Backgroud: Urolithiasis is the formation of crystalline mineral deposits in the urinary system. Examination of MSCT Urographic with and without administration of intravenous contrast media is used to detect various abnormalities in the urinary tract area. This study aims to analyze MSCT Urographic examination procedures in patients with clinical Urolithiasis at the Radiology Unit of Premier Bintaro Hospital.Methods: Type of study is qualitative with a case study approach. Collection data was conducted at the Radiology Unit of Premier Bintaro Hospital with specialists and documentation observation methods, interviews with radiographers and radiology. Data processing and analysis are carried out descriptively related to the results of observation, interviews and documentation so that conclusions and suggestions can be drawn.Results: Urographic MSCT examination in patients with clinical Urolithiasis performed with patient preparation by laboratory check to check kidney function (urea and creatinine), examination was performed using the MSCT rutine protocol with the addition of contrast media by scanning the unenhance phase, enhance phase includes arterial phase, phase portal vein and delay phase which is 7 minutes and 15 minutes with prone patients in the kidney vesica urinaria area, and post void. The addition of contrast media is intended to show enhancement and narrowing of the urinary tract.Conclusion: Examination of MSCT Urography in patients with clinical Urolithiasis in the Radiology Unit of Premier Bintaro Hospital is done with patient preparation laboratory check, the protocol is done by scanning the unenhance and enhance phases.
The T2 weighted imaging of coronal MRCP can used a sequence derived from spin echo is the SS-FSE sequence and the gradient echo fast imaging is FIESTA. SS-FSE can be done with the fat saturation technique to suppress the fat signal so that it will be hypointense. The use of the breath-hold technique can also be used in both sequences. This study was to compared the differences in coronal MRCP image information between SS-FSE and FIESTA fat saturation to evaluate their ability to depict the image quality of MRCP. 15 patients performed 2D T2 SS-FSE and FIESTA fat saturation coronal MRCP. The images analyzed by qualitative study that was carried out by MRCP questionnaire which was examined by radiologist. Quantitative analysis was conducted by measuring the signal-to-noise ratio (SNR) values. The result is the FIESTA fat saturation sequence shows better image information and more optimized SNR than the SS-FSE on coronal MRCP because it can reveal more clear and informative anatomy such as common bile duct, pancreatic duct, cystic duct and intrahepatic duct. Finally, FIESTA fat saturation can be used as a effective alternative sequence and can improve billiary system of MRCP image quality
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