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All Journal IAES International Journal of Artificial Intelligence (IJ-AI) Jurnal Riset Kesehatan Jurnal Imejing Diagnostik Medica Hospitalia Jurnal Radiografer Indonesia JUSIFOR : Jurnal Sistem Informasi dan Informatika International Journal of Health and Medicine Welcome: Wealth Community Empowerment

Nanang Sulaksono

POLTEKKES KEMENKES SEMARANG

Author-ID : 532647

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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PENGARUH PENEMPATAN ISOCENTER TERHADAP KUALITAS CITRA DAN INFORMASI CITRA ANATOMI MRI BRAIN T1 FAST SPIN ECHO POTONGAN SAGITAL DI NASION DAN GLABELLA Jackwin Surya. D. B; Sigit Wijokongko; Nanang Sulaksono
JRI (Jurnal Radiografer Indonesia) Vol. 2 No. 2 (2019)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Background : Before conducting an MRI examination, there will be a positioning. One of the positions carried out is the placement of isocenter. Isocenter is a magnetic center point where each gradient will be centered at that midpoint (Brown and Semelka, 2010). Different isocenter placements can affect image quality (Caramanos et al, 2010). In practical experience in the Telogorejo Semarang SMC Hospital, the placement of the isocenter in the nation while in Dr. Soetomo and Premier Surabaya Hospital placed Isocenter in Glabella. To examine the effect of isocenter placement on image quality and MRI brain T1 fast spin echo anatomical image information in the nasion and glabella and determine the optimal isocenter placement between the nasion and glabella. Method : This type of research is quantitative with an experimental approach. This research was conducted at Telogorejo SMC Hospital Semarang. Data in the form of 16 MRI images of sagittal brain pieces of T1 Fast Spin Echo weighting on isocenter placement in the nasion and glabella of 8 volunteers. Testing is done using the SPSS program where the image quality is analyzed by linear regression test, while for anatomical image information is analyzed by the Wilcoxon test. Result : The results of this study indicate that there is an effect of isocenter placement on the quality of MRI brain images of T1 fast spin echo sagittal pieces as seen from p value SNR (0.039) and CNR (0.010) <0.05 and from SNR percentage effect of 16.85% while CNR of 5, 8%. in addition to the influence, there are also differences in the anatomical image information of the MRI brain T1 fast spin echo sagittal section which is seen from the p value generated is 0.001 <0.05. Conclusion : Judging from the mean rank per anatomy, isocenter placement in the nasion is optimal in providing information on the mesencephalon, medulla oblongata, and cerebral subarachnoid space.

PERBEDAAN INFORMASI ANATOMI CITRA CT-SCAN SINUS PARANASAL POTONGAN CORONAL DENGAN VARIASI REFORMAT SLICE THICKNESS PADA KASUS RINOSINUSITIS KRONIS Safina Yulianarrahma; Bekti Safarini; Nanang Sulaksono
JRI (Jurnal Radiografer Indonesia) Vol. 2 No. 2 (2019)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Background : Chronic rhinosinusitis is defined as inflammation of the nose characterized by two or more symptoms, one of which should be either obstruction, facial pain pressure, reduction of smell for more than 12 weeks. Multiplanar reconstruction is a computer program that can create coronal, sagittal, and paraxial images from a stack of contiguous transverse axial scans. There are several parameters that support CT-Scan image quality, one of which is slice thickness. The slice thickness is an incision where the value chosen by the operator is in accordance with clinical requirements. The purpose of this research is to find out difference of image anatomic information in coronal ct scan paranasal sinuses with reformat slice thickness variations in chronic rhinosinusitis and the optimal reformat slice thickness. Method : This type of research is an experimental quantitative that was located in the Radiology Installation of dr. Moewardi Hospital Surakarta on March-May 2019. This research used 8 samples and 3 respondents, where slice thickness coronal was reformatted with variations 1 mm, 1,5 mm, 2 mm, 2,5 mm, and 3 mm. Anatomical criteria assessed were nasal septum deviation, mucosal thickening, and concha bullosa. In this research, Kappa test was conducted to determine the degree of allignment between respondents. Then analyzed by Friedman test to determine difference of image anatomic information in coronal ct scan paranasal sinuses with reformat slice thickness variations in chronic rhinosinusitis and to find out which the optimal reformat slice thickness by looking at the highest mean rank. Result : The results of this research showed a significant difference between the use reformat slice thickness variations to the anatomy criteria with p value < 0,05. Reformat slice thickness 1 mm seems very clear on nasal septum deviation, mucosal thickening, and concha bullosa, 1,5 mm and 2 mm seems very clear on nasal septum deviation and mucosal thickening, 2,5 mm seems very clear on nasal septum deviation, 3 mm seems very clear on nasal septum deviation and concha bullosa. Conclusion : Based on the result that there is a difference of image anatomic information in coronal CT-Scan paranasal sinuses in chronic rhinosinusitis with the most optimal reformat slice thickness is 1 mm.

TATA LAKSANA BRAKHITERAPI CO-60 TEKNIK INTRAKAVITER LENGKAP PADA KASUS KANKER SERVIKS Nugroho Yudho Susilo; Rini Indrati; Nanang Sulaksono
JRI (Jurnal Radiografer Indonesia) Vol. 2 No. 2 (2019)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Background: Brachytherapy is a radiation treatment by bringing radiation sources closer to the primary tumor which aims to provide additional therapeutic doses (booster) after external radiation administration so that the optimal dose will be achieved. In general brachytherapy uses closed radioactive sources namely Radium, Cobalt-60, Cesium- 137, and Iridium-192.Intracaviter technique is a type of brachytherapy technique in which the radiation source is placed in a hilt and inserted into a body organ that contains a tumor. to obtain the optimal dose distribution. Methods: The type of research used is qualitative research with a case study approach. The study was conducted by observation, documentation and interviews. The subjects of this study were one radiation oncology specialist, one medical physicist, one radiotherapy radiographer, and one radiotherapy nurse at the Radiotherapy Installation of Dr. Moewardi Hospital. Stages The data analysis in this study used the data analysis method which was done descriptively using interactive models. Results: The results showed that the management of radiotherapy in cervical cancer patients at Radiotherapy Hospital Dr. The procedure consists of several procedures, namely the control of a specialist oncologist of radiation after external radiation, supporting examinations (check vital signs, laboratory, ECG, and chest X-ray), undergoing hospitalization a day before irradiation of brachytherapy, spinal anesthesia before applying the applicator, applying an applicator, simulating the position of the applicator with AP and Lateral x-ray projections, calculating the dose (2 x 850 cGy) and irradiation time in the TPS (Treatment Planning System) room based on the Manchester system dose distribution, and irradiation in the brachytherapy room. Conclusion: Management of brachytherapy consists of several procedures, namely the control of radiation oncology specialists, supporting examinations, undergoing hospitalization the day before exposure, spinal anesthesia, applying applicators, simulating applicator positions, calculating doses and exposure time in the TPS (Treatment Planning System) ) based on the Manchester system dose distribution, and carried out irradiation in the brachytherapy room. The reason for using three Co-60 sources in one fraction of brachytherapy irradiation is because it can shorten the irradiation time and minimize the time error arising when the source moves. Evaluation of Co-60 brachytherapy patients in cervical cancer cases can be estimated in the form of tumor response, in patients experiencing total response and not experiencing side effects such as cystitis or progitis.

PERBEDAAN INFORMASI ANATOMI CITRA MRI CERVICAL PADA KASUS HERNIA NUCLEUS PULPOPUS (HNP) DENGAN SEKUEN T2W FAST SPIN ECHO (FSE) ANTARA PENGGUNAAN FLOW COMPENSATION DAN TANPA FLOW COMPENSATION Nidaa Azmii Susdiningtyas; Farrah Hendara Ningrum; Nanang Sulaksono; Sudiyono
JRI (Jurnal Radiografer Indonesia) Vol. 2 No. 2 (2019)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Background : Flow compensation is one technique that can reduce artifacts due to the flow of cerebrospinal fluid in MRI examination of the cervical in cases of Hernia Nucleus Pulposus specifically in T2 Weighted Fast Spin Echo (FSE) sequence images. Method : This research is quantitative study with an experimental approach. This study using 10 pasient at Cempaka Putih Hospital in Jakarta. Wilcoxon test to determine the level of cervical MRI anatomical information distribution in the case of HNP between using flow compensation and without flow compensation, mean rank value to get the better image information. Result : From the results of statistical tests, it is known that there are differences in Cervical MRI image information in the HNP case with the T2W FSE between the use of flow compensation and without flow compensation as indicated by the p-value 0.000 (p-value ≤ 0.05), this difference is due to flow compensation which can suppress flow artifacts on objects resulting in a better picture. The mean rank value in the overall anatomy of the MRI Cervical MRI image shows a better value using flow compensation with the highest value in the anatomy of the intervertebral disc, CSF, and spinal cord, 5.00 in axial view. Whereas the sagittal view in the anatomy of the vertebral corpus and spinal cord show the same value between using flow compensation and without flow compensation. Conclusion : There are differences in overall anatomical image information of MRI Cervical using flow compensation and without Flow compensation except corpus vertebralis and spinal cord in sagital view.

PERANAN ALAT BANTU PENGIRIMAN ARSIP AEROCOM PNEUMATIC TUBE SYSTEM PADA PEMERIKSAAN VERTEBRAE CERVICAL DENGAN KASUS TRAUMA Ryzki Mega Mentari; Nanang Sulaksono
JRI (Jurnal Radiografer Indonesia) Vol. 1 No. 2 (2018)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Background :The cervical vertebrae consist of seven vertebral bones separated by intervertebral discs and connected by complex ligamentous tissue. Examination of cervical vertebrae includes Axial, Lateral, RPO and LPO AP projections. Axial AP projections are carried out with15-200 cephalad angles. At PKU Muhammadiyah Hospital Gamping vertebrae radiographic examination cervical AP projection was done without cornering this case there was a difference with the theory so the author wanted to know more about the examination procedure. Methods :This type of research is qualitative research with a case study approach. This research was conducted at the Radiology Installation of PKU MuhammadiyahGamping Hospital and was carried out in March - May 2018. This research was carried out by observation, documentation, radiogarfer interviews and radiology doctors.Results :The results of the study found that cervical vertebrae radiographic examination procedures in trauma cases used two projections, namely AP and Lateral projections. On vertebrae examination cervical projection of AP is done without cornering. The reason for not being cornered is because the radiograph has revealed the corpus, intervertebral disc, spinousprocesus. Cervical vertebrae examination with trauma cases requires further action. In the Radiology Installation PKU Muhammadiyah Hospital, Gamping, was assisted by the delivery of aerocom pneumatic tube system files, in its role this tool was very helpful if the sending doctor wanted to immediately find out the radiographic results of the patient with the trauma case.

ANALISA PERBEDAAN INFORMASI DIAGNOSTIK CT SCAN KEPALA PADA KASUS STROKE ISKEMIK DENGAN PILIHAN KOMBINASI SLICE THICKNESS DAN INTERVAL RECONSTRUCTION Mami Dwi Yan; Nanang Sulaksono; Jeffri Ardiyanto
JRI (Jurnal Radiografer Indonesia) Vol. 4 No. 2 (2021)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

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.

ANALISIS VARIASI WINDOW WIDTH TERHADAP INFORMASI CITRA ANATOMI MSCT STONOGRAFI Muhammad Izzudin; Hermina Sukmaningtyas; Nanang Sulaksono
JRI (Jurnal Radiografer Indonesia) Vol. 4 No. 2 (2021)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

ABSTRACT Background : Multi Slice Computed Tomography is a diagnostic imaging method that can display cross section anatomy in the axial, sagital, and coronal areas. MSCT Stonography imaging both visualizes the anatomy of the urinary tract and stone pathology supported by the presence of ureter tracking techniques and without using contrast media. On this method, the appropriate window width will produce an optimal anatomical picture. The Study aims to determine the effect of window width on anatomical image information on MSCT Stonography. Methods : Type of research is quantitative experimental approach, conducted in January-February 2020 in Hasan Sadikin Bandung hospital, Bandung. Research with variations in window width 300 HU, 350 HU, 400 HU, 450 HU, and 500 HU on MSCT stonography og 10 patients. Criteria’s patients is patients with clinical kidney stones, willing to be a research sample. Result imagery rated two respondents, include parenchymal kidney, pelvic calices kidney, ureters, vesica urinary, and stones kidney. Then do Kappa test continued testing Friedman to know the highest mean rank and the influence og the window width oh the image og MSCT stonography. Results : Based on the result of the Friedman statistical test overall anatomy obtained significance value (p-value) = 0.000 < 0.05 means that there is an influence of window width value, the contrast resolution will increase and the better the firm boundary, but the resulting image will be more radioluscent. Based on Friedman’s mean rank test result obtained the highest mean rank of 3,54 in a variation of window width 300. The most optical window displays anatomy information using window width 300. Conclussion : There are difference in anatomical image information of MSCT stonography among 5 variation window width on examination MSCT stonography. Window width 300 HU is better at anatomy information on MSCT stonography to show better contrast, crisp sharpness, no blur image.

TEKNIK SPLIT BOLUS TERHADAP INFORMASI ANATOMIS PADA PEMERIKSAAN CT SCAN UROGRAFI Amelia Rizqi Utami; Nanang Sulaksono; Sigit Wijokongko
JRI (Jurnal Radiografer Indonesia) Vol. 5 No. 1 (2022)
Publisher : Perhimpunan Radiografer Indonesia (PARI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55451/jri.v5i1.109

Background : The split bolus technique in CT Scan urography is an intravenous contrast media insertion technique by combining two phases, namely the nephrography phase and the excretory phase in one scan acquisition. In general, the CT Scan urography examination uses 3 phases, non-contrast phase, the nephrographic phase, and the excretory phase. In the role of the split bolus technique, the combination of two phases, namely the nephrographic and excretory phases. The purpose of this study was to explain the split bolus technique and the role of the split bolus technique on anatomical information in CT Scan urography. Methods : This type of descriptive research using a literature review approach. The keywords used are "Split-bolus", "CT Scan Urography". Articles were obtained based on inclusion and exclusion criteria and 7 relevant scientific articles were obtained and were used as literature sources. Data processing through article extraction. Result : The split bolus technique in CT Scan urography examination is a technique of intravenous contrast media that combines two nephrographic and excretory phases in one image acquisition with an average flow rate of 1.5 ml - 3 ml / s. This technique uses a non-ionic iodine contrast medium with a volume of 90 ml - 135 ml and a concentration of 300 mg/ml-370 mg/ml. The role of the split bolus technique on radiation dose and anatomical image information is due to the merging of the two phases in one scan which addresses the anatomy of the urinary system. In addition, the split bolus technique when combined with several reconstructions is able to increase contrast resolution and increase organ enhancement. In this technique, it is better to use the addition of a reconstruction algorithm such as 3D MIP, so that the anatomical image information obtained is more optimal.

ANALISIS KUALITAS CITRA ANATOMI MSCT UROGRAPHY DENGAN VARIASI INTERATIVE MODEL RECONTRUCTION (IMR) Ary Kurniawati; Nanang Sulaksono; Devi Mawarlina; Siti Anikmah; Dadang Nugroho
JRI (Jurnal Radiografer Indonesia) Vol. 6 No. 1 (2023): Mei
Publisher : Perhimpunan Radiografer Indonesia (PARI)

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ABSTRACT Background: The urinary system consists of two kidneys and ureters, urinary bladder, and urethra. Various modalities in radiology can be used to radiologically detect abnormalities in the urinary system, one of which is MSCT. MSCT Urography with tracking technique can identify urolithiasis in the ureters. Iterative reconstruction is used to reduce the dose received by the patient without reducing image quality. Iterative Model Reconstruction (IMR) is the second-generation IR algorithm from the previous generation, namely iDose (Philips Healthcare). This study aims to determine the optimal anatomy image quality with IMR variations on non-contra Urography MSCT images using tracking techniques. Methods: This type of research is an experiment with data obtained from a comparison of the quality of anatomical images from tracking images with IMR variations. Place of data collection at the Radiology Installation of RSUD RAA Soewondo Pati. Time for data collection From 2022. An assessment of the quality of the anatomical images was carried out by 2 radiologists. Data analysis was carried out using the Friedman statistical test method. The level of significance (level of significance) is 95% or α> 0.05 and is done by assessing the p-value. For a significant level of assessment p <0.05 then Ho is rejected and p> 0.05 then Ho is accepted. Results: There are differences in information on each anatomy of the renal parenchyma, pelvic calices, ureters, and perirenal space in the use of IMR variations. The results showed that the optimal IMR variation value was IMR 3 with a mean rank value of 2.7. Increasing the use of IMR levels reduces noise and increases spatial resolution, so that IMR level 3 has the best assessment of anatomical information. Conclusions: We recommend that the non-contrast MSCT Urography examination with the Tracking Technique use IMR 3 which can produce optimal anatomical image information on the kidney parenchyma, pelvic calices, ureters, and perirenal space.

OPTIMALISASI KUALITAS CITRA ANATOMI DENGAN VARIASI IDOSE DAN INTERATIVE MODEL RECONTRUCTION (IMR) PADA MSCT UROGRAPHY NON KONTRAS DENGAN TEKNIK TRACKING Nanang Sulaksono; Ary Kurniawati
JRI (Jurnal Radiografer Indonesia) Vol. 6 No. 1 (2023): Mei
Publisher : Perhimpunan Radiografer Indonesia (PARI)

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ABSTRAK Background: The urinary tract (urinary system) consists of the two kidneys and ureters, the urinary bladder, and the ureters. There are several ways to examine abnormalities in the urinary tract radiologically. including the current CT scan, CT Scan (MSCT) is one of the modalities to evaluate and diagnose urinary tract disorders. MSCT of the urinary tract without using positive contrast media is able to identify images of the urinary tract in cases of urolithiasis. iDose and Interative Model Reconstruction (IMR) are the second generation of IR algorithms from the previous generation, namely iDose. This technology can also lower the dose to the patient and also improve the quality of the resulting image. Method: This type of research is an experiment with an observational approach with comparisons. This type of research is an experiment with data obtained from a comparison of noise values and the quality of anatomical images from tracking images with iDose and IMR variations. And an assessment was carried out by 3 radiologists. Place of data collection in radiology RSUD RAA Soewondo Pati. Time for data collection From April to November 2022. in assessing anatomical images using statistical tests. Data analysis was carried out using the Wilcoxon statistical test method because the data were ordinal with paired groups. The Wilcoxon statistical test was used to test the hypothesis and see the level of difference in anatomical image information. The level of significance (level of significance) is 95% or α> 0.05 and is done by assessing the p-value. For a significant level of assessment p <0.05 then Ho is rejected and p> 0.05 then Ho is accepted. Results: Friedman test on each anatomical part of the urinary tract system on Non-Contrast Urography MSCT images with Tracking Techniques with iDose 1-6 and IMR 1-3 variations, there are differences in anatomical image information with a p value of .000 (p <0.05). In the anatomy of the renal parenchyma, the highest mean rank is iDose 3 with a value of 8.15. In pelvic anatomy and kidney calices, the highest mean rank is at iDose 6 with a value of 8.05. In ureteral anatomy, the highest mean rank is iDose 3 with a value of 8.05. In the anatomy of the perirenal space, the highest mean rank is iDose 3 with a value of 8.20. Based on the results of the mean rank Friedman test to find out the optimal I Dose and IMR values, it was obtained iDose 1 with a mean rank value of 4.65, iDose 2 with a mean rank value of 4.95, iDose 3 with a mean rank value of 8.3, iDose 4 with a mean rank value of mean rank 6.4, iDose 5 with a mean rank value of 6.55, iDose 6 with a mean rank value of 7.75, IMR 1 with a mean rank value of 1.65, IMR 2 with a mean rank value of 2.05, and IMR 3 with a mean value rating 2.7. Conclusion: Changes in the values of iDose and IMR variations affect the anatomical image information of Non-Contrast MSCT Urography with Tracking Techniques, this is based on the results of the mean rank Friedman test performed on each anatomy of the renal parenchyma, pelvic calices, ureters and perirenal space which shows a difference. Based on the results of Friedman's mean rank test conducted on the entire anatomy of the renal parenchyma, ureters, and perirenal space, it showed that the optimal iDose and IMR variation values were iDose 3 with a mean rank value of 8.3.

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

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