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All Journal E-Jurnal Medika Udayana Jurnal Kesehatan Andalas Mutiara Medika: Jurnal Kedokteran dan Kesehatan Jurnal Profesi Medika: Jurnal Kedokteran dan Kesehatan Media Ilmu Kesehatan JBN (Jurnal Bedah Nasional) ISM (Intisari Sains Medis) : Jurnal Kedokteran Indonesian Journal of Cancer
Patriawan, Putu
Departement Of Radiology, Faculty Of Medicine, Universitas Udayana
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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Correlation between Head Computed Tomography Scan Examination and Cranial Index Measurement in Pediatric Hydrocephalus Zulfariska, Nony; Anandasari, Pande Putu Yuli; Margiani, Ni Nyoman; Sitanggang, Firman Parulian; Patriawan, Putu; Widiana, I Gde Raka
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 22, No 1 (2022): January
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mmjkk.v22i1.12464

Abstract

Hydrocephalus in children can inhibit child growth. However, if treated immediately, the patient will develop normal intelligence. In radiology, the most important problem is to detect hydrocephalus early. Currently, radiology examinations can detect hydrocephalus accurately with a CT scan to identify the presence of blockages and assess the degree. Skull radiography is used to assess the presence of advanced hydrocephalus. A comparison is carried out and assesses the relationship between hydrocephalus measurement on the ventricular and cranial index by scanogram. The study used a cross-sectional analytics design, using Picture Archiving and Communication System (PACS) data. There were 68 samples taken using consecutive sampling, obtaining ventricular index measurement results above 0.30, and patients under 12 years old. Spearman rank test showed a correlation between the ventricular index measurements and cranial index, with Spearman’s Rho (r) = 0.856 and p0.001 with linear equation Y= 2.973 + 0.005X. It revealed that the constant 2.973 indicated that if there is no B coefficient value, the participation value will be 2.973. Furthermore, regression coefficient X of 0.005 indicated that the participation value grows by 0.005 for every 1 addition of the B coefficient value with R2= 0.340.
KARAKTERISTIK LOW BACK PAIN PADA PEMERIKSAAN MAGNETIC RESONANCE IMAGING DI RSUP SANGLAH PERIODE JANUARI 2017– DESEMBER 2017 Putu Gede Wahyu Darmayuda; Putu Patriawan; I Made Dwijaputra Ayusta; Firman Parulian Sitanggang
E-Jurnal Medika Udayana Vol 9 No 2 (2020): Vol 9 No 02(2020): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (234.598 KB) | DOI: 10.24843/MU.2020.V09.i2.P09

Abstract

Low Back Pain (LBP) adalah masalah umum yang melibatkan otot punggung dan tulang belakang. Dimana LBP dapat disebabkan oleh kondisi seperti spondilolisis–spondilolistesis, HNP, infeksi, tumor, fraktur dan gangguan pada tulang belakang lainnya. Salah satu metode diagnosis yang paling efektif yang selalu dipakai adalah Magnetic Resonance Imaging (MRI). MRI diunggulkan sebagai teknik penggambaran yang paling sempurna untuk mendeteksi LBP karena memiliki jaringan dengan kontras tinggi dan tanpa radiasi pengion. Penelitian ini bertujuan untuk mengetahui karakteristik Low Back Pain pada pemeriksaan Magnetic Resonance Imaging di RSUP Sanglah/FK Unud. Penelitian ini merupakan suatu penelitian deskriptif cross sectional, penelitian ini menggunakan data sekunder yaitu rekam medis pasien LBP dengan metode pemeriksaan MRI di RSUP Sanglah/FK Unud pada periode Januari 2017–Desember 2017. Pengambilan data di ambil dengan metode Total Sampling. Distribusi variabel penelitian yaitu jenis kelamin, umur dan diagnosis. Analisis data dipaparkan dengan tabel yang dinarasikan. Didapatkan hasil sebanyak 138 pasien LBP dengan metode pemeriksaan MRI, didapatkan jenis kelamin terbanyak yaitu pada laki-laki dengan persentase sebesar 63% dibandingkan dengan perempuan, kategori umur yang paling banyak mengalami LBP dan melakukan pemeriksaan MRI yaitu pada Masa Tua (40-65 tahun) didapatkan persentase sebesar 61,6% dari total sampel, HNP merupakan diagnosis paling sering dengan persentase 86,2% pada pasien LBP yang menggunakan metode diagnosis MRI. Kata Kunci: Low Back Pain, Magnetic Resonance Imaging, HNP
Hubungan volume, lokasi, dan kepadatan batu ureter dengan derajat hidronefrosis Yan William Sulaiman; Putu Patriawan; Nyoman Srie Laksminingsih
MEDIA ILMU KESEHATAN Vol 10 No 3 (2021): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/mik.v10i3.635

Abstract

Background: Ureteral stones are common cases. Ureteral stones may have different degrees of hydronephrosis. CT stonography is now accepted as the gold standard for detecting the presence of stones in the urinary tract and can evaluate the characteristics of the stoneObjective: This study aims to determine the relationship between volume, location, and density of ureteral stones with the degree of hydronephrosis.Methods: A total of 98 samples (80 males, 18 females) CT scan images of ureteral stone were analyzed for bivariate and multivariate analysis of volume, location, density based on MSD (Mean Stone Density) and SHI (Stone Heterogeneity Index) of ureteral stones with the degree of hydronephrosis.Results: There was a statistically significant positive correlation of ureteral stone volume with the degree of hydronephrosis (r= 0.543, p<0.001). While other variables were not significant, the location of ureteral stones (p = 0.341), and density of ureteral stones based on MSD (p= 0.206), SHI (p= 0.934).Conclusion: From The Characteristics of ureteral stones studied, only volume of ureteral stones has a correlation with the degree of hydronephrosis.
Increase of Carotid Intima-Media Thickness and Reduction of Carotid Artery Lumen Diameter in Breast Cancer Patient Before and After Chemotherapy Inez Kartika; Made Widhi Asih; Elysanti Dwi Martadiani; Pande Putu Yuli Anandasari; Putu Patriawan; I Gde Raka Widiana
JBN (Jurnal Bedah Nasional) Vol 6 No 1 (2022): JBN (Jurnal Bedah Nasional)
Publisher : Program Studi Ilmu Bedah, Fakultas Kedokteran Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/JBN.2022.v06.i01.p02

Abstract

Background: Increasing number of cancer survivor motivates clinical practitioner to focus on chronic effect of chemotherapy agent, especially those with vascular toxicity effect, which may attenuate the incidence of thrombosis and atherogenesis. Ultrasonography examination on carotid intima media thickness (C-IMT) provides acurate result in evaluating atherosclerotic. The purposes of this research are to find out any structural changes of carotid artery, especially atheroclerosis changes in breast cancer patient after chemoteraphy. Methods: Analytic cross sectional study using a pre post test group design in breast cancer patients. Eligible subjects undergo carotid ultrasonography examination prior to chemoteraphy and after they had completed the 3 cycles of chemoteraphy for the second exam. The examination was perfomed with the same USG machine, high frequency linier transducer (>7mHz) in B-mode under the auspecies of two reputable radiologist consultant. Results: Total patients are 26, mean of age (year) is 47.15 ± 8.11. Most dominant histopathology finding is invasive carcinoma nonspecific type, in 24 patients (92.4%) and the disease stage is in stadium III in 14 patients (53.9%). Mean C-IMT (mm) prior chemotherapy is 0.51 ± 0.06 and after chemotherapy is 0.58 ± 0.05, there is an increase of 0.07 ± 0.06 (p<0.0001). Carotid artery lumen diameter (mm) before chemotherapy is 4.05 ± 0.66 and after chemotherapy is 3.90 ± 0.73, so there is a decrease of 0.16 ± 0.40 (p =0.057). Conclusion: There is a statistically significant increase in intima media thickness of carotid wall of breast cancer patients after chemotherapy, consisted with chemoteraphy induced atherosclerosis.
Diagnostic Value of Gynecologic Ultrasonography as A Malignancy Predictor in Children's Ovarian Tumor Ni Made Putri Suastari; Pande Putu Yuli Anandasari; Putu Patriawan; Ni Nyoman Margiani; Firman Parulian Sitanggang; I Gde Raka Widiana
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 22, No 2 (2022): July
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mmjkk.v22i2.14389

Abstract

The incidence of ovarian malignancy is rare in children, with proportions between 16-55%. A gynecologic ultrasonography score is expected to increase accuracy and be able to diagnose malignancy earlier. By using a retrospective cross-sectional study design, this study is a diagnostic test to assess ultrasonography examination as a predictor of malignancy with histopathological examination as the gold standard. The study subjects were 45 children admitted from July 2017 to December 2020. Characteristics of the subjects were obtained from medical records, gynecologic ultrasonography images were accessed from PACS, and histopathological results were obtained from SIMARS. The gynecologic ultrasonography images were scored by two observers using a scoring table. Variables assessed consisted of inner wall structure, wall thickness, septa, morphology, tumor vascularization and ascites. The data will then be analyzed, determining the optimal cut-off score, sensitivity, specificity, accuracy, and positive and negative predictive value. AUC value of 0.92 using a cut-off ≥14 obtained 15 malignant subjects and 1 benign subject and resulted in a sensitivity of 78.9%, specificity of 96.2%, a positive predictive value of 93.8%, a negative predictive value of 86.2%, and accuracy of 88.89%. It can be concluded that the diagnostic value of gynecologic ultrasonography examination as a predictor of malignant ovarian tumors in children was remarkable.
Transarterial chemoembolization (TACE) in hepatocellular carcinoma BCLC B patients: case series Ni Nyoman Widyasari; Firman Parulian Sitanggang; Putu Patriawan; Dewa Gede Mahiswara
Intisari Sains Medis Vol. 12 No. 1 (2021): (Available online : 1 April 2021)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (958.817 KB) | DOI: 10.15562/ism.v12i1.916

Abstract

Introduction: Hepatocellular carcinoma (HCC) is the fifth leading cause of death for men and the seventh for women worldwide, HCC is one out of 10 most cancers in Indonesia. HCC grows in the background of chronic liver disease and often associated with hepatitis virus infection such as hepatitis B virus (HBV) and hepatitis C virus (HCV).  Transarterial chemoembolization (TACE) is a minimally invasive procedure performed by interventional radiologist as the treatment of choice for intermediate stage HCC.Case report: Here in we report a 62 and 59 years old female with hepatocellular carcinoma Barcelona clinic liver cancer (BCLC) B who were treated with TACE using 50 mg doxorubicin mixed with Iopamiro and lipiodol. Both were patients with history of HBV infection. After 5 weeks of TACE, triphase abdominal CT-Scan was done to evaluate tumour progression, however one patient was loss to follow up.  Evaluation of one patient was done and revealed more than 30% decrease  solid viable tumour with increase of necrotic area.  Expansion of necrotic area is one of the HCC treatment response criteria, while decrease tumour enhancement explains the viability of the tumour itself.Conclusion: TACE is the therapy of choice for patient with HCC BCLC B, which can give enlargement of necrotic area and decrease tumour viability.  
Temuan radiologi dalam kelainan kongenital atresia jejunum: serial kasus Listyani Gunawan; Pande Putu Yuli Anandasari; Putu Patriawan
Intisari Sains Medis Vol. 12 No. 3 (2021): (Available online: 1 December 2021)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (873.798 KB) | DOI: 10.15562/ism.v12i3.1116

Abstract

Background: Jejunoileal atresia is an emergency due to mechanical gastrointestinal obstruction, a rare case with a prevalence rate of 1-3 per 10,000 births. There is no difference in incidence by gender. Delay in treatment results in huge losses in terms of malnutrition, failure to thrive, and even death. These case series aim to evaluate radiological findings in congenital jejunal atresia.Case Presentation: There were 3 patients with the main complaint of bilious vomiting. These three patients underwent a plain abdominal x-ray examination, obtained a picture of a high total obstruction with a triple bubble picture, or had a dilated picture of the proximal obstruction. Partial obstruction based on plain radiographs in one of the patients was found, followed by an examination of contrast meal which filled smoothly up to the jejunum segment with a windsock appearance. The three cases have been proven through surgery, various types of jejunal atresia were obtained. Intestinal resection was performed, followed by an end-to-end jejunal anastomosis.Conclusion: Correct diagnosis determines the appropriate treatment for the patient. Plain abdominal radiograph as an initial examination in assessing total or partial obstruction in the jejunum, with a typical triple bubble or dilated bowel segment proximal to the obstruction. The windsock appearance of the jejunal segment on the contrast meal confirms the diagnosis of the jejunal web.  Latar Belakang: Atresia jejunoileal merupakan kegawatdaruratan akibat obstruksi mekanik gastrointestinal, yang merupakan kasus jarang dengan angka prevalensi 1-3 per 10000 kelahiran, tidak ada perbedaan insiden berdasarkan gender. Terlambatnya tatalaksana mengakibatkan kerugian yang besar baik malnutrisi, gagal tumbuh, hingga kematian. Laporan kasus ini bertujuan untuk mengevaluasi temuan radiologi dalam kelainan kongenital atresia jejunum.Laporan Kasus: Terdapat 3 pasien dengan keluhan utama muntah bilosa. Kemudian dari pemeriksaan foto polos abdomen didapatkan gambaran obstruksi total letak tinggi dengan gambaran triple bubble atau memiliki gambaran dilatasi dari proksimal obstruksi. Obstruksi parsial berdasarkan foto polos pada salah satu pasien, dilanjutkan pemeriksaan contrast meal yang mengisi lancar hingga segmen jejunum dengan windsock appearance. Ketiga kasus tersebut telah terbukti melalui hasil operasi, didapatkan atresia jejunum berbagai tipe. Dilakukan reseksi usus dilanjutkan anastomosis end-to-end jejunal.Kesimpulan: Diagnosis yang tepat, menentukan tatalaksana yang sesuai bagi pasien. Foto polos abdomen sebagai pemeriksaan inisial dalam menilai obstruksi total atau parsial pada jejunum, dengan gambaran khas triple bubble atau dilatasi segmen usus proksimal dari obstruksi. Windsock appearance segmen jejunum pada contrast meal mempertajam diagnosis jejunal web.
GAMBARAN FOTO TORAKS DAN GEJALA KLINIS PENDERITA TB PARU ANAK DI RSUP PROF. DR. I.G.N.G NGOERAH PERIODE JANUARI 2021 – JUNI 2022 Angelina, Vioreli; Ayusta, I Made Dwijaputra; Anandasari, Pande Putu Yuli; Patriawan, Putu
E-Jurnal Medika Udayana Vol 12 No 12 (2023): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2023.V12.i12.P01

Abstract

Tuberculosis (TB) is an infectious disease whose incidence is still quite high in Indonesia. The increasing incidence of pediatric pulmonary TB is still happening today. The diagnosis of pediatric pulmonary TB is still a hot topic because the chest radiograph and clinical symptoms are not typical and are often found in other diseases. The aim of the research is to know the overview of chest radiograph and clinical symptoms of pediatric pulmonary TB patients. This research was conducted at Prof. RSUP. Dr. I.G.N.G Ngoerah January 2021 – June 2022 using a cross-sectional descriptive method and medical record data as source with total sample is 30 people. Univariate analysis was performed using the Statistical Package for the Social Science (SPSS) version 26.0 for MacOS. The results of the study are majority of pediatric pulmonary TB patients at RSUP Prof. Dr. I.G.N.G Ngoerah January 2021 – June 2022 is female (60%), age group 11-16 years (50%), abnormal chest radiograph (96.7%), asymptomatic (63.3%), lymphadenopathy of hilar/paratracheal lymph nodes with/without parenchymal consolidation (96.7%), cough symptoms (30%). Children with pulmonary TB at RSUP Prof. Dr. I.G.N.G Ngoerah January 2021 – June 2022 is dominated by female gender, age group 11-16 years, abnormal chest radiograph, asymptomatic, lymphadenopathy of hilar/paratracheal lymph nodes with/without parenchymal consolidation and symptoms of cough.
HUBUNGAN ANTARA SKOR KELAINAN ANATOMI SINUS PARANASAL DAN KAVUM NASI DENGAN SINUSITIS PARANASAL MENURUT GAMBARAN CT-SCAN SINUS PARANASAL PADA PASIEN DENGAN KLINIS SINUSITIS Maria, Dessy; Asih, Made Widhi; Margiani, Ni Nyoman; Widiana, I Gede Raka; Patriawan, Putu; Laksminingsih, Nyoman Srie
E-Jurnal Medika Udayana Vol 11 No 5 (2022): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2022.V11.i05.P10

Abstract

Sinusitis adalah proses peradangan dari satu atau lebih pada membran mukosa sinus paranasal. Penyebab utama terjadinya sinusitis adalah gangguan drainase dan patensi kompleks ostiomeatal (KOM). Variasi anatomi hidung dan sinus paranasalis menjadi faktor predisposisi terhadap kejadian sinusitis. Tujuan penelitian adalah menilai hubungan antara skor kelainan anatomi sinus paranasal dan kavum nasi dengan sinusitis paranasal menurut gambaran CT-scan sinus paranasal pada pasien dengan klinis sinusitis. Penelitian ini dirancang sebagai penelitian observasional analitik dengan pendekatan cross sectional retrospektif pada pasien dengan klinis sinusitis di RSUP Sanglah Denpasar pada tahun 2020-2021. Sampel penelitian berjumlah 60 orang dengan usia di atas 21 tahun yang diambil secara consecutive sampling dari rekam medis yang memenuhi kriteria inklusi. Analisis sinusitis dan skor kelainan anatomi sinus paranasal dan kavum nasi masing-masing dilakukan oleh seorang Radiolog Konsultan dilanjutkan dengan analisis data. Dari hasil uji beda proporsi antara kelainan anatomi sinus paranasal dan kavum nasi dengan sinusitis maupun antara skor kelainan anatomi sinus paranasal dan kavum nasi dengan sinusitis didapatkan tidak ada hubungan dengan nilai p>0,05. Pada hasil uji korelasi multivariat antara skor kelainan anatomi sinus paranasal dan kavum nasi dengan sinusitis setelah dikontrol dengan umur, jenis kelamin dan riwayat alergi secara statistik tampak tidak berhubungan dengan nilai p yang didapat semuanya >0,05. Tidak tampak korelasi antara skor kelainan anatomi sinus paranasal dan kavum nasi dengan sinusitis menurut gambaran CT-scan sinus paranasal pada pasien dengan klinis sinusitis dengan nilai p 0,105. Masih diperlukan perbaikan metode penelitian lebih lanjut dengan desain penelitian analitik menggunakan rancangan prospektif.
Characteristics of Hysterosalphingography Findings in Infertile Patients at Prof. Dr. I.G.N.G Ngoerah Central Hospital at Periode of January 2021 to June 2024 Firman Parulian Sitanggang; Putu Patriawan; Regina Primeylisa Dos Santos; Agnes Caroline; Gandis Ayu Wardani
Jurnal Profesi Medika : Jurnal Kedokteran dan Kesehatan Vol 18 No 2 (2024): Jurnal Profesi Medika : Jurnal Kedokteran dan Kesehatan
Publisher : Fakultas Kedokteran UPN Veteran Jakarta Kerja Sama KNPT

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33533/jpm.v18i2.9553

Abstract

Introduction: Infertility is the inability to achieve pregnancy after 12 months of regular unprotected intercourse, affecting millions globally. In Indonesia, it affects 10-15% of reproductive-aged couples. Infertility can be classified as primary (no prior pregnancies) or secondary (previous pregnancies). HSG is commonly used to assess uterine and tubal abnormalities, key contributors to infertility. Methodes: Descriptive qualitative study are done to examine correlation of age, uterine abnormalities, and fallopian tube abnormalities from HSG findings with the prevalence of infertility from patients in Radiology Department from Prof. Dr. I.G.N.G. Ngoerah Central General Hospital, covering the period from January 2021 to June 2024.Results: 66 patients were collected as samples. 47 patients (71.21%) have primary infertility, while 19 patients (28.79%) have secondary infertility. 9 patients (13.63%) have uterus abnormalities, while 21 patients (31.81%) have fallopian tube abnormalities.Discussion: Hysterosalpingography (HSG) is a key diagnostic tool in evaluating infertile patients, providing insights into uterine and fallopian tube morphology and patency. It detects structural abnormalities like retroflexed uterus, didelphys, or blocked tubes, which can hinder sperm-egg interaction, embryo implantation, or cause recurrent miscarriages, affecting fertility. Keywords:  Abnormalities, Fallopian tube, Hysterosalphyngography, Infertiliy, uterus
Co-Authors Agnes Caroline Agustina, Kristin Angelina, Vioreli Ayusta, I Made Dwijaputra Budi Heryanto Dewa Gede Mahiswara Suadiatmika Elysanti Dwi Martadiani Firman Parulian Sitanggang Firman Parulian Sitanggang Gandis Ayu Wardani I Gde Raka Widiana I Gusti Ayu Sri Mahendra Dewi I Made Dwijaputra Ayusta I W. Sudarsa I Wayan Gede Artawan Eka Putra, I Wayan Gede Artawan Eka Inez Kartika Listyani Gunawan Made Widhi Asih Maria, Dessy Ni Made Mahastuti Ni Made Putri Suastari Ni Nyoman Margiani Ni Nyoman Widyasari Nyoman Srie Laksminingsih Pande Putu Yuli Anandasari Paskarani, Putu Erika Putu Gede Wahyu Darmayuda Regina Primeylisa Dos Santos Sitanggang, Firman Parulian Yan William Sulaiman Zulfariska, Nony