With Varying Flip Angle Evolution) is very useful for generating images with high resolution, thinner cuts, and multi-level reconstruction can be performed in several fragments that allow the acquisition of 3D sequences at one time. Methods: The type used is descriptive qualitative research with a case study approach by conducting interviews with 2 radiology specialists, 1 neurology specialist and 3 radiographers related to MRI brain examinations with clinical epilepsy in August-September 2023 in the Radiology Unit of Prof. Dr. I. G. Ngoerah Denpasar Hospital. G. N. G. Ngoerah Denpasar. Results and Conclusion: This study used five (5) patient data who had clinical epilepsy. Based on the results of observations, interviews and documentation in the radiology unit of Prof. Dr. I.G.N.G. Ngoerah Denpasar Hospital, it can be seen that the procedure for examining MRI Brain with clinical epilepsy is that there is no special preparation, only filling out inform consent. The patient is positioned supine on the examination table with a head fixation device with a head first body position and hands beside the body. Radiographers put the patient into the gantry by setting the isocenter i n the middle of the glabella. After positioning the patient the radiographer sets the parameters using axial T2 Turbo Spin Echo (TSE), sagittal T2 Turbo Spin Echo (TSE), coronal T2 Turbo Spin Echo (TSE), axial T2 Turbo Spin Echo (TSE) dark fluit, axial T1 Turbo Spin Echo (TSE) axial Diffusion Weighted Imaging (DWI) and Susceptibility Weighted Imaging (SWI) and coronal T1 SPACE IR isotropic sequences.In addition, the role of coronal slice T1 SPACE sequences is to clearly see the presence of partical dystrophy, to see the thickening or irregularity of the cortex cerebri clearly. In addition, it is also to see the calcification of the temporal lobe and to measure the volume of the hippocampus.

Analisis Pemeriksaan MRI Brain Pada Kasus Vertigo Di Instalasi Radiologi Rumah Sakit Balimed Denpasar Rama Yeni Ines Sirait; Ni Putu Jeniyanthi; Triningsih Triningsih; Burlian Mughnie
Jurnal Ilmu Kesehatan dan Gizi Vol. 2 No. 1 (2024): Januari : Jurnal Imu Kesehatan dan Gizi
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikg.v2i1.2101

The background of this research is that vertigo is a symptom caused by disturbances in body balance due to the different locations of the lesions. Vertigo is not a disease but a symptomatic condition of vestibular system disorders. Evaluation of patients with audiovestibular disorders, sensorineural hearing disorders, tinnitus, and vertigo . Brain MRI is used to evaluate patients with audiovestibular dysfunction, including sensorineural hearing loss, tinnitus, and vertigo. This research method is descriptive qualitative research with a case study approach using a research design, namely observation, interviews and documentation which aims to find out why the T2 MATRIX 3D SPAIR sequence is needed for MRI brain examinations in vertigo cases at the Radiology Installation at Balimed Hospital, Denpasar. The data collection method was obtained using 3 Brain MRI patients, 3 radiology specialists and 3 radiographers. The results of this research show that the Magnetic Resonance Imaging (MRI) brain examination procedure in Vertigo cases at the Radiology installation at Balimed Hospital Denpasar uses the additional T2 MX3D SPAIR sequence for Vertigo cases because this sequence is able to show the nerve fibers in the brain. The conclusion is that the Magnetic Resonance Imaging (MRI) brain examination procedure in Vertigo cases at the Radiology installation at Balimed Hospital Denpasar does not require special preparation, only more attention is paid to the patient's condition, whether they are wearing braces or dentures because the two tools used will interfere with the results of the MRI image used. The reason for using the T2 MX3D SPAIR sequence is with the aim of adding diagnostic information from the image quality results in order to establish a diagnosis of many neurological disorders or nerve fibers, one of which is Vertigo.

Peranan Sekuent Cartigram Pada Pemeriksaan MRI Knee Joint Dengan Kasus Anterior Cruciate Ligament DI Instalasi Radiologi RSUD Sidoarjo Moh Rivaldi Lantang; A.A Aris Diartama; Triningsih Triningsih
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 3 No. 3 (2023): November : Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Amik Veteran Porwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v3i3.2341

Background: The MRI knee joint examination procedure for clinical ACL rupture in the Radiology Installation of Sidoarjo Regional Hospital often adds a T2 Mapping MR Cartigram sequence. T2 mapping MR Cartigram is a special sequence for detecting damage to the collagen component of the cartilage matrix using a quantitative approach method by producing a color map. The aim of this research is to determine the procedure, reasons for use, and diagnostic information resulting from the T2 mapping MR Cartigram sequence. Method: This type of research is qualitative research with a case study approach. The research was conducted in March-June 2022 at the Radiology Installation of Sidoarjo Regional Hospital. Research subjects included three patients, three radiographers, one radiologist, and one sending doctor. Data was collected by means of observation, interviews and documentation and then analyzed using an interactive model system method which would be processed in the form of transcripts, then identified, reduced and categorized the data and made open coding so that conclusions could be drawn. Results: The results of the study show that the clinical MRI knee joint examination procedure for ACL rupture at Sidoarjo District Hospital includes patient preparation, equipment preparation, examination techniques and routine sequences used such as PD Fatsat, T2, T1, STIR, T2*GRE, PD 3D Cube, and additional T2 Mapping MR Cartiram sequence. The use of the T2 mapping MR Cartigram sequence aims to determine the effect of ACL rupture on cartilage damage quantitatively and objectively by placing an ROI in the cartilage area so that it can provide diagnostic information including early detection of cartilage damage, increased water content, and cartilage degenerative processes. The results of the interpretation of the analysis carried out by the Sidoarjo Regional Hospital Radiologist were only subjective, namely looking at the resulting color map to see whether it looked even and homogeneous. Conclusion: Basically, existing saturation measurements are not always the same, they will depend on the patient's diagnosis for which the action will be taken. This saturation measurement uses the AVOXimeter 1000E. no less important in the continuity of actions in the cath lab room.

Analisis Pemeriksaan MRI Pelvis Pada Kasus Kanker Serviks Di Instalasi Radiologi RSUP Persahabatan Hildaimawanti Hildaimawanti; Ni Putu Rita Jeniyanthi; Triningsih Triningsih; I Kadek Sukadana
Jurnal Riset Rumpun Ilmu Kedokteran (JURRIKE) Vol. 2 No. 2 (2023): Oktober :Jurnal Riset Rumpun Ilmu Kedokteran
Publisher : Pusat riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jurrike.v2i2.2088

The aim of this research is to find out the procedures for Pelvic MRI examinations in Cervical Cancer Cases at the Radiology Installation at Persahabatan Hospital, to find out the reasons for using T1W SPIR and to find out the reasons for using T2W SPAIR in Pelvic MRI examinations in cervical cancer cases. This type of research uses descriptive qualitative methods with a case study approach. Data collection methods are carried out through observation, interviews and documentation. Then data analysis was carried out using open coding charts and categorization tables, so that conclusions could be drawn. The results of this study indicate that the Pelvic MRI examination procedure in cases of cervical cancer at Persahabatan Hospital using contrast media requires special preparation, namely the patient fasting from eating fibrous foods 1 day before the examination, taking laxatives 12 hours before the examination, and checking urea creatinine. The patient is injected with 20 cc of ultrasonic gel in the rectum and vagina which functions as a marker. The purpose of using the T1W SPIR sequence is to compare enhancement before and after administration of contrast media. The use of T2W SPAIR in pelvic MRI examinations to assess pathological fluid by suppressing fat signals.

Analisis Pemeriksaan Lumbal Pada Kasus Low Back Pain (LBP) Di Instalasi Radiologi RSUD Kota Bogor Sumantri Sebayang; Kadek Yuda Astina; Triningsih Triningsih; I Kadek Sukadana; Nova Adeline
Jurnal Ilmiah Kedokteran dan Kesehatan Vol 3 No 1 (2024): Januari : Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Sekolah Tinggi Ilmu Ekonomi Trianandra

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v3i1.2253

The aim of this research is to determine the Lumbar MRI examination procedure in LBP cases at the Bogor City Regional Hospital, namely STIR and Myelo Radial, the aim of which is to clearly see abnor malities in the intervertebral discs and stenosis in the cerebral spinal cord. This type of research uses descriptive qualitative methods with a case study approach. Data collection methods are carried out through observation, interviews and documentation. Then data analysis was carried out using open coding charts, so that conclusions could be drawn. The results of this study show that the Lumbar MRI examination procedure in cases of Low Back Pain (LBP) at the Bogor City Regional Hospital does not require special preparation, the patient comes to radiology for screening (installation of a pacemaker). The patient removes clothing and metal objects. Before the examination, the patient is asked to urinate first, the patient's position is supine (feet first), iso center 5 cm superior to the ASIS. Then it is briefly explained that during the examination you are not allowed to move and the duration of the examination is 15 minutes and the role of the sagittal STIR sequence and Myelo Radial. The role of the sagittal STIR sequence and myelo radial to suppress fat in the cerebral spinal fluid, conus medullaris and myelum in the spinal cord and to see masses Lesions and stenosis caused by narrowing of the bulging in the intervertebral disks are clear enough to provide a Lumbar MRI image for cases of Low Back Pain (LBP).

Optimalisasi pemeriksaan MRI lumbal pada kasus low back pain dengan protocol wholespine sequen T2 TSE sagital di Rumah Sakit Kasih Ibu Denpasar Gde Wahyu Suteja; Putu Irma Wulandari; Triningsih Triningsih
Nautical : Jurnal Ilmiah Multidisiplin Indonesia Vol. 1 No. 9 (2022): Nautical: Jurnal Ilmiah Multidisiplin Indonesia
Publisher : ARKA INSTITUTE

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MRI memiliki peranan yang penting pada aplikasi sains biologis medis, karena MRI mampu menunjukkan gambaran shoft tissue tubuh dan proses metabolisme didalamnya. Tujuan dari penelitian ini yaitu untuk mengkaji optimalisasi pemeriksaan MRI lumbal pada kasus low back pain dengan protocol wholespine sequen T2 TSE sagital di Rumah Sakit Kasih Ibu Denpasar. Jenis penelitian pada karya tulis ilmiah ini merupakan penelitian kualitatif dengan pendekatan studi kasus. Sampel dalam penelitian ini adalah tiga orang pasien dengan Klinis Low Back Pain. Data yang digunakan merupakan data sekunder yang diperoleh melalui observasi, wawancara, dan dokumentasi. Hasil dan kesimpulan penelitian ini menunjukkan bahwa prosedur pemeriksaan MRI Lumbal pada kasus Low Back Pain dengan protocol Wholespine T2 sagital di Rumah Sakit Kasih Ibu Denpasar tidak ada persiapan khusus. Saran dari penulis dalam pemeriksaan MRI Lumbal dengan Kasus Low Back Pain di Rumah Sakit Kasih Ibu Denpasar yaitu pada saat anamnesa harus ditanyakan dengan jelas riwayat pasien.

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