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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 219 Documents
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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 Anatomi Vaskular dengan Multi Planar Reformating (MPR) dan Maximum Intensity Projection (MIP) pada Fase Early Arteri Pemeriksaan MSCT Abdomen Ratna Istiningrum; Fatimah Fatimah; Tri Wulanhandarini
Jurnal Imejing Diagnostik (JImeD) Vol 3, No 2: July 2017
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v3i2.3192

Abstract

Background: The development in the field of image reconstruction is growing rapidly along with the development of  CT Scan. In  the early stages of  MSCT abdominal artery is usually found  various kinds of vascular abnormalities such as stenosis, aneurism and others. Post processing image techniques commonly used include MPR and MIP. The purpose of this study is to determine whether there is a difference between MPR and MIP techniques and to know which one is better between the two.Methods: This  research was  quantitative study with experimental approach. The study was conducted at Bhakti Dharma Husada Surabaya Hospital  with 15 samples by performing reconstruction on vascular anatomical image of coronal examination of  abdominal MSCT. Assessment of anatomical information data is done by 2 respondents. Data analysis was done by kappa test followed by Wilcoxon sign rank test.Result : The results showed the difference between the post-processing of MIP and MPR on the coronal stages of the early arterial phase of the abdominal MSCT examination, based on the results of  non-parametric statistical test analysis (Wilcoxon) showed  a significant value of p value = 0.001. The result of MIP mean rank value (8,46) is higher than the mean rank value of MPR (1,50), it can be known that post proceeding MIP technique on coronal phase cuts early arterial examination of abdominal MSCT produces better anatomical image information.Conclusion: On examination of abdominal MSCT in the early arterial phase should be at the time of processing the image is also done by using post-processing MIP because more clearly than the MPR.
Analisis Informasi Citra Anatomi Antara Penggunaan Aplikasi Constance Level Appearance (CLEAR) dan Non CLEAR Pada Pemeriksaan MRI Cervical Irisan Sagital T2WI FSE Kasus HNP Dea Febri Mardiyanti; Sugiyanto Sugiyanto; Yeti Kartikasari
Jurnal Imejing Diagnostik (JImeD) Vol 1, No 2: July 2015
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v1i2.3160

Abstract

Background: This study aims to determine the anatomical image information between using CLEAR aplication and without CLEAR (Non CLEAR) aplication on cervical MRI examination with T2WI FSE sagital HNP case and to determine which is the best image between using CLEAR aplication and Non CLEAR aplication on cervical MRI examination with T2WI FSE sagital HNP case.Methods: This research was a quantitative research with an experimental approach Subjects of this study were eight patients in Siloam Lippo Village Hospital. Images resulted was assessed by radiology physician using questionnairs. Data were analyzed using Wilcoxon test to determine differences of image information and using mean rank test to determine the best image between using CLEAR application and without CLEAR aplication.Results: This study showed that there were differences anatomical image information between using CLEAR application and without CLEAR aplication on cervical MRI examination with T2WI FSE sagital HNP case, with p = 0,000 (p value 0,05). Cervical MRI examination with CLEAR aplication T2WI FSE produced the best image with the sum of the rank was 300,00 on the negative rank which showed that the image information without CLEAR aplication T2WI FSE lower than  image information with CLEAR aplication T2WI FSE.Conclusion: There were differences the anatomical image information between using CLEAR application and without CLEAR aplication on cervical MRI examination with T2WI FSE sagital HNP case.
Analisis Variasi Nilai Velocity Encoding (VENC) terhadap Informasi Anatomi Citra Magnetic Resonance Venography (MRV) Brain pada Modalitas MRI 3 Tesla Sugiyanto Sugiyanto; Ardi Soesilo Wibowo; I.G. Agung Brihaspaty Bhuana
Jurnal Imejing Diagnostik (JImeD) Vol 3, No 1: January 2017
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v3i1.3183

Abstract

Background: The imaging for vein vessels or Magnetic Resonance Venography (MRV) has own role and advantages on MRI examinations, specifically for evaluating intracranial blood vein circulation. MRV generally uses Phase Contrast (PC) method and  PC-MRV imaging, there is an  important parameter to be considered, its velocity encoding or VENC. VENC is selected before the examination and has to be adjusted  the anticipated blood flow velocity in the examined organs. The right selection of VENC will result in optimum intracranial vessels images and accurate diagnose. The aim of this study is to figure out if there is significant effect of VENC on anatomical information of brain MRV and to find out which VENC the best  intracranial veins demonstrates.Methods: This research was a quantitative study with quasi – experimental approach. Data were obtained from five healthy volunteers who were scanned by using a 3 Tesla MRI device in Radiology Department Siloam Lippo Village Hospitals. Each volunteer was scanned with five VENC variations: 10 cm/s, 15 cm/s, 20 cm/s, 25 cm/s, and 30 cm/s. The MRV images were assessed by two radiologist as the respondent. The Data were analyzed by simple linear regression test and Friedman test.Result: The results showed that there was significant effect of VENC on anatomical information of brain MRV, with significant value below 0,001 (p value 0,05). Mean rank on Friedman test showed that the best VENC to demonstrate intracranial veins was 25 cm/s.Conclution: There was a significant effect of VENC on anatomical information of brain MRV with the VENC of 25 cm/s gave the best image of intracranial veins in general.
Rancang Bangun Alat Bantu Fiksasi dengan Penanda Waktu Eksposi Untuk Pemeriksaan Radiografi Abdomen Akut Siti Masrochah; Yeti Kartikasari; Bagus Abimanyu
Jurnal Imejing Diagnostik (JImeD) Vol 1, No 1: January 2015
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v1i1.3151

Abstract

Backgroud: Limitations in a radiographic projection of the Left lateral decubitus (LLD) ussually challanges most of the Radiografers who intent to apply the technique toward patients with acute abdoment clinical cases. Related problems that occasionally come up with the LLD projection are the fixed patient positioning and the waiting time it takes to keep patient in the same position. The poor quality of  the LLD radiograph and less imaged optimalisation of the free-air below the right diapragm lead to a dificult radiological interpretation. The study aims to design an aided patient fixation tool with its controlling timer used for the LLD projection; and to examine the the functional performance of the tool.Methods: the research is qualitative approached with an experimental study. Several steps following the reseach are creation of the master plan designs and selection of materials that  should be used to develop an appropriate aided patient fixation tool with controlling timer for LLD projection; evaluation of the 5 designed tool system components (seated patient, cassette holder, safety belt, electronic sensored movement, andthe timer); and qualitative testing of the tool function and veryfication. The 6 aspects of tool performances have been decided to be complianced indicators whereas 5 observers (expert Radiographers) blended in the evaluation of the aided tool, and the tool has firmed to meet its requirement if the total observer’s score is greater and equal to 2,00Results: In general, the resulted tool perfomance testing fulfilled the requirements of the tool functions as it used for some radiographic procedures of the acute abdoment-LLD projection. The tool performance scores of convenince and reliability equipment showed at 2,25 and 2,75 which meant that a general radiographic quality was looking good without any presense of the artifacts. Morover, the scores for timer and censored devices were 2,70 and 2,65 recpectively, by this clearly described  a proper function of timer control and indicator components. The total score for radiation safety evaluation contributed to the higest score amongst all aspects being assessed that was 2,80.Conclusion: The design of the aided patient fixation tool with controlling timer for LLD projection has not only met functional requirements but it has also proven to subtitute some limitations about maintaning good image quality when applied the LLD projection. Radiologic expertation on the LLD-radiograph of the acute abdoment obviously contributed to optimal clinical information
Analisis Pembobotan T2 Turbo Spin Echo (TSE) brain MRI Potongan Axial dengan Penggunaan Sensitivity Encoding (SENSE) dan Tanpa Penggunaan Sense : Evaluasi pada Signal to Noise Ratio (SNR) dan Scan Time Fani Susanto; A. Gunawan Santoso; Bagus Abimanyu
Jurnal Imejing Diagnostik (JImeD) Vol 2, No 2: July 2016
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v2i2.3174

Abstract

Background: On examination brain MRI often finds non-cooperative patients, requiring rapid acquisition techniques. The parallel imaging sensitivity encoding (SENSE) technique utilizes spatial RF coated phased array information to reduce acquisition time by reducing the K space sampling line to produce good quality and spatial resolution, but has a limitation of signal-to-noise ratio (SNR) reduction. SENSE is used with MRI sequence pulses one of them turbo spin echo (TSE). The purpose of this study was to determine the difference of SNR and scan time on TSE T2 weighting brain MRI axial slices between use SENSE and without SENSE.Methods: This research is quantitative study with experimental approach. The data were collected from May to June 2016 at the Radiology Installation of Premier Bintaro Hospital by calculating the SNR through the software for the region of interest (ROI) and calculating the scan time through the scan timer on the workstation monitor. Data analysis was done by statistical test with SPPS 16 application using paired T-test and descriptiveResults: From the result of statistical test, it is known that SNR at TSE T2 weighting between with and without SENSE is obtained p-value 0,000 (p 0, 05). This is because the encoding of the both image are different, On TSE T2 weighting image without SENSE there is the use 1800 pulses approaching the effective TE so the shallow gradient produces maximum echo, while on TSE T2 weighting with SENSE there is a reduction of phase encoding row in K space and the presence of g-factor causes the SNR to decrease. From descriptive analysis result, is known that scan time on TSE T2 weighting between with and without SENSE usage is obtained by reduction of scan time for 1 minute 24 seconds (49, 01%). This is because the acquisition technique between the both image are different, on the TSE T2 weighting  without SENSE there is ETL in charging K space, whereas on the TSE T2 Weighting  with  SENSE there is R-factor causing the sampling not to fill all K space so that scanning time is reduced.Conclusion: There are SNR and scan time differences on TSE T2 weighting brain MRI of the axial slices with SENSE and without SENSE usage.
Analisis Informasi Citra Antara Sekuens T2 FRFSE dengan T2 Propeller pada pemeriksaan MRI Cervikal Potongan Axial dengan Pesawat MRI GE Signa 1,5 T Sri Adhi Lukito; Darmini Darmini; Emi Murniati
Jurnal Imejing Diagnostik (JImeD) Vol 3, No 2: July 2017
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v3i2.3197

Abstract

Backgroud:research has been done on the difference of image information for T2 FRFSE sequences and T2PROPELLER in Radiology Installation of General Hospital Dr Moewardi. The aim of this study is to determine THE  differences of the image information between T2 FRFSE sequences and T2PROPELLER sequences and determine the best sequence between T2 PROPELLER with T2 FRFSE in  cervical MRI examination of Spine Axial Slice.MethodsThis research is a quantitative study with experimental approach in Radiology Installation Dr. Moewardi Hospital. Data is collected on examination MRI Cervical in 15 patients, after a Cervical MRI scanning with sagittal slice T2 FRFSE sequences, and then performed scanning T2 PROPELLER sequences on Axial slice. Presented to the three doctors radiologist to assess. Once the image judged by the three respondents, the data analyse by using  SPSS 17.0  with  Wilcoxon test.Results:the result showed  obtained significance value  0,001 or p value 0,05 Which means that there are differences image information between T2 FRFSE sequences and T2 PROPELLER sequences. Sequens T2 PROPELLER better than sequens T2 FRFSE in MRI CervicalAxial slice.Conclusion:Mean value of the same rank on the anatomy of the vertebral body and the soft tissue of the neck are 5.50 and 4.00 , while the mean rank differently on intraforamen structure is 6.5 , nerve root is 5.56 , so that the spinal cord was 6.15 T2 PROPELLER still better.
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 Perbandingan Nilai Signal to Noise Ratio (SNR) pada Pemeriksaan MRI Ankle Joint dengan Menggunakan Quad Knee Coil dan Flex/Multipurpose Coil Ahda Nur Arifah; Yeti Kartikasari; Emi Murniati
Jurnal Imejing Diagnostik (JImeD) Vol 3, No 1: January 2017
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v3i1.3188

Abstract

Background : Research on the difference comparison the value of Signal To Noise Ratio (SNR) at MRI Ankle Joint examination using Quad Knee Coil and Flex/Multipurpose Coil at the hospital's radiology installation Telogorejo Semarang. Quad knee coil is a volume coil, is a coil that can act as a transmitter and receiver at the same RF signal (transreceiver). Flex / Multipurpose Coil is a surface coil which has a high SNR for a superficial examination (a small organ). The purpose of this research is to know comparison the value of signal to noise ratio (SNR) and higher the value of signal to noise ratio (SNR) at MRI Ankle Joint examination using Quad Knee Coil and Flex / Multipurpose Coil.Method : This type of research is quantitative experimental approach. The research data which 6 samples. Rate includes images subjectively talocalcaneal interosseous ligament, talocrural joint, subtalar joint, the calcaneus, tibia, talus, and the Achilles tendon. Then the results of the data in Paired T-Test tested.Results : Test results that there are differences in comparison the value of signal to noise ratio (SNR) at MRI Ankle Joint examination using Quad Knee Coil and Flex / Multipurpose Coil which has a p-value / sig for all of 0.002, and each criterion that have talocalcaneal interoseous ligament p value 0.026, talocrural joint p value 0.017, subtalar joint p value 0.001, calcaneus p value 0.002, tibia p value 0.003, talus p value 0.006, and achilles tendon p value 0.012. This is in accordance with the calculated average value SNR on the use of Quad Knee Coil is higher at 110.67 because the coil acts as transreceiver and has two preamplifier so as to improve the SNRConclusion : There is a differences in comparison the value of Signal To Noise Ratio (SNR) at MRI Ankle Joint examination using Quad Knee Coil and Flex / Multipurpose Coil.
Noise Citra dan Estimasi Dosis Radiasi dengan Aktifasi Sistem Automatic Exposure Control pada Pemeriksaan Computed Tomography Kepala Rini Indrati; Azlan Yazid; Bagus Abimanyu
Jurnal Imejing Diagnostik (JImeD) Vol 1, No 2: July 2015
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v1i2.3156

Abstract

Background: Of the ways to maintain optimum image quality and reduce the intensity of radiation to patients is optimizing the value of tube current (mAs) using parameter of Automatic Exposure Control (AEC) or mA modulation. But at the fact in hospital, protocol parameter Automatic Exposure Control (AEC) is not activated or OFF on head computed tomography examination.Methods: This study was a quatitative experimental study. Subject of this study was head phantom. Phantom scanned with four treatments, the activation parameters was sure exp.3D-high quality, sure exp.3D-standard, sure exp.3D-low dose and AEC-OFF. Noise was analyzed using the standard deviation of the CT Number. The ROI of approximately 5 mm2 the intracranial area which is divided into three quadrants namely the anterior region, central region and posterior region of neck which is uniform are aof phantom.Results: The results showed significant differences when parameter automatic exposure control was activated and disabled or AEC-OFF with p value was 0.003 (0,05). Furthermore, based on the scanning results in a change of  radiation dose estimation to the highest doses value of the activation parameters of automatic exposure control and the lowest dose when parameter automatic exposure control deactivated or AEC-OFF.Conclusion: Activation parameters of automatic exposure control (sure exp. 3D) on a head CT examination image noise tends to decline and give a higher radiation dose than when parameter automatic exposure control deactivated or AEC-OFF.

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