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APLIKASI 3D ARTERIAL SPIN LABELING SEQUENCE PADA PEMERIKSAAN BRAIN MRI Nova Setiyanto, Ary; Nur Mayani, Anita
JRI (Jurnal Radiografer Indonesia) Vol. 3 No. 2 (2020)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Background: MRI (Magnetic Resonance Imaging) is a noninvasive diagnostic examination that utilizes high magnetic field strength in producing an image. Non-contrast Brain MRI Examination in Radiology Installation of Adi Husada Undaan Wetan Hospital Surabaya using a sequence of Ax DWI b1000 routines, Ax T2 Flair FS, Ax T2 Propeller, Ax T1 FSE, MRA TOF, Ax T2 * GRE. Clinical suspect CVA infarct, Brain MRI examination in Radiology Installation of Adi Husada Hospital Undaan Wetan Surabaya added 3D ASL sequences without using gadolinium contrast media. Methods: This type of research is qualitative research with a case study approach. Data was taken from January to February 2019. The object of the study was MRI Brain examination in CVA infract cases at Radiology Installation at Adi Husada Undaan Wetan Hospital, Surabaya. The research subjects are 2 radiographers and 1 radiologist. Results: Based on the results of visual analysis with interview methods with radiologists, the image results on Ax DWI b1000, Ax T2 Flair FS and Ax T2 Propeller appear hyperintense images which indicate the presence of pathology in the restricted area. The addition of the 3D ASL sequence is used to determine CBF (cerebral blood flow). Conclusions : The application of the 3D ASL sequence to the clinical suspect CVA infarct with the right method can greatly assist the radiologist to diagnose patient abnormalities.

PEMERIKSAAN MRI PELVIS WANITA DENGAN KLINIS ENDOMETRIOSIS Sriyatun, Sriyatun; Sari, Gando; Maulana Budianto, Rudi; Heriyanto, Heriyanto; Pramono, Pramono; Darmiyeti, Darmiyeti
JRI (Jurnal Radiografer Indonesia) Vol. 3 No. 2 (2020)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Introduction: The pelvic anatomy is an ideal part of using Magnetic Resonance Imaging (MRI) as it is particularly suitable for detecting abnormalities in soft tissues. Endometriosis is a disease that is 10% suffered by women in the premenopausal or reproductive period, in which a tissue that resembles endometrium outside the uterus is purely a chronic inflammatory action. Materials and Methods: This research is descriptive qualitative with case study approach. MRI Pelvic Women Examination with clinical Endometriosis using protocol sequences: T2 TSE and T1 SPAIR sagittal planes; T2 TSE long axis (LAX) and short axis (SAX); T1 TSE; T1 FLAIR, T1 TSE FS, EP2D Diffusion axial planes; as well as the T2 Haste FS of coronal planes thick slice and T2 Spc3D sequences. Results and Discussion: In the outcome of the images seen cyst endometriosis in the right-left ovarium, hypointense on T2 and hyperintense on T1 and T1 FS. Enlarged uterine size. Seen multiple cysts of hypointense posterior uterine lesions in sequence T2 and hyperintens in sequence T1 SPAIR.Conclusions: MRI Pelvic Women Examination have a good role to diagnose the pathologies of female genetic organs and the anatomy between organs can be clearly distinguished by the giving of vaginal and rectum ultrasound jelly, and full bladder.

ANALISIS KUALITAS HASIL GAMBAR SEQUENCE T1 FAT SAT DAN SPECTRAL ADIABATIC INVERSION RECOVERY (SPAIR) PADA POTONGAN SAGITAL MRI PELVIS DENGAN KLINIS ENDOMETRIOSIS Mawarsari, Septi
JRI (Jurnal Radiografer Indonesia) Vol. 3 No. 2 (2020)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Background : Examination of women's pelvis with clinical endometriosis using sequence T1 fat sat with the reason in the description of T1 fat sat will increase the contrast of the filling, see the difference between tissues containing fat and not, increase the sensitiveness in detecting small endometriosis and help distinguish it from cysts. SPAIR is a very powerful technique for fat suppression, which gives different advantages compared to conventional fat suppression techniques. MRI examination of pelvic endometriosis on sagittal pieces using SPAIR is unlike in theory that more recommend T1 fat sat. Because of the sequence differences, the authors were interested to examine more about the quality of the picture results with the sequence of T1 fat sat and SPAIR on the partal pieces of MRI Pelvic endometriosis. Method : Design This research is quantitative analytics with observation methods, experiments and questionnaires. Conducted at the MRI Installation of Fatmawati Central General Hospital in February 2016 to May 2016 with a study sample of 10 patients using primary data. T1 Fat Sat and SPAIR overviews are qualitatively analyzed using questionnaires based on the assessment of radiology specialists and radiographers by assessing diagnostic information in terms of anatomy, resolution, contrast and noise. Data analysis is done using Independent T test. Result : The result of this study is to show a 'significant difference in anatomy, resolution and contrast characterized by the value p value = 0.000 (p < 0.05) while in the noise there is no significant difference marked by p value = 0.065 (p > 0.05).

PERANAN TEKNIK SPLIT-BOLUS TERHADAP KUALITAS CITRA PADA PEMERIKSAAN MSCT LEHER Lustyana Devi, Hefty; Safarini, Bekti; Sulaksono , Nanang
JRI (Jurnal Radiografer Indonesia) Vol. 3 No. 2 (2020)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Background : According to the theory, Neck MSCT examination were performed using monophasic injection techniques. Split-bolus is an innovative technique that divides intravenous (IV) contrast media into two or three boluses and combines phase images in single scanning. The MSCT split-bolus scan with a combination of parenchymal and vascular enhancement is a valid alternative approach compared to the standard monophasic MSCT protocol. The purpose of this study was to determine the split-bolus technique in neck MSCT examination and its role in the quality of the image. Method : This research is a descriptive qualitative study with a literature review study method. Data is collected by the documentation method. The electronic database was searched using the keywords "head and neck" AND ("contrast" OR "injection") AND ("Split bolus" OR "Biphasic Contrast" OR "Dual bolus" OR "Double bolus" OR "Multi-phase" OR "Quadruple-Phase"). The inclusion criteria used were a research article on a split-bolus technique in a single scan on MSCT neck examination. Three articles met the inclusion criteria. Data analysis was performed using the annotated bibliography method. Result : The results of this study indicate that the contrast media used in the MSCT examination of the neck with a split-bolus technique are non-ionic iodine contrast media with a total volume of 80-100 mL and a concentration of 300-370 mg / mL. Contrast media injection is done by dividing contrast media in the first and second boluses using a ratio of 3 : 2 or 1 : 1 of the total volume of contrast media followed by saline injection. The flow rate used is 2 - 3 mL / s with a fixed delay time between 70 - 120 seconds. The split - bolus techniques have a role in contrast resolution of image quality. The image quality produced on neck MSCT examination using split bolus technique can increase vaskular and tumor enhancement without reducing parenchymal enhancement and lesions. In a patient with metastasis, this technique can reduce artifacts due to excessive contrast media in the arteries and veins so the lymph nodes appear more clearly. Conclusion : Based on the result, the split - bolus techniques have a role in contrast resolution of image quality.

VARIASI PENGGUNAAN REKONTRUSI ALGORITMA FBP, iDose4 DAN ITERATIVE MODEL RECONTRUCTION (IMR) TERHADAP KUALITAS CITRA MCST THORAK LOW DOSE UNTUK MENDETEKSI NODUL PARU Anikmah, Siti; Kartikasari, Yeti; Kurniawati, Ary
JRI (Jurnal Radiografer Indonesia) Vol. 3 No. 2 (2020)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Background: Pulmonary nodules are often found accidentally when thorax imaging is done. The size and rate of nodule growth are the most important predictors of imaging for malignancy. When the low dose protocol applied to the thorax MSCT will affect image quality, such as increased noise and decreased spatial resolution, so that the detection of nodules becomes less accurate. For noise limitation the reconstruction of the FBP, iDose4 and IMR algorithm is used. The purpose of this literature study is to evaluate variations in the FBP, iDose4 and IMR algorithm in improving image quality. Methods: This method is a qualitative research with a descriptive approach using comprehensive literatures studies Results: The result show that noise reduction is highest at IMR and lowest at FBP. The highest number of detected nodules on IMR especially for solid nodules < 4 mm and the lowest on FBP. Pathological findings with the best quality on IMR and quality are limited to FBP. Visibility of normal and abnormal findings, iDose4 is better than IMR and FBP especially for reticular patterns. Effective doses are reduced by 44 % to 59 % based on this literature study. In clinical practice, IMR shows the potential for pathological recovery at low dose level and IMR can improved measured image quality based on noise, high contrast spatial resolution and low contrast detectability. Conclusion: So IMR is the most effective algorithm applied for scanning low dose MSCT thorax for detection of pulmonary nodules.

PROSEDUR PEMERIKSAAN RADIOGRAFI CLAVICULA DENGAN KLINIS FRAKTUR DI RSUD RAA SOEWONDO PATI Affan Haqqi, Mohamad; Sulaksono , Nanang
JRI (Jurnal Radiografer Indonesia) Vol. 3 No. 2 (2020)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Background: Clavicula examination procedure with clinical fractures in radiology installation RAA Soewondo Pati Hospital was using only Antero Posterior (AP) projection. The purpose of this research is to know the clavicle examination procedure with clinical fractures and find out the reasons for using Antero Posterior (AP) projections. Methods: Type of this research is qualitative research with approach case studies. Data were collected by observation, in-depth interviews, and documentation. This research took place in the radiology installation of RAA Soewondo Pati Hospital. Data analysis was carried out with interactive model three steps, namely data collection, data reduction, data presentation. Results: The results showed the clavicula examination procedure with clinical fractures in radiology installation RAA Soewondo Pati Hospital was using Antero Posterior (AP) projection. Conclusions: The reason for using this projections is because this projections have provided diagnostic anatomy information and its enough to make a the diagnosis. But to show costae 1 and 2 and clavicle appear more clear and not superposition each other should use AP Axial projections.

PERANAN HEART RATE TERHADAP KUALITAS CITRA PADA PEMERIKSAAN CT ANGIOGRAPHY CARDIAC Susanti, Titin; Arinawati, Arinawati; Sulaksono, Nanang
JRI (Jurnal Radiografer Indonesia) Vol. 3 No. 2 (2020)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Background: Cardiac angiography CT examination is a non-invasive measure to evaluate coronary blood vessels. Multislice CT with a high level of sensitivity and specificity is required to be able to reconstruct data from a constantly moving heart, resulting in diagnostic and informative image quality. Heart movement or heart rate plays a role in the occurrence of motion artifacts so that a stable heart rate is required at the time of data acquisition. The purpose of this paper is to see the role of the heart rate in cardiac CT Angiography examination and to determine the value of the heart rate to obtain the best image quality. Methods: The research method uses a literature study approach by describing the article. Article searches use Science Direct, Radiopedia, American Journal Radiography, and Google Search to find articles that match inclusion and exclusion criteria so that 4 articles are obtained and then they are reviewed. Results:: The study results show that the heart rate plays a very important role in producing image quality from CT examination. Cardiac angiography, a stable heart rate will minimize the occurrence of artifacts, which is one of the points in the image quality parameter. A stable heart rate to get the best image quality is at â‰¤60 BPM when data acquisition with low heart rate variability Conclusion: .Nilai heart rate untuk mendapatkan kualitas citra yang informatif dan diagnostik pada nilai heart rate 60 bpm, sehingga kualitas citra akan baik.

PERANAN 3D AXIAL HYPERCUBE T2 FAT SAT PADA PEMERIKSAAN MRI PELVIS DENGAN KASUSU FISTULA PERIANAL Nurâ€™aini, Istiqomah; Iman, Nuzul; Serfina Fajarini, Eunike
JRI (Jurnal Radiografer Indonesia) Vol. 3 No. 2 (2020)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Background: Fistula is an abnormal relationship between two berepitel places. Fistula ani is a fistula that connects the anal canal to the skin around the anus (or to other organs such as the vagina). Magnetic Resonance Imaging (MRI) Pelvis is one of the right modalities to describe anatomical abnormalities of the pelvis, with the selection of appropriate protocol sequences so that informative MRI images are obtained. Method: This research is a qualitative detiptive study using a sample of 5 patients, with the same complaints, there are lumps such as ulcers in the anus area and there are eyes that secrete fluids such as pus and without a previous medical history. Mri Pelvic examination without contrast using MRI 1.5 Tesla Signa Explorer GE brand in Radiology RS EMC Tangerang. Taking a T2 axial sekuen to see the entire pelvis. Focus on perianal fistula area with sagittal sekuen T2, sagittal T2 fat sat, axial T2, axial T2 fat sat, coronol T2, coronal T2 fat sat and 3D axial hypercube T2 fat sat. Results: Sagittal T2 fat sat, axial T2 fat sat, and coronal T2 fat sat appear anatomically from perianal fistula and other abnormalities around them. In 3D axial hypercube T2 fat sat obtained anatomical picture of perianal fistula with thinner slice thickness. Conclusion: Mri Pelvis without contrast is a very accurate diagnostic imajing in showing perianal fistula abnormalities with a clear anatomical picture, is a non-inspative examination. Uses axial T2 sekuen for the entire pelvis. Sagittal T2, sagittal T2 fat sat, axial T2, axial T2 fat sat, coronal T2, coronal T2 fat sat, 3D axial hypercube T2 fat sat focus on perianal fistula area.

PERANAN HEART RATE TERHADAP KUALITAS CITRA PENGGUNAAN â€œCOVID-19â€ WINDOW UNTUK PEMERIKSAAN CT-SCAN THORAX POLOS PADA PASIEN SUSPEK COVID-19 Mayasari, Anisa
JRI (Jurnal Radiografer Indonesia) Vol. 3 No. 2 (2020)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Background: Non-contrast chest CT-Scan is one of the COVID-19 screening methods. At Panti Waluyo hospital of Surakarta, Non-contrast chest CT-Scan did not use the HRCT technique, low-dose technique, Lung Window, and Mediastinum Window, but used a standard-dose technique and â€œCOVID-19â€ window. Methods: The research was conducted at Panti Waluyo hospital of Surakarta, scanning process using GE Brightspeed 8 Slices CT-Scan. The position of the patient is supine feet first, the midline is at the midsagittal plane and axillary line, the scanning process begins with a vertical and horizontal scout photo, scanning area from Thoracal 1st to lumbar 3rd, using a helical scan, and â€œCOVID-19â€ window with 120 kV, 100 mA, 0.8 s, 5 mm slice thickness, FoV 34 cm, gantry tilt 0 Â°, reconstruction 1.25 mm, pitch 1.35: 1, window width 1600, and window level -250. Results: The expertise of Radiologists indicates bilateral pneumonia (typical COVID-19). The "COVID-19" window presents GGO and clarifies the difference between GGO and lung consolidation. It shows the contour of the heart and part of the liver, without adding another window. So, it can increase the effectiveness of time and radiological film. Conclusions: For non-contrast chest CT-scan in patients with suspected COVID-19, it is better to use the â€œCOVID-19â€ window than the lung or mediastinal window.

ANALISA PENGARUH VARIASI ECHO TRAIN LENGTH (ETL) PADA SEKUEN T2 WEIGHTED IMAGE (T2WI) AXIAL PROPELLER TERHADAP KUALITAS CITRA PEMERIKSAAN BRAIN MAGNETIK RESONANCE IMAGING (MRI) Dwi Kurniarahman, Yoyok; Santoso, Gunawan; Darmini, Darmini
JRI (Jurnal Radiografer Indonesia) Vol. 3 No. 2 (2020)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Backgroud: Echo Train Length (ETL) or turbo factor refers to the echo number of radiofrequency pulse refocusing 1800 after excitation RF pulse which used in Fast Spin Echo (FSE). ETL was is the single most important parameter on the image quality. Longer ETLs result in more T2-weighting because more late echoes with longer TEâ€™s contribute to the overall signal. Longer ETLâ€™s also associated with a decrease in the overall signal-to-noise ratio (SNR) and contrast-to-noise ratio (CNR) because the later echoes are weaker and the image having blurring. The ETL was influence with scanning time. PROPELLER sequences can be reducing the artefact motion. The aim of this research is to known how the effect of the ETLs variation on sequences T2WI axial PROPELLER to the best image quality and the ETLs value which have best quality. Methods: This type of study is a quantitative study conducted with an experimental approach in Radiology Installation of Santo Borromeoâ€™s Bandung. Data is collected by the examination brain MRI in 6 (six) patients, after a brain MRI scanning with axial slice T2WI PROPELLER sequences, with variation of Echo Train Length (ETL). The variation of ETL we used are 12, 18, 24 and 30. And the estimation using Region of Interest (ROI) at the ventricle lateral, nucleus caudate, putamen, thalamus and internal capsule. The assessment results are summarized and then in a statistical test using SPSS version 23.0 with the method of Pearson correlate and linier regression. Results: The result showed that there is having effect of Echo Train Length (ETL) on sequences T2WI axial PROPELLER to the image quality. There is a strong correlation which the result of significant value 0,000 < p value 0.05. The relation effect variation of ETL with SNR very strong is nucleus caudate and CNR very strong between nucleus caudate and ventricle lateral. The mean rank value of SNR and CNR have been showed is ETL 12 with a mean rank up to 152,57 and 121,18 Conclusion:There was the influence of the echo train length toward image quality of brain MRI on sequences T2WI axial PROPELLER. The best echo train length value of brain MRI on sequence T2WI axial PROPELLER is 12.

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Jl. Bambu Apus Raya Blok Kav A2 No.23 RT.12/RW.3, Bambu Apus Cipayung, Jakarta Timur Jakarta 13890

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Kota adm. jakarta timur,

Dki jakarta

INDONESIA

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name Fatimah

Contact Email mail@pari.or.id

Phone +6281325656709

Journal Mail Official mail@pari.or.id

Editorial Address Jl. Bambu Apus Raya Blok Kav A2 No.23 RT.12/RW.3, Bambu Apus Cipayung, Jakarta Timur Jakarta 13890

Location Kota adm. jakarta timur, Dki jakarta INDONESIA

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Contact Name
Fatimah

Contact Email
mail@pari.or.id

Phone
+6281325656709

Journal Mail Official
mail@pari.or.id

Editorial Address
Jl. Bambu Apus Raya Blok Kav A2 No.23 RT.12/RW.3, Bambu Apus Cipayung, Jakarta Timur Jakarta 13890

Location
Kota adm. jakarta timur,

Dki jakarta

INDONESIA