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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 268 Documents
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PEMERIKSAAN MRI PELVIS DENGAN MENGGUNAKAN ULTRASONIC GEL PADA KASUS ENDOMETRIOSIS DI INSTALASI RADIOLOGI MAYAPADA HOSPITAL JAKARTA SELATAN Legif Leboka Sepra; Siti Masrochah; Bagus Abimanyu
Jurnal Imejing Diagnostik (JImeD) Vol 5, No 2: July 2019
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v5i2.4474

Abstract

Introduction: Pelvic MRI examination in endometriosis cases does not theoretically use an ultrasonic gel that is inserted into the vagina and rectum, but also for sequences used without using the T1 sequence. Sagittal cut fat suppression. Radiology Installation Mayapada Hospital, South Jakarta for Pelvic MRI examination with Endometriosis cases using Gel and T1_SPIR sequences from these differences the authors are interested in exploring information about Pelvic MRI examination in Endometriosis cases at Radiology Installation Mayapada Hospital, South Jakarta with the aim of knowing the role of gel and sequencing of T1_SPIR Sagittal pieces.Method: This type of research is qualitative research with a case study approach. The method of data collection is done by observation, in-depth interviews with radiographers, radiology specialists and sending doctors and documentation. Data analysis is done by an interactive model, then the data is presented in the form of the narrative text so that conclusions can be drawn.Results: The results showed that Pelvic MRI examination using Ultrasonic Gel in Endometriosis Cases in Mayapada Hospital Radiology Installation in South Jakarta used ultrasonic gel in the 50cc and 150cc vaginal organs, the sequences used were: T2W_TSE, T2W_SPIR, T1_SPIR, T1W, T2_FFE on Sagittal snippets, T2W_TSE, T2W_SPAIR, T1W_SPIR on coronal chunks, T1W_TSE, T1W_TSE_SPIR, T2W_TSE on axial chunks and DWI_3b_RT SENSE on axial chunks and SSh_URETER. The reason for using ultrasonic gel on MRI examination in the Pelvis at the Mayapada Hospital Jakarta Radiology Installation is to see a clear difference between normal tissue and pathological tissue and expressly demarcate organ boundaries and play a role in widening the vaginal cavity and rectum. The reason for adding the sagittal cut T1_SPIR sequence in the case of Endometriosis at the Mayapada Hospital Radiology Installation in South Jakarta is to show lesions suspected of blood or other intensity and to ensure bleeding.
PERBEDAAN PENERAPAN ACCELERATION FACTOR TERHADAP KARAKTERISTIK CITRA DIAGNOSTIK T2WI FSE PADA MRI LUMBAL KASUSHERNIATED NUCLEUS PULPOSUS (HNP) Maulidya Nasokha Ildsa; Gatot Murti Wibowo; Emi Murniati
Jurnal Imejing Diagnostik (JImeD) Vol 5, No 2: July 2019
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v5i2.4464

Abstract

Background: Patients with HNP cases have a bigger chance to do a movement during MRI examination, and it causes poor MRI image. Quick time of MRI examination is needed to produce an optimal image. The technique of parallel imaging is a technique that can increase the speed of MRI data acquisition by passing through several lines of phase encoding in k-space. The GRAPPA technique is one of the methods used to reconstruct data on MRI parallel imaging techniques with better overall image quality. The technique of parallel imaging has a special parameter called acceleration factor. Acceleration factor (R-factor) will affect scan time. The purpose of this research is to know the difference of diagnostic image characteristic which is resulted in applying acceleration factor 2, 3 and 4 in parallel imaging of GRAPPA method and know the optimal acceleration factor to obtain MRI image of lumbar HNP case.Methods: This research type is quantitative research with descriptive approach. The study was conducted by MRI Siemens 3 T in RSUD Dr. Soedono Madiun. The data were 30 MRI images of lumbar sagittal of HNP cases on T2WI FSE with acceleration factor 2, 3 and 4 GRAPPA methodsResult: The results of this study indicate that there are differences in diagnostic image characteristics in the application of acceleration factor 2 and 4, 3 and 4 with VGA test. Acceleration factor value optimal with VGC test known is acceleration factor 2 and 3Conclusion: Based on the result there were differencediagnostic image characteristics of MRI Lumbar in sagital plane Fast Spin Echo (FSE)sequence with variation acceleration factor 2, 3 and 4 parallel imaging GRAPPA methode in case Herniated Nucleus Pulposus (HN0). The optimal value of variation acceleration factor value for MRI Lumbar examination of Heniated Nucleus Pulposus (HNP) is 2 dan 3.
PENGARUH VARIASI ROTASI TUBUH TERHADAP INFORMASI ANATOMI PADA PEMERIKSAAN RADIOGRAFI SHOULDER JOINT METODE SCAPULAR Y VIEW Agustina Dwi Prastanti; Ardi Soesilo Wibowo; Rovikhotus Sa'idah
Jurnal Imejing Diagnostik (JImeD) Vol 5, No 2: July 2019
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v5i2.4475

Abstract

Background: Shoulder joint examination of the scapular "Y" method in one hospital uses a body rotation of 350 – 450 whereas in theory the position of the patient's body is rotated so mid coronal plane (MCP) forms an angle of 450 – 600 to the image receptor (IR). Therefore it is necessary to conduct research to obtain optimal anatomy information of shoulder joint. The purpose of this research is to know the information of shoulder joint anatomy and to know the optimal body rotation in showing the anatomy information of shoulder joint.Methods: The type of research is experimental research with descriptive approach. Methods of data collection conducted by experiment and observation. This research conducted with phantom thorax which was exposed six times, same exposure factor and the variation body rotation 350, 400, 450, 500, 550, 600 and complete questioner. The questionnaire was completed by three radiologists. Scoring results of the respondents are processed and presented in the tables and graphs to be described and analyzed.Results: The results examination shoulder joint with scapular "Y" method is a different assessment variation on each shoulder joint anatomy information, distortion on the radiographs, and the optimal rotation of the body is a rotation of 550 to IR. This refers theory from Frank, Long, and Smith (2012) that the clinical indication of suspected dislocation shoulder joint scapular "Y" method uses the patient standing upright and the position of the body object is rotated so that the MCP of the body forms an angle of 450-600 to IR.Conclusion: The radiographic technique of the AP projection pedis with a variation of 350, 400, 450, 500, 550, 600 produces different anatomical information. There are distortions and differences in anatomical information which includes the location of the coracoid process under the clavicula, humeral head superposition with glenoid cavity, body of scapula free from ribs, acromion projected laterally and not superposition, medial border scapula superposition with lateral border scapula. The greater the body's rotation towards IR, the greater the distortion that occurs. The optimal angle in generating anatomical information on the scapular “Y” view method examination is 50 º that very useful to evaluate dislocation of shoulder joint.
UJI QUALITY CONTROL PESAWAT MAGNETIC RESONANCE IMAGING SIEMENS MAGNETOM CONCERTO 0,2 TESLA DI INSTALASI RADIOLOGI RSUD DR KANUJOSO DJATIWIBOWO BALIKPAPAN Luh Deva Wedayanti; Nurdopo Baskoro; Sudiyono Sudiyono
Jurnal Imejing Diagnostik (JImeD) Vol 5, No 2: July 2019
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v5i2.4465

Abstract

Background  : Radiology quality control is a part of radiology quality assurance which is directly linked with physical measurements of facility performance and indirectly linked with the expected image quality. The advantage of proceeding with the performance test on MRI device are the consistency of operational testing that integrated of all MRI system and producing high quality image, reducing the possibility of artifact appearance, and also preemptive identification of potential problems.Methods : The method of this Research is Qualitative Survey. The researchers are doing the survey on Quality Control test on MRI device brand Siemens Magnetom Concerto 0,2T on Radiology department of RSUD. DR. Kanujoso Djatiwibowo Balikpapan.Results : The whole result of this research shows that MRI device on RSUD. DR. Kanujoso Djatiwibowo Balikpapan has yet to fulfill the international standard.Conclusion : The whole result of this research shows that MRI device on RSUD. DR. Kanujoso Djatiwibowo Balikpapan has yet to fulfill the international standard on 5 parameter, such as the SNR testing, Artifact Analysis, Geometric Accuracy, High Contrast Resolution and Low Contrast Resolution. On the other hand, 2 other parameter such as slice thickness accuracy and slice position accuracy of the MRI device has already fulfill the standard and have to improve on the 5 parameter which hasn’t fulfill the factory and international standards
PENGUKURAN NILAI METABOLIT PADA PENGGUNAAN VARIASI NILAI TIME ECHO PEMERIKSAAN MAGNETIC RESONANCE SPECTROSCOPY OTAK Agi Febrian Trihadijaya; Bagus Abimanyu; Darmini Darmini
Jurnal Imejing Diagnostik (JImeD) Vol 5, No 2: July 2019
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v5i2.4476

Abstract

Background : Application of MRS itself to measure the N-Acetyl Aspartate (NAA) content in tumour, stroake and epilepsy. Contents of NAA has important role in the central nervous system. Examination of MRS itself should be included to support the patient diagnose. Time echo is an important parameter which affect the metabolite spectrum. So, measurement of metabolic value using variants of TE which is 35, 144, 288 ms, are the main idea. The purpose of this research to know the measurable metabolic which use of variants of TE and to know which TE has show the smallest difference with normal metabolic value.Methods : This research is a quantitative descriptive method. Reasearch subject is Radiographer which has competence dan enough experience in MRI. Research samples using 10 person who become the research probandus. The acquisition is do three times on right temporal lobe with TE value 35, 144 and 288 ms. Another parameter which controlled is TR 2000 ms, Single Voxel Spectroscopy (SVS) acquisition sized 31.7mm3 with Point Resolved Spatial Selection (PRESS) pulse sequence. Measurable metabolic aspect which will be evaluate is N-Acetyl aspartate (NAA), Choline (Cho) and Creatine (Cr). Data processing and analysis is do by calculate the spectroscopy spectrum intensity so obtained the measurable metabolic value then using univariate analysis or descriptive analysis.Results : Results of measurable metabolites is the longer TE use so the metabolic spectrum will be decrease on NAA (35 ms: 8.2, 144 ms: 7.3, 288 ms: 5.4), Cr (35 ms: 6.8, 144 ms: 5.8, 288 ms: 3.8) and Cho (35 ms: 6.9, 144 ms: 6.0, 288 ms: 4.4). Then on the calculate of metabolic value difference with normal metabolic value, the longer TE use so the difference will be increase on NAA (35 ms: 1.8, 144 ms: 2.7, 288 ms: 4.6), Cr (35 ms: 1.2, 144 ms: 2.2, 288 ms: 4.2) and Cho (35 ms: 0.1, 144 ms: 1.0, 288 ms: 2.6).Conclusion : So can be assumed that using TE 35 ms on MRS will obtain the metabolic spectrum which close to normal metabolic value. But, short TE unable to show the Lactate spectrum in case of brain tissue abscess, so it’s required to scanning using TE 35 ms and 144 ms or 288 ms as comparison to get more accurate measurable metabolic value.
ANALISIS PERBEDAAN INFORMASI ANATOMI PADA PEMERIKSAAN CT SCAN ABDOMEN ANTARA PENGGUNAAN PROTOKOL SURE EXPOSURE DAN TANPA SURE EXPOSURE Devita Rizkania Indarsari; Jeffry Ardiyanto; Andrey Nino Kurniawan
Jurnal Imejing Diagnostik (JImeD) Vol 5, No 2: July 2019
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v5i2.4468

Abstract

Background : Image quality Abdomen CT scan is said to be either indicated by low noise or image noise values within acceptable standard limits. One of the parameters affecting image noise is mAs. On CT Scan aircraft there is an auto mAs setting facility called Sure exposure to ensure constant image quality at the lowest possible dose. The purpose of this study was to determine the difference of anatomical information to the use of sure exposure protocol and without sure exposure on CT scan of Abdomen and to know better protocols in producing quality on CT Scan Abdomen between usage protocol sure exposure and without sure exposure.Method : This research is a kind of quantitative research with experimental approach. This study used the CT Scan Multislice 128 plane on CT scan of Abdomen with the use of sure exposure protocol and without sure exposure. The results were obtained based on respondents assessment through Liver, Spleen, Adrenal Gland, Kidney, Pancreas and Abdominal Wall. Analyze this research data using statistical test.Result : The results of the questionnaires of respondents on liver, spleen, adrenal gland, kidney, pancreas and abdominal wall showed no significant difference. This is followed by the value of Mann Whitney's overall significance of the abdominal anatomy is 0.549 (p value 0.05). Protocol Sure Exposure is better on the organ of adrenal glands, kidneys and pancreas, whereas protocols without sure exposure are better in liver, spleen, kidney, pancreas, and abdominal wall. The use of protocols without sure exposure better in generating information.Conclusion : In general the protocol of sure exposure and without sure exposure has the same clarity of anatomical information. But the protocol without a sure exposure has more information than the sure exposure protocol.
PENGEMBANGAN METODE KUADRAN UNTUK PENENTUAN KEDALAMAN BENDA ASING DENGAN MENGGUNAKAN MODALITAS KOMPUTER RADIOGRAFI Emi Murniati; Siti Masrochah; Ary Kurniawati
Jurnal Imejing Diagnostik (JImeD) Vol 5, No 2: July 2019
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v5i2.4463

Abstract

Background: The existence of a foreign object in the body generally can interfere with the metabolism of the body, so it can be life-threatening. Therefore it is necessary to take medical action in the form of surgery as soon as possible and precisely with x-ray examination as the guiding. With the development of the use of CR modalities, the method of determining foreign objects with the tools in the CR is considered, which is then called the quadrant method. And this study aims to explain the procedure and then the results are compared with the triangulation method which is a method of determining the depth of foreign objects previously used.Methods: The type of research carried out is exploratory description research with an experimental approach. Where the radiograph was made in cases of foreign objects with 2 methods, namely the triangulation method and quadrant method using CR. First made phantom organ femur, humerus, and thorax in which a foreign object is placed in it. The position of a foreign object is actually measured first and then the results of measuring the depth of a foreign object using the quadrant and triangulation method are compared with the results of the measurement of the actual foreign object.Results: The results showed that the making of radiographs with quadrant methods as well as triangulation methods both used 2 exposures with an x-ray so that the radiation exposure factor obtained by patients in both methods was not much different. Whereas from the comparison of the results of the measurements of the two methods it was found that the triangulation method was better than the quadrant method with smaller measurement differences when compared with the actual measurement of foreign objects. This is because the triangulation method has displayed measurement results based on a formula that uses mathematical calculations by calculating the distance and magnification of objects. And this is not obtained in the quadrant method where measurements are based on the data presented on the CR monitor screen without calculating the distance and magnification of the object first.Conclusion: Radiographic examination procedure determines the depth of foreign matter quadrant method using a computer Radiography is carried out with two projections namely anteroposterior and lateral. While the difference in the depth of the foreign body quadrant method with the depth of the foreign body is actually found that the accuracy of the measurements carried out by the triangulation method is better than the measurements carried out by the quadrant method
PERBEDAAN HASIL GAMBARAN FASE NON DELAY DENGAN FASE DELAY DI AREA BLADDER PADA PEMERIKSAAN PET/CT Dimas Prakoso; Ratianto Ratianto; Gatot Murti Wibowo
Jurnal Imejing Diagnostik (JImeD) Vol 5, No 2: July 2019
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v5i2.4405

Abstract

Background : PET/CT examination is an examination performed by injection of a radiopharmaceutical that consist of 18F-FDG which given intravenously to evaluate lesions in whole body. However, some PET/CT examination  using delay phase for certain pathologies and if the doctor unsure about the resultiong image. This study peform the difference image in quantitative of PET/CT examination between non delay phase and delay phase in area bladder and surrounding.Methods : The type of  research conducted is quantitatif  research with a case study approach, the research that provides a detail description of the actual situation in the hospital. Subjects in the form of radiographers, nuclear medicine specialist, and scientific literature and objects are images of non delay and delay phase PET/CT in the bladder area. Data is taken by observation, interview, and documentation.Results : Assessment image of PET/CT using the value of SUV by ROI on several organ such us the baldder, rectum, ileum, and sacrum. In the non delay and delay phase, the value of the SUV was compared and the result on rectum area was increased, in other organ such as the bladder, ileum, and sacrum the value of SUV was decreased.Conclutions : The difference of image between non delay and delay phase can be seen from the value of SUV organ. SUV value can high in the bladder area because of the accumulation of FDG and scanning from the head so when scanning the pelvis value of SUV is high and can infuluence the image of surrounding organs. 
PENGARUH VARIASI TIME REPETITION (TR) TERHADAP KUALITAS CITRADAN INFORMASI CITRA PADA PEMERIKSAAN MRI LUMBALSEKUENS T2 FSE POTONGAN SAGITAL Syafrudin Nizar; Fatimah Fatimah; Irwan Kartili
Jurnal Imejing Diagnostik (JImeD) Vol 5, No 2: July 2019
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v5i2.4473

Abstract

Background : TR (Time Repetition) is an MRI parameter. TR controls the amount of longitudinal magnetization recovery before the next RF pulse. TR parameter is one of parameters that can affect image quality and image information. Long TR arrangements can increase SNR (Signal To Noise Ratio), CNR (Contrast To Noise Ratio) and provide better contrast, but increase the examination time. The purpose of this research is to know the effect of TR to image quality, difference of image information and TR optimal on MRI Lumbal sequence T2 FSE sagittal.Methods : The type of this research is quantitative research with experimental approach. The sample of research used is 6 probandus. TR variations used are TR 2000, 2500, 3000, 3500, 4000 with other parameters controlled. Aspects of image quality and image information values assessed in this study include Corpus Vertebrae, Discus Vertebrae, Cerebro Spinal Fluid (CSF), Medulla Spinalis, and Soft Tissue. Processing and analysis of image quality data is done by data normality test using shapiro-wilk, then test influence correlation pearson, linear regression and repeated anova. and for image information is done normality data test using shapiro-wilk, and friedman test.Result : The results of the test analysis showed that there was a TR effect on SNR image quality (p = 0.001) and CNR (p = 0.007) with (p 0.05) on all assessed organs. There is a difference in image information of MRI Lumbal T2 FSE sequence of sagittal pieces on Time Repetition variation with significance value (p 0.05). The optimal TR value on image quality is found on TR 4000 variation with mean of highest mean rank that is 42.82. While the optimal TR value on the image information is on the variation of TR 3000 with the highest mean mean rank is 3.25. TR 3000 is considered to produce better image information and is considered optimal on MRI Lumbal sequences of T2 FSE sagittal fragments compared to other TR variations with a duration of examination time of 2 minutes 30 seconds.Conclusion: Based on the results that good variation TR used on MRI Lumbal examination sequence T2 FSE sagital view is TR 3000 with best image qualit,  informative image information and short scanning time.
PENGGUNAAN VARIASI FILTER PADA WINDOWING LUNG PADA PEMERIKSAAN CT SCAN THORAX Sudiyono Sudiyono; Rini Indrati; Muhammad Riefki Jadmika
Jurnal Imejing Diagnostik (JImeD) Vol 6, No 1: January 2020
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v6i1.5561

Abstract

Background: Filter is an image processing parameter applied to raw data used to determine the attenuation value of each pixel of CT Scan imaging, and it serves to minimize the occurrence of star patterned streak artifacts formed on the CT images. The use of typical Y-sharp or Smooth filters is common for the thoracic CT imaging in the clinic. Yet, the studies to compare which of the typical filters that provide a good imaging technique were clinically limited to find in practices. The purpose of this study is to know wheter there is a difference or not in the anatomical image resolved amongst the thoracic CT images when using the Y-Sharp and Smooth filters; and to determine which of the filter that produces the better image quality by comparison.Methods: This is quantitative research with approached the pre-experimental design with the static-groups of comparison. Image data were taken from the raw data of the 10 patients who underwent CT Scan Thorax examinations. All the image data were reconstructed by means of using the Y-Sharp and Smooth filters. Assessment of the images were performed by 2 radiologists. The Cohen's Kappa was used for image evaluators agreement where the Wilcoxon Test was applied to test the hypotheses.Result: The result of this study showed that there is a significant difference in anatomical organ visualization of the thoracic CT images between filter the Y-Sharp and Smooth filters with p-value 0.005. The use of Y-Sharp filter is better as it produces a high spatial image resolution.Conclusion: The anatomical organs of the thoracic CT images are visually reproduced when the Y-sharp filter is employed. The comparison between the two different filter uses deems significance.

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