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All Journal LINK Jurnal Riset Kesehatan Jurnal Imejing Diagnostik Journal of Applied Health Management and Technology
Jannah, Marichatul
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Health Professions Medicine & Pharmacology

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Evaluation of Dental Holder Innovation: Patient Comfort and Periapical Intra-Oral Radiographic Image Quality Jannah, Marichatul; Prakoso, Dimas; Erfansyah, Muhammad
Jurnal Riset Kesehatan Vol 13, No 2 (2024): NOVEMBER 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jrk.v13i2.12291

Abstract

This study evaluates an innovative dental holder designed to improve patient comfort and radiographic image quality in intra-oral periapical examinations. Conducted at Muhammadiyah University Semarang Dental and Oral Hospital, the research involved 30 patients who used the modified holder featuring a 20-degree tilt, biocompatible PLA material, and silicone pads. Results showed that 73.33% of patients experienced no nausea, and 93.33% had no allergic reactions, highlighting the holder's safety and comfort. Although 56.67% reported excessive oral pressure, 60% noted reduced pain due to the silicone pads. The holder also improved image quality, with 76.67% of patients acknowledging clear apical images, and 100% reporting no distortion or blurring. The study indicates that while the holder significantly enhances patient comfort and image quality, further design adjustments are needed to address size-related issues. Future developments should focus on customizing the holder for local anatomical variations and exploring additional eco-friendly materials. Enhanced training for practitioners and further research with diverse populations are recommended to optimize the holder's effectiveness.
Prosedur Pemeriksaan MRI Cruris dengan Kontras pada Kasus Tumor Ambarwati, Seli; Sulaksono, Nanang; Jannah, Marichatul
Jurnal Imejing Diagnostik (JImeD) Vol 11, No 1 (2025): JANUARY 2025
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v1i1.12436

Abstract

Background: This study examines the MRI Cruris contrast examination procedure for tumor cases at Dr. Moewardi Hospital. The hospital's MRI protocol includes sequences such as 3-plane localizer, Sag T1, Sag T2, Ax T1, Ax T2 STIR, Coronal T1, Coronal PD FS, Coronal T2* MERGE, 3D Coronal TRICKS, and post-contrast sequences Sag T1+C, Coronal T1+C, and Ax T1+C. The study aims to analyze the MRI Cruris contrast procedure, the rationale for using 5 ml contrast, and the importance of the Coronal 3D TRICKS sequence.Methods: A qualitative research method with a case study approach was used, involving observation, interviews, and documentation. The data was analyzed and presented in quotations to conclude.Result and Discussion: The MRI procedure begins with patient preparation, including laboratory tests for urea and creatinine levels, fasting for 4–6 hours, and filling out informed consent. Patients are positioned supine with feet first, and an air coil is placed on the leg. The use of 5 ml contrast enhances image quality, improves tumor detection, evaluates blood vessels, shows lesions, and determines tumor location and spread. The Coronal 3D TRICKS sequence provides clear MRA angiography, enabling better visualization of feeding arteries and rapid imaging of major blood vessels within 10 seconds.Conclusion: In conclusion, the MRI Cruris contrast protocol at Dr. Moewardi Hospital ensures high-quality imaging for tumor detection and diagnosis. The 5 ml contrast dose effectively enhances MRI images, and the Coronal 3D TRICKS sequence plays a crucial role in evaluating vascular structures.
Optimasi Teknik MRI untuk Knee Joint: Perbandingan PD TSE Fat Saturation dan T2 Fat Saturation BLADE pada Potongan Coronal W.R.I, Muhammad Fajar; Prastanti, Agustina Dwi; Jannah, Marichatul
Jurnal Imejing Diagnostik (JImeD) Vol. 10 No. 2 (2024): JULI 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v10i2.11629

Abstract

Background: The use of PD TSE fat saturation (FS) sequences in coronal section of the MRI knee joint routine examination revealed artifacts caused by popliteal artery pulses. Meanwhile, there is T2 FS sequence with the BLADE technique that can reduce motion artifacts, but isn't used in the knee joint routine MRI examinations. BLADE is a technique of filling radial k-space around the center of k-space, thereby reducing motion artifacts and improving image quality. The aim of this study is to determine the differences in anatomical information, artifacts, and sequences that optimally reveal the anatomical information of knee joint between the PD TSE FS and T2 FS BLADE coronal section.Methods: This study used a quantitative research methods with an experimental approach. The sample of this study are 10 healthy volunteers and 2 radiologists as respondents. Each volunteer undergo an MRI knee joint examination with the PD TSE FS and T2 FS BLADE coronal section. The results of the two sequence images were assessed by the two respondents to obtain data for assessing anatomical information on the ACL, PCL, collateral ligament, articular cartilage, meniscus, subchondral bone, and artifact information. Data that has been obtained is processed using the Wilcoxon test.Results: The results shows that there are differences in the anatomical information of ACL, PCL, articular cartilage, and meniscus between the PD TSE FS and T2 FS BLADE coronal section. Meanwhile, there is no difference in the anatomy of the collateral ligament and subchondral bone. There is also a difference in artifact information between the two sequences.Conclusions: The T2 FS BLADE sequence is more optimal than the PD TSE FS sequence in displaying anatomic information and is also more optimal in suppressing ghosting artifacts from the popliteal artery pulse.
Prosedur Pemeriksaan MRI Cruris dengan Kontras pada Kasus Tumor Ambarwati, Seli; Sulaksono, Nanang; Jannah, Marichatul
Jurnal Imejing Diagnostik (JImeD) Vol. 11 No. 1 (2025): JANUARY 2025
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v1i1.12436

Abstract

Background: This study examines the MRI Cruris contrast examination procedure for tumor cases at Dr. Moewardi Hospital. The hospital's MRI protocol includes sequences such as 3-plane localizer, Sag T1, Sag T2, Ax T1, Ax T2 STIR, Coronal T1, Coronal PD FS, Coronal T2* MERGE, 3D Coronal TRICKS, and post-contrast sequences Sag T1+C, Coronal T1+C, and Ax T1+C. The study aims to analyze the MRI Cruris contrast procedure, the rationale for using 5 ml contrast, and the importance of the Coronal 3D TRICKS sequence.Methods: A qualitative research method with a case study approach was used, involving observation, interviews, and documentation. The data was analyzed and presented in quotations to conclude.Result and Discussion: The MRI procedure begins with patient preparation, including laboratory tests for urea and creatinine levels, fasting for 4–6 hours, and filling out informed consent. Patients are positioned supine with feet first, and an air coil is placed on the leg. The use of 5 ml contrast enhances image quality, improves tumor detection, evaluates blood vessels, shows lesions, and determines tumor location and spread. The Coronal 3D TRICKS sequence provides clear MRA angiography, enabling better visualization of feeding arteries and rapid imaging of major blood vessels within 10 seconds.Conclusion: In conclusion, the MRI Cruris contrast protocol at Dr. Moewardi Hospital ensures high-quality imaging for tumor detection and diagnosis. The 5 ml contrast dose effectively enhances MRI images, and the Coronal 3D TRICKS sequence plays a crucial role in evaluating vascular structures.
PEMBUDAYAAN GERAKAN MASYARAKAT HIDUP SEHAT (GERMAS) DAN PERCEPATAN VAKSINASI COVID-19 DI JAWA TENGAH Anwar, M. Choiroel; Widiyati, Sri; Ma'ruf, Fauzan; Nabiha, Puteri Inandin; Jannah, Marichatul; Sunarto, Sunarto
Jurnal LINK Vol 18 No 2 (2022): NOVEMBER 2022
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/link.v18i2.9240

Abstract

Pandemi COVID-19 yang menyerang sistem pernafasan pada manusia, yang telah menginfeksi jutaan orang di seluruh dunia, tidak terkecuali Indonesia. Salah satu usaha dari pemerintah dalam menjaga agar tidak terpapar wabah ini adalah dengan melaksanakan vaksinasi, meningkatkan promosi kesehatan dengan memberikan penyuluhan. Kegiatan Pengabdian Masyarkat bekerja sama dengan Dinas Kesehatan Provinsi, Dinas Kesehatan Kabupaten Tegal dan Puskesmas di wilayah kerja Kecamatan Adiwerna dan Suradadi. Rangkaian kegiatan diantaranya pemeriksaan kesehatan yaitu screening kesehatan pra vaksin, pelaksanaan vaksinasi COVID-19 dosis 1 dan 2 maupun booster, serta pemberian materi penyuluhan bagi 400 warga dari 2 Desa Gembongdadi dan Desa Pedeslohor. Dari hasil kegiatan yang didapatkan pengetahuan warga di Desa Gembongdadi dan Desa Pedeslohor meningkat dan cakuipan vaksin COVID-19 juga ikut meningkat.
PENGEMBANGAN MONITOR PERSONAL DOSIMETRI DENGAN MENGGUNAKAN PLATE DETECTOR GUNA MENUNJANG KESELAMATAN RADIODIAGNOSTIK Masrochah, Siti; Darmini, Darmini; Nui, Muhammad; Soewondo, Arie; Agusyahbana, Farid; Prakoso, Dimas; Jannah, Marichatul
Jurnal LINK Vol 19 No 1 (2023): MEI 2023
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/link.v19i1.9674

Abstract

Setiap personil radiasi yang melakukan pelayanan radiodiagnostik wajib menggunakan monitor personal dosimetry. tetapi karena harganya mahal, tidak semua personel pekerja radiasi difasilitasi oleh tempat bekerjanya. Tujuan penelitian ini adalah membuat desain pengembangan alat monitor radiasi menggunakan Imaging Plate (IP). Jenis penelitian ini adalah jenis Research and development dengan pendekatan eksperimental dan dianalisa secara deskriptif. Hasil penelitina menunjukkan nilai sensitivitas respon terbaik pada Image Plate Computed Radiography merek iCRco diperoleh dengan menggunakan faktor eksposur tegangan 90 kV dengan arus 6,3 mAs dan 8 mAs, energi sinar-X yang diserap oleh lapisan fosfor (per mA per satuan luas) dihitung secara teoritis sebagai indeks sensitivitas radiografi dengan menggunakan spektrum foton sinar-X insiden dengan rumus Birch-Marshall dan spektrum sensitivitas untuk rentang 40-140 kV. Kesimpulan bahwa semua respon radiasi memberikan pengaruh indeks eksposure yang berbeda, sehingga masih diperlukan alat bantu pemantau serapan radiasi yang akan dikembangkan pada periode selanjutnya yaitu mendesain monitor yang mudah digunakan petugas. 
Assessing Efficiency and Image Quality of Dental Radiography Using Modified Dental Holders with Silicone Rubber Integration Jannah, Marichatul; Mulyati, Sri; Gandhi, Wingghayarie Patra
Jurnal Riset Kesehatan Vol 12 No 2 (2023): NOVEMBER 2023
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jrk.v12i2.10484

Abstract

This study aims to evaluate the efficiency of use by radiographers and image quality in the use of dental holders that have been modified with silicone rubber in dental radiography procedures. Motivated by the problem in the use of conventional dental holders that often cause discomfort for patients and the potential for motion artifacts, a modification with silicone rubber was proposed. The study sample involved 16 repetitions on each head cadaver using both the innovative and control dental holders. The results of the paired t-test showed a significant difference in efficiency of use by radiographers and image quality between the two groups. The efficiency of use by radiographers increased, supported by a Cohen's d value of 9.632. The modification with silicone rubber showed better images, with a Cohen's d value of 0.325, attributed to the adjustable conus guide capability according to the size of the patient's mouth and jaw as well as the increased comfort with the silicone rubber material. This study recommends the adoption of the modified dental holder to improve procedure efficiency and quality of dental radiography results.
Meningioma Detection and Characterization Using Brain MR Imaging: A Case Study Pahlivi, Riza; Abimanyu, Bagus; Jannah, Marichatul
Jurnal Riset Kesehatan Vol 13 No 1 (2024): MEI 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jrk.v13i1.11544

Abstract

Meningiomas commonly manifest as granulations, dense clusters exhibiting hyperintense signals on the meningeal layers and close to cranial nerves. Detailed and isotropic imaging are key in the diagnostic evaluation. Nevertheless, standard MRI sequences have been inadequate in capturing these granulations, incorporating the T2 3D CISS axial sequence for improved visualization. Our case study aims to meticulously evaluate the diagnostic imaging strategies used for meningioma cases, explicitly focusing on cranial nerve imaging. The MRI protocol encompassed axial, coronal, and sagittal T2_TSE and DWI sequences and post-contrast T1-weighted imaging. A detailed calibration of the 3D CISS sequence parameters was performed to enhance the imaging of cranial nerves affected by the suspected meningioma. Our findings highlight the necessity of a meticulous MRI protocol, which includes precise imaging sequences, to evaluate meningiomas effectively, particularly for assessing the potential involvement of the cranial nerves.
Evaluation of Dental Holder Innovation: Patient Comfort and Periapical Intra-Oral Radiographic Image Quality Jannah, Marichatul; Prakoso, Dimas; Erfansyah, Muhammad
Jurnal Riset Kesehatan Vol 13 No 2 (2024): NOVEMBER 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jrk.v13i2.12291

Abstract

This study evaluates an innovative dental holder designed to improve patient comfort and radiographic image quality in intra-oral periapical examinations. Conducted at Muhammadiyah University Semarang Dental and Oral Hospital, the research involved 30 patients who used the modified holder featuring a 20-degree tilt, biocompatible PLA material, and silicone pads. Results showed that 73.33% of patients experienced no nausea, and 93.33% had no allergic reactions, highlighting the holder's safety and comfort. Although 56.67% reported excessive oral pressure, 60% noted reduced pain due to the silicone pads. The holder also improved image quality, with 76.67% of patients acknowledging clear apical images, and 100% reporting no distortion or blurring. The study indicates that while the holder significantly enhances patient comfort and image quality, further design adjustments are needed to address size-related issues. Future developments should focus on customizing the holder for local anatomical variations and exploring additional eco-friendly materials. Enhanced training for practitioners and further research with diverse populations are recommended to optimize the holder's effectiveness.
Optimization Of Fat Suppression Techniques Using Dixon And Application In MRI Examination Hanifah, Wahdini; Fatimah, Fatimah; Jannah, Marichatul
Journal of Applied Health Management and Technology Vol. 5 No. 1 (2023): January 2023
Publisher : Postgraduate Program , Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jahmt.v5i1.9486

Abstract

ABSTRACTMagnetic resonance imaging has been used to detect and assess the presence and extent of fat accumulation. Dixon technique has been used clinically to achieve fat suppression through different presession frequencies of fat and water protons. Dixon, allows the contribution of fat signals to be suppressed in post-processing rather than during acquisition, as well as providing a map of the distribution of water and fat. The aims of this study is to analyze the role of Dixon techniques on fat suppression or fat quantification. Evaluated its advantages in performing fat suppression, reducing artifacts, and describing Dixon's application on MRI examination. Literature review was conducted to analyze the effectiveness, role, and advantages of Dixon techniques in MRI examinations. Articles are selected based on inclusion criteria. Each article is qualitatively analyzed and explained descriptively. The results show that Dixon technique can be combined with several sequences, including gradient echo or fast spin echo. Scanning with Dixon sequences, namely 2-point Dixon, 3-point Dixon, 6-point Dixon and multi-point Dixon. Dixon technique used provides better fat suppression even in areas where other techniques fail for technical reasons. The uniformity of Dixon's technique in suppressing fat signals is significantly higher. Dixon technique plays an excellent role in MRI imaging of the head and neck, musculoskeletal, abdominal and breast. In conclusion, Dixon technique has been proven to be able perform fat suppression more effectively on MRI examination. In its application, Dixon can shorten the scanning time, thereby reducing the risk factor for sedation, especially for children.ABSTRAKMagnetic Resonance Imaging telah digunakan untuk mendeteksi dan menilai keberadaan dan tingkat akumulasi lemak. Teknik Dixon telah digunakan secara klinis untuk mencapai penekanan lemak melalui frekuensi presesi yang berbeda dari proton lemak dan air. Dixon memungkinkan kontribusi sinyal lemak ditekan dalam pasca-pemrosesan daripada selama akuisisi, serta menyediakan peta distribusi air dan lemak. Tujuan dari penelitian ini adalah untuk menganalisis peran teknik Dixon terhadap penekanan lemak atau kuantifikasi lemak. Mengevaluasi keuntungannya dalam melakukan penekanan lemak, mengurangi artefak, dan menggambarkan aplikasi Dixon pada pemeriksaan MRI. Literature review dilakukan untuk menganalisis efektivitas, peran, dan keunggulan teknik Dixon dalam pemeriksaan MRI. Artikel dipilih berdasarkan kriteria inklusi. Setiap artikel dianalisis secara kualitatif dan dijelaskan secara deskriptif. Hasil penelitian menunjukkan bahwa teknik Dixon dapat dikombinasikan dengan beberapa urutan, termasuk gradient echo atau fast spin echo. Pemindaian dengan urutan Dixon, yaitu 2-point Dixon, 3-point  Dixon, 6-point Dixon dan multi-point Dixon. Teknik Dixon yang digunakan memberikan penekanan lemak yang lebih baik bahkan di daerah di mana teknik lain gagal karena alasan teknis. Keseragaman teknik Dixon dalam menekan sinyal lemak secara signifikan lebih tinggi. Teknik Dixon memainkan peran yang sangat baik dalam pencitraan MRI kepala dan leher, muskuloskeletal, perut dan payudara. Kesimpulannya, teknik Dixon telah terbukti mampu melakukan penekanan lemak dengan lebih efektif pada pemeriksaan MRI. Dalam penerapannya, Dixon dapat mempersingkat waktu pemindaian, sehingga mengurangi faktor risiko sedasi, terutama untuk anak-anak.
Co-Authors Agustina Dwi Prastanti, Agustina Dwi Ambarwati, Seli Bagus Abimanyu, Bagus Darmini Darmini Dimas Prakoso Erfansyah, Muhammad Farid Agusyahbana, Farid fatimah Fatimah Gandhi, Wingghayarie Patra Hanifah, Wahdini M. Choiroel Anwar Ma'ruf, Fauzan Nabiha, Puteri Inandin Nanang Sulaksono, Nanang Nui, Muhammad Pahlivi, Riza Siti Masrochah Soewondo, Arie Sri Mulyati Sri Widiyati, Sri Sunarto Sunarto W.R.I, Muhammad Fajar