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Analisis Prosedur Pemeriksaan CT Scan Abdomen Tiga Fase Pada Klinis Adenocarcinoma Colon Metastasis Hepar Di RSUP Persahabatan Jakarta Timur Reski Ramadhani; I Putu Eka Juliantara; I Made Purwa Dharmita
Journal of Educational Innovation and Public Health Vol. 1 No. 4 (2023): Oktober : Journal of Educational Innovation and Public Health
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/innovation.v1i4.1984

Abstract

Background: CT scans can be used as a supporting tool to evaluate various abnormalities and determine certain clinical conditions, one of which is that abdominal examination is used to make clinical diagnoses such as liver metastatic colon adenocarcinoma. Three-phase abdominal examination technique for clinical adenocarcinoma colon liver metastases carried out at Persahabatan Hospital using intravenous injection of contrast media without oral and rectal use with a delay time technique. Results: The three-phase abdominal CT scan examination procedure for clinical adenocarcinoma colon metastases to the liver was carried out using the Abdomen_3Phase protocol with a helical type scan with intravenous administration of contrast media which was sufficient to confirm the diagnosis with post-contrast scanning, namely in the arterial phase using a delay of 22-25 seconds, for the venous phase, that is 50-60 seconds, then for the equilibrium/delayed phase, that is 90-100 seconds from the beginning of the introduction of the contrast medium which is reconstructed into a 5 mm slice thickness sagittal and coronal section. A three-phase abdominal examination is carried out to evaluate abnormalities in the abdomen such as intra-abdominal masses so that it can differentiate between masses and metastases. Conclusion: The technique of inserting contrast media into a three-phase abdominal examination in clinical adenocarcinoma colon liver metastases at the radiology installation at Persahabatan Hospital, East Jakarta is carried out intravenously and is sufficient to confirm the patient's diagnosis. This is done because the focus is on assessing the liver, where the liver is a dense cavity. so that to assess abnormalities in the liver, contrast media can be injected intravenously, and for the condition of the colon, it can be assessed in general terms without going oral or rectal.
PERANAN SEQUENCE SWI (SUSCEPTIBILITY WEIGHTED IMAGING) PADA PEMERIKSAAN MRI BRAIN KLINIS PARKINSON Eva Maulidiana Hikmah; I Putu Eka Juliantara; Nadra
JURNAL RISET RUMPUN ILMU KEDOKTERAN Vol. 2 No. 2 (2023): Oktober :Jurnal Riset Rumpun Ilmu Kedokteran
Publisher : Pusat riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jurrike.v2i2.1628

Abstract

The Role of SWI (Susceptibility Weighted Imaging) Sequence in Clinical Parkinson’s MRI Brain Imaging. Magnetic Resonance Imaging (MRI) is a technique for imaging body crossings based on the principle of magnetic resonance of hydrogen atoms. Brain MRI examination aims to see anatomy and abnormalities within the brain to establish clinical diagnosis, pathological abnormalities, tumors, and surrounding abnormalities. Imaging examinations are also conducted to find other causes of Parkinsonism. Head MRI is one of the non-invasive examinations performed to help confirm the diagnosis of Parkinson's disease. This study aims to determine the procedure for Brain MRI examination with Parkinson's clinical and to determine the sequence information SWI (Susceptibility Weighted Imaging) can establish clinical diagnosis of Parkinson's. This study is qualitative descriptive with a case study approach. The subject consists of three patients with clinical Parkinson's. All subjects performed MRI brain 3 tesla examinations to determine the procedure and sequence information used. The research results were obtained according to the theory using an additional 2 mm sequence, while in the field using 0.9 mm sequence the examination was conducted using the head coil of the patient's position, namely supine, head first. Sequences used in field inspections are AAHead Scout, t1 fl2d transversal, t2 tse (time spin echo) dark fluid transversal, t2 tse (time spin echo) transversal, ep2d diff (diffusion) 4scan trace, asl 3d transversal, tof cs carotids, flow pc3d MRV (magnetic resonance venography), tof brain MRA (magnetic resonance angiography), t2 swi (susceptibility weighted imaging) 3d transversal 0.9 mm. The thin axial sequence of 0.9 mm is more likely to see Parkinson's anatomical abnormalities, higher SNR and better spatial resolution than using a 2 mm slice thickness.
Peran Sequence Paracoronal T2FSE Pada Informasi Citra Magnetic Resonance Imaging (MRI) Pelvis Pada Kasus Fistula Ishry Ahsani Aulia Askar; I Putu Eka Juliantara; Edwien Setiawan Saputra
JURNAL RISET RUMPUN ILMU KEDOKTERAN Vol. 2 No. 2 (2023): Oktober :Jurnal Riset Rumpun Ilmu Kedokteran
Publisher : Pusat riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jurrike.v2i2.1689

Abstract

The Role Of The T2FSE Paracoronal Sequence On Pelvic Magnetic Resonance Imaging (MRI) Image Information In Fistula Pelvic MRI is the most ideal part to be examined using Magnetic Resonance Imaging because it is very suitable for detecting abnormalities in the pelvis which most of the organs consist of soft tissue can be seen using MRI techniques . A fistula is an abnormal connection between two epithelial sites. A fistula is one that connects the anus with the skin around the anus or with other organs such as the vagina. One or more fistula bones are visible on the surface of the skin, which can become pus or feces during bowel movements. This study aims to determine the role of pelvic MRI examination with clinical fistula and to find out paracoronal sequence information can establish the clinical diagnosis of fistula. This study uses qualitative descriptive with a case study approach, the subject consists of one patient who will indeed perform a pelvic MRI examination with clinical fistula, the subject is carried out a 1.5 Tesla MRI examination to find out the sequence and procedure and sequence information used. The results of the study were obtained according to theory using sagittal sequences SE / FSE T2, axial SE / FSE T2, axial SE / FSE T1, coronal SE / FSE T2, and coronal GRE / SE / FSE T1, while in the field using sequences axial T2, axial Fat Sat, coronal T1, coronal T2, coronal T2 Fat Sat, sagittal T1 and sagittal T2 Fat Sat.
Penatalaksanaan Pemeriksaan MRI Cervical Pada Kasus Syringomyelia Pada Medulla Spinalis Di Rumah Sakit Primaya Tangerang Hanisa Hanisa; I Putu Eka Juliantara; Edwien Setiawan Saputra
JURNAL RISET RUMPUN ILMU KEDOKTERAN Vol. 2 No. 2 (2023): Oktober :Jurnal Riset Rumpun Ilmu Kedokteran
Publisher : Pusat riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jurrike.v2i2.1691

Abstract

Management of Cervical MRI Examination in Cases of Syringomyelia in the Spinal Medulla at Primaya Hospital Tangerang. Magnetic Resonance Imaging (MRI) is a state-of-the-art diagnostic tool for examining and detecting the body using a large magnetic field and radio frequency waves, without the use of X-rays or radioactive materials, which produces cross-sectional images of the human body/organs using a magnetic field. strength between 0.064 – 1.5 tesla (1 tesla = 1000 Gauss) and vibrational resonance of the hydrogen atom nucleus. MRI can produce images of the vertebral column, spinal cord, and also the CSF. The MRI screening procedure is ideal for the differential diagnosis of structural disorders that can affect the spinal roots and spinal cord. This examination is used in carrying out a vertebral examination at once, namely scanning starting directly from the cervical vertebrae and also up to the sacrum. So this examination can directly diagnose the cervical, thoracic, lumbar, sacral vertebrae and also includes the coccyx. The purpose of this study was to determine the management of cervical MRI examination with clinical syringomyelia. This research is descriptive qualitative with a case study approach. The subject is a patient with clinical syringomyelia. All subjects underwent Cervical MRI examination at 1.5 tesla to find out the sequence and procedure and sequence information used. From the research results obtained according to the theory using T1-weighted imaging with administration of contrast agent. While in the field using the cervical MRI protocol without contrast, it is sufficient to establish a diagnosis using an examination procedure with a localizer sequence design, sagittal T1, Axial T1 FSE, Axial T2, Axial 2D marge, sagittal T2 fat sat, Axial T2 thoracic 2-3, myelo 2D. The T2 fat sat sagittal sequence section makes it possible to see the anatomy, namely syringomyelia.
Prosedur Pemeriksaan Msct Abdomen Kontras Dengan Klinis Tumor Lower Abdomen Di Instalasi Radiologi RS Kupang Natalia Imelda Seran; I Putu Eka Juliantara; Cokorda Istri Ary Widiastuti
DIAGNOSA: Jurnal Ilmu Kesehatan dan Keperawatan Vol. 1 No. 4 (2023): November : Jurnal Ilmu Kesehatan dan Keperawatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59581/diagnosa-widyakarya.v1i4.1343

Abstract

Background: CT (Computed Tomography) Scan modality is very useful for obtaining a diagnosis of tumors in the abdominal cavity. The procedure carried out in abdominal MSCT uses contrast media. The contrast media commonly used in abdominal MSCT examinations can be intravenous, oral and anal. Kupang Hospital uses contrast media intravenously, orally and anally. The aim of this study was to determine the procedure for examining abdominal MSCT with clinical lower abdominal tumors using a multiphase technique using intravenous contrast media in the form of iodine water soluble with a dual syringe injector and NaCl liquid and orally with a volume of 750 ml of mineral water mixed with 5 ml of contrast media to drink before The examination then takes place via anal examination in the form of negative water contrast media mixed with iodine water soluble contrast media with a 50 cc syringe and also to find out the reasons for using contrast media intravenously, orally and anally in abdominal MSCT examinations with clinical lower abdominal tumors. Method: This research design is qualitative with a case study approach. The subjects of this study were patients with clinical lower abdominal tumors. Research respondents were 2 Radiographers, 1 Radiology Specialist. The data collection method was taken by observation, Focus Group Discussion (FGD) and documentation, then data analysis and conclusion drawing were carried out. Results: The results of this study are about the abdominal MSCT examination procedure and the reasons for using contrast media injection techniques with clinical lower abdominal tumors in the Kupang Hospital Radiology Installation. Conclusion: The use of the technique of intravenous administration of contrast media aims to anatomically visualize vascularization, distinguish blood vessels from masses, determine the level of vascular displacement or invasion by tumors and by inserting contrast media orally it aims to provide opacification of the intestine and assist in diagnosing existing abnormalities in the intestine such as ulceration, perforation, obstruction, and space occupying lesions then through anal purposes to fill the large intestine, able to provide an overview of colonic distension and colon cancer. The use of contrast media injection techniques via intravenous, oral and anal is because the patient can make preparations as expected .
Tatalaksana Penyinaran Radioterapi 3DCRT Field in Field (FIF) dengan Imobilisasi Thorax Abdomen pada Pasien Kanker Payudara di Unit Radioterapi Rumah Sakit Lavalette Malang Ni Luh Putu Ema Ardiantari; I Putu Eka Juliantara; Dea Ryangga
DIAGNOSA: Jurnal Ilmu Kesehatan dan Keperawatan Vol. 1 No. 4 (2023): November : Jurnal Ilmu Kesehatan dan Keperawatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59581/diagnosa-widyakarya.v1i4.1428

Abstract

The 3DCRT field in field (FIF) technique used in Post MRM breast cancer patients at the Radiotherapy Unit at Lavalette Hospital Malang uses 4 copy fields including supraclavicular (AP), axilla (PA), tangential (ML/LM). However, in the Radiotherapy Unit at Lavalette Hospital, Malang, the immobilization device does not use a breast board but uses an abdominal thorax or AIO Breast And Lung Board. The aim of this study is to describe the management or procedures for administering 3DCRT field in field (FIF) radiotherapy with abdominal thorax immobilization in Post MRM breast cancer patients at the Radiotherapy Unit at Lavalette Hospital, Malang. Treatment of 3DCRT field in field (FIF) radiotherapy with abdominal thorax immobilization in Post MRM breast cancer patients at the Radiotherapy Unit at Lavalette Hospital Malang consists of an examination and consultation with a radiation oncology specialist, CT Simulator, then treatment planning system (TPS), verification carried out before the first fraction and participation stage. The advantage of using the 3DCRT field in field (FIF) technique with abdominal thorax immobilization in Post MRM breast cancer patients at the Radiotherapy Unit at Lavalette Hospital, Malang, is that the copying area is simple, the copying comfort is better, it can reduce hotspots, and it can reduce the dose received by the organs in the area. risk (OAR). The disadvantage is that it requires more precision, especially RTT as an operator for the use of additional immobilization devices other than the 5 degree abdominal thorax.
ANALISIS DOSIS RADIASI PARU PADA PASIEN RADIOTERAPI KANKER PAYUDARA DENGAN TEKNIK 3D-CRT BERDASARKAN GRAFIK DVH Mirza, Dhea; Juliantara, I Putu Eka; Amelia, Cory
Jurnal Medika Malahayati Vol 7, No 4 (2023): Volume 7 Nomor 4
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jmm.v7i4.12596

Abstract

Abstrak: Analisis Dosis Radiasi Paru Pada Pasien Radioterapi Kanker Payudara Dengan Teknik 3D-CRT Berdasarkan Grafik DVH. Kanker payudara merupakan penyebab utama kematian akibat kanker setelah kanker paru. Radiasi dapat menyebabkan kerusakan sel di paru-paru yang berujung pada pneumonitis dan penurunan fungsi paru sehingga pengendalian dosis paru pasien kanker payudara penting dilakukan. Dalam hal itu dosis radiasi PTV dikontrol dalam ketentuan ICRU report 62, dan batas toleransi dosis yang dapat diterima paru dikontrol dalam ketentuan QUANTEC V20 <30% dan Dmean <2700 cGy. Penelitian ini merupakan penelitian analisis kuantitatif dengan pendekatan deskriptif observasional yaitu menganalisis data secara sistematik dan melihat kesesuaian dosis radiasinya berdasarkan ketentuan ICRU report 62 dan QUANTEC. Dari 10 sampel yang diteliti, 70% menerima dosis radiasi PTV sebesar 95%-107%, dan 30% menerima dosis radiasi PTV diatas 107%. Sebanyak 10% sampel, kurang dari 30% volume parunya menerima dosis 2000 cGy. Sisanya 90%, lebih dari 30% volume parunya mendapatkan dosis 2000 cGy. Dan mean dose keseluruhan pasien kurang dari 2700 cGy. 70% sampel mendapat dosis optimal dan memenuhi ketentuan ICRU Report 62, sisanya 30% melebihi batas ketentuan. 10% sampel memenuhi ketentuan QUANTEC V20<30%. Sedangkan sisanya 90% tidak memenuhi V20<30% dan 100% sampel mendapat dosis Dmean kurang dari 2700 cGy.
Analisis Perbedaan Contrast to Noise Ratio (CNR) terhadap Variasi K-Space Filling pada Pemeriksaan MRI Brain Sekuen T2WI Axial dengan Klinis Space Occupying Lession (SOL) Stifany Elena Herlianti Duri; I Putu Eka Juliantara; I Wayan Ariec Sugiantara
Jurnal Ilmiah Kedokteran dan Kesehatan Vol 3 No 1 (2024): Januari : Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v3i1.2279

Abstract

K-space functions to store digital data generated from time to time during scanning, then the data will be converted into image information via Fourier transformation. Radial trajectory at the Siemens vendor is called BLADE, which is a k-space filling method that starts from the central k-space axis and then rotates so that the data block is obtained. Cartesian trajectory is a method for filling k-space which is done linearly from top to bottom or from bottom to top. The aim of this research is to analyze the effect of the k-space filling method using the radial trajectory (BLADE) and Cartesian trajectory methods on the quality of axial MRI Brain T2WI sequence images in Space Occupying Lession (SOL) cases. This study uses a quantitative research method with an experimental study approach. The population and sample of the study were 10 patients with SOL clinical MRI brain examinations, and each sample underwent variations in k-space filling using the radial trajectory (BLADE) and Cartesian trajectory methods on axial T2WI sequences. The data was processed using radiant DICOM and then analyzed using the normality test and the Wilcoxon test on SPSS 25 software. The results of the study show a significance value (p-value) of 0.000 < 0.05, so it can be concluded that Ha is accepted and H0 is rejected, which means there is a difference in the Contrast to Noise Ratio (CNR) in the axial T2WI sequence MRI Brain examination using variations of k -space filling cartesian trajectory and radial trajectory (BLADE) techniques. The radial trajectory (BLADE) technique in the MRI Brain T2WI axial sequence examination is considered capable of producing a more optimal CNR compared to the Cartesian trajectory technique, seen from the mean rank value for the radial trajectory (BLADE) technique it’s 32.88, while for the Cartesian trajectory technique it’s 18. 7.
Perbandingan Kualitas Citra CT-Scan Kepala Pada Kasus Trauma Dengan Variasi Increment Di Rumah Sakit Balimed Zulvania Do Rego Jesus; I Putu Eka Juliantara; I Kadek Sukadana
Medical Laboratory Journal Vol. 1 No. 4 (2023): December : Medical Laboratory Journal
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/caloryjournal.v1i4.91

Abstract

Trauma is emotional and psychological stress in general due to unpleasant events or experiences related to violence. The word trauma can also be used to refer to events that cause excessive stress. An event can be called traumatic if the event causes extreme stress and exceeds the individual's ability to cope. The results of research related to variations in reconstruction increments in trauma cases show that the optimal increment reconstruction value on CT scan trauma head case trauma value increment reconstruction 2,5mm. Type study is quantitative with an experimental approach to analysis Quality information Citra Ct-Scan head with variations iincrement case trauma, with variations of 0,7mm, 0,9mm. Data collection was carried out in August-September 2023 at Balimed Regional Hospital. The author took examination dataas many as 10 patients. Research results from uji normality test on an clinical CT scan of the head in trauma cases use variations increments reconstruction 0,7mm, 0,9mm, can be seen that the mean increment value 0,7 mm produces a mean of 38,56 in the Ventricle-GM area, 15, 13 in the WM-GM area. And the mean increment value 0,9mm produces a mean of 19,88 in the ventricle-GM area, 7,1 in the WM-GM area. From the normality test on CT scan of the head in trauma cases using increment variations reconstruction 0,7mm, 0,9mm, it illustrates the image quality of the 2 increment variations, namely the increment variation value of 0,7 mm has the highest CNR value, namely a mean of 38, 56 in the ventricular-GM area, in the WM-GM area it was 15,13. Meanwhile, the increment variation value 0,9 mm produces 19.88 in the ventricular-GM area, in the WM-GM area 7,1. So this shows that an increment variation 0,7mm is the most optimal increment variation in improving the image quality of a CT scan of the head in trauma cases
Prosedur Pemeriksaan MRI Placenta Accreta Di RSUD Dr Saiful Anwar Malang Stefania Layola Pasire; I Putu Eka Juliantara; I Wayan Ariec Sugiantara
VitaMedica : Jurnal Rumpun Kesehatan Umum Vol. 2 No. 2 (2024): April : VitaMedica : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/vitamedica.v2i2.77

Abstract

Placenta accreta is an abnormal implantation of the placenta into the uterine wall, on the surface of the myometrium. Placenta accreta is quite dangerous for pregnancy and has increased over the past few years along with the incidence of cesarean section (SC), with a prevalence of 7-10% of maternal deaths in the world. To diagnose the incidence of placenta accreta, Magnetic Resonance Imaging (MRI) is one of the modalities that is often utilized and has now become a routine diagnostic support modality in many large hospitals, because it does not use ionizing radiation and has a higher contrast resolution. The type of research used is qualitative with a case study approach. The sample of this study consists of 2 patients who underwent MRI Abdomen-Pelvic with clinical placenta accreta at RSUD Dr. Saiful Anwar Malang, which was conducted during September 2023. The results of this study indicate that the placenta accreta MRI examination procedure at RSUD Dr. Saiful Anwar Malang has no special preparation. The use of 2 protocols in the examination, namely abdomen and pelvic, has the advantage of producing a wider cross section, also including several additional sequences in the form of DWI and MRA, thus helping to observe the area of adhesions and surrounding organs, with the boundaries of the organs produced much more clearly.
Co-Authors Adi, Langkir Sapto Adipranata, I Made Darma Agus Resdiana, I Gede Ananda, Afrilla Rika Andry Putra Wijaya Angga Pratama Angga Pratama Ariadi, Ilham Ariec Sugiantara, I Wayan Ariec, I Wayan Assa Watari Joan Astuti, Wulan Aulia Askar, Ishry Ahsani Ayuningrum, Rizka Cokorda Istri Ary Widiastuti Cokorda Istri Ary Widiastuti Cory Amelia Cory Amelia Dananjaya, I Made Bayu Darmawan, Ifan Aji De Sena, Bevinda Maria Cesario Devina Fikli Dewa Ayu Made Pramita Dewi Dharmawan, I Bagus Gede Diartama, A.A Aris Dwi Royansyah, Firman Edwien Setiawan Saputra Edwien Setiwan Saputra Erni R Rusmana Eva Maulidiana Hikmah Gede Dharma Putra Hanisa Hanisa Hanisa, Hanisa I Bagus Gede Dharmawan I Kadek Sukadana I Made Lana Prasetya I Made Purwa Darmita I Made Purwa Dharmita I Putu Sugiartha I Wayan Ariec Sugiantara Ici Zuhra Wulandari Sekedang Ilham Ariadi Indra Mulia Utama Irma Wulandari, Putu Ishry Ahsani Aulia Askar Kadek Yuda Astina Kartyapratiwi, Putu Ayu Lintjewas, Christina Aptriana Venia Luh Gede Yunda Rustika Putri Made Dwipa Nararta Made Purwa Darmita Made Suryantana, I Madurini, Suci Maghfirotul Iffah Martoyo, Angel Lingkan Mirza, Dhea Muhammad Faisal Muhammad Faisal Nadra Natalia Imelda Seran Natalia Imelda Seran Ni Luh Putu Ema Ardiantari Ni Luh Putu Ema Ardiantari Ni Luh Putu Sari Widari Ni Nyoman Sri Wikanadi Ni Nyoman, Ratini Ni Putu Rita Jeniyanthi Ni Wayan Mega Savira Utami Nuriawan, I Made Sutha Nyoman Supriyani Nyoman Supriyani Nyoman Supriyani Pradnya Dewi, Dewa Ayu Mas Pratista, Made Sayang Putri, Ni Kadek Rika Adi Putu Didit Suranta Putu Rita Jeniyanthi, Ni Putu Sastra Andriani Reski Ramadhani Rifaldi Sugeha, Muhamad Fiqi Risma, Fina Widya Ruha, Amabel Odelia Anggri Ryangga, Dea Serima, I Nyoman Stefania Layola Pasire Stifany Elena Herlianti Duri Suandari P.V.L Sugiantara , I Wayan Ariec Sugiantara, I Wayan Ariec Sugiartha, I Putu Sugiartha, Putu Supriyani, Nyoman Surtika Umar Susanta, I Putu Adi Tajuddin, Nur Wahyu Tengku Riza Zarzani N Triningsih Triningsih Triningsih Triningsih Wahab, Revalita Wayan Angga Wirajaya, I Wayan Ariec Sugiantara, I Wellya Herlina Widari, Ni Luh Putu Sari widodo, Rahmat Wijaya, Made Wirawan, I Gede Eka Wisma Pratama, I Made Wulandari, Putu Irma Zulvania Do Rego Jesus