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Hubungan antara Diameter Optic Nerve Sheath pada Grey Scale Ultrasound dengan Peningkatan Tekanan Intrakranial pada Pasien dengan Lesi Intrakranial Tatok Rudiharto; Bachtiar Murtala; Sri Asriyani; Mirna Muis; Cahyono Kaelan; Burhanuddin Bahar
Majalah Sainstekes Vol 6, No 1 (2019): JUNI 2019
Publisher : Lembaga Penelitian Universitas YARSI

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (196.92 KB) | DOI: 10.33476/ms.v6i1.1216

Abstract

The study aims to determine the correlation between diameter of optic nerve sheath on grey scale with increased intracranial pressure in patients with intracranial lesion. The research was conducted in Radiology Department of Dr. Wahidin Sudirohusodo Makassar from January 2019 – May 2019. The sample were 39 people aged ³18 years old with intracranial lesion. Axial computed tomography (CT) examination was performed to evaluate intracranial lesions and the presence of midline shift. The diameter of the optic nerve sheath was measured using eye ultrasonography. Data analyses used Spearman’s correlation test. The results showed that there was a correlation between the dilatation of the right and left optic nerve sheath diameter with midline shift (p value 0.04; p less than 0.05) on the diameter of the right optic nerve sheath showing a weak positive relationship (p value 0.02) for the diameter the optic nerve sheath left showing a medium positive relationship where the higher the midline shift, the wider the diameter of the left and right optical nerve sheath. There is a correlation between the right and left optic nerve sheath diameter (p less than equal 0.001) showing a strong positive relationship where the wider the diameter of the right optic nerve sheath, the wider the diameter of the left optic nerve sheath at high intracranial pressure. Statistically other results also obtained no relationship between dilatation of the diameter of the optic nerve sheath with clinical symptoms of increased intracranial pressure and type of lesion.
Perbandingan Gambaran Ultrasonography Gray Scale dan Doppler Parenkim Hepar Berdasarkan Scoring System dengan Pemeriksaan Fibroscan pada Pasien Hepatitis B Kronik Nur Alam; Sri Asriyani; Bachtiar Murtala; Nikmatia Latief; Burhanuddin Bahar; Nu’man As Daud
Majalah Sainstekes Vol 8, No 2 (2021): DESEMBER 2021
Publisher : Lembaga Penelitian Universitas YARSI

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (290.734 KB) | DOI: 10.33476/ms.v8i2.2101

Abstract

Penelitian ini bertujuan untuk mengetahui korelasi ultrasonography gray scale (USG) dengan doppler parenkim hati berdasarkan sistem skoring dengan pemeriksaan fibro scan pada pasien hepatitis B kronik. Metode penelitian yang digunakan adalah studi potong lintang. Penelitian dilaksanakan di Bagian Radiologi RSUP Dr. Wahidin Sudirohusodo Makassar pada bulan Juli sampai Desember 2020. Populasi penelitian ini adalah seluruh penderita virus hepatitis B kronik yang memenuhi kriteria inklusi dan eksklusi. Sampel penelitian ini dilakukan pemeriksaan morfologi dan hemodinamik hati dan limpa menggunakan USG Trans abdominal, dilanjutkan dengan penentuan derajat fibrosis berdasarkan Transient Elastography. Data dianalisis secara statistik melalui uji korelasi Spearman jika nilai P lebih kecil dari 0,05. Penelitian ini melibatkan 32 orang, 22 laki-laki (68,8%) dengan rentang usia 25-64 tahun pada penderita virus hepatitis B kronis. Hasil penelitian menunjukan korelasi yang kuat berdasarkan morfologi USG adalah echoparenkim (p value 0,0001, r value 0,793). Permukaan hati (p value 0,010, r value 0,450), ukuran limpa (p value 0,009, r value 0,452), berkorelasi sedang, sedangkan sudut jantung (p value 0,041, r value 0,363) memiliki hubungan yang lemah korelasi. Diameter vena hepatik dan rerata Portal Vein Velocity (PVV) tidak memiliki korelasi yang signifikan dengan Transient Elastography. Penilaian USG memiliki korelasi yang kuat (p value 0,0001, r value 0,729) dengan derajat fibrosis berdasarkan Transient Elastography
Korelasi Derajat Leukoaraiosis dengan Faktor-faktor Risiko Stroke dan Keparahan Stroke Berdasarkan Derajat Klinis pada Pasien Stroke Iskemik Yohanes Irsandy; Sri Asriyani; Bachtiar Murtala; Burhanuddin Bahar; Ashari Bahar; Nurlaily Idris
Majalah Sainstekes Vol 7, No 2 (2020): DESEMBER 2020
Publisher : Lembaga Penelitian Universitas YARSI

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (220.462 KB) | DOI: 10.33476/ms.v7i2.1702

Abstract

Penelitian ini bertujuan mengetahui korelasi derajat leukoaraiosis berdasarkan CT-Scan kepala dengan faktor-faktor risiko stroke dan keparahan stroke berdasarkan derajat klinis pada pasien stroke iskemik. Metode yang digunakan adalah cross sectional, dilakukan secara retrospektif pada penderita stroke iskemik yang menjalani pemeriksaan CT-Scan kepala di Bagian Radiologi RSUP dr. Wahidin Sudirohusodo, Makassar periode Januari 2020 sampai Juli 2020. Sampel sebanyak 46 orang dengan usia lebih dari 40 tahun yang mengalami serangan stroke pertama dengan onset kurang dari 1 bulan. Derajat leukoaraiosis dinilai dengan menggunakan skala Van Swieten dan derajat klinis dinilai dengan menggunakan National Institute of Health Stroke Scale (NIHSS). Uji statistik yang digunakan adalah uji korelasi Spearman. Hasil penelitian menunjukkan bahwa ada korelasi bermakna yang sedang dan searah antara derajat leukoaraiosis dan kelompok umur dengan nilai p sebesar 0,004 (kurang dari 0,05) dan nilai r sebesar 0,415. Tidak ada korelasi bermakna antara derajat leukoaraiosis dengan jenis kelamin, hipertensi, diabetes melitus, dislipidemia dan derajat klinis dengan nilai p masing-masing secara berurutan sebesar 0,146; 0,520; 0,779; 0,185; dan 0,537 (lebih dari 0,05). Namun tampak kecenderungan bahwa pasien dengan hipertensi tidak terkontrol memiliki derajat leukoaraiosis yang lebih berat.
Comparison of Cardiac Size in Posteroanterior Chest X-Ray and Echocardiography Agustining Rahayu; Bachtiar Murtala; Sri Asriyani; Andi Alfian Zainuddin; Muzakkir Muzakkir; Nikmatia Latief
Majalah Kedokteran Sriwijaya Vol 51, No 4 (2019): Majalah Kedokteran Sriwijaya
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36706/mks.v51i4.10238

Abstract

Cardiac size is important to determine the presence of cardiac enlargement caused by left ventricular enlargement or right ventricular enlargement. Although echocardiography is considered to be the gold standard for cardiac enlargement, its availability is limited, expensive and requires trained experts. The posteroanterior (PA) chest X-ray (CXR) is the most common imaging used as a reliable alternative. The aim of this study was to compare cardiac size using cardiothoracic ratio (CTR) and transverse left cardiothoracic ratio (TL-CTR) in PA chest X-ray and echocardiography. This cross- sectional study involved 88 inclusion sample, aged 20-60 years. On the basis of provisional clinical diagnosis, the patients were divided three groups, consist of: (i) Group with normal cardiac size, (ii) Group with left ventricular enlargement (LVE) dan (iii) Group with right ventricular enlargement (RVE). All patients underwent PA CXR and M-Mode echocardiography examinations. The results of the two modalities were compared. CTR and TL-CTR, transverse diameter (TD) and transverse left (TL) in PA chest X-ray showed a strong positive correlation with total ventricular dimension (TVD) and left ventricular internal dimension (LVID) in echocardiography. CTR, TL-CTR, TD and TL in the PA chest X-ray are very good indicators for TVD and LVID in echocardiography. Chest X-ray is a reliable alternative for the diagnosis of cardiomegaly/cardiac enlargement in the absence of echocardiography. 
Pulmonary Tuberculosis CT-Scan Features and Sputum Smear in Tertiary Referral Hospital Nur Amelia Bachtiar; Sri Asriyani; Bachtiar Murtala; Irawaty Djaharuddin; Andi Alfian Zainuddin; Nikmatia Latief
Nusantara Medical Science Journal Volume 5 No. 2 Juli - Desember 2020
Publisher : Faculty of Medicine, Hasanuddin University.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/nmsj.v5i2.13489

Abstract

Introduction: Management of pulmonary tuberculosis (PTB) from primary and secondary health centers might affect the result of sputum acid-fast bacilli (AFB) smear and features of lung computed tomography scan (CT-scan) presented in tertiary hospitals. The study aims to investigate comparison between CT-scan features of PTB with sputum AFB smear in Wahidin Sudirohusodo Hospital as the top referral hospital in the Eastern part of Indonesia. Methods: This is a retrospective study of patients diagnosed as PTB by pulmonologist of nine months period. Patients with available CT-scan and sputum AFB smear results are included in the study. CT-scan features re-evaluated with RadiAnt DICOM viewer for standardized reading. The relationship between data obtained was analyzed with a chi-square test. Results: Sixty-one PTB patients were entered into the study. The three most common features found in CT were consolidation (93.4%) followed by Tree-in-bud (91.8%), and fibrosis calcification (85.2%). Relationship of CT features and sputum AFB smear was significant on cavity (p-value: 0.002) and pleural effusion (p-value: 0.020). However, unlike cavity (OR = 1.667), pleural effusion has opposite relationship (OR = 0.205) with sputum AFB smear. Conclusions: Pulmonary tuberculosis CT features seen in top referral hospitals can be very severe with consolidation and tree-in-buds as the most common features found in more than 90% of the cases. Feature of cavity may help radiologist to distinct highly active PTB with positive sputum AFB smear while presence of pleural effusion should raise the suspicion from pulmonologists to add further laboratory investigation.