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Iman, Nuzul
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Health Professions

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Journal : Jurnal Radiografer Indonesia

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PERANAN MRI ABDOMEN PADA KASUS HERLYN WERNER WUNDERLICH Dessy Witrianti, Ratna; Iman, Nuzul; Serfina Fajarini, Eunike
JRI (Jurnal Radiografer Indonesia) Vol. 3 No. 1 (2020)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (245.186 KB) | DOI: 10.55451/jri.v3i1.64

Abstract

Background: Herlyn-Werner-Wunderlich syndrome (HWW) is a very rare genetic syndrome, a combination of anomalies between the mullerian and mesonephric ducts characterized by uterine didelphys, hemivaginal obstruction, and ipsilateral renal agenesis, also known as Obstructed Hemivaginal syndrome and Ipsilateral Renal Anomaly (OHVIRA). Magnetic Resonance Imaging (MRI) is an effective diagnostic support tool for finding out anatomical abdominal abnormalities with the right choice of protocol sequences to obtain optimal MRI images. Method: This study used a qualitative descriptive approach by presenting a case of a 20 year old female patient who had complaints of lower abdominal pain, no previous medical history and irregular menstruation. MRI Abdomen without contrast was performed using an MRI 1.5 Tesla signa explorer GE Healthcare at EMC Tangerang Hospital. Using the Coronal T2 SSFSE sequence, T1 fat sat LAVA, Axial T2 SSFSE, T1 fat sat LAVA breath hold method and Coronal 3D IFIR (MRA renal without contrast). Specifically for the pelvic area with the Axial T2 Propeller, Coronal T2 fat sat, and Sagittal T2 sequences. Result: In the Axial T2 propeller sequence, pelvic area retrieval revealed two separate uterine corpuses (uterus didelphys) accompanied by a heterogeneous oval lesion most likely originating from the left side of the vagina (hemivagina). Whereas in the Coronal T2 sequence the whole abdomen was taken and confirmed by the Coronal 3D IFIR, the right kidney was anatomically visible while the left kidney was not visible (agenesis). Conclusion: Abdominal MRI is a very accurate diagnostic tool to perform Herlyn-Werner-Wunderlich (HWW) syndrome without contrast agent with SSFSE T2 sequences, T2 propeller and 3D IFIR which have an important role in visualizing the quality of MRI images.
PERANAN 3D AXIAL HYPERCUBE T2 FAT SAT PADA PEMERIKSAAN MRI PELVIS DENGAN KASUSU FISTULA PERIANAL Nur’aini, Istiqomah; Iman, Nuzul; Serfina Fajarini, Eunike
JRI (Jurnal Radiografer Indonesia) Vol. 3 No. 2 (2020)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (439.597 KB) | DOI: 10.55451/jri.v3i2.75

Abstract

Background: Fistula is an abnormal relationship between two berepitel places. Fistula ani is a fistula that connects the anal canal to the skin around the anus (or to other organs such as the vagina). Magnetic Resonance Imaging (MRI) Pelvis is one of the right modalities to describe anatomical abnormalities of the pelvis, with the selection of appropriate protocol sequences so that informative MRI images are obtained. Method: This research is a qualitative detiptive study using a sample of 5 patients, with the same complaints, there are lumps such as ulcers in the anus area and there are eyes that secrete fluids such as pus and without a previous medical history. Mri Pelvic examination without contrast using MRI 1.5 Tesla Signa Explorer GE brand in Radiology RS EMC Tangerang. Taking a T2 axial sekuen to see the entire pelvis. Focus on perianal fistula area with sagittal sekuen T2, sagittal T2 fat sat, axial T2, axial T2 fat sat, coronol T2, coronal T2 fat sat and 3D axial hypercube T2 fat sat. Results: Sagittal T2 fat sat, axial T2 fat sat, and coronal T2 fat sat appear anatomically from perianal fistula and other abnormalities around them. In 3D axial hypercube T2 fat sat obtained anatomical picture of perianal fistula with thinner slice thickness. Conclusion: Mri Pelvis without contrast is a very accurate diagnostic imajing in showing perianal fistula abnormalities with a clear anatomical picture, is a non-inspative examination. Uses axial T2 sekuen for the entire pelvis. Sagittal T2, sagittal T2 fat sat, axial T2, axial T2 fat sat, coronal T2, coronal T2 fat sat, 3D axial hypercube T2 fat sat focus on perianal fistula area.
Co-Authors Dessy Witrianti, Ratna Nur’aini, Istiqomah Serfina Fajarini, Eunike