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Prosedur Pemeriksaan MRI Cervical Dengan Diagnosa Cervical Root Syndrome (CRS) di Instalasi Radiologi RSUD DR. Moewardi Denita Puspita Sari; Ni Putu Rita Jeniyanthi; Ni Luh Putu Sari Widari
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.v2i1.2129

Abstract

CRS occurs when there is irritation to the cervical nerve roots due to the vertebral disc bulging out. In diagnosing CRS, supporting tools such as MRI are needed. The purpose of this study was to determine how the cervical MRI examination procedure with a diagnosis of CRS at the Radiology Installation of Dr. Moewardi Hospital and why the cervical MRI examination with a diagnosis did not use the T2*GRE and Proton Density sequences. This study used a qualitative method with a case study approach conducted from June-July 2023 with the object of research as many as five patients diagnosed with CRS. The respondents consisted of three radiographers, three radiology specialists, and one sending doctor. The cervical MRI examination procedure with a diagnosis of CRS at the Radiology Installation of Dr. Moewardi Hospital has no special preparation, the patient only releases metal objects in the patient's body before entering the examination room. The sequences used are Coronal T1 FSE, Coronal STIR, Sagittal T2 FRFSE, Sagittal T1 FSE, Sagittal STIR, Axial T2 FRFSE, Axial T1 FSE, and Myelography. Based on the results of the study, using T2*GRE in CRS diagnosis will produce a poor picture. While Proton Density is good for bone but because of the use of a long time and CRS diagnosis is more focused on nerve fibers and soft tissue, it does not need to be used.
Analisis Pengaruh Variasi Slice Thickness Terhadap Kualitas Citra Pemeriksaan CT Scan Urografi Pada Kasus Nefrolitiasis Di RS TK. II Pelamonia Makassar Ni Putu Rita Jeniyanthi; Cokorda Istri Ariwidiastuti; I Bagus Gede Dharmawan; Tripaldy Battola Toding
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.v2i1.2147

Abstract

Background: Kidney stones (nephrolithiasis) are solid masses formed from urine precipitated crystals. The formation of stones is caused by increased calcium, oxalate and uric acid content in the body, scans to view kidney stones (nephrolithiasis) can be performed with or without contrast. Non-contrast CT urography is the imaging modality of choice for the initial evaluation of patients with suspected urolithiasis, as it has a sensitivity of up to 98% and specificity of 96-98%. Components that affect image quality in CT scans are spatial resolution, contrast resolution, and noise. One of the important parameters in image quality is the selection of slice thickness. Spatial resolution is the ability to show objects or organs with a high level of contrast. Noise is the standard deviation percentage of the sum of pixel values obtained from the waterbath image. Methods; This type of research is quantitative research with an experimental approach to analyze the effect of slice thickness variations on image quality using variations of 2 mm, 3 mm, 4 mm, 5 mm, and 6 m. The data were collected in August 2023 with 10 samples. Data were collected in August 2023 with 10 samples. Researchers took urographic CT scan examination data with a diagnosis of nephrolithiasis. Results and Conclusion: With the results of the research conducted, it can be concluded that in the overall Friedman test results there is an effect of using slice thickness variations on image quality in urographic CT Scan examinations with nephrolithiasis diagnoses. using slice thickness variations. Based on the results of this study, the researcher can recommend on CT Scan urography with nephrolithiasis diagnosis using 4 mm slice thickness to get good and optimal image quality results.
Analisis Pengaruh Variasi Slice Thickness Terhadap Kualitas Citra pada Pemeriksaan CT Scan Kepala dengan Kasus Stroke Hemorragic di RS TK II Pelamonia Makassar Tahun 2023 Dian Indrayani Solong; Ni Putu Rita Jeniyanthi; I Kadek Sukadana
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.v1i4.1992

Abstract

Hemorrhagic stroke is the rupture of blood vessels in the brain, resulting in reduced blood flow (ischemia) and hypoxia. One of the disorders that can be diagnosed through sophisticated modalities is a CT scan, because it can be done quickly and accurately when evaluating bleeding in the brain. The slice thickness used in CT scans of the head in hemorrhagic stroke cases is 5 mm-10 mm, carried out using a one range protocol, namely from the basic cranii to the vertex. Slice thickness is the thickness of the slice that can be selected according to clinical needs. The factors used to evaluate image quality are spatial resolution, resolution contrast and noise. This research is quantitative by taking an experimental approach to analyze the effect of using slice thickness variations of 3mm, 4mm and 5mm on image quality (spatial resolution, resolution contrast and noise) on CT scans of the head in cases of hemorrhagic stroke of 10 samples. Based on the results of the research carried out, the researchers can conclude according to the overall results of the Friedman test that there is an influence on the image quality of CT scans of the head in hemorrhagic stroke cases using slice thickness variations of 3mm, 4mm and 5mm on spatial resolution, contrast resolution and noise. So based on the results of the Friedman test per image quality, there is a difference in the image quality of CT scans of the head and cases of hemorrhagic stroke which use slice thickness variations of 3mm, 4mm and 5mm. Based on the results of the mean rank of the Friedman test, slice thickness 5mm has a mean rank of 2.88 with the highest value. Based on the results of this study, researchers can recommend that CT scans of the head in cases of hemorrhagic stroke use a slice thickness of 5 mm with the aim that the image quality results in CT scans of the head in cases of hemorrhagic stroke look clear and good.
Prosedur Pemeriksaan CT Scan Kepala Dengan Klinis Stroke Hemorrhagic Di RS Bhayangkara Makassar Irma Rizky; Ni Putu Rita Jeniyanthi; Cokorda Istri Ary Widiastuti
Journal of Educational Innovation and Public Health Vol. 2 No. 1 (2024): Januari : 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.v2i1.2096

Abstract

Background: CT Scan is a medical technology that can show images in the form of slices to see the anatomy of the human body because this technology combines X-rays and television. Basically, how a CT scan works uses a radiation source from X-rays. There are various examinations that can be carried out using a CT scan, one of which is a head examination with a CT scan. CT scan of the head at the Radiology Installation at Bhayangkara Hospital Makassar uses a Slice Thickness of 3 mm to produce a better image. The aim of this research is to determine the Head CT Scan Examination Procedure for Clinical Hemorrhagic Stroke in the Radiology Installation of Bhayangkara Hospital, Makassar. Results: The results of this study indicate that the CT scan procedure of the head with clinical hemorrhagic stroke at the radiology installation at Bhayangkara Hospital, Makassar was carried out without any special preparation but the patient was instructed to remove metal objects or accessories around the head such as earrings, hairpins and necklaces. Using a slice thickness of 3 mm is good enough to display image results and confirm the diagnosis. Conclusion: The head CT scan procedure for clinical hemorrhagic stroke was carried out using the head first protocol. The slice thickness used in this examination is 3 mm. The choice of slice thickness is the biggest factor because a thick slice thickness will produce images with low detail and cause artifacts, whereas a thin size will produce images with high detail but there is noise in the image.
Analisis Pemeriksaan CT Scan Abdomen Dengan Kontras Pada Klinis Ileus Obstruktif di Rumah Sakit Bhayangkara Makassar Alifah Rizky Octavia; Ni Putu Rita Jeniyanthi; I Kadek Sukadana
Journal of Educational Innovation and Public Health Vol. 2 No. 1 (2024): Januari : 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.v2i1.2104

Abstract

The diagnosis of obstructive ileus is comfirmed by a CT Scan of the abdomen. The CT Scan of the Abdomen examination procedure with contrast in clinical obstructive ileus at Bhayangkara Hospital Makassar uses intravenous contrast injection. This study aims to analyze abdominal CT Scans with contrast in cases of obstruktive ileus and the contrast media injection technique used. This type of research is descriptive qualitative with a case study approach. This research was conducted at Bhayangkara Hospital Makassar. Data collection methods and were carried out by means of observation, interviews, and documentation. The results of this study show that the abdominal protocol, then pre contrast scanning is carried out. 50 ml of contrast is admistered intravenously. The abdominal CT Scan examination procedure with contras in cases of obstructive ileus at Bhayangkara Hospital Makassar only uses intravenous administration of contrast media because it is sufficient for diagnosis and the examination time is shorter.
Analisis Pemeriksaan MRI Pelvis Pada Kasus Kanker Serviks Di Instalasi Radiologi RSUP Persahabatan Hildaimawanti Hildaimawanti; Ni Putu Rita Jeniyanthi; Triningsih Triningsih; I Kadek Sukadana
JURNAL RISET RUMPUN ILMU KEDOKTERAN Vol. 2 No. 2 (2023): Oktober :Jurnal Riset Rumpun Ilmu Kedokteran
Publisher : Pusat riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jurrike.v2i2.2088

Abstract

The aim of this research is to find out the procedures for Pelvic MRI examinations in Cervical Cancer Cases at the Radiology Installation at Persahabatan Hospital, to find out the reasons for using T1W SPIR and to find out the reasons for using T2W SPAIR in Pelvic MRI examinations in cervical cancer cases. This type of research uses descriptive qualitative methods with a case study approach. Data collection methods are carried out through observation, interviews and documentation. Then data analysis was carried out using open coding charts and categorization tables, so that conclusions could be drawn. The results of this study indicate that the Pelvic MRI examination procedure in cases of cervical cancer at Persahabatan Hospital using contrast media requires special preparation, namely the patient fasting from eating fibrous foods 1 day before the examination, taking laxatives 12 hours before the examination, and checking urea creatinine. The patient is injected with 20 cc of ultrasonic gel in the rectum and vagina which functions as a marker. The purpose of using the T1W SPIR sequence is to compare enhancement before and after administration of contrast media. The use of T2W SPAIR in pelvic MRI examinations to assess pathological fluid by suppressing fat signals.
ANALISIS ANALISIS PENGARUH VARIASI SLICE THICKNESS TERHADAP KUALITAS CITRA DAN INFORMASI ANATOMI PEMERIKSAAN MSCT SCAN THORAX PADA KASUS EMPHYSEMA DI RSD MANGUSADA BADUNG nirma, Nirmala; Ni Putu Rita Jeniyanthi; Cokorda Istri Arywidiastuti
Jurnal Ilmiah Kedokteran dan Kesehatan Vol 2 No 1 (2023): Januari : Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (4158.414 KB) | DOI: 10.55606/klinik.v2i1.738

Abstract

One of the clinical features that can be found in Thorax is emphysema. Emphysema is one of the pathological processes of the lung parenchyma in COPD (Chronic Obstructive Pulmonary Disease). The patient must inhale and exhale with a larger volume of air in order to meet the metabolic needs of oxygen distribution (O2), removal of carbon dioxide (CO2) and maintaining acid-base balance. MSCT has an important role in diagnosing emphysema. One of the biggest drivers for technical improvement in MSCT is image quality. MSCT Scan image quality is influenced by several factors, namely spatial resolution, resolution contrast, noise, and artifacts. One of the parameters that affect image quality is the selection of slice thickness. Slice thickness is the thickness of the slice or slice of the object being examined. Thorax MSCT scan is routinely performed using a slice thickness of 1.25 – 5 mm. Thorax examination in cases of emphysema used a slice thickness of 0.5 mm – 1.5 m.This type of research is quantitative with an experimental approach. This study was conducted by analyzing the effect of slice thickness variations on image quality and anatomical information of MSCT Scan Thorax in cases of Emphysema. Based on the results of the Friedman test overall, it shows that there is an influence of image quality and anatomical information on the MSCT Scan Thorax examination in cases of emphysema using slice thickness variations of 1.5mm, 3mm and 4.5mm on spatial resolution, contrast resolution, and noise. Based on the results of this study, the researcher can recommend the MSCT Scan Thorax examination in cases of emphysema using a slice thickness of 1.5mm with the aim that the results of image quality and anatomical information on the MSCT Scan Thorax examination in cases of emphysema look clear and good.
Prosedur Pemeriksaan MRI Brain pada Kasus Trigeminal Neuralgia di Instalasi Radiologi RSUD Provinsi NTB Zainal Abidin AR Malasugi; Ni Putu Rita Jeniyanthi; I Made Adhi Mahendrayana
Jurnal Ilmiah Kedokteran dan Kesehatan Vol 3 No 1 (2024): Januari : Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v3i1.2278

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Research has been conduced on MRI Brain examiation procedures in cases of trigeminal neuralgia at the radiology installation of the NTB Privincial Hospital. The purpose of this study was to determine how the MRI Brain examination procedure in cases of trigeminal neuralgia at the radiology installation of the NTB Provincial Hospital and why the b-FFE sequence was used in the MRI Brain examination of trigeminal neuralgia cases at the Radiologi Installation of the NTB Provincial Hospital. This type of research uses qualitative research with a case study approach to MRI Brain examination in cases of trigeminal neuralgia. This research was conducted in june-july 2023 at the Radiology installation of the NTB Provincial Hospital using observation, intervie and dokumentation methods. The results of the data were processed and reduced by open coding. The results of the study of MRI Brain examination procedures in cases of trigeminal neuralgia at the Radiology Installation of the NTB Provincial Hospital. Starting with patient preparation, the patinet`s position is supine. The sequences used are DWI Axial, T2W TSE Axial, T1W FFE, T2W FLAIR, MRA, T2W TSE Coronal, T2W TSE Sagittal and b-FFE. The reason for using the b-FFE sequence is to show 12 pairs of cranial nerves, one of which is the trigeminal nerve and the b-FFE sequence can be used as a differential diagnosis against other sequences.
Peranan Sekuen Susceptibility Weight Imaging (SWI) Pada Pemeriksaan MRI Brain Pada Kasus Tumor Zefanya G. Pandelaki; Mohammad Agus Pribowo; Ni Putu Rita Jeniyanthi
Jurnal Ilmiah Kedokteran dan Kesehatan Vol 3 No 1 (2024): Januari : Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v3i1.2506

Abstract

The aim of the research is to find out the role of the transverse suspectibility weighted imaging (SWI) sequence in brain MRI examination techniques in tumor cases. The research method used in this research is a qualitative descriptive study that uses a literature study approach to explore, analyze and identify information about how the Susceptibility Weighted Imaging (SWI) sequence plays a role in the Brain MRI examination process in patients who have tumors. The results and discussion of the literature review show: 1) Susceptibility-Weighted Imaging (SWI) on MRI brain has an important role in detecting blood degradation products, calcification and iron accumulation in glioblastoma. SWI allows visualization of small blood vessels, detection of iron, as well as identification of areas of calcification within the tumor, providing a more detailed picture of the nature and malignancy of glioblastoma. The Intratumoral Susceptibility Signal (ITSS) on SWI images is a visual marker associated with microhemorrhage, neoangiogenesis, and calcification, enabling tumor grading based on the frequency and distribution of these signals. In addition, Intralesional Susceptibility Signal (ILSS) also has an important role in differentiating glioblastoma from abscesses and metastases, with high levels of ILSS tending to be associated with tumor severity. Thus, the integration of SWI and ITSS and ILSS analysis can make a significant contribution to the characterization and assessment of the level of malignancy. 2) Susceptibility-Weighted Imaging (SWI) in the diagnosis of glioblastoma has the advantage of providing internal visualization of the tumor with high resolution. SWI is highly sensitive to differences in tissue susceptibility, allows the detection of neovascularization, hemorrhage, and calcification within glioblastoma, and provides detailed information about cerebral vascular anatomy. The advantages of SWI include its ability to image the Intratumoral Susceptibility Signal (ITSS) and Intralesional Susceptibility Signal (ILSS) and increase the visibility of low signal intensity structures. However, its shortcomings, namely sensitivity to artifacts, dependence on susceptibility phenomena, and subjective interpretation are aspects that need to be considered.
Analisis Perhitungan Nilai Rata-Rata Pergeseran Verifikasi Geometri Menggunakan EPID Pada Pasien Kanker Payudara Di Sub Instalasi Radioterapi RSUP Prof. Dr. I.G.N.G Ngoerah I Gusti Putu Agung Wisnu Putra; Ni Putu Rita Jeniyanthi; Ngakan Putu Daksa Ganapati
Jurnal Anestesi Vol. 2 No. 1 (2024): Januari : Jurnal Anestesi
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/anestesi.v2i1.759

Abstract

Breasts are organs that play a role in the lactation process. In men, this organ does not develop and does not have a function in the lactation process like in women. According to. cancer is characterized by the growth of abnormal cells beyond normal limits and can attack adjacent parts of the body or metastasize to other organs which can result in death for the sufferer. Cancer is also called malignant tumor and neoplasm. Breast cancer sufferers often find out about their disease too late, so they come to the hospital when it is in the final stage. Early detection is very necessary so that breast cancer sufferers can be treated more quickly. The prevalence of cancer in Bali Province in 2018 was 2.3 per 1000 population. This incidence increased compared to the 2013 Riskesdas results of 2.0 per 1000 population (Riskesdas, 2018). The total number of breast cancer cases recorded in the Medical Records Installation at Sanglah General Hospital Denpasar for the period 1 January – 31 December 2022 and which met the inclusion criteria was 70 people with a monthly average of 5.83%, around 6 patients. Inclusion criteria are breast cancer patients with stage II-IV and who have had a mastectomy. Based on a report from the Bali Province Integrated Disease Survey, it was found that the incidence of breast cancer in 2019 was 437 cases. especially in Denpasar City, the incidence of breast cancer was 293 cases. Denpasar City is an area that has the highest incidence of breast cancer in Bali.
Co-Authors Alifah Rizky Octavia Anak Agung Aris Diartama Annila Suryo Saputro Aprilia, Helen Prisca Aris Diartama, Anak Agung Arywidiastuti, Cokorda Istri Cahyani, rahmawati dwi Cokorda Istri Ariwidiastuti Cokorda Istri Ary Widiastuti Cokorda Istri Arywidiastuti Cokorda Istri Arywidiastuti Darawia, Inggrid Anjali Darmita, I Made Purwa Denita Puspita Sari Dewi, Rusma Dian Indrayani Solong Diartama, A.A Aris Diartama, Anak Agung Aris Donny Kristanto Mulyantoro Donny Kristanto Mulyantoro Donny Kristanto Mulyantoro Faisal Amri Faisal Amri Faisal Amri Fikli, Devina Ganapati, Ngakan Putu Daksa Hildaimawanti Hildaimawanti I Bagus Gede Dharmawan I Bagus Gede Dharmawan I Gusti Putu Agung Wisnu Putra I Kadek Sukadana I Made Adhi Mahendrayana I Made Lana Prasetya I Made Purwa Darmita I Putu Eka Juliantara Irma Rizky Kadek Agus Cahya Pramana Khasanah, Nurul Sarifatul Kouwe, Jihan Rahima Kristin, Putu Mira Kurnia, Yoktobriyati Leny Latifah Leny Latifah Leny Latifah Mahayani, Desak Nyoman Maria Adriana Rawi Masus, Gresaldy Mayori Permata Maybet, Fiyo Sandisukma Mohammad Agus Pribowo Mughnie, Burlian Nakis, Yetri Putri Melani Negara, I Putu Surya Dharma Ngakan Putu Daksa Ganapati Ni Luh Putu Sari Widari Ni Luh Putu Sari Widari nirma, Nirmala Nur Rahman, Muhammad Farid Novrie Nurmajila Nurmajila Nurul Sarifatul Khasanah Nurwahidah Iskandar, Andi Palan, Gawi Roland Palar, Gloria Tesalonika Kyrieous Prasticha, Arlin Welda Puspaningrum, Sania Putri, Ni Putu Vera Sintya Amanda Putu Mira Kristin Rezki Amalia Riadi, Komang Reza Sania Puspaningrum Sari, Putu Aulia Kartika Sri Marleni, Sagung Ngurah Sudiyono Sudiyono Sudiyono Sudiyono Sudiyono Sudiyono Sugiantara, I Wayan Ariec Sugiartha, I Putu Supriyani, Nyoman Susanta, I Putu Adi Triningsih Triningsih Triningsih Triningsih Tripaldy Battola Toding Widari, Ni Luh Putu Sari Widiatmika, Alit Hardy Wikanadi, Ni Komang Sri Wikanadi, Ni Nyoman Sri Wikanadi, Nyoman Sri Winatra, I Komang Yogi Winda Yuliani Wirajaya, I Wayan Angga Wirajaya, Wayan Angga Wulandari, Putu Irma Yudha Baskara Ganakin, Gde Yuliani, Winda Zainal Abidin AR Malasugi Zefanya G. Pandelaki