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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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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.
Computed Tomografi Angiografi (CTA) Pada Kasus Aneurisma Cerebral : Literature Review Kusnanto, Kusnanto
Jurnal Imejing Diagnostik (JImeD) Vol. 11 No. 2 (2025): JULY 2025
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v11i2.11948

Abstract

Background: A cerebral aneurysm is a sac or balloon in the artery within the subarachnoid space formed due to hemodynamic stress or turbulent flow. One method to confirm the diagnosis of a cerebral vascular aneurysm is cerebral CT scan angiography. CT Scan Angiography has great potential in vascular studies because of its sensitivity in detecting aneurysms. This research aims to analyze the results of angiography examinations using the CT scan modality in identifying cerebral aneurysms.Methods: This research is a literature-based study that uses secondary data from references to previous research, including literature reviews from textbooks and journal articles related to CT Scan Angiography in cases of cerebral aneurysm.Results: The expected results of this study are to determine the level of accuracy of angiographic examination with CT scan modalities in helping to establish a better diagnosis. The sensitivity of 3D CT Angiography examination in cerebral aneurysm cases is 67% and 70%.Conclusions: This research was conducted in the Radiology Department Room at Hospital X. Analysis of the results of Computed Tomography Scan Angiography (CTA) in Cerebral Aneurysm cases shows the results of the Aneurysm and bone structure clearly and can help make the right decision in surgery.
Analisis Perbedaan Citra SPECT Non-AC dan CTAC pada Pemeriksaan Scintigrafi Perfusi Miokard Nuryadin, Ridwan; Nurbaiti, Nurbaiti; Apriantoro, Nursama Heru; Budiawan, Hendra
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.v1i1.11971

Abstract

Background: Myocardial Perfusion Scan displays SPECT images, which is a non invasive imaging method for a quantitative view of myocardial ischemia which can’t be done with CT myocardial perfusion. The principle of myocardial perfusion scan is that the myocardial absorption of radiopharmaceuticals is proportional to coronary heart blood flow to the myocardium. The main problem with SPECT myocardial perfusion scan imaging is photon attenuation caused by soft tissue around the heart which causes inaccurate information and attenuation artifacts. One method to reduce attenuation artifacts is hybrid CT Scan imaging with SPECT tools. CT Scan images are used to correct attenuation in SPECT images. The purpose of this research is to analyze the differences between non-AC and CTAC SPECT images which will have an impact on myocardium perfusion values on myocardial perfusion scans.Methods: This research is a quantitative analysis with a direct observation approach. The research was undertaken at Nuclear Medicine and Molecular Theranostics Installation of Dr. Hasan Sadikin General Hospital in Bandung, starting November 2023 using a SPECT CT GE NM/CT 860 gamma camera. A total of 28 patients were examined for myocardial perfusion scans. Data processing is conducted by comparing the perfusion values of myocardium on non-AC and CTAC SPECT images for 28 samples by conducting hypothesis testing using paired test sample T-Test.Result: Based on the research results, non-AC, and CTAC SPECT image data showed a normal distribution using the Shapiro-Wilk test, allowing the analysis of differences using the Paired-Samples T-test. In general, the analysis results indicate a significant difference between non-AC and CTAC SPECT images, as the sig value is less than 0.05 in the RCA and LCx vascular segments, as well as in the septal, inferior, lateral, and apical wall segments. However, no significant differences were found in the LAD vascular segment and the anterior wall segment, as the sig value is greater than 0.05.Conclusions: There are differences between non-AC and CTAC SPECT images in the RCA and LCx blood vessel segments, as well as in the septal, inferior, lateral, and apical wall segments. However, no differences are observed in the LAD blood vessel segment and the anterior wall segment.
Analisis Tiga Bentuk Ukuran ROI terhadap Nilai ADC pada Kasus Hepatocellular Carcinoma Widiatmoko, Mahfud Edy; Tarigan, Asumsie; Widayadi, Widayadi
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.v1i1.12302

Abstract

Background: Hepatocellular Carcinoma (HCC) is the third leading cause of death in the world. One important aspect of lesion measurement in predicting HCC grading on Magnetic Resonance images is the ADC value obtained by performing Region of Interest can be a variation in shape size of Freehand, Circle, or Point voxel.Methods: Analytical quantitative research by comparing three shapes sizes ROI on the value of ADC in cases of HCC. Data was collected at the Radiology Installation of hospitals in Jakarta from 50 patients who underwent liver MRI with DWI-ADC Map images between January and October 2023. Analysis of data using Friedman test statistical test followed by Dunnet post hoc test.Results: ADC value for Freehand ROI was 1.33x10-3 mm2/s, Circle ROI was 1.31x10-3 mm2/s and Point Voxel ROI was 1.23x10-3 mm2/s. The statistic p<0.05 means that there is a significant difference in ADC values between Point Voxel and Freehand and Circle ROI.Conclusions: ROI with different size shapes (Freehand, Circle, Point Voxel) affects ADC value. Circle ROI is recommended to evaluate HCC because the placement of the ROI can avoid inhomogeneous areas when measuring the ADC value on an MRI of the Liver with Hepatocellular Carcinoma.
Perbedaan Nilai Dosis Radiasi Permukaan Kulit Gonad pada Radiografi Abdomen Antero Posterior pada Nilai mA dan s Berbeda dengan Nilai mAs yang Sama Isnoviasih, Susi Tri; Bequet, Angga Yosainto; Nurcahyo, Panji Wibowo; Puspita, Mega Indah; Putri, Nabila Pramitya; Mufida, Widya
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.v1i1.12308

Abstract

Background: Abdominal radiography examination is one of the examinations that is often carried out and contains radiosensitive organs, namely the gonads. Milli Ampere Second (mAs) is one of the parameters regulated in making radiographs besides kV. mAs is the product of mA and s and there are often variations in the use of mA and s values to produce the same mAs value. This study's objective was to identifythe difference in radiation dose values for the surface of the gonad skin on anteroposterior abdominal radiographs with changes in different combinations of mA and s values.sMethods: This is pre-experimental quantitative research. The research object is body phantom. Data were collected by exposing abdomen radiography the body phantom and measured the amount of radiation dose to the skin surface of the gonad. mA and s setting : 160 mA 125 ms; 200 mA 100 ms; dan 250 mA 80 ms. Data analysis was carried out using statistical tests.Results: The average radiation dose to the skin surface of the gonad organs in the combination is 160 mA 125 ms; 200 mA 100 ms; and 250 mA 80 ms, namely 883.27 µGy; 883.09 µGy; and 883.72 µGy. Statistical test results show there is no significant difference between the combination of 160 mA 125 ms; 200 mA 100 ms; and 250 mA 80 ms, namely 883.27 µGy; 883.09 µGy with a significance of 0.748 (p-value > 0.05). mAs determine the intensity of X-rays; the number of X-rays produced is proportional to milliamperes. As long as the mAs value remains constant, the amount of radiation intensity produced is the same, and the radiation dose is sameConclusions: There is no significant difference in the value of radiation dose to the skin surface of the gonad area on abdominal radiography with different combinations of mA and s values at the same mAs value
Prosedur Pemeriksaan MRI Cruris dengan Kontras pada Kasus Tumor Ambarwati, Seli; Sulaksono, Nanang; Jannah, Marichatul
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.v1i1.12436

Abstract

Background: This study examines the MRI Cruris contrast examination procedure for tumor cases at Dr. Moewardi Hospital. The hospital's MRI protocol includes sequences such as 3-plane localizer, Sag T1, Sag T2, Ax T1, Ax T2 STIR, Coronal T1, Coronal PD FS, Coronal T2* MERGE, 3D Coronal TRICKS, and post-contrast sequences Sag T1+C, Coronal T1+C, and Ax T1+C. The study aims to analyze the MRI Cruris contrast procedure, the rationale for using 5 ml contrast, and the importance of the Coronal 3D TRICKS sequence.Methods: A qualitative research method with a case study approach was used, involving observation, interviews, and documentation. The data was analyzed and presented in quotations to conclude.Result and Discussion: The MRI procedure begins with patient preparation, including laboratory tests for urea and creatinine levels, fasting for 4–6 hours, and filling out informed consent. Patients are positioned supine with feet first, and an air coil is placed on the leg. The use of 5 ml contrast enhances image quality, improves tumor detection, evaluates blood vessels, shows lesions, and determines tumor location and spread. The Coronal 3D TRICKS sequence provides clear MRA angiography, enabling better visualization of feeding arteries and rapid imaging of major blood vessels within 10 seconds.Conclusion: In conclusion, the MRI Cruris contrast protocol at Dr. Moewardi Hospital ensures high-quality imaging for tumor detection and diagnosis. The 5 ml contrast dose effectively enhances MRI images, and the Coronal 3D TRICKS sequence plays a crucial role in evaluating vascular structures.
Variasi Kadar Kacang Almond untuk Pembuatan Susu sebagai Alternatif Media Kontras Oral Magnetic Resonance Cholangio Pancreatography (MRCP) Erfansyah, Muhammad; Fatimah, Fatimah; Septiana, Ana
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.v1i1.12471

Abstract

Background: Exploring the manganese content in almond milk and the efficiency of the analytical method used in this measurement. This research aims to understand how much manganese is contained in almond milk and how mixing almonds with milk affects the mineral content and is used for MRCP examination.Methods: The research design is a true experimental design with quantitative methods. This design has a control group and a selected experimental group. Using almonds and manganese chloride (MnCl2) as a control. AAS testing to determine manganese content.Results: The research results showed that the manganese content in almond milk mixed with a ratio of 150 ml of milk per 150 grams of almonds was 0.01570 mg/L. This shows that almond milk contains amounts of manganese that can contribute to humans' daily mineral intake. In addition, this study also noted that almond milk with this mixture achieved a significant signal suppression ratio, namely 43.3/1.9. This signal suppression ratio is an indicator of efficiency or success in a particular research or testing process.Conclusions: The use of almond milk can be used as an oral negative contrast medium and can be used for Magnetic Resonance Cholangiopancreatography (MRCP) examination.
Metode Penyimpanan Media Kontras Oral Nanopartikel Mangan Teh Oolong untuk Pemeriksaan Magnetic Resonance Cholangiopancreatography (MRCP) Fatimah, Fatimah; Ardiyanto, Jeffri; Dartini, Dartini; Sugiyanto, Sugiyanto; Erfansyah, Muhammad
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.v1i1.12479

Abstract

Background: MRCP examination using natural manganese contrast media cannot provide optimal images of gastroduodenal suppression covering the biliary system when compared with standard contrast media. Various studies on manganese contrast media have been developed, but not much has been linked to the use of natural manganese nanoparticles as an alternative contrast media. This study aims to prove that manganese nanoparticles extracted from oolong tea as an alternative oral negative contrast medium for MRCP examinations are thought to improve image quality and do not cause neurotoxic effects in healthy volunteers.Methods: The research design carried out was experimental research. The research included making extracts and making oolong tea nanoparticles, and each expired or unexpired ingredient was observed using organoleptic tests in terms of taste, color, texture, and aroma, at 30 days, 90 days, and 120 days.Results: This research shows that Mn nanoparticle oral negative contrast media for oolong tea experiences significant changes in taste, color, texture, and aroma with storage time. Oolong tea stored for 60 days has the best characteristics with a fresh taste, bright yellow color, and smooth texture. After 90 days, the taste starts to become sour and bitter, with a grainy texture. 120 days of storage produced tea with a very sour and bitter taste, as well as a rough texture that the panelists didn't like. Organoleptic tests showed that panelists preferred 60-day (T1) oolong tea based on taste, color, texture, and aroma. Storage at a temperature of 4-25°C and paper sack packaging is more effective in maintaining tea quality.Conclusions: Storage of oolong tea with Mn nanoparticles shows that tea stored for 60 days has the best quality. Tea stored for 90 days begins to degrade, and after 120 days it is disliked because of its sour and bitter taste. Temperatures of 4-25°C and paper sack packaging are effective in maintaining tea quality.
Pemanfaatan Getah Pelepah Salak Sebagai Gel Ultrasonografi Alternatif Susanto, Fani; Wibowo, Kusnanto Mukti; Samudra, Alan; Yuswono, Puji; Utami, Hernastiti Sedya; Cayanan, Edgardo
Jurnal Imejing Diagnostik (JImeD) Vol. 11 No. 2 (2025): JULY 2025
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jimed.v11i2.12551

Abstract

Background: Conventional ultrasound (USG) gel was generally based on carbomer 940, which was relatively expensive, difficult to access in some areas, and not environmentally friendly due to its non-biodegradable nature. This study aims to evaluate the potential of salacca leaf sap as an alternative material for a more affordable, easily obtainable, and environmentally friendly natural ultrasound gel.Methods: A quantitative experimental study was conducted on 30 adult patients. Each subject underwent two liver ultrasound examinations using carbomer 940 gel and gel from salacca leaf sap. Image assessment was conducted by three radiology specialists using the visual grading method on the parameters of parenchyma, portal vein, nodules, and artifacts. Data were analyzed using the Wilcoxon test and Cohen's Kappa test to measure inter-rater agreement.Results: The research results indicate that there is no statistically significant difference between the ultrasound images using factory gel and salacca leaf sap gel (p > 0.05). All image parameters, such as parenchymal homogeneity, visualization of the portal vein, and minimal artifacts, appeared equivalent in both types of gel.Conclusions: Salacca leaf sap shows physical characteristics that support ultrasonic wave transmission and is capable of producing liver ultrasound images comparable to commercial gel. With local availability, low cost, and environmentally friendly properties, this material has the potential to be a viable alternative to ultrasound gel that can be further developed for clinical practice and areas with limited access.
Rancang Bangun Alat Pelapis Kaset Sebagai Upaya Pencegahan Infeksi pada Pemeriksaan Radiografi Prastanti, Agustina Dwi; Darmini, Darmini; Daryati, Siti; Wibowo, Gatot Murti; Suan, Kesita Grace Natalia
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.v1i1.12567

Abstract

Background: Infection control in radiography is carried out by wrapping tapes and radiograph equipment using polyethylene plastic bags. Existing conditions in the hospital require at least 1 to 2 layers of plastic for each radiography in patients with a history of infectious diseases. The use of plastic causes the amount of infectious plastic waste to be increased. Therefore, an alternative is needed to use acrylic mica material that can be used repeatedly and is environmentally friendly as a replacement for plastic bags.Methods: This research design is a Research and Development (RnD) study with the ADDIE model which is carried out with five stages, namely analysis, design, development, implementation, and evaluation. The data collection method is carried out by observation, testing the function of the tool, and then the data is processed and analyzed by criticizing the results of radiographic image quality using ImageJ software.Results: Four sizes of precision radiographic cassette coating have been produced with four radiographic cassette sizes. The average decrease in the mean number is 1.07%.Conclusion: The radiograph quality from using acrylic mica cassette coatings in radiograph examinations can still produce good quality radiographs based on the results of histogram graph analysis which produces graphs that have a similar shape between those without using cassette coatings and those with cassette coatings.

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