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Utami, Hernastiti Sedya
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Prosedur Pemeriksaan MRI Lumbal pada Kasus Efusi Pleura Suspek Tuberkulosis Susanto, Fani; Rahardian, Arga Pratama; Utami, Hernastiti Sedya; Mufida, Widya
Jurnal Imejing Diagnostik (JImeD) Vol. 9 No. 1: JANUARY 2023
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v9i1.9419

Abstract

Background: Clinical vertebral tuberculosis (TB) occurs outside the lungs affecting the spine. It generally infects the spine in the lower thoracic and upper lumbar spine. MRI examination is performed on clinical vertebral TB patients to determine the degree of stress and changes in bone elements in the early stages of the disease. This study aims to analyze the lumbar MRI examination procedure in cases of suspected TB pleural effusion. Methods: This research was qualitative with a case study approach. Data collection was carried out at the Radiology Unit of Premier Bintaro Hospital with the methods of observation, interviews, and documentation. Data processing and analysis were carried out descriptively. Results: Lumbar MRI examination with suspected TB pleural effusion at the Radiology Unit of Premier Bintaro Hospital was not specially prepared, the patient was examined first through the patient checklist to avoid metal materials entering the examination room. Examination using the Non-Contrast Lumbar MRI protocol included of sagittal and coronal T2, sagittal T1, sagittal Short Tau Inverse Recovery (STIR), Myelography, Axial T2, and Axial T1. The results of the examination provided sufficient diagnostic information to indicate a vertebral TB lesion. Conclusions: The procedure for examining lumbar MRI in TB cases with suspected pleural effusion at the Radiology Unit of Premier Bintaro Hospital did not require special preparation, the examination protocol used was to provide TB clinical diagnostic information, the addition of Gadolinium contrast media could be an alternative choice. 
Pemanfaatan Getah Pelepah Salak Sebagai Gel Ultrasonografi Alternatif Susanto, Fani; Wibowo, Kusnanto Mukti; Samudra, Alan; Yuswono, Puji; Utami, Hernastiti Sedya; Cayanan, Edgardo
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.v11i2.12551

Abstract

Background: Conventional ultrasound (USG) gel was generally based on carbomer 940, which was relatively expensive, difficult to access in some areas, and not environmentally friendly due to its non-biodegradable nature. This study aims to evaluate the potential of salacca leaf sap as an alternative material for a more affordable, easily obtainable, and environmentally friendly natural ultrasound gel.Methods: A quantitative experimental study was conducted on 30 adult patients. Each subject underwent two liver ultrasound examinations using carbomer 940 gel and gel from salacca leaf sap. Image assessment was conducted by three radiology specialists using the visual grading method on the parameters of parenchyma, portal vein, nodules, and artifacts. Data were analyzed using the Wilcoxon test and Cohen's Kappa test to measure inter-rater agreement.Results: The research results indicate that there is no statistically significant difference between the ultrasound images using factory gel and salacca leaf sap gel (p > 0.05). All image parameters, such as parenchymal homogeneity, visualization of the portal vein, and minimal artifacts, appeared equivalent in both types of gel.Conclusions: Salacca leaf sap shows physical characteristics that support ultrasonic wave transmission and is capable of producing liver ultrasound images comparable to commercial gel. With local availability, low cost, and environmentally friendly properties, this material has the potential to be a viable alternative to ultrasound gel that can be further developed for clinical practice and areas with limited access.
ANALISIS PERBANDINGAN INFORMASI CITRA MRI VERTEBRA ANTARA STIR MAVRIC-SL DAN T2 FSE FATSAT SAGITAL PADA PASIEN MENGGUNAKAN IMPLAN LOGAM Tasyawati, Rike Mesy; Utami, Hernastiti Sedya
Jurnal Kesehatan Tambusai Vol. 5 No. 1 (2024): MARET 2024
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v5i1.25793

Abstract

Pada pemeriksaan MRI Vertebra sering muncul masalah dengan adanya gangguan artefak pada hasil diagnostik salah satunya adalah artefak benda asing atau logam. Hal itu dapat mempengaruhi kualitas informasi diagnostik, struktur anatomi dan klinis disekitarnya. Penelitian ini bertujuan untuk menganalisis perbedaan informasi citra MRI vertebra dengan sekuen STIR MAVRIC-SL dan T2 FSE FATSAT sagital pada pasien yang menggunakan implan logam untuk mendapatkan hasil citra yang optimal. Pada penelitian ini merupakan penelitian kuantitatif  dengan menggunakan sampel 7 pasien. Hasil citra dianalisis oleh 2 observer Dokter Spesialis Radiologi menggunakan kuesinoner dengan metode visual grading analysis (VGA). Hasil kuesioner kemudian diuji statistik dengan uji konsistensi Cohen’s Kappa dan uji beda Wilcoxon Signed Test. Penelitian ini menunjukkan ada perbedaan nilai informasi citra yang signifikan antara sekuen STIR MAVRIC-SL dan T2 FSE FATSAT pada Discus Intervertebra, Spinal Cord, Foramen Neuralis dan Artefak Logam. Sedangkan pada anatomi Corpus Vertebra dan Pedicle tidak ada beda yang signifikan antara kedua sekuen tersebut. Pada sekuen STIR MAVRIC-SL dapat secara efektif menurunkan artefak pada  citra yang biasa ditemui di dekat implan logam yang tertanam serta dapat mendeteksi lesi, peningkatan noise terlihat pada STIR MAVRIC-SL, akan tetapi artefak logam tereduksi secara signifikan dibandingkan dengan T2 FSE FATSAT pada pemeriksaan MRI Vertebra, karena dapat mengurangi area kekosongan sinyal sehingga menghasilkan visualisasi struktur anatomi yang lebih baik dan menghasilkan citra yang lebih optimal.
Analysis of Histogram and Grayscale on Chest X-Ray in Lung Cancer Using Image-J Susanto, Fani; Utami, Hernastiti Sedya; Pradika, Fannisa Rahma; Idris, Festyana Fillauhid; Febriana, Chindi; Kurniawan, Martindra Yoni
Indonesian Journal of Electronics, Electromedical Engineering, and Medical Informatics Vol. 5 No. 3 (2023): August
Publisher : Jurusan Teknik Elektromedik, Politeknik Kesehatan Kemenkes Surabaya, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijeeemi.v5i3.175

Abstract

Cancer often attacks the human body, one of which was the lung, and lung cancer was the main cause of death from cancer. Posteranterior (PA) chest radiographic examination is a screening tool for the diagnosis of lung cancer. The computed radiography (CR) modality produces thoracic images quickly and optimally and can be processed as needed, but so far, radiologists have only interpreted images with visual and subjective assessments. So that digital medical image processing is needed by looking at the histogram and gray scale values to increase the quantitative accuracy of lung cancer enforcement, This study aims to analyze the comparison of histograms and grayscale values on CR thoracic images between normal and lung cancer patients. This type of quantitative experimental research was carried out on a sample of 100 chest images consisting of a control group in normal patients and a treatment group in lung cancer patients, totaling 50 images each. Purposive sampling was used for the control group in patients aged 18–60 years and normal, and for the treatment group in patients aged 18–60 years and lung cancer clinicians. All images were calculated in grayscale and displayed as histogram graphics with the Image-J application, and the region of interest (ROI) was performed on the lung lobes at the point of fog or gloom due to pathology, then analyzed statistically using the Independent T-Test. The results show that there is a difference in grayscale values between normal chest images and lung cancer (p 0.001). The grayscale and histogram values in lung cancer chest images (104.780+5.942) are higher and tend to the right compared to the grayscale and histogram values in normal chest images (65.361+3.313).
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.
Co-Authors Aminadi, Zein Rizka Azizah, Atika Nur Cayanan, Edgardo Febriana, Chindi Fitriana, Lutfatul Hardiyani, Tati Hidayat, Fathur Rachman Hidayat, Fathur Rachmat Idris, Festyana Fillauhid Jadmika, Muhammad Riefki Kurniawan, Martindra Yoni Kusnanto Mukti Wibowo Kusumastuti, Herningtyas Maulana, Andi Muh Muzdalifah, Nadifah Pratiwi Nugraha, Adhyatma Cipta Oviyanti, Pradana Nur Pradika, Fannisa Rahma Rahardian, Arga Pratama Rahmawati, Ika Mentari Putri Reski, Rifdatul Samudra, Alan Saputri, Lutfiana Desy Susanto, Fani Syafi’ie, Mochammad Tasyawati, Rike Mesy Verina, Alya Widya Mufida, Widya Yuswono, Puji