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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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Rancang Bangun Alat Bantu Fiksasi Pemeriksaan Radiografi Lumbal Oblik Agustina Dwi Prastanti; Haris Sulistiyadi; Halinda Fatmayanti
Jurnal Imejing Diagnostik (JImeD) Vol 10, No 1: JANUARY 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v10i1.11076

Abstract

Background: The oblique lumbar examination has been carried out. The position of object isn't object angle at 45° to the image receptor, but only estimate it. It caused not optimal image of scottie dog sign and spondylolysis (pressure in pars interarticularis). Therefore, an examination aid is needed to make it easier to obtain the position of the oblique lumbar object.Methods: This research design is a RnD study with the ADDIE model which is carried out with five stages, namely analysis, design, development, implementation, and evaluation. The data is carried out by observing, designing, testing, and analyzing whether there are artifacts.Results: An oblique lumbar radiographic examination fixation aid was produced from acrylic material with a thickness of 5 mm. Acrylic is shaped like a right-angled triangular prism building which has a longer base measuring 50 cm, width 42 cm, and height 25 cm. A rectangular base with a length of 50 cm is pressed against the patient's body so that the supporting part of the angled triangle that supports the patient's lumbar region or the patient's body does not shift during an oblique lumbar radiography examination. This tool has a mass dimension of 2.5kg.Conclusion: The design of the oblique lumbar radiographic examination fixation tool resembles a right-angled triangular prism with one side tilted at a 45 degree angle to adjust the position of the object so that it can obtain a good view of the Scottie dog sign to show part of the pars interarticularis.
Analisis Informasi Anatomi Pemeriksaan MRI Ankle Joint pada Penggunaan Foot Ankle Coil dan Flex Coil Proton Density Fat Saturation Irisan Sagital Yeti Kartikasari; Andrey Nino Kurniawan; Subhan Syarif Hidayat
Jurnal Imejing Diagnostik (JImeD) Vol 10, No 1: JANUARY 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v10i1.10268

Abstract

Background: To get good MRI image quality, a special coil is designed according to the type of examination with various types and sizes so that it can be adjusted to the body to be examined so that the selection of coil is very important in MRI examination. At Dr.R.Soeharso Surakarta Orthopedi Hospital, it was found on an MRI examination of the  ankle joint using a foot ankle  coil and also sometimes also using a flex coil. The purpose of this study was to determine the difference in anatomical information of ankle joint MRI examination on Proton Density Fat Saturation Sagittal Slices using foot ankle coil and flex coil.   Methods: This research is quantitative research with an experimental approach. This research was conducted on 10 volunteers. Respondents assessed image information on the anatomy of the Achilles tendon, talocalcaneal ligament, tibiofibular ligament, talofibular ligament, talotibial ligament, tenton flexor digitorum, extensor digitorum tendon, os calcaneus, os tallus, os tibia. Results: Ten probandus were performed MRI examination of ankle joint, proton density weighting, sagittal slice using foot ankle coil and flex coil. Images are produced that can show predetermined anatomical information, namely: Achilles tendon, talocalcaneal ligament, tibiofibular ligament, talofibular ligament, talotibial ligament, tenton flexor digitorum, extensor digitorum tendon, os calcaneus, os tallus, os tibia. Based on Wilcoxon's nonparametric statistical test in table shows that the resulting p value is 0.001 (p-value is 0.05) which means that there is a significant difference in the overall anatomical information of ankle joint MRI examination on the use of foot ankle coil and flex coil proton density fat saturation sagittal slices and mean rank results (28.50) foot ankle coil (0,001) flex coil.Conclusions: The anatomical information produced in the use of foot ankle coil is better than the anatomical information produced by flex coil on MRI examination of ankle joint proton density fat saturation sagittal slice.
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.
Pengaruh Variasi mAs terhadap Densitas pada Hasil Radiograf Os Femur Cipta Ismaya Rahman; Aulia Annisa; Muhammad Firdaus
Jurnal Imejing Diagnostik (JImeD) Vol 10, No 1: JANUARY 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v10i1.10434

Abstract

Background: The human body's anatomical structure may be seen in radiological image findings. The proper exposure factor must be given in order to produce radiographic findings. The amperage value times the exposure period is equal to mAs. A darker image will result from a larger mA factor or longer exposure time. However, by choosing the appropriate exposure factor, an optimal radiograph density can be produced that can clearly display the difference in thickness and density between organs. The purpose of this study is to determine the results of how density affects the results of radiographs of the os femur.Methods: This research is quantitative using experimental methods to find out how the effect of mAs variations and how much the range of changes in value on density in AP projection femur examinations using mAs variations namely mAs 4, 8, 10, 12, 20, 25, and 32 with a fixed kV of 70 kV.Results: The results of this study indicate that there is a change in the effect of density quality on the variation of mAs on the radiograph results of the femoral os using the Friedman test p-value 0.001 which means less than 0.05. And the range of changes in density values at the caput femur, collum femur, collum femur, and greater trochanter there are changes in each mAs variation. The value of density variation against 7 mAs variations in radiograph results at variations of 4 to 32 mAs shows the density value increases by 0.14, for the range of increase in each variation it is ± from 0.02 to 0.05.Conclusions: The purpose of this study is to determine the results of how density is affected and the results of how the range of changes in density values on femur radiographs.
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. 
Informasi Anatomi MSCT Sinus Paranasal pada Suspek Sinusitis dengan Variasi Rekonstruksi Algorithma Sri Mulyati; Gatot Murti Wibowo; Jeffri Ardiyanto; Sylvia Ishlahul Ummah
Jurnal Imejing Diagnostik (JImeD) Vol 10, No 1: JANUARY 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v10i1.11075

Abstract

Background: The standard operating procedure with the bone window technique and bone reconstruction algorithm is referred to the MSCT protocol for paranasal sinuses in Hospital. However, the majority of radiologists select a protocol that implements the algorithm reconstruction, which is still trial and error without an organized protocol development study. There is a chance that the accuracy of the MSCT SPN and the quality of the picture data may become crucial problems. This study set out to assess and examine the algorithmic reconstruction method that can yield more accurate SPN anatomical data in sinusitis suspects.Methods: A quasi-experimental technique was taken in conducting the research. Three filters (bone, boneplus, and edge) of the reconstruction method were used to get thirty SPN images from ten patients. The images were  assessed by the two expert radiologist.Results: The results of non-parametric was obtained based on statistical tests using the  Friedman test ρ-value  of anatomy, namely 0.00 less than 0.05. These results indicate that H0 is rejected and Ha is accepted,  meaning that there are differences in anatomical information between variations of bone, boneplus, and  edge reconstruction algorithms on the MSCT scan examination of the paranasal sinuses with sinusitis suspect. The Friedman test results using the mean rank values of each anatomy show that Boneplus is  superior in terms of visualizing anatomy. The Friedman test's mean rank value of the entire anatomy  yielded the result that the boneplus reconstruction algorithm is superior to the bone and edge reconstruction algorithm in displaying anatomical information on the MSCT scan of the paranasal  sinuses with sinusitis suspect.Conclusions: Based on value mean rank For each Friedman test anatomy and the results of the frequency distribution, variations of the bone plus reconstruction algorithm are more optimal in displaying anatomical information on the MSCT Scan of the paranasal sinuses compared with the edge and bone reconstruction algorithms.
Evaluasi Pemeriksaan MRI Brain dengan Klinis Vertigo di Rumah Sakit Otak dr. Drs. M. Hatta Bukittinggi Mahfud Edy Widiatmoko; Asumsie Tarigan; Muslimatul Husna
Jurnal Imejing Diagnostik (JImeD) Vol 10, No 1: JANUARY 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v10i1.10970

Abstract

Background: Vertigo is a symptom that arises as a result of disturbances in the balance of the vestibular system or disorders of the central nervous system. A radiological examination that can detect clinical vertigo is an MRI examination. There is a difference in the MRI Brain examination protocol for clinical vertigo between theory and the field, namely the addition of the 3D CISS protocol. The aim of this research is to determine the role of adding 3D CISS to MRI Brain examinations in clinical vertigo.Methods: This research is qualitative descriptive research, use 10 patients, and do in January to November 2023. Data was collected by observation, conducting interviews and questionnaires. This research use 13 sequences, namely Axial T2 TSE, DWI, Axial T2 TSE Dark Fluid, T2 SWI, Sagittal T1 TSE, Sagittal T2 TSE FS, Axial T1 TSE, Coronal T2 TSE, Coronal T1 TSE, Axial T1 TSE, Coronal, Sagittal + Contrast with cuts at the upper border of the vertex and the lower border of the cerebellum and T2 3D CISS axial isotropic sequences for the cuts used, namely at the level of the sponge, showing the vestibulocochlear cranial nerve (VIII).Results: The results of the assessment on the T2 3D CISS Axial Isotropic sequence showed that anatomical detail was clearly visible as much as 75% and the spatial resolution was clearly visible as much as 75%.Conclusions: Brain MRI examination with clinical vertigo provides information that helps in understanding the causes of vertigo, allowing for a more accurate and effective treatment approach.
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.
Analisis Waktu Tunggu Pelayanan Foto Thorax pada Pasien Rawat Jalan M David Anugrah; Mustika Fatimah; Ayu Novitre; Anisah Anisah
Jurnal Imejing Diagnostik (JImeD) Vol 10, No 1: JANUARY 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v10i1.10487

Abstract

Background: The time between the patient's arrival and the testing findings is known as the waiting time for the results of a x-ray chest. The amount of time patients must wait to receive medical care from a health service unit, it also reflects how the hospital handles service components that are customized to the needs and demands of patients in public hospitals. This study aims to determine the suitability of waiting time for outpatient chest x-ray services with the standard of Indonesia Ministry of Health No.129/Menkes/SK/II/2008.Methods: The type of research used in this paper is qualitative by using the case study for analyzing the waiting time of x-ray chest in outpatients.Results: Eight patients, or 16% of the total had waiting time of three hours or more. Out of all patients, 84% or 42 patients had a waiting period of less than three hours. 22 minutes is the quickest waiting time, while 5 hours 56 minutes is the late waiting time. Such that in outpatients, the typical wait time for a x-ray chest picture is one hour and thirty minutes.Conclusions: Siloam Sriwijaya Hospital Palembang in adjusting the Minimum Service Standards the Hospital has met the minimum service standards of the Decree of the Minister of Health No. 129/Menkes/SK/II/2008 that the waiting time for a chest photo is ≤ 3 hours.
Terapi Radiasi Eksternal dengan Metode Hypofractionated pada Kanker payudara Post Breast Conserving Surgery di Instalasi Onkologi Radiasi Rumah Sakit Indriati Solo Baru: Studi Kasus Rorong, Fabrizio Alessandro; Prasetya, I Made Lana; Juliasa, I Wayan
Jurnal Imejing Diagnostik (JImeD) Vol 11, No 1 (2025): JANUARY 2025
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v1i1.11878

Abstract

Background: Radiotherapy is one method of cancer treatment that uses radiation to destroy cancer cells. Radiation dose delivery is done gradually through a process called fractionation, which is divided into conventional and hypofractionated fractions. In the radiation oncology installation of the new Indriati Solo Hospital, some breast cancer patients have received treatment with the hypofractionated method, while the majority still use the conventional fraction method. The hypofractionated method aims to reduce the number of treatment sessions by increasing the dose in each fraction with outcomes comparable to conventional fractions.Methods: This research method is descriptive qualitative with a case study approach. The study involves breast cancer patients post-Breast Conserving Surgery (BCS), Data were gathered through interviews with radiation oncologists, radiotherapists, and medical physicists, along with direct observations and patient record analysis The collected data were analyzed descriptively to evaluate the application and effectiveness of the hypofractionated method.Results: The results showed that the use of hypofractionated can shorten OTT (Overall Treatment Time), as well as better side effects than conventional fractions, and effectively reduce the number of queues of radiotherapy patients. In conclusion, the use of the hypofractionated method is very effective and recommended for radiotherapy treatment in breast cancer.Conclusions: Hypofractionated radiotherapy for breast cancer patients at Indriati Solo Baru has proven effective in reducing OTT and patient queues, with outcomes comparable to conventional fractionation. Further research is needed to assess long-term benefits, including quality of life, recurrence rates, cost-effectiveness, and dose distribution, particularly in high-volume healthcare settings. Hypofractionated radiotherapy is a promising alternative.

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