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Evaluation of CT angiography of the thoracic aorta with ECG gating in cases of dissection Widiatmoko, Mahfud Edy; Supriyaningsih, Eny; Sutoro, Shinta Gunawati; Irsal, Muhammad; Anggraeni, Dewi
International Journal of Health Science and Technology Vol. 6 No. 1 (2024): July
Publisher : Universitas 'Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/ijhst.v6i1.3668

Abstract

Type A aortic dissection is a longitudinal tear separating the intima layer from the aortic media and is often not clearly visible due to cardiac motion which can reduce image quality and misrepresent the lumen so that the flowing blood causes several problems such as the aortic root and ascending aorta. CT angiography with ECG gating was chosen to reduce the images of cardiac movement. The purpose is to evaluate the examination procedure and anatomical description of the CT Angiography examination with Gating ECG. The research method is descriptive qualitative research with a case study approach with samples selected based on the examination diagnosis with type A aortic dissection. Observation, documentation, interviews did data collection. Data analysis is described in a descriptive narrative, and a conclusion is drawn. The result of the study is that CT angiography examination with ECG gating provides accurate information that the coronary arteries originate from the true lumen. In this phase, there are no lines that show a significant picture of heart movement disorders so that the coronary arteries can be assessed properly. The anatomical features of MIP, CPR, and VRT visualize the aortic root region until the coronary arteries are displayed more informatively than heart movement disorders. The conclusion is that CTA examination with ECG gating can show the aortic root in cases of type A dissection located at the root or ascending aorta and minimize heart movement interference with MIP, CPR and VRT.
ANALISIS PERBEDAAN INFORMASI ANATOMI ANTARA PHASE ENCODING DIRECTION ANTERIOR-POSTERIOR DAN SUPERIOR-INFERIOR MRI LUMBAL T2WI FSE POTONGAN SAGITTAL PADA KASUS HERNIA NUCLEUS PULPOSUS (HNP) DI RUMAH SAKIT HERMINA DEPOK Patresia, Monicha; Syarif H, Eka Putra; Supriyaningsih, Eny
Jurnal Pendidikan Kesehatan Vol 14 No 1 (2025): Jurnal Pendidikan Kesehatan (E-Journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jpk.v14i1.4766

Abstract

radiographically, Lumbar MRI examination is located in the part of the waist? whereby there is a lot of anatomy one of which is medulla spinalis. In relation to which, in the medulla spinalis area often happen ghosting artifacts which can disturbs the information of Lumbar MRI anatomical image, for that reasons, it needs several numbers of treatments like to apply such a proper phase encoding. In this matter, the application of phase encoding constitutes a possible method which can minimize the artifacts namely by exchanging the direction of phase encoding hence the artifacts is going to the other direction and subsequently the artifacts does not disturb the desired anatomical object.? this research aims to analyze the effect of using the Anterior-Posterior and Superior-Inferior Phase Encoding Direction towards the information of lumbar MRI anatomical image on T2WI FSE sequence of sagittal section undertaken at Hermina Hospital Depok. this research applies quantitative method with analytical approach executed at Hermina Hospital Depok starting from May up to June 2024. Meanwhile, the population of this research is all Lumbar MRI patients with 16 samples which are taken in a purposive sampling basis. As for the method of data collection, it is conducted through among the other things observation and experiment, and then the instrument and analysis of this research are namely worksheet, observation worksheet, questionnaires sheet, documentation, and DVD-R. Thereafter, data processing is carried out by applying statistical test, beginning with normality test. Furthermore to test the hypothesis it is executed by applying Paired Sample T-Test if the data is normally distributed and Test Wilcoxon if the data is not normally distributed. this research suggests that the result of Wilcoxon test, obtains that p-value (0.001) ? 0.05 is for detailed anatomy, p-value (0.000) ? 0.05 is for ghosting artifacts. This matter explains that in the assessment of anatomical details and contrast image, there is a difference between the use of Anterior-Posterior and Superior-Inferior Phase Encoding. Whereas for the evaluation of contrast p-value (0.060) ? 0.05 it can be explained that there is not any difference between the use of Phase Encoding Anterior-Posterior and Superior-Inferior in Lumbar MRI examination T2WI FSE sequence of sagittal section. Apparently, Phase Encoding Anterior-Posterior can provides detail anatomy and ghosting artifacts in more optimal image compared to that in Phase Encoding Superior-Inferior
Analisis Variasi Nilai Time Inversion (TI) Terhadap Infromasi Citra MRI Knee Joint Potongan Sagital Sekuen PDW SPAIR Widiatmoko, Mahfud Edy; Sabina, Asy Syifa; Supriyaningsih, Eny; Rizqi, Muhammad; Hidayat, Eka Putra Syarif
Jurnal Imejing Diagnostik (JImeD) Vol 11, No 2 (2025): JULY 2025
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v11i2.13326

Abstract

Background: Magnetic Resonance Imaging (MRI) is a non-invasive imaging modality essential for evaluating complex anatomical structures such as the knee joint. MRI allows multiplanar imaging with high soft tissue contrast resolution. In knee imaging, the sagittal plane is particularly effective in assessing pathologies and visualizing structures like cartilage, menisci, bones, and ligaments (ACL and PCL). Proton Density Weighted (PDW) sequences combined with Spectral Adiabatic Inversion Recovery (SPAIR) fat suppression are commonly used to enhance soft tissue visualization. The image quality in SPAIR sequences is significantly influenced by the Time Inversion (TI) parameter. This study aimed to analyze the impact of varying TI values on the image quality of sagittal PDW SPAIR MRI of the knee joint, focusing on anatomical detail and contrast resolution.Methods: This research used a quantitative analytical method with an experimental approach. The study was conducted at the Radiology Department of Pertamina Central Hospital from March to April 2025. Ten knee MRI examinations were selected as samples. Image quality was assessed by three radiologists using a structured scoring questionnaire. The data were analyzed using non-parametric statistical tests, including Friedman and Wilcoxon Signed-Rank tests.Results: The Friedman test revealed statistically significant differences in anatomical detail (χ²(2) = 15.000, p = 0.001) and contrast resolution (χ²(2) = 17.882, p = 0.000) across the three TI values (100 ms, 160 ms, and 200 ms). Post-hoc Wilcoxon analysis showed that both TI 160 ms and 200 ms provided significantly higher image quality than 100 ms (p 0.017) in both parameters. However, no significant differences were found between TI 160 ms and 200 ms (p = 0.506 for anatomical detail, p = 0.273 for contrast resolution). Among the values tested, TI 160 ms demonstrated consistent and optimal scores for both image clarity and contrast.Conclusions: A TI value of 160 ms in the PDW SPAIR sequence is recommended as the optimal parameter for producing superior sagittal MRI images of the knee joint, particularly in terms of anatomical clarity and contrast resolution.