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All Journal Jurnal Kedokteran Brawijaya Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI)
Lubis, Netty Delvrita
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Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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Measurement of Visceral Adipose Tissue using Abdomen CT scan As A Predictor of Type 2 Diabetes Mellitus at H. Adam Malik General Hospital Medan Nasution, Duma Ratna Sari; Putri Chairani Eyanoer; Pase, M Aron; Lubis, Netty Delvrita
Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI) Vol. 7 No. 1 (2025): Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI)
Publisher : TALENTA Publisher, Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/jetromi.v7i1.15891

Abstract

ABSTRACT Background: Obesity is a condition where the BMI is ≥ 25 kg/m2. Deposition of visceral adipose tissue (VAT) in obese conditions is a predictor of the incidence of type 2 diabetes mellitus. CT scan is an accurate measurement of VAT. A cut-off point value is needed to determine the stratification of VAT at risk for type 2 DM. Method: Cross-sectional study of patients undergoing CT scans of the abdominal area at the Radiology Installation of H. Adam Malik General Hospital, Medan during February 2024. Some of the data was taken from the Master of Clinical Medicine study in 2022. Data was collected in the form of examination BMI, waist circumference, DM risk score, and VAT volume in patients examined by abdominal CT scan at L4 level. The DM risk score was obtained using the ADA diabetes risk score questionnaire. VAT volume measurement using 3D segmentation tools. Results: Of the 116 patients studied, the number of samples was 53,4% male and 46,6% female. High DM risk score proportion of 59,5 %. The most frequent DM risk score was 5. Spearman’s correlation is used too. The best cut-off point between sensitivity 44.93% and specificity 80,85% is 1.311,9 cm3. The accuracy of CT scan as a predictor of type 2 DM is good (AUC 0.7). The positive predictive value (PPV) is 77,50%, and the negative predictive value (NPV) is 50%. The positive likelihood ratio value (LR +) is 2,34 and the negative likelihood ratio value (LR -) is 0,68. Conclusion: VAT measurement using abdominal CT scan as a predictor of type 2 DM has good accuracy. Keywords: Visceral adipose tissue, cut off, diabetes mellitus, body mass index, waist circumference, abdominal CT scan
Correlation between Optic Nerve Sheath Diameter, Rotterdam Computed Tomography Score, and Glasgow Coma Scale in Head Injury Febrina, Debora; Lubis, Netty Delvrita; Arsyad, Abdurrahman Mousa
Jurnal Kedokteran Brawijaya Vol. 33 No. 4 (2025)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2025.033.04.2

Abstract

Increased intracranial pressure (ICP) is one of the fatal events resulting from head injury. The gold standard for diagnosing elevated ICP, external ventricular drainage (EVD), is highly invasive, unavailable in the initial assessment, and contraindicated in some patients. Optic nerve sheath diameter (ONSD) has recently emerged as a non-invasive alternative for ICP monitoring. The Rotterdam CT Score (RCTS) assesses basal cisterns, midline shift, epidural mass lesion, and intraventricular hemorrhage (IVH) and/or traumatic subarachnoid hemorrhage (tSAH) on head CT scan. High RCTS is associated with higher mortality. Clinically, it can be assessed from level of consciousness with the Glasgow Coma Scale (GCS). This cross-sectional study aims to analyze the correlation between ONSD, RCTS, and GCS in head injury patients who underwent non-contrast head CT scans at the Radiology Department of Adam Malik Hospital, Medan from May 1, 2022, to April 30, 2023. ONSD and RCTS on initial CT scan were measured by two examiners, and GCS scores were obtained from the medical record. From 42 patients, the mean ONSD was 6.26±0.80mm, the median RCTS was 3 (range: 1 to 6), and the median GCS was 14 (range: 3 to 15). There is a significant strong positive correlation between ONSD and RCTS (r=0.747) and a moderate negative correlation between ONSD and GCS (r=-0.476), with p<0.05. The larger the ONSD on the initial head CT scan, the higher the Rotterdam CT score and the lower the GCS score.
Correlation between Optic Nerve Sheath Diameter, Rotterdam Computed Tomography Score, and Glasgow Coma Scale in Head Injury Febrina, Debora; Lubis, Netty Delvrita; Arsyad, Abdurrahman Mousa
Jurnal Kedokteran Brawijaya Vol. 33 No. 4 (2025)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2025.033.04.2

Abstract

Increased intracranial pressure (ICP) is one of the fatal events resulting from head injury. The gold standard for diagnosing elevated ICP, external ventricular drainage (EVD), is highly invasive, unavailable in the initial assessment, and contraindicated in some patients. Optic nerve sheath diameter (ONSD) has recently emerged as a non-invasive alternative for ICP monitoring. The Rotterdam CT Score (RCTS) assesses basal cisterns, midline shift, epidural mass lesion, and intraventricular hemorrhage (IVH) and/or traumatic subarachnoid hemorrhage (tSAH) on head CT scan. High RCTS is associated with higher mortality. Clinically, it can be assessed from level of consciousness with the Glasgow Coma Scale (GCS). This cross-sectional study aims to analyze the correlation between ONSD, RCTS, and GCS in head injury patients who underwent non-contrast head CT scans at the Radiology Department of Adam Malik Hospital, Medan from May 1, 2022, to April 30, 2023. ONSD and RCTS on initial CT scan were measured by two examiners, and GCS scores were obtained from the medical record. From 42 patients, the mean ONSD was 6.26±0.80mm, the median RCTS was 3 (range: 1 to 6), and the median GCS was 14 (range: 3 to 15). There is a significant strong positive correlation between ONSD and RCTS (r=0.747) and a moderate negative correlation between ONSD and GCS (r=-0.476), with p<0.05. The larger the ONSD on the initial head CT scan, the higher the Rotterdam CT score and the lower the GCS score.
Co-Authors Arsyad, Abdurrahman Mousa Debora Febrina Nasution, Duma Ratna Sari Pase, M Aron Putri Chairani Eyanoer, Putri Chairani