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All Journal Paediatrica Indonesiana Journal Of Vocational Health Studies Callosum Neurology Journal : Jurnal Berkala Neurologi Bali Majalah Biomorfologi (Biomorphology Journal) Indian Journal of Forensic Medicine & Toxicology AKSONA
Sri Andreani Utomo, Sri Andreani
Department Of Radiology, Faculty Of Medicine Universitas Airlangga; Dr. Soetomo General Academic Hospital Surabaya, Indonesia; Asian Musculoskeletal Society
Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology Neuroscience Public Health

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Diffusion Weighted Imaging (DWI) Classification and Apparent Diffusion Coefficient (ADC) Value Tendency Based on Cerebral Glioma Grading in Patients at Dr. Soetomo General Academic Hospital in 2016-2020 Komang Wahyu Kurniawan; Sri Andreani Utomo; Joni Wahyuhadi
AKSONA Vol. 3 No. 1 (2023): JANUARY 2023
Publisher : Universitas Airlangga

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Abstract

Highlight: Many studies conclude that the prognosis of gliomas can be determined using the DWI sequence and ADC value on MRI The correlation between DWI and ADC values with glioma grading is related to tumor cellularity, nuclear-cytoplasmic ratio, and extracellular space, which affect the movement of water molecules.   ABSTRACT Introduction: Glioma grading is crucial to know its prognosis. Magnetic resonance imaging (MRI) is used as a preoperative examination that contains diffusion-weighted imaging (DWI) sequences confirmed by an apparent diffusion coefficient (ADC) value that helps assess tissue based on water diffusion. Objective: To prove the relationship between DWI and ADC values with cerebral glioma grading in patients at Dr. Soetomo General Academic Hospital in 2016—2020. Methods: This retrospective study collected medical records and MRI files in DICOM (Digital Imaging and Communications in Medicine) format. Gender, age, tumor histopathology, and glioma grading were collected. DWI and ADC values were obtained using the RadiAnt DICOM Viewer application. The data were analyzed using descriptive and analytical statistics. The chi-square test was used to analyze the relationship of DWI with glioma grading, and the spearman rank test was used to analyze the relationship of ADC value with glioma grading. Results: The majority of 35 patients were male (54.3%), aged 31–40 years old (22.9%), and the most common histopathology was glioblastoma (37.1%), WHO grade IV. On DWI, most low-grade glioma (LGG) patients showed unrestricted diffusion, and most high-grade glioma (HGG) patients showed restricted diffusion. The ADC value of HGG was lower than the ADC value of LGG. Statistical tests showed a relationship between DWI and glioma grading (p<0.05) and a relationship between the ADC value and glioma grading (p<0.05). Conclusion: There was a relationship between DWI and ADC with glioma grading in Dr. Soetomo General Academic Hospital patients for the period 2016—2020
Profile of Meningioma Patients at Dr. Soetomo General Academic Hospital Valeryna, Natasha; Ardiansyah, Djohan; Susanto, Joni; Utomo, Sri Andreani
AKSONA Vol. 4 No. 2 (2024): JULY 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/aksona.v4i2.53334

Abstract

Highlight: Meningioma, the most common primary brain tumor, is typically found in women aged 40-49 years old. Meningiomas can show distinctive characteristics on clinical, radiological, and histopathological examinations. There were significant differences in histopathological grading between male and female patients, as well as between homogenous and heterogenous contrast enhancement.   ABSTRACT Introduction: Meningioma is an intracranial extracranial tumor that arises from arachnoid cells. It is reported to be the most common primary brain tumor (39%). Meningioma is diagnosed based on clinical and radiological findings, but a definitive diagnosis requires histopathology examination. However, the clinical, radiological, and histopathological profile of meningioma is rarely studied in Indonesia. Objective: This study aimed to identify the clinical, radiological, and histopathological profile of meningioma patients at Dr. Soetomo General Academic Hospital Surabaya from 2017 to 2021. Methods: This was a retrospective observational study with a cross-sectional design using secondary data collected from electronic medical records at Dr. Soetomo General Academic Hospital Surabaya in 2017-2021. Results: A total of 256 patients were included in this study. The majority of the patients in this study were female (83.98%), aged 40-49 years old (43.36%), and mostly had the clinical symptom of headache (35.94%). Meningiomas were mostly WHO grade I (85.16%), with a transitional subtype (44.92). Based on the Kruskal-Wallis test, there were differences in histopathological grading between male and female patients (p = 0.000), as well as between homogenous and heterogenous tumor enhancement (p = 0.027). However, there were no differences in histopathological grading between the dural tail findings (p = 0.181) and hyperostosis findings (p = 0.135). Conclusion: Meningioma was found to be more common in females than in males, with the peak occurring in 40-49 years old. The most prevalent clinical symptom was headache, and convexity was the most common location for these tumors, most of which were larger than 3 cm. The majority of meningiomas were WHO grade I with transitional subtype.   
Co-Authors Abdul Hafid B Agus Jati Waluyo Ali Mustofa Ardiansyah, Djohan Arief Apriliani, Karina Sandra Budi Utomo Cendikiawan, Hans Endra Wibisono Harmawan Heru Setiawan Irwanto, Irwanto Joni Susanto, Joni Joni Wahyuhadi, Joni Komang Wahyu Kurniawan Kusumastuti, Kurnia Mohammad Sjaifullah Noer Muhaimin Muhaimin Muhaimin Muhammad Faris Muhammad Faris Muqmiroh, Lailatul Ni Wayan Tirthaningsih Nikky Anis Suroiyah, Nikky Anis Ninik Asmaningsih Soemyarso Prastiya Indra Gunawan Risalatul Latifah Risky Vitria Prasetyo Rosy Setiawat Rozalina Loebis, Rozalina Sensusiati, Anggraini Dwi Subagio, Eko Agus Tedy Apriawan Tsabita Hadid Valeryna, Natasha Vatine Adila Vita Kusuma Rahmawati Wibowo, Caesaroy Afif