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Analisis Informasi Citra Anatomi Antara Penggunaan Aplikasi Constance Level Appearance (CLEAR) dan Non CLEAR Pada Pemeriksaan MRI Cervical Irisan Sagital T2WI FSE Kasus HNP Dea Febri Mardiyanti; Sugiyanto Sugiyanto; Yeti Kartikasari
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.v1i2.3160

Background: This study aims to determine the anatomical image information between using CLEAR aplication and without CLEAR (Non CLEAR) aplication on cervical MRI examination with T2WI FSE sagital HNP case and to determine which is the best image between using CLEAR aplication and Non CLEAR aplication on cervical MRI examination with T2WI FSE sagital HNP case.Methods: This research was a quantitative research with an experimental approach Subjects of this study were eight patients in Siloam Lippo Village Hospital. Images resulted was assessed by radiology physician using questionnairs. Data were analyzed using Wilcoxon test to determine differences of image information and using mean rank test to determine the best image between using CLEAR application and without CLEAR aplication.Results: This study showed that there were differences anatomical image information between using CLEAR application and without CLEAR aplication on cervical MRI examination with T2WI FSE sagital HNP case, with p = 0,000 (p value 0,05). Cervical MRI examination with CLEAR aplication T2WI FSE produced the best image with the sum of the rank was 300,00 on the negative rank which showed that the image information without CLEAR aplication T2WI FSE lower than image information with CLEAR aplication T2WI FSE.Conclusion: There were differences the anatomical image information between using CLEAR application and without CLEAR aplication on cervical MRI examination with T2WI FSE sagital HNP case.

Rancang Bangun Alat Bantu Fiksasi dengan Penanda Waktu Eksposi Untuk Pemeriksaan Radiografi Abdomen Akut Siti Masrochah; Yeti Kartikasari; Bagus Abimanyu
Jurnal Imejing Diagnostik (JImeD) Vol 1, No 1: January 2015
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v1i1.3151

Backgroud: Limitations in a radiographic projection of the Left lateral decubitus (LLD) ussually challanges most of the Radiografers who intent to apply the technique toward patients with acute abdoment clinical cases. Related problems that occasionally come up with the LLD projection are the fixed patient positioning and the waiting time it takes to keep patient in the same position. The poor quality of the LLD radiograph and less imaged optimalisation of the free-air below the right diapragm lead to a dificult radiological interpretation. The study aims to design an aided patient fixation tool with its controlling timer used for the LLD projection; and to examine the the functional performance of the tool.Methods: the research is qualitative approached with an experimental study. Several steps following the reseach are creation of the master plan designs and selection of materials that should be used to develop an appropriate aided patient fixation tool with controlling timer for LLD projection; evaluation of the 5 designed tool system components (seated patient, cassette holder, safety belt, electronic sensored movement, andthe timer); and qualitative testing of the tool function and veryfication. The 6 aspects of tool performances have been decided to be complianced indicators whereas 5 observers (expert Radiographers) blended in the evaluation of the aided tool, and the tool has firmed to meet its requirement if the total observer’s score is greater and equal to 2,00Results: In general, the resulted tool perfomance testing fulfilled the requirements of the tool functions as it used for some radiographic procedures of the acute abdoment-LLD projection. The tool performance scores of convenince and reliability equipment showed at 2,25 and 2,75 which meant that a general radiographic quality was looking good without any presense of the artifacts. Morover, the scores for timer and censored devices were 2,70 and 2,65 recpectively, by this clearly described a proper function of timer control and indicator components. The total score for radiation safety evaluation contributed to the higest score amongst all aspects being assessed that was 2,80.Conclusion: The design of the aided patient fixation tool with controlling timer for LLD projection has not only met functional requirements but it has also proven to subtitute some limitations about maintaning good image quality when applied the LLD projection. Radiologic expertation on the LLD-radiograph of the acute abdoment obviously contributed to optimal clinical information

Analisis Perbandingan Nilai Signal to Noise Ratio (SNR) pada Pemeriksaan MRI Ankle Joint dengan Menggunakan Quad Knee Coil dan Flex/Multipurpose Coil Ahda Nur Arifah; Yeti Kartikasari; Emi Murniati
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.v3i1.3188

Background : Research on the difference comparison the value of Signal To Noise Ratio (SNR) at MRI Ankle Joint examination using Quad Knee Coil and Flex/Multipurpose Coil at the hospital's radiology installation Telogorejo Semarang. Quad knee coil is a volume coil, is a coil that can act as a transmitter and receiver at the same RF signal (transreceiver). Flex / Multipurpose Coil is a surface coil which has a high SNR for a superficial examination (a small organ). The purpose of this research is to know comparison the value of signal to noise ratio (SNR) and higher the value of signal to noise ratio (SNR) at MRI Ankle Joint examination using Quad Knee Coil and Flex / Multipurpose Coil.Method : This type of research is quantitative experimental approach. The research data which 6 samples. Rate includes images subjectively talocalcaneal interosseous ligament, talocrural joint, subtalar joint, the calcaneus, tibia, talus, and the Achilles tendon. Then the results of the data in Paired T-Test tested.Results : Test results that there are differences in comparison the value of signal to noise ratio (SNR) at MRI Ankle Joint examination using Quad Knee Coil and Flex / Multipurpose Coil which has a p-value / sig for all of 0.002, and each criterion that have talocalcaneal interoseous ligament p value 0.026, talocrural joint p value 0.017, subtalar joint p value 0.001, calcaneus p value 0.002, tibia p value 0.003, talus p value 0.006, and achilles tendon p value 0.012. This is in accordance with the calculated average value SNR on the use of Quad Knee Coil is higher at 110.67 because the coil acts as transreceiver and has two preamplifier so as to improve the SNRConclusion : There is a differences in comparison the value of Signal To Noise Ratio (SNR) at MRI Ankle Joint examination using Quad Knee Coil and Flex / Multipurpose Coil.

Analisis Nilai Velocity Encoding terhadap Informasi Citra Magnetic Resonance Venography pada Penderita Tumor Kepala Zita Hadiah Pratami; Sudiyono Sudiyono; Yeti Kartikasari
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.v2i2.3175

Background: Brain Magnetic Resonance Venography (MRV) is a MRI examination of veins without contrast media. Phase Contrast (PC) MRV sequences uses phase shift protons that flow along the magnetic gradient into needed area (Field Of View). PC MRV sequences use bipolar gradient to compensate the proton spin speed by adjusting the amplitude. The study aims to determine the Velocity encoding Value (VENC) to MRV image information on brain tumor patient and to determine the best image information through a technic to visualize the veins in brain tumor patient.Methods: This study was a quantitative study with quasi experimental approach. Data were collected in Radiology Department of Dr. Moewardi Surakarta Hospital on May to June 2016. Data was collected using questionnaire filled by three respondents. Data were analyzed statiscally using Friedman test and Wilcoxon test to determine the difference of value of Velocity Encoding (VENC) between 10 cm/sec, 15 cm/sec, 20 cm/sec, as well the mean rank test used to find out the best image information.Results: The statistical test showed that there were significant differences in image information of MRV, between VENC 10 cm/sec, 15 cm/sec and 20 cm/sec with p value was 0.032 (p˂0,05). The best result of MRV image information was when VENC value of 20 cm/sec used, indicated by the mean rank which was 2.83.Conclusion: There were significant differences of MRV image information between VENC 10 cm/sec, 15 cm/sec and 20 cm/sec. The best result of MRV image information was when VENC value of 20 cm/sec used, to visualize better anatomy of the veins, so that the presence of tumor thrombus in the veins can be ensured.

Analisis Kualitas Gambar Antara Rekonstruksi Dan Reformat MSCT Thorax Pada Kasus Tumor Paru Alfian Yusuf Al Rasyid; Yeti Kartikasari; Dartini Dartini
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.v1i2.3157

Backgroud: A CT Scan of thorax on tumor case is used to obtain information about the image quality on axial part of thorax and to determine the types of lesion. In the process, there were two techniques that often used. The techniques used was reconstruction technique and reformat technique. Reconstruction technique and reformat technique have a difference in the process of producing an image. This study aims to tell the image quality between MSCT thorax reconstruction and reformat on axial part of thorax on lung tumor case and to know which image quality better between MSCT thorax reconstruction and reformat on axial part of thorax on lung tumor case.Methods: The study was quantitative descriptive research. Subjects of this research was three patients. Image quality assessed by three radiology physician using reconstruction and reformat technique. Data was analyzed by statistical test using wilcoxon test. Ho was received when ≥ 0,05. It means that there were differences of image quality between MSCT thorax reconstruction and reformat on lung tumor case.Results: The results of the research based on statistical test were there was the difference of MSCT thorax between reconstruction and reformat on lung tumor case with the result of Wilcoxon test was 0,001 (p0.05). The test results mean rank value of reconstruction was 18,7 and mean rank value of reformat was 14,93.Conclusion: Based on this assessment, so reconstruction method was choosen as standard operational procedure for examination.

prosedur pemeriksaan CT Cardiac dengan Kasus Coronary Artery By Pass Grafting (CABG) di Instalasi Radiologi MRCCC SILOAM Hospital Semanggi Atika Dian Utami; Yeti Kartikasari; Sigit Wijokongko
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.v3i2.3194

Background : Coronary Artery By Pass Grafting (CABG) is one of the intervention treatments of Coronary Heart Disease (CHD), by creating a new channel through the coronary artery which is narrowed or blocked. The purpose of this research is to know the procedure of Cardiac CT examination with CABG case, acceptable Heart Rate range and how to lower Heart Rate range and how to lower Heart Rate at Radiologt Installation of MRCCC Siloam Hospital Semanggi.Methods : This type of research is qualitative with case study approach. The data were collected from April - June 2017 at Radiology Installation of MRCCC Siloam Hospital Semanggi by observation method, interview with 3 radiographers, 2 radiology specialists and 1 sending doctor and documentation. Data obtained from the study were analyzed by interactive model, with data reduction stage, data presentation and conclusion.Result : The results of this study stated that the procedure of Cardiac CT examination with CABG scan start from subclavia to the diaphragm to show the graft, the amount of contrast media used 20 cc more and the amount of saline used 10 cc more, Beta Blocker and Vasilidator not given because CT Scan with 256 slices work quickly so as to suppress the movement of the heart with optimal. Acceptable Heart Rate range is 65 - 80 bpm. How to lower high Heart Rate by giving patients education one day before the examination, which is does not consume drugs which can increase Heart Rate and do not perform heavy activities. Patients with unstable Heart Rate should be given Beta Blocker 2-3 days before the examinationConlusion : Based on the results of the study, the range of CT Cardiac examination with CABG cases differs from the usual cardiac CT range and using MSCT 256 radiology specialists slice does not need to consider the patient's heart rate

QUALITY CONTROL OF PACKED RED CELL (PRC) PRODUCT IN BLOOD DONATION UNIT Silvi Astutiningtiyas; Luthfi Rusyadi; Yeti Kartikasari
Jurnal Riset Kesehatan Vol 11, No 1 (2022): MAY 2022
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jrk.v11i1.8506

Blood Transfusion Service Standards aim to ensure the safety high quality and sufficient blood services sufficient blood reserve. The standard for blood requirements for each country according to WHO is at least 2% of the total population. The population in Indonesia has increased every year so the need for blood is also increasing causing demands for causing the quality of blood services to be better. One of the demands for the quality of blood services by knowing is to know the quality control of the blood produced. One of the blood products produced is PRC. PRC Packed Red Cells quality control checks must be carried out to determine the quality of the PRCs produced. This study aims to determine the overall quality control of PRC and the results of PRC quality control based on (volume, hemoglobin, hematocrit, hemolysis, and bacterial contamination) in the Blood Donation Unit of Banyumas Regency in 2020. This type of research is descriptive. Sampling technique with a sample quota as much as the total sample quality control packed red cell test obtained 1% of the total production of PRC components every month in the Blood Donation Unit of Banyumas. The QC research results were obtained from 430 PRC samples that met the passing standards: 426 samples (99%) volume, 426 samples (99%) hemoglobin, 380 samples (88%) hematocrit, 429 samples (99.7%) hemolysis, and 426 samples (99%) passed from bacterial contamination. The number of QCs who qualified was 373 samples (87%). These results indicate that the 2020 PRC QC obtained good and satisfying results.

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