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All Journal Journal of Electronics, Electromedical Engineering, and Medical Informatics Jurnal Ners Science Midwifery Jurnal Kesehatan Tambusai Indonesian Community Journal Medical Imaging and Radiation Protection Research (MIROR) Journal Jurnal Pengabdian Masyarakat Bangsa
Fitriana, Lutfatul
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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.
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.
Analysis of Differences in Image Quality and Anatomical Information of Head CT Scan Examination in Non-Hemorrhagic Stroke Cases Using Sinogram Affirmed Iterative Reconstruction (SAFIRE) Samudra, Alan; Fitriana, Lutfatul; Hidayat, Fathur Rachman; Wibowo, Kusnanto Mukti; Ariesma Githa Giovany; Caesarendra, Wahyu
Journal of Electronics, Electromedical Engineering, and Medical Informatics Vol 7 No 2 (2025): April
Publisher : Department of Electromedical Engineering, POLTEKKES KEMENKES SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/jeeemi.v7i2.629

Abstract

SAFIRE should be utilized to its full potential, as this innovative image reconstruction algorithm can significantly reduce image noise without loss of sharpness, preserving image quality and anatomical information. This is particularly important in the case of non-hemorrhagic stroke, where image noise can obscure small lesions, potentially leading to misdiagnosis and inappropriate treatment. SAFIRE has five variations of strength, making it essential to identify the most optimal SAFIRE Strength for head CT Scan examinations in non-hemorrhagic stroke cases. The aim of this study is to determine differences in image quality and anatomical information in head CT Scan of non-hemorrhagic stroke cases using SAFIRE variations to identify the most optimal SAFIRE Strength. This experimental quantitative study involved a sample of 30 patients, with each case reconstructed using five SAFIRE Strength variations. Image quality was assessed using the IndoQCT application, while anatomical information was evaluated through the visual grading analysis method by three radiologists. Image quality data were analyzed using the Friedman statistical test, which resulted in a p-value of 0.000 (p < 0.05), indicating significant differences among the SAFIRE Strength variations. Similarly, anatomical information data were analyzed using the Kruskal-Wallis statistical test, yielding a p-value of 0.000 (p < 0.05), confirming significant differences across the variations. The results of the study showed that there are significant differences in image quality and anatomical information among the five SAFIRE Strength variations. SAFIRE Strength 3 was identified as the most optimal for head CT Scan examinations in non-hemorrhagic stroke cases, as it produces images with minimal noise and higher detail, providing clearer anatomical information compared to the other SAFIRE Strength variations.
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.
Analysis of differences in anatomical information in magnetic resonance cholangiopancreatography (MRCP) examinations between the use of the mouth breath hold technique and trigger technique Rahmawan, Sahrul; Fitriana, Lutfatul; Hidayat, Fathur Rachman; Samudra, Alan
Science Midwifery Vol 13 No 2 (2025): June: 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.v13i2.1915

Abstract

MRCP is a non-invasive imaging method used to visualize the biliary system and detect abnormalities in the bile ducts or gall bladder. In taking images, there are two techniques, namely the mouth breath hold (MBH) technique and the trigger technique, where the MBH technique is carried out by the radiographer giving instructions directly related to the patient's respiratory movements, while the trigger technique uses respiratory gating to detect breathing patterns and minimize image blur due to organ movement. At Department of Radiology SMC Telogorejo Semarang both techniques are used in MRCP examinations by looking at the condition of each patient. So the author is interested in comparing the results of anatomical information from the two techniques. Methods: This research uses a quantitative design with an experimental approach. Data was collected from 10 patients who underwent MRCP examinations at the Department of Radiology SMC Telogorejo Semarang in August–September 2024. The scanning procedure was carried out using a T2 HASTE coronal section sequence twice for each patient using the MBH and trigger technique. Anatomical information was assessed by means of visual grading analysis by 3 radiologists on the structure of the cystic duct, intra-hepatic duct, common hepatic duct, common bile duct, pancreatic duct, and gallbladder (gallbladder) using a questionnaire with a scale (1–4). Then the data was analyzed using SPSS to determine whether there were differences in image information from the two techniques using the Wilcoxon difference test. This research has passed the ethical test number: KEPK/UMP/170/I2025. Results: Based on the results of the Wilcoxon test, both for the entire anatomy and for each anatomy, it shows a p-value < 0.05. This indicates that there are significant differences in the anatomical information produced by the two techniques. Based on the mean rank value, the most optimal technique for displaying anatomical information is MBH. This advantage is due to its ability to reduce movement artifacts through the breath-hold method, resulting in clearer and more detailed anatomical images compared to the trigger technique. The MBH technique is more effective in improving MRCP anatomical information, especially in patients with respiratory instability. It is hoped that these results can be a reference in determining the optimal method for MRCP examination.
Pelatihan Identifikasi Kerangka Bagi Dokter Umum di Rumah Sakit PKU Muhammadiyah Gombong Nitiprodjo, Abdul; Putri, Prima; Fitriana, Lutfatul
I-Com: Indonesian Community Journal Vol 5 No 2 (2025): I-Com: Indonesian Community Journal (Juni 2025)
Publisher : Fakultas Sains Dan Teknologi, Universitas Raden Rahmat Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70609/i-com.v5i2.7075

Abstract

ABSTRACT Natural and man-made disasters including criminal events result in the death of a person or all people, and can even make the human body become incomplete. This causes the SAR team to have difficulty in identifying bodies found due to the disaster. To obtain valid data regarding the identity of the bodies found, the SAR team needs to work with the body identification team. The body identification team involves police investigators, doctors and forensic anthropology experts. From these problems, doctors need to improve their competence by holding skeletal identification training for general practitioners in hospitals. The objectives and benefits of this training include: improving the knowledge and skills of general practitioners, being able to determine the right formula, especially calculating height, developing natural and man-made disaster services, especially body identification, doctors are able to work with investigators and forensic anthropology experts in establishing body identification. The stages of the method in this training activity include: compiling theories and guidelines for skeleton identification, preparing dry preparations in the form of skeletons as training materials, delivering materials, practicing identification and evaluation. The results achieved are an increase in the competence of knowledge and skills of general practitioners, especially skeleton identification. Keywords: Identification, Skeleton
Analisis Perbedaan Informasi Anatomi Mri Lumbal Menggunakan Sekuen T2 Tse Fat Saturation Mode Weak dan Strong Pada Kasus Hernia Nukleus Pulposus Gimnastiar, Fani; Fitriana, Lutfatul; Rahardian, Arga Pratama; Utami , Hernastiti Sedya; 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.v9i3.45299

Abstract

Herniasi Nukleus Pulposus (HNP) merupakan salah satu penyebab utama nyeri pinggang yang sering dijumpai pada populasi usia produktif, khususnya antara 30 hingga 50 tahun, dengan puncak kejadian pada usia 40–45 tahun. Kondisi ini terjadi akibat penonjolan nucleus pulposus melalui annulus fibrosus discus intervertebralis, yang dapat menekan saraf dan menimbulkan nyeri. Pemeriksaan MRI menjadi modalitas utama dalam mendiagnosis HNP karena kemampuannya dalam menampilkan jaringan lunak secara detail, terutama dengan teknik fat suppression yang berfungsi untuk menekan sinyal lemak agar visualisasi struktur anatomi menjadi lebih jelas. Penelitian ini bertujuan untuk membandingkan kualitas citra antara sekuen T2 TSE Fat Saturation mode weak dan strong pada MRI lumbal pasien HNP. Menggunakan pendekatan kuantitatif terhadap 10 pasien di RS SMC Telogorejo Semarang, penilaian dilakukan oleh dua dokter spesialis radiologi melalui metode visual grading analysis. Hasil uji Wilcoxon Signed Test menunjukkan bahwa T2 Fat Sat mode strong memberikan kualitas citra yang lebih baik secara signifikan pada struktur discus intervertebralis, medulla spinalis, CSF, spinal cord dengan nilai p < 0,05 yang menunjukan terdapat perbedaan yang signifikan. Sedangkan pada corpus vertebrae, ligamentum flafum dan ligamentum posterior tidak terdapat perbedaan yang signifikan. Dengan mean rank lebih tinggi pada mode strong (17,69) dibandingkan weak (15,50) dan nilai p < 0,001 secara keseluruhan, disimpulkan bahwa sekuen T2 Fat Sat mode strong lebih efektif dalam menghasilkan informasi anatomi yang optimal pada pemeriksaan MRI lumbal kasus Hernia Nukleus Pulposus.
Analisis Pengaruh dan Optimalisasi Nilai Full Width At Half Maximum (Fwhm) Terhadap Spektrum Metabolit Metode Multi-Voxel Magnetic Resonance Spectroscopy (Mrs) Fannisa Rahma Pradika; Rahardian, Arga Pratama; Utami, Hernastiti Sedya; Fitriana, Lutfatul; Susilowati, Putri
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.v9i3.47221

Abstract

Full Width at Half Maximum (FWHM) merupakan indikator penting dalam Magnetic Resonance Spectroscopy (MRS) karena memengaruhi kualitas spektrum metabolit dan berpengaruh terhadap akurasi kuantifikasi metabolit. Hingga saat ini belum diketahui secara pasti rentang nilai FWHM optimal untuk metode multi voxel. Tujuan penelitian ini menganalisis pengaruh variasi nilai FWHM terhadap spektrum metabolit serta menentukan nilai FWHM optimal untuk memperoleh spektrum dengan kualitas terbaik. Sampel penelitian sebanyak 12 pasien MRS brain menggunakan MRI 1,5T dengan variasi FWHM (10–14 Hz, 15–18 Hz, 20–22 Hz, dan 23–25 Hz). Nilai integral metabolit N-Acetyl Aspartate (NAA), Creatine (Cr), dan Choline (Cho) dianalisis menggunakan uji Shapiro-Wilk, Levene’s test, One-Way ANOVA, dan Kruskal-Wallis. Wawancara terhadap observer untuk mengetahui pengaruh FWHM terhadap spektrum. Hasil menunjukkan bahwa variasi nilai FWHM tidak memberikan pengaruh signifikan terhadap nilai integral NAA (p = 0,993), Cr (p = 0,399), dan Cho (p = 0,492). Namun, berdasarkan hasil uji statistik deskriptif nilai integral metabolit, rentang FWHM 15–18 Hz memberikan hasil spektrum yang lebih stabil. Meskipun tidak signifikan secara statistik terhadap nilai integral metabolit, rentang FWHM 15–18 Hz direkomendasikan sebagai nilai optimal untuk memperoleh kualitas spektrum terbaik pada MRS multi voxel.
Analisis Informasi Citra Anatomi Ct Scan Abdomen Kontras Pada Penggunaan Variasi Filter Kernel Wati, Kristina; Susanto, Fani; Fitriana, Lutfatul; Hidayat, Fathur Rachman; Safitri, Ara Novita
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.45893

Abstract

Pada pemeriksaan Ct Scan Abdomen sering kali dijumpai tidak ada keseragaman dalam menggunakkan filter kernel oleh rafiografer. Adanya ketidak seragaman menggunakan filter kernel oleh radiografer, tentu akan mengakibatkan informasi citra yang dihasilkan tidak seragam oleh radiografer yang satu dengan yang lain. Oleh karena itu perlu adanya penelitian lebih lanjut terkait penggunaan variasi filter kernel dalam pemeriksaan Ct Scan Abdomen khususnya dalam menganalisis informasi citra anatomi yang di hasilkan.Tujuan penelitian ini untuk mebandingkan dan mengetahui informasi citra yang dihasilkan dengan menggunakan variasi filter kernel yang berbeda. Penelitian ini adalah penelitian kuantitatif eksperimental. Penelitian dilakukan di Instalasi Radiologi RS Dr. Oen Kandang Sapi Solo. Sampel terdiri dari 7 pasien Ct Scan Abdomen kontras. Hasil citra dianalisis oleh 2 observer Dokter Spesialis Radiologi menggunakkan kueisioner dengan metode visual grading analysis (VGA). Hasil kueisioner diuji statistik dengan uji kosistensi cohen’s kappa dan uji friedman.Variasi filter kernel dilakukan pada setiap pasien dengan 4 jenis variasi filter kernel untuk melihat efeknnya. Hasil uji statistik menyatakan bahwa p-value <0,005 maka variasi filter kernel B30s (medium smooth), B41s (medium +), B50s (medium sharp), dan B80s (very sharp) menunjukkan perbedaan informasi citra Ct Scan Abdomen kontras. Penelitian ini menunjukkan ada perbedaan nilai informasi citra anatomi yang signifikan antara ke empat variasi filter kernel. Maka variasi filter kernel B30s (medium smooth) disarankan untuk pemeriksaan Ct Scan Abdomen kontras, karena dalam uji statistik menunjukkan bahwa B30s (medium smooth) memberikan informasi citra yang paling optimal.
ANALISA PERBEDAAN VARIASI RECON TYPE TERHADAP INFORMASI CITRA PADA PEMERIKSAAN CT SCAN KEPALA KASUS STROKE ISKEMIK Idris, Festiana Fillauhid; Fitriana, Lutfatul
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.v5i1.25986

Abstract

Stroke merupakan salah satu disfungsi otak yang muncul secara tiba-tiba, dengan tanda dan gejala yang berlangsung selama periode 24 jam. Stroke iskemik merupakan suatu kondisi medis yang timbul akibat penyumbatan aliran darah dalam otak. Salah satu pemeriksaan penunjang untuk menegakan diagnosa stroke iskemik yaitu pemeriksaan CT Scan Kepala. Pada CT Scan ada beberapa parameter salah satunya yakni rekontruksi algorithma yang berupa filter kernel tetapi pada alat GE disebut Recon type, Filter kernel merupakan salah satu parameter CT Scan, penelitian ini fokus pada pengaruh pada Informasi Citra dalam CT scan dengan peningkatan kontras resolusi, resolusi spasial, serta pengurangan noise. Pemilihan filter kernel yang tepat dapat sangat mempengaruhi kualitas gambar yang dihasilkan. Tujuan dilakukannya penelitian ini untuk membandingkan dan menegetahui informasi citra dihasilkan dengan recon type yang berbeda. Penelitian ini dilakukan secara kuantitatif melalui metode eksperimen. Sampel terdiri 10 pasien yang mengalami stroke iskemik, dan subjek penelitian  gambar CT Scan kepala. Variasi dilakukan pada setiap pasien dengan 3 jenis filter kernel untuk melihat efeknya. Hasil uji statistik menyatakan bahwa p value <0.05 maka variasi recon type filter smooth 1, smooth 2 dan smooth 3 menunjukkan perbedaan informasi citra CT Scan kepala pada kasus stroke iskemik. Variasi recon type smooth 3 disarankan untuk pemeriksaan CT Scan kepala kasus stroke karena hasil uji statistik menunjukkan bahwa itu memberikan informasi citra yang paling optimal.
Co-Authors Ariesma Githa Giovany Fannisa Rahma Pradika Febriana, Chindi Gimnastiar, Fani Hidayat, Fathur Rachman Husna, Melati Amelia Idris, Festiana Fillauhid Nitiprodjo, Abdul Oviyanti, Pradana Nur Putri, Prima Rahardian, Arga Pratama Rahmawan, Sahrul Safitri, Ara Novita Samudra, Alan Supriyadi Supriyadi Susanto, Fani Susilowati, Putri Utami , Hernastiti Sedya Utami, Hernastiti Sedya W, Kusnanto Mukti Wahyu Caesarendra Wati, Kristina