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All Journal International Journal of Medicine and Health Jurnal Ilmu Kesehatan dan Gizi Journal of Educational Innovation and Public Health International Journal Of Public Health International Journal Of Health And Social Behavior
Tri Asih Budiati
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Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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Peranan Sekuens Dixon pada Pemeriksaan MRI Cervical dengan Klinis Hernia Nucleus Pulposus di Instalasi Radiologi Rumah Sakit Pusat Pertamina Jakarta Selatan Zul Fikra; I Made Lana Prasetya; Tri Asih Budiati
Jurnal Ilmu Kesehatan dan Gizi Vol. 1 No. 4 (2023): Oktober: Jurnal Imu Kesehatan dan Gizi
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikg.v1i4.1805

Abstract

Magnetic resonance imaging (MRI) is a diagnostic examination modality in medicine using a magnetic field without using X-rays, MRI has the advantage of being able to create images and can show clearer and more sensitive anatomical differences in soft tissues in the body such as the brain,Bone marrow and musculoskeletal. An MRI machine can produce diagnostic images of the inside of the human body, both in sagittal, coronal and transverse sections, without using ionizing radiation (X-rays) and also without using radioactive substances, but based on the principle of magnetic resonance of the hydrogen atom to reveal anatomy and pathology. clinical diagnosis, one of which is Hernia Nucleus Pulposus in the Cervical vertebrae. Hernia  Nuecleus pulposus is a condition of biochemical ad physical changes in the spinal disc tissue caused by degeneration in old age,or acute external pressure that causes a bulge into the spinal canal,putting pressure on the durameter or nerve roots, thereby triggering symptoms of neurological pain. The use of the Dixon sequence was proposed for the assessment of metaphyseal bone marrow water water content,with a short scan time. Dixon sequence imaging can be used for fat suppression in the extremities and spine, but also quantification of fat in the bones.. The research method used is descriptive research with an observation approach. Data collection was carried out from 01 January 2022 to 28 February 2023 using a Mr. Philips aircraft with a power of 3 Tesla. The sample of patients used in this study were 5 patients with vertebral complaints. Data collection was carried  out  through observation,interviews and documentation. Cervical MRI examination with clinical Hernia Nucleus Pulposus using a Philips 3 Tesla MRI machine has an examination procedure with a Survey sequence design, Myelo, Sagittal TSE T2 dixon, Sagittal TSE T1, Coronal TSE STIR, Axial TSE TA, and axial mFFE
Prosedur Teknik Pemeriksaan Magnetic Resonance Spectroscopy Pada Kasus Tumor Otak Di Instalasi Radiologi RS Pusat Pertamina Jakarta Saybivo Chandra; Ni Putu Rita Jeniyanti; Tri Asih Budiati
Jurnal Ilmu Kesehatan dan Gizi Vol. 2 No. 1 (2024): Januari : Jurnal Imu Kesehatan dan Gizi
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikg.v2i1.2148

Abstract

Procedure For Magnetic Resonance Spectroscopy Examination Technique In Brain Tumor Cases At The Radiology Installation Of Pertamina Central Hospital Jakarta. MR spectroscopy is one way of describing metabolites in tumor tissue without being invasive. Single spectroscopic approach, which is used in Magnetic Resonance Spectroscopy and is the most common spectral collection method in MRI modalities. MRi is the establishment of a medical diagnosis based on the principle of magnetic resonance. MRI aircraft produce images in various pieces namely coronal, sagittal, and transverse by not at all using x-rays that produce radiation and also using radioactive substances. Brain tumors are abnormally growing brain tissue cells originating from the brain or meningens, which are benign or malignant tumors that make massive pressure. MRS is a unique non-invasive sequence that helps in the identification of lesion molecules and the difference between malignant and benign lesions. In MRI examination of the brain with tumor cases there are several sequences used, namely Se / Fse Pd / T2, Se / Fse / incoherent spoiled, (DWI) diffusion weighted imaging (1) According to Elmaoglu (2), imaging techniques that can be used for MRI brain tumor cases include axial T1 spin echo, T2 fast recovery fast spin echo, T2 FLAIR, coronal T1 and T1 Axial post contrast injection, T1 coronal, and T1 sagittal, diffusion weighted imaging (DWI), magnetic resonance angiography, and magnetic resonance spectroscopy. In taking SVS LESION localizer must be precise on tumor tissue not taking part that is not part of the tumor, analyze tumor area and take SVS NORMAL localizer on other healthy tissue.
Prosedur Pemeriksaan Mri Brain Non Kontras Pada Klinis Epilepsi Di Rumah Sakit Pusat Pertamina Jakarta Selatan Alan Pratama; I Made Lana Prasetya; Tri Asih Budiati
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.v1i4.1893

Abstract

Abstract : MRI is a modality in radiology that uses a magnetic energy source. MRI is capable of producing Axial, Coronal, Sagittal, and Oblique images of human organs, for example: Brain, Spine,extremity, muscles and other body parts. Epilepsy is one of the Brain pathologies that uses MRI as a means of making a diagnosis. In the Brain MRI examination in clinical epilepsy using sequence MRI Brain routine with additions sequence Coronal Oblique T2 High Resolution and Coronal Oblic T1W IR perpendicular to the Hippocampus. The purpose of this study was to determine the procedure for examining Non-contrast MRI Brain in clinical epilepsy and its rolesequence Coronal Oblik T2W Drive and Coronal Oblik T1W IR. The research method is descriptive qualitative with a case study approach, total sample as many as 6 patients at Pertamina Central Hospital. The examination procedure was carried out using a head coil, supine head first position. Use sequence during the examination, namely Survey, Sagittal FLAIR, Axial T2WT SE, Axial FLAIR, Axial T1W TSE, Coronal FLAIR, DWI-ADC, Coronal Oblik T2W Drive and Coronal Oblik T1W IR. Results image onSequence Coronal Oblik T2W Drive and Coronal Oblik T1W IR are better at displaying the symmetry of the right and left brain organs, atrophy hippocampus and temporal lobe,sclerosis, mammillary asymmetrical body and fornix compared to other sequences. Suggestions pay attention to the direction of the slice so that it is perpendicular to the hippocampus to produce a symmetrical image and use sequence 3D-DIR is the latest in describing clinical abnormalities of epilepsy and MRS to find out the causes epilepsy originating from disturbances in the structure of brain tissue metabolites
Development Of Web-Based Teleradiology Application To Enhance The Quality Of Radiology Services Eny Siswanti; A.Gunawan Santoso; Rini Indrati; Tri Asih Budiati; Rasyid Rasyid
International Journal of Medicine and Health Vol. 3 No. 2 (2024): June : International Journal of Medicine and Health (IJMH)
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijmh.v3i2.3392

Abstract

The development of digital radiology technology improves the quality of medical services, but challenges in image distribution and interpretation encourage the use of teleradiology. The development of web-based teleradiology applications is a cost-effective solution with the ability to integrate patient data and DICOM image display to improve the efficiency of radiology interpretation. This has the potential to improve the quality of radiology services by accelerating the diagnostic process and reducing the physical accessibility limitations of radiologists.This study aims to develop a web-based application as a solution to radiographic image delivery and PACS weaknesses, and test its effectiveness in improving the quality of radiology services. The research method used is the research and development (R&D) method, which aims to produce and test new products. The results of this study show that the development of a web-based teleradiology application provides an appropriate solution to the constraints of the reader's presence at the image capture site, while maintaining image quality according to DICOM standards. The application allows easy use of various devices, data exchange between medical professionals, and secure data storage. In Addition, it reduces the waiting time in the delivery and reading of radiographic images by radiologists. Compared to older methods, such as delivery via email or Whatsapp, this web application shows improved quality and accuracy of radiographic image reading.
Success Rate of Thorax Ultrasonography in Assisting Thoracocentesis Action in Clinical Pulmonary Tuberculosis at Respira Lung Hospital Yogyakarta Siham Reifqie Fath; Sudiyono Sudiyono; Rini Indrati; Tri Asih Budiati; Gatot Murti Wibowo
International Journal of Public Health Vol. 1 No. 3 (2024): September : International Journal of Public Health
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/ijph.v1i3.82

Abstract

The use of X-ray Thorax (XCR Thorax) in assisting thoracocentesis procedures has some limitations. XCR Thorax only provides a two-dimensional image, which may limit the accuracy in determining the exact location for the puncture. In addition, XCR Thorax cannot detect septation or loculation which may affect the success of the thoracocentesis procedure. Thoracic ultrasonography offers advantages in detecting pleural effusion compared to conventional radiographic methods, but has not been standardized in national guidelines. This study aims to see the difference in the success rate of thoracocentesis between the use of thoracic ultrasound guidance and thoracic photo guidance in patients with clinical tuberculosis at Respira Lung Hospital Yogyakarta. This cross-sectional study used a static group comparison approach to compare the success rate of thoracocentesis between two groups at Respira Lung Hospital Yogyakarta: 30 patients with Thorax ultrasound and Thorax photo guidance (Group A) and 30 patients only with Thorax photo guidance (Group B). With a purposive sampling method and analysis using the chi-square test, this study aims to analyze differences in the success rate of thoracocentesis in real clinical conditions without intervening in existing procedures in the hospital. Thoracocentesis with thorax photo plus thorax ultrasound guidance showed a success rate of 100% compared to 66.67% in procedures with thorax X-ray alone (p < 0.001). The results showed that the use of thoracic ultrasound as a thoracocentesis guide had a higher success rate compared to the use of thoracic photo guidance.
Analysis of Unsharp Mask Technique Application on Clinical Stroke MRI Brain Examination using Arterial Spin Labeling (ASL) Sequence in Image Information Esensia Azama Bioasa; Sugiyanto Sugiyanto; Tri Asih Budiati; Gatot Murti Wibowo
International Journal of Health and Social Behavior Vol. 2 No. 3 (2025): August: International Journal of Health and Social Behavior
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/ijhsb.v2i3.507

Abstract

Magnetic Resonance Imaging (MRI) with Arterial Spin Labeling (ASL) is a non-invasive technique commonly used to assess cerebral perfusion, especially in stroke patients. However, ASL images often suffer from low contrast and high noise, which can hinder diagnostic accuracy in visualizing perfusion areas and detecting ischemic lesions. Image enhancement techniques, such as the unsharp mask, offer a potential solution to improve image quality. The effectiveness of this enhancement depends on the kernel size used in the unsharp mask filter. This study evaluates the impact of different kernel sizes (3×3, 5×5, and 7×7) on the quality of ASL brain images, focusing on both quantitative and qualitative improvements. A total of 63 ASL brain MRI images from stroke patients were processed using unsharp mask filters with the three kernel sizes. Quantitative analysis measured Signal-to-Noise Ratio (SNR) and Contrast-to-Noise Ratio (CNR), while qualitative assessment involved three radiologists independently evaluating five aspects of image quality: perfusion area clarity, grey-white matter contrast, ischemic lesion boundary visibility, noise level, and overall visual quality. Statistical tests, including Friedman and Wilcoxon, were applied to compare results across the kernel sizes. Results revealed that the 3×3 kernel achieved the best results in both quantitative and qualitative assessments, with the highest SNR, CNR, and visual quality scores. Significant differences (p < 0.05) were found between kernel sizes, confirming the superiority of the 3×3 kernel. The 7×7 kernel reduced noise but caused oversmoothing, negatively impacting image sharpness. In conclusion, the 3×3 kernel provides an optimal balance between noise reduction and edge preservation, enhancing ASL brain image quality for stroke diagnosis.
Co-Authors A.Gunawan Santoso Alan Pratama Eny Siswanti Esensia Azama Bioasa Gatot Murti Wibowo I Made Lana Prasetya Ni Putu Rita Jeniyanti Rasyid Rasyid Rini Indrati Saybivo Chandra Siham Reifqie Fath Sudiyono Sudiyono Sugiyanto Sugiyanto Zul Fikra