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PENATALAKSANAAN PEMERIKSAAN CT-SCAN ORBITA MENGGUNAKAN BAHAN KONTRAS DENGAN KLINIS CA SEBASEA Irma Rahmania
JRI (Jurnal Radiografer Indonesia) Vol. 3 No. 1 (2020)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Background: Orbita CT allows visualization of abnormalities that are not easily seen with konvensional radiography. As a comparison, tomogram are reconstructed by a computer and rotated as anatomical pieces on a monitor. Carcinoma transmits sebaceous is a tumor originating from a malignant sebaceous tumor. This carcinoma usually comes from meibom circles.Research Objectives: To find out the procedure of OrbitaCT-Scan examination using contrast material with clinical Ca Sebaceain Radiology Installation Dr. H. Abdul Moeloek Lampung Province Methods: This study is descriptive qualitative with an observational approach Results: After observation of the obtained results that the examination of CT-Scan Orbita using contrast material is done with special preparations, using pre-contrast and post-contrast axial slice which were then reconstructed into coronal and sagittal slice according to doctor and clinical needs. Conclusions: The results of the picture show suggestive soft tissue tumor maligna in the lateral aspect of the palpebrae sinistra size of 1.9 cm x 3.3 cm x 2.2 cm which appears attached to the lateral aspect of the bulb oculis sinistra.

ANALISIS PERBEDAAN KUALITAS CITRA DAN INFORMASI ANATOMI PADA PEMERIKSAAN MRI LUMBAL SEKUEN T2WI FAST SPIN ECHO (FSE) POTONGAN SAGITAL DENGAN VARIASI NILAI TIME REPETITION Merah Bagus YB; Darmini Darmini; Sri Mulyati
JRI (Jurnal Radiografer Indonesia) Vol. 3 No. 1 (2020)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Background: Lumbar MRI examination at T2 weighted is recommended using the Fast Spin Echo (FSE) sequence because it can detect early symptoms of a pathology, such as edema, tumors, infections, fractures, ligament injuries, and produce images with strong signals in CSF including details of nerve roots. Based on the observations of researchers at MRCCC Siloam Hospital Semanggi Jakarta that uses TR values in the range of 3500-7500 ms with 3 Tesla MRI. This study aims to determine the differences in image quality and anatomical information as well as knowing the TR values that produce best quality and anatomical information on Lumbar MRI on T2WI FSE. Methods: This type of research is an experiment, then a different friedman test was carried out to determine differences in image quality and anatomical information with variations in TR values that produced best image quality and anatomical information. Result: Friedman test shows there are significant differences between the variation of TR on anatomical information produced with p-value < 0.001. The friedman test results obtained p-value SNR < 0.001, CNR < 0.001 and scan time < 0.001. TR which produces best image quality and anatomical information is TR 5500ms with mean rank 2.32 on Lumbar MRI examination by T2WI FSE sequence sagital slices.

PERBANDINGAN POSISI KNEE JOINT FLEKSI DAN EXTENSI PEMERIKSAAN LUMBOSACRAL ANTERO POSTERIOR (AP) SUPINE DALAM MEMPERLIHATKAN DISCUS INTERVERTEBRALIS Noerma Kurniawa, Ceccare; Cahyati, Yeni; Agung Basuki, Rizki
JRI (Jurnal Radiografer Indonesia) Vol. 3 No. 1 (2020)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Background : Supine examination of lumbosacral antero posterior projection (AP) is used to obtain a clear lumbosacral radiograph, one of which shows an intervertebral disc. The objective the research was to determine the knee joint flexion position and knee joint extension position on the antero posterior lumbosacral (AP) Supine examination in the appearance of intervertebral discs. Methods : Research of the position of the knee joint flexion and extension on the lumbosacral antero posterior (AP) Supine examination in displaying intervertebral discs, this is a comparative descriptive study, the researchers compared the position of the knee joint flexion and extension on Supine's lumbosacral antero posterior (AP) examination in showing the intervertebral disc so that it can be seen which position is better in performing Supine antero posterior (AP) lumbosacral radiographic examination in showing the intervertebral disc and which radiograph results. the best in establishing the diagnosis Result : From the research data in showing the knee joint flexion and extension position, the mean value of the joint gap on Supine's lumbosacral (AP) examination in showing L-1 intervertebral disc in the knee joint flexion position was 8.8 mm while the knee joint extension position was 8.8 mm. 7 mm intervertebral disc L-2, knee joint flexion is 10.2 mm, while knee joint extension is 9.2 mm, intervertebral disc L-3, knee joint flexion is 9 mm, while knee joint extension is 7.8 mm , intervertebral disc L-4 knee joint flexion position is 11 mm while knee joint extension is 9.8 mm, lumbal sacrum joint knee joint flexion is 9 mm while knee joint extension is 6.6 mm. Conclusion : The position of the knee joint flexion on the lumbosacral antero posterior (AP) examination Supine is better at showing the anatomical structure of the vertebral bodies, intervertebral discs, intervertebral foramen L1-L4, spinous processes, sacrum, and intervertebral disc joint gaps, intervertebral disc. The position of the knee joint extension on the examination of the lumbosacral antero posterior (AP) Supine can reveal the anatomical structures of the vertebral bodies, intervertebral discs, intervertebral foramen L1-L4, spinous processes, sacrum, but in revealing intervertebral disc joints, Intervertebral disc.

PENGARUH TIME REPETITION (TR) DAN FLIP ANGLE (FA) TERHADAP INFORMASI ANATOMI PADA 3D TOF MRA PEMERIKSAAN BRAIN DENGAN MRI 1.5 TESLA Muhamad Marno Alamsyah; Rasyid Rasyid; Emi Murniati
JRI (Jurnal Radiografer Indonesia) Vol. 3 No. 1 (2020)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Background: In MR angiography examination of the brain, there are many clinical situations where radiologist want to optimal suppression of stasionary nuclei. So stasionary nuclei and flowing nuclei will produce a good contrast. One of the most commonly used method MR angiography of the brain is a 3D TOF because it can show the blood vessels by hyperintens with more hypointens of background. Parameters TR and flip angle is one of the parameters that will determine a stasionary nuclei experiencing suppression well and the flowing nuclei will still generate a signal that more hyperintens. The porpose of this study was to determine the influence of repetition time and flip angle of the anatomical information of 3D TOF MRA examination of the brain, and also to determine value the repetition time and flip angle best to display anatomical information of 3D TOF MRA examination of the brain. Methods: This research is an experimental approach to the pre-experimental research design and post-test only research design. This research was conducted in Bintaro Premier Hospital. The data in the form of 54 3D TOF MRA images brain of 6 volunteers with nine variations repetitions time and flip angle. Assessment anatomical information performed by the two respondents or reviewer. The data analysis is done by testing the influence is multiple linear regression to determine the value of repetition time and flip angle optimal use friedman mean rank test. Result: The result showed that there is the influence of repetition time and flip angle of the anatomical information on 3D TOF MRA examination of the brain with a significance level of p <0.001 (p <0.05). The repetition time 30 ms and flip angle 30o is and optimal value for anatomical information showing 3D TOF MRA examination of the brain. application of repetition time 30 ms and flip angle 30o can be properly saturate or suppression the stasionary nuclei so that is displays excellent contrast between the nuclei. Conclution: There are influence of repetition time and flip angle to the anatomical information on 3D TOF MRA examination of the brain with a significance level of p <0.001 (p <0.05). The repetition time 30 ms and a flip angle of 30o is an optimal value for anatomical information showing 3D TOF MRA examination of the brain.

PROSEDUR PEMERIKSAAN MRI CERVICAL DENGAN KONTRAS PADA KASUS SPONDILITIS MYELOPATHY Sofie Nornalita Dewi; Diyah Haryani
JRI (Jurnal Radiografer Indonesia) Vol. 3 No. 1 (2020)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Background: Magnetic Resonance (MRI) examination is one of the best way to diagnose spondylotic disease. It is an invasive imaging that does not use any ionic radiadion and able to visualize spinal cord and subarachnoid space. In order to gain a specific information, there are some modifications made by radiographer in the cervical MRI in the case of myelopathy spondylotic done at RSUD Banyumas. The modifications include choice of sequence, contrast media usage, and coil type usage. The aim of this research is to understand the purpose of those modification that already done in cervical MRI in the case of myelopathy spondylotic doe at RSUD Banyumas. Methods: This study use descriptive qualitative method with a case study approach conducted at RSUD Banyumas. The time of the study was November 2017. The study was conducted on a cervical MRI patient in the case of myelopathy spondylotic. Data collection was carried out by observing and interviewing two radiographers, one radiology specialist at RSUD Banyumas regarding purpose of those modification that already done in cervical MRI in the case of myelopathy spondylotic doe at RSUD Banyumas. The collected datas were arranged to become transcribe and were analyzed to get a discussion and conclusion. Results: Procedure of cervical MRI patient in the case of myelopathy spondylotic at RSUD Banyumas started with patient preparation, including fasting, health history screening, cloth changing and demetalization. Sequences that are used include sagittal and transversal T1WI SE, sagittal, transversal, and coronal T2WI FSE, MR myelography, added by sagittal, transversal, and coronal T1WI SE post contrast media. Carotis coil are used in this examination instead of neck coil. Conclusions: The modification in examination of cervical MRI myelopathy spondylotic patient at RSUD Banyumas is done regarded to radiologist and neurologist request, and also due to patieny condition. All of the sequences that are used have its own purpose which complimen each other, the contrast media used in order to visualize a specific patology.

PENERIMAAN DOSIS ORGAN KRITIS PADA PEMERIKSAAN CEREBRAL DSA DENGAN BIPLANE C-Arm Adelina Oinike; Guntur Winarno; Purwatinigsih Purwatinigsih
JRI (Jurnal Radiografer Indonesia) Vol. 3 No. 1 (2020)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Background:Cerebral Digital Substraction Angiography (DSA) screening is widely used in hospitals to find out even treat strokes and vascular abnormalities. During the examination, the patient received radiation from a C-Arm Biplane. The estimated dose received by the patient has been measured on the monitor screen which is the DAP value, but to find out the actual dose received by the patient, it is necessary to measure directly using the TLD attached to the patient's body during the examination. Method: Measurement of critical organ dose is done by attaching TLD-100 chips on the surface of the eye, thyroid, and gonad to 6 different patients. Results: The purpose of this study was to measure and evaluate the amount of dose received by the patient's critical organs during Cerebral DSA examination. Conclusion: The results showed that (1) the amount of eye dose received by the patient during cerebral DSA examination was 23.01 mGy to 144,787 mGy. (2) the amount of thyroid dose received by the patient during cerebral DSA examination is 15,348 mGy to 76,162 mGy. (3) the amount of gonad dose received by the patient during Cerebral DSA examination is 0.09 mGy to 229,848 mGy. (4) DAP values during Cerebral DSA examination obtained values in the range of 77088 mGycm2 to 167718 mGycm2.

PENGARUH NILAI FRACTIONAL ANISOTROPY (DIFFUSION TENSOR IMAGING) PADA TERAPI IMPLANTASI KOKLEA DALAM KLINIS SENSORINEURAL HEARING LOSS (SNHL) Purnawati, Heny; Amanda, Mega; Wulani, Vally; Serfina Fajarini, Eunike
JRI (Jurnal Radiografer Indonesia) Vol. 3 No. 1 (2020)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Background: Diffusion Tensor Imaging (DTI) on current MRI cochlear examination able to support the diagnosis and help determine implantation therapy. The DTI line can show the cochlea tract and fractional anisotropy (FA) values with reference to the control reference value. DTI can visualize white matter in the cochlear tract that can be mapped in the FA of the entire cochlear image using directions. The FA value on the MRI cochlear examination can be used to determine the continuation of implant placement in the patient by using the FA-DTI value in the case of sensorineural hearing loss (SNHL). Method: Data were taken from September 2018 to August 2019. The MRI sequences used were Axial T2 5mm, Coronal T2 2mm, Axial T2 2mm, Axial 3D Fiesta-C 0.4mm and DTI 2mm. The total time of examination was 20 minutes using post processing Functool on the 2mm DTI results, measuring the region of interest (ROI) to obtain FA values â€‹â€‹in several segments, namely region Trapezoid Body (rTB), region Superior Olivary Nucleus (rSON), region Inferior Colliculus (rIC), region Medial Geniculate (rMG), region Auditory Radiation (rAR). Result:The results of the DTI image are very sensitive to produce a diagnosis in the form of nerve fibers. DTI which is supported by the results of the FA score is able to provide quantitative information. Conclusion: There is an effect on the FA-DTI value in SNHL cases for cochlear implant therapy.

PERANAN MRI ABDOMEN PADA KASUS HERLYN WERNER WUNDERLICH Dessy Witrianti, Ratna; Iman, Nuzul; Serfina Fajarini, Eunike
JRI (Jurnal Radiografer Indonesia) Vol. 3 No. 1 (2020)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Background: Herlyn-Werner-Wunderlich syndrome (HWW) is a very rare genetic syndrome, a combination of anomalies between the mullerian and mesonephric ducts characterized by uterine didelphys, hemivaginal obstruction, and ipsilateral renal agenesis, also known as Obstructed Hemivaginal syndrome and Ipsilateral Renal Anomaly (OHVIRA). Magnetic Resonance Imaging (MRI) is an effective diagnostic support tool for finding out anatomical abdominal abnormalities with the right choice of protocol sequences to obtain optimal MRI images. Method: This study used a qualitative descriptive approach by presenting a case of a 20 year old female patient who had complaints of lower abdominal pain, no previous medical history and irregular menstruation. MRI Abdomen without contrast was performed using an MRI 1.5 Tesla signa explorer GE Healthcare at EMC Tangerang Hospital. Using the Coronal T2 SSFSE sequence, T1 fat sat LAVA, Axial T2 SSFSE, T1 fat sat LAVA breath hold method and Coronal 3D IFIR (MRA renal without contrast). Specifically for the pelvic area with the Axial T2 Propeller, Coronal T2 fat sat, and Sagittal T2 sequences. Result: In the Axial T2 propeller sequence, pelvic area retrieval revealed two separate uterine corpuses (uterus didelphys) accompanied by a heterogeneous oval lesion most likely originating from the left side of the vagina (hemivagina). Whereas in the Coronal T2 sequence the whole abdomen was taken and confirmed by the Coronal 3D IFIR, the right kidney was anatomically visible while the left kidney was not visible (agenesis). Conclusion: Abdominal MRI is a very accurate diagnostic tool to perform Herlyn-Werner-Wunderlich (HWW) syndrome without contrast agent with SSFSE T2 sequences, T2 propeller and 3D IFIR which have an important role in visualizing the quality of MRI images.

REDUKSI MISPREPSI PULMONARY EMBOLISM (PE) PADA CT-SCAN ANGIOGRAFI PULMONARY Maulidya Marâ€™athus N, Ildsa; Marjuki, Marjuki
JRI (Jurnal Radiografer Indonesia) Vol. 3 No. 1 (2020)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Background: Pulmonary Embolism (PE) is the third highest cause of death in cardiovascular. Right ventricular failure usually occurs within the first few hours, leading to the occurrence of right ventricular dysfunction (RVD). Computed tomography pulmonary angiography (CTPA) is an imaging technique that is the gold standard in evaluating patients with suspected PE because of their high sensitivity and specificity. The presentation of Pulmonary CTA images in PE needs to be interpreted correctly so that there is no loss of diagnosis by radiologists and cardiologists. This article aims to find out how to minimize the presence of mispreseption in findings of PE cases using CT-Scan modalities with the CT Pulmonary Angiography protocol. Methods: The type of research in this mini research is qualitative research with an experimental approach with measurements on the pulmonary arteries that have emboli, which are aimed at knowing the type and evaluating existing parameters to reduce misdiagnosis in PE patients. Results: The results of identifying the type of emboli using ROI (Region Of Interestand) measurements of the right and left ventricles can be seen that the patient has acute pulmonary embolism. Precise parameter settings play a role in producing informative diagnostic images of Pulmonary CTA. Conclusion: To obtain informative diagnostic images in cases of pulmonary embolism, it is necessary to pay attention in optimizing the procedures and parameters of pulmonary Angiography CT so that there is no misdiagnosis in patients.

ANALISA PERBEDAAN INFORMASI DIAGNOSTIK CT SCAN KEPALA PADA KASUS STROKE ISKEMIK DENGAN PILIHAN KOMBINASI SLICE THICKNESS DAN INTERVAL RECONSTRUCTION Dwi Yan, Mami; Ardiyanto, Jeffri; Sulaksono, Nanang
JRI (Jurnal Radiografer Indonesia) Vol. 3 No. 1 (2020)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Background: Stroke is a diseas that has a high mortality rate as the third most common disease that causes death in the world. To diagnose the location and type stroke, a neuro imaging examination is need, which is by examining the CT Scan of the head. The purpose of this study was to determine differences in diagnostic information on CT scan of the head in cases of ischemic stroke with a choice combination of 3 mm slice thickness with 1.5 mm interval reconstruction and 2 mm slice thickness with 1 mm interval reconstruction, and to find out which combination is the most optimal in producing diagnostic information in cases of ischemic stroke. Methods: This type of research is quantitative research with experimental approach. The study was conducted at Telogorejo Hospital Semarang. The sampel in this study were 10 patients with expertise results of ischemic stroke. The resultan data was 10 head scan radiographs with ischemic stroke and each radiograph is reformatted with combination of 3 mm slice thickness with 1.5 interval reconstruction and 2 mm slice thickness with 1 mm interval reconstruction. Assesment of diagnostic information data was done by 3 respondents. before data analysis, first kappa test was done to three respondents and then tested wilcoxon. Result :The result of this research is the difference of diagnostic information between combination of 3 mm slice thickness with 1.5 mm interval reconstruction and 2 mm slice thickness with 1 mm interval reconstruction. A combination of 2 mm slice thickness with 1 mm interval reconstruction with mean rank 21.00 is the most optimal combination for head scan with ischemic stroke cases

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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