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Accuracy Analysis of Fluid Volume Measurement And Calculation Methods on Multislice Computed Tomography Widiatmoko, Mahfud Edy; Asumsie Tarigan, Asumsie; Alfian, Indra
SANITAS: Jurnal Teknologi dan Seni Kesehatan Vol 14 No 1 (2023): SANITAS Volume 14 Nomor 1 Tahun 2023
Publisher : Politeknik Kesehatan Kemenkes Jakarta II

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36525/sanitas.2023.4

Abstract

Background: Multislice Computed Tomography (MSCT) is utilized for the measurement of bleeding volume in hemorrhagic stroke patients. This is very necessary to determine the right medical action. Errors in measurement can lead to suboptimal medical measures taken. Objective: to analyze the measurement and calculation of fluid volume by automatic and manual methods on the volume of fluid contained in the phantom on MSCT. Methods: The type of research is quantitative experimental with the sample used is a phantom made of polyethylene (Dacron) filled with irregular milk liquid as much as 10 volume variations. The research instruments used were worksheets and interview sheets. Data processing and analysis are descriptive by getting the average value. Results: Measurement and calculation of irregular volume of 10 ml, 20 ml, 30 ml, 40 ml, 50 ml, 60 ml, 70 ml, 80 ml, 90 ml, and 100 were done automatically on the CT scan plane and manually using the formula ½ A x B x C. The automatic method had an average volume difference of 1.39% and the manual method had an average volume difference of 6.88%. The automatic method has a small volume difference. Conclusion: the measurement and calculation of volume with the automatic method has a better accuracy value than the manual method. The results of these measurements and calculations are highly dependent on the accuracy of precise segmentation techniques on the object.
Evaluation of CT angiography of the thoracic aorta with ECG gating in cases of dissection Widiatmoko, Mahfud Edy; Supriyaningsih, Eny; Sutoro, Shinta Gunawati; Irsal, Muhammad; Anggraeni, Dewi
International Journal of Health Science and Technology Vol. 6 No. 1 (2024): July
Publisher : Universitas 'Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/ijhst.v6i1.3668

Abstract

Type A aortic dissection is a longitudinal tear separating the intima layer from the aortic media and is often not clearly visible due to cardiac motion which can reduce image quality and misrepresent the lumen so that the flowing blood causes several problems such as the aortic root and ascending aorta. CT angiography with ECG gating was chosen to reduce the images of cardiac movement. The purpose is to evaluate the examination procedure and anatomical description of the CT Angiography examination with Gating ECG. The research method is descriptive qualitative research with a case study approach with samples selected based on the examination diagnosis with type A aortic dissection. Observation, documentation, interviews did data collection. Data analysis is described in a descriptive narrative, and a conclusion is drawn. The result of the study is that CT angiography examination with ECG gating provides accurate information that the coronary arteries originate from the true lumen. In this phase, there are no lines that show a significant picture of heart movement disorders so that the coronary arteries can be assessed properly. The anatomical features of MIP, CPR, and VRT visualize the aortic root region until the coronary arteries are displayed more informatively than heart movement disorders. The conclusion is that CTA examination with ECG gating can show the aortic root in cases of type A dissection located at the root or ascending aorta and minimize heart movement interference with MIP, CPR and VRT.
DOSE OPTIMIZATION WITH mAs REDUCTION OF 15% USING COMPUTED RADIOGRAPHY ON RADIOGRAPHIC EXAMINATIONS PELVIC AP PROJECTION Cahya, Intan; Irsal, Muhammad; Heru A., Nursama; Gunawati S., Shinta; Widiatmoko, Mahfud Edy
Journal of Vocational Health Studies Vol. 6 No. 1 (2022): July 2022 | JOURNAL OF VOCATIONAL HEALTH STUDIES
Publisher : Faculty of Vocational Studies, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jvhs.V6.I1.2022.24-29

Abstract

Background: Routine pelvic radiograph examination commonly performed in diagnostic radiology services is a pelvic examination of anteroposterior projection (AP). This results in direct exposure to ionizing radiation to the internal organs in the lower abdomen, especially the reproductive organs. Purpose: Optimizing the dosage of AP projection pelvic radiographs. Method: Research is conducted quantitatively and used experimental approach with an analysis of 15% mAs reduction from the standard mAs value on AP projection pelvic examination on radiation dose and image quality using anthropomorphic phantoms. The radiation dose analysis uses the exposure index indicator. In contrast, the image quality uses the Visual Grading Analysis method, then it was continued with the Kappa Cohens test to determine the level of agreement between 2 respondents. Result: The exposure factor with the mAs value reduced by 15% from the standard exposure factor on the AP projection pelvic radiography affected the decrease in the value exposure index. The EI value generated from the optimization exposure factor shows a decrease to 300 EI, which means the dose produced is only half of the standard exposure factor dose but still produces an acceptable image, as evidenced by the VGA score. As an assessment of image quality. In this study, there was no significant difference with range VGA scores 1,7. Besides that, the test had the Kappa Cohens level of agreement with a value of 0.5-0.8. Conclusion: All images resulting from the 15% mAs value reduction variation can be used as a diagnostic assessment.
Analysis Of Factors Causing Repetition Of Computed Radiography Images In An Effort To Improve The Quality Of Health Services In Radiology Widiatmoko, Mahfud Edy; Sari, Nur Alifa Purnama
Kontribusia : Research Dissemination for Community Development Vol 8 No 1 (2025): Kontribusia, January 2025
Publisher : OJS Universitas Muhammadiyah Gresik

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30587/kontribusia.v8i1.8795

Abstract

Radiology is a vital component of healthcare services in hospitals, aimed at assisting diagnoses through radiographic imaging using X-rays. To ensure optimal image quality, a quality assurance program is implemented. One of the objectives of this program is to minimize the repetition of radiological examinations. Therefore, a reject analysis of radiographic images is conducted to identify the causes and reasons for repeated imaging. This research aims to analyze the factors contributing to repeated computed radiography (CR) images to improve the quality of radiology health services. It is a quantitative descriptive study conducted through observation to determine the percentage of image repetitions and identify the causes. The data was analyzed using the repeat rate formula to calculate the repetition percentage systematically. The study took place from February to April 2024, with a total of 8,197 CR images, of which 410 were repeated. Results: The quality of radiology services is categorized as good, based on a monthly image repetition rate of 1.75%, which is within the acceptable limit of ≤2% as per the Indonesian Ministry of Health Regulation No. 129/Menkes/SK/II/2008 on minimum hospital service standards.
Analisis Akurasi Perhitungan Nilai Ejeksi Fraksi Cardiac Magnetic Resonance untuk Meningkatkan Mutu Layanan Kesehatan di Radiologi Widiatmoko, Mahfud Edy; Tarigan, Asumsie; Kuswoyo, Heri; Nurhidayati, Tri
Jurnal Penelitian Inovatif Vol 4 No 4 (2024): JUPIN November 2024
Publisher : CV Firmos

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54082/jupin.982

Abstract

Ejeksi Fraksi (EF) merupakan parameter untuk menilai kemampuan jantung dalam memompa darah ke seluruh tubuh. Saat ini modalitas yang sering digunakan untuk mendeteksi nilai EF adalah USG, tetapi memiliki keterbatasan yaitu poor acoustic window atau kualitas gambaran kurang optimal dan tergantung kemampuan teknologis. Ahli MRI Bellenger dan Friedrich menyatakan bahwa pemeriksaan Cardiac Magnetic Resonance memiliki keunggulan dalam memberikan akurasi nilai EF dan memiliki 2 metode pengukuran View Short Axis dan Long Axis. Tujuan:i untuk mengetahui akurasi nilai ejeksi fraksi ventrikel kiri pada pemeriksaan Cardiac Magnetic Resonance dengan metode view short axis dan long axis terhadap echocardiography. Metode: desain penelitian deskriptif kuantitatif tentang perhitungan EF dan dilakukan di instalasi radiologi rumah sakit di Jakarta pada bulan Juli–Oktober 2022 dengan sampel 33 pasien. Data diperoleh dengan cara observasi dan pengukuran menggunakan software CVI 42 yang terdapat pada perangkat MRI 1,5T Merk GE Signa Voyager. Data dianalisis menggunakan perangkat lunak Microsoft Excel dan SPSS untuk menghitung rata-rata EF dan selisih rata-rata EC-SA serta EC-LA terhadap hasil echocardiography. Hasil: Nilai rata-rata presentase EF pada metode pengukuran LVEF-EC sebesar 41%, LVEF-SA sebesar 40% dan LVEF-LA sebesar 43%. Ketepatan nilai fraksi ejeksi didapatkan nilai rata-rata selisih EC-SA sebesar 0,939 dengan presentase 3% dan nilai rata-rata selisih EC-LA sebesar 1,812 dengan presentase 5%. Simpulan: Hasil pengukuran perhitungan ejeksi fraksi dengan metode short axis lebih akurat di bandingkan long axis sehingga dapat dijadikan standar prosedur pemeriksaan Cardiac Magnetic Resonance. Standar ini akan memberikan kualitas mutu layanan diagnostik yang tepat dalam tindakan layanan kesehatan.
Analisis Tiga Bentuk Ukuran ROI terhadap Nilai ADC pada Kasus Hepatocellular Carcinoma Widiatmoko, Mahfud Edy; Tarigan, Asumsie; Widayadi, Widayadi
Jurnal Imejing Diagnostik (JImeD) Vol 11, No 1 (2025): JANUARY 2025
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v1i1.12302

Abstract

Background: Hepatocellular Carcinoma (HCC) is the third leading cause of death in the world. One important aspect of lesion measurement in predicting HCC grading on Magnetic Resonance images is the ADC value obtained by performing Region of Interest can be a variation in shape size of Freehand, Circle, or Point voxel.Methods: Analytical quantitative research by comparing three shapes sizes ROI on the value of ADC in cases of HCC. Data was collected at the Radiology Installation of hospitals in Jakarta from 50 patients who underwent liver MRI with DWI-ADC Map images between January and October 2023. Analysis of data using Friedman test statistical test followed by Dunnet post hoc test.Results: ADC value for Freehand ROI was 1.33x10-3 mm2/s, Circle ROI was 1.31x10-3 mm2/s and Point Voxel ROI was 1.23x10-3 mm2/s. The statistic p0.05 means that there is a significant difference in ADC values between Point Voxel and Freehand and Circle ROI.Conclusions: ROI with different size shapes (Freehand, Circle, Point Voxel) affects ADC value. Circle ROI is recommended to evaluate HCC because the placement of the ROI can avoid inhomogeneous areas when measuring the ADC value on an MRI of the Liver with Hepatocellular Carcinoma.
Analisis Variasi Nilai Time Inversion (TI) Terhadap Infromasi Citra MRI Knee Joint Potongan Sagital Sekuen PDW SPAIR Widiatmoko, Mahfud Edy; Sabina, Asy Syifa; Supriyaningsih, Eny; Rizqi, Muhammad; Hidayat, Eka Putra Syarif
Jurnal Imejing Diagnostik (JImeD) Vol 11, No 2 (2025): JULY 2025
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v11i2.13326

Abstract

Background: Magnetic Resonance Imaging (MRI) is a non-invasive imaging modality essential for evaluating complex anatomical structures such as the knee joint. MRI allows multiplanar imaging with high soft tissue contrast resolution. In knee imaging, the sagittal plane is particularly effective in assessing pathologies and visualizing structures like cartilage, menisci, bones, and ligaments (ACL and PCL). Proton Density Weighted (PDW) sequences combined with Spectral Adiabatic Inversion Recovery (SPAIR) fat suppression are commonly used to enhance soft tissue visualization. The image quality in SPAIR sequences is significantly influenced by the Time Inversion (TI) parameter. This study aimed to analyze the impact of varying TI values on the image quality of sagittal PDW SPAIR MRI of the knee joint, focusing on anatomical detail and contrast resolution.Methods: This research used a quantitative analytical method with an experimental approach. The study was conducted at the Radiology Department of Pertamina Central Hospital from March to April 2025. Ten knee MRI examinations were selected as samples. Image quality was assessed by three radiologists using a structured scoring questionnaire. The data were analyzed using non-parametric statistical tests, including Friedman and Wilcoxon Signed-Rank tests.Results: The Friedman test revealed statistically significant differences in anatomical detail (χ²(2) = 15.000, p = 0.001) and contrast resolution (χ²(2) = 17.882, p = 0.000) across the three TI values (100 ms, 160 ms, and 200 ms). Post-hoc Wilcoxon analysis showed that both TI 160 ms and 200 ms provided significantly higher image quality than 100 ms (p 0.017) in both parameters. However, no significant differences were found between TI 160 ms and 200 ms (p = 0.506 for anatomical detail, p = 0.273 for contrast resolution). Among the values tested, TI 160 ms demonstrated consistent and optimal scores for both image clarity and contrast.Conclusions: A TI value of 160 ms in the PDW SPAIR sequence is recommended as the optimal parameter for producing superior sagittal MRI images of the knee joint, particularly in terms of anatomical clarity and contrast resolution.
THE EFFECT OF USING 4 POINTS LOCKS AND 9 POINTS LOCKS MASKS ON PATIENT SET-UP IN NASOPHARYNX CANCER Anggraeni, Rina; Irsal , Muhammad; Sutoro, Shinta Gunawati; Widiatmoko, Mahfud Edy; Tarigan, Asumsie; Ardoni, Fitrus; Apriantoro, Nursama Heru
Indonesian Physical Review Vol. 7 No. 1 (2024)
Publisher : Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/ipr.v7i1.229

Abstract

The set-up aims to find out the value of the shift that occurs while the patient is undergoing the irradiation process on the X-axis (right-left), Y-axis (caudal-cranial), and Z-axis (anterior-posterior). The procedure for collecting research data is by making direct observations and being involved in measuring set-up shifts. The data used amounted to 20 nasopharyngeal cancer patients. Set-up shift measurement data were taken sequentially from fractions 1-33 for each patient using 4 and 9 points locks masks. Analysis of statistical test data using SPSS version 25, to determine the effect of using 4 and 9 points locks masks on shifts in nasopharyngeal cancer irradiation set-up patients with fraction group: Group 1 (fraction 1), Group 2 (Fraction 2 – 15), Group 3 (16-33)  using the Wilcoxon test because the normality test results were not fulfilled. If the p-value ≤ 0.05, there is an effect of using 4 and 9 points locks mask on shifts, while for p-value ≥ 0.05, there is no effect of using 4 and 9 points locks mask on set-up shifts in nasopharyngeal cancer irradiation set-up. The results of the shift in the set-up of 4 and 9 points lock irradiation vertically in the lateral, longitudinal, and vertical directions tend to be positive (left, caudal, posterior). There was no effect of all fraction groups using 4 and 9 points locks on the shift in nasopharyngeal cancer irradiation set-up p-value> 0.05.
Evaluasi Pemeriksaan MRI Brain dengan Klinis Vertigo di Rumah Sakit Otak dr. Drs. M. Hatta Bukittinggi Widiatmoko, Mahfud Edy; Tarigan, Asumsie; Husna, Muslimatul
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.
Analisis Tiga Bentuk Ukuran ROI terhadap Nilai ADC pada Kasus Hepatocellular Carcinoma Widiatmoko, Mahfud Edy; Tarigan, Asumsie; Widayadi, Widayadi
Jurnal Imejing Diagnostik (JImeD) Vol. 11 No. 1 (2025): JANUARY 2025
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v1i1.12302

Abstract

Background: Hepatocellular Carcinoma (HCC) is the third leading cause of death in the world. One important aspect of lesion measurement in predicting HCC grading on Magnetic Resonance images is the ADC value obtained by performing Region of Interest can be a variation in shape size of Freehand, Circle, or Point voxel.Methods: Analytical quantitative research by comparing three shapes sizes ROI on the value of ADC in cases of HCC. Data was collected at the Radiology Installation of hospitals in Jakarta from 50 patients who underwent liver MRI with DWI-ADC Map images between January and October 2023. Analysis of data using Friedman test statistical test followed by Dunnet post hoc test.Results: ADC value for Freehand ROI was 1.33x10-3 mm2/s, Circle ROI was 1.31x10-3 mm2/s and Point Voxel ROI was 1.23x10-3 mm2/s. The statistic p<0.05 means that there is a significant difference in ADC values between Point Voxel and Freehand and Circle ROI.Conclusions: ROI with different size shapes (Freehand, Circle, Point Voxel) affects ADC value. Circle ROI is recommended to evaluate HCC because the placement of the ROI can avoid inhomogeneous areas when measuring the ADC value on an MRI of the Liver with Hepatocellular Carcinoma.