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All Journal Jurnal Imejing Diagnostik Journal of Applied Health Management and Technology Nusantara Science and Technology Proceedings Kosala : Jurnal Ilmu Kesehatan Jurnal Radiografer Indonesia Journal of Innovation Research and Knowledge Jurnal Riset Rumpun Ilmu Kesehatan (JURRIKES) Jurnal Kesehatan Republik Indonesia
Ildsa Maulidya Mar'athus Nasokha
Prodi D3 Radiologi, Universitas ‘Aisyiyah Yogyakarta, Indonesia
Agriculture, Biological Sciences & Forestry Humanities Chemical Engineering, Chemistry & Bioengineering Dentistry Economics, Econometrics & Finance Education Engineering Health Professions Law, Crime, Criminology & Criminal Justice Materials Science & Nanotechnology Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary

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REDUKSI MISPREPSI PULMONARY EMBOLISM (PE) PADA CT-SCAN ANGIOGRAFI PULMONARY Maulidya Mar’athus N, Ildsa; Marjuki, Marjuki
JRI (Jurnal Radiografer Indonesia) Vol. 3 No. 1 (2020)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (307.339 KB) | DOI: 10.55451/jri.v3i1.65

Abstract

Background: Pulmonary Embolism (PE) is the third highest cause of death in cardiovascular. Right ventricular failure usually occurs within the first few hours, leading to the occurrence of right ventricular dysfunction (RVD). Computed tomography pulmonary angiography (CTPA) is an imaging technique that is the gold standard in evaluating patients with suspected PE because of their high sensitivity and specificity. The presentation of Pulmonary CTA images in PE needs to be interpreted correctly so that there is no loss of diagnosis by radiologists and cardiologists. This article aims to find out how to minimize the presence of mispreseption in findings of PE cases using CT-Scan modalities with the CT Pulmonary Angiography protocol. Methods: The type of research in this mini research is qualitative research with an experimental approach with measurements on the pulmonary arteries that have emboli, which are aimed at knowing the type and evaluating existing parameters to reduce misdiagnosis in PE patients. Results: The results of identifying the type of emboli using ROI (Region Of Interestand) measurements of the right and left ventricles can be seen that the patient has acute pulmonary embolism. Precise parameter settings play a role in producing informative diagnostic images of Pulmonary CTA. Conclusion: To obtain informative diagnostic images in cases of pulmonary embolism, it is necessary to pay attention in optimizing the procedures and parameters of pulmonary Angiography CT so that there is no misdiagnosis in patients.
DIFFERENCES OF ACCELERATION FACTOR APPLICATION TOWARD CHARACTERISTICS OF DIAGNOSTIC IMAGE T2WI FSE IN MRI LUMBAL HERNIATED NUCLEUS PULOSUS (HNP)CASE Ildsa Maulidya; Gatot Murti Wibowo; Emi Murniati
Jurnal Imejing Diagnostik (JImeD) Vol 4, No 2: July 2018
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v4i2.4005

Abstract

Background : Patients with HNP cases have a bigger chance to do a movement during MRI examination, and it causes poor MRI image. Quick time of MRI examination is needed to produce an optimal image. The technique of parallel imaging is a technique that can increase the speed of MRI data acquisition by passing through several lines of phase encoding in k-space. The GRAPPA technique is one of the methods used to reconstruct data on MRI parallel imaging techniques with better overall image quality. The technique of parallel imaging has a special parameter called acceleration factor. Acceleration factor (R-factor) will affect scan time. The purpose of this research is to know the difference of diagnostic image characteristic which is resulted in applying acceleration factor 2, 3 and 4 in parallel imaging of GRAPPA method and know the optimal acceleration factor to obtain MRI image of lumbar HNP case.Methods : This research type is quantitative research with descriptive approach. The study was conducted by MRI Siemens 3 T in RSUD Dr. Soedono Madiun. The data were 30 MRI images of lumbar sagittal of HNP cases on T2WI FSE with acceleration factor 2, 3 and 4 GRAPPA methodsResult : The results of this study indicate that there are differences in diagnostic image characteristics in the application of acceleration factor 2 and 4, 3 and 4 with VGA test. Acceleration factor value optimal with VGC test known is acceleration factor 2 and 3Conclusion : Based on the result there was differencediagnostic image characteristics of MRI Lumbar in sagital plane Fast Spin Echo (FSE)sequence with variation acceleration factor 2, 3 and 4 parallel imaging GRAPPA methode in case Herniated Nucleus Pulposus (HN0). Optimal value of variation acceleration factor value for MRI Lumbar examination of Heniated Nucleus Pulposus (HNP) is 2 dan 3.
PERBEDAAN PENERAPAN ACCELERATION FACTOR TERHADAP KARAKTERISTIK CITRA DIAGNOSTIK T2WI FSE PADA MRI LUMBAL KASUSHERNIATED NUCLEUS PULPOSUS (HNP) Maulidya Nasokha Ildsa; Gatot Murti Wibowo; Emi Murniati
Jurnal Imejing Diagnostik (JImeD) Vol 5, No 2: July 2019
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v5i2.4464

Abstract

Background: Patients with HNP cases have a bigger chance to do a movement during MRI examination, and it causes poor MRI image. Quick time of MRI examination is needed to produce an optimal image. The technique of parallel imaging is a technique that can increase the speed of MRI data acquisition by passing through several lines of phase encoding in k-space. The GRAPPA technique is one of the methods used to reconstruct data on MRI parallel imaging techniques with better overall image quality. The technique of parallel imaging has a special parameter called acceleration factor. Acceleration factor (R-factor) will affect scan time. The purpose of this research is to know the difference of diagnostic image characteristic which is resulted in applying acceleration factor 2, 3 and 4 in parallel imaging of GRAPPA method and know the optimal acceleration factor to obtain MRI image of lumbar HNP case.Methods: This research type is quantitative research with descriptive approach. The study was conducted by MRI Siemens 3 T in RSUD Dr. Soedono Madiun. The data were 30 MRI images of lumbar sagittal of HNP cases on T2WI FSE with acceleration factor 2, 3 and 4 GRAPPA methodsResult: The results of this study indicate that there are differences in diagnostic image characteristics in the application of acceleration factor 2 and 4, 3 and 4 with VGA test. Acceleration factor value optimal with VGC test known is acceleration factor 2 and 3Conclusion: Based on the result there were differencediagnostic image characteristics of MRI Lumbar in sagital plane Fast Spin Echo (FSE)sequence with variation acceleration factor 2, 3 and 4 parallel imaging GRAPPA methode in case Herniated Nucleus Pulposus (HN0). The optimal value of variation acceleration factor value for MRI Lumbar examination of Heniated Nucleus Pulposus (HNP) is 2 dan 3.
DIFFERENCE IMPLEMENTATION OF T1WI SE AND T1WI FSPGR BRAVO SEQUENTS IN MRI BRAIN TUMOR Eko Sulistyo; Ildsa Maulidya Mar’athus N
Journal of Applied Health Management and Technology Vol 1, No 1 (2019): Oktober 2019
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (298.013 KB) | DOI: 10.31983/jahmt.v1i1.5307

Abstract

Tumor is basically an uncontrolled growth of cancerous cells in any part of the body, whereas a brain tumor is an uncontrolled growth of cancerous cells in the brain. Useing of MRI in diagnose tumors can be done with various sequences. Contrast medium is needed to evince tumor enhancement, as well as sequences that support to produce tumor in post contrast, one of which uses a conventional sequence T1WI SE. This sequences often lose information in providing images in cases of brain tumors and generally more time consuming. FSPGR BRAVO is a 3D volumetric acquisition that captures thin section images with near isotropic or isotropic spatial resolution. This sequence displays anatomy, especially brain parenchymal anatomy, in fine detail. The type of research in this mini research is a qualitative study with an observational approach which aims to find out sequences that can optimize post-MRI images in contrast to brain tumor cases with a short time and get the right diagnosis. Convensional sequence of MRI TIWI SE can’t detection of lessions in cerebral cortex. FSPGR BRAVO in producing images in 3D format in one-time retrieval of one particular piece and able to display anatomy especially the anatomy of the brain parenchyma in fine detail. FSPGR BRAVO can be used to assist cause to be uprise the diagnosis of MRI brain tumor by displaying the anatomy of the brain parenchyma in more fine detail, without the need for extended time.
Charges Detection of Ultrashort Hirschsprung's Disease (Congenital) with Additional Rectography Examinations Maulidya Ildsa Mar'athus Nasokha; Ninda Anggresti
Nusantara Science and Technology Proceedings 4th International Conference on Vocational Innovation and Applied Science 2022
Publisher : Future Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/nstp.2022.2909

Abstract

Hirschsprung's disease, occurs 75% occur after six weeks from birth, characterized by aganglionosis of the rectum and sigmoid regions. Rectography is usually used to detect the presence of a rectocele or small-size rectal neoplasms with MR examination. In another study, an examination of the colon can be done with an MRI examination by looking at the enlargement of the colon wall. However, it has the disadvantages of a long duration of examination time, inaccuracy in detecting the entire colon anatomy, and peristaltic artifacts caused by distention of the colon wall. The purpose of this study was to determine the role of rectography examination of neonatal patients with Hirschsprung's disease in the colon in loop examination technique. This type of research is a case study with an observational approach to rectography examination on the neonatal colon in-loop examination techniques. Rectography techniques can be used as an additional examination technique to ascertain the presence of Hirschsprung's pathology, especially in transition areas that are difficult to reach if only using the colon-in-loop examination technique.
ANALISIS INFORMASI ANATOMI PENGGUNAAN PROYEKSI SKYLINE PADA PEMERIKSAAN KNEE JOINT POST ARTHROSCOPY Ildsa Maulidya Mar'athus Nasokha; Fisnandya Meita Astar; Retno Wati; Vicky; Muhammad Amri Al- Furqan; Bima Herdian Adhiewilaga; Hafidzhoh Qulubul Fadhila; Aufia Dina Aulya
KOSALA : Jurnal Ilmu Kesehatan Vol. 11 No. 2 (2023): KOSALA : Jurnal Ilmu Kesehatan
Publisher : Sekolah Tinggi Ilmu Kesehatan Panti Kosala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37831/kjik.v11i2.309

Abstract

Latar belakang: knee Joint atau sendi lutut merupakan salah satu sendi terbesar dalam tubuh, sendi ini merupakan sendi yang kompleks. Osteoarthritis merupakan kelainan sendi degenerasi non inflamasi yang terjadi pada sendi yang dapat digerakkan dan sendi penopang berat badan dengan gambaran khas memburuknya rawan sendi. Salah satu penanganan pada gangguan sendi menggunakan arthroscopy. Arthroscopy adalah prosedur pembedahan yang progresnya dapat dilihat melalui pemeriksaan radiografi. Pemeriksaan radiografi knee joint pada kasus osteoarthritis menggunakan proyeksi anteroposterior (AP) weight bearing dan lateral. Sedangkan di RS Ortopedi Prof Dr. R Soeharso Surakarta pemeriksaan knee joint pada kasus Osteoarthritis menggunakan proyeksi AP Standing, Lateral Standing dan tambahan Proyeksi Skyline. Tujuan dari penelitian ini adalah untuk mengetahui informasi anatomi penggunaan proyeksi skyline pada post arthoscopy dan alasan penggunaan proyeksi skyline pada pemeriksaan knee joint dengan kasus osteoarthritis. Subyek dan metode: subyek penelitian ini adalah satu orang petugas operator, dua orang radiografer dan satu orang ahli radiologi. Jenis penelitian yang digunakan dalam penelitian ini adalah penelitian kualitatif dengan jenis studi kasus. Metode pengumpulan data menggunakan observasi, wawancara, dokumentasi di Instalasi Radiologi Rumah Sakit Ortopedi Prof. Dr. R Soeharso Surakarta dan studi kepustakaan. Analisis data dilakukan dengan hasil wawancara di buat transkrip wawancara, reduksi data, tabel kategorisasi, koding terbuka, dan dibuat kesimpulan. Hasil penelitian: informasi anatomi penggunaan proyeksi skyline pada pemeriksaan knee joint post arthroscopy adalah osteoarthritis genu dextra Grade 4 dengan pembentukan osteofit prominent pada condylus medialis et lateralis os femur et tibia, juga pada os. patella dengan penyempitan joint space, deformitas dan fusi serta subchondral cyst. Alasan pemeriksaan knee joint pada kasus post arthroscopy di Instalasi radiologi RS Ortopedi Surakarta menggunakan proyeksi skyline adalah dapat menampakkan celah sendi, dan memperlihatkan ada tidaknya iregularitas pada permukaan sendi antara tulang tibia dan patella.   Kata kunci: arthroscopy, joint, knee, osteoarthritis   Background: the knee joint is one of the largest joints in the body, a complex joint. Osteoarthritis is a noninflammatory degenerative joint disorder that occurs in movable joints and weight support joints with a typical picture of worsening joint proneness. One treatment for joint disorders is using arthroscopy. Arthroscopy is a surgical procedure whose progress can be seen through radiographic examination. Knee joint radiographic examination of osteoarthritis cases using an anterior (AP) weight bearing and lateral projection). Meanwhile, at the Orthopedic Hospital, Prof. Dr. R Soeharso Surakarta, the joint Knee examination on the case of Osteoarthritis used the projection of AP Standing, Lateral Standing and additional Skyline Projections. The aim of the study: the purpose of this study was to find out the anatomical information on the use of skyline projections on postarthoscopy and the reasons for using skyline projections on Knee joint examinations with osteoarthritis cases. Subjects and method: the subjects of this study were one dispatcher, two radiographers, and one radiologist. The type of research used in this study is qualitative research with a type of case study. The data collection method uses observations, interviews, documentation at the Radiological Installation of Orthopedic Hospital in Prof. Dr. R Soeharso Surakarta and library studies. Results: radiographic examination of the Knee joint post arthroscopy with projections: AP projection, Lateral projection, and Skyline projection. The anatomical information on the use of skyline projections on Knee joint post arthroscopy is Grade 4 osteoarthritis of the dextra gene with the formation of prominent osteophytes in the conditionyl medialis et lateralis os femur et tibia, as well as in the os. It is a subchondral cyst with narrow joint space, deformity and fusion and subchondral cyst. The reason for the Knee joint examination on the postarthroscopy case at the Radiological Installation of Orthopedic Hospital in Prof. Dr. R Soeharso Surakarta using skyline projections is that there is no irregularity in the joint surface between the tibia and patella bones.Conclusion: the reason for the Knee joint examination on the postarthroscopy case at the Radiological Installation of Orthopedic Hospital in Prof. Dr. R Soeharso Surakarta using skyline projections is that there is no irregularity in the joint surface between the tibia and patella bones.   Keywords: arthroscopy, joint, knee, osteoarthritis
Studi Kasus Teknik Pemeriksaan Shoulder Joint Dengan Suspect Dislokasi Di Instalasi Radiologi PKU Muhammadiyah Bantul Azis Abdullah; Ari Anggraeni; Ildsa Maulidya Mar'athus Nasokha
Jurnal Kesehatan Republik Indonesia Vol 1 No 9 (2024): JKRI - September 2024
Publisher : PT. INOVASI TEKNOLOGI KOMPUTER

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Abstract

Penelitian ini adalah kualitatif dengan pendekatan studi kasus pada pemeriksaan shoulder joint dengan suspect dislokasi. Penelitian dilaksanakan pada bulan Agustus 2023 sampai dengan bulan Mei 2024 di Instalasi Radiologi PKU Muhammadiyah Bantul. Pengambilan data dilakukan dengan observasi, wawancara langsung dan dokumentasi. Subjek penelitian ini adalah 2 radiografer dan 1 dokter spesialis radiologi, sedangkan objek penelitian ini adalah pemeriksaan shoulder joint dengan pada pasien suspect dislokasi. Analisis data dilakukan dengan reduksi data. Penelitian menunjukkan bahwa pemeriksaan shoulder joint dengan suspect dislokasi di Instalasi Radiologi PKU Muhammadiyah Bantul yaitu pemeriksaan radiografi shoulder joint dengan proyeksi AP dengan kedua tangan pasien memegang beban 5 kg berupa jeriken. Alasan digunakannya beban 5 kg pada pemeriksaan proyeksi AP shoulder joint yaitu untuk mengukur celah acromioclavicular joint yang sakit dengan yang tidak sakit, untuk mengurangi pergerakan yang tidak diinginkan, dan untuk agar shoulder joint simetris kanan dan kiri. Saran penulis sebaiknya di Instalasi Radiologi PKU Muhammadiyah Batul menambah SPO yang mengatur penggunaan beban pada pemeriksaan shoulder joint. Teknik pemeriksaan shoulder joint dengan suspect dislokasi di Instalasi Radiologi PKU Muhammadiyah Bantul dilakukan proyeksi AP dengan kedua tangan diberi beban 5 kg. Alasan diberikannya beban 5 kg pada tangan pasien dengan suspect dislokasi di Instalasi PKU Muhammadiyah Bantul yaitu untuk mengukur celah acromioclavicular joint kanan dan kiri, serta untuk mengurangi pergerakan yang tidak diinginkan
ANALISIS REJECT FILM DIGITAL RADIOGRAFI DI INSTALASI RADIOLOGI RSUD SIDOARJO BARAT Akmal Fajar Huwolo; Ari Anggraeni; Ildsa Maulidya Mar'athus Nasokha
Journal of Innovation Research and Knowledge Vol. 5 No. 4: September 2025
Publisher : Bajang Institute

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Abstract

Background: Reject analysis is an evaluation of rejected radiographic results. At the Radiology Department of Sidoarjo Barat General Hospital, the recording and evaluation of rejected films have not been optimally implemented despite the use of Digital Radiography (DR) technology. There are still radiographs that are rejected without adequate documentation and analysis. This study aims to identify the causes of rejection, the percentage of rejected films, and the recording and analysis systems in place. Method: The study was conducted from October 2024 to July 2025 using a mixed-method approach (qualitative and quantitative). The qualitative approach involved observation, interviews, and documentation of radiographers and medical physicists, as well as analysis of secondary data from regulations and publications. The quantitative approach involved collecting data on the total number of digital images and rejected images. The rejection rate was calculated using the formula: (number of rejected images ÷ total number of images) × 100%. Results: The film rejection rate was recorded at 0.84% (8 films out of 946 uses) in October 2024 and increased to 1.96% (23 films out of 1,173 uses) in November 2024, and 1.28% (13 films out of 1,012 uses) in December 2024. The total number of film uses from October to December was 3,131 films. The causes of film rejection included human error (2.72%), tool error (3.86%), foreign objects (0.90%), fog (0.68%), and patient error (1.81%). Tool error was the most common cause. The most common type of examination with rejections was lumbosacral, while the lowest was femur. Conclusion: The implementation of data collection on the factors causing film rejections does not yet comply with regulations. The researcher recommends paying attention to the evaluation of film rejection analysis in radiology department management to ensure quality assurance continues to operate safely
STUDI KASUS PENGGUNAAN MAXIMUM INTENSITY PROJECTION DALAM MENINGKATKAN KUALITAS CITRA PADA PEMERIKSAAN CT UROGRAFI DENGAN KLINIS NEFROLITIASIS Zahra Sekar Ashsheibyra; Ildsa Maulidya Mar'athus Nasokha; Ike Ade Nur Liscyaningsih
Journal of Innovation Research and Knowledge Vol. 5 No. 4: September 2025
Publisher : Bajang Institute

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Abstract

Background: In CT Urography examinations with clinical nephrolithiasis, small stones are often difficult to detect using standard reconstruction because they are hidden between imaging slices. Maximum Intensity Projection (MIP) is a reconstruction algorithm that displays voxels with the highest attenuation into a two-dimensional image, so that high-density structures such as calcifications appear more clearly. Based on observations at the Radiology Installation of RS X, image reconstruction was added with MIP. This study aims to determine the CT Urography examination procedure and the reasons for using MIP to improve image quality in nephrolithiasis cases. Method: This qualitative research applied a case study approach. The study was conducted at the Radiology Unit of RS X in May 2025. Subjects included three radiographers and one radiologist, as well as CT urography subjects with clinical nephrolithiasis. Data were obtained through observation, documentation, and interviews, then analyzed through data reduction, data presentation, and conclusion drawing. Results: The CT urography examination procedure followed a plain abdominal protocol, with patient preparation including the consumption of 700-1000 mL of warm tea without fasting. Image reconstruction was performed by adding MIP to coronal sections showing abnormalities. MIP provided clearer and more intact visualization of the kidneys with well-defined borders. Kidney stones appeared brighter and had better contrast, with Hounsfield Unit (HU) values ​​at 5 mm slice thickness increasing from 507 to 516 after MIP application. This increase illustrates the mechanism of MIP in displaying voxels with the highest attenuation, making stones easier to recognize. HU values ​​before and after MIP fell within the classification range of calcium oxalate and calcium phosphate commonly found in the urinary tract. Conclusion: The use of MIP has been shown to improve image quality, particularly in visualizing kidney stones, thus supporting diagnostic accuracy and interpretive efficiency. Fasting preparation is still recommended to minimize fecal material and provide clearer visualization of the urinary tract and abnormalities
Studi Kasus Prosedur Pemeriksaan Colon in Loop pada Pasien Pediatrik dengan Kasus Hirschprungs di RSUD Brebes Abid Muhammad Fathul Islam; Ildsa Maulidya Mar'athus Nasokha; Amril Mukmin
JURNAL RISET RUMPUN ILMU KESEHATAN Vol. 4 No. 2 (2025): Agustus : Jurnal Riset Rumpun Ilmu Kesehatan
Publisher : Pusat riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jurrikes.v4i2.5363

Abstract

Colon In Loop examination is an important radiographic procedure in the evaluation of Hirschsprung cases in pediatric patients. At Brebes Regional Hospital, there are differences in procedures compared to existing literature, especially in the method of administering contrast media and the projections used. This study aims to review and examine the Colon In Loop examination procedure in pediatric patients with Hirschsprung cases at Brebes Regional Hospital. This study uses a qualitative descriptive approach with a case study method. Data were collected through observation, interviews, and documentation involving three radiographers and one radiologist as research subjects. Data analysis techniques were carried out through data reduction, data presentation, and drawing conclusions. Results Colon In Loop examination in pediatric patients at Brebes Regional Hospital was performed without any special preparation for the patient. Contrast media was used with a stepwise method, namely 50cc in the first stage and added 50cc in the second stage. The projections used included AP (Antero Posterior) and AP oblique to overcome visualization limitations. The Colon In Loop examination procedure at Brebes Regional Hospital differs from the literature regarding the method of contrast media insertion and additional projections. This provides better visualization for Hirschsprung's diagnosis in pediatric patients.
Co-Authors Abid Muhammad Fathul Islam Akmal Fajar Huwolo Amril Mukmin Ari Anggraeni Aufia Dina Aulya Azis Abdullah Bima Herdian Adhiewilaga Eko Sulistyo Emi Murniati Fisnandya Meita Astar Gatot Murti Wibowo Gatot Murti Wibowo Hafidzhoh Qulubul Fadhila Marjuki Marjuki Muhammad Amri Al- Furqan Ninda Anggresti Retno Wati Vicky Zahra Sekar Ashsheibyra