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Journal : Science Midwifery

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.