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Nanang Sulaksono
POLTEKKES KEMENKES SEMARANG
Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Engineering Health Professions Library & Information Science Medicine & Pharmacology Nursing Public Health Social Sciences

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ANALISA PERBEDAAN INFORMASI DIAGNOSTIK CT SCAN KEPALA PADA KASUS STROKE ISKEMIK DENGAN PILIHAN KOMBINASI SLICE THICKNESS DAN INTERVAL RECONSTRUCTION Dwi Yan, Mami; Ardiyanto, Jeffri; Sulaksono, Nanang
JRI (Jurnal Radiografer Indonesia) Vol. 3 No. 1 (2020)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (234.142 KB) | DOI: 10.55451/jri.v3i1.66

Abstract

Background: Stroke is a diseas that has a high mortality rate as the third most common disease that causes death in the world. To diagnose the location and type stroke, a neuro imaging examination is need, which is by examining the CT Scan of the head. The purpose of this study was to determine differences in diagnostic information on CT scan of the head in cases of ischemic stroke with a choice combination of 3 mm slice thickness with 1.5 mm interval reconstruction and 2 mm slice thickness with 1 mm interval reconstruction, and to find out which combination is the most optimal in producing diagnostic information in cases of ischemic stroke. Methods: This type of research is quantitative research with experimental approach. The study was conducted at Telogorejo Hospital Semarang. The sampel in this study were 10 patients with expertise results of ischemic stroke. The resultan data was 10 head scan radiographs with ischemic stroke and each radiograph is reformatted with combination of 3 mm slice thickness with 1.5 interval reconstruction and 2 mm slice thickness with 1 mm interval reconstruction. Assesment of diagnostic information data was done by 3 respondents. before data analysis, first kappa test was done to three respondents and then tested wilcoxon. Result :The result of this research is the difference of diagnostic information between combination of 3 mm slice thickness with 1.5 mm interval reconstruction and 2 mm slice thickness with 1 mm interval reconstruction. A combination of 2 mm slice thickness with 1 mm interval reconstruction with mean rank 21.00 is the most optimal combination for head scan with ischemic stroke cases
PERANAN HEART RATE TERHADAP KUALITAS CITRA PADA PEMERIKSAAN CT ANGIOGRAPHY CARDIAC Susanti, Titin; Arinawati, Arinawati; 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 (330.781 KB) | DOI: 10.55451/jri.v3i2.74

Abstract

Background: Cardiac angiography CT examination is a non-invasive measure to evaluate coronary blood vessels. Multislice CT with a high level of sensitivity and specificity is required to be able to reconstruct data from a constantly moving heart, resulting in diagnostic and informative image quality. Heart movement or heart rate plays a role in the occurrence of motion artifacts so that a stable heart rate is required at the time of data acquisition. The purpose of this paper is to see the role of the heart rate in cardiac CT Angiography examination and to determine the value of the heart rate to obtain the best image quality. Methods: The research method uses a literature study approach by describing the article. Article searches use Science Direct, Radiopedia, American Journal Radiography, and Google Search to find articles that match inclusion and exclusion criteria so that 4 articles are obtained and then they are reviewed. Results:: The study results show that the heart rate plays a very important role in producing image quality from CT examination. Cardiac angiography, a stable heart rate will minimize the occurrence of artifacts, which is one of the points in the image quality parameter. A stable heart rate to get the best image quality is at ≤60 BPM when data acquisition with low heart rate variability Conclusion: .Nilai heart rate untuk mendapatkan kualitas citra yang informatif dan diagnostik pada nilai heart rate 60 bpm, sehingga kualitas citra akan baik.
PROCEDURE OF MULTI SLICE COMPUTED TOMOGRAPHY (MSCT) THORAX EXAMINATION USING POSITIVE CONTRAST MEDIA WITH BREAST CANCER CASE Janita Limbong, Rosari; Masrochah, Siti; Sulaksono, Nanang
JRI (Jurnal Radiografer Indonesia) Vol. 4 No. 1 (2021)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (432.425 KB) | DOI: 10.55451/jri.v4i1.78

Abstract

Background: The protocol for MSCT Thorax examination is axial/coronal/sagittal. The slice thickness parameter has an important role in examining MSCT Thorax in breast cancer cases using contrast media. The thinner the slice thickness, the better the detailed image obtained. The aim of this study is to explain the MSCT Thorax examination procedure in breast cancer cases using positive contrast media, the role of slice thickness in diagnosis and to find out diagnostic information on the MSCT Thorax examination in cancer cases breast. Methods: This type of research is qualitative with a literature study approach. The data were obtained by identifying the problem then looking for keywords, namely MSCT Thorax, Slice thickness, breast cancer. Literature reviews are carried out through journal search engine searches, such as: Google Scholar, American Journal Rontgenology (AJR), Pubmed, Proquest. The collected journals are reduced based on inclusion criteria so that 3 relevant journals are obtained then analyzed descriptively so that they can answer the objectives to be drawn conclusions. Results: The results of a literature study show that the MSCT Thorax examination procedure in cases of breast cancer using contrast media is fasting 6 hours before the examination, laboratory checks (urea cratinin within normal limits), releasing all metals in the body, CT scan plane, fixation tools, blankets. , contrast media, injector set. Conclusion: Contrast media dosage 1-2 ml / kg body weight, flow rate 2-4 ml / s, concentration 300-350 mgl / ml, patient position supine feet first, upper limit of lung Apex and lower limit of diaphragm (depending on needs), axial cut, coronal, sagittal, the parameters used were kV, mAs, slice thickness, matrix, WW, WL. A thin slice thickness will provide more accurate diagnostic information and a clear picture of metastases and small lesions can be seen.
Acceptance Test Of Diagnostic X-Ray Merk GE Type XR 6000 In Radiodiagnostic And Radiotherapy Department Laboratory Of Health Polytechnic Of Semarang M. Irwan Katili; Andrey Nino Kurniawan; Nanang Sulaksono
Jurnal Riset Kesehatan Vol 3, No 1 (2014): Januari 2014
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (132.148 KB) | DOI: 10.31983/jrk.v3i1.236

Abstract

The purpose of this study is to test the X-ray equipment GE Type XR 6000 in in JTRR Laboratory of Health Polytechnic in Semarang the and analyze the test results. It is a quantitative measurement of some components including Collimator, X-ray tube and generator. The instruments used for the measurement were Piranha test tool, TOR ABC as well as the water passes. The measurement result for light is 281.67 lux, deviation for collimator ΔX + ΔY is 1.8% and a deviation of 1.5 degrees. For the measurement of tube leakage is still below the leak amounted to 1 mGy / h. The accuracy of all tubes is less than 5% (diff kVp). Tube current output is still appropriate with the setting. The linearity coefficient results in mAs linearity testing is less than 0.1. The CV value of reproducibility is ≤ 0.05. While the value of the measured HVL is already greater than 2.3 mmAl at 80 kVp. In conclusion, the results of the measurements of X-rays equipment Ge Type XR 6000 in JTRR Laboratory of Health Polytechnic of Semarang is still within the acceptance for use.
OPTIMALISASI CITRA MSCT TRAKTUS URINARIUS MENGGUNAKAN TRACKING DENGAN VARIASI SLICE THICKNESS DAN WINDOW SETTING Nanang Sulaksono; Suryono Suryono; Jeffri Ardiyanto
Jurnal Riset Kesehatan Vol 5, No 1 (2016): Mei 2016
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (658.793 KB) | DOI: 10.31983/jrk.v5i1.852

Abstract

Kidney disease is a clinical situation which is indicated by the decreasing of kidney functions and MSCT is one of the modalities to diagnose that function. The research was aimed to prove that the use of Tracking with variation in Slice Thickness and window setting was able to produce an optimal image after contrast value analysis was conducted. The method was the experimental research using research planning Pretest-Posttest Control Design. The sampling was chosen consecutively. There were 3 Radiolog and 21 patients on the examination of MSCT abdomen without positive contrast media in Salatiga Public Hospital. The research was conducted from May to July 2015. Research Results, the intervention validity experiment before and after using Tracking with Paired T-Test statistic experiment showed p value 0,000. There were some significant differences. Through Mann Whitney experiment, it was found that there was different result of p value 0,000 (p less than 0,05). There were significant differences in each group. It can be Concluded that The significant difference before  and after using Tracking shows that Tracking can be used as an alternative for MSCT uroraphy examination.
TATALAKSANA RADIOTERAPI EKSTERNA PADA KANKER PAYUDARA DENGAN TEKNIK SIMULTANEOUS INTEGRATED BOOSTER (SIB) DI UNIT RADIOTERAPI INSTALASI RADIOLOGI RS KEN SARAS KABUPATEN SEMARANG Ardani Ardani; Edy Susanto; Nanang Sulaksono; Sri Mulyati
Jurnal Imejing Diagnostik (JImeD) Vol 6, No 1: January 2020
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v6i1.5403

Abstract

Background: Radiotherapy is a cancer treatment method using ionizing radiation. The SIB technique is a technique of providing additional radiation together with the administration of primary radiation. At Kensaras Hospital, booster treatment performed simultaneously with the administration of primary radiation or known as SIB is carried out using the IMRT technique or also known as the SIB IMRT technique. whereas according to Susworo, irradiation techniques on breast cancer are not recommended using the IMRT technique, but should use the FIF technique. The purpose of this study was to determine the governance of radiotherapy and the reasons for choosing the SIB technique.Methods: This type of research is qualitative with a case study approach. Data collection was carried out in December 2018 until May 2019 at Ken Saras Hospital. Result: The results showed that the SIB technique had several advantages, among others: better radiation conformity and able to minimize OAR doses. This is proven by obtaining doses which mostly meet ICRU standards. While for OAR doses it also meets quantec tolerance standards, except the right lung at a dose of 2000 cGy the volume exceeds 30%, which is equal to 34.55%. But the dosage according to the doctor's consideration is still said to be safe. Conclutions: The external radiotheraphy procedure including consulting a doctor, taking CT Simulator data, TPS, verification and treatment. Strengths of the SIB technique: Better irradiation conformity, suppressing OAR doses, reducing toxicity to the skin, only requiring one planning and allowing dose calculation in one planning
ANALISIS INFORMASI CITRA ANATOMI MSCT THORAX DENGAN KASUS EFUSI PLEURA KANKER PARU PADA WINDOW MEDIASTINUM POST KONTRAS MENGGUNAKAN VARIASI NILAI WINDOW WIDTH Tri Puji Hastuti; Yeti Kartikasari; Bagus Abimanyu; Nanang Sulaksono
Jurnal Imejing Diagnostik (JImeD) Vol 6, No 1: January 2020
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v6i1.5562

Abstract

Background: Malignancy of lung cancer is the biggest cause of pleural effusion. To diagnose lung cancer pleural effusion, a thorax MSCT can be examined. The MSCT parameter that affects image contrast is window width. The purpose of this study was to determine the differences in the anatomical information of thorax MSCT images in the post contrast mediastinal window to the use of window width range 350-600 HU values in cases of lung cancer pleural effusion, and to determine the appropriate window width value to obtain optimal anatomic image information on Thorax MSCT in cases of lung cancer pleural effusion.Methods: This type of research is quasi experimental. The research was conducted at the Radiology Installation of the Dr. Moewardi Hospital. The data were 60 images of the post contrast mediastinal window thorax MSCT axial slice from 10 patients with 6 window width variations (350 HU, 400 HU, 450 HU, 500 HU, 550 HU, 600 HU). An image assessment was conducted by 3 respondents regarding the resulting of 5 anatomical information. Data analysis used Friedman statistical test.Results: The results showed that there was a difference in the anatomical information of the thorax MSCT in the post contrast mediastinal window to the window width variation in cases of lung cancer pleural effusion with a significance level of p value 0,000 (ρ 0.05). Differences in anatomical image information occur in the anatomy of the aorta, limits of pleural effusion with lesions and clarity of lesions, where as there is no difference in anatomy of the right and left primary bronchus. The optimal use of the window width value for thorax MSCT in the post contrast mediastinal window cases of lung cancer pleural effusion is WW 350 HU with a rank value of 4.61.Conclusions: This study shows that the use of 350 HU window width produces better anatomical image information than the use of other window widths in the case of pleural effusion of lung cancer.
THE OPTIMIZATION OF MSCT OF URINARY TRACT USING TRACKING WITH FILTERS VARIATION Nanang Sulaksono; Agustina Dwi Prastanti; Vederica Farida Candra
Jurnal Imejing Diagnostik (JImeD) Vol 5, No 1: January 2019
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v5i1.4011

Abstract

Backgroud: Kidney disease is a clinical situation which is indicated by the decreasing of kidney functions and MSCT is one of the modalities to diagnose that function. Aim to identify the differences in image information with filter variation abdomen medium smooth and  Mediastinum Standard.Methods: The method was the experimental research using research planning Post Test Only Group Design. The sampling was chosen consecutively. There were 3 Radiolog and  32 citra on the examination of MSCT abdomen without positive contrast media in Salatiga Public Hospital.Results :The intervention validity experiment after a tracking filter with variations, kruskal Wallis test results. There are meaningful differences shows vlue of p value 0,000 (p0,05), so that continued analysis of the Mann Whitney. The results of the analysis of the Mann Whitney pointed out that there is a difference between real or significant group of filter Medium Smooth Abdomen with Abdominal filter Medium Sharp/Mediastinum Standard Sig0.05 p value 0.000).Conclusion: a variation of the filter is able to identify the existence of a difference image information tracktus optimal unirarius MSCT abdomen after tracking by using the best filtr Medium Sharp Abdomen/Mediastinum Standard.
Perbandingan Informasi Citra Potongan Axial T2 Antara Turbo Spin Echo (TSE) Dengan Half-Fourier Aquisition Single-Shot Turbo Spin Echo (HASTE) Pada Pemeriksaan Magnetic Resonance Cholangiopancreatography (MRCP) Adilfi Amalia Yuniar; Dartini Dartini; Rasyid Rasyid; Bagus Dwi Handoko; Nanang Sulaksono
Jurnal Imejing Diagnostik (JImeD) Vol 7, No 2: JULY 2021
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v7i2.7464

Abstract

Backgroud: MRCP is a non-invasive imaging examination, which is used for the evaluation of biliary tract, pancreatic duct, and gallbladder. Pulse sequences which can be used to visualize organs in MRCP on T2 weighting is using a fast pulse sequences such as sequences TSE or Haste. The purpose of this research was to knowing the difference image information between T2 axial TSE with Haste and where better to use between the two sequences on axial T2 MRCP examination.Methods: This type of research is experimental observational approach, it has been carried out in the best MRI 1.5 Tesla at RSU Haji Surabaya. Sample used were 5 patients. Each patient performed two pieces of axial T2 sequences in which the TSE and Haste. Furthermore, the image submitted to the three doctors radiologist to fill out a questionnaire that has been provided to assess the image consisting of the liver, gallbladder, common bile duct (CBD), pancreas, intrahepatic duct and an assessment of the artifacts.Results: The results of analytical assessment Wilcoxon test, for the entire anatomy with ρ value of 0.002 which means that ρ 0.05, and the artifacts show the ρ value of 0.006, which means ρ 0.05. This proves that there are differences in image information between T2 axial TSE with T2 axial Haste the MRCP examination. At each of anatomy, liver has ρ value of 0,071 (ρ 0.05), gallbladder has ρ value of 0.317 (ρ 0.05), CBD has ρ value of 0.003 (ρ 0.05), pancreas has ρ value of  0.014 (ρ 0.05) and intrahepatic duct has ρ value of 0.004  (ρ 0.05). Based on the mean rank statistical test results show sequence Haste better in generating image information on the whole anatomy, but in each of anatomy based on the mean rank of gallbladder both sequences are equally good in showing gallbladder, whereas to display the liver, CBD, pancreas, and intrahepatic duct, the results showed T2 Haste mean rank better, it is because it has the characteristics of high Haste T2 signal intensity and better in reducing motion artifacts.Conclusion: Wilcoxon test analysis results expressed Ha accepted, meaning that there is a difference between the image information pieces axial T2 TSE with Haste the MRCP examination. The mean rank shows Haste superior to TSE, this is because the artifacts on TSE and therefore contributes to the respondent's assessment, other than that Haste has a high signal intensity so that it can show more clearly ducts.
PROSEDUR PEMERIKSAAN LOPOGRAFI DENGAN KLINIS SUSPECT COLON CARCINOMA Rosy Amelia Azhari; Nanang Sulaksono; Agustina Dwi Prastanti
JRI (Jurnal Radiografer Indonesia) Vol. 5 No. 2 (2022): November
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55451/jri.v5i2.129

Abstract

ABSTRACT Background :The lopographic examination according to Lampignano and Kendrick (2018) uses barium sulfate contrast media which is inserted through the stoma, using plain photos, AP/PA, Lateral, Oblique, post evacuation. Installation of Radiology Hospital Prof. Dr. Margono Soekarjo Purwokerto using a non-ionic water soluble contrast media mixed with NaCl, inserted into the proximal stoma and anus with plain photos, AP, Lateral. The purpose of the study was to determine the lopographic examination procedure, the reasons for using water soluble contrast media, to find out anatomical information from the AP and Lateral. Methods :This research used qualitative approach with a case study. Data collection were used observation, interviews, documentation. Research respondents were patients, radiographers, radiologist, and dispatching doctors. Data analysis with interactive analysis model. Result : Showed that the lopographic examination was aimed at evaluating the colon after colostomy and chemotherapy. Patients undergo special preparation. The water soluble contrast medium was mixed with NaCl in a ratio of 1: 4 because it was safer than barium sulfate. The reason for insertion of contrast media through the proximal stoma and anus is the absence of a stoma to the distal colon. Anatomical information from the plain photo is the distribution of air in the colon, the AP projection looks contrast to fill the ascending colon, transverse colon, descending colon and superpositioned sigmoid colon. Laterally, the sigmoid colon and rectum are seen. Diagnostic information was not found in colonic carcinoma residif cells.
Co-Authors Adilfi Amalia Yuniar Agung Nugroho Setiawan Agustina Dwi Prastanti Ambarwati, Seli Amelia Rizqi Utami Andrey Nino Kurniawan Andrey Nino Kurniawan Ardani Ardani Ardi Soesilo Wibowo, Ardi Soesilo Arinawati, Arinawati Bagus Abimanyu Bagus Dwi Handoko Bambang Satoto Bekti Safarini Dadang Nugroho Dartini Dartini Devi Mawarlina Diah Nisaa Harumsari Dimas Prakoso Dimas Prakoso Diyah Fatmasari Dwi Rochmayanti Dwi Rochmayanti Dwi Rochmayanti Dwi Yan, Mami Edy Susanto Farrah Hendara Ningrum Fatimah Fatimah Fatimah Fatimah Fatmayanti, Halinda Gatot Murti Wibowo Hermina Sukmaningtyas Jackwin Surya. D. B Janita Limbong, Rosari Jannah, Marichatul Jeffri Ardiyanto Kurniawati, Ary Kurniawati, Ary Kusworo Adi M. Irwan Katili Mami Dwi Yan Margarita Puspitawati Muhammad Izzudin Nidaa Azmii Susdiningtyas Nugroho Yudho Susilo Puspitawati, Margarita Putro, Wahyu Murti Cahyo R Rizal Isnanto Rasyid Rasyid Ratna Tri Rahayu Rini Indrati Rosy Amelia Azhari Rukmayani Sipahutar Ryzki Mega Mentari Safina Yulianarrahma Salis Nurbaiti Sigit Wijokongko Sigit Wijokongko Siti Anikmah Siti Masrochah Siti Nur Farida Siti Nur Farida Sri Mulyati Sudiyono Sudiyono Suryono Suryono Susanti, Titin Tri Puji Hastuti Vederica Farida Candra Veny Nur Aini Yeti Kartikasari Yeti Kartikasari Yeti Kartikasari, Yeti