Jurnal Imejing Diagnostik
Jurnal Imejing Diagnostik (JImeD) memuat tulisan ilmiah dalam bidang radiologi berupa hasil penelitian dan non penelitian (konseptual).
Jurnal Imejing Diagnostik (JImeD) terbit 2 kali dalam satu tahun yaitu pada bulan Januari dan Juli oleh Jurusan Teknik Radiodiagnostik dan Radioterapi, Politeknik Kesehatan Kemenkes Semarang.
Jurnal Imejing Diagnostik (JImeD) memuat artikel ilmiah dalam bidang radiologi, meliputi : radiografi konvensional, digital radiografi, CT scan, MRI, kedokteran nuklir, radioterapi dan ilmu lainnya yang berkaitan dengan radiologi.
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<![CDATA[PENGGUNAAN VARIASI FILTER PADA WINDOWING LUNG PADA PEMERIKSAAN CT SCAN THORAX ]]>
<![CDATA[Sudiyono Sudiyono]]>;
<![CDATA[Rini Indrati]]>;
<![CDATA[Muhammad Riefki Jadmika]]>
<![CDATA[ Jurnal Imejing Diagnostik (JImeD) Vol 6, No 1: January 2020 ]]>
Publisher : <![CDATA[Poltekkes Kemenkes Semarang ]]>
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DOI: 10.31983/jimed.v6i1.5561
<![CDATA[Background: Filter is an image processing parameter applied to raw data used to determine the attenuation value of each pixel of CT Scan imaging, and it serves to minimize the occurrence of star patterned streak artifacts formed on the CT images. The use of typical Y-sharp or Smooth filters is common for the thoracic CT imaging in the clinic. Yet, the studies to compare which of the typical filters that provide a good imaging technique were clinically limited to find in practices. The purpose of this study is to know wheter there is a difference or not in the anatomical image resolved amongst the thoracic CT images when using the Y-Sharp and Smooth filters; and to determine which of the filter that produces the better image quality by comparison.Methods: This is quantitative research with approached the pre-experimental design with the static-groups of comparison. Image data were taken from the raw data of the 10 patients who underwent CT Scan Thorax examinations. All the image data were reconstructed by means of using the Y-Sharp and Smooth filters. Assessment of the images were performed by 2 radiologists. The Cohen's Kappa was used for image evaluators agreement where the Wilcoxon Test was applied to test the hypotheses.Result: The result of this study showed that there is a significant difference in anatomical organ visualization of the thoracic CT images between filter the Y-Sharp and Smooth filters with p-value 0.005. The use of Y-Sharp filter is better as it produces a high spatial image resolution.Conclusion: The anatomical organs of the thoracic CT images are visually reproduced when the Y-sharp filter is employed. The comparison between the two different filter uses deems significance.]]>
<![CDATA[TATALAKSANA RADIOTERAPI EKSTERNA PADA KANKER PAYUDARA DENGAN TEKNIK SIMULTANEOUS INTEGRATED BOOSTER (SIB) DI UNIT RADIOTERAPI INSTALASI RADIOLOGI RS KEN SARAS KABUPATEN SEMARANG ]]>
<![CDATA[Ardani Ardani]]>;
<![CDATA[Edy Susanto]]>;
<![CDATA[Nanang Sulaksono]]>;
<![CDATA[Sri Mulyati]]>
<![CDATA[ Jurnal Imejing Diagnostik (JImeD) Vol 6, No 1: January 2020 ]]>
Publisher : <![CDATA[Poltekkes Kemenkes Semarang ]]>
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DOI: 10.31983/jimed.v6i1.5403
<![CDATA[Background: Radiotherapy is a cancer treatment method using ionizing radiation. The SIB technique is a technique of providing additional radiation together with the administration of primary radiation. At Kensaras Hospital, booster treatment performed simultaneously with the administration of primary radiation or known as SIB is carried out using the IMRT technique or also known as the SIB IMRT technique. whereas according to Susworo, irradiation techniques on breast cancer are not recommended using the IMRT technique, but should use the FIF technique. The purpose of this study was to determine the governance of radiotherapy and the reasons for choosing the SIB technique.Methods: This type of research is qualitative with a case study approach. Data collection was carried out in December 2018 until May 2019 at Ken Saras Hospital. Result: The results showed that the SIB technique had several advantages, among others: better radiation conformity and able to minimize OAR doses. This is proven by obtaining doses which mostly meet ICRU standards. While for OAR doses it also meets quantec tolerance standards, except the right lung at a dose of 2000 cGy the volume exceeds 30%, which is equal to 34.55%. But the dosage according to the doctor's consideration is still said to be safe. Conclutions: The external radiotheraphy procedure including consulting a doctor, taking CT Simulator data, TPS, verification and treatment. Strengths of the SIB technique: Better irradiation conformity, suppressing OAR doses, reducing toxicity to the skin, only requiring one planning and allowing dose calculation in one planning]]>
<![CDATA[ANALISIS INFORMASI CITRA ANATOMI MSCT THORAX DENGAN KASUS EFUSI PLEURA KANKER PARU PADA WINDOW MEDIASTINUM POST KONTRAS MENGGUNAKAN VARIASI NILAI WINDOW WIDTH ]]>
<![CDATA[Tri Puji Hastuti]]>;
<![CDATA[Yeti Kartikasari]]>;
<![CDATA[Bagus Abimanyu]]>;
<![CDATA[Nanang Sulaksono]]>
<![CDATA[ Jurnal Imejing Diagnostik (JImeD) Vol 6, No 1: January 2020 ]]>
Publisher : <![CDATA[Poltekkes Kemenkes Semarang ]]>
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DOI: 10.31983/jimed.v6i1.5562
<![CDATA[Background: Malignancy of lung cancer is the biggest cause of pleural effusion. To diagnose lung cancer pleural effusion, a thorax MSCT can be examined. The MSCT parameter that affects image contrast is window width. The purpose of this study was to determine the differences in the anatomical information of thorax MSCT images in the post contrast mediastinal window to the use of window width range 350-600 HU values in cases of lung cancer pleural effusion, and to determine the appropriate window width value to obtain optimal anatomic image information on Thorax MSCT in cases of lung cancer pleural effusion.Methods: This type of research is quasi experimental. The research was conducted at the Radiology Installation of the Dr. Moewardi Hospital. The data were 60 images of the post contrast mediastinal window thorax MSCT axial slice from 10 patients with 6 window width variations (350 HU, 400 HU, 450 HU, 500 HU, 550 HU, 600 HU). An image assessment was conducted by 3 respondents regarding the resulting of 5 anatomical information. Data analysis used Friedman statistical test.Results: The results showed that there was a difference in the anatomical information of the thorax MSCT in the post contrast mediastinal window to the window width variation in cases of lung cancer pleural effusion with a significance level of p value 0,000 (ρ 0.05). Differences in anatomical image information occur in the anatomy of the aorta, limits of pleural effusion with lesions and clarity of lesions, where as there is no difference in anatomy of the right and left primary bronchus. The optimal use of the window width value for thorax MSCT in the post contrast mediastinal window cases of lung cancer pleural effusion is WW 350 HU with a rank value of 4.61.Conclusions: This study shows that the use of 350 HU window width produces better anatomical image information than the use of other window widths in the case of pleural effusion of lung cancer.]]>
<![CDATA[PEMBUATAN PHANTOM RADIOLOGI BERBAHAN DASAR KAYU LOKAL SEBAGAI PENGGANTI TULANG MANUSIA ]]>
<![CDATA[Widya Mufida]]>;
<![CDATA[Asih Puji Utami]]>;
<![CDATA[Sofie Nornalita Dewi]]>
<![CDATA[ Jurnal Imejing Diagnostik (JImeD) Vol 6, No 1: January 2020 ]]>
Publisher : <![CDATA[Poltekkes Kemenkes Semarang ]]>
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DOI: 10.31983/jimed.v6i1.5404
<![CDATA[Background: Phantom radiology is used as a medium of learning as a substitute for human bones. In its use this phantom radiology has economic value high enough to be an obstacle to the learning process. Therefore, it is necessary to make a phantom with basic materials that are easily accessible and have the same density value as human bones.Methods: the method used throughout this study is through an experimental approach. The research stage involves testing the density of wood by comparing the density value of the sample used, determining the composition of the mixture between wood, contrast media and adhesives that produces phantom with the density that most closely resembles bone phantom.Results: From the results of the research, the density value of the anthropomorphic phantom humerus was 9034, and the information obtained for the density value of the four wood phantoms with basal values. Based on the results of the calculation of the density value obtained the highest value on phantom 1 with a density value of 12775, phantom with the lowest density value of 7682, namely the second phantom, the value of wood phantom density is quite close to the density value of anthropomorphic humerus phantom, namely phantom 3 with a density of 8986 and Phantom 4 density which is slightly above the wood Phantom 2 density value is 7773.Conclusions: In this study to produce wood phantom with a density that resembles bone phantom is carried out with local wood base material mixed with BaSO4 contrast media, so that the average density value is 8986 close to the density value in anthropomorphic bone phantom humerus. ]]>
<![CDATA[PERBEDAAN INFORMASI CITRA ANATOMI SEKUEN DIFFUSION WEIGHTED IMAGING (DWI) ANTARA PENGGUNAAN PROPELLER DENGAN TANPA PROPELLER PADA PEMERIKSAAN MRI BRAIN DENGAN KASUS STROKE ]]>
<![CDATA[Yeti Kartikasari]]>;
<![CDATA[M. Irwan Kartili]]>;
<![CDATA[Dwi Rochmayanti]]>;
<![CDATA[Nindya Aprilia]]>
<![CDATA[ Jurnal Imejing Diagnostik (JImeD) Vol 6, No 1: January 2020 ]]>
Publisher : <![CDATA[Poltekkes Kemenkes Semarang ]]>
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DOI: 10.31983/jimed.v6i1.5565
<![CDATA[Background: Stroke is a brain disease where an acute nerve function is occurred due to the cerebral vascular disorders. To establish a diagnosis the stroke, it can be identified by employing the Diffusion Weighted Imaging (DWI) sequence in the MRI examination. Artifacts still exist on the MRI image which in turn reduce the resolution when using the DWI sequence. Adding the PROPELLER data acquisition method in the DWI sequence possibly improves the quality of brain images. The purpose of this study is to know the difference on the quality of anatomical image information between the DWI sequences with PROPELLER and without PROPELLER methods, and to determine adequate anatomical image appearance that created in amongst of the two methods, specifically for the stroke disease.Methods: this research is quantitative research with experimental approach. This study was conducted using MRI 1.5 T at Bethesda Hospital Yogyakarta. Data were 16 images from 8 patients using DWI sequences using PROPELLER without PROPELLER on MRI Brain examination with stroke. The results of the image were evaluated on 7 criteria: cortex cerebri, basal ganglia, thalamus, pons, cerebellum, stroke (infarction) and artifacts using questionnaires given to 3 respondents. Data analysis was done by Wilcoxon test to know the difference of anatomical image information on DWI sequence using PROPELLER without PROPELLER and to know better anatomical image information from both sequences seen from mean rank value.Results: The results shown, there is a significant difference on the quality of anatomical image information and the artifacts between the use of DWI sequence with and without PROPELLER methods ( 0.05). Based on the mean rank results, the DWI PROPELLER sequence has a higher mean rank value 4.50 compared to the DWI sequence without PROPELLER 0.00.Conclusions: The DWI PROPELLER sequence has better image results compared to the DWI sequence without PROPELLER.]]>
<![CDATA[PENGARUH VARIASI ARUS TABUNG TERHADAP KONTRAS PADA PESAWAT SINAR-X HIGH GENERATOR ]]>
<![CDATA[Asih Puji Utami]]>;
<![CDATA[Anisa Nur Istiqomah]]>
<![CDATA[ Jurnal Imejing Diagnostik (JImeD) Vol 6, No 1: January 2020 ]]>
Publisher : <![CDATA[Poltekkes Kemenkes Semarang ]]>
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DOI: 10.31983/jimed.v6i1.5412
<![CDATA[Background: The use of exposure factors with high voltage / kV and low tube current / milliAmpere (mA) will provide a low radiation dose to the patient and radiographic results that provide good contrast and can reduce the onset of geometric movements. This research is to find out and study the variation of tube current/ milliAmpere (mA) on the image quality and radiation dose received by patients in the Radiology laboratory of Aisyiyah University, Yogyakarta.Methods: This type of research is an experimental study with a quantitative inferential approach, conducted at the Radiology Laboratory of the University of ‘Aisyiyah Yogyakarta. The independent variable is the tube current variation (32 and 100 mA), the dependent variable is the contras. Data collection was carried out by exposing the radiographic panthom and measuring the radiation dose with the Ray Safe X2 device. Radiograph results were analyzed by contras radiograph. Then the results will be analyzed using descriptive statistical analysis and linear regression. by testing the regression line hypothesis, the statistical test f, the statistical test t, the coefficient of determination.Results: The results showed that there was an influence of changes in tube currents (100 and 32 mA) on Soft tissue-air contrast. While the change in tube current (100 mA and 32mA) does not affect the bone-Soft tissue contrast. In order to reduce the radiation dose received by the patient, it can use a low mA value while still being able to maintain the quality of the image.Conclusions: No influence of mA change (100 and 32) on bone contrast-Soft tissue and there are influence of mA changes (100 and 32) on the contrast of Soft tissue-air.]]>
<![CDATA[TEKNIK PEMERIKSAAN KEDOKTERAN NUKLIR SIDIK TIROID DI INSTALASI RADIOLOGI RSUP DR. KARIADI SEMARANG ]]>
<![CDATA[Nanik Sudaryatmi]]>;
<![CDATA[Siti Masrochah]]>;
<![CDATA[Rasyid Rasyid]]>
<![CDATA[ Jurnal Imejing Diagnostik (JImeD) Vol 6, No 1: January 2020 ]]>
Publisher : <![CDATA[Poltekkes Kemenkes Semarang ]]>
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DOI: 10.31983/jimed.v6i1.5567
<![CDATA[Background: Examination of thyroid scintigraphy or thyroid gland scintigraphy is a nuclear medicine examination using radioactive substances or radiopharmaceuticals that are inserted into the body through intravenous injections which aim to obtain functional morphological imaging of the thyroid and to assess the ability of the thyroid gland to capture radioactive substances or radiopharma-ceuticals.Methods: This imaging prosedure using Tc-99m (Technisium-99m) radiopharmaceuticals as much as 2-5 mCi. To get maximum results, patients are asked to stop taking drugs that can interfere with iodine accumulation in the thyroid gland.Results: Imaging was carried out 10-15 minutes after injection of the radiopharmaceutical. Marked with the thyroid cartigalo, jugulum and surgical sutures. The scanning process lasts for 5-10 minutes.Conclusions: The imaging results of hot nodules are generally identical to autonomic thyroid nodules, about 10-30% of cold nodules are found in the thyroid malignancy process while the rest are thyroid cysts.]]>
<![CDATA[PERBEDAAN KUALITAS CITRA MRI LUMBAL SEKUEN TIWI TSE POTONGAN SAGITAL DENGAN DAN TANPA PENGGUNAAN SENSITIVITY ENCODING (SENSE) PADA KASUS HERNIA NUCLEUS PULPOSUS ]]>
<![CDATA[Rini Indrati]]>;
<![CDATA[Iin Saputri Sahlan]]>;
<![CDATA[Bambang Satoto]]>;
<![CDATA[Siti Daryati]]>
<![CDATA[ Jurnal Imejing Diagnostik (JImeD) Vol 6, No 1: January 2020 ]]>
Publisher : <![CDATA[Poltekkes Kemenkes Semarang ]]>
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DOI: 10.31983/jimed.v6i1.5560
<![CDATA[Background: Parallel imaging is a time-reduction technique that uses phased-array coils. Phased array coils measure and process signals from a piece, then combine pieces to form an image of a larger area of anatomy. Commonly used imaging parallel technique is one of them is sensitivity encoding or SENSE. This research is the difference of image quality MRI Lumbal sequence T1WI TSE of sagittal pieces with and without the use of SENSE in the case of hernia nucleus pulposus (HNP). The aim of this research is to know the difference between SNR, anatomy information and better image quality and anatomical information. MRI Lumbal sequence T1WI TSE sagittal pieces with and without the SENSE in HNP.Methods: The type of this research is quantitative with an experimental approach, The research was conducted in RS dr. Saiful Anwar Malang. The research was taken from Lumbal MRI examination in 9 patients with predetermined exclusion and inclusion criteria of T1WI TSE sectional pieces with and without the use of SENSE in HNP. Image assessment was done by two radiologists. Analysis of data used paired T-test and Wilcoxon test with alpha 5%.Results: The results showed that there was a difference in image quality of MRI Lumbal T1WI TSE sequence of sagittal pieces with and without the use of SENSE in HNP with p-value = 0.001, and anatomic information with p-value = 0.001. Sensitivity encoding resulted in better image quality and anatomical information, with mean values at SNR 181,4333, and rank information anatomy 11,00.Conclusion: There is a difference in SNR and anatomical information between the use of SENSE andwithout the use of SENSE on sagittal lumbar MRI. The use of SENSE is capable of producing quality MRIimagery (SNR) and Anatomical Information on lumbar MRI lumbar sequences of sagittal slices.]]>
<![CDATA[RANCANG BANGUN ALAT FIKSASI SEKALIGUS CASSETTE HOLDER UNTUK PEMERIKSAAN RADIOGRAFI ABDOMEN PROYEKSI LLD (LEFT LATERAL DECUBITUS) PADA PASIEN NON KOOPERATIF ]]>
<![CDATA[Agustina Dwi Prastanti]]>;
<![CDATA[Kevin Ade Juliantino]]>;
<![CDATA[Ardi Soesilo Wibowo]]>;
<![CDATA[Siti Daryati]]>
<![CDATA[ Jurnal Imejing Diagnostik (JImeD) Vol 6, No 1: January 2020 ]]>
Publisher : <![CDATA[Poltekkes Kemenkes Semarang ]]>
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DOI: 10.31983/jimed.v6i1.5568
<![CDATA[Background: Research on the design of fixation devices as well as cassette holders for projection of abdominal radiography in LLD (left lateral decubitus) in non-cooperative patients is motivated by difficulties in fixing patients and placing tapes by radiographers during LLD (left lateral decubitus) radiographs with non-patient conditions cooperative. The purpose of making a design is to replace the patient's family role in holding patients and tapes during the examination.Methods: This type of research is applied research. The method used in data collection is designing tools, using tools, testing the performance of tools, testing the function of tools. The performance test and the function test of the tool were carried out directly on the patients at the RSK Radiology Installation Ngesti Waluyo Parakan. The results of the performance test and function test were analyzed based on the check list of respondents regarding the work value of the tool.Results: The design of this fixation tool consists of a supporting iron component, patient stand, cassette holder, strap strap. The performance test of the tool is in accordance with the specifications of the tool made by the author. Function tests are divided into two, namely function tests based on the technique of using tools and based on the radiograph produced. Function tests based on the use of tools techniques obtained a total work value of 3.1 can be concluded the function of a tool based on the technique of good use.Conclusions: Function tests based on the resulting radiographs obtained a total work value of 3.33 can be concluded that the function of a tool based on the resulting radiograph is good]]>
