Sri Andreani Utomo, Sri Andreani
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Evaluation Comparison Image Quality of Breath Hold (SSTSE) and Respiratory Triggering (TSE) Technique to the Examination of Magnetic Cholangiopancreatography (MRCP) Suroiyah, Nikky Anis; Latifah, Risalatul; Utomo, Sri Andreani
Journal Of Vocational Health Studies Vol 1, No 2 (2017): November 2017
Publisher : Faculty of Vocational Education, Universitas Airlangga

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Abstract

Background : Magnetic resonance cholangiopancreatography (MRCP) is MRI examination to visualize to visualize a disorder in part biliary or of the human bile. The artefact in the image MRCP is often happened due to the movement of respiratory system. Purpose :  This study to compare the better image quality between Breath Hold (SSTSE) and Repiratory Triggering (TSE)techinques. Methods : This study used observational analytic study with prospective approach. 16 samples were examined with two techniques SSTSE and TSE respectively in order to get 3D MRCP image. The Signal to Noise Ratio (SNR) and Contrast to Noise Ratio (CNR) is measured to evaluate the image quality. Result: The SSTSE technique only has a higher SNR in gallbladder meanwhile the TSE technique has a higher SNR in pancreatic duct. The higher CNR is got using TSE technique. Conclusion :  The TSE showed the higher SNR in pancreatic duct and the higher CNR is got with SSTSE technique. The recommendation technique for evaluating pancreatic duct is respiratory triggering.
Management of Lowe syndrome: a case report Prasetyo, Risky Vitria; Setiawan, Heru; Soemyarso, Ninik Asmaningsih; Noer, Mohammad Sjaifullah; Irwanto, Irwanto; Gunawan, Prastiya Indra; Loebis, Rozalina; Utomo, Sri Andreani; Tirthaningsih, Ni Wayan
Paediatrica Indonesiana Vol 55 No 3 (2015): May 2015
Publisher : Indonesian Pediatric Society

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Lowe syndrome (the oculocerebrorenal syndrome of Lowe, OCRL) is a multisystem disorder characterized by anomalies affecting the eyes, nervous system and kidneys.1-3 The disorder was first recognized by Lowe et al. in 1952, and described as a unique syndrome with organic aciduria, decreased renal ammonia production, hydrophthalmos, and mental retardation. In 1954, renal Fanconi syndrome was recognized as being associated with Lowe syndrome and in 1965, a recessive X-linked pattern of inheritance was determined.2,4 Lowe syndrome is a very rare disease, with an estimated prevalence in the general population of 1 in 500,000. According to the Lowe Syndrome Association (LSA) in the USA, the estimated prevalence is between 1 and 10 affected males in 1,000,000 people, with 190 living in the year 2000. The Italian Association of Lowe Syndrome estimated that there were 34 Lowe syndrome patients (33 boys and one girl) living in Italy in the year 2005.2,4,5 It almost exclusively affects males.6 Physicians may not be familiar with Lowe syndrome due to its rarity.4
ANALYSIS OF FRACTIONAL ANISOTROPY (FA) VALUES AND APPARENT DIFFUSION COEFFICIENT (ADC) VALUES IN ISCHEMIC STROKE DISEASES OF MRI GE 3 TESLA Mustofa, Ali; Sensusiati, Anggraini Dwi; Muhaimin, Muhaimin; Utomo, Sri Andreani; Latifah, Risalatul
Journal Of Vocational Health Studies Vol 2, No 3 (2019): March 2019
Publisher : Faculty of Vocational Education, Universitas Airlangga

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Background: Diffusion Weighted Imaging and Diffusion Tensor Imaging is an advanced technique in MRI that shows the diffusion in brain of ischemic stroke disease. Diffusion Weighted Imaging (DWI) shows the lesions without gadolinium contrast agent and produce Apparent Diffusion Coefficient values. Whereas, Diffusion Tensor Imaging (DTI) shows connectivity’s of central nervous system that cannot be seen by using conventional MRI. Diffusion Tensor Imaging produces Fractional Anisotropy values. Purpose:This study has aim to analyze the Apparent Diffusion Coefficient values and Fractional Anisotropy values in Stroke Ischemic disease. Methods: Total samples used are 14 samples, consist of 7 (50%) man and 7 (50%) woman with ischemic stroke disease. Each sample deals by Diffusion Weighted Imaging and Diffusion Tensor Imaging sequences. The Region of Interest (ROI) is placed in ischemic stroke lesions and contra lateral side of lesions. Results: The result shows that 9 samples of brain tissue lesions located in the right side and 5 samples in the left side. Right lesions have the average ADC stroke: 0.001748; normal ADC: 0.000954; FA stroke: 0.144522; and normal FA: 0.426111. While, left lesions have the average ADC strokes 0.000979; normal ADC: 0.000835; FA stroke: 0.2556; and normal FA 0.4324. Conclusion: So, the conclusion of this study is Apparent Diffusion Coefficient (ADC) values in case of ischemic stroke can decreases or increases depend on the age of stroke. While, the Fractional Anisotropy (FA) values will decrease without being affected by age of stroke.
FRACTIONAL ANISOTROPY AND MEAN DIFFUSIVITY VALUE IN 2ND GRADE OF DEGENERATIVE CERVICAL CANAL STENOSIS Cendikiawan, Hans; Utomo, Sri Andreani
Journal Of Vocational Health Studies Vol 2, No 3 (2019): March 2019
Publisher : Faculty of Vocational Education, Universitas Airlangga

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Background: By using T2 weighted image (T2WI) of Magnetic Resonance Imaging (MRI), a radiologist can classify degenerative cervical canal stenosis (DCCS) into three grade, but there is no correlation between stenosis classification with clinical symptoms. It means that radiologist need a new parameter to make an early detection for spinal cord injury (SCI). Objective: Proving decrease of FA and increase of MD at the most proximal level of 2nd grade DCCS patient compared with C1-2. Methods: Cervical MR examination with 15-direction DTI sequens was performed on twenty one patient with neurological signs and symptoms of 2nd grade DCCS. Apparent FA and MD maps were generated on axial plane. The FA and MD measurements in each individual were made at the most proximal level of 2nd grade DCCS and C1-2. Wilcoxon rank sump test was used to compare FA and paired t-test was used for MD. Result : There are significant differences for FA (p = 0,00) and MD (p = 0,00) at the most proximal level of 2nd grade DCCS compared with C1-2. Conclusion: This research shows that FA and MD value at DTI sequens can be used for SCI early detection at  2nd grade DCCS patient