Bekti Safarini, Bekti
Bagian Radiologi Fakultas Kedokteran Universitas Islam Sultan Agung Semarang

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PERANAN TEKNIK SPLIT-BOLUS TERHADAP KUALITAS CITRA PADA PEMERIKSAAN MSCT LEHER Lustyana Devi, Hefty; Safarini, Bekti; Sulaksono , Nanang
JRI (Jurnal Radiografer Indonesia) Vol. 3 No. 2 (2020)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (401.535 KB) | DOI: 10.55451/jri.v3i2.71

Abstract

Background : According to the theory, Neck MSCT examination were performed using monophasic injection techniques. Split-bolus is an innovative technique that divides intravenous (IV) contrast media into two or three boluses and combines phase images in single scanning. The MSCT split-bolus scan with a combination of parenchymal and vascular enhancement is a valid alternative approach compared to the standard monophasic MSCT protocol. The purpose of this study was to determine the split-bolus technique in neck MSCT examination and its role in the quality of the image. Method : This research is a descriptive qualitative study with a literature review study method. Data is collected by the documentation method. The electronic database was searched using the keywords "head and neck" AND ("contrast" OR "injection") AND ("Split bolus" OR "Biphasic Contrast" OR "Dual bolus" OR "Double bolus" OR "Multi-phase" OR "Quadruple-Phase"). The inclusion criteria used were a research article on a split-bolus technique in a single scan on MSCT neck examination. Three articles met the inclusion criteria. Data analysis was performed using the annotated bibliography method. Result : The results of this study indicate that the contrast media used in the MSCT examination of the neck with a split-bolus technique are non-ionic iodine contrast media with a total volume of 80-100 mL and a concentration of 300-370 mg / mL. Contrast media injection is done by dividing contrast media in the first and second boluses using a ratio of 3 : 2 or 1 : 1 of the total volume of contrast media followed by saline injection. The flow rate used is 2 - 3 mL / s with a fixed delay time between 70 - 120 seconds. The split - bolus techniques have a role in contrast resolution of image quality. The image quality produced on neck MSCT examination using split bolus technique can increase vaskular and tumor enhancement without reducing parenchymal enhancement and lesions. In a patient with metastasis, this technique can reduce artifacts due to excessive contrast media in the arteries and veins so the lymph nodes appear more clearly. Conclusion : Based on the result, the split - bolus techniques have a role in contrast resolution of image quality.
A Child with Tethered Cord Syndrome Safarini, Bekti
Sains Medika: Jurnal Kedokteran dan Kesehatan Vol 4, No 1 (2012): Januari-Juni 2012
Publisher : Faculty of Medicine, Universitas Islam Sultan Agung (UNISSULA), Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1036.676 KB) | DOI: 10.30659/sainsmed.v4i1.390

Abstract

Tethered Cord Syndome (TCS) refers to a group of neurological disorders related to malformations of the spinal cord, pulling of the spinal cord at the base of spinal canal. Tethered cord syndrome can be seen at any age but most often during childhood. A few children complain of diffuse pain in lower extremitiesor urological symptoms, 20% - 30 % of the patients will have a neurogenic bladder. A 9 years old girl, complained to have a flank pain and eneuresis. A mass is palpable at right flank. Ultrasound revealed duplex hydronephrosis and hydroureter with trabeculated bladder. Voiding Cystouretrography showed grade V vesicoureteral reflux (VUR) and neurogenic bladder appearance. Lumbosacral MRI demonstrated tethered cord with adjacent lipoma and spina bifida (Sains Medika, 4(1):89-96).
Multiple intrathoracic thrombosis detected on ct scan in patient with antiphospholipid antibody syndrome: case report Safarini, Bekti; Intisari, Dewi
Sains Medika: Jurnal Kedokteran dan Kesehatan Vol 14, No 2 (2023): December 2023
Publisher : Faculty of Medicine, Universitas Islam Sultan Agung (UNISSULA), Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/sainsmed.v14i2.1663

Abstract

Antiphospholipid antibody syndrome (APS) is the clinical correlation between antiphospholipid antibodies and hypercoagulability syndrome. The prevalence of APS in the general population is undetermined. APS disease carries a notable risk of vascular thrombosis. CT scan is the preferred imaging method for assessing thrombosis, although the timing of image acquisition should be considered. The case report detailed the discovery of many intrathoracic thromboses on a CT scan of a patient diagnosed with the uncommon condition APS. Case study: A 34-year-old woman was hospitalized due to dyspnea, cough, and a 3 kg weight loss over a three-month period. She has a background in Deep Vein Thrombosis (DVT). The test results showed abnormalities in protein C, protein S, and high D-dimer levels. The CT scan revealed numerous intrathoracic thrombi. Antiphospholipid syndrome (APS) is an immunological condition that elevates the likelihood of blood clot formation, resulting in thrombosis inside the arteries and veins. The approximate occurrence rate of APS is five occurrences per 100,000 individuals annually. Antiphospholipid syndrome (APS) leads to the formation of blood clots in the legs, a condition referred to as deep vein thrombosis (DVT). This patient had a history of deep vein thrombosis (DVT) and many blood clots within the chest cavity. A CT scan revealed persistent blood clots in the main pulmonary artery and the right and left pulmonary arteries. Antiphospholipid syndrome (APS) can lead to the formation of blood clots in both arteries and veins. CT scan is the preferred method for evaluating thrombosis, and numerous phases are required to examine all blood arteries.
Gambaran Radiografi Toraks Sebagai Prediktor Outcome Pasien COVID-19 Safarini, Bekti; Sutikno, Dria Anggraeny; Intisari, Dewi
Jurnal Kesehatan Andalas Vol. 13 No. 1 (2024): March 2024
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v13i1.2278

Abstract

COVID-19 (coronavirus disease 2019) is a pulmonary infection disease caused by SARS-CoV-2. Chest radiographic examination of COVID-19 cases performed to make a diagnosis and monitor therapy. Objective: To    evaluated the results of chest radiography examination in COVID-19 cases as a predictor of patient outcome after treatment at the Sultan Agung Islamic Hospital in Semarang. Methods: This research was an observational analytic study with a retrospective design using medical record data from January until December 2021. The results of chest radiographs were analyzed using the Brixia Score system with a maximum score of 18. Outcomes of COVID-19 patients were described as recovered patients or died. Data analysis uses the ROC curve to determine the cut-off point. Results: This study showed that out of 47 patients (43±14 years old), 39 patients (81%) recovered and nine patients died (19%). The levels of leukocytes, D-dimer, Neutrophil-lymphocyte ratio (NLR), and Brixia scores were significantly higher in dead patients (p<0.05). Sensitivity and specificity values predictor of leukocyte count (83%, 61%), D-dimer (83%, 84%), NLR (83%, 82%), and Brixia score (83%, 79%), respectively. Conclusion: Increased levels of leukocytes, D-dimer, NLR, and Brixia Score can be used as a predictor of patient mortality after hospitalization.Keywords: Brixia score, COVID-19, thoracic radiograph