Lidya Purna WS Kuntjoro
RS Nasional Diponegoro Semarang

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Analisis Informasi Anatomi Dengan dan Tanpa Parallel Acquisition Technique Menggunakan Sekuen 2D Thick Slab Single Shot Fast Spin Echo pada Pemeriksaan Magnetic Resonance Cholangiopancreatography (MRCP) Rismawati Dian Aretnasih; Lidya Purna WS Kuntjoro; Siti Masrochah
Jurnal Imejing Diagnostik (JImeD) Vol 1, No 2: July 2015
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v1i2.3158

Abstract

Backgroud: 2D thick slab single shot fast spin echo (SSFSE) sequence in MRCP examination is a sequence of fast spin echo (FSE) which has a long turbo factor so that the time of acquisition in this sequence is longer than usual that will potentially cause image blurring. Parallel acquisition or SENSE technique is a technique used to reduce acquisition time and improve spatial resolution. The purpose of this study was to determine differences in anatomical information with and without parallel acquisition technique in 2D thick slab SSFSE sequences on MRCP examination.Methods: This research was an experimental study. This research was conducted by Philips 1.5 T MRI unit in dr. S Hardjolukito Yogyakarta Hospital. Data were 20 MRCP images from 10 normal volunteers with and without parallel acquisition technique on sequences of 2D thick slab SSFSE. Assessment of the images was conducted qualitatively in the form of respondents's assessment of the clearance of anatomical information includes the gallbladder, right hepatic duct, left hepatic duct, common bile duct, common hepatic duct, cystic duct, and the main pancreatic duct. Quantitative data analyzed by Cohen's Kappa test, cross tabulation, and Wilcoxon tests.Results: The result showed that there was a difference between the clearance of the overall anatomical information between 2D thick slab SSFSE sequences with and without parallel acquisition technique in MRCP with p = 0.000 (p-value 0.05), based on the mean rank obtained sequences of 2D thick slab SSFSE SENSE (14.50) better than the 2D thick slab SSFSE (0.00). Analysis of each anatomy showed significant differences in all organs except the gallbladder p = 0.059, p = left hepatic duct and the common bile duct 0.059 with p = 0.08.Conclusion: Parallel acquisition technique (SENSE) was well used because it has a faster acquisition time without decreasing image resolution.
Analisis Informasi Anatomi antara Sekuens T2WI FSE dan Proton Density Fat Saturation pada Pemeriksaan MRI Knee Joint Potongan Sagital (Studi pada Anterior Cruciate Ligament (ACL) dan Posterior Cruciate Ligament (PCL)) Atina Izzah Kusumaningrum; Lidya Purna WS Kuntjoro; Gatot Murti Wibowo
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.v2i2.3180

Abstract

Background: There are clinical situations that radiology physicians need to assess Anterior Cruciate Ligament (ACL) and Posterior Cruciate Ligament (PCL) clearly with the two typical sequences (T2WI FSE sequence and Proton Density Fat Saturation). However, a slight difference in using the applied sequences will result different levels of image quality information. The aim of this study is to compare clinical  manifest in anatomical information on the resulted images between  T2WI FSE sequence and Proton Density Fat Saturation and to define the best sequence that fit to reveal ACL and PCL of the knee joint..Methods: The research was an experimental quasy. 20 sagital slices of  the knee jointMRI were acquired from 10 volunteers who underwent MRI examinations with the two methods (T2WI FSE and Proton Density Fat Saturation). 3 experienced radiology physicians blended in the image scoring when review ACL and PCL appearances on knee MRI images. Inter-observer suitability was checked with Kappa test. A non-parametric Wilcoxon analyses was the statistical tool to test the null hypothesis.Results: The result showed a significant difference in anatomical information of ACL and PCL when T2WI FSE and Proton Density Fat Saturation sequences applied on the MRI of the knee jointsagital slices (p-value 0,05). The mean rank of T2WI FSE was better than Proton Density Fat Saturation  which contributed to the value at 4,50. There was an increase in signals that lead to ACL and PCL appear to be more hyper-intens compared to sorrounding organs in general, except the border line  of PCL.  By this means, it was useful for evaluating the patient whose particularly with ACL post-grafting.Conclusion: There was the difference in anatomical information between T2WI FSE sequence and Proton Density Fat Saturation on MRI knee jointwith sagital slices for ACL and PCL studies.  T2WI FSE sequence was the best method for showing anatomical information of ACL and PCL, although a relative low signal still occured from border line  of PCL.