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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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MSCT Thoracolumbal Kontras pada Suspek Metastasis Tulang Belakang: Studi Kasus di Rumah Sakit Hermina Pandanaran Semarang Puspitawati, Margarita; Rochmayanti, Dwi; Kartikasari, Yeti; Sulaksono, Nanang; 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. 
Prosedur Pemeriksaan MRI Lumbal pada Kasus Efusi Pleura Suspek Tuberkulosis Susanto, Fani; Rahardian, Arga Pratama; Utami, Hernastiti Sedya; Mufida, Widya
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. 
Optimasi Pengaturan pH Developer untuk Meningkatkan Efisiensi Waktu dalam Processing Film di Ruang Gelap Radiologi Anggraeni, Leny; Candra, Feri Aria; Ichwan, Yas
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). 
Penggunaan T2 STIR dan Fat Saturation pada Pemeriksaan MRI Lumbal Kasus Hernia Nucleus Pulposus (HNP) Agrilian, Meilita Putri; Tarigan, Asumsie; W, Mahfud Edy; Sari, Gando
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. 
Informasi Anatomi dan Dosis Radiasi pada MSCT Brain Pediatric Menggunakan Adaptive Statistical Iterative Reconstruction (ASiR)-V Indraratma, Fitri; Dartini, Dartini; Setiawan, Agung Nugroho
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.v9i1.9471

Abstract

Background: Multislice CT Scan (MSCT) brain examination in pediatric cases should pay attention to the lowest possible dose but still provide optimal anatomical information. Pediatric has a higher risk of developing cancer compared to adults who receive the same dose. The purpose of this study is to obtain the optimal value of the use of the Adaptive Statistical Iterative Reconstruction (ASIR)-V technique with variations in tube current strength and Iterative Reconstruction value which is implemented in pediatric patients under the age of 5 (five) years. Methods: This research was experimental with brain image samples of pediatric patients at the Radiology Installation of RSUD dr. Moewardi Surakarta. The variations of the tube currents selected were 80, 100, and 165 mA with a combination of AR20, AR40, AR60, and AR80 variations. Anatomical information processed descriptively sourced from the assessment of 3 (three) radiologists who were experienced in assessing MSCT images. Meanwhile, the effect of tube current variation on radiation dose was tested using linear regression. Results: The results showed differences in anatomical information between the combinations of 165 mA-AR60 and 165 mA-AR80 "very clear", 165 mA-AR20 "clear", 80 mA-AR20 "fairly clear" and 100 mA-AR80 "less clear". There was an effect of strong variation of tube current on radiation dose with a regression coefficient value of 0.690. The estimated effective doses of the three tube current values were still below the national Dose Reference Level (DRL). Conclusions: It was concluded that there were differences in anatomical information on the MSCT brain pediatric examination with variations in tube current and ASiR-V, there was an effect of variations in mA on radiation dose and mA values and the optimal value of the combination of techniques studied is 80 mA and 20% Iterative Reconstruction. 
Kualitas Informasi Anatomi Radiograf pada Pemeriksaan Sternum dengan Variasi Penyudutan Arah Sinar Saputra, Rizki; Bequet, Angga Yosainto
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.v9i1.9626

Abstract

Background: The sternum's radiographic examination involves the use of Right Anterior Oblique (RAO) and Lateral projections. However, if a patient cannot undergo RAO projection, Left Posterior Oblique (LPO) projection in the supine position and adjusting the central ray angle are alternatives. On another note, deviations from perpendicular alignment among the central ray, image receptor, and object can lead to distortions in shape, impacting image quality. Hence, a study is conducted to investigate the impact of beam angle variations on the quality of anatomical information in sternum radiographs to identify the optimal angle that yields the highest quality anatomical information in sternum radiographs. Methods: This research was quantitative research employing an experimental methodology. Data collection involved employing a single-body phantom, which underwent three exposures at each of the specified angle variations Results: Based on the results of the Kruskal Wallis test, there were significant differences in the quality of radiographic anatomic information (p value < 0.05). The angle with the most optimal quality of radiographic anatomical information was an angle of 25° to the left with a mean rank value of 11.00. Conclusions: There was a significant difference in the quality of radiographic anatomic information (p value < 0.05). The angle with the most optimal quality of radiographic anatomic information was the angle with the highest mean rank value, which was an angle of 25° to the left. 
Informasi Anatomi Mri Knee Joint Sekuen T2 Space FS dan PD Space FS pada Potongan Sagital Dengan Klinis Ruptur Anterior Cruciate Ligament (ACL) Nuridzati, Arifina; Susanto, Edy; Rasyid, Rasyid
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.v9i1.9771

Abstract

Background: The T2 and PD sequences are the most sensitive sequences in evaluating injury to the ACL and surrounding soft tissue. Based on observations at the Radiology Installation of Dr. Sardjito Hospital Yogyakarta, the anatomical information generated in the MRI knee joint examination of the PD SPACE FS sequence is almost the same as the T2 SPACE FS sequence. The purpose of this study is to determine the differences in anatomical information and optimal sequences on MRI examination of the knee joint sagittal section sequences of PD SPACE FS and T2 SPACE FS in clinical ACL rupture.Method: This research was a quantitative study with an experimental approach, carried out at the Radiology Installation of Dr. Sardjito Hospital Yogyakarta on 10 samples with the application of different sequences for each sample, with the anatomy assessed by the informant namely ACL, meniscus, articular cartilage, and bone marrow. Further data analysis was carried out using the Wilcoxon test. Result: There was a difference in anatomical information between PD SPACE FS sequences and T2 SPACE FS sequences on MRI examination of the sagittal knee joint with clinical ACL rupture, with the ρ-value of the Wilcoxon test 0.001 or ρ-value<0.05. This was due to differences in the use of TR and TE parameters in each sequence. The PD SPACE FS sequence was more optimal in visualizing anatomical information than the T2 SPACE FS sequence with an anatomical mean rank of meniscus 3.50, articular cartilage 3.50, and bone marrow 5.50, whereas in ACL anatomy the mean rank value was the same between the two sequences, which is 2.00. Conclusion: It was because the PD SPACE FS sequence had a more heterogeneous contrast difference than the T2 SPACE FS sequence so each anatomy could be well evaluated in the PD SPACE FS sequence.
Rancang Bangun Alat Bantu Pemeriksaan Radiologi pada Pemeriksaan Patella Metode Hughston Mufida, Widya; Faesol, Ahmad
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
Analisis Informasi Anatomi Pemeriksaan MRI Ankle Joint pada Penggunaan Foot Ankle Coil dan Flex Coil Proton Density Fat Saturation Irisan Sagital Kartikasari, Yeti; Kurniawan, Andrey Nino; Hidayat, Subhan Syarif
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.
Pengaruh Variasi mAs terhadap Densitas pada Hasil Radiograf Os Femur Rahman, Cipta Ismaya; Annisa, Aulia; Firdaus, Muhammad
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.

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