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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.
Korelasi Sudut Lumbosakral Berdasarkan MRI Lumbosakral dengan Oswestry Disability Index (ODI Score) pada Degenerative Disk Disease Yuliawati Yuliawati; Muhammad Ilyas; Bachtiar Murtala; Andi Alfian Zainuddin; Cahyono Kaelan; Mirna Muis
Majalah Sainstekes Vol 8, No 1 (2021): Juni 2021
Publisher : Lembaga Penelitian Universitas YARSI

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (269.728 KB) | DOI: 10.33476/ms.v8i1.1910

Abstract

Pengukuran sudut lumbosacral merupakan salah satu parameter dalam mengevaluasi kemungkinan etiologi dari nyeri punggung bawah yang disebabkan oleh degenerative disc disease. Oswestry Disability Index (ODI) Score digunakan untuk mengukur disabilitas pada nyeri punggung bawah. Penelitian ini bertujuan untuk mengetahui apakah ada korelasi antara sudut lumbosakral  berdasarkan MRI Lumbosakral dengan Oswestry Disability Index (ODI) Score pada degenerative disk disease. Penelitian ini menggunakan desain cross sectional yang dilaksanakan di Departemen Radiologi RS dr. Wahidin Sudirohusodo Makassar mulai bulan Mei sampai September 2020, didapatkan sampel sebanyak 67 pasien dengan keluhan nyeri punggung bawah dan telah mengisi kuisioner Oswestry Disability Index (ODI) Score serta menjalani pemeriksaan MRI lumbosacral. Pengukuran sudut lumbosacral dilakukan pada irisan mid sagital di work station MRI, derajat degenerative disc disease dinilai berdasarkan klasifikasi Pfirrmann. Metode  yang digunakan adalah uji korelasi Spearman dan Chi Square. Hasil penelitian menunjukkan adanya korelasi antara sudut lumbal lordosis (nilai p adalah 0,014), sudut sacral inclination (nilai p adalah 0,002), sudut sacral horizontal (nilai p adalah 0,034), umur  (nilai p kurang dari 0,0001) dengan degenerative disk disease. Tidak terdapat korelasi antara sudut lumbosacral disc (nilai p adalah 0,250), jenis kelamin (nilai p adalah 0,796), index massa tubuh (nilai p adalah 0,707) dengan degenerative disk disease. Adanya korelasi antara sudut lumbal lordosis (nilai p adalah 0,046), umur (nilai p kurang dari 0,0001), index massa tubuh (p kurang dari 0,0001) dengan ODI score. Tidak terdapat korelasi antara sudut lumbosacral disc (nilai p adalah 0,072), sudut sacral inclination (nilai p adalah 0,090), sudut sacral horizontal  (nilai p adalah 0,143),  jenis  kelamin  (nilai p adalah 0,337)  dengan  ODI   score. Adanya korelasi antara derajat degenerative disk disease dengan derajat ODI score (p kurang dari 0,0001)
KORELASI NILAI INTRAVESICAL PROSTATIC PROTRUSION DAN POST VOID RESIDUAL URINE MENGGUNAKAN PEMERIKSAAN ULTRASONOGRAFI TRANSABDOMINAL DENGAN SKOR INTERNATIONAL PROSTATE SYMPTOM PADA PASIEN PEMBESARAN PROSTAT JINAK Kiki Amelia Marlina; Nurlaily Idris; Nikmatia Latief; Andi Alfian Zainuddin; Syakri Syahrir; Mirna Muis
E-Jurnal Medika Udayana Vol 10 No 9 (2021): Vol 10 No 09(2021): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2021.V10.i9.P16

Abstract

ABSTRAK Kiki Amelia M. Korelasi Nilai Intravesical Prostatic Protrusion dan Post Void Residual Urine Menggunakan Pemeriksaan Ultrasonografi Transabdominal dengan Skor International Prostate Symptom pada Pasien Pembesaran Prostat Jinak (Dibimbing oleh Nurlaily Idris dan Nikmatia Latief). Penelitian ini bertujuan untuk menganalisis korelasi nilai intravesical prostatic protrusion (IPP) dan volume post void residual (PVR) urine menggunakan pemeriksaan ultrasonografi transabdominal dengan skor international prostate symptom (IPSS) pada pasien pembesaran prostat jinak. Penelitian ini dilaksanakan di Departemen Radiologi RSUP dr. Wahidin Sudirohusodo Makassar, mulai Maret hingga Oktober 2020. Jumlah sampel sebanyak 48 pasien. Metode yang digunakan adalah uji korelasi Spearman’s rho dan Chi-square. Hasil penelitian menunjukkan adanya korelasi antara volume prostat (p=0,0001, r=0,736) dengan skor international prostate symptom (IPSS), semakin besar volume prostat maka semakin tinggi skor IPSS. Terdapat korelasi antara derajat intravesical prostatic protrusion (IPP) (p=0,0001, r=0,675) dengan skor international prostate symptom (IPSS), semakin tinggi derajat IPP maka semakin tinggi pula skor IPSS. Tidak terdapat korelasi antara post void residu (PVR) urine (p=0,076, r=0,258) dengan skor international prostate symptom (IPSS), besarnya volume PVR tidak berkorelasi dengan skor IPSS. Tidak terdapat korelasi antara kalsifikasi prostat (p=0,493) dengan skor international prostate symptom (IPSS), dimana keberadaan kalsifikasi prostat tidak berkorelasi dengan skor IPSS. Kata kunci: Pembesaran prostat jinak, ultrasonografi transabdominal, intravesical prostatic protrusion, post void residual urine, kalsifikasi prostat, skor international prostate symptom
THE CORRELATION BETWEEN EPICARDIAL FAT THICKNESS BASED ON MULTI SLICE COMPUTED-TOMOGRAPHY SCAN THORAX WITH WAIST CIRCUMFERENCE AND BODY MASS INDEX ON DYSLIPIDEMIA NON-DIABETES MELLITUS SUBJECT Yenny Wendy; Mirna Muis
Nusantara Medical Science Journal Volume 3 No. 1 Januari - Juni 2018
Publisher : Faculty of Medicine, Hasanuddin University.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/nmsj.v3i1.5774

Abstract

Introduction : Epicardial fat is visceral fat that plays a role in cardiovascular disease. Dyslipidemia non-diabetes mellitus can be found in both obese and non-obese patients. Measurement of waist circumference and BMI can assess central and peripheral obesity. The study aims to finding out the correlation between epicardial fat thickness based on MSCT scan Thorax with waist circumference and BMI on dyslipidemia non-diabetes mellitus subject. Method: There were 57 research samples of 28 to 70 years old who had dysfunction lipid profile. The most samples were found in the age group of 45-64 years with epicardial fat ranges from 2.80 to 10.80 mm and mean of 6.37 mm. Data were analysed by Mann-Whitney and Spearman correlation test. Result: There was a significant correlation between waist circumference and epicardial fat (r = 0.286, p = 0,031). There was no difference in mean of epicardial fat thickness by sex. There was no correlation between sex, and BMI with epicardial fat. Conclusion: There is a correlation between waist circumference and epicardial fat that may be affected by several factors in patients with dyslipidemia non-diabetes mellitus.
Gambaran Ultrasonografi Kelainan Endometrium pada Penderita Kanker Payudara yang Mendapat Terapi Hormonal di Rumah Sakit Wahidin Sudirohusodo Hijriah Thayyib; Mirna Muis; Bachtiar Murtala
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.v5i2.13408

Abstract

Pendahuluan: Penelitian ini bertujuan untuk menilai gambaran ultrasonografi kelainan endometrium pada penderita kanker payudara yang mendapat terapi hormonal di Rumah Sakit Wahidin Sudirohusodo. Metode:  Penelitian ini dilaksanakan di Rumah Sakit Umum Pemerintah Wahidin Sudirohusodo Makassar mulai bulan Januari sampai bulan Mei 2020. Sampel sebanyak 66 pasien yang telah mendapat terapi hormonal minimal 6 bulan berturut-turut dan dilakukan pemeriksaan ultrasonografi transvaginal. Metode analisis yang dilakukan adalah Uji Chi Square/Uji Fisher dan Uji T Independen. Hasil:   Pada penelitian ini, rentang usia terbanyak pasien kanker payudara adalah antara 41 – 50 tahun. Dari 66 pasien yang diteliti, terdapat 34 pasien yang premenopause dan 32 pasien yang menopause. Terdapat 46 pasien yang mendapat terapi Tamoxifen, 20 pasien yang mendapat terapi Aromatase inhibitor. Kesimpulan: Hasil penelitian menunjukkan tidak terdapat hubungan yang bermakna antara penebalan endometrium pada pemeriksaan ultrasonografi transvaginal dengan pemberian terapi hormonal pada penderita kanker payudara dengan nilai p=0,232. Terdapat hubungan bermakna antara status menstruasi dengan penebalan endometrium pada penderita kanker payudara yang mendapat terapi hormonal dengan nilai p=0,002. Terdapat hubungan bermakna antara Indeks Massa Tubuh (IMT) dengan penebalan endometrium pada penderita kanker payudara yang mendapat terapi hormonal dengan nilai p=0,037. Tidak terdapat hubungan bermakna antara penggunaan kontrasepsi hormonal terhadap penebalan endometrium dengan nilai p=0,946. Tidak terdapat hubungan yang bermakna antara nullipara dengan kejadian penebalan endometrium dengan nilai p=0,256
Correlation between Chest Radiograph and Lung Ultrasound with Clinical Appearance in Hyaline Membrane Disease Patients Wa Ode Zerbarani; Sri Asriani; Mirna Muis; Ema Alasir
MEDULA (JURNAL ILMIAH FAKULTAS KEDOKTERAN UNIVERSITAS HALU OLEO) Vol 10, No 1 (2022)
Publisher : Halu Oleo University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46496/medula.v10i1.28495

Abstract

ABSTRACT Background: Hyaline membrane disease (HMD) is a respiratory distress disease in premature infants due to surfactant deficiency. The combination of clinical, laboratory and radiological features makes it easy to quickly, precisely & accurately establish HMD which is important for early therapy in preventing death. Purpose: Knowing the suitability between chest X-ray & Thorax ultrasound with the clinical picture in HMD patients. Methods: This study is an observational study with a cross sectional method conducted in the radiology & NICU section of Dr. Wahidin Sudirohusodo Makassar from August 2021 to January  2022.  Sampling  was  done  by  consecutive  sampling.  The  researcher  performed  a  thorax ultrasound & assessed the chest x-ray. The results were verified by two pediatric radiology consultants. Results: The largest sample was in neonates at 34 weeks of gestation, 8 samples (21.1%), sex with 25 samples (65.8%), the highest birth weight between 1000-2000 grams 32 samples (84.2%) , the most preterm etiology was due to severe preeclampsia in 13 samples (34.2%), the most deliveries were by cesarean section 34 samples (89.4%), the highest APGAR Score was in moderate degree 25 samples (65.8%), the highest O2 saturation was between 90 -94%, namely 24 samples (63.2%), the most down scores were moderate degrees 15 samples (39.5%), HMD degrees based on chest radiographs were mostly grade II 25 samples (65.8%), HMD degrees based on thorax ultrasound the most in the moderate degree 19 samples (50%).Conclusion: Ultrasound is considered as the radiological modality of choice because it is safe, inexpensive, easy & sensitive to assess respiratory distress in neonates but is influenced by the operator's ability to apply it.Keywords: hyaline membrane disease, down score, chest radiograph, lung ultrasound
NILAI DIAGNOSTIK USG COLOR DOPPLER DAN ELASTOGRAFI DIBANDINGKAN DENGAN HASIL BIOPSI ASPIRASI JARUM HALUS DALAM MENENTUKAN LIMFADENOPATI LEHER JINAK DAN GANAS Ulfiawaty Ulfiawaty; Bachtiar Murtala; Mirna Muis
Mandala Of Health Vol 12 No 1 (2019): Mandala Of Health
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (325.795 KB) | DOI: 10.20884/1.mandala.2019.12.1.1266

Abstract

Limfadenopati didefinisikan sebagai sebuah abnormalitas ukuran dan konsistensi dari limfonodus yang bisa terjadi akibat proses infeksi dan inflamasi lainnya. Penelitian ini bertujuan menjelaskan nilai diagnostik USG color Doppler dan Elastografi dalam menentukan limfadenopati leher jinak dan ganas dibandingkan dengan hasil Bajah. Penelitian ini dilaksanakan di Bagian Radiologi RS Universitas Hasanuddin, Makassar yang dimulai pada bulan Februari-Maret 2018. Desain penelitian menggunakan uji diagnostik. Sebanyak 50 sampel dengan klinis limfadenopati leher. Dilakukan pemeriksaan ultrasonografi color Doppler untuk melihat pola, lokasi vascular serta nilai resistive index, kemudian dilakukan elastografi untuk menentukan elastisitas jaringan. Dilanjutkan dengan melakukan pemeriksaan Bajah untuk menentukan limfadenopati leher jinak dan ganas sete. Analisis data menggunakan statistik melalui uji diagnostik. Hasil penelitian menunjukkan bahwa dari uji diagnostik, didapatkan pola vaskuler memiliki sensitivitas 72%, spesifitas 92%, akurasi 84%, NPP 88%, NPN 81%. Lokasi vaskuler memiliki sensitivitas 59%, spesifitas 86%, akurasi 80%, NPP 92%, NPN 75%. Nilai resistive indeks didapatkan cut 0ff 0,795 dengan nilai sensitivitas 95,5%, spesifitas 75%, akurasu 84%, NPP 75% dan NPN 95,5%. Apabila dibandingkan dengan USG color Doppler dan elastografi, maka elastografi jauh lebih unggul dalam menentukan limfadenopati leher jinak dan ganas dengan sensitivitas 95,4%, spesifitas 96,4%, akurasi 96%, nilai prediksi positif 95,4% dan nilai prediksi negatif 96,4%. Lymphadenopathy is defined as an abnormality in the size and consistency of the lymph nodes that can occur due to other infections and inflammatory processes. This study aimed to determine the diagnostic value of ultrasound color Doppler and Elastography in determining the benign and malignant cervical lymphadenopathy compared with the results of the elephant Research method. This research was conducted in Radiology Department of Hasanuddin University Hospital, Makassar which started in February-March 2018. The research design used the diagnostic test. A total of 50 samples with clinical cervical lymphadenopathy. The color Doppler ultrasound examination was conducted to find out the pattern, vascular location and resistive index value, then the elastography was performed to determine the elasticity of the tissue. After that, a FNA examination was done to determine benign and malignant cervical lymphadenopathy. The data analysis used the statistic through the diagnostic tests. The research results indicated that the diagnostic test revealed the vascular pattern of 72% sensitivity, 92% specificity, 84% accuracy, NPP 88%, NPN 81%. The vascular site had a sensitivity of 59%, specificity 96%, accuracy of 80%, NPP of 92%, NPN of 75%. The resistive values index obtained 0ff 0.795 with 95.5% sensitivity, 75% specificity, 84% accuracy, 75% NPP, and 95.5% NPN. When compared with Doppler ultrasound and elastography, the elastography was superior in determining benign and malignant cervical lymphadenopathy with 95.4% sensitivity, 96.4% specificity, 96% accuracy, 95.4% NPP and NPN of 96.4 %. Thus, Doppler ultrasound and elastography had high diagnostic values, which could be used to determine both benign and malignant cervical lymphadenopathy.