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Jurnal Imejing Diagnostik
ISSN : 2356301X     EISSN : 26217457     DOI : -
Core Subject : Health,
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
Rancang Bangun Alat Bantu Fiksasi Pemeriksaan Radiografi Lumbal Oblik Prastanti, Agustina Dwi; Sulistiyadi, Haris; Fatmayanti, Halinda
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.
Penerapan Algoritma Adaptive Iterative Dose Reduction 3D (AIDR 3D) dalam Meningkatkan Kualitas Citra pada Pemeriksaan CT Coronary Angiography Rohmah, Alfisna Fajru; Abimanyu, Bagus; Susanto, Edy
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.v10i2.11346

Abstract

Background: CT Coronary Angiography (CTCA) is a non-invasive imaging modality with a high spatial and temporal resolution to diagnose coronary vascular disease. FBP (Filtered Back Projection) has limitations in improving the image quality, so iterative reconstruction is used on CTCA. Adaptive Iterative Dose Reduction (AIDR 3D) is one of the iterative reconstructions developed by Toshiba, which has three levels of strength: mild, standard, and strong. The study aimed to explain the application of AIDR 3D in improving image quality on coronary CT angiography examination. Methods: This research is descriptive with a literature study approach, using articles from NCBI, Science Direct, and Google Scholar. The keywords used are CT Coronary Angiography, AIDR 3D, and Image Quality. The articles obtained are reduced based on inclusion and exclusion criteria so that seven relevant articles are conducted for extraction.Results: The results showed that AIDR 3D could improve the quality of CTCA images with the most significant percentage in AIDR 3D strong by reducing noise 18-46.1% and increasing SNR 21-84.7% and CNR 21-82.2%.Conclusions: The application of AIDR 3D strong in obese patients with CTCA is good to use with standard kVp and 250-450 mA without increasing mA so that it does not increase the dose. AIDR 3D strong can also be used in patients with normal body mass with tube current adjusted according to the patient's body mass if there is no indication on the right coronary artery. AIDR 3D standard can be used in overweight patients and normal body mass.
Perbandingan Gambaran Tuba Pada Pemeriksaan Hysterosalpingography (HSG) Dengan Klinis Infertilitas Primer di Rumah Sakit Siloam Sriwijaya Palembang: Studi Kasus Rosalina, Lilis; Fatimah, Mustika; Utami, Muslimah Putri; Muliani, Rizka; Sari, Bunga Anggreini
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.
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 Yulianus, Evhal; Prasetya, I Made Lana; 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.
Optimasi Informasi Diagnostik Citra Axial MRI Brain antara Sekuen SWI dan T2 FLASH 2D pada Kasus Tumor Otak Farida, Siti Nur; Sulaksono, Nanang; Kurniawati, Ary
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.v10i2.11583

Abstract

Background: Pulse gradient echo sequences use varying RF excitation pulses and with NMV flips through various angles (not just 90°). Gradient echo has a sensitive susceptibility effect in detecting the presence of blood products (hemorrhage) and calcifications in brain tumors. The SWI and T2 FLASH 2D sequences are part of the pulse sequence gradient echo, where the SWI sequence is a 3D velocity compensated gradient echo and the T2 FLASH 2D sequence is a 2D multi-slice gradient echo. This study aims to determine the differences in axial image diagnostic information and determine the most optimal axial image diagnostic information in MRI brain examinations between SWI and T2 FLASH 2D sequences in brain tumor cases.Methods: This type of research is quantitative with an experimental approach. Data was taken in March 2024 at the Radiology Installation of RSUP Dr. Sardjito Yogyakarta. The sample in this study was 10 patients with brain tumor cases. An assessment was carried out by 2 respondents to assess the criteria for brain tumors. The assessment data from respondents was tested using the Cohen's kappa test to assess reliability between respondents and the Wilcoxon test to determine the level of difference in axial image diagnostic information, then the mean rank was used to determine sequences with better diagnostic image information.Results: The results of the study show that there is a difference in the diagnostic information of axial images on MRI brain examination between SWI and T2 FLASH 2D sequences in tumor cases with a p-value of 0.014. The significant difference is due to the susceptibility effect in both sequences. Based on the Wilcoxon test, the SWI sequence is the most optimal sequence in displaying diagnostic information with a mean rank value of 4.Conclusions: There is a difference of axial image diagnostic information between SWI and T2 FLASH 2D sequence in Brain MRI with brain tumors cases, and SWI sequence produces the most optimal axial image diagnostic information in MRI brain with brain tumor cases.
Optimasi Teknik MRI untuk Knee Joint: Perbandingan PD TSE Fat Saturation dan T2 Fat Saturation BLADE pada Potongan Coronal W.R.I, Muhammad Fajar; Prastanti, Agustina Dwi; Jannah, Marichatul
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.v10i2.11629

Abstract

Background: The use of PD TSE fat saturation (FS) sequences in coronal section of the MRI knee joint routine examination revealed artifacts caused by popliteal artery pulses. Meanwhile, there is T2 FS sequence with the BLADE technique that can reduce motion artifacts, but isn't used in the knee joint routine MRI examinations. BLADE is a technique of filling radial k-space around the center of k-space, thereby reducing motion artifacts and improving image quality. The aim of this study is to determine the differences in anatomical information, artifacts, and sequences that optimally reveal the anatomical information of knee joint between the PD TSE FS and T2 FS BLADE coronal section.Methods: This study used a quantitative research methods with an experimental approach. The sample of this study are 10 healthy volunteers and 2 radiologists as respondents. Each volunteer undergo an MRI knee joint examination with the PD TSE FS and T2 FS BLADE coronal section. The results of the two sequence images were assessed by the two respondents to obtain data for assessing anatomical information on the ACL, PCL, collateral ligament, articular cartilage, meniscus, subchondral bone, and artifact information. Data that has been obtained is processed using the Wilcoxon test.Results: The results shows that there are differences in the anatomical information of ACL, PCL, articular cartilage, and meniscus between the PD TSE FS and T2 FS BLADE coronal section. Meanwhile, there is no difference in the anatomy of the collateral ligament and subchondral bone. There is also a difference in artifact information between the two sequences.Conclusions: The T2 FS BLADE sequence is more optimal than the PD TSE FS sequence in displaying anatomic information and is also more optimal in suppressing ghosting artifacts from the popliteal artery pulse.
Analisis Informasi Citra Anatomi Ureter antara Safire dengan Filtered Back Projection pada Teknik Tracking CT Urologi Klinis Hidronefrosis Zakiah, Putri Vina; Rasyid, Rasyid; Prastanti, Agustina Dwi; Sulistiyadi, Akhmad Haris; Sudiyono, Sudiyono; Susanti, Maya
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.v1i1.11684

Abstract

Background: Clinical CT-Scan Examination and Noise Reduction in Hydronephrosis. Non-contrast CT-Scan examination is used to diagnose hydronephrosis and enhance diagnostic information in CT Urology tracking. However, CT Urography images often contain high noise levels due to examination parameters and patient size variations, which can obscure small anatomical details like the ureter. To improve image quality, reconstruction algorithms such as Filtered Back Projection (FBP) and Iterative Reconstruction (IR), particularly SAFIRE, are used alongside denoising techniques to reduce noise while preserving diagnostic information.This research aims to find the most optimal reconstruction algorithm for processing images regarding ureter anatomical information in tracking CT Urology techniques for clinical hydronephrosis.Methods: This is a quasi-experiment using the static group comparison method. Non-contrast CT (NCCT) Urology examination images in hydronephrosis patients were processed with FBP and SAFIRE strength 3 reconstruction algorithms. Assessment of anatomical image information analysis was conducted quantitatively by measuring noise and assessing anatomical information by respondents.Results: The results of this study are differences in anatomical information on Urology CT tracking images with variations in FBP and SAFIRE reconstruction algorithms with a p-value of 0.00 < (0.05 The study results showed significant differences in ureter anatomical information between CT Urology tracking images reconstructed with FBP and SAFIRE algorithms (p-value = 0.00 < 0.05). The alternative hypothesis was accepted, indicating that SAFIRE is more effective than FBP in reducing noise in CT Urology tracking images.Conclusions: SAFIRE produces higher image quality and lower noise in non-contrast CT Urology.
Analisis Perbandingan Hasil Spektrum Magnetic Resonance Spectroscopy Brain Dengan Variasi Ukuran Volume of Interest (VOI) Pada MRI Phillips 3T Icha, Aunisa; Prananto, Legia; Winarno, Guntur
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.v10i2.11753

Abstract

Background: Technically, by applying MR Spectroscopy it possibly makes that signal from several numbers of different chemical compounds can be obtained, separated, and quantified in simultaneous way. In relation to which, the quantification of brain metabolites in 1H MRS depends on the separation of spectroscopy signal of each metabolites. In this matter, spectrum results will be influenced by the size of volume of interest. In this matter, volume of interest (VOI) is a specific area in the tissue, whereby the metabolites of which, are analyzed. This research aims to analyze the comparison of the results of brain MRS spectrum with the different variation of Volume of Interest (VOI) measurements in MRI Phillips 3T.Methods: Design of this research applies quantitative method with experimental approach by using Philips Ingenia 3 Tesla MRI machine undertaken at radiology installation of Regional General Hospital Ciawi toward 11 brain MRI patients undergoing Magnetic Resonance Spectroscopy with the different variation size of Volume of Interest (VOI) namely 1.0 × 1.0 ×1.0 cm, 1.5 × 3.0 ×1.5 cm, and 2.0 × 2.0 × 2.0 cm.Results: This research suggests that there is a different height of NAA, Choline, Creatine, and Glx metabolites whereas for Myo-inositol, Lipids and Lactate metabolites there is not any significant difference. Meanwhile for Full Width Half Maximum, there is a significant difference with different variation of volume of interest (VOI).Conclusions: There is a significant difference in the height of metabolites NAA, Choline, Creatine, Glx (p value < 0,05), whereas for metabolites of Myo-Inositol, lipids, and Lactate (p value > 0,05) there were no significant differences at different variations of Volume of Interest (VOI). There is a significant difference with a p value of 0.000 < 0.05 in the Full Width Half Maximum (FWHM) value with different Volume of Interest (VOI) variations where the highest average Full Width Half Maximum (FWHM) value is VOI C (2.0 × 2.0 × 2, 0 cm) with an average of 21.476 followed by VOI B (1.5 × 3.0 × 1.5 cm) of 20.603 and the lowest average FWHM value is VOI A (1.0 × 1.0 × 1.0 cm) of 15.985 which means that the larger the size of the Volume of Interest (VOI), the higher the Full Width Half Maximum (FWHM) value will be. The size of the Volume of Interest (VOI) for the hippocampus area must be adjusted to the size of the patient's hippocampus because a size that is too large will cause unwanted areas to enter the Volume of Interest (VOI) and affect the spectrum results.
Analisis Pemeriksaan USG Thorax Marker dengan Klinis Efusi Pleura di Rumah Sakit Hermina Depok Abdul Aziz, Sahal Fahmi; Apriantoro, Nursama Heru; Kuswoyo, Heri
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. 
Peranan Teknik Compressed Sense (CS) pada Pemeriksaan MRI Lumbosacral dengan Kasus Hernia Nucleus Pulposus (HNP) Safruddin, Muhammad; Diartama, Anak Agung Aris; Triningsih, Triningsih
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.v1i1.11806

Abstract

Background: The number of Lumbosacral MRI examinations at the Radiology Department of the Regional General Hospital of West Nusa Tenggara Province averages 80 patients per month, with the most common case being Hernia Nucleus Pulposus (HNP). The normal duration for each examination is 17-20 minutes. Compressed Sense (CS) was always activated during the author's observation of these examinations, reducing the total scan time for Lumbosacral MRI examinations to 8 minutes. In some MRI cases, there are challenges with non-cooperative patients, such as traumatic cases and being unable to supine position, which causes moving artifacts and makes image results blur, activating the CS technique can solve this problem making examination times faster. The research aims to analyze and describe the technique, the role of the technique, as well as the advantages and disadvantages of the CS technique in Lumbosacral MRI examinations for HNP cases.Methods: This research is qualitative descriptive research with a case study and literature review approach. use 3 patients, 3 radiographers, dan 3 radiologists, do in March to April 2024. Data was collected by observation, deep interviews, and questionnaires for radiologists about image quality.Result: Three patients with clinical HNP underwent Lumbosacral MRI examinations without any special preparation. The Lumbosacral MRI protocol includes Survey, Coronal T2W TSE, Sagittal T1W TSE, Sagittal T2W TSE, Sagittal T2W TSE SPIR, Axial T1W TSE, Axial T2W TSE, and MYELO Radial. The protocols use the CS technique with a reduction score of 1.4, except MYEOLO Radial, which can reduce scan time to 7-10 minutes without decreasing image quality. The sequences used serve to provide anatomical information and pathology in the lumbosacral area.Conclusions: Lumbosacral MRI examinations using the Compressed Sense technique can shorten the examination time without significantly reducing the quality of the images produced, it proved by the questionnaire result. This can increase patient comfort during the examination. The use of reduction values in this CS technique must be considered as it can increase the value of Peripheral Nerve Stimulation (PNS).