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Analisis Variasi Ketebalan Kepala pada pemeriksaan Mastoid Proyeksi Axiolateral Metode Schuller terhadap Gambaran Anatomis Dartini Dartini; Galuh Negrawati; Bagus Dwi Handoko
Jurnal Imejing Diagnostik (JImeD) Vol 2, No 2: July 2016
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v2i2.3176

Abstract

Background: Axiolateral projection of mastoid examination with Schuller method using angle range of 25°-30° caudad according to Bontrager (2010). The difference thickness of the human’s head will cause range of angles of axiolateral projection of mastoid examination using Schuller projection. The inappropriate angle will affect the different anatomical information. Axiolateral projection of mastoid examination using Schuller projection in Radiology Installation of dr. Soetomo Hospital used an angle that is 25° for all patients with different thickness of the head. This study aims to determine the differences in anatomical image clarity on radiographic image of axiolateral projection of mastoid examination using Schuller method with an angle that is 25° with variations of head thickness between 12 to 14.5 cm.Methods: This research was a quantitative research with an experimental approach. Subjects of this reearch were 10 respondents. Data analyzed statistically by Kruskal Wallis test and Mann Whitney test.Results: The results showed that there was difference in anatomical image of axiolateral projection of mastoid examination with Schuller method with 25° angle. Result of statistical test to get optimal radiographic image of mastoid using Schuller method showed the significant value, which was 0,000. Differences in anatomical image was also shown on the assessment results from 10 respondents which most of respondents assess anatomical features on a 14.5 cm head thickness was very good.Conclusion: There were differences anotomical information of mastoid radiograph using schuller method with thickness variaton of head. Head thickness of 14.5 cm can show anatomical image of the mastoid air cells, bony labirinth, condyle mandible, temporomandibular joint (TMJ), Aacousticus the external meatus (MAE) and tegmen tympani. The CR angle should be considered based on head thickness.
Effectiveness Development Learning Practices Laboratory Prodi DIII Radiodiagnostic And Radiotherapy Technic Purwokerto Rini Indrati; Sugiyanto Sugiyanto; Dartini Dartini
Jurnal LINK Vol 9, No 2 (2013): Mei 2013
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (6054.698 KB) | DOI: 10.31983/link.v9i2.253

Abstract

A study to determine the effectiveness of the Laboratory Practice Learning Development Prodi D-III Techniques Radiodiagnostic And Radiotherapy Purwokerto.  This type of research is descriptive quantitative study approach. The design of the study is a survey designed to capture engineering data using questionnaires and study documentation. A total of 70 Clinical Instructors involved in the study, and as many as 98 students will see the achievements of PKL value I. Data were analyzed using descriptive with standard Effectiveness. Research results showed that the Learning Development Laboratory Practices conducted by Prodi D-III Technique Radiodiagnostic and Radiotherapy Purwokerto assessed effectively with value effectiveness Old Time Orientation 90,00%, Communication Ability perform 88,57%, perform administrative ability 85,71%, the ability of Patient Preparation of 88,57%, the ability to do Preparation Equipment 87,14%, Patient Setting capabilities 91,43%, the ability Organize X Ray 90,00%, Radiation Protection Capability Set 84,29%, the ability to conduct evaluation of radiographs 82,86%, Performance 100,00%, Score Competency Exam 100,00%, Case Reports 100,00%, and the score comprehensive exam PKL 100,00%.
MR SPECTROSCOPY FOR VIEWING THE PHYSIOLOGY PROFILE OF THE BRAIN Novia Putri Tsania; Dartini Dartini; Tri Asih Budiwati
Journal of Applied Health Management and Technology Vol 3, No 3 (2021): July 2021
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (278.464 KB) | DOI: 10.31983/jahmt.v1i3.7131

Abstract

Background: MR Spectroscopy is a radiological examination using MRS supporting software in the MRI modality that can show the correlation of metabolic or biochemical anatomical and physiological information contained in the body, both in normal and abnormal conditions[1]. MRS is done after a routine brain without contrast or contrast. Proton MR spectroscopy of brain tissue shows the spectral of several metabolites[2]. Some of the main metabolites in brain tissue detected by MRS are NAA, Cholin, Creatinien, and Lipid, Lactate and Myo Inositol. MRS results are in the form of a graph showing the ratio of NAA levels per cholin to the patient's body metabolites and a graph on normal metabolites forming Hunter's angle[3].Methods: This method is a qualitative research with a descriptive approach using comprehensive literatures studies.Results: MRI and MR Spectroscopy examinations in cases of brain disorders will strengthen the diagnosis by looking at changes in the pattern of metabolites in the brain. Some characteristic spectrum patterns can be used as markers of certain diseases, so they can replace biopsy. MR Spectroscopy examination showed that online game addicts had lower levels of NAA concentrations than normal people in the right frontal cortex and lower levels of choline (Cho) in the medial temporal cortex.[4].Conclusion: MR Spectroscopy does not play a role in replacing MRI imaging, but as an addition to non-invasive metabolic information that has a high degree of accuracy for diagnosing abnormalities in brain regions by evaluating spectrum patterns or metabolite ratios.
PENGARUH VARIASI BERAT BADAN TERHADAP KENAIKAN TEMPERATUR TUBUH DAN NILAI SPECIFIC ABSORPTION RATE PADA PEMERIKSAAN MRI BRAIN Dimas Prakoso; Fatimah; Bagus Abimanyu; Dartini
JRI (Jurnal Radiografer Indonesia) Vol. 1 No. 1 (2018)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (412.683 KB) | DOI: 10.55451/jri.v1i1.7

Abstract

Background : MRI brain is a routine examination, after finished examination will felt warm and sweaty on the back. The heat produced by the SAR effect affected by the body weight examined. This research to determine increasing body temperature and SAR value after MRI brain examination based on different body weight. Methods :The kind of this research is experiment. Research has been done at thirteen (13) samples with characteristic as follows : consisted of 3 men and 10 women with variation of body weight 45 kg until 75 kg. Samples had normal body temperature, no abnormalities in the head, and no claustrophobia. Each samples measure body weight and body temperature before MRI examination, then performed examination of MRI brain used brain routine protocol during 19 minutes 49 seconds. After that, measure body temperature again to find the increasing body temperature and saw the SAR value on SAR information. Then analyzed the affection of the variation of body weight and increasing body temperature, and variation of body weight and SAR value. Data were analysed statistically by using Linear Regression test. Results : The results showed that there were significant affection between variation of body weight and increasing body temperature (p value<0,05) significant with very strong influence (R Square=0,889) and negative correlation with equation y=2,098–0,024x.On variation of body weight and SAR value showed that there were significant affection (p value<0,05) with medium influence (R Square=0,596) and positive correlation with equation y=0,214+0,004x. Conclusion : Based on these results indicate thatmore body weight, increase body temperature will decrease due to the fat in people overweight and more body weight, SAR value will increase according the amount of RF exposure required
PROSEDUR PEMERIKSAAN MRI WRIST JOINT PADA KASUS DISRUPSI DISTAL RADIOULNAR JOINT DENGAN MENGGUNAKAN GENU COIL Hendriawan; M. Irwan Katili; Dartini
JRI (Jurnal Radiografer Indonesia) Vol. 2 No. 1 (2019)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (578.592 KB) | DOI: 10.55451/jri.v2i1.32

Abstract

ABSTRACT Background: Procedure of MRI wrist joint examination on disruption case of Distal Radioulnar Joint at radiology installation of RS Panti Rapih Yogyakarta using genu coil. The purpose of this research is to know the procedure of MRI wrist joint examination in DRUJ disruption case using genu coil, to know the reason for the use of genu coil for the examination of wrist joint and to know the reason for adding the PD FatSat sequence and STIR on MRI wrist joint examination. Methods: The type of this research is qualitative research with case study approach. Data collection by observation, interview, and documentation. This study was conducted from February to June 2018. Respondents in this study were 1 radiologist, 1 sending doctor and 3 radiographers, and the subjects of this study is 1 patient with diagnoses having DRUJ disorder or disruption. Data analysis in this research using interactive model. Result: The results of this study showed that the procedure of MRI wrist joint examination in DRUJ disruption case at radiology installation of RS Panti Rapih using genu coil and using 10 examination sequences were: axial PD FatSat, axial T1 FSE, axial T2 FSE, axial STIR irFSE, coronal PD FatSat, coronal T1 FSE, coronal T2 FSE, coronal STIR irFSE, sagital PD FatSat, dan sagital T1 FSE. The reason for using genu coil on the MRI wrist joint examination because genu coil can deliver the signal well, so it can produce a good picture, and because the size of the coil is large then has a wide coverage so that all of parts wrist joint is covered. The reason for the addition of FatSat and STIR sequences is FatSat to suppress fat around the wrist joint so the odim fluid or effusion fluid in the joints can be seen more clearly, and STIR sequence has a very high ability to exhibit pathological disorders. Conclusion : Procedure for MRI examination of wrist joints in disruption case of DRUJ using genu coil at Radiology Installation of Panti Rapih Hospital Yogyakarta.The reason for the wrist joint MRI examination using the coil genu becouse the result of wrist joint examination so far can produce a good picture. And the reason for the wrist joint MRI examination in disruption of DRUJ case was added by the Fat Sat and STIR sequences, which were to suppress the fat around the wrist joint so the liquid odim or effusion fluid in the joint could be seen more clearly.
Informasi Anatomi dan Dosis Radiasi pada MSCT Brain Pediatric Menggunakan Adaptive Statistical Iterative Reconstruction (ASiR)-V Fitri Indraratma; Dartini Dartini; Agung Nugroho Setiawan
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.v9i1.9471

Abstract

Background: Multislice CT Scan (MSCT) brain examination in pediatric cases should pay attention to the lowest possible dose but still provide optimal anatomical information. Pediatric has a higher risk of developing cancer compared to adults who receive the same dose. The purpose of this study is to obtain the optimal value of the use of the Adaptive Statistical Iterative Reconstruction (ASIR)-V technique with variations in tube current strength and Iterative Reconstruction value which is implemented in pediatric patients under the age of 5 (five) years. Methods: This research was experimental with brain image samples of pediatric patients at the Radiology Installation of RSUD dr. Moewardi Surakarta. The variations of the tube currents selected were 80, 100, and 165 mA with a combination of AR20, AR40, AR60, and AR80 variations. Anatomical information processed descriptively sourced from the assessment of 3 (three) radiologists who were experienced in assessing MSCT images. Meanwhile, the effect of tube current variation on radiation dose was tested using linear regression. Results: The results showed differences in anatomical information between the combinations of 165 mA-AR60 and 165 mA-AR80 "very clear", 165 mA-AR20 "clear", 80 mA-AR20 "fairly clear" and 100 mA-AR80 "less clear". There was an effect of strong variation of tube current on radiation dose with a regression coefficient value of 0.690. The estimated effective doses of the three tube current values were still below the national Dose Reference Level (DRL). Conclusions: It was concluded that there were differences in anatomical information on the MSCT brain pediatric examination with variations in tube current and ASiR-V, there was an effect of variations in mA on radiation dose and mA values and the optimal value of the combination of techniques studied is 80 mA and 20% Iterative Reconstruction. 
Microorganisms (Staphylococcus and Fungi) in Radiotherapy Patient Masks before and after Cleaning with Disinfectant Liquid Dartini Dartini; Mahalul Azam; Evi Widowati; Dina Nur Anggraini Ningrum; Fatimah Fatimah; Jeffri Ardiyanto
International Conference on Science, Education, and Technology Vol. 9 (2023)
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background: Radiotherapy masks patients are a fixation tool in radiotherapy radiation services. The function of the radiotherapy mask is to fix the irradiation area in the patient’s body part for serial radiation therapy, for approximately 1 month. A printed radiotherapy mask is used by the patient from the first session until the final session of radiation is complete. The inner surface of the mask is always in contact with the patient's skin. Practically, the masks are never been cleaned so it is possible to develop infectious Fungi or microorganisms. The research objective was to determine the difference in the number of microorganisms (Staphylococcus and Fungi) before and after cleaning using a 70% alcohol disinfectant Methodology: This is experimental research. The number of microorganisms (Staphylococcus and Fungi) in 16 radiotherapy masks were identified with the Swap method before and after cleaning using 70% alcohol disinfectant. Data were analyzed using the Wilcoxon test to determine the differences in the number of microorganisms before and after cleaning and to identify the reduction percentages. Result: the number of Fungi and Staphylococcus before cleaning were 9,528 and 0.490, while after cleaning were 8228 and 0,194, respectively The amount of percentage reductions before and after cleaning were 43.275% (Staphylococcus ) and 38.529% (Fungi). Based on the Wilcoxon test on Staphylococcus , meaning that. There was a difference in Staphylococcus (ρ value= 0.003) on the radiotherapy patient's mask before and after cleaning using 70% alcohol. There was no difference in Fungi (ρ value= 0.220) before and after being cleaned using 70% alcohol. The research results are very important as material for the revision of standard operational procedures for radiotherapy services.
An Oral Sedation Preparation Based on Pistachio Nuts with Organic Melatonin Content To Support MRI Examination IM Dwitya Surya Wrddhi Putra; Bambang Satoto; Dartini Dartini; Siti Masrochah; Leny Latifah; Gatot Murti Wibowo
Asian Journal of Social and Humanities Vol. 3 No. 3 (2024): Asian Journal of Social and Humanities
Publisher : Pelopor Publikasi Akademika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59888/ajosh.v3i3.466

Abstract

Sedation of propofol, chloral hydrate, midazolam, and ketamine is commonly used in MRI examinations. There are still risky side effects from the previous 4 sedations, so melatonin tablets are a safer option. Melatonin synthesized in tablets can still cause quite adverse side effects. Pistachios processed into milk can be used as an alternative to natural melatonin oral sedation. Research Objective: To determine the potential of pistachio milk as an alternative to oral melatonin sedation to support MRI examinations. Research Method: This research uses the R&D (Research and Development) method with 4 stages, namely finding potentials and problems, data collection, product design, and design validation. The product in the form of 200 mL pistachio milk with concentration variants of 35 g, 45 g, 55 g, 65 g was tested in a laboratory to determine its potential from the test results with a reference to melatonin tablets of 10 mg. Research Results: Laboratory tests showed the presence of melatonin and other accompanying ingredients such as phenolics, carotene, and polyphenols. The melatonin content of the 35 g, 45 g, 55 g, 65 g variants is 5.5 mg, 6.1 mg, 8.7 mg, 10.5 mg, respectively. Conclusion: Pistachio milk with a 65 g variant has a melatonin content of 10.5 mg which is close to the reference for sedation of melatonin tablets of 10 mg, so it has the potential to be an alternative to oral sedation of melatonin to support MRI examinations.
Metode Penyimpanan Media Kontras Oral Nanopartikel Mangan Teh Oolong untuk Pemeriksaan Magnetic Resonance Cholangiopancreatography (MRCP) Fatimah, Fatimah; Ardiyanto, Jeffri; Dartini, Dartini; Sugiyanto, Sugiyanto; Erfansyah, Muhammad
Jurnal Imejing Diagnostik (JImeD) Vol 11, No 1 (2025): JANUARY 2025
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v1i1.12479

Abstract

Background: MRCP examination using natural manganese contrast media cannot provide optimal images of gastroduodenal suppression covering the biliary system when compared with standard contrast media. Various studies on manganese contrast media have been developed, but not much has been linked to the use of natural manganese nanoparticles as an alternative contrast media. This study aims to prove that manganese nanoparticles extracted from oolong tea as an alternative oral negative contrast medium for MRCP examinations are thought to improve image quality and do not cause neurotoxic effects in healthy volunteers.Methods: The research design carried out was experimental research. The research included making extracts and making oolong tea nanoparticles, and each expired or unexpired ingredient was observed using organoleptic tests in terms of taste, color, texture, and aroma, at 30 days, 90 days, and 120 days.Results: This research shows that Mn nanoparticle oral negative contrast media for oolong tea experiences significant changes in taste, color, texture, and aroma with storage time. Oolong tea stored for 60 days has the best characteristics with a fresh taste, bright yellow color, and smooth texture. After 90 days, the taste starts to become sour and bitter, with a grainy texture. 120 days of storage produced tea with a very sour and bitter taste, as well as a rough texture that the panelists didn't like. Organoleptic tests showed that panelists preferred 60-day (T1) oolong tea based on taste, color, texture, and aroma. Storage at a temperature of 4-25°C and paper sack packaging is more effective in maintaining tea quality.Conclusions: Storage of oolong tea with Mn nanoparticles shows that tea stored for 60 days has the best quality. Tea stored for 90 days begins to degrade, and after 120 days it is disliked because of its sour and bitter taste. Temperatures of 4-25°C and paper sack packaging are effective in maintaining tea quality.
Peranan Pemeriksaan Multidetector Computed Tomography (Mdct) Abdomen Pada Pasien Pra Operasi Donor Ginjal Chairunnissa, Frida Risviani; Dartini, Dartini; Mulyati, Sri
ULIL ALBAB : Jurnal Ilmiah Multidisiplin Vol. 4 No. 6: Mei 2025
Publisher : CV. Ulil Albab Corp

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56799/jim.v4i6.9129

Abstract

Kidney transplant is the best treatment method for the patient with end stage renal disease. The final step of evaluation in living kidney donors need MDCT abdomen procedure. The aim of this study to assess the role of MDCT abdomen in pre operation living kidney donors and to assess the role of processing image in MDCT abdomen examination pre operation living kidney donors. The type of this research is descriptive research with literature review approach. This research showed that the role of MDCT abdominal examination in preoperative patients in living kidney donor is can explain anatomy, pathology, and anomalies of the arteries and veins, kidneys, ureters, using pre-contrast phase, arterial phase, nephrogram phase, and delayed phase. Obtain information from MDCT abdomen examination is used for preparation and management of surgery in order to reduce the risk of complicationts for the donor and recipient. The role of image reconstruction in MDCT abdomen examinations is useful in providing quality image regarding the anatomy of blood vessel. Image reconstruction of 3D MIP and VRT is very helpful in evaluating artery and vein of the kidney vessels.