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All Journal MEDIA MEDIKA INDONESIANA Journal of Nutrition and Health Jurnal Kedokteran Diponegoro Medical Journal of Indonesia Indonesian Journal of Tropical and Infectious Disease Indonesian Journal of Rheumatology Proceedings of the International Conference on Applied Science and Health Medica Hospitalia Diponegoro International Medical Journal (DIMJ)

Hermina Sukmaningtyas

Department Of Radiology, Faculty Of Medicine, Diponegoro University, Semarang, Indonesia

Author-ID : 390481

Dentistry Earth & Planetary Sciences Education Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health

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The Correlation Between Cobb’s Angle and Pedicle Rotation in Adolescent Idiopathic Scoliosis After Surgical Treatment Danu Purnama Aji; Hermina Sukmaningtyas; Agus Priambodo; Christina Hari Nawangsih
Diponegoro International Medical Journal Vol 2, No 1 (2021): July
Publisher : Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/dimj.v2i1.9531

Background: Adolescent Idiopathic Scoliosis (AIS) is a 3-dimensional deformity that involves not only curve in the coronal and sagittal planes but also rotation of vertebrae based on pedicle rotation. The Cobb’s angle is the gold standard for measuring the lateral curve that could show severity of the spine deformity. The Cobb’s method only evaluate the lateral curve,and the method to determine the pedicle rotation can be used the Nash and Moe’s method.The higher pedicle rotation grade had higher Cobb’s angle. Surgical treatment for scoliosis is indicated for the curve exceeding 40o. Posterior spinal fusion is the most commonly used technique in scoliosis surgery.Objective: To identify the correlation between the Cobb’s Angle and pedicle rotation in AIS after surgical treatment.Methods: The research design used in this study was Cross Sectional. The sample size of this study were 22 subjects using purposive sampling, the independent variable of this study was Cobb’s angle while the dependent variable was pedicle rotation. Spearman’s rank correlation was used to analyze the correlation between variable.Results: The spearman’s rank correlation revealed a significant correlation between the Cobb’s Angle and pedicle rotation in AIS after surgical treatment with the p 0,005 and r 0,462.Conclusion: This study demonstrates there is a significant correlation between Cobb’s angle and pedicle rotation in AIS after surgical treatment with medium strength.

Correlations between osteoartritis grading in femorotibial joint (kellgren lawrence) with cartilage defects grading Yuliati Permatasari; Nasirun Zulqarnain; Hermina Sukmaningtyas; Bantar Suntoko
Indonesian Journal of Rheumatology Vol. 8 No. 2 (2016): Indonesian Journal of Rheumatology
Publisher : Indonesian Rheumatology Association

Background : Osteoarthritis (OA) is the most common chronic rheumatic diseases that causing pain and disability. The imaging of knee OA were found in 15,5%Â men and 12,7% women of Indonesia population. Radiography is still used as a standard modalities in assesing OA progression, and Kellgren-Lawrence scale (KL) is the most common measurement used byclinicians. Superficial cartilage degradation is the first sign of OA, the early detection of the superficial cartilage degradation is very important for diagnosis. Our study was established to assess the correlation between OA grading in femorotibial joint examined by standard Kellgren-Lawrence scale (KL) measurement with cartilage defects examined by ultrasound.Methods : Observational analytic study with cross sectional and consecutive sampling was performed. Rank Spearman test for correlation of OA grading, cartilage defect, BMI and joint malalignment. McNemar test for correspondence between the location of the narrowing of the femorotibial joint and location of cartilage defects.Result : Correlation of OA grading of femorotibial joints (KL) with cartilage defects grading on ultrasound resulted r =0.459, p<0.05; correlation of OA grading of femorotibial joints (KL) with BMI or joint malalignment resulted p>0,05; correlation of cartilage defect grading with BMI or joint malalignment also resulted p>0.05. McNemar test for location of the narrowing of thefemorotibial joint with location of cartilage defects on ultrasound resulted p = 1.00, k = 0.714. There was a significant positive correlation of OA grading of femorotibial joints (KL) with cartilage defects grading on ultrasound. There was no significant correlation between OA grading of femorotibial joints (KL) with BMI and joint malignment, and no significant correlationbetween cartilage defects grading with BMI and joint malalignment. There is a correspondence between the location of the narrowing of the femorotibial joint with location of cartilage defects on ultrasound.Conclusion: For assesing the grade of osteoartritis, cartilage defect grading and assesment by ultrasound can be used as an alternative to X-Ray KellgrenLawrence scale (KL) measurement.Keywords : femorotibial joint, cartilage defects grading, osteoartritis grading examination, BMI, joint malalignment.

Risk Factors Influencing the Degree of Tuberculous Spondylitis Based on MRI Modality Sadewo, Mukti; Sukmaningtyas, Hermina; Priambodo, Agus; Prihharsanti, Christina Hari Nawangsih
Indonesian Journal of Tropical and Infectious Disease Vol. 11 No. 3 (2023)
Publisher : Institute of Topical Disease Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijtid.v11i3.45942

The high prevalence and mortality of tuberculosis (TB) is serious threats to the world. Tuberculous spondylitis accounts for 50% of all bone and joint TB cases. The accuracy of diagnosis to detect disease severity using Magnetic Resonance Imaging (MRI) modalities is important when considering potential risk factors. This study aimed to analyze the association of risk factors, including age, sex, spinal lesion location, and abscess location, with the severity of tuberculous spondylitis based on MRI modality using the Gulhane Askari Tip Akademisi (GATA) classification. This study had a cross-sectional design. The study sample consisted of 50 patients who met the inclusion criteria and underwent MRI. The statistical analysis performed in this study was multivariate analysis using multiple linear regression. The results showed that 84% (n = 42) of tuberculous spondylitis affected patients aged 18-65 years, and 70% (n = 35) of cases were found in female patients. In addition, 42% (n = 21) of cases were classified as tuberculous spondylitis grade III according to the GATA classification and were the most common cases in this study. Statistical tests showed no association between age, the location of spinal lesions, and the degree of tuberculous spondylitis. However, there was an association between sex, spinal abscess location, and degree of tuberculous spondylitis. There was no significant association between age and spinal lesion location or degree of tuberculous spondylitis. However, there was a significant association between sex, spinal abscess location, and the degree of tuberculous spondylitis.

Kasus Dua Orang Wanita Umur 36 Tahun Dan 60 Tahun Dengan Akromegali Ismayanti, Fajri; Sukmaningtyas, Hermina
Medica Hospitalia : Journal of Clinical Medicine Vol. 7 No. 2 (2020): Med Hosp
Publisher : RSUP Dr. Kariadi

Kasus Akromegali di RSUP dr. Kariadi sangat jarang terdeteksi pada fase awal karena minimnya gejala yang ditimbulkan. Pasien ditemukan tanpa sengaja biasanya datang dengan keluhan penyerta yang lain. Pemeriksaan Radiologi membantu menegakkan diagnosis Akromegali. Dilaporkan 2 kasus wanita usia 36 tahun dan 60 tahun dengan Akromegali. Kasus pertama Ny. D usia 36 tahun dengan keluhan benjolan di leher dan sulit menelan datang ke poliklinik Penyakit Dalam RSUP dr. Kariadi. Pada pemeriksaan USG colli didapatkan pembesaran kelenjar tiroid, penebalan isthmus, nodul solid dengan jaringan nekrotik (ukuran terbesar ± 3.64 x 2.16 cm). Kasus kedua, Ny. N usia 60 tahun dengan keluhan nyeri diseluruh sendi. Tulang membesar, mentruasi berhenti pada usia 35 tahun. Pada pemeriksaan radiologi X Foto vertebra lumbosacral tampak gambaran Ankylosing Spondilosis. Pada pemeriksan MRI kepala kedua pasien diatas ditemukan makroadenoma. Kedua pasien berperawakan pendek dengan pembesaran tangan, kaki dan tulang wajah (prognatism) Akromegali adalah suatu penyakit akibat dari peningkatan sekresi hormon pertumbuhan (somatotropin) oleh sel eosinofilik dari lobus anterior kelenjar pituitari, yang disebabkan oleh hiperplasia kelenjar atau tumor yang menyebabkan pertumbuhan tulang yang meningkat. Akromegali umum ditandai dengan pembesaran tangan, kaki dan tulang wajah. Akromegali menyebabkan perubahan bertahap pada bentuk wajah, seperti rahang bawah dan alis yang menonjol, hidung membesar, bibir menebal dan gigi jarang. Akromegali cenderung berkembang perlahan. Pemeriksaan foto cranium, tangan dan kaki menunjukkan kelainan pada tulang. Dilaporkan kasus diatas untuk membantu klinisi menegakkan diagnosa Akromegali dengan menggunakan multi modalitas radiografi, sehingga dapat ditegakkan lebih awal untuk membantu tatalaksana pasien. KATA KUNCI : Akromegali, Prognatism, Makroadenoma

Hubungan Hipertensi dengan Klasifikasi Hernia Nukleus Pulposus Lumbal berdasarkan Magnetic Resonance Imaging Sunjata, Winda Putri; Meutia, Yurida Binta; Sukmaningtyas, Hermina; Pudjonarko, Dwi
Medica Hospitalia : Journal of Clinical Medicine Vol. 8 No. 3 (2021): Med Hosp
Publisher : RSUP Dr. Kariadi

ABSTRACT BACKGROUND : Hypertension is a disease that is known to affect other diseases. Recent research finds that HT is associated with disc degeneration disease. Herniated nucleus pulposus (HNP) lumbar as a result from disc degeneration disease need to be known to be affected by hypertension or not. OBJECTIVE: To know the relationship between hypertension and the classification of disc degeneration based on Pfirrmann’s criteria and herniated nucleus pulposus lumbar classification based on magnetic resonance imaging. METHOD : This research use descriptive observational with cross sectional design. Subjects were 62 lumbar HNP patients diagnosed at RSUP Dr. Kariadi Semarang from January 2019 - March 2020. The subject data were analyzed using non-parametric Chi Square test and Mantel Haenszel test. RESULT : Based on the analysis, it was found that p>0.05 was found in the relationship between age and sex with the classification of disc degeneration and lumbar HNP. The result of correlation test between hypertension and disc degeneration classification is p<0,05 with odds ratio 14,700 and lumbar HNP classification is p >0.05. In relation to the classification of disc degeneration with lumbar HNP classification, the value of p >0.05 was also obtained. CONCLUSION : There was no association between age, sex, the classification of disc degeneration and lumbar HNP classification. There was a significant association between hypertension and the classification of disc degeneration with the individual risk of hypertension increasing 14,7 times but no association was found with lumbar HNP classification. Keywords: Disc degeneration; Hypertension; Lumbar herniated nucleus pulposus

Modified BI-RADS model for stratifying borderline breast lesions based on BI-RADS: a cross-sectional study Kuntjoro, Lydia Purna; Riwanto, Ignatius; Sukmaningtyas, Hermina; Prajoko, Yan Wisnu; Suhartono; Choridah, Lina; Mahati, Endang; Tjandra, Kevin Christian; Pravitha, Clarissa Aulia
Medical Journal of Indonesia Vol. 35 No. 1 (2026): March
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13181/mji.oa.258117

BACKGROUND Breast imaging reporting and data system (BI-RADS) is a globally recognized method for categorizing breast lesions. However, it is dependent on subjective interpretation, which can result in variability between radiologists. Currently, no scoring system exists to assist in categorizing borderline findings as either benign or malignant. This study aimed to introduce a scoring system that classifies borderline breast lesion findings without altering the standard BI-RADS interpretation and minimizes inter-reader variability. METHODS This single-center retrospective cross-sectional study included 215 women who underwent breast ultrasound (US) and histopathology between January 2021 and December 2022, excluding those with non-neoplastic breast lesions. The index test was US BI-RADS features, and the reference standard was histopathology. Prevalence ratios (PRs) and probability scores were used to assess the risk contribution of individual US features. The diagnostic performance of the BI-RADS interpretation strategy and predictive scoring model was compared with that of the standard BI-RADS classification using SPSS software version 26. RESULTS Margin, orientation, and age had the highest PRs of malignancy, with odds ratios and 95% confidence intervals of 39.86 (13.19–120.47), 17.47 (2.42–125.72), and 9.74 (3.51–27.04), respectively. These three characteristics increased the probability of malignancy by 99.53%. A comparison of diagnostic tests between the modified BI-RADS interpretation strategy and the standard BI-RADS classification revealed improvements in specificity (94.0% versus 84.7%), positive predictive value (85.0% versus 70.5%), accuracy (89.3% versus 84.7%), and area under the curve (0.931 versus 0.873). CONCLUSIONS According to the interpretation strategy, margin, orientation, and age, this US scoring model appear to be promising tools for classifying borderline malignant masses.

Co-Authors Abubakar Abubakar Agus Priambodo Agus Priambodo Anwar, M. Choerul Ardi Soesilo Wibowo, Ardi Soesilo Arinta Puspita Wati Aris Santjaka Bantar Suntoko Bantar Suntoko Christina Hari Nawangsih Prihharsanti Danu Purnama Aji Djoko Untung Trihadi Dwi Pudjonarko Endang Mahati Farah Hendara Ningrum Ignatius Riwanto, Ignatius Ismayanti, Fajri Kuntjoro, Lydia Purna Leny Latifah Lina Choridah Mardiana Wahyuni Mayasari, Ike Meutia, Yurida Binta Nasirun Zulqarnain Niken Puruhita Nurdopo Baskoro Permatasari, Yuliati Pradesta, Rizki Rudwi Pravitha, Clarissa Aulia Prihharsanti, Christina Hari Nawangsih Rini Indrati, Rini Sadewo, Mukti Saifudin Shonia Syvafiftyan Rosaline Shonia Syvafiftyan Rosaline Suhartono Sukma Imawati Sunjata, Winda Putri Tjandra, Kevin Christian Yan Wisnu Prajoko Yekti Wirawanni Yuliati Permatasari Zulqarnain, Nasirun

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