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Jurnal Imejing Diagnostik
Published by Poltekkes Kemenkes Semarang
ISSN : 2356301X     EISSN : 26217457     DOI : -
Core Subject : Health,
Health Professions Medicine & Pharmacology
Jurnal Imejing Diagnostik (JImeD) memuat tulisan ilmiah dalam bidang radiologi berupa hasil penelitian dan non penelitian (konseptual). Jurnal Imejing Diagnostik (JImeD) terbit 2 kali dalam satu tahun yaitu pada bulan Januari dan Juli oleh Jurusan Teknik Radiodiagnostik dan Radioterapi, Politeknik Kesehatan Kemenkes Semarang. Jurnal Imejing Diagnostik (JImeD) memuat artikel ilmiah dalam bidang radiologi, meliputi : radiografi konvensional, digital radiografi, CT scan, MRI, kedokteran nuklir, radioterapi dan ilmu lainnya yang berkaitan dengan radiologi.
Arjuna Subject : -
Articles 9 Documents
 1 
Search results for , issue "Vol 10, No 2 (2024): JULI 2024" : 9 Documents clear
Rancang Bangun Alat Bantu Pemeriksaan Radiologi pada Pemeriksaan Patella Metode Hughston Widya Mufida; Ahmad Faesol
Jurnal Imejing Diagnostik (JImeD) Vol 10, No 2 (2024): JULI 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v10i2.10182

Abstract

Background: Radiographic examination of the tangential projection of the patella can be done in a prone, supine body position, sitting on an examination table with legs dangling, or standing with a different angle for each method. The Hughston method is carried out with an angle of 55 degrees. Hughston's method of radiographic examination of patients is holding a frozen strap to the leg in order to obtain the desired angle so that if the patient's condition is non-cooperative, attack the radiographer to carry out the examination optimally. The purpose of this study was to make a Patella radiological examination tool using the Hughston method.Methods: This research is an experimental research by making inspection aids first followed by testing on anthropomorphic phantoms and volunteers. The results obtained are then analyzed to get conclusions and suggestions.Results: In the design of the Patella radiographic examination fixation device, the Hughston material method is used as needed and does not interfere with the image such as artifacts in the image. The specifications of the fixation device for patella radiographic examination by the Hughston method are made of acrylic which has properties that can be penetrated by radiation without causing artifacts, the height of the fixation device is 25 cm with a slope angle of 55 degrees, length 26 cm and width 20 cm. The angle of the fixation device is intended so that the supporting position of the patient's leg is extended with an angle of 55 degrees cephalad. The results of the radiograph are expected to evaluate the wear on the patellofemoral joint surface, identify the lateral half of the patella and determine the correlation between the femur and tibia. The prone position of the patient in the Hughston method cannot be used in patients with clinical fractures or patella dislocations.Conclusions: The fixation device that has been made is in accordance with the expected projection on the Hugstons projection patella radiographic examination. Trials using this fixation device use volunteers to make it easier to adjust the patient's actual position without exposure. The reason for not using a phantom is because the position of the phantom pedis is stiff so that it covers the irradiation and causes superposition
Optimasi Informasi Diagnostik Citra Axial MRI Brain antara Sekuen SWI dan T2 FLASH 2D pada Kasus Tumor Otak Siti Nur Farida; Nanang Sulaksono; Ary Kurniawati
Jurnal Imejing Diagnostik (JImeD) Vol 10, No 2 (2024): JULI 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v10i2.11583

Abstract

Background: Pulse gradient echo sequences use varying RF excitation pulses and with NMV flips through various angles (not just 90°). Gradient echo has a sensitive susceptibility effect in detecting the presence of blood products (hemorrhage) and calcifications in brain tumors. The SWI and T2 FLASH 2D sequences are part of the pulse sequence gradient echo, where the SWI sequence is a 3D velocity compensated gradient echo and the T2 FLASH 2D sequence is a 2D multi-slice gradient echo. This study aims to determine the differences in axial image diagnostic information and determine the most optimal axial image diagnostic information in MRI brain examinations between SWI and T2 FLASH 2D sequences in brain tumor cases.Methods: This type of research is quantitative with an experimental approach. Data was taken in March 2024 at the Radiology Installation of RSUP Dr. Sardjito Yogyakarta. The sample in this study was 10 patients with brain tumor cases. An assessment was carried out by 2 respondents to assess the criteria for brain tumors. The assessment data from respondents was tested using the Cohen's kappa test to assess reliability between respondents and the Wilcoxon test to determine the level of difference in axial image diagnostic information, then the mean rank was used to determine sequences with better diagnostic image information.Results: The results of the study show that there is a difference in the diagnostic information of axial images on MRI brain examination between SWI and T2 FLASH 2D sequences in tumor cases with a p-value of 0.014. The significant difference is due to the susceptibility effect in both sequences. Based on the Wilcoxon test, the SWI sequence is the most optimal sequence in displaying diagnostic information with a mean rank value of 4.Conclusions: There is a difference of axial image diagnostic information between SWI and T2 FLASH 2D sequence in Brain MRI with brain tumors cases, and SWI sequence produces the most optimal axial image diagnostic information in MRI brain with brain tumor cases.
Nilai Dosis Radiasi pada Pemeriksaan Radiografi Abdomen AP Susi Tri Isnoviasih; Asri Indah Aryani; Angga Yosainto Bequet
Jurnal Imejing Diagnostik (JImeD) Vol 10, No 2 (2024): JULI 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v10i2.10813

Abstract

Background: Abdominal radiography examination is one of the examinations that is routinely carried out on the abdominal area to diagnose abnormalities in the abdominal area using radiation. In the stomach area there are gonads which are organs that are sensitive to radiation. The X-rays that come out of the X-ray tube are polyenergy, that is, they are composed of low energy x-ray, medium energy x-ray and high energy x-rays. Low energy x-rays have no benefit on the radiographic image information produced, but only increase the radiation dose on the skin surface. The additional x-ray filter is able to prevent low-energy x-rays from hitting the patient. The aim of this study is to determine the difference in the dose of radiation during the abdominal examination between the use of an additional filter and the use of an additional filter without an additional filter.Methods: The research was carried out at the Radiology Unit of the Prof. Dr. Margono Soekarjo Regional Hospital, Purwokerto and the Purwokerto Radiology Study Laboratory, Poltekkes Semarang with a sample of 50 samples with variations in the use of filters including 0 mm, 1 mm Al + 0.1 mm Cu, and 1 mm Al + 0.2 mm Cu and 2 mm Al. The data measured is the radiation dose On the surface of the Gonad organ's skin.Results: The results of measuring the average dose to the skin surface of the gonad organ are 180.26 mSv on a 0 mm Al filter, 83.32 mSv on a 1 mm Al + 0.1 mm Cu filter, 58.32 mSv on a 1 mm Al + 0 filter, 2 mm Cu and 119.49 mSv on a 2 mm Al filter. The greatest reduction in radiation dose occurred when using an additional filter of 1 mm Al + 0.2 mm Cu, amounting to 68% of that without using an additional filter. The decrease in the use of other filters was 54% when using an additional filter of 1 mm Al + 0.1 mm Cu and 34% when using an additional filter of 2 mm Al. The statistical tests showed there was a difference in the radiation dose during abdominal examination between using an additional filter and without using an additional radiation filter with a significance value of 0.000 (p-value 0.05).Conclusions: There is a difference in radiation dose during abdominal examination between using an additional filter and without using an additional filter with a significance value of 0.000 (p-value 0.05).
Optimasi Teknik MRI untuk Knee Joint: Perbandingan PD TSE Fat Saturation dan T2 Fat Saturation BLADE pada Potongan Coronal Muhammad Fajar W.R.I; Agustina Dwi Prastanti; Marichatul Jannah
Jurnal Imejing Diagnostik (JImeD) Vol 10, No 2 (2024): JULI 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v10i2.11629

Abstract

Background: The use of PD TSE fat saturation (FS) sequences in coronal section of the MRI knee joint routine examination revealed artifacts caused by popliteal artery pulses. Meanwhile, there is T2 FS sequence with the BLADE technique that can reduce motion artifacts, but isn't used in the knee joint routine MRI examinations. BLADE is a technique of filling radial k-space around the center of k-space, thereby reducing motion artifacts and improving image quality. The aim of this study is to determine the differences in anatomical information, artifacts, and sequences that optimally reveal the anatomical information of knee joint between the PD TSE FS and T2 FS BLADE coronal section.Methods: This study used a quantitative research methods with an experimental approach. The sample of this study are 10 healthy volunteers and 2 radiologists as respondents. Each volunteer undergo an MRI knee joint examination with the PD TSE FS and T2 FS BLADE coronal section. The results of the two sequence images were assessed by the two respondents to obtain data for assessing anatomical information on the ACL, PCL, collateral ligament, articular cartilage, meniscus, subchondral bone, and artifact information. Data that has been obtained is processed using the Wilcoxon test.Results: The results shows that there are differences in the anatomical information of ACL, PCL, articular cartilage, and meniscus between the PD TSE FS and T2 FS BLADE coronal section. Meanwhile, there is no difference in the anatomy of the collateral ligament and subchondral bone. There is also a difference in artifact information between the two sequences.Conclusions: The T2 FS BLADE sequence is more optimal than the PD TSE FS sequence in displaying anatomic information and is also more optimal in suppressing ghosting artifacts from the popliteal artery pulse.
Penerapan Algoritma Adaptive Iterative Dose Reduction 3D (AIDR 3D) dalam Meningkatkan Kualitas Citra pada Pemeriksaan CT Coronary Angiography Alfisna Fajru Rohmah; Bagus Abimanyu; Edy Susanto
Jurnal Imejing Diagnostik (JImeD) Vol 10, No 2 (2024): JULI 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v10i2.11346

Abstract

Background: CT Coronary Angiography (CTCA) is a non-invasive imaging modality with a high spatial and temporal resolution to diagnose coronary vascular disease. FBP (Filtered Back Projection) has limitations in improving the image quality, so iterative reconstruction is used on CTCA. Adaptive Iterative Dose Reduction (AIDR 3D) is one of the iterative reconstructions developed by Toshiba, which has three levels of strength: mild, standard, and strong. The study aimed to explain the application of AIDR 3D in improving image quality on coronary CT angiography examination. Methods: This research is descriptive with a literature study approach, using articles from NCBI, Science Direct, and Google Scholar. The keywords used are CT Coronary Angiography, AIDR 3D, and Image Quality. The articles obtained are reduced based on inclusion and exclusion criteria so that seven relevant articles are conducted for extraction.Results: The results showed that AIDR 3D could improve the quality of CTCA images with the most significant percentage in AIDR 3D strong by reducing noise 18-46.1% and increasing SNR 21-84.7% and CNR 21-82.2%.Conclusions: The application of AIDR 3D strong in obese patients with CTCA is good to use with standard kVp and 250-450 mA without increasing mA so that it does not increase the dose. AIDR 3D strong can also be used in patients with normal body mass with tube current adjusted according to the patient's body mass if there is no indication on the right coronary artery. AIDR 3D standard can be used in overweight patients and normal body mass.
Analisis Perbandingan Hasil Spektrum Magnetic Resonance Spectroscopy Brain Dengan Variasi Ukuran Volume of Interest (VOI) Pada MRI Phillips 3T Aunisa Icha; Legia Prananto; Guntur Winarno
Jurnal Imejing Diagnostik (JImeD) Vol 10, No 2 (2024): JULI 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v10i2.11753

Abstract

Background: Technically, by applying MR Spectroscopy it possibly makes that signal from several numbers of different chemical compounds can be obtained, separated, and quantified in simultaneous way. In relation to which, the quantification of brain metabolites in 1H MRS depends on the separation of spectroscopy signal of each metabolites. In this matter, spectrum results will be influenced by the size of volume of interest. In this matter, volume of interest (VOI) is a specific area in the tissue, whereby the metabolites of which, are analyzed. This research aims to analyze the comparison of the results of brain MRS spectrum with the different variation of Volume of Interest (VOI) measurements in MRI Phillips 3T.Methods: Design of this research applies quantitative method with experimental approach by using Philips Ingenia 3 Tesla MRI machine undertaken at radiology installation of Regional General Hospital Ciawi toward 11 brain MRI patients undergoing Magnetic Resonance Spectroscopy with the different variation size of Volume of Interest (VOI) namely 1.0 × 1.0 ×1.0 cm, 1.5 × 3.0 ×1.5 cm, and 2.0 × 2.0 × 2.0 cm.Results: This research suggests that there is a different height of NAA, Choline, Creatine, and Glx metabolites whereas for Myo-inositol, Lipids and Lactate metabolites there is not any significant difference. Meanwhile for Full Width Half Maximum, there is a significant difference with different variation of volume of interest (VOI).Conclusions: There is a significant difference in the height of metabolites NAA, Choline, Creatine, Glx (p value 0,05), whereas for metabolites of Myo-Inositol, lipids, and Lactate (p value 0,05) there were no significant differences at different variations of Volume of Interest (VOI). There is a significant difference with a p value of 0.000 0.05 in the Full Width Half Maximum (FWHM) value with different Volume of Interest (VOI) variations where the highest average Full Width Half Maximum (FWHM) value is VOI C (2.0 × 2.0 × 2, 0 cm) with an average of 21.476 followed by VOI B (1.5 × 3.0 × 1.5 cm) of 20.603 and the lowest average FWHM value is VOI A (1.0 × 1.0 × 1.0 cm) of 15.985 which means that the larger the size of the Volume of Interest (VOI), the higher the Full Width Half Maximum (FWHM) value will be. The size of the Volume of Interest (VOI) for the hippocampus area must be adjusted to the size of the patient's hippocampus because a size that is too large will cause unwanted areas to enter the Volume of Interest (VOI) and affect the spectrum results.
Perbandingan Gambaran Tuba Pada Pemeriksaan Hysterosalpingography (HSG) Dengan Klinis Infertilitas Primer di Rumah Sakit Siloam Sriwijaya Palembang: Studi Kasus Lilis Rosalina; Mustika Fatimah; Muslimah Putri Utami; Rizka Muliani; Bunga Anggreini Sari
Jurnal Imejing Diagnostik (JImeD) Vol 10, No 2 (2024): JULI 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v10i2.11395

Abstract

Background: In dealing with infertility problems, a deep understanding of the specific causes becomes very important for proper treatment. One of the diagnostic methods often used to assess infertility conditions is hysterosalpingography (HSG). The superiority of HSG lies in its ability to provide clear visual information about the structural condition of the uterus and fallopian tubes, which are key factors in fertilization.Methods: This qualitative descriptive research uses a case study approach conducted at Sriwijaya Siloam Hospital in Palembang to compare the results of HSG examination in primary infertility clinics.Results: In this study, the results of HSG examinations in two patients with clinical primary infertility showed that there was a difference in the picture. The results of the HSG examination in first patient showed both non-patent tubes, where distal occlusion of the right fallopian tube and left peritubal adhesion were found, while in second patient it showed both patent tubes with a positive spill sign.Conclusions: Differences in the results of HSG examinations in primary infertility clinics show the conclusion that even though HSG shows a patent fallopian tube, the couple may still experience primary infertility. This shows that the cause of infertility can come from other factors and requires further evaluation.
Analisis Pemeriksaan USG Thorax Marker dengan Klinis Efusi Pleura di Rumah Sakit Hermina Depok Sahal Fahmi Abdul Aziz; Nursama Heru Apriantoro; Heri Kuswoyo
Jurnal Imejing Diagnostik (JImeD) Vol 10, No 2 (2024): JULI 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v10i2.11776

Abstract

Background: Pleural effusion is a hoarding fluid excess contained in the pleural cavity due to the formation and production of pleural fluid which is not balanced in condition. In this matter, Thoracic Ultrasound is a highly sensitive and specific imaging modality in evaluating the lungs for any various disorders, such as pneumonia, pleural effusion, pulmonary edema, and pneumothorax. The objective of this research: this research analyzes the management of Thorax Marker Ultrasound examination with clinical pleural effusion undertaken at Hermina Hospital Depok.Methods: As for the research design used, it apples qualitative descriptive method. Data collection techniques in this study used observation worksheets, interview sheets for Radiologists and Sonographers, and documentation tools.Results: The results showed technique of examination and results of description from Thorax Marker Ultrasound with clinical pleural effusion undertaken at Hermina Hospital Depok.Conclusions: . In conclusion, this research can be concluded that technique of Thorax Marker Ultrasound examination with clinical pleural effusion executed at Hermina Hospital Depok use transducer convex which is done longitudinally in the right intercostal area (between diaphragm and liver) or left intercostal (between diaphragm and spleen) in the mid axillary line, a little posterior to the plane coronal in accordance with the Radiography Thoracic description from the patient. Thorax Marker Ultrasound results with clinical pleural effusion executed in 3 samples, have 3 different characteristics namely maximal pleural effusion, septated pleural effusion, and minimal pleural effusion. 
Analisis Perbedaan Sekuen 3D DIR pada MRI Brain Kasus Epilepsi (Studi Komparasi 3D T2 FLAIR SPACE) di Instalasi Radiologi RSUP Prof. Dr. I.G.N.G. Ngoerah Evhal Yulianus; I Made Lana Prasetya; Triningsih Triningsih
Jurnal Imejing Diagnostik (JImeD) Vol 10, No 2 (2024): JULI 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v10i2.11568

Abstract

Background: Double Inversion Recovery (DIR) is a newer sequence compared to the T2 FLAIR sequence in MRI Brain examinations used for epilepsy cases. Further research is needed to determine the optimal sequence for MRI Brain in epilepsy cases.Methods: This research is a quantitative study with an experimental approach. This study uses DIR and T2 SPACE sekuen to assess image quality in terms of Contrast to Noise Ratio (CNR). The data will be analyzed using SPSS.Results: The normality test shows a p-value 0.05, indicating that the data is not normally distributed. In the Wilcoxon test, the negative rank indicates a decrease in image quality (CNR) from the DIR sequence to T2 FLAIR SPACE. The test statistics show a p-value 0.05, indicating a significant difference in image quality (CNR) between the DIR and T2 FLAIR SPACE sekuen.Conclusions: The Contrast to Noise Ratio (CNR) image quality in Double Inversion Recovery (DIR) is higher compared to T2 FLAIR SPACE, thus making the DIR sequence more optimal in assessing image quality (CNR) compared to the T2 FLAIR SPACE sequence.

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