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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 2, No 1: January 2016" : 9 Documents clear
Efek Radiasi terhadap Perubahan Jumlah Leukosit dan Eritrosit pada Pasien Kanker Payudara Sebelum dan Setelah Radioterapi Agustina Dwi Prastanti; Sri Wahyuni; Siti Masrochah
Jurnal Imejing Diagnostik (JImeD) Vol 2, No 1: January 2016
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v2i1.3169

Abstract

Background: Breast cancer is second cancer after a lung cancer as a cause of death from cancer in women. Breast cancer patients underwent radiotherapy using Co-60 with a total dose of 50 Gy and fractionated doses 2 Gy/day. Ionizing radiation takes a bad affect blood cells (leucocytes and erythrocytes). The purpose of this research to find out the changing in the number of leukocytes and erythrocytes in breast cancer patients who underwent radiotherapy.Methods: The research uses the quantitative method with survey approach. Samples size in this research is 30 women who had breast cancer stage III. The independent variable of this research is radiotherapy treatment with  Co-60, with 50 Gy total dose and fractionated dose about 2 Gy with 5 times in one week. The dependent variable in this research is the changing in the number of leucocytes and erythrocytes before irradiation, after 5 times irradiation and after 10 times irradiation. Data analyze used statistical with a comparative method to take a result.Results: The results have found the average number of leucocytes in breast cancer patients before radiotherapy ±6,41 thousand/µL after the irradiation  5 times decrease to ±5,38 thousand/µL and after the irradiation, 10 times decrease to ±4,50 thousand/µL. The average number of erythrocytes in breast cancer patients before radiotherapy ±4,50 million/µL, after the irradiation 5 times decrease to ±4,17 million/µL and after the irradiation 10 times to decrease to ±3.90 million/µL. Based on the statistical test, the results have found significant value 0,000 0.05, then Ha is accepted. It means there are changes in the number of leucocytes and erythrocytes in breast cancer patients before and after radiotherapy.Conclusion: Leukocyte levels change is a decline of 1:03 thousand / mL or at 16:07%. Whereas after irradiation with 5 times to 10 times after irradiation decreased by 0.88 thousand / mL or 16:36%. Erythrocyte levels change is a decline of 0:33 million / mL or at 7:33%. Whereas after irradiation with 5 times to 10 times after irradiation decreased by 0:27 million / mL or 5:04%
Analisis Informasi Citra MRI Genu Potongan Aksial antara Sekuen Short TAU Inversion Recovery (STIR) dan Sekuen T2-Spectral Attenuation Inversion Recovery (T2-SPAIR) Thuthit Dwi Astuti; Emi Murniati; Sri Mulyati
Jurnal Imejing Diagnostik (JImeD) Vol 2, No 1: January 2016
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v2i1.3165

Abstract

Backgrounds: Genu MRI examination, according to Moeller (2003) and Westbrook (2008), was done by one fat supression technique in every slice. Radiology Installation of PAU dr.S.Hardjolukito Yogyakarta Hospital used two types of fat suppression technique those are STIR and T2-SPAIR. This study aims to find out the image differences between STIR and T2-SPAIR and to determine the fat suppresion technique that produces better image information of axial genu MR imaging.Methods: This research was a quantitative research with an experimental approach. Subjects of this study was image of axial genu MRI examination between STIR and T2- SPAIR in Radiology Installation of PAU dr.S.Hardjolukito Yogyakarta Hospital. The axial genu MR imaging STIR and T2-SPAIR assessed by three radiology phisicians using questioner. Data were statistically analyzed using Wilcoxon Sign Test.Results: The results showed a significant difference in all categories of assessment criteria between STIR and T2-SPAIR. In this study, the T2-SPAIR fat suppression technique produced better image information than STIR, whereas T2-SPAIR fat suppress signals was stronger than STIR.Conclusion: T2-SPAIR fat suppress signal was stronger than STIR that showed better image information and shorter time scanning
Analisis Perubahan kV dan mAs terhadap Kualitas Gambar dan Dosis Radiasi pada Pemeriksaan Multislice Computed Tomography Abdomen dalam Kasus Tumor Abdomen di Instalasi Radiologi RSUD dr. Saiful Anwar Malang Ardi Soesilo Wibowo; Gatot Murti Wibowo; Anang Prabowo
Jurnal Imejing Diagnostik (JImeD) Vol 2, No 1: January 2016
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v2i1.3170

Abstract

Backgroud: Examination of the abdomen CT scan is often done by using standard protocol, meanwhile the actual parameter can be modified according to local needs considering image quality and radiation dose based on Karabulut and Ariyuek (2016). Abdomen CT Scan by GE 16 slices unit in Radiology Instaallation of Dr. Saiful Anwar Malang Hospital, using exposure factor of 120 kV, 234 mAs and the value of the CTDI dose was 53.04 mGy. While the BAPETEN’s reference of CTDI value, a CT scan of abdomen was 25 mGy.  This study aims to determine the changes of the value of kV and mAs to the image quality and the radiaton dose in the abdomen MSCT examination on abdominal tumor case in Radiology Installation of Dr. Saiful Anwar Malang Hospital.Methods: This research was a quantitative research with an experimental approach. The data were collected from three variations of tube voltage (kV) ie 100 kV, 120 kV and 140 kV and three variations of tube current value and time (mAs) ie, 180 mAs, 195 mAs, and 210 mAs. Radiographs was evaluated by three radiology physicians. Data were analyzed by scoring method of respondent’s assessment to assess MSCT image quality of abdominal tumor, while the radiation dose was obtained by CTDI recording.Results: The results showed that there was influence of tube voltage variation to image quality of abdominal tumor using MSCT unit. The higher kV used, the higher image quality resulted. From the calculation of the percentage from the assessment, the highest score of variation was at 140 kV, while the lowest score of variation was at 100 kV. Based on the recording CTDI radiation dose on the monitor, found that the higher value of kV, the higher radiation resulted. The mAs variations influenced the image quality of abdominal tumor using MSCT unit. Acoording to the percentage of the assessment, the highest score of variation found in 210 mAs, and the lowest score of variation found in 180 mAs. Based on the recording of radiation dose on the monitor, the higher mAs value, the higher radiation dose using MSCT unit. It was recommended to use 195 kV and 120 mAs for MSCT examination of abdominal tumor in Radiology Installation of Dr. Saiful Anwar Malang Hospital.Conclusion: There was influence of kV and mAs variation to anatomical image clarity and radiation dose of abdomen MSCT examination
Rancang Bangun Alat Bantu Fiksasi Pemeriksaan Radiografi Shoulder Joint Proyeksi Inferosuperior Axial Siti Daryati; Okta Firawan Putra Purwa; Dwi Rochmayanti
Jurnal Imejing Diagnostik (JImeD) Vol 2, No 1: January 2016
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v2i1.3166

Abstract

Backgroud: Have been done research about making of the design tools fixation on radiographic examination shoulder against the backdrop of the difficulty in positioning the patient to commit abduction. The purpose of the design is to replace the role of the patient's family or resident physician in charge of holding the cassette and the patient's arm in abduction during the examination takes place.Methods: This research is a quantitative with explorative experimental approach. The method used in data collection that is designing the tools, use tools, and test tools function. Test function tools made directly to the patient in the Radiology department of DR.Sardjito Yogyakarta. The results of test functions are analyzed based check list of respondents about the value of work tools.Results: The results of design tools fixation on radiographic examination shoulder joint inferosuperior axial projections in the form of iron under the buffer, the buffer on iron, steel main buffer, where handrail 1, where handrail 2 and the cassette place. The workings of the device is placed beside the examination table, abduction of the patient's arm and place it on a hand grip and place cassette on a the cassette place. The function test results on the assessment tool's ability to adjust to the state of the patient's arm, the ability of the tool settings when adjusting the tool height to the height of the examination table or brangkar, the ability of the tool settings when adjusting the length of the tool with the patient's arm length of, the ability of the tool setting in place the cassette on tools, the ability of setting tool in positioning the tape on the object of examination, the ability of the tool to produce radiographs that do not cause artifacts..Conclusion: the ability to show the joints between the glenoid cavity of the humeral head to 2.37. It can be concluded that the tools fixation radiographic examination of shoulder joint inferosuperior axial projection has a pretty good performance.
Kualitas Citra Radiografi Berdasarkan Variasi Jeda Waktu Pembacaan Citra pada Computed Radiography Dartini Dartini; Florentina Yunita Wulandari; Akhmad Haris Sulistiyadi
Jurnal Imejing Diagnostik (JImeD) Vol 2, No 1: January 2016
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v2i1.3171

Abstract

Background: Computed Radiography (CR) is imaging processor to digitize an image using imaging plate. Imaging plate can store latent image and should be read as soon as possible to avoid the loss of image quality. The longer storage time the lower image quality. This study aimed to determine the image quality in various image reading time delay.Methods: This iresearch was quantitative research with experimental approach. 5 images were acquired using step wedge as an object with same exposure factors. The imaging plates were read in five different image reading time delay variations (no-delay, 2 hours, 4 hours, 6 hours, and 8 hours after eksposure). Contrast and density of each image were measured using lgM and densitometer. Data were analyzed by comparing lgM, density, and contrast of each image.Result: The result showed that there were difference value in density, contrast, and lgM among no-delay, 2 hours, 4 hours, 6 hours, and 8 hours after eksposure images respectively. The average density were 0,701; 0,776; 0,772; 0,798; 0,791. The image contrast were 0,88; 1,09; 0,88; 1,06; 1,02. The lgM value were 2,42; 2,24; 2,21; 2,20; 2,19.Conclusion: The image quality was decreased over reading time delay, the longer reading time delay the lower image quality. To obtain the best image quality, the imaging plate should be read as soon as possible.
Analisis Image Noise dan Dosis pada Pemeriksaan MSCT dengan Menerapkan Aplikasi Piranti Lunak Care Dose Pesawat Siemens Somatom 6 Slice di RSUD Prof. Dr. Margono soekarjo purwokerto Lutfatul Fitriana; Gatot Murti Wibowo; Sudiono Sudiono
Jurnal Imejing Diagnostik (JImeD) Vol 2, No 1: January 2016
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v2i1.3167

Abstract

Background: Multi-Slice Computed Tomography (MSCT) is diagnostic radiology examination that take an advantage of computer to acquire data and reconstructing an Image from number of detector rows. Noise is one of the tremendous factors that affect the quality of CT Images. Nowadays, CT mAs auto setting, an automatic exposure device, resolves such the Noise problems in which maintains the quality of diagnostic Images for all parts of the body with a lowest possible dose. Since working devices based on the size of the patient's body attenuation automatically, reduction of radiation dose by 40% to 50% would be achieved. Yet, the larger patient’s body parts, the higher patient’s CTDIvol occurrence, which in turn affects on the Noise produced.  The purpose of this research is to define the difference in the value of Image Noise and dose whenever the MSCT procedure is employed with and without the auto mAs selection with regards to maintaining CTDIvol and Image Noise.Methods: This research was an experimental quantitative study with one shot case study and post-test only approaches. Data were collected on July 2016 in Radiology Unit of Prof. Dr. Margono Soekarjo Purwokerto Hospital. Noise values was measured on 20 mm region of interest (ROI) and the dose was calculated by the CTDIvol on the workstation monitor were collecting data from the head, thorax and abdomen water phantom of CT Images. Data was analyzed by SPSS 16 software using statistical tests of the paired t-test.Results: The results of this study statistically deemed significant as there were differences in Image Noise values such as head, thorax and abdomen water phantoms (value ρ - value 0.05). Similarly, figures about the CTDIvol comparison also showed different dose levels received by the phantoms when apply the CT procedures with and without auto mAs selection to the head, thorax and abdomen water phantoms (the head phantom: 50.69 mGy Vs. 60.28 mGy; the thoracic phantom: 3.88 mGy Vs. 7,98 mGy; and the abdomen phantom: 8.38 mGy Vs. 20.83 mGy respectively). Conclusion: There was a difference in production of the Image Noise and dose when apply the CT procedures with and without auto mAs selection to the head, thorax, and abdomen water phantoms. Lower dose tended to induce more Noise than higher dose, meanwhile patient’s dose leads to increase as well.
Analisis Informasi Citra Anatomi antara Teknik Breath-Hold dan Trigger pada Pemeriksaan Magnetic Resonance Cholangiopancreatography (MRCP) Menggunakan Sequence T2 Half Fourier Acquisition Single Shot TSE (HASTE) Coronal Slab Yusron Adi Utomo; Bambang Satoto; Rini Indrati
Jurnal Imejing Diagnostik (JImeD) Vol 2, No 1: January 2016
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v2i1.3163

Abstract

Background: There are two image acquisition techniques in MRCP examination, which are breath-hold and trigger technique. Acquisition process in breath hold occurs when the patient holds their breath, meanwhile trigger technique uses respiratory gatting that functioned to monitor patient’s respiration and the acquisition occurs in the transition phase of inspiration and expiration. In Royal Taruma Jakarta Hospital this two technique are used sustainably, but in other hospital, such as Hasan Sadikin Bandung Hospital just uses one technique. This research aims to know the difference of anatomic image information of breath-hold and trigger technique in MRCP examination using T2 HASTE sequence coronal slab and to know which examination technique is better to produce anatomic image information between breath-hold and trigger technique.Methods: This research type was quantitative research with the observational approach. The data obtained by scanning 10 patients using breath-hold and trigger technique in Royal Taruma Jakarta Hospital. The image result was scored by radiology physician using checklist. The obtained data was analyzed with Wilcoxon test to know the difference of anatomic image information and which technique is better to produce anatomic image information between breath-hold and trigger technique.Results: The result showed that there were differences of anatomic image information of breath-hold and trigger technique on MRCP examination using T2 HASTE sequence coronal slab with p-value 0,011. Trigger technique produced better anatomic image information than breath-hold technique.Conclusion: There were differences of anatomic image information of breath hold and trigger technique on MRCP examination using T2 HASTE sequence coronal slab. Trigger technique produced better anatomic image information than breath-hold technique
Analisis Variasi Time Repetition (TR) terhadap Signal to Noise Ratio dan Contrast to Noise Ratio pada Pemeriksaan MRI Cervical T2 Weighted Fast Spin Echo (FSE) Potongan Sagital Rini Indrati; Heriansyah Heriansyah; Wakhrudin Wakhrudin
Jurnal Imejing Diagnostik (JImeD) Vol 2, No 1: January 2016
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v2i1.3168

Abstract

Background: Time Repetition (TR) is one parameter that can affect the value of Signal to Noise Ratio (SNR) and Contrast to Noise Ratio (CNR). The purpose of this research is to know the effect of variation of TR value on SNR and CNR on cervical MRI examination with Sagital T2 Weighted Fast Spin Echo sequence and to know the most optimal TR value from the variation of TR value to SNR and CNR on cervical MRI examination with Sagital T2 Weighted Fast Spin Echo.Methods: The type of this study was experimental study. The study was conducted using MRI 1.5 Tesla at Kasih Ibu Denpasar Hospital. Data were 40 MRI cervical images of sagital Fast Spin Echo from 10 volunteers with four variations of TR (2500 ms, 3000 ms, 3500 ms, and 4000 ms). The SNR and CNR values are measured by identifying the Region of Interest (ROI) in the corpus, discus, cerebro spinal fluid (CSF), and medula spinalis regions to obtain the average signals and compared with the mean deviation of the background. Data was analyzed by regression test to know the influence and by Anova test.Results: The result of the research showed that there was the influence of TR value to SNR and CNR of MRI Cervical Sagital T2 FSE. There was a strong correlation between the variation of TR values with SNR and CNR Cervical with p-value 0.05, the optimal TR value obtained in Cervical Sagital T2 FSE anatomical image on MRI 1,5 Tesla modality was 3500 ms.Conclusion: Time Repetition affected the signal to noise ratio and contrast to noise ratio. TR 3500 ms produced the most optimal cervical MRI image quality.
Analisis Variasi Nilai Time Repetition (TR) dan Time Inversion (TI) terhadap Informasi Anatomi Sekuens Turbo Inversion Recovery Magnitude (TIRM) MRI Wrist Joint Dengan Menggunakan MRI 0,3 Tesla Slamet Fujianto; Sugiyanto Sugiyanto; Mohamad Irwan Katili
Jurnal Imejing Diagnostik (JImeD) Vol 2, No 1: January 2016
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v2i1.3164

Abstract

Backgroud: The Turbo Inversion Recovery Magnitude (TIRM) pulse sequence is used to examine wrist joint, especially in the coronal plane. Main parameters of inversion recovery pulse sequence are time repetition (TR), time echo (TE) and time inversion (TI). This study aims to analyze the variation of time repetition (TR) and time inversion (TI) on anatomical information using TIRM pulse sequence on wrist joint MR imaging with 0,3 tesla.Methods: This study was a quantitave experimental study with a linear regression test. This study was conducted in Radiology Department of Banyumas hospital using twenty serial images from only one patient with 10 variation of TR (3000 ms, 3200ms, 3400 ms, 3600 ms, 3800 ms, 4000 ms, 4200 ms, 4400 ms, 4600 ms, 4800 ms) and 10 variation of TI (70 ms, 75 ms, 80 ms, 85 ms, 90 ms, 95 ms, 100 ms, 105 ms, 110 ms, 115 ms). Image assessed by only one respondent.Results: There was no significant influence of variation of TR and TI on anatomical information. Significant number was 0,240 which is bigger than p value (0,05). TR and TI variation affected just only 15,5% to anatomical information, 84,5% was influenced by other variables that unconfirmed in this study.Conclusion: There was differences of anatomical information in MRI wrist joint sequence coronal T2WI-FSE fat suppression between SPIR and SPAIR with a significance level of p value 0.001 (p 0.05). SPAIR is the method which is clearer to show the anatomical information of wrist joint.

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