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All Journal Majalah Kesehatan FKUB Asian Journal of Health Research Indonesian Journal of Cancer International Journal of Radiology and Imaging
Siswidiyati
Department Of Radiology, Faculty Of Medicine, Universitas Brawijaya/ Dr. Saiful Anwar Hospital, Malang, East Java, Indonesia
Biochemistry, Genetics & Molecular Biology Computer Science & IT Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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HUBUNGAN BODY MASS INDEX DENGAN DENSITAS PARENKIM PAYUDARA DARI PEMERIKSAAN MAMOGRAFI Amalia, Nurlinah; Aurora, Habiba; Siswidiyati
Majalah Kesehatan Vol. 10 No. 4 (2023): Majalah Kesehatan
Publisher : Faculty of Medicine Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/majalahkesehatan.2023.010.04.3

Abstract

Body Mass Index (BMI) merupakan prediktor komposisi tubuh yang membandingkan tinggi badan dan berat badan. Peningkatan BMI sering digunakan sebagai penanda bahwa banyak deposit lemak pada tubuh, salah satunya di payudara. BMI dihubungkan dengan kemungkinan terjadinya perubahan densitas parenkim payudara yang merupakan prediktor terkuat kejadian tumor payudara. Oleh karena itu, penelitian ini bertujuan untuk mengetahui hubungan BMI dengan densitas parenkim payudara dari pemeriksaan mamografi. Penelitian ini bersifat analitik observasional dengan menggunakan metode cross sectional yang dilakukan pada 27 subjek penelitian yang berasal dari Perhimpunan Radiografer Indonesia (PARI) dan kelompok Dharma Wanita Universitas Brawijaya di RSUD dr. Saiful Anwar. Berdasarkan hasil penelitian didapatkan bahwa BMI memiliki hubungan yang signifikan dengan densitas parenkim payudara (Kruskal wallis, p=0,010) dan BMI berkorelasi negatif dengan densitas parenkim payudara (Spearman, p=0,000) dengan nilai correlation coefficient bersifat kuat (-0,626). Kesimpulan dari penelitian ini adalah BMI berkorelasi negatif dengan densitas parenkim payudara.
A LITHOPEDION – AN UNUSUAL CALCIFIED ABDOMINAL PREGNANCY: A CASE REPORT Ike Sulistiyowati; Siswidiyati; Setyawan, Agung; Arifah
International Journal of Radiology and Imaging Vol. 2 No. 01 (2023): International Journal of Radiology and Imaging
Publisher : Department of Radiology, Medical Faculty, University of Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776//ub.ijri.2023.002.01.3

Abstract

Introduction: Lithopedion is an ectopic pregnancy that progresses to fetal mortality and calcification, as described in the introduction. It is uncommon, with a reported incidence of 1.5% to 2% of all ectopic pregnancies. The fetus expires and is not absorbed by the mother's body, but it evades maternal immunity by surrounding itself with a calcified shell. Lithopedion can be diagnosed through abdominal X-rays, ultrasonography, and CT imaging. Case presentation: A 73-year-old female complaining of abdominal mass for over three decades and radiating pain to the right hip for a month. The patient is multipara with a history of habitual abortion. There was an immobile abdominopelvic mass in palpation. The ultrasound showed a large calcified mass in the pelvic cavity. Abdominal and pelvic CT revealed a mummified fetus, depicting great detail of the fetal anatomy surrounded by a calcified membrane. The uterus was normal. Our case is suitable with lithokelyphopedion. Conclusion: Lithopedion is a seroius condition associated with high maternal and perinatal mortality rates. The condition was not identified during prenatal visits. A thorough history and physical examination are as important as imaging investigations in this setting. Keywords: lithopedion, lithokelyphopedion, calcified abdominal mass
Paraaortic Lymph Node Involvement among Indonesian Women with Cervical Cancer Pradana, Wisniardhy Suarnata; Aslam, Achmad Bayhaqi Nasir; Nugroho, Rafiq Sulistyo; Setijowati, Nanik; Siswidiyati, Siswidiyati
Indonesian Journal of Cancer Vol 19, No 4 (2025): December
Publisher : http://dharmais.co.id/

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33371/ijoc.v19i4.1350

Abstract

Background: Incorporating para-aortic irradiation alongside standard pelvic irradiation has shown potential benefits for treating cervical cancer. However, its efficacy remains debatable due to insufficient information about paraaortic lymph node (PALN) involvement among Indonesian women. This study aims to determine the incidence of PALN and assess potential influencing factors, such as age, characteristics of the cervical mass (size and surrounding tissue involvement), and histopathology.Method: This study was a retrospective analytic observational study with a cross-sectional design, examining PALN involvement and localization in patients’ computed tomography (CT) scans before radiotherapy in 2023. The inclusion criteria are cervical cancer patients who were confirmed through a histopathological examination and underwent an abdominal CT scan before radiotherapy from January to December 2023. The exclusion criteria are cervical cancer patients accompanied by other primary tumors and patients who have undergone hysterectomy. The CT scans were conducted using a 16-slice Canon Aquilion from T12 to the proximal third with a 3 mm slice thickness. Factors influencing the risk of PALN involvement were analyzed using chi-square tests.Results: Eighty-seven eligible patients were analyzed. The median age was 52.26 years, with 72.4% at stage IIIB, 77% diagnosed with squamous cell carcinoma, and 89.7% with a mass size of over 4 cm. Almost all patients exhibited surrounding tissue involvement. 32.2% of patients had paraaortic lymph node involvement, with the majority (70.7%) located in the left para-aortic region and ≤ 5 mm from the aorta. There was no significant relationship between PALN involvement and age, characteristics of the cervical mass, or histopathology type.Conclusion: In a population of locally advanced cervical cancer, almost one-third of patients showed PALN involvement. Implementing PALN radiation in this population could potentially enhance outcomes, irrespective of the patient’s age, characteristics of the cervical mass, or histopathology results.
Transarterial Embolisation for Intractable Haematuria: A Case Report and Review of Management Strategies Aisyah Amalia; Achmad Bayhaqi Nasir Aslam; Farah Nurdiana; Siswidiyati
Asian Journal of Health Research Vol. 4 No. 3 (2025): Volume 4 No 3 (December) 2025
Publisher : Ikatan Dokter Indonesia Wilayah Jawa Timur

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55561/ajhr.v4i3.286

Abstract

Introduction: Refractory gross haematuria is a significant urological emergency, characterised by prolonged and life-threatening bleeding that does not respond to standard treatment. The main recognised aetiologies encompass malignant neoplasms of the bladder and haemorrhagic cystitis. When conservative treatments and intravesical medications fail, transarterial embolisation (TAE) is a dependable and effective technique for achieving haemostasis. This study aims to report cases of haematuria resulting from bladder pathology, the role of interventional radiology in embolisation, and technical considerations. Case Presentation: We present two cases of refractory gross haematuria from the bladder managed with TAE. Case 1 involved a 65-year-old male with locally advanced, hypervascularised bladder squamous cell carcinoma (cT4aN3M1b). Case 2 involved a 69-year-old woman with haemorrhagic cystitis secondary to pelvic radiotherapy for stage IVb cervical carcinoma. Pre-embolisation angiography showed prominent blushing of feeder arteries arising from the superior vesical artery (SVA) bilaterally. Embolisation used gelfoam and PVA particles. The procedure reduces tumour blushing (Case 1) and hypervascularisation (Case 2), controlling haematuria. Conclusion: TAE is a safe and effective treatment modality for managing persistent gross haematuria due to diverse bladder pathologies, including bladder malignancy and radiation cystitis. Bilateral vesical artery embolisation was performed in both cases to ensure a more sustained response and reduce the likelihood of recurrence.
Co-Authors Achmad Bayhaqi Nasir Aslam Agung Setyawan Aisyah Amalia Amalia, Nurlinah Arifah Farah Nurdiana Habiba Aurora Ike Sulistiyowati Nanik Setijowati Nugroho, Rafiq Sulistyo Pradana, Wisniardhy Suarnata