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Journal : Proceedings Series on Health

Case Study: Antero-Posterior Projection of Pelvis Radiographic Examination Techniques in the Diagnosis of Hemiarthroplasty Almira Dea Fattarizka; Hernastiti Sedya Utami
Proceedings Series on Health & Medical Sciences Vol. 2 (2021): Proceedings of the 2nd International Nursing and Health Sciences Universitas Muhammad
Publisher : UM Purwokerto Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (289.532 KB) | DOI: 10.30595/pshms.v2i.235

Abstract

Hemiarthroplasty is a surgical procedure to replace half of the hip joint with a prosthesis or artificial joint. The radiology procedure for the Hemiarthroplasty at Orthopaedic Hospital Purwokerto uses Antero-posterior projection of the pelvis. This projection is different from the routine projection, namely the Unilateral Antero-posterior Hip Projection. The purpose of this study is to determine the procedure for radiographic examination in cases of Hemiarthroplasty and to find out the reasons for using the Antero-posterior Pelvis projection to establish the patient's diagnosis. This type of research was qualitative with a case study approach. Data collection conducted in December 2020 at the Radiology Installation of the Orthopaedic Hospital Purwokerto, using the methods of observation, documentation, and interviews with radiographers and radiologists. Data analysis performed with primary data taken from one patient with Hemiarthroplasty. The patient has a history of fracture (broken bone) in the right side of the femoral neck before hemiarthroplasty surgery. The results showed that the proper projection for Hemiarthroplasty is the Antero-posterior Pelvis projection. The reasons were to see a comparison between the right and left hip joints and to find if there is a space or distance from the hip joints after the surgery procedure. Radiologists can get needed anatomical information about the pelvis by performing an Antero-posterior projection.
Variation of b Value for Axial DWI Prostate MR Imaging in Cancer: Which b Value is Optimal? Nurul Dwi Agustina; Fani Susanto; Hernastiti Sedya Utami; Lujeng Agus Setiarso; Muhammad Faisal
Proceedings Series on Health & Medical Sciences Vol. 5 (2024): Proceedings of the 4th International Nursing and Health Sciences Universitas Muhammad
Publisher : UM Purwokerto Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/pshms.v5i.965

Abstract

Background: Diffusion Weighted Imaging (DWI) is a technique that visualizes the movement of water molecules from areas of higher to lower concentration. In DWI sequences, the b-value parameter affects the signal intensity in the images. The objective of this study is to describe the differences in anatomical image information between b-value variations of 1500s/mm2, 2000s/mm2, and 2500s/mm2 in MRI prostate case cancer and to determine the most optimal b-value. Method: This study used a pre-exeachimental approach with a 1.5T Philips MRI machine at a private hospital in South Jakarta from March to April 2023. The sample consisted of 12 Prostate MRI images with DWI sequences and different b-values. Visual grading assessment was eachformed by three radiology specialists, and the data were analyzed using the Friedman test in SPSS. Results: The results showed a significant difference in anatomical image information based on the b-value variations used, with a p-value of 0.05 (0.02). The highest mean rank was obtained from the Friedman test for the b-value of 2000s/mm2. Conclusion: The significant difference in anatomical image information occurred due to differences in signal intensity and noise levels. Prostate cancer tissues appeared more hyperintense with lower noise in images with higher b-values, and vice versa. Additionally, the b-value of 2000s/mm2 resulted in the most optimal signal intensity and noise level. In conclusion, the use of b-value variations in axial DWI images of prostate cancer Prostate MRI to differences in anatomical image information, with the most optimal image information observed at a b-value of 2000s/mm2.
Difference in Image Information Between DWI Sequence and DWI Blade for Optimization of Axial Brain Bintang Kukuh Iman Setyabudi; Hernastiti Sedya Utami; Fani Susanto; Kusnanto Mukti Wibowo
Proceedings Series on Health & Medical Sciences Vol. 5 (2024): Proceedings of the 4th International Nursing and Health Sciences Universitas Muhammad
Publisher : UM Purwokerto Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/pshms.v5i.976

Abstract

Background: Diffusion Weighted Image (DWI) sequence that utilizes the movement of molecules due to random thermal motion. The aim of this research is to determine the difference in image information between DWI sequence and DWI BLADE on axial brain MRI images for optimization and to find the most optimal sequence between DWI and DWI BLADE on axial brain MRI images. Method: This study used a quantitative experimental research that aims to determine image information and optimize brain MRI examinations between DWI sequence and DWI BLADE using the MRI Siemens Magnetom Amira 1.5 T at Dr. Oen Kandang Sapi Hospital Solo in May-June 2023. The sample consisted of 11 MRI assessments through visual grading analysis to provide interpretations related to image clarity information, thus obtaining the optimal use of DWI and DWI Blade sequences. Results: Based on the research and discussion results, it can be concluded that there is a difference in anatomical image information between DWI sequence with BLADE and without BLADE on axial brain MRI examinations, with a significance value of 0.00 (p<0.05), indicating a difference in anatomical image information in the cortex cerebri, thalamus, cerebellum, basal ganglia, and a significance value of 1.000 (p<0.05) for artifact information, indicating no difference in artifact image information between DWI sequences with BLADE and without BLADE. Conclusion: DWI BLADE sequence provides better anatomical image information compared to DWI sequence without BLADE in axial brain MRI examinations.