Rini Indrati
Politeknik Kesehatan Kemenkes Semarang

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Analisis Informasi Citra Anatomi Pemeriksaan MRI Shoulder Joint antara Posisi Pasien Netral dan “Abduction and External Rotation” Menggunakan Sekuen Gradient Echo T2* Rini Indrati; Siti Masrochah; Made Nia Cahya Dewi
Jurnal Imejing Diagnostik (JImeD) Vol 3, No 2: July 2017
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v3i2.3195

Abstract

Background : Has conducted a study of differences in anatomical image information on sequences Gradient Echo T2* to the neutral position and the Abduction and External Rotation in Radiology Panti Rapih Yogyakarta Hospital. Abduction and External Rotation positions are positions that obtained when the patient is in the supine position with the hands under the head, resulting in external rotation and abduction of the humerus. This position is useful to show the subtle picture of the infraspinatus tendon and anterior labrum is normal and can detect abnormalities of the rotator cuff. The neutral position is a position that is obtained when the patient supine with the shoulder and arm parallel to the body with a neutral or slightly towards the external rotation. The purpose of this study is to determine the difference and which one is a better position to produce anatomical image information between sequences Gradient Echo T2* with  a neutral position and Abduction and External Rotation MRI of shoulder joint.Methods : This research is a quantitative research with experimental approach. The study was conducted at Radiology Installation Panti Rapih Yogyakarta Hospital, the data in the form of 10 image sequences Gradient Echo T2* use a neutral position and 10 image sequences Gradient Echo T2* use position Abduction and External Rotation MRI of shoulder joint of 10 volunteers. Ratings are subjective images of the two respondents include the glenoid labrum, rotator cuff, joint space, border line and fluid in accordance with the level of clarity. Analysis of the data from the second respondent in kappa test (Realibility inter observer) to determine the level of common perception (measure of agreement) of the respondents after the data is selected from one of the respondents and the wilcoxon test for the presence or no difference between the two positions.Result : Results wilcoxon test in this study expressed a significant difference between the neutral position and the position of Abduction and External Rotation in total one image (the value of ρ 0.001), and percriteria namely the glenoid labrum (value ρ: 0,025), rotator cuff (the value of ρ: 0,008 ), joint space (value ρ: 0,025), borderline (value ρ: 0,005), and fluid (value ρ: 0,014), of the value of ρ total of one image with a value of ρ percriteria can be concluded that the sequences Gradient Echo T2 * use position Abduction and External Rotation can generate image information of shoulder joint anatomical MRI better than on sequences Gradient Echo T2* use a neutral position.Conclusion : There was a significant difference in the overall image information between the Gradient Echo T2* sequences using neutral position and Abduction and External Rotation position in total image with a p-value of  0.001 (p0.05).
Analisis Informasi Citra Anatomi antara Teknik Breath-Hold dan Trigger pada Pemeriksaan Magnetic Resonance Cholangiopancreatography (MRCP) Menggunakan Sequence T2 Half Fourier Acquisition Single Shot TSE (HASTE) Coronal Slab Yusron Adi Utomo; Bambang Satoto; Rini Indrati
Jurnal Imejing Diagnostik (JImeD) Vol 2, No 1: January 2016
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v2i1.3163

Abstract

Background: There are two image acquisition techniques in MRCP examination, which are breath-hold and trigger technique. Acquisition process in breath hold occurs when the patient holds their breath, meanwhile trigger technique uses respiratory gatting that functioned to monitor patient’s respiration and the acquisition occurs in the transition phase of inspiration and expiration. In Royal Taruma Jakarta Hospital this two technique are used sustainably, but in other hospital, such as Hasan Sadikin Bandung Hospital just uses one technique. This research aims to know the difference of anatomic image information of breath-hold and trigger technique in MRCP examination using T2 HASTE sequence coronal slab and to know which examination technique is better to produce anatomic image information between breath-hold and trigger technique.Methods: This research type was quantitative research with the observational approach. The data obtained by scanning 10 patients using breath-hold and trigger technique in Royal Taruma Jakarta Hospital. The image result was scored by radiology physician using checklist. The obtained data was analyzed with Wilcoxon test to know the difference of anatomic image information and which technique is better to produce anatomic image information between breath-hold and trigger technique.Results: The result showed that there were differences of anatomic image information of breath-hold and trigger technique on MRCP examination using T2 HASTE sequence coronal slab with p-value 0,011. Trigger technique produced better anatomic image information than breath-hold technique.Conclusion: There were differences of anatomic image information of breath hold and trigger technique on MRCP examination using T2 HASTE sequence coronal slab. Trigger technique produced better anatomic image information than breath-hold technique
Analisis Variasi Time Repetition (TR) terhadap Signal to Noise Ratio dan Contrast to Noise Ratio pada Pemeriksaan MRI Cervical T2 Weighted Fast Spin Echo (FSE) Potongan Sagital Rini Indrati; Heriansyah Heriansyah; Wakhrudin Wakhrudin
Jurnal Imejing Diagnostik (JImeD) Vol 2, No 1: January 2016
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v2i1.3168

Abstract

Background: Time Repetition (TR) is one parameter that can affect the value of Signal to Noise Ratio (SNR) and Contrast to Noise Ratio (CNR). The purpose of this research is to know the effect of variation of TR value on SNR and CNR on cervical MRI examination with Sagital T2 Weighted Fast Spin Echo sequence and to know the most optimal TR value from the variation of TR value to SNR and CNR on cervical MRI examination with Sagital T2 Weighted Fast Spin Echo.Methods: The type of this study was experimental study. The study was conducted using MRI 1.5 Tesla at Kasih Ibu Denpasar Hospital. Data were 40 MRI cervical images of sagital Fast Spin Echo from 10 volunteers with four variations of TR (2500 ms, 3000 ms, 3500 ms, and 4000 ms). The SNR and CNR values are measured by identifying the Region of Interest (ROI) in the corpus, discus, cerebro spinal fluid (CSF), and medula spinalis regions to obtain the average signals and compared with the mean deviation of the background. Data was analyzed by regression test to know the influence and by Anova test.Results: The result of the research showed that there was the influence of TR value to SNR and CNR of MRI Cervical Sagital T2 FSE. There was a strong correlation between the variation of TR values with SNR and CNR Cervical with p-value 0.05, the optimal TR value obtained in Cervical Sagital T2 FSE anatomical image on MRI 1,5 Tesla modality was 3500 ms.Conclusion: Time Repetition affected the signal to noise ratio and contrast to noise ratio. TR 3500 ms produced the most optimal cervical MRI image quality.
Noise Citra dan Estimasi Dosis Radiasi dengan Aktifasi Sistem Automatic Exposure Control pada Pemeriksaan Computed Tomography Kepala Rini Indrati; Azlan Yazid; Bagus Abimanyu
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.v1i2.3156

Abstract

Background: Of the ways to maintain optimum image quality and reduce the intensity of radiation to patients is optimizing the value of tube current (mAs) using parameter of Automatic Exposure Control (AEC) or mA modulation. But at the fact in hospital, protocol parameter Automatic Exposure Control (AEC) is not activated or OFF on head computed tomography examination.Methods: This study was a quatitative experimental study. Subject of this study was head phantom. Phantom scanned with four treatments, the activation parameters was sure exp.3D-high quality, sure exp.3D-standard, sure exp.3D-low dose and AEC-OFF. Noise was analyzed using the standard deviation of the CT Number. The ROI of approximately 5 mm2 the intracranial area which is divided into three quadrants namely the anterior region, central region and posterior region of neck which is uniform are aof phantom.Results: The results showed significant differences when parameter automatic exposure control was activated and disabled or AEC-OFF with p value was 0.003 (0,05). Furthermore, based on the scanning results in a change of  radiation dose estimation to the highest doses value of the activation parameters of automatic exposure control and the lowest dose when parameter automatic exposure control deactivated or AEC-OFF.Conclusion: Activation parameters of automatic exposure control (sure exp. 3D) on a head CT examination image noise tends to decline and give a higher radiation dose than when parameter automatic exposure control deactivated or AEC-OFF.
Pelaksanaan Informed Consent pada Pemeriksaan Intra Vena Pyelografi di Instalasi Radiologi Rumah Sakit Umum Sukoharjo Rini Indrati; Meita Shinta Fatikhatul Laila; Andrey Nino Kurniawan
Jurnal Imejing Diagnostik (JImeD) Vol 3, No 1: January 2017
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v3i1.3185

Abstract

Background: The implementation of informed consent at Radiology department of Sukoharjo Hospital was conducted by administrative officer and radiographer. The officer explained the preparation of pyelographic intra-venous examination to the patient then the patient was asked to fill out and sign the informed consent form. According to the Indonesian Medical Council and Regulation of the Minister of Health of Indonesia, the delivery of informed consent is carried out by doctors. The doctor explains all the information contained in the contents of informed consent before taking any medical action. The purpose of this research is to know the implementation of informed consent done in the radiology department and patient understanding of the contents of the informed consent form.Methods: The type of this research is descriptive qualitative research with the observational approach. Data were collected in March-June 2017 by observational of informed consent and interviews of 30 patients who will conduct intra vena pyelographic examination. Data analyzed by descriptively.Results: The results showed that the provision of informed consent to intravenous pyelographic examination patient at Sukoharjo Hospital was performed by administration officer and radiographer before conducting the examination. The patient's understanding of the contents of informed consent has not been in accordance with the content of the informed consent form because the information submitted by the radiologist only concerning the preparation of intravenous examination of pyelography does not include examination procedures, objectives, risks, complications, diagnoses, prognoses, alternative other measures and risks, and costs.Conclusions: In radiology department of Sukoharjo hospital at Intravenapyelography patient informed consent delivered by administrative officers and radiographer. Patients understanding the content of informed consent