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ANALISIS VARIASI PENGGUNAAN SLICE THICKNESS TERHADAP KUALITAS CITRA PADA PEMERIKSAAN CT SCAN SINUS PARANASAL POTONGAN CORONAL DENGAN KLINIS SINUSITIS DI RUMAH SAKIT TK. II PELAMONIA MAKASSAR Anjas, Muh. Anjas Irawan Hamzah; Rita, Ni Putu Rita Jeniyanthi; Sayang, Made Sayang Pratista
Medical Imaging and Radiation Protection Research Journal Vol 3 No 2 (2023): Medical Imaging and Radiation Protection Research (MIROR) Journal
Publisher : LPPM Universitas Awal Bros

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54973/miror.v3i2.264

Sinusitis is a bacterial infectious disease that patients often complain about to doctors in the ears, nose and throat (ENT). A CT scan is an examination of the choice to see the paranasal sinuses in the axial, sagittal and coronal fields. On the coronal field it is good to display osteomeatal complexes and more informative than axial and sagittal pieces. CT scans have components that affect image quality consisting of spatial resolution, contrast resolution, and noise. Spatial resolution is the ability of a system to distinguish a structure from a very small object with a very adjacent location. Contrast resolution is the ability to distinguish the density or density of the structure of a particular object adjacent to each other. Noise is the standard percentage deviation from the number of pixel values obtained from the result of waterbath imagery. This type of research is quantitative with an experimental approach to analyze the use of slice thickness variations on image quality using variations: 0.5 mm, 1 mm, 1.5 mm, 2 mm, 2.5 mm, and 3 mm. Data collection was carried out in June - July 2022 with 10 samples. Researchers took data on the examination of CT Scans of the paranasal sinuses with clinical sinusitis. With the results of the research conducted, it can be concluded that in the overall friedman test results there is an influence on the use of slice thickness variations on image quality in the paranasal sinus CT scan examination with clinical sinusitis using slice thickness variations. Based on the results of this study, researchers can recommend a paranasal sinus CT scan with clinical sinusitis using a slice thickness of 0.5 mm to get good and optimal image quality results.

DIFFERENCES IN DWI IMAGE INFORMATION WITH VARIATION IN B-VALUE IN MRI BRAIN CASES TUMOR Febriana, Chindi; Susanto, Fani; Fitriana, Lutfatul; Oviyanti, Pradana Nur
Medical Imaging and Radiation Protection Research Journal Vol 3 No 2 (2023): Medical Imaging and Radiation Protection Research (MIROR) Journal
Publisher : LPPM Universitas Awal Bros

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54973/miror.v3i2.358

Diffusion Weighted Imaging (DWI) is a sequence used in brain tumor cases to assess molecular movement (diffusion). DWI is influenced by the selection of the b-value parameter which results in differences in the generated signal. The aim of this study is to determine the differences in b-value variations of 500, 1000, 1500 s/mm2 in brain tumor cases and identify the most optimal variation. This study is a pre-experimental study conducted using a 1.5 Tesla Philips MRI machine at a private hospital in South Jakarta from March to April 2023. The sample consisted of twelve DWI MRI images with different b-value variations. Visual grading analysis was performed by three radiology specialists, and the data were analyzed using the Friedman test in SPSS. The results showed a significant difference in image information based on the use of different b-value variations, with a pvalue of 0.05 (2.36). The use of a b-value of 1000 s/mm had the highest mean rank in the basal ganglia, cerebellum, thalamus, pons, gray matter, and lesions. The difference in image information with b-value variations visualized different brain tumor representations due to increased noise with higher b-values and suboptimal image sharpness with lower b-values due to low signal intensity. The use of b-value variations of 500, 1000, 1500 s/mm2resulted in differences in anatomical image information in sequences DWI MRI brain axial of brain cases tumor due to differences in image noise and signal intensity, with a b-value of 1000 s/mm being the most optimal variation.

MAGNETIC RESONANCE CHOLANGIO-PANCREATOGRAPHY EXAMINATION PROCEDURE USING BITTER TEA AND GADOLINIUM CONTRAST MEDIA IN COLELITIASIS CASES AT THE RADIOLOGY INSTALLATION OF HUSADA HOSPITAL JAKARTA Aminadi, Zein Rizka; Susanto, Fani; Utami, Hernastiti Sedya; Saputri, Lutfiana Desy
Medical Imaging and Radiation Protection Research Journal Vol 3 No 2 (2023): Medical Imaging and Radiation Protection Research (MIROR) Journal
Publisher : LPPM Universitas Awal Bros

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54973/miror.v3i2.359

This study aims to describe the procedures for managing MRCP examinations in cases of cholelithiasis at Husada Hospital, Jakarta. This type of research is descriptive qualitative using questionnaire sheets which are used for direct observation, documentation, interviews and literature studies, then data reduction is carried out, categorized and interpreted. Observations were carried out in May- July 2023 with the subjects of this study using 2 patients. From the results of the study it can be described that the MRCP examination technique with cholelithiasis cases at Husada Hospital Jakarta has a special preparation procedure, namely fasting for 5-6 hours and 30 minutes before the examination the patient drinks bittertea (2 sachets of tea bags/4.6 g mixed with mineral water 100 ml) added with 2 mlgadolinium contrast. Patients must first screen to ensure that there are no ferromagnetic materials, this examination uses a sequence that includes a 3-plane localizer, axial dual echo, axial T2, coronal T2, thick slab, 3D MRCP Respiratory Trigger or 3D MRCP Breath hold with time 40 minute check. MRCP examination produces Axial, Coronal and 3D sections in preparation for the patient drinking bitter tea and gadolinium with the addition of 3D MRCP RTR or 3D MRCP BH sequences which can optimally show the anatomy, physiology and abnormalities ofthe gallbladder and biliary system.

TEKNIK PEMERIKSAAN RADIOGRAFI OS CLAVICULA PADA KASUS EVALUASI POST ORIF DI INSTALASI RADIOLOGI RSUD WONOSARI Puspitaningtyas, Dyah Ayu; Ambarwati, Novita
Medical Imaging and Radiation Protection Research Journal Vol 3 No 1 (2023): Medical Imaging and Radiation Protection Research (MIROR) Journal
Publisher : LPPM Universitas Awal Bros

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54973/miror.v3i1.259

In order to assess the most recent condition of the fracture after 10 months of pen installation, the right clavicle examination approach used in the post-orif evaluation case at the Radiology Installation of the Wonosari Hospital was the Anteriorposterior (AP) projection. This type of study, which was conducted at the Wonosari Hospital's radiology department, is a descriptive study using a case study methodology. collecting patient information via requests for photos, medical examinations, and direct observations. Because the radiographic data are thought to be able to provide information to make a diagnosis, the right clavicle is only examined with a post-orif evaluation case at the Radiology Installation of Wonosari Hospital, using just the Anterior-Posterior (AP) projection without forming an angle.

PROSEDUR PEMERIKSAAN MRI PELVIS PADA KASUS KANKER SERVIKS DI INSTALASI RADIOLOGI RSUP PROF.DR.R.D.KANDOU MANADO Angel, Angel Grace Meray; Astina, Kadek Yuna; Triningsih
Medical Imaging and Radiation Protection Research Journal Vol 3 No 1 (2023): Medical Imaging and Radiation Protection Research (MIROR) Journal
Publisher : LPPM Universitas Awal Bros

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54973/miror.v3i1.260

Pelvic MRI examination procedure in case of cervic cancer in Radiology installation prof.Dr.R.D Kandou Manado is used as a reference for the author to conduct research with the aim of knowing the advantages and disadvantages of using 2 examination protocols .Cervical cancer is a disease characterized by uncontrolled cell growth and abnormal cell spread. Cervical cancer is the leading cause of cancer death for women in developing countries. Cervical cancer is the second most common cancer in the world from all cancers in women, this cancer reaches up to 15%. Currently, MRI is used as a way to diagnose cervical cancer. At the Radiology Installation of Prof.Dr.R.D.Kandou Hospital Manado, this examination uses a combination of 2 protocols, namely Abdomen-Pelvis MRI. This is a reference for the author to conduct research with the aim of knowing the advantages and disadvantages of using 2 examination protocols.This research is a qualitative research with a case study approach. In reviewing the problem, the author does not prove or reject the hypothesis made before the study but processes the data and analyzes the data non-numeric. This study used a sample of 5 cervical cancer patients and 3 research subjects for interviews. Results: Pelvis MRI examination procedure in cases of cervical cancer at Prof. RSUP. Dr. R. D. Kandou Manado includes patient preparation before MRI examination, equipment preparation, patient position, instrument position, examination protocol setting using 2 protocols, namely pelvic and abdominal MRI. The reason for using 2 protocols for pelvic MRI examination in cervical cancer cases at Prof. Hospital. Dr. R. D. Kandou Manado, the main thing is the doctor's request, in addition to the accuracy of the diagnosis, it can also detect the presence of metastases to organs other than the uterus. The advantages of using 2 pelvic MRI examination protocols in cervical cancer cases at Prof. Hospital. Dr. R. D. Kandou Manado, namely for the accuracy of diagnosing and knowing whether there are metastases in other organs, such as the liver, kidneys, lungs. While the lack of using 2 pelvic MRI examination protocols in cervical cancer cases, namely the examination time is longer than 1 examination protocol, but the difference is not too long. This examination does not use 2 examination protocols. However, specifically for examination with cervical cancer cases, 2 combinations are used as 1 examination protocol, namely the upper abdomen and pelvis. The purpose of using the

PERBANDINGAN PENGGUNAAN TEH KOTAK ORIGINAL DAN TEH KOTAK BLACKCURRANT SEBAGAI MEDIA KONTRAS ORAL NEGATIF TERHADAP INFORMASI ANATOMI PADA PEMERIKSAAN MRCP DI INSTALASI RADIOLOGI RSUP PROF. DR. R. D KANDOU MANADO Ema, Ema Grivid Kuntag; Wulandari, Putu Irma; Sukadana, Kadek
Medical Imaging and Radiation Protection Research Journal Vol 3 No 1 (2023): Medical Imaging and Radiation Protection Research (MIROR) Journal
Publisher : LPPM Universitas Awal Bros

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54973/miror.v3i1.261

The principle of using contrast media is to influence the magnetic field and relaxation times of T1 and T2. Contrast media in MRCP consists of positive and negative contrast media. Gadolinium is a positive contrast medium with intravenous injection, while the negative contrast medium used must contain manganese (Mn) or iron (Fe) (Westbrook et al, 2016). Research conducted by Suhardi et al (2013) states that the use of positive contrast media is increasingly rarely used due to the high price and difficult to obtain, it also has side effects on patients, such as weakness, nausea and vomiting. According to Fatimah et al (2018), natural ingredients with relatively high manganese (Mn) content that can be used as negative oral contrast media, one of which is the manganese content in packaged oolong tea, which is 0.9 mg. At the Radiology Installation of Prof. RSUP. DR. R. D. Kandou Manado by using boxed tea as a substitute for positive contrast media which is expensive and has side effects on patients.This type of research is a qualitative research with interview, observation and experiment methods. This study used the original box tea and blackcurrant box tea as negative oral contrast media to 3 volunteers. The examination was carried out twice for each volunteer, using the original box tea in the first week and blackcurrant box tea in the second week. The results of the images obtained will be asked for opinions through interviews with respondents, namely 1 radiology doctor and 2 radiographers. Data is processed using a coding system. MRCP examination procedure at Prof. RSUP. DR. R. D Kandou Manado includes patient preparation with the patient fasting 6 hours before the examination with the aim of avoiding fluid in the duodenum which can interfere with the biliary tract and bile duct into the duodenum. Instructions for drinking boxed tea contrast media were carried out 10-15 minutes before the examination, followed by preparation of equipment, patient position, protocol and examination technique. The resulting image does not provide a difference between the use of the original box tea and blackcurrant box tea on the anatomical image information on MRCP. The advantages of using negative oral contrast media, Teh Kotak, is able to help reduce signals from CBD and Vater's ampulla, as well as being able to display MRCP images that are better than using other negative contrast media. Patients with diabetes are not recommended to use this contrast medium.

PERBEDAAN KUALITAS CITRA ANATOMI PADA PEMERIKSAAN MRI SHOULDER JOINT DENGAN MENGGUNAKAN SHOULDER COIL DAN FLEX COIL DI RUMAH SAKIT UNIVERSITAS HASANUDDIN Syafitra, Muhnal; Astina, Kadek Yuda; Sugiantara, Aried
Medical Imaging and Radiation Protection Research Journal Vol 3 No 1 (2023): Medical Imaging and Radiation Protection Research (MIROR) Journal
Publisher : LPPM Universitas Awal Bros

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54973/miror.v3i1.262

Background: Shoulder Joint MRI examination is one of the musculoskeletal examinations that is often carried out in the MRI modality because the Shoulder joint is one of the most active joints. In order to be able to visualize a good image, the right coil is needed, in the shoulder joint MRI examination it is recommended to use a shoulder array coil or shoulder coil. This examination can also use a flex coil in an MRI shoulder joint examination at the hospital if the congenital shoulder coil is damaged. The shoulder coil has better image quality because of its shape that surrounds the entire object you want to examine. Methods: This study used a quantitative approach with a quasi-experimental approach, namely conducting experiments on the observed objects, to find answers to the problems raised by conducting an MRI Shoulder Joint examination using two different types of coils, namely Shoulder coil and flex coil in 10 samples. The data is then processed using SPSS. Results and Conclusions: Based on the results of statistical test calculations for the SNR value of the anatomy of the shoulder joint, there is a significant difference in image quality, namely the SNR of the anatomy of the shoulder joint using shoulder coil and flex coil which has an overall p value/sig of 0.038 so that Ho is rejected and Ha is accepted. The average SNR for shoulder coil was 312.41 and flex coil was 246.30, so the difference in the SNR value for MRI shoulder joint using shoulder coil compared to flex coil was 66.11. With these results, the more optimal MRI Shoulder joint examination uses the Shoulder coil. Keywords: Shoulder Coil, Flex Coil, Signal to Noise Ratio (SNR)

ANALISA NILAI CTDI DAN DLP PADA PEMERIKSAAN CT-SCAN ABDOMEN DI INSTALASI RADIOLOGI RSUD PROVINSI NTB Mantofani, Nizar Azmi; Juliantari, Putu Eka; Mahendrayana, Made Adhi
Medical Imaging and Radiation Protection Research Journal Vol 3 No 1 (2023): Medical Imaging and Radiation Protection Research (MIROR) Journal
Publisher : LPPM Universitas Awal Bros

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54973/miror.v3i1.263

One of the efforts to optimize radiation protection and safety in the implementation of diagnostic and interventional radiology procedures for patients is to apply the Diagnostic Reference Level (DRL) according to the type and object of examination carried out. The level of diagnostic guidance for medical exposure or DRL is highly recommended to be used as a guide for medical practitioners in optimizing protection in each type of diagnostic and interventional radiology examination and is used to prevent unnecessary radiation exposure in patients. Each Radiology Installation needs to conduct a routine evaluation of the dose value received by the patient and compare it with the latest Indonesian Diagnostic Reference Levels (IDRL) so that its implementation becomes effective. This study aims to evaluate the value of CTDI and DLP in the Adult Abdomen CT-Scan Examination at the NTB Provincial Hospital. This study uses descriptive quantitative research with a survey approach that aims to evaluate the value of CTDI and DLP in the Adult Abdomen CT-Scan examination at the NTB Provincial Hospital. This study was conducted by collecting data sourced from the Abdominal CT-Scan Examination. The facilities DRL value is calculated by using the quartile formula 3 (75 percentile) in Microsoft excel automatically, then compared with the latest IDRL value. The calculation of the quartile value of 3 (75 percentile) from CTDI and DLP received by patients at the adult Abdominal CT-Scan Examination at the NTB Provincial Hospital, obtained as many as 60 samples. Drl or quartile 3 (75 percentile) values obtained for CT-Scan Abdomen Contrast were 16.60mGy for CTDIvol and 1344.57mGy*cm for DLP. As for the Non-Contrast Abdominal CT-Scan of 15.15mGy for CTDIvol and 797.97mGy.cm for DLP. The value of 75 percentile of CTDI and DLP received by patients on the adult Abdominal CT-Scan Examination while at the Provincial Hospital is in accordance with the recommendations of BAPETEN / IDRL 2021.

ANALISIS VARIASI PENGGUNAAN SLICE THICKNESS TERHADAP KUALITAS CITRA PADA PEMERIKSAAN CT SCAN SINUS PARANASAL POTONGAN CORONAL DENGAN KLINIS SINUSITIS DI RUMAH SAKIT TK. II PELAMONIA MAKASSAR Anjas, Muh. Anjas Irawan Hamzah; Rita, Ni Putu Rita Jeniyanthi; Sayang, Made Sayang Pratista
Medical Imaging and Radiation Protection Research Journal Vol 3 No 2 (2023): Medical Imaging and Radiation Protection Research (MIROR) Journal
Publisher : LPPM Universitas Awal Bros

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54973/miror.v3i2.264

Sinusitis is a bacterial infectious disease that patients often complain about to doctors in the ears, nose and throat (ENT). A CT scan is an examination of the choice to see the paranasal sinuses in the axial, sagittal and coronal fields. On the coronal field it is good to display osteomeatal complexes and more informative than axial and sagittal pieces. CT scans have components that affect image quality consisting of spatial resolution, contrast resolution, and noise. Spatial resolution is the ability of a system to distinguish a structure from a very small object with a very adjacent location. Contrast resolution is the ability to distinguish the density or density of the structure of a particular object adjacent to each other. Noise is the standard percentage deviation from the number of pixel values obtained from the result of waterbath imagery. This type of research is quantitative with an experimental approach to analyze the use of slice thickness variations on image quality using variations: 0.5 mm, 1 mm, 1.5 mm, 2 mm, 2.5 mm, and 3 mm. Data collection was carried out in June - July 2022 with 10 samples. Researchers took data on the examination of CT Scans of the paranasal sinuses with clinical sinusitis. With the results of the research conducted, it can be concluded that in the overall friedman test results there is an influence on the use of slice thickness variations on image quality in the paranasal sinus CT scan examination with clinical sinusitis using slice thickness variations. Based on the results of this study, researchers can recommend a paranasal sinus CT scan with clinical sinusitis using a slice thickness of 0.5 mm to get good and optimal image quality results.

DIFFERENCES IN DWI IMAGE INFORMATION WITH VARIATION IN B-VALUE IN MRI BRAIN CASES TUMOR Febriana, Chindi; Susanto, Fani; Fitriana, Lutfatul; Oviyanti, Pradana Nur
Medical Imaging and Radiation Protection Research Journal Vol 3 No 2 (2023): Medical Imaging and Radiation Protection Research (MIROR) Journal
Publisher : LPPM Universitas Awal Bros

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54973/miror.v3i2.358

Diffusion Weighted Imaging (DWI) is a sequence used in brain tumor cases to assess molecular movement (diffusion). DWI is influenced by the selection of the b-value parameter which results in differences in the generated signal. The aim of this study is to determine the differences in b-value variations of 500, 1000, 1500 s/mm2 in brain tumor cases and identify the most optimal variation. This study is a pre-experimental study conducted using a 1.5 Tesla Philips MRI machine at a private hospital in South Jakarta from March to April 2023. The sample consisted of twelve DWI MRI images with different b-value variations. Visual grading analysis was performed by three radiology specialists, and the data were analyzed using the Friedman test in SPSS. The results showed a significant difference in image information based on the use of different b-value variations, with a pvalue of 0.05 (2.36). The use of a b-value of 1000 s/mm had the highest mean rank in the basal ganglia, cerebellum, thalamus, pons, gray matter, and lesions. The difference in image information with b-value variations visualized different brain tumor representations due to increased noise with higher b-values and suboptimal image sharpness with lower b-values due to low signal intensity. The use of b-value variations of 500, 1000, 1500 s/mm2resulted in differences in anatomical image information in sequences DWI MRI brain axial of brain cases tumor due to differences in image noise and signal intensity, with a b-value of 1000 s/mm being the most optimal variation.

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T Mohd Yoshandi

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tm.yoshandi@gmail.com

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Riau

INDONESIA

Abstract

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Abstract

Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name T Mohd Yoshandi

Contact Email tm.yoshandi@gmail.com

Phone +6281275127980

Journal Mail Official tm.yoshandi@gmail.com

Editorial Address Jl. Karya Bakti, No. 8 Simp. BPG, Kel. Bambu Kuning, Kec. Tenayan Raya

Location Kota pekanbaru, Riau INDONESIA

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Contact Name
T Mohd Yoshandi

Contact Email
tm.yoshandi@gmail.com

Phone
+6281275127980

Journal Mail Official
tm.yoshandi@gmail.com

Editorial Address
Jl. Karya Bakti, No. 8 Simp. BPG, Kel. Bambu Kuning, Kec. Tenayan Raya

Location
Kota pekanbaru,

Riau

INDONESIA