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Susanto, Fani
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DIFFERENCES IN DWI IMAGE INFORMATION WITH VARIATION IN B-VALUE IN MRI BRAIN CASES TUMOR Febriana, Chindi; Susanto, Fani; Fitriana, Lutfatul; Oviyanti, Pradana Nur
Medical Imaging and Radiation Protection Research Journal Vol 3 No 2 (2023): Medical Imaging and Radiation Protection Research (MIROR) Journal
Publisher : LPPM Universitas Awal Bros

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54973/miror.v3i2.358

Abstract

Diffusion Weighted Imaging (DWI) is a sequence used in brain tumor cases to assess molecular movement (diffusion). DWI is influenced by the selection of the b-value parameter which results in differences in the generated signal. The aim of this study is to determine the differences in b-value variations of 500, 1000, 1500 s/mm2 in brain tumor cases and identify the most optimal variation. This study is a pre-experimental study conducted using a 1.5 Tesla Philips MRI machine at a private hospital in South Jakarta from March to April 2023. The sample consisted of twelve DWI MRI images with different b-value variations. Visual grading analysis was performed by three radiology specialists, and the data were analyzed using the Friedman test in SPSS. The results showed a significant difference in image information based on the use of different b-value variations, with a pvalue of 0.05 (2.36). The use of a b-value of 1000 s/mm had the highest mean rank in the basal ganglia, cerebellum, thalamus, pons, gray matter, and lesions. The difference in image information with b-value variations visualized different brain tumor representations due to increased noise with higher b-values and suboptimal image sharpness with lower b-values due to low signal intensity. The use of b-value variations of 500, 1000, 1500 s/mm2resulted in differences in anatomical image information in sequences DWI MRI brain axial of brain cases tumor due to differences in image noise and signal intensity, with a b-value of 1000 s/mm being the most optimal variation.
MAGNETIC RESONANCE CHOLANGIO-PANCREATOGRAPHY EXAMINATION PROCEDURE USING BITTER TEA AND GADOLINIUM CONTRAST MEDIA IN COLELITIASIS CASES AT THE RADIOLOGY INSTALLATION OF HUSADA HOSPITAL JAKARTA Aminadi, Zein Rizka; Susanto, Fani; Utami, Hernastiti Sedya; Saputri, Lutfiana Desy
Medical Imaging and Radiation Protection Research Journal Vol 3 No 2 (2023): Medical Imaging and Radiation Protection Research (MIROR) Journal
Publisher : LPPM Universitas Awal Bros

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54973/miror.v3i2.359

Abstract

This study aims to describe the procedures for managing MRCP examinations in cases of cholelithiasis at Husada Hospital, Jakarta. This type of research is descriptive qualitative using questionnaire sheets which are used for direct observation, documentation, interviews and literature studies, then data reduction is carried out, categorized and interpreted. Observations were carried out in May- July 2023 with the subjects of this study using 2 patients. From the results of the study it can be described that the MRCP examination technique with cholelithiasis cases at Husada Hospital Jakarta has a special preparation procedure, namely fasting for 5-6 hours and 30 minutes before the examination the patient drinks bittertea (2 sachets of tea bags/4.6 g mixed with mineral water 100 ml) added with 2 mlgadolinium contrast. Patients must first screen to ensure that there are no ferromagnetic materials, this examination uses a sequence that includes a 3-plane localizer, axial dual echo, axial T2, coronal T2, thick slab, 3D MRCP Respiratory Trigger or 3D MRCP Breath hold with time 40 minute check. MRCP examination produces Axial, Coronal and 3D sections in preparation for the patient drinking bitter tea and gadolinium with the addition of 3D MRCP RTR or 3D MRCP BH sequences which can optimally show the anatomy, physiology and abnormalities ofthe gallbladder and biliary system.
Peningkatan Pengetahuan tentang Bahaya Rokok Terhadap Kesehatan di Kalangan Siswa SMP Muhammadiyah Sumbang Utami, Hernastiti Sedya; Susanto, Fani; Fitriana, Lutfatul; Rahardian, Arga Pratama
Jurnal Pengabdian Masyarakat Bangsa Vol. 1 No. 12 (2024): Februari
Publisher : Amirul Bangun Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59837/jpmba.v1i12.757

Abstract

Asap rokok yang telah diidentifikasi dapat menyebabkan kanker paru dengan 63 jenis bersifat karsinogen dan beracun. Usia perokok di Indonesia kini semakin muda, bahkan usia anak-anak sehingga Indonesia dijuluki sebagai negara baby smoker atau perokok anak. Kecenderungan merokok di kalangan remaja umur 15-19 tahun di Indonesia semakin meningkat sebanyak tiga kali lipat. Pengatahuan perilaku merokok menjadi perhatian penting bagi semua kalangan termasuk usia remaja. Tujuan kegiatan pengabdian ini untuk meningkatkan pengetahuan yang baik tentang merokok terhadap Kesehatan, penyebab dan pencegahan kanker paru, serta pengertian pemeriksaan radiologi sebagai penunjang medis dalam meninjau efek dari bahaya rokok. Kegiatan ini diikuti sebanyak 30 siswa-siswi SMP Muhammadiyah Sumbang. Penyuluhan dilakukan dengan metode ceramah dan diskusi serta menampilkan video interaktif dan pemberian modul materi. Peserta diberikan pre-test dan post-test sebagai evaluasi kegiatan. Hasil kegiatan pengabdian terdapat peningkatan signifikan (60,9%) pada rata-rata nilai post-test. Kegiatan penyuluhan mengenai bahaya merokok terhadap kesehatan dikalangan usia remaja membantu dan bermanfaat bagi siswa-siswi untuk mengetahui metode atau cara pola hidup sehat tanpa rokok.
Variation of inversion delay for wrist joint MR imaging with SPAIR technique: which ID is optimal? Susanto, Fani; Utami, Hernastiti Sedya
MEDISAINS Vol 19, No 1 (2021)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v19i1.8319

Abstract

Background: The current fat suppression technique in magnetic resonance imaging (MRI) significantly diagnoses abnormalities in musculoskeletal disorders. The spectral attenuated inversion recovery (SPAIR) fat suppression (FS) technique had an inversion delay (ID) parameter that allows choosing between full or partial FS. This was the first research related to the optimal setting of the ID time variation in the SPAIR technique on T2-weighted MRI wrist joint images.Objectives: This study aims to find out anatomical information with the most optimal ID value of the MRI wrist joint image T2 turbo spin-echo (TSE) FS SPAIR coronal slice sequence.Method: This study was a pre-experimental post-test only. Scanning MR wrist joint 16 volunteers took data with the qualitative analysis used three radiologists (visual grading) with statistical data analysis.Results: Image information of the MRI wrist joint T2 TSE FS SPAIR coronal slices sequence showed differences in the variation of ID (p<0.001), where the ID of 85 ms produced the most optimal image information.Conclusion: MRI image of the wrist joint of the T2 TSE FS SPAIR coronal slices sequence the most optimal with an ID variation of 85 ms compared to ID 70 ms and 100 ms.
STUDI KUALITATIF: ANALISIS INFORMASI ANATOMI PADA VARIASI SLICE THICKNESS MSCT SCAN ORBITA DENGAN MEDIA KONTRAS POTONGAN AXIAL MPR Utami, Hernastiti Sedya; Azizah, Atika Nur; Maulana, Andi Muh.; Susanto, Fani; Oviyanti, Pradana Nur
Jurnal Kesehatan Vol 14, No 1 (2023)
Publisher : Sekolah Tinggi Ilmu Kesehatan (STIKes) Cirebon

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38165/jk.v14i1.342

Abstract

Struktur anatomi orbita sangat kompleks sehingga memerlukan detail yang baik pada msct scan untuk melihat patologi orbita. Salah satu parameter pada msct scan orbita untuk mengetahui keakuratan struktur anatomi orbita adalah ketebalan irisan. menurut literatur ketebalan irisan untuk orbital 2mm. Sedangkan literatur lain mengatakan 3-5 mm. Tujuan dari penelitian ini adalah untuk menganalisis informasi citra yang dihasilkan dengan variasi ketebalan irisan pada orbital ct scan.Metode penelitian ini menggunakan jenis penelitian kualitatif dengan studi eksperimen. Populasi dan sampel adalah 15 pasien dengan citra MSCT scan orbita dengan rekonstruksi ketebalan irisan media kontras potongan MPR aksial yaitu 1 mm, 2 mm dan 3 mm. Informasi citra yang dinilai adalah akurasi, kejelasan struktur dan jaringan pada citra ct scan orbita potongan MPR aksial meliputi anatomi tulang hidung, saraf optik, sinus etmoidalis, sinus sfenoid, tulang lakrimal, kornea, lensa, bola mata dan sklera. Pengambilan data dilakukan dengan cara observasi dan kuisioner kepada spesialis radiologi sebagai observer dan analisis data dilakukan dengan menggunakan SPPS uji Friedman test.Hasil dari penelitian ini yaitu terdapat perbedaan antara informasi citra pada variasi ketebalan irisan CT scan MPR aksial orbital dan ketebalan irisan yang dapat memberikan informasi anatomi yang optimal pada citra axial MSCT scan MPR orbital dengan media kontras yaitu 2 mm.Kata kunci : msct scan orbital; ketebalan irisanAbstract The anatomical structure of the orbit is so complex that it requires good detail on CT scan to see the pathology of the orbit. One of the parameters on the orbital ct scan to reveal the accuracy of the orbital anatomical structure is slice thickness. according to the slice thickness literature for orbital 2mm. Whereas other literature says 3-5 mm. the purpose of this study was to analyze the image information produced with slice thickness variations on ct scan orbitals. The method of this research is qualitative with a experiment study. Population and sample were 15 patients with orbital CT scan images with contrast media slice thickness reconstruction of axial MPR pieces that were 1 mm, 2 mm and 3 mm. Assessed image information is accuracy, clarity of structure and tissue on orbital ct scan images of axial MPR pieces including anatomy of nasal bone, optic nerve, ethmoidal sinus, sphenoid sinus, lacrimal bone, cornea, lens, globe and sclera.Data retrieval is done by observation radiologist and data analysis is carried out by SPSS Friedman test.The result of this research is there is a relationship between image information on slice thickness variations of axial MPR CT scans of orbital and slice thickness which can provide optimal anatomical image information on axial images of MPR CT scans of orbitals with contrast agent that is 2 mm.Keywords: orbital msct scan; slice thickness
Comparison of cervical vertebrae MRI image information between axial T2 Fse and T2 propeller sequences Husna, Melati Amelia; Susanto, Fani; Fitriana, Lutfatul; Supriyadi, Supriyadi; Samudra, Alan
Science Midwifery Vol 13 No 1 (2025): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i1.1910

Abstract

Examinations performed on MRI of cervical vertebrae take a long time and cause patients to feel uncomfortable during the examination. FSE is a technique that can be used to produce fast examination times. Patient discomfort can also cause movement during the examination, which can cause artifacts in the resulting images. These movements can be minimized with the PROPELLER technique. This study is quantitative using an experimental method with a sample size of 15 volunteers who were each scanned with T2 FSE and T2 PROPELLER sequences. This study was conducted using a questionnaire in which each image produced was evaluated by 2 radiology specialist observers using the visual grading analysis (VGA) method to assess each anatomy of the corpus vertebrae, intervertebrae disc, spinal cord, CSF, intraforamen structure, nerve root and artifacts. The statistical results showed that the image quality of T2 FSE and T2 PROPELLER sequences had ap value of 0.000 (p<0.05). The sequence has a difference, namely T2 PROPELLER produces more detailed image quality on anatomy and pathology, and can reduce the occurrence of artifacts due to movement in the cervical area, and T2 FSE produces less informative image quality due to artifacts. In addition, there are differences in MRI scanning time of cervical vertebrae T2 FSE sequences which are faster than T2 PROPELLER and T2 PROPELLER is good at reducing artifacts.
Comparison of anatomical information of lumbar T2 TSE MRI images with nex variation between use and without sense Safitri, Ara Novita; Susanto, Fani; Rahardian, Arga Pratama; Oviyanti, Pradana Nur; Samudra, Alan
Science Midwifery Vol 13 No 1 (2025): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i1.1911

Abstract

Due to the long scan time, patients often report pain and discomfort during lumbar MRI examination. NEX and SENSE are two parallel imaging parameters that affect scan time. However, the resulting image information is also affected by NEX and SENSE. Therefore, this study examines the information between NEX variations with and without SENSE on anatomical images and their relationship with scan time on lumbar T2 TSE MRI examinations. This study is quantitative and uses an experimental method. The sample in this study was 10 volunteers who would be given 6 treatments, namely NEX 1 variation without SENSE, NEX 1 with SENSE, NEX 2 without SENSE, NEX 2 with SENSE, NEX 3 without SENSE, and NEX 3 with SENSE on Lumbar T2 TSE MRI examinations in January 2025. Using the Visual Grading Analysis (VGA) method, two radiology specialist observers analyzed the image results. Then the Cohen's Kappa consistency test was carried out and the Friedman test was used to verify the questionnaire results statistically. This study shows that there is a significant difference in the value of image information between NEX 1 variations of vertebral body anatomy with and without SENSE. While in the anatomy of the Intervertebral Disc, Ligament, Spinal Cord, and Spinal Stenosis did not show a significant difference in each variation of NEX with and without SENSE. For scan time, with NEX variations using SENSE requires a shorter scan time compared to without the use of SENSE.
Comparison of image quality between flexible coil and special purpose coil sagittal section on mri manus digit 2-3 Verina, Alya; Utami, Hernastiti Sedya; Susanto, Fani; Hidayat, Fathur Rachmat; Syafi’ie, Mochammad; Samudra, Alan
Science Midwifery Vol 13 No 1 (2025): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i1.1912

Abstract

MRI examination of the manus has a challenge in obtaining optimal image quality. Good image quality depends on four characteristics, one of which is the Signal to Noise Ratio (SNR). SNR can be affected by the use of appropriate radiofrequency (RF) coils so that it can increase the SNR value. This study aims to analyze the impact of using different coils on SNR and CNR values, especially in sagittal sections of Proton Density Fat Sat scans. This study is a quantitative study using 10 volunteer samples in the period of February 2025. The results of the study show that the SNR value in the overall anatomy has a p-value <0.05 which means there is a significant difference using flexible coils and special purpose coils. While the SNR value in per-anatomy manus digits 2-3 has a significant difference except for the volar plate anatomy with a p-value = 0.121 meaning there is no significant difference. And compared to flexible coil, the use of special purpose coil in this study has a higher CNR value, especially in the anatomy of the Distal Interphalangeal Joint - Middle Phalanges with an average value of 1221.200. This study provides evidence that the selection of the right coil greatly affects the quality of the resulting image, and the use of special purpose coil is considered to produce better image quality. Therefore, the author recommends the use of special purpose coils in MRI examinations of the manus digits 2-3.
Analisis Perbedaan Kualitas Citra Pemeriksaan MRI Cervical Potongan Sagital Pada Penggunaan Sekuens T2 Tse Dixon, T2 Tse Spair, Dan T2 Tse Stir Masghuri, Hakim; Rahardian, Arga Pratama; Susanto, Fani; Samudra, Alan; Hidayat, Fathur Rachman
Jurnal Ners Vol. 9 No. 3 (2025): JULI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.45268

Abstract

Fat suppression merupakan teknik penting dalam pencitraan MRI, khususnya untuk meningkatkan visualisasi struktur anatomi dengan mengurangi sinyal lemak. Penelitian ini bertujuan untuk mengevaluasi perbedaan kualitas citra pada pemeriksaan MRI Cervical pada penggunaan tiga teknik fat suppression pada masing-masing sekuen, yaitu T2 TSE Dixon, T2 TSE SPAIR, dan T2 TSE STIR. Evaluasi dilakukan pada struktur anatomi CerebroSpinal Fluid (CSF), Spinal Cord, Discus dan Bone Marrow dengan parameter kualitas citra berupa Signal-to-Noise Ratio (SNR) dan Contrast-to-Noise Ratio (CNR). Hasil analisis statistik menunjukkan bahwa terdapat perbedaan yang signifikan pada nilai SNR pada penggunaan ketiga teknik fat suppresion pada masing-masing sekuen. T2 TSE STIR memiliki mean rank tertinggi, diikuti oleh T2 TSE Dixon dan T2 TSE SPAIR. Sebaliknya, tidak ditemukan perbedaan yang signifikan pada nilai CNR antar ketiga teknik. Meskipun nilai SNR tertinggi diperoleh dari sekuen T2 TSE STIR, bukan berarti teknik tersebut memiliki kualitas citra yang paling optimal. Faktor lain seperti karakteristik jaringan dan sensitivitas masing-masing teknik terhadap inhomogenitas medan magnet turut memengaruhi hasil pencitraan. Setiap teknik menunjukkan performa yang bervariasi tergantung pada jenis jaringan yang dianalisis, sehingga pemilihan teknik fat suppression sebaiknya disesuaikan dengan kebutuhan diagnostik yang spesifik.
Analisis Perbedaan Informasi Anatomi Pemeriksaan MRI Lumbal Sekuen T2 FSE Sagital Penggunaan ARC Dengan Variasi Time Repetition Pada Kasus Hernia Nukleus Pulposus (HNP) Abdullah, Muhamad Rijal; Rahardian, Arga Pratama; Utami, Hernastiti Sedya; Susanto, Fani; Samudra, Alan
Jurnal Ners Vol. 9 No. 3 (2025): JULI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.45313

Abstract

Penelitian ini bertujuan untuk menganalisis perbedaan informasi citra pada pemeriksaan MRI lumbal menggunakan sekuens T2 FSE potongan sagital dengan teknik Autocalibrating Reconstruction for Cartesian Imaging (ARC) berdasarkan variasi nilai Time Repetition (TR) pada kasus Hernia Nukleus Pulposus (HNP). Metode penelitian yang digunakan adalah kuantitatif eksperimental dengan sampel sebanyak 10 pasien yang menjalani pemeriksaan MRI lumbal dengan tiga variasi nilai TR, 3000 ms, 3500 ms, dan 4000 ms. Penilaian  informasi anatomi dilakukan oleh dua dokter radiologi menggunakan kuesioner, dan data dianalisis menggunakan uji friedman. Hasil penelitian menunjukkan adanya perbedaan yang signifikan (p < 0,05) antara variasi TR terhadap informasi citra, dengan nilai TR 4000 ms memberikan mean rank tertinggi (2,27), diikuti TR 3500 ms (2,03) dan TR 3000 ms (1,71). Perbedaan signifikan ditemukan terutama pada anatomi medula spinalis dan discus intervertebralis, sementara struktur lain seperti corpus vertebra, cairan cerebrospinal fluid  (CSF),  ligamentum flafum,dan ligamentum posterior tidak menunjukkan perbedaan berarti. Peningkatan nilai TR terbukti meningkatkan rasio sinyal terhadap noise (SNR), yang berdampak pada peningkatan kualitas informasi anatomi. Dengan demikian, nilai TR 4000 ms direkomendasikan sebagai parameter optimal untuk memperoleh kualitas citra dan informasi anatomi  terbaik pada pemeriksaan MRI lumbal sekuen T2 FSE menggunakan teknik ARC.
Co-Authors Abdul Latif Abdullah, Muhamad Rijal Abid Yanuar Badharudin Aminadi, Zein Rizka Ammar, Hanif Dwi Andi Muh. Maulana Azizah, Atika Nur Basuki, Samudra Prihatin Hendra Cayanan, Edgardo Che Ani, Norhidayah Fatiatun, Fatiatun Febriana, Chindi Fitriana, Lutfatul Hidayat, Fathur Rachman Hidayat, Fathur Rachmat Husna, Melati Amelia Irmawanto, Rudi Masghuri, Hakim Muaziz, Agil Abdul Nadi, Danu Tirta Oviyanti, Pradana Nur Rahardian, Arga Pratama royan, royan Safitri, Ara Novita Samudra, Alan Saputri, Lutfiana Desy Supriyadi Supriyadi Syafi’ie, Mochammad Utami, Hernastiti Sedya Verina, Alya W, Kusnanto Mukti Yuswono, Puji