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NURSAMA HERU APRIANTORO
Politeknik Kesehatan Kementerian Kesehatan Jakarta II
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Analisis Perbedaan Citra SPECT Non-AC dan CTAC pada Pemeriksaan Scintigrafi Perfusi Miokard Nuryadin, Ridwan; Nurbaiti, Nurbaiti; Apriantoro, Nursama Heru; Budiawan, Hendra
Jurnal Imejing Diagnostik (JImeD) Vol 11, No 1 (2025): JANUARY 2025
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v1i1.11971

Abstract

Background: Myocardial Perfusion Scan displays SPECT images, which is a non invasive imaging method for a quantitative view of myocardial ischemia which can’t be done with CT myocardial perfusion. The principle of myocardial perfusion scan is that the myocardial absorption of radiopharmaceuticals is proportional to coronary heart blood flow to the myocardium. The main problem with SPECT myocardial perfusion scan imaging is photon attenuation caused by soft tissue around the heart which causes inaccurate information and attenuation artifacts. One method to reduce attenuation artifacts is hybrid CT Scan imaging with SPECT tools. CT Scan images are used to correct attenuation in SPECT images. The purpose of this research is to analyze the differences between non-AC and CTAC SPECT images which will have an impact on myocardium perfusion values on myocardial perfusion scans.Methods: This research is a quantitative analysis with a direct observation approach. The research was undertaken at Nuclear Medicine and Molecular Theranostics Installation of Dr. Hasan Sadikin General Hospital in Bandung, starting November 2023 using a SPECT CT GE NM/CT 860 gamma camera. A total of 28 patients were examined for myocardial perfusion scans. Data processing is conducted by comparing the perfusion values of myocardium on non-AC and CTAC SPECT images for 28 samples by conducting hypothesis testing using paired test sample T-Test.Result: Based on the research results, non-AC, and CTAC SPECT image data showed a normal distribution using the Shapiro-Wilk test, allowing the analysis of differences using the Paired-Samples T-test. In general, the analysis results indicate a significant difference between non-AC and CTAC SPECT images, as the sig value is less than 0.05 in the RCA and LCx vascular segments, as well as in the septal, inferior, lateral, and apical wall segments. However, no significant differences were found in the LAD vascular segment and the anterior wall segment, as the sig value is greater than 0.05.Conclusions: There are differences between non-AC and CTAC SPECT images in the RCA and LCx blood vessel segments, as well as in the septal, inferior, lateral, and apical wall segments. However, no differences are observed in the LAD blood vessel segment and the anterior wall segment.
Analisis Pemeriksaan USG Thorax Marker dengan Klinis Efusi Pleura di Rumah Sakit Hermina Depok Abdul Aziz, Sahal Fahmi; Apriantoro, Nursama Heru; Kuswoyo, Heri
Jurnal Imejing Diagnostik (JImeD) Vol. 10 No. 2 (2024): JULI 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v10i2.11776

Abstract

Background: Pleural effusion is a hoarding fluid excess contained in the pleural cavity due to the formation and production of pleural fluid which is not balanced in condition. In this matter, Thoracic Ultrasound is a highly sensitive and specific imaging modality in evaluating the lungs for any various disorders, such as pneumonia, pleural effusion, pulmonary edema, and pneumothorax. The objective of this research: this research analyzes the management of Thorax Marker Ultrasound examination with clinical pleural effusion undertaken at Hermina Hospital Depok.Methods: As for the research design used, it apples qualitative descriptive method. Data collection techniques in this study used observation worksheets, interview sheets for Radiologists and Sonographers, and documentation tools.Results: The results showed technique of examination and results of description from Thorax Marker Ultrasound with clinical pleural effusion undertaken at Hermina Hospital Depok.Conclusions: . In conclusion, this research can be concluded that technique of Thorax Marker Ultrasound examination with clinical pleural effusion executed at Hermina Hospital Depok use transducer convex which is done longitudinally in the right intercostal area (between diaphragm and liver) or left intercostal (between diaphragm and spleen) in the mid axillary line, a little posterior to the plane coronal in accordance with the Radiography Thoracic description from the patient. Thorax Marker Ultrasound results with clinical pleural effusion executed in 3 samples, have 3 different characteristics namely maximal pleural effusion, septated pleural effusion, and minimal pleural effusion. 
Analisis Perbedaan Citra SPECT Non-AC dan CTAC pada Pemeriksaan Scintigrafi Perfusi Miokard Nuryadin, Ridwan; Nurbaiti, Nurbaiti; Apriantoro, Nursama Heru; Budiawan, Hendra
Jurnal Imejing Diagnostik (JImeD) Vol. 11 No. 1 (2025): JANUARY 2025
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v1i1.11971

Abstract

Background: Myocardial Perfusion Scan displays SPECT images, which is a non invasive imaging method for a quantitative view of myocardial ischemia which can’t be done with CT myocardial perfusion. The principle of myocardial perfusion scan is that the myocardial absorption of radiopharmaceuticals is proportional to coronary heart blood flow to the myocardium. The main problem with SPECT myocardial perfusion scan imaging is photon attenuation caused by soft tissue around the heart which causes inaccurate information and attenuation artifacts. One method to reduce attenuation artifacts is hybrid CT Scan imaging with SPECT tools. CT Scan images are used to correct attenuation in SPECT images. The purpose of this research is to analyze the differences between non-AC and CTAC SPECT images which will have an impact on myocardium perfusion values on myocardial perfusion scans.Methods: This research is a quantitative analysis with a direct observation approach. The research was undertaken at Nuclear Medicine and Molecular Theranostics Installation of Dr. Hasan Sadikin General Hospital in Bandung, starting November 2023 using a SPECT CT GE NM/CT 860 gamma camera. A total of 28 patients were examined for myocardial perfusion scans. Data processing is conducted by comparing the perfusion values of myocardium on non-AC and CTAC SPECT images for 28 samples by conducting hypothesis testing using paired test sample T-Test.Result: Based on the research results, non-AC, and CTAC SPECT image data showed a normal distribution using the Shapiro-Wilk test, allowing the analysis of differences using the Paired-Samples T-test. In general, the analysis results indicate a significant difference between non-AC and CTAC SPECT images, as the sig value is less than 0.05 in the RCA and LCx vascular segments, as well as in the septal, inferior, lateral, and apical wall segments. However, no significant differences were found in the LAD vascular segment and the anterior wall segment, as the sig value is greater than 0.05.Conclusions: There are differences between non-AC and CTAC SPECT images in the RCA and LCx blood vessel segments, as well as in the septal, inferior, lateral, and apical wall segments. However, no differences are observed in the LAD blood vessel segment and the anterior wall segment.
MRI Case Report of Perianal Fistula with T2 TSE SPIR Sequence Apriantoro, Nursama Heru; Saleh, Arif Rohman; Sari, Gando; Supriyono, Puji; Widiatmoko , Mahfud Edy
JURNAL INFO KESEHATAN Vol 21 No 2 (2023): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol21.Iss2.1050

Abstract

MRI is a diagnostic imaging tool crucial for pelvic examination in perianal fistula cases. MRI imaging offers some advantages, especially in showing the area of spesi and secondary dilatation. Both have a high recurrence rate after surgery and an important role in determining surgical outcomes and minimizing complications. This study aims to evaluate pelvic MRI examination of perianal fistulas using the T2 TSE SPIR (Turbo Spin Echo Spectral Presaturation with Inversion Recovery) sequence. Research design used a qualitative descriptive method with participatory observation through a case study approach to Perianal Fistula using T2 TSE_SPIR. It was carried out at the Radiology Department of Mayapada Hospital in South Jakarta from August to December 2022. The MRI equipment Philips Achieva 1.5 Tesla with Sense Body Coil. MRI contrast agent of gadoteric acid, Vitamin E capsule, was attached to the perianal fistula location to make it easier for the radiologist to see the path of the perianal fistula. The results of Pelvis MRI images in perianal fistulas using the T2 TSE SPIR sequence shown with clear boundaries of perianal fistulas with anal organs, sigmoid colon, bladder, and prostate between one organ and another. Implementing the selection of the T2 TSE SPIR sequence to visualize fluid images becomes hyper-intensive by suppressing fat signals so that only fluid is visible in the perianal abscess and fistula images.
STUDI LITERATUR TEKNIK PEMERIKSAAN PEDIS PADA KASUS ULKUS DIABETIK Kurnia Moningka; Lailatul Badriyah; Nursama Heru Apriantoro
Jurnal Kesehatan Vol. 13 No. 1 (2022)
Publisher : Sekolah Tinggi Ilmu Kesehatan (STIKes) Cirebon

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38165/jk.v13i1.278

Abstract

Diabetes melitus adalah epidemi global yang berkembang pada abad ke-21. Salah satu komplikasi utama yang melemahkan adalah kaki diabetik. Kaki diabetik adalah komplikasi serius dari diabetes melitus yang terjadi pada sekitar 3% sampai 4% pasien diabetes di seluruh dunia. Di Indonesia sendiri, penyebab terbesar dilakukannya perawatan di rumah sakit yaitu sebesar 80% adalah dengan ulkus kaki diabetik. Penelitian ini bertujuan untuk mengetahui teknik pemeriksaan pedis pada kasus ulkus diabetik dan untuk mengetahui kelebihan dan kekurangannya. Metode yang digunakan yaitu metode pendekatan study literature review. Hasil penelitian yang didapat dari tiga jurnal menunjukkan bahwa untuk pemeriksaan radiografi pada pedis dengan klinis ulkus diabetik dilakukan dengan radiografi polos, disarankan untuk pasien non kooperatif menggunakan proyeksi AP, Lateral supine sedangkan untuk pasien kooperatif menggunakan proyeksi AP Weight – Bearing dan Lateral Weight–Bearing karena posisinya paling ideal tetapi apabila masih tidak optimal gambarannya untuk melihat ulkus pada bagian sesamoid perlu ditambahkan proyeksi plantar axial view.Kata kunci: pedis; radiografi; diabetes melitusAbstractDiabetes mellitus is a global epidemic that develops in the 21st century. One of the major debilitating complications is diabetic foot. Diabetic foot is a serious complication of diabetes mellitus which occurs in about 3% to 4% of diabetes patients worldwide. In Indonesia alone, the biggest cause of hospitalization, which is 80%, is diabetic foot ulcers. Which aims to determine pedis examination techniques in cases of diabetic ulcers and to determine the advantages and disadvantages. The method used is a literature review study approach. The results of the study obtained from three journals showed that radiographic examination of the pedis with clinical diabetic ulcers was carried out with plain radiographs for non-cooperative patients using the AP projection, Lateral supine while for cooperative patients using the AP Weight-Bearing and Lateral Weight-Bearing projections because of their position in the most ideal but if the picture is still not optimal to see the ulcer on the sesamoid, it is necessary to add a plantar axial view projection.Keywords: pedis, radiography, diabetes mellitus 
Adolescents' Knowledge and Attitudes Toward Reproductive Health Using Website and Booklet Media Seri Wahyuni; Wahidah Sukriani; Apriantoro, Nursama Heru
Window of Health : Jurnal Kesehatan Vol 8 No 4 (October 2025)
Publisher : Fakultas Kesehatan Masyarakat Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/woh.vi.2561

Abstract

Sexuality is considered a taboo topic by society, making it difficult to discuss openly. Parents typically provide minimal guidance, while teenagers frequently feel too embarrassed to ask questions. To overcome these barriers, a more engaging and accessible platform, such as a website dedicated to reproductive health, is necessary to help teenagers gain a better understanding of the topic. This study aims to analyze the influence of reproductive health education through website media on changes in adolescent knowledge and attitudes. This research is a quasi-experiment, a quantitative study. The research was conducted from March to November 2024. The respondents/subjects were 200 teenagers aged 15-18 years in Palangka Raya who owned a smartphone or laptop. The intervention group had an average knowledge score of 22.90, higher than the control group's score of 20.49. The Independent T-test showed a significance value of 0.000 (<0.05), indicating that education using the booklet was less effective in increasing knowledge compared to the website+booklet. Similarly, the intervention group's average attitude score was 127.67, higher than the control group's score of 122.08. The Independent T-test showed a significance value of 0.000 (<0.05), indicating that using only the booklet was less effective in improving attitudes compared to the combined website+booklet approach. Education on reproductive health delivered through a website and booklet is more effective at enhancing knowledge and attitude scores in adolescents than education provided solely through a booklet. Ensure that the digital platform is accessible to all adolescents, including those in remote areas.
PERAN INTERVENSI RADIOGRAFER DALAM MEMINIMALKAN MOTION ARTIFACT DAN KECEMASAN PASIEN PADA PEMERIKSAAN MRI: LITERATUR REVIEW Fitri Sagita; Khairil Anwar; Nursama Heru Apriantoro
Integrative Perspectives of Social and Science Journal Vol. 3 No. 03 Maret (2026): Integrative Perspectives of Social and Science Journal
Publisher : PT Wahana Global Education

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Latar Belakang Pemeriksaan Magnetic Resonance Imaging (MRI) telah menjadi tulang punggung diagnostik modern, namun dalam praktiknya menghadapi dua tantangan klinis yang saling berkaitan dan kerap menghambat keberhasilan pemeriksaan, yaitu terjadinya motion artifact akibat gerakan pasien dan tingginya prevalensi kecemasan pasien yang mencapai 25–65% dari seluruh populasi pasien MRI, kondisi yang secara langsung menurunkan kualitas citra diagnostik dan berpotensi menyebabkan pengulangan pemeriksaan. Radiografer sebagai tenaga kesehatan yang bertanggung jawab langsung terhadap pelaksanaan pemeriksaan MRI memegang peran strategis dalam mengatasi kedua permasalahan tersebut melalui berbagai bentuk intervensi teknis maupun non-teknis. Tujuan Penelitian ini bertujuan mengkaji secara komprehensif peran intervensi radiografer dalam meminimalkan motion artifact dan mengelola kecemasan pasien pada pemeriksaan MRI. Metode Penelitian menggunakan pendekatan literature review naratif terhadap sumber pustaka ilmiah yang diterbitkan tahun 2014–2024, diperoleh melalui basis data PubMed, Google Scholar, ScienceDirect, dan Scopus. Hasil Kajian menunjukkan bahwa intervensi teknis, meliputi optimasi sekuens, respiratory gating, dan parallel imaging, terbukti mereduksi motion artifact secara signifikan, sedangkan intervensi non-teknis berupa edukasi pra-pemeriksaan, komunikasi terapeutik, dan strategi distraksi terbukti menurunkan kecemasan pasien serta meningkatkan kualitas citra secara diagnostik. Kesimpulan Penguatan kompetensi radiografer secara holistik, mencakup dimensi teknis dan interpersonal, merupakan investasi strategis yang esensial dalam meningkatkan mutu pelayanan pemeriksaan MRI secara menyeluruh.
PROSEDUR PEMERIKSAAN MRI BREAST PADA PASIEN KANKER PAYUDARA DI INSTALASI RADIOLOGI RSUP FATMAWATI Nur'aini, Istiqomah; Anwar, Khairil; Apriantoro, Nursama Heru
Integrative Perspectives of Social and Science Journal Vol. 3 No. 04 April (2026): Integrative Perspectives of Social and Science Journal
Publisher : PT Wahana Global Education

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Abstract : Background Breast MRI is an imaging modality with high sensitivity for detecting breast cancer. At the Radiology Department of Fatmawati General Hospital, an additional sequence, VIBRANT (Volume Imaging for Breast Assessment), is used. This sequence is an axial 3D T1-weighted fat-saturated sequence performed dynamically after the administration of gadolinium-based contrast media. Objective This study aims to determine the breast MRI examination procedure and the role of the VIBRANT dynamic sequence in breast cancer patients. Methods This study used a qualitative method with a case study approach conducted in January 2026. Data were collected through observation, interviews, documentation, and literature review. Data analysis included data reduction, data presentation, and conclusion drawing. Results and discussion The examination was performed in prone position, feet first, using pre-contrast and post-contrast sequences including 3D Axial VIBRANT FLEX+C. This sequence provides high spatial resolution and enables clearer visualization of lesion morphology. Conclusion The VIBRANT dynamic sequence allows temporal evaluation of enhancement and produces kinetic curves that play an important role in differentiating benign and malignant lesions.
Analisis Prosedur CT Scan Whole Abdomen Kontras pada Kasus Abses Hepar: Studi Kasus di Instalasi Radiologi RS X Dinda Aulia Zhafira; Khairil Anwar; Nursama Heru Apriantoro
Jurnal Penelitian Inovatif Vol 6 No 2 (2026): JUPIN Mei 2026
Publisher : CV Firmos

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54082/jupin.2344

Abstract

Abses hepar merupakan infeksi parenkim hati yang memerlukan diagnosis cepat untuk mencegah komplikasi fatal. CT Scan abdomen dengan media kontras menjadi modalitas utama untuk mengevaluasi karakteristik lesi secara akurat. Penelitian ini bertujuan untuk mengevaluasi prosedur dan efektivitas teknik CT Scan whole abdomen dengan media kontras dalam memvisualisasikan abses hepar di RS X. Jenis penelitian ini adalah descriptive observational case study pada seorang pasien pria berusia 48 tahun dengan dugaan abses hepar. Pemeriksaan dilakukan menggunakan pesawat CT Scan 32-slice (120 kV, 215 mAs) dengan pemberian media kontras intravena Iohexol 100 ml dan protokol kontras oral bertahap. Hasil pemeriksaan menunjukkan dua lesi hipodens pada segmen 2-3 (5,0 x 5,3 x 5,6 cm) dan segmen 4 (5,1 x 4,6 x 5,0 cm) dengan nilai densitas 8-24 HU. Munculnya fenomena rim enhancement pasca-injeksi kontras memberikan batas yang tegas antara jaringan nekrotik abses dengan parenkim hati yang sehat. Teknik CT Scan abdomen kontras di RS X terbukti efektif memberikan informasi diagnostik yang komprehensif mengenai lokasi, ukuran, dan vaskularisasi lesi. Hal ini memberikan kontribusi krusial bagi klinisi dalam menentukan strategi drainase atau terapi antibiotik yang tepat bagi pasien.
Non-Contrast Head CT Technique in Severe Head Injury with Suspected Skull Base Fracture at RS Syarif Hidayatullah Zilatul Azmi Arifin; Nursama Heru Apriantoro; Khairil Anwar
Jurnal Teknologi Kesehatan (Journal of Health Technology) Vol. 21 No. 2 (2025): September 2025
Publisher : POLTEKKES KEMENKES YOGYAKARTA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/jtk.v21i2.2825

Abstract

Severe head injury (SHI) is a medical emergency that requires fast and accurate imaging evaluation. One of the main challenges in SHI cases is detecting skull base fractures that are not visible through clinical examination. Non-contrast head CT is widely used because it provides detailed visualization of brain and skull structures without the need for contrast agents.This study aims to describe the technical procedure of non-contrast head CT in a patient with clinical signs of SHI and suspected skull base fracture at the Radiology Department of RS Syarif Hidayatullah. The method used was descriptive qualitative with a case study approach. Data were collected through participatory observation and analyzed descriptively.The scan revealed subacute subdural hemorrhage, bilateral subarachnoid hemorrhage, midline shift, right cerebral edema, and signs of herniation. No calvarial fracture was found, but the radiological findings indicated severe brain injury. The scan was performed using 0.48 mm thin slices with proper patient positioning, resulting in optimal image quality.In conclusion, non-contrast head CT is an effective diagnostic tool for identifying structural brain injuries in SHI patients. It is fast, safe, and provides accurate results to support clinical decision-making
Co-Authors Abdul Aziz, Sahal Fahmi Abraham Panjaitan Ade Rochimat Agnes Dwika Septiti Ahniar, Nur Hasanah Aldri Frinaldi Ambarsari, Laily Izzati Annisa Annisa Arif Jauhari Arif Rohman Saleh Aulia Annisa Azizah, Mujahidah Baehaqi Bambang Sutrisno Wibowo Buaja, Happy Kurnia Utami Budi Santoso Budi Setiawan Cahya, Intan Christianni Christianni Christianni Christianni, Christianni Corazon Hana Dumaris Darusalam Dea Fadila Devi Purnamasari Diah Novita Dimas Maulana Anshori Dinda Aulia Zhafira Dody Arland Dody Haikal Edy, Mahfud Eka Putra Syarif Hidayat Ekaputra Syarif Hidayat Epit Rahmayati Evanty, Ayi Yulia Fachry Abda El Rahman Fathoni, Imam Muhamad Febria Anita Febria Anita Febria Anita, Febria Fiddinillah Fiddinillah Fitri Sagita Fitriani Gando Sari Gando Sari Gando Sari Gando Sari Gando Sari Gando Sari Gibral Ulhaq Gunawati S., Shinta Gunawati, Shinta Halimatus Sa’diah Hamdi Rubiyanto Handayani, Indah Nursyamsi Handayani, Indah Nursyamsi Happy Kurnia Utami Buaja Helwini Istiqomah Hendra Budiawan, Hendra Heri Kuswoyo Hermawan, Dudung Heru Prasetio Indira Mega Wahyuningtiyas Indradewa, Rhian Intan Shifa Joeida Ira Wulandari Ita Astit Karmawati Astit Karmawati Kasman, Muh. Khairil Anwar Khairil Anwar Khairil Anwar Khairil Anwar Khairil Anwar Khairil Anwar Khayla Rafina Niradita Koesrizdiharti, Azzahra Krisna Adriyanto Kurnia Moningka Kurnia, Try Wulan Lailatul Badriyah Legia Prananto Lesmana, Hadi Ma&#039;murotun Ma&#039;murotun Ma'murotun, Ma'murotun Mahfud Edy Widiatmoko Mayarani Mayarani Mayarani Mayarani Milla Jatiwinayu Moh Haris Muh. Saqri Al Faruq Muhamamd Rizqi Muhammad Irsal Murdaka, Egi Kamal Novianty sutrisno Nur'aini, Istiqomah Nurbaiti Nurbaiti NURBAITI NURBAITI Nurhafizha Tunnisa Nuryadin, Ridwan P.I Patra Pipik Nur Aprirahanto Prabaningtyas Widya Dewi Pramudya ade Kusuma Putra Prananto, Legia Prima Chintya Delsi Kasih Puji Supriyoni Puji Supriyono Puji Supriyono Purwantiningsih Purwantiningsih Putra Syarif Hidayat , Eka Retno Prawestri Rinda Nur Hidayati Riyangga, Dea Robert Kristian Rudi Kurniawan Sahal Fahmi Abdul Aziz Saleh, Arif Rohman Samsun Samsun Samsun Samsun Samsun, Samsun Sari, Gando Sasongko, Ary Seri Wahyuni Shinta Gunawati Sutoro Sinaga, Citra Elisabet Sriyatun Sriyatun Sriyatun Sriyatun Sriyatun Sriyatun Sriyatun Sriyatun Supriyono, Puji Susy Suswaty Suwendra Iwen Syamsiar, Syamsiar Syarif Hidayat, Eka Putra Tri Ambarsari Tri Ambarsari Tri Susanto Triana Retno Putri Tsabitah, Assyifa Farras Untung Dimas Prayogi Veasna, Bun Wahidah Sukriani Wahyu Hidayat Wahyu Setiyoningsih Wahyudiarti, Endah Wellyam, Petra Pratama Wicaksono, Clinton Johan Ade Widiatmoko , Mahfud Edy Widiatmoko, Mahfud Edy Winarno, Guntur Winarno, Guntur Wiryanto Wiryanto WULANDARI, IRA Yudha Kartika Zilatul Azmi Arifin