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All Journal Jurnal Klinik dan Riset Kesehatan International Journal of Radiology and Imaging
Agung Setyawan
Radiologi Intervensi, Departemen Radiologi, Fakultas Kedokteran Universtitas Brawijaya – RSUD Dr. Saiful Anwar Malang
Biochemistry, Genetics & Molecular Biology Computer Science & IT Dentistry Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health

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Embolisasi Trans Arterial Pra Operasi pada Metastatic Bone Disease dari Renal Cell Carcinoma Putri Rizqi; Agung Setyawan; Achmad
Jurnal Klinik dan Riset Kesehatan Vol 1 No 3 (2022): Juni
Publisher : RSUD Dr. Saiful Anwar Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/jk-risk.01.3.7

Abstract

Metastasis merupakan penyebaran kanker dari bagian tubuh utama saat kanker itu dimulai ke bagian lain dari tubuh tersebut. Sekitar sepertiga pasien dengan Renal cell carsinoma (RCC) memiliki metastasis tulang yang seringkali osteolitik dan menyebabkan morbiditas yang substansial, seperti nyeri, fraktur patologis, kompresi sumsum tulang belakang dan hiperkalsemia. Adanya metastasis tulang di RCC juga dikaitkan dengan prognosis yang buruk. Dalam makalah ini melaporkan satu presentasi kasus mengenai tindakan embolisasi pada pasien perempuan usia 25 tahun dengan diagnosa Fraktur patologis pada level vertebrae lumbal 1 due to Metastatic Bone Disease dari Process Renal Cell Carcinoma sebelum dilakukan operasi stabilisasi tulang belakang Embolisasi memiliki peran penting dalam mengobati metastasis tulang hipervaskuler. Embolisasi merupakan cara yang efektif untuk menangani kondisi hemoragik dan membatasi pasokan pendarahan untuk massa tumor, pada laporan kasus ini embolisasi pra operasi menurunkan pendarahan intra operasi menjadi 1150 ml. Embolisasi dapat dilakukan baik sebagai pengobatan definitif atau sebagai tambahan untuk manajemen bedah berikutnya.
The Relationship between Lipid Profile and Breast Parenchymal Density From Mammography Examination Dewangga Yudisthira; Agung Setyawan; Yuyun Yueniwati Prabowati Wadjib
International Journal of Radiology and Imaging Vol. 1 No. 02 (2022): International Journal of Radiology and Imaging
Publisher : Department of Radiology, Medical Faculty, University of Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (159.03 KB) | DOI: 10.21776/ub.ijri.2022.001.02.1

Abstract

Breast cancer is a type of cancer that has the highest incidence and mortality rate in the world and in Indonesia among other cancers. One of the causes of death due to breast cancer is influenced by poor prognosis due to cancer’s late detection. One method of early detection is mammography. Mammography is an examination method to detect cancer cells and assess breast density, which is a risk factor for breast cancer. Reporting the results of breast density types uses the BI-RADS grading, which is divided into 4 categories. Breast density is influenced by various factors, one of which is the lipid profile (triglycerides, total cholesterol, LDL, and HDL). This study used an analytic observational method with a cross-sectional study design. The samples were members of Dharma Wanita group of Universitas Brawijaya and female members of the Indonesian Radiographers Association in Malang from October 2021 to January 2022. The data was analyzed using the non-parametric chi-square test. The results of each component of the lipid profile showed p-values (p < 0.05) = 0.172, 0.619, 0.226, 0.829, for triglycerides, total cholesterol, LDL, and HDL, respectively. This means all lipid profile components do not have a significant relationship with the density of the breast parenchyma.
THE ROLE OF CHEST CT ANGIOGRAPHY AS A DIAGNOSTIC TOOL AND ROAD MAP FOR THE MANAGEMENT OF RASMUSSEN’S ANEURYSM: A CASE REPORT Maskuril Barkah Barkah; Dini R. Erawati; Ahmad Bayhaqi Nasir Aslam; Agung Setyawan; Ricardo Tjakraatmadja
International Journal of Radiology and Imaging Vol. 1 No. 02 (2022): International Journal of Radiology and Imaging
Publisher : Department of Radiology, Medical Faculty, University of Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (586.66 KB) | DOI: 10.21776/ub.ijri.2022.001.02.4

Abstract

Rasmussen’s aneurysm is a pulmonary artery pseudoaneurysm, secondary to the invasion of granular tissues to the pulmonary artery wall, causing massive hemoptysis. A 39-year-old male, with a history of pulmonary TB presented with massive hemoptysis, persistent cough, and dyspnea. Chest X-ray and Chest CT depicted active pulmonary tuberculosis and a co-infection with aspergillosis in the form of aspergilloma. Chest CT angiography (CTA) showed narrow-necked Rasmussen’s aneurysm with the feeding artery coming from the pulmonary artery of the apicoposterior segment and the systemic artery from the left thyrocervical trunk branch and left bronchial artery. Fluoroscopy-guided transarterial embolization with polyvinyl alcohol (PVA) and gel foam was performed from the left bronchial artery and thyrocervical trunk branch followed by transcatheter embolization with glue insertion via the pulmonary artery in the aneurysmal site. After the procedures the embolic agent completely filled the aneurysm and there were no complaints of hemoptysis during the follow-up. Appropriate chest CT angiography procedures can help diagnose Rasmussen’s aneurysm and become a road map for embolization. Transarterial catheter embolization from bronchial or non-bronchial systemic artery and pulmonary artery can be used as the treatment modality of choice for Rasmussen’s aneurysm in pulmonary tuberculosis with aspergillosis co-infection in the form of aspergilloma.
A LITHOPEDION – AN UNUSUAL CALCIFIED ABDOMINAL PREGNANCY: A CASE REPORT Ike Sulistiyowati; Siswidiyati; Agung Setyawan; Arifah
International Journal of Radiology and Imaging Vol. 2 No. 01 (2023): International Journal of Radiology and Imaging
Publisher : Department of Radiology, Medical Faculty, University of Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776//ub.ijri.2023.002.01.3

Abstract

Introduction: Lithopedion is an ectopic pregnancy that progresses to fetal mortality and calcification, as described in the introduction. It is uncommon, with a reported incidence of 1.5% to 2% of all ectopic pregnancies. The fetus expires and is not absorbed by the mother's body, but it evades maternal immunity by surrounding itself with a calcified shell. Lithopedion can be diagnosed through abdominal X-rays, ultrasonography, and CT imaging. Case presentation: A 73-year-old female complaining of abdominal mass for over three decades and radiating pain to the right hip for a month. The patient is multipara with a history of habitual abortion. There was an immobile abdominopelvic mass in palpation. The ultrasound showed a large calcified mass in the pelvic cavity. Abdominal and pelvic CT revealed a mummified fetus, depicting great detail of the fetal anatomy surrounded by a calcified membrane. The uterus was normal. Our case is suitable with lithokelyphopedion. Conclusion: Lithopedion is a seroius condition associated with high maternal and perinatal mortality rates. The condition was not identified during prenatal visits. A thorough history and physical examination are as important as imaging investigations in this setting. Keywords: lithopedion, lithokelyphopedion, calcified abdominal mass
Co-Authors Achmad Ahmad Bayhaqi Nasir Aslam Arifah Dewangga Yudisthira Dini R. Erawati Ike Sulistiyowati Maskuril Barkah Barkah Putri Rizqi Ricardo Tjakraatmadja Siswidiyati Yuyun Yueniwati