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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 279 Documents
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MRI Otak Demensia: Protokol RSUP Dr. Sardjito Yogyakarta Dedi Hardianto; Fatimah Fatimah; Marichatul Jannah
Jurnal Imejing Diagnostik (JImeD) Vol 9, No 2: JULY 2023
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v9i2.10405

Abstract

Background: The procedure for examining brain magnetic resonance imaging (MRI) in clinical dementia at the Radiology Installation of RSUP dr. Sardjito Yogyakarta used T2W, 3D FLAIR, 3D FFE ADNI, diffusion weighted imaging (DWI) and susceptibility weighted imaging (SWI) sequences.  The selection of this sequence was in accordance with the existing references, but was added with the SWI sequence. This study aims to determine the MRI brain examination in clinical dementia and to find out the reason for the addition of the SWI sequence.Methods: This type of research is a qualitative research with a case study approach. Data was collected by observation, in-depth interviews and documentation. Data analysis was carried out with the stages of data transcription, data reduction, data presentation and carried out discussions and drawing conclusions.Results: The results of the study stated that the measurement of brain volume was carried out by entering the raw data of the T1 FFE ADNI sequence image into the freesurfer software which was useful for assessing Alzheimer's dementia.Conclusions: The diagnosis is made by looking for bleeding and microbleeding using the SWI sequence in assessing vascular dementia. SWI sequences are useful in differentiating between calcification and microbleeding causing vascular dementia.
Penggunaan T2 STIR dan Fat Saturation pada Pemeriksaan MRI Lumbal Kasus Hernia Nucleus Pulposus (HNP) Meilita Putri Agrilian; Asumsie Tarigan; Mahfud Edy W; Gando Sari
Jurnal Imejing Diagnostik (JImeD) Vol 9, No 1: JANUARY 2023
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v9i1.9456

Abstract

Background: Signal to noise ratio (SNR) is defined as the ratio of the amplitude of the signal received by the coil to the amplitude of the noise. Methods: This research was quantitative alongside an observational approach conducted at the Radiology Installation of Satya Negara Hospital, North Jakarta. Alongside a research population of Lumbar MRI patients with HNP clinical indication from October to November 2022. The research sample was ten patients aged around 25-50 years with a diagnosis of HNP. Furthermore, an MRI examination was carried out using T2 STIR and T2 Fat Saturation sequences. Hence, the results of the Lumbar MRI image were ROI performed on common areas alongside the Corpus, Discus, CSF, Spinal Cord, and HNP area. Results: This research showed there was a significant difference in SNR values in the T2 STIR and T2 Fat Saturation sequences in common areas with a p-value of 0.05. There was no significant difference in SNR values in the HNP-experienced area with a p-value of 0.05. Conclusions: After a statistical test using the Paired Sample T Test, the test results obtained were p value 0.05, namely 0.692 for the SNR value on the results of the MRI Lumbar sagittal section of the sequence T2 STIR and T2 Fat saturation in the Lumbar area experiencing HNP, which means that Ho was accepted, which means that there was no significant difference in SNR values between the T2 STIR and T2 Fat saturation sequences in the lumbar tissue that experienced HNP. 2. The SNR value of MRI images of the lumbar sagittal section of the sequence T2 STIR and T2 Fat saturation in normal lumbar tissue including Corpus, Discus, CSF, the test results obtained are p-value 0.05. This means that Ho was rejected, which means there was a significant difference in SNR values between the T2 STIR and T2 Fat saturation sequences. In the spinal cord area, the test results obtained were p value 0.05. This meant that Ho was accepted, which meant there was no significant difference in SNR values between the T2 STIR and T2 Fat saturation sequences. 
Pengaruh Penggunaan T2 Blade terhadap Kualitas Citra MRI Cervical Potongan Sagital pada Pasien Non-Cooperative Sriyatun Sriyatun; Eny Supriyaningsih; Yasinta Oktavianti
Jurnal Imejing Diagnostik (JImeD) Vol 9, No 2: JULY 2023
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v9i2.10051

Abstract

Background: Using T2 BLADE in Cervical MRI examination can improve image quality because it can reduce artifacts especially with Non-Cooperative patients. The purpose of this study was to analyze the effect of T2 BLADE use on sagittal cut image quality in Non-Cooperative patients. The benefit of using T2 BLADE is that it provides insight to the reader and as an alternative in selecting the right sequence on Cervical MRI examination with Non-Cooperative patients so as to get an optimal and informative picture.Methods: The research design carried out was qualitative descriptive analytic with an observation and experimental approach which was carried out from May to June 2023 at Fatmawati Hospital using a Siemens Magnetom Altea 1.5T MRI aircraft. The population of this study was samples that performed Cervical MRI examination with a total of 6 samples. The data in this study is primary data collected by observation, experiments and questionnaires. Data processing and analysis was carried out by giving questionnaires to radiologst and radiographer who made subjective assessments and processed with simple calculations using Ms. Excel to find  the Mean.Results: The results of this study are, the image quality of Cervical MRI examination in Non-Cooperative patients  is more optimal using T2 BLADE sequences, the resulting images have quite informative results when compared to T2 TSE sequences. This study can be an option when conducting Cervical MRI examination  on Non-Cooperative patients  based on questionnaires, simple calculations and author analysis, so that patients get a diagnosis accurately and quickly.Conclusions: It can be concluded that the image quality of Cervical MRI examination in Non-Cooperative patients is  more optimal using T2 BLADE sequences, the resulting image has quite informative results. This study can be an option when conducting Cervical MRI examination  on Non-Cooperative patients  based on questionnaires, simple calculations and author analysis, so that patients get a diagnosis accurately and quickly.
Prosedur Pemeriksaan MRI Lumbal pada Kasus Efusi Pleura Suspek Tuberkulosis Fani Susanto; Arga Pratama Rahardian; Hernastiti Sedya Utami; Widya Mufida
Jurnal Imejing Diagnostik (JImeD) Vol 9, No 1: JANUARY 2023
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v9i1.9419

Abstract

Background: Clinical vertebral tuberculosis (TB) occurs outside the lungs affecting the spine. It generally infects the spine in the lower thoracic and upper lumbar spine. MRI examination is performed on clinical vertebral TB patients to determine the degree of stress and changes in bone elements in the early stages of the disease. This study aims to analyze the lumbar MRI examination procedure in cases of suspected TB pleural effusion. Methods: This research was qualitative with a case study approach. Data collection was carried out at the Radiology Unit of Premier Bintaro Hospital with the methods of observation, interviews, and documentation. Data processing and analysis were carried out descriptively. Results: Lumbar MRI examination with suspected TB pleural effusion at the Radiology Unit of Premier Bintaro Hospital was not specially prepared, the patient was examined first through the patient checklist to avoid metal materials entering the examination room. Examination using the Non-Contrast Lumbar MRI protocol included of sagittal and coronal T2, sagittal T1, sagittal Short Tau Inverse Recovery (STIR), Myelography, Axial T2, and Axial T1. The results of the examination provided sufficient diagnostic information to indicate a vertebral TB lesion. Conclusions: The procedure for examining lumbar MRI in TB cases with suspected pleural effusion at the Radiology Unit of Premier Bintaro Hospital did not require special preparation, the examination protocol used was to provide TB clinical diagnostic information, the addition of Gadolinium contrast media could be an alternative choice. 
Studi Kasus Pemeriksaan MSCT Urografi Multiphase dengan Klinis Tumor Ginjal Ratna Tri Rahayu; Nanang Sulaksono; Andrey Nino Kurniawan
Jurnal Imejing Diagnostik (JImeD) Vol 9, No 2: JULY 2023
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v9i2.10402

Abstract

Background: The procedure for examining multi-slice computed tomography (MSCT) multiphase urography with clinical kidney tumors in the Radiology Installation of the Banyumas General Hospital differs from the literature in the use of scans in the corticomedullary phase and the post-contrast scanning phase. This study aims to determine the procedure for MSCT Urography Multiphase examination with clinical kidney tumors, to find out the reasons for using a scan of the corticomedullary phase area from the diaphragm to the pubic symphysis and to find out the reasons for using four phases of post-contrast scanning.Methods: This type of research is qualitative research with a case study approach. Data was collected at the radiology installation at the Banyumas Hospital from January to May 2023, the study respondents consisted of three radiographers, one radiologist, one sending doctor and one radiology nurse. Methods of data collection by observation, in-depth interviews, documentation. Data analysis was carried out through the stages of data collection, data reduction, data presentation and drawing conclusions.Results: MSCT Urography Multiphase examination procedure with clinical kidney tumors in the radiology installation of Banyumas Hospital includes, the patient's supine feet first position, scanning area from the diaphragm to the symphysis pubis, using 50 ml of contrast media with 40 ml of saline flush. Scanning technique by taking the pre-contrast phase, corticomedullary phase, nephrography phase, equilibrium phase and delay phase. Scan the area of the corticomedullary phase from the diaphragm to the symphysis pubis to to simplify the scanning process because the tool protocol has already made full abdominal scan area settings and to evaluate the pattern of abdominal organ enhancement if there is a metastatic urothelial lesion other than the kidney. The use of four phases of post-contrast scanning is because the goals and functions of each scanning phase are different so that the maximum diagnostic information is obtained.Conclusions: The MSCT Urography Multiphase examination procedure with clinical kidney tumors in the radiology installation of Banyumas can provide optimal diagnostic information. 
MSCT Thoracolumbal Kontras pada Suspek Metastasis Tulang Belakang: Studi Kasus di Rumah Sakit Hermina Pandanaran Semarang Margarita Puspitawati; Dwi Rochmayanti; Yeti Kartikasari; Nanang Sulaksono; Sudiyono Sudiyono
Jurnal Imejing Diagnostik (JImeD) Vol 9, No 1: JANUARY 2023
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v9i1.9242

Abstract

Background: MSCT is a routine imaging modality for detecting bone metastases. The use of 1.25 mm slice thickness reconstruction on Thoracolumbar MSCT examination at Hermina Pandanaran Hospital is different from preliminary studies. This study aims to determine MSCT Thoracolumbar contrast with 1.25 mm slice thickness and 3D reconstruction to produce information on anatomical images in suspected cases of spinal metastases. Methods: This research was qualitative with a case study approach. The respondents were 3 radiographers, 2 radiologists, and 1 referring doctor. Data collection by observation, interviews, and document studies. Processing and data analysis used open coding and analysis to obtain conclusions. Results: The examination procedure was carried out by preparing the patient to fast for 6 hours before the examination, checking the results of ureum creatinine, filling out the informed consent and doing a skin test. Contrast media as much as 1.1-1.2 ml/kg per patient's body weight plus saline half of the amount of contrast, flow rate 2.5-3 mL/s, scan delay 25 s. DFOV 25-35cm, ASIR 40%. Reconstruction of slice thickness 1.25 mm to get more detailed results so that it could produce informative images that evaluated the spine and soft tissue. MPR and 3D reconstruction so that the image looked real bone and could be viewed 360ᵒ. Conclusions: The resulting slice thickness of 1.25mm and 3D reconstruction produced anatomical image information that could visualize bone to see destructive lytic lesions due to metastases, and visualize soft tissue such as paravertebral masses or discs. 
Pengukuran Kualitas Citra Menggunakan Aplikasi ImageJ pada Gambaran Vertebra Lumbosacral dengan Proyeksi Lateral Posisi Supine Kasus Low Back Pain (LBP) Aristia Wianing Putri
Jurnal Imejing Diagnostik (JImeD) Vol 9, No 2: JULY 2023
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v9i2.10272

Abstract

Background: This study aims to determine the measurement parameters of the imageJ software which can assess the quality of radiographic imae on clinical lumbosacral vertebra examination LBP by using a sample of radiographic image that has been obtained. This research conducted from March to April 2022 at STIKES An Nasher Cirebon.Methods: Study this method uses of pixel values obtained by the device imageJ software on images without any treatment, smoothing, sharpening, and brightness.Result: With the result obtained in smooth treatment did not differ when compared with no treatment an sufficient seen when compared with the sharpen treatment, in the enhance treatment 0%, 0.3%, 0.5%, and 1.0%, the higher the enhance value range, the bigger the pixel value and there is no overlap between the enhance values of 0%, 0.3%, 0.5%, and 1.0%, and at brightness treatment differences in brightnesss I is not much different from brightness III, except for brightness I and II, the difference is clearly visible in the graphic values.Conclusions: In this study it was found that the results of radiographic image that were treated with smoot, sharpen, enhance, and brightness with no treatment smoot, sharpen, enhance, and better brightness of radiographic image results with smoot, sharpen, enhance, and brightness and can establish a clearer diagnosis.
Optimasi Pengaturan pH Developer untuk Meningkatkan Efisiensi Waktu dalam Processing Film di Ruang Gelap Radiologi Leny Anggraeni; Feri Aria Candra; Yas Ichwan
Jurnal Imejing Diagnostik (JImeD) Vol 9, No 1: JANUARY 2023
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v9i1.9447

Abstract

Background: Film processing is an activity to obtain a permanent and real picture of a film, which can be seen with the eye in general conditions. The developer fluid is very influential on the image produced in the film. After exposure, it will be placed in the next step, namely the washing process, so as to produce a permanent image and make a diagnosis. Each exposure of washing film from one film to another, there is a difference in processing time. The more films that are processed, the longer the film processing time is required. The purpose of this study is to see the effect of developer pH on inefficient factors that lead to the film processing time in a dark room. Methods: The research design used was experimental with research samples tested on pH developers in the Radiology Installation of RSUD Pesawaran. Result: Calculation analysis, measurement test result of developer pH measurement to the time of generation on the film was the sig. value which was 0,000 and the degree of relationship value was - 0,983. Conclusion: Based on the provisions, the sig. value of 0.000 0.05 then Ho was rejected or it was stated that there was a relationship between variable X (pH value) and variable Y (Time). 
Reduksi Dosis Serap Mata dengan Implementasi Software Organ Dose Modulation (ODM) pada Protokol CT Scan Sinus Paranasal Ade Irma Handayani; Dwi Rochmayanti; Bagus Dwi Handoko
Jurnal Imejing Diagnostik (JImeD) Vol 9, No 2: JULY 2023
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v9i2.10408

Abstract

Background: CT Scan examination of the paranasal sinuses includes organs that are sensitive to radiation exposure, one of which is the lens of the eye whose damage can be known after radiation exposure of about 500 mGy. Currently found an alternative to reduce the dose received by patients is with Organ Dose Modulation (ODM) software This ODM serves to reduce radiation dose in the eye -18.9%, Brain -10.1%, Breast -31.3%, Lung -20.7% and Liver -24%. The purpose of this study is to determine the role of ODM software in dose reduction on CT Scan SPN, determine the amount of absorption dose profile with the implementation of ODM software, differences in anatomical image information with the implementation of ODM software and without ODM on CT Scan SPN.Methods: This type of research is quantitative with experimental studies, comparing the use of software with and without ODM to absorption dose reduction and anatomical image information of SPN. Samples using phantom performed Paranasal Sinus CT Scan procedure. Respondents consisted of 3 radiologists to assess the anatomical image of the maxillaris bone, bilateral maxillar sinus, and rice septum. Data analysis was carried out by statistical tests using SPSS Software to find the value of significance differences.Results: The use of ODM software on CT scans of the paranasal sinuses plays an important role in reducing the absorbed dose of the eye. Statistical test results showed a significant reduction in eye absorption dose (p-value 0.05). The dose profile resulting from the use of the ODM software is a decrease in the absorbed dose by the eye by 9.75%. The value of differences in SPN anatomical information using and without ODM resulted in a p-value of 1.00 (p-value 0.05).Conclusion: The value of the absorbed dose of eye radiation is significantly different with and without the use of ODM. However, there is no significant difference in the SPN anatomical image information. From the implementation of the ODM software, it can reduce the absorbed dose in the eye without reducing the anatomical image information.
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

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