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International Journal of Radiology and Imaging

ijri
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Published by Universitas Brawijaya

ISSN : 28306007 EISSN : 2830506X DOI : https://doi.org/10.21776/10.21776/ub.ijri.2022.001

Core Subject : Health, Science,

Biochemistry, Genetics & Molecular Biology Computer Science & IT Dentistry Medicine & Pharmacology Neuroscience

International Journal of Radiology and Imaging (IJRI) is the official journal of Radiology Department, Faculty of Medicine Universitas Brawijaya Malang, Indonesia. This journal is a six-monthly periodic journal (publishes two times per year in June and December), containing various articles or manuscripts in the forms of research, systematic reviews, case reports, and short communications. This journal is a peer reviewed publication and accepts article for publication from across the world. IJRI accepts and publishes articles in the English language only. The primary goal of this journal is to publish clinical and basic research relevant to radiology science. IJRI covers the following topics are diagnostic radiology, radiation oncology, nuclear medicine, molecular radiology, radiation physics and radiation biology, cardiopulmonary imaging, gastrointestinal imaging, genitourinary imaging, musculoskeletal imaging, neuroradiology/head and neck imaging, pediatric imaging, vascular and interventional radiology, and women imaging. This journal provides immediate open access to its content on the principle that making research freely available to the public and supports a greater global exchange of knowledge.

Arjuna Subject : Kedokteran - Kedokteran Radiologi Nuklir dan Imaging

Articles 21 Documents

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Aspergilloma: Clinical Manifestation After Tuberculosis Infection Tika Wahyu Winarni; Dini Rachma Erawati
International Journal of Radiology and Imaging Vol. 1 No. 01 (2022): International Journal of Radiology and Imaging
Publisher : Department of Radiology, Medical Faculty, University of Brawijaya

Aspergilloma is a mass-like fungus ball consisting of Aspergillus fumigatus. Aspergilloma occurs in patients with pulmonary structural abnormalities in which the presence of a previous cavity is the predisposing factor that most often results in Aspergillus colonization, especially in tuberculosis endemic countries. 28 y.o andÂ 33 y.o female , complained of hemoptysis, chest pain, weight loss, and a history of TB treatment. The chest X-ray and CT scan revealed a solid lesion with an â€œAir-crescent signâ€ indicating Aspergilloma lesion. Patients were given symptomatic, anti-fungal drugs, and supportedÂ by embolization procedure to reduce hemoptysis. The patient's condition began to improve after treatment. Imaging findings in x-rays and CT scans that point to Aspergilloma will help doctors in further management to provide a better prognosis for the patient.

ABNORMAL FREE GAS COLLECTION IN RADIOGRAPHY: A PICTORIAL REVIEW Ricardo Tjakraatmadja; Dini Rachma Erawati
International Journal of Radiology and Imaging Vol. 1 No. 01 (2022): International Journal of Radiology and Imaging
Publisher : Department of Radiology, Medical Faculty, University of Brawijaya

An abnormal free gas collection in the thorax and abdomen is a condition which is present of abnormal air in the thorax and abdominal cavity that normally not found. Radiological examination plays very important role to detect the presence of abnormal gas, the volume, the location, and the complication. Some of these conditions can represent classic radiological appearance that we can find in everyday practice.

BILATERAL PNEUMOTHORAX IN LUNG METASTASES OF BREAST CARCINOMA: A CASE REPORT Amanda Yuanita Kusdjianto; Samsuri; Andri; Wijayanto Andi; Subiyantoro Agus; Habibie Adi
International Journal of Radiology and Imaging Vol. 1 No. 01 (2022): International Journal of Radiology and Imaging
Publisher : Department of Radiology, Medical Faculty, University of Brawijaya

Introduction: Bilateral pneumothorax is a rare case which happens in 1.3 to 1.9 percent of all cases ofÂ pneumothorax.1 In breast carcinoma patients, it is due to lung metastasis and first selected conservative therapy.2 Lung metastasis can be found in the appearance of pulmonary nodules called cannon-ball metastases in chest X-Ray (CXR).3 Method: Case report based on findings in chest X-Ray. Result: A 42 year-old female came to ER with sudden shortness of breath and pleuritic pain. She was diagnosed with breast carcinoma 3 years prior the ER visit and had undergone mastectomy on breasts and chemotherapy. Physical examination showed bilaterally decreased breath sounds. CXR AP postion showed bilateral pneumothorax and multiple nodules varied in size indicated lung metastases. Chest tubes with water-sealed drainage were inserted in both side of the lungs. CXR after the insertion showed reduction of the volume of pneumothorax in both side of the lungs and cannon-ball metastases in both sides of the lungs. CXR was performed serially until hospital discharge. Discussion: Bilateral pneumothorax which develops in patients who have history of breast carcinoma is considered very rare.It is caused by the metastatic process and treatment.2 CXR can be used to detect the metastasis and its complications such as pneumothorax.4 Conclusion: Bilateral pneumothorax is rarely seen in patients with breast carcinoma. Early detection of lung metastasis and appropriate therapy of tumor can prevent complications such as pneumothorax.Keywords: bilateral pneumothorax; lung metastases; breast carcinoma; chest X-Ray

Vertebrobasilar Dolichoectasia, An Unusual Cause of Trigeminal Neuralgia: A Case Report Wisniardhy Suarnata Pradana; Yuyun Yueniwati
International Journal of Radiology and Imaging Vol. 1 No. 01 (2022): International Journal of Radiology and Imaging
Publisher : Department of Radiology, Medical Faculty, University of Brawijaya

Background: Trigeminal neuralgia is a facial pain syndrome that generally occur unilateral following the sensory distribution of the trigeminal nerve. It is classified into trigeminal neuralgia with no apparent cause, classic trigeminal neuralgia, which is caused by vascular compression of the trigeminal nerve root, and secondary trigeminal neuralgia caused by major neurological diseases such as cerebellopontine angle tumour or multiple sclerosis.Case: A 60 years old male, complained of pain in the right face since >4 years ago, intermittent, radiating from around the upper right molars to the right face, like an electric shock, and appeared mainly when chewing. MRI and MRA examination of the patient revealed vertebrobasilar dolichoectasia causing displacement of the pons and right trigeminal nerve.Discussion: Vascular compression of the trigeminal nerve root is the most common cause of trigeminal neuralgia, which is commonly caused by small arteries such as the superior cerebellar artery. Vascular compression due to large arteries such as the basilar and vertebral arteries may occur in a minority of cases. MRI is an examination that plays an important role in cases of trigeminal neuralgia, because it can assess the pathology of cerebellopontine angle area, as well as assess the presence of neurovascular compression and morphological changes of the trigeminal nerve roots.

Mammographic and Sonographic Findings in Breast Cancer Screening Habiba Aurora; Yuyun Yueniwati
International Journal of Radiology and Imaging Vol. 1 No. 01 (2022): International Journal of Radiology and Imaging
Publisher : Department of Radiology, Medical Faculty, University of Brawijaya

Breast cancer in the most common malignancy in woman. Screening is very important to identify precancerous lesions. The use of diagnostic imaging is one of the first steps in cancer diagnosis. Mammography is one of detection tool, which able to detect breast abnormality in early stage, while breast sonography is more helpful in cases with dense breast. In this study we compared the finding on mammography and ultrasonography among woman 40 to 60 years undergoing breast cancer screening. This study included 30 asymptomatic woman aged over 40 years, which have no history of reast cancer. All were assigned to undergo screening by either mammography and ultrasonography. The diagnoses were scored due to ultrasound BI-RADS, the finding from mammography and breast ultrasound were compared to analyze the difference between both examination. From the result of mammography and ultrasound were shown that at the same BIRADS scale, different images could be obtained. Further studies are needed to demonstrate the significance of the differences in examination findings on the same BIRADS scale. Keywords: Breast Cancer, Mammography, Screening, Sonography

Picture Archiving and Communication Systems (PACS) as a Solution to Inequality in the Number of Radiological Resources in West Java Thareq Barasabha; Yati Hardiyanti
International Journal of Radiology and Imaging Vol. 1 No. 01 (2022): International Journal of Radiology and Imaging
Publisher : Department of Radiology, Medical Faculty, University of Brawijaya

Inequality of health care facilities, especially radiology resources, occurs in West Java Province. There are many class A hospitals in provincial capitals, while in areas far from the provincial capital and from DKI Jakarta Province, the quantity and quality of hospitals are still lacking. Likewise with the quantity of radio diagnostic instruments and human resources. 12 radiology specialists and an additional 192 radiographers are needed in West Java Province. Archiving and image communication systems (PACS) can be used as a solution so that health workers in hospitals located far from the city or district centers can consult, and expert conclusions can be obtained from radiology specialists at referral centers. Keywords: PACS, radio diagnostic, radiology specialist, radiographer, West Java

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

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.

CT FINDINGS OF THREE GIANT MEDIASTINAL TUMORS IN YOUNG AGE Arifah Arifah; Dini Rachma Erawati
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

Background : Mediastinal teratoma and other mediastinal tumors are very challenging to be distinguished from other mediastinal tumors. Mediastinal tumors can be optimally evaluated with computed tomography (CT). In this paper we present three young male patients with similar symptom of chronic chest pain and chronic cough. Materials and Methods: Conducting a literature review and medical records. Results : All patients in this case are young age male, below two decades. All chest CT shows giant mass, but they have different enhancing pattern, different amount of solid, cystic, calcification component. To make correct diagnosis of the mediastinal mass is important because of treatment planning difference, surgery or chemoteraphy. The first case shows benign teratoma with characteristic of heterogenous mass with large amount of fat, with presence of solid and calcification component. The second case shows malignant germ cell tumor with feature of heterogenous mass with predominantly solid component and small amount of fat. It also shows metastatic process in lung and bone. The third case shows Hodgkin lymphoma with slight enhanced mass that narrowed pulmonary artery and caused pericardial effusion. Conclusion: Various features of mediatinal tumors can be distinguished with CT modality.

THE IMPORTANCE OF IMAGING IN RADIATION THERAPY: A REVIEW ARTICLE Aisya Puspasari; Rafiq Sulistyo
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

Radiotherapy is one of the modern cancer treatment modalities. Advances in medical technology have revolutionized external radiotherapy with CT scanning, allowing for the visualization and grouping of tumors and at-risk organs in a three-dimensional view. However, CT has some limitations, especially in assessing the character and delineation of tumors. PET and MRI go beyond CT in terms of functional and anatomical images. PET/CT/MRI multimodality combines the strengths of each technique without conflating their respective weaknesses, thereby strengthening the role of imaging for radiation therapy management. On account of this, it can become the primary technique in radiotherapy modalities. This review aims to describe multimodality of the PET/CT/MRI process for radiotherapy and its potential clinical applications.

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

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.

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Canella Kurnia

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ijri@ub.ac.id

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GPT 2 Lantai 6 RSUD Dr. Saiful Anwar Malang Jl. Jaksa Agung Suprapto No.2, Klojen, Kec. Klojen, Kota Malang, Jawa Timur 65112

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Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name Canella Kurnia

Contact Email canella.kurnia@gmail.com

Phone +6282257071101

Journal Mail Official ijri@ub.ac.id

Editorial Address GPT 2 Lantai 6 RSUD Dr. Saiful Anwar Malang Jl. Jaksa Agung Suprapto No.2, Klojen, Kec. Klojen, Kota Malang, Jawa Timur 65112

Location Kota malang, Jawa timur INDONESIA

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Contact Name
Canella Kurnia

Contact Email
canella.kurnia@gmail.com

Phone
+6282257071101

Journal Mail Official
ijri@ub.ac.id

Editorial Address
GPT 2 Lantai 6 RSUD Dr. Saiful Anwar Malang Jl. Jaksa Agung Suprapto No.2, Klojen, Kec. Klojen, Kota Malang, Jawa Timur 65112

Location
Kota malang,

Jawa timur

INDONESIA