Mahfud Edy Widiatmoko
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Evaluasi Pemeriksaan MRI Brain dengan Klinis Vertigo di Rumah Sakit Otak dr. Drs. M. Hatta Bukittinggi Mahfud Edy Widiatmoko; Asumsie Tarigan; Muslimatul Husna
Jurnal Imejing Diagnostik (JImeD) Vol 10, No 1: JANUARY 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v10i1.10970

Abstract

Background: Vertigo is a symptom that arises as a result of disturbances in the balance of the vestibular system or disorders of the central nervous system. A radiological examination that can detect clinical vertigo is an MRI examination. There is a difference in the MRI Brain examination protocol for clinical vertigo between theory and the field, namely the addition of the 3D CISS protocol. The aim of this research is to determine the role of adding 3D CISS to MRI Brain examinations in clinical vertigo.Methods: This research is qualitative descriptive research, use 10 patients, and do in January to November 2023. Data was collected by observation, conducting interviews and questionnaires. This research use 13 sequences, namely Axial T2 TSE, DWI, Axial T2 TSE Dark Fluid, T2 SWI, Sagittal T1 TSE, Sagittal T2 TSE FS, Axial T1 TSE, Coronal T2 TSE, Coronal T1 TSE, Axial T1 TSE, Coronal, Sagittal + Contrast with cuts at the upper border of the vertex and the lower border of the cerebellum and T2 3D CISS axial isotropic sequences for the cuts used, namely at the level of the sponge, showing the vestibulocochlear cranial nerve (VIII).Results: The results of the assessment on the T2 3D CISS Axial Isotropic sequence showed that anatomical detail was clearly visible as much as 75% and the spatial resolution was clearly visible as much as 75%.Conclusions: Brain MRI examination with clinical vertigo provides information that helps in understanding the causes of vertigo, allowing for a more accurate and effective treatment approach.
Evaluasi Pemeriksaan Magnetic Resonance Elastography Untuk Menentukan Fibrosis Hati Dengan Metode Counturing Confidence MAP Clara Ulisia Simatupang; Mahfud edy Widiatmoko; Nurul Rosita Indrianti
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.v12i2.14650

Abstract

Background: Magnetic Resonance Elastography (MRE) is a non-invasive liver imaging technique used to assess tissue stiffness by measuring liver stiffness values expressed in kilopascals (kPa). In relation to which, this research was undertaken to describe the technical aspects of hepatic MRE examination and to analyse the distribution of fibrosis stages based on kPa values obtained from the upper, middle, and lower regions of the liver. Methods: This research employed a qualitative method with descriptive design. Risearch under taken at Radiology Medistra Hospital Jakarta. The data collection methods employed were observation, interviews, and document review. The study participants consisted of two radiographers and one radiologist, each with more than three years of experience in MRE examinations. Results: ROI measurement results for the liver are clearly displayed, including the conversion values ​​to stiffness (Table 1). The MRE technique produces a color-coded elastogram designed to assist physicians in their interpretation (Table 4). The contouring confidence map method was shown to improve the reliability of ROI selection by ensuring that measurement areas were located within regions of good elastogram quality. This approach yielded reliable mean liver stiffness values, which were subsequently classified into fibrosis stages and analysed as the percentages. Conclusions: Magnetic Resonance Elastography (MRE) using the contouring confidence map method provides accurate and representative evaluation of hepatic tissue stiffness.