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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
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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Prosedur Pemeriksaan MRI Cruris dengan Kontras pada Kasus Tumor Ambarwati, Seli; Sulaksono, Nanang; Jannah, Marichatul
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.v1i1.12436

Abstract

Background: This study examines the MRI Cruris contrast examination procedure for tumor cases at Dr. Moewardi Hospital. The hospital's MRI protocol includes sequences such as 3-plane localizer, Sag T1, Sag T2, Ax T1, Ax T2 STIR, Coronal T1, Coronal PD FS, Coronal T2* MERGE, 3D Coronal TRICKS, and post-contrast sequences Sag T1+C, Coronal T1+C, and Ax T1+C. The study aims to analyze the MRI Cruris contrast procedure, the rationale for using 5 ml contrast, and the importance of the Coronal 3D TRICKS sequence.Methods: A qualitative research method with a case study approach was used, involving observation, interviews, and documentation. The data was analyzed and presented in quotations to conclude.Result and Discussion: The MRI procedure begins with patient preparation, including laboratory tests for urea and creatinine levels, fasting for 4–6 hours, and filling out informed consent. Patients are positioned supine with feet first, and an air coil is placed on the leg. The use of 5 ml contrast enhances image quality, improves tumor detection, evaluates blood vessels, shows lesions, and determines tumor location and spread. The Coronal 3D TRICKS sequence provides clear MRA angiography, enabling better visualization of feeding arteries and rapid imaging of major blood vessels within 10 seconds.Conclusion: In conclusion, the MRI Cruris contrast protocol at Dr. Moewardi Hospital ensures high-quality imaging for tumor detection and diagnosis. The 5 ml contrast dose effectively enhances MRI images, and the Coronal 3D TRICKS sequence plays a crucial role in evaluating vascular structures.
Informasi Citra Anatomi CT Scan Kepala pada Kasus Stroke Iskemik dengan Variasi Windowing Putro, Wahyu Murti Cahyo; Sulaksono, Nanang; Wibowo, Ardi Soesilo
Jurnal Imejing Diagnostik (JImeD) Vol. 11 No. 2 (2025): JULY 2025
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v11i2.13190

Abstract

Background: Ischemic stroke is a critical condition detectable through head CT scans, where windowing techniques significantly enhance brain tissue visualization. At Bethesda Hospital Yogyakarta, differing windowing protocols are used in the Emergency and Main Radiology Departments, yet no standardized stroke-specific window has been established. This study aims to identify the differences in anatomical information in head CT scans with various windowing settings and to determine the most optimal windowing protocol.Methods: This research is a quantitative-experimental study conducted at Bethesda Hospital Yogyakarta involving 10 patients with ischemic stroke, using variations of windowing settings: WW 120 HU WL 60 HU, WW 100 HU WL 35 HU, and WW 40 HU WL 40 HU. The image results were evaluated by two respondents based on the anatomical information of brain parenchyma, insular cortex, internal capsule, left and right cerebral hemispheres, and brain sulci. The data analysis was performed using the Friedman statistical test.Results: The results of the study showed that the WW 100 HU WL 35 HU setting provided the most informative anatomical visualization across all evaluated brain structures. In contrast, WW 120 HU WL 60 HU was the least informative for the brain parenchyma and insular cortex, while WW 40 HU WL 40 HU offered moderate clarity for most structures but was suboptimal for the brain parenchyma. These differences were confirmed by the Friedman test, with a p-value < 0.05.Conclusions: There were differences in anatomical information across the various windowing settings in head CT scan examinations for ischemic stroke cases. In addition, the highest overall and individual anatomical mean rank was found in the WW 100 HU WL 35 HU windowing setting, with a value of 2.95.
Efektivitas Software Organ Dose Modulation (ODM) dalam Penurunan Dosis Radiasi pada CT Thorax Fatmayanti, Halinda; Sulaksono, Nanang; Kurniawati, Ary
Jurnal Imejing Diagnostik (JImeD) Vol. 12 No. 1 (2026): JANUARY 2026
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v12i1.14448

Abstract

Background: CT Scanning is a diagnostic examination modality that uses radiation to obtain detailed cross-sectional images of the human body. CT thorax is a frequently performed examination to evaluate lung parenchyma, airways, and mediastinal structures. This increases collective radiation exposure, thereby increasing long-term biological effects, especially on radiosensitive organs in the thorax, such as the mammary glands, thyroid, lungs, and spinal cord. One strategy to optimize dose exposure to radiosensitive organs is to use Organ Dose Modulation (ODM) software. ODM is a CT feature that can reduce radiation exposure to radiosensitive organs. This study aims to evaluate the effectiveness of ODM in reducing radiation dose in CT thorax examinations and its impact on image quality. Methods: This experimental study using a quantitative approach was conducted by Scanning a torso phantom from August to October 2025 at Indriati Solo Baru General Hospital. Thoracic Scanning was performed with two conditions: ODM OFF and ODM ON. Radiation exposure measurements in radiosensitive areas were performed by placing TLDs over the thyroid, mammary glands, lungs, and vertebrae (spinal cord), with each measurement repeated twice. Image quality was then assessed using SNR and CNR measurements with three repeated measurements. The resulting data were analyzed descriptively and analytically to compare dose distribution and image quality when the ODM was turned off and on. Results: TLD measurements demonstrated dose redistribution when the ODM was activated. Comparison of the average dose showed a decrease in anterior radiosensitive organs, with a 2.59% decrease in the thyroid and a 16.71% decrease in the mammary glands. Conversely, there was an increase in dose in the posterior and lateral regions, with a 45.05% increase in the vertebrae and a 5.05% increase in the lungs. Image quality analysis revealed a 14.76% increase in SNR and a 28.30% increase in CNR when the ODM was activated. Conclusions: This study demonstrates that the ODM not only reduces radiation dose to anterior radiosensitive organs but also improves image quality.
Community Empowerment of Yellow Pumpkin Food Processing as an Alternative Snack to Prevent Diabetes Mellitus in The Community in Mangunharjo Tembalang Sub-District, Semarang City Fatimah Fatimah; Nanang Sulaksono; Yeti Kartikasari; Veny Nur Aini; Dimas Prakoso; Siti Masrochah
Wealth Community Empowerment Vol. 3 No. 1: January 2026
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/welcomejournal.v3i1.14408

Abstract

Mangunharjo Village is expected to realize a healthy village and improve health through efforts to establish healthy SMEs in the village. Besides its high nutritional value, pumpkin is easy to find, grow, and is affordable. Therefore, it is suitable for use as a basic ingredient in making alternative snacks for people with diabetes. The method used in this activity is a training approach, followed by program implementation with mentoring until certification and licensing. Each stage will be evaluated to obtain feedback and further improvement efforts. The results and discussions from this activity showed participants' awareness and understanding of health and the importance of replacing their consumption with healthier ingredients. Participants were able to process and package processed pumpkin products properly. Furthermore, a booklet and video guide on product processing were developed. This activity concluded that it was successfully implemented. There was increased awareness among residents about the importance of maintaining blood sugar levels. Therefore, it is necessary to increase the motivation of the assisted villages to produce other healthy food and beverage products to improve health and increase their income.
Optimization Axial T2WI Lumbar MRI in Spinal Stenosis: Effects of GRAPPA Acceleration Factor on Image Quality and Anatomy Diah Nisaa Harumsari; Dwi Rochmayanti; Nanang Sulaksono
Medica Hospitalia : Journal of Clinical Medicine Vol. 12 No. 2 (2025): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36408/mhjcm.v12i2.1235

Abstract

BACKGROUND: Patients with lumbar spinal stenosis (LSS) who struggle to lie down for long periods may encounter issues during lumbar MRI exams. GRAPPA, a parallel imaging method to speed up MRI scans, can reduce the Signal to Noise Ratio (SNR), affecting image quality and anatomical information. AIMS: This study aims to find the best GRAPPA acceleration factor by assessing its effect on image quality and anatomical information. METHOD: This study involved scans on 10 Lumbar MRI patients with LSS cases. The scans were performed using a Siemens Magnetom Aera 1.5 Tesla MRI machine with T2WI TSE axial cut. Each patient underwent 4 treatments with acceleration factors of 1 (without GRAPPA acceleration factor), 2, 3, and 4. Image quality was analysed using ROI to obtain SNR and CNR values. The radiologist assessed the anatomical information on the images. The analysis included a one-way ANOVA and the Kruskal-Wallis test was performed for image quality and anatomical information. RESULT: The research found that the GRAPPA acceleration factor significantly affects image quality and anatomical information in axial T2WI TSE Lumbar MRI scans for patients with LSS (p-value < 0.01). A factor of 3 reduces examination time by 65.35% without significant differences (p > 0.05) in image quality and anatomical information. CONCLUSION: The acceleration factor in axial T2WI TSE lumbar MRI significantly affects image quality and anatomical information for lumbar spinal stenosis cases. An acceleration factor of 3 is optimal for maintaining quality and anatomical information.
Perancangan dan Pengembangan Sistem Informasi Laboratorium Pengujian (Si-Laban) untuk Lembaga Uji Kesesuaian dengan Metode Research and Development (R&D) Model ADDIE Dimas Prakoso; Fatimah Fatimah; Nanang Sulaksono
JUSIFOR : Jurnal Sistem Informasi dan Informatika Vol 5 No 1 (2026): JUSIFOR - Juni 2026
Publisher : Fakultas Sains Dan Teknologi, Universitas Raden Rahmat Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70609/jusifor.v5i1.8385

Abstract

Perkembangan teknologi informasi telah mentransformasi berbagai sektor, termasuk pelayanan laboratorium pengujian radiologi. Poltekkes Kemenkes Semarang sebagai Lembaga Uji Kesesuaian yang terakreditasi KAN di bidang pengujian Pesawat Sinar-X membutuhkan sistem informasi terintegrasi untuk meningkatkan efektivitas dan efisiensi layanan. Penelitian ini bertujuan mengembangkan website Si-Laban (Sistem Informasi Laboratorium Pengujian) sebagai solusi digital untuk manajemen informasi dan promosi layanan pengujian. Penelitian menggunakan metode Research and Development (R&D) dengan model Analysis, Design, Development, Implementation, Evaluation (ADDIE). Tahap analisis meliputi studi kebutuhan pengguna dan analisis sistem existing. Tahap desain mencakup pembuatan wireframe, antarmuka pengguna, dan arsitektur database. Pengembangan dilakukan dengan teknologi web modern, diikuti implementasi pada lingkungan hosting. Evaluasi menggunakan pengujian fungsional dan kuesioner kepuasan pengguna. Hasil penelitian menghasilkan sistem informasi Si-Laban dengan berbagai fitur diantaranya manajemen pelanggan, manajemen jenis pengujian, dan pelaporan hasil uji. Hasil penelitian menunjukkan tingkat penggunaan dan kepuasan pengguna sebesar 100%. Sistem informasi Si-Laban terbukti meningkatkan efisiensi penyampaian informasi pengujian sehingga pelanggan bisa langsung mengecek proses pengujian secara real time tanpa harus menghubungi admin untuk menanyakan berapa lama waktu yang diperlukan untuk pengujian dan berapa biaya yang perlu dibayarkan.
Development of a Digital Radiation Card Model Using an Android-Based Smartphone for Patients Undergoing External Radiation Therapy Rukmayani Sipahutar; Kusworo Adi; Agung Nugroho Setiawan; Gatot Murti Wibowo; Nanang Sulaksono
International Journal of Health and Medicine Vol. 3 No. 3 (2026): Juli: International Journal of Health and Medicine
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/ijhm.v3i3.647

Abstract

The clinical role of radiotherapy in oncology, where ionising radiation is applied to damage the deoxyribonucleic acid (DNA) structure of tumour target cells in order to halt uncontrolled cell proliferation. The success of radiotherapy is influenced by patient compliance in completing the entire course of treatment according to the prescribed schedule. Consequently, the aim of this study was to develop a digital radiation card model using an Android-based smartphone for patients undergoing external radiation therapy at Murni Teguh General Hospital in Medan, with a view to improving patient compliance and satisfaction. This study employed a Research and Development (R&D) approach to develop an Android-based digital radiation card and assess its feasibility. The R&D method was chosen as it is suitable for research that produces a product whilst simultaneously conducting testing and refinement prior to wider implementation. The ADDIE development model was utilised, comprising five stages: Analysis, Design, Development, Implementation, and Evaluation. Based on the expert validation test, the digital radiotherapy card has been found to be effective in improving patient compliance and satisfaction in the radiotherapy department. The effectiveness of using Android-based digital radiation cards for patients undergoing external radiation therapy in improving patient satisfaction is demonstrated by the results of the Wilcoxon test, which show that all items relating to satisfaction have a p-value < 0.05; this indicates a significant difference between pre-test and post-test scores for satisfaction following the implementation of the Android-based digital radiation cards. The effectiveness of using Android-based digital radiation cards for patients undergoing external radiation therapy in improving patient compliance was demonstrated by the results of the Wilcoxon test, which showed that all items relating to compliance had a p-value < 0.05. Consequently, the use of digital radiation cards can be deemed effective in improving respondents’ compliance.
Analisis Pemanfaatan Program Automasi AI-Rad Companion Brain MR untuk Morfometri Otak pada Penyakit Neurodegeneratif Demensia Salis Nurbaiti; Bambang Satoto; Bagus Abimanyu; Diyah Fatmasari; Nanang Sulaksono
Jurnal Imejing Diagnostik (JImeD) Vol. 12 No. 2 (2026): JULY 2026
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v12i2.14978

Abstract

Background: : Neurodegenerative diseases such as dementia are characterized by progressive atrophy of the hippocampal structure. Accurate evaluation of brain morphometry is crucial for early diagnosis and monitoring disease progression. Currently, atrophy assessment is performed using the manual Medial Temporal Atrophy (MTA) Score, but this is subjective and depends on the assessor's experience. Advances in artificial intelligence (AI) technology, such as the AI-Rad Companion (AIRC) Brain MR, enable more objective, automated volumetric measurements. This study to analyze the level of correlation between the brain atrophy measurements using MTA Score method and the results of automatic volumetric measurements using the AIRC Brain MR program, as well as to assess the validity of the use of AI in brain morphometry in patients with dementia. Methods: This research was quasi-experimental. The sample was 32 dementia patients who underwent T1-W MPRAGE brain MRI examination at RSPON Dr. Mahardjono. MRI images were assessed visually using the MTA Score (0–4) and measured automatically with AIRC Brain MR. Data were analyzed using the Spearman Rank correlation test to determine the relationship between the MTA score and AI-derived hippocampal volume. Results: The results showed an average MTA score of 3 on both sides, indicating moderate to severe atrophy. The average hippocampal volume measured by AIRC was 3.0 ml (left) and 2.8 ml (right). The Spearman Rank test showed a very strong negative correlation between the MTA score and hippocampal volume (r = −0.898; p-value = 0.000). This means that the more severe the brain atrophy according to visual assessment, the smaller the hippocampal volume calculated automatically by AI. Conclusions: There was a very strong negative correlation between the manual MTA Score method and the automated volumetric measurements of AI-Rad Companion Brain MR in detecting brain atrophy in dementia patients. These results suggest that AIRC can be used as an objective validation tool in the evaluation of brain morphometry in neurodegenerative diseases. The use of AI technology is expected to improve the efficiency, accuracy, and consistency of brain atrophy diagnosis in MRI examinations.
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