Hepatitis is inflammation of the liver due to viral or alcohol infection. Hepatitis can cause death and the case always increases every year both in Indonesia and the world. The aim of this study is to describe and evaluate the management of examination such as patient preparation procedure, tool preparation, patient position, transducer placement, transducer used, and ultrasound image of hepatitis. This research was conducted by qualitative descriptive method. The population is all patients who perform liver ultrasound examination at RSUD Cengkareng Jakarta. The samples used were patients who performed liver ultrasound examination with clinical hepatitis. The number of samples used is 2 patients. After being analyzed and observed, ultrasonography is an accurate and accurate examination of the hepatitis case. Additional scripting techniques are sometimes required in certain cases to make the results more optimal. Based on this research, it can be expected that ultrasound modalities can be used as an appropriate supporting tool in establishing clinical hepatitis with accurate, fast, cheap and safe results.
Penelitian ini bertujuan untuk mengevaluasi verifikasi lapangan penyinaran pada kanker payudara menggunakan teknik Intensity Modulated Radiotherapy Technique (IMRT) dengan berbagai fraksi. Dalam pelaksanaan IMRT perlu dilakukan proses verifikasi 3 Dimensi untuk memastikan ketepatan koordinatiso center yang disebabkan oleh pergeseran. Untuk menganalisis nilai pergeseran antara Treatment Planning dan Radiation Treatment. Penelitian ini dilakukan di Departemen Radioterapi Rumah Sakit Siloam TB Simatupang pada bulan Februari – Juni tahun 2017. Desain penelitian ini bersifat kuantitatif deskriptif dengan menggunakan 15 sample pasien kanker payudara, Data yg diamati berupa nilai couch koordinat X,Y,Z hasil verifikasi Cone Beam Computed Tomography (CBCT) yang dianalisis menggunakan Uji statistic Uji Non Parametrik Wilcoxon. Instrumen penelitian yang digunakan adalah Pesawat LINAC Varian Trilogy dan alat verifikasi On Board Imager CBCT. Hasil penelitian pada couch longitudinal (koordinat Y) terdapat perbedaan yang signifikan antara Treatment Planning dengan Radiation Treatment. Sedangkan pada couch lateral (koordinat X) dan Vertikal (koordinat Z) tidak terdapat perbedaan yang signifikan. Dari hasil penelitian nilai rata-rata pergeseran setelah dilakukan verifikasi masih melebihi standar toleransi yaitu pada koordinat Y fraksi dengan nilai 0,2cm.(EVALUATION OF RADIATION FIELD VERIFICATION IN BREAST CANCER USING INTENSITY MODULATED RADIOTHERAPY TECHNIQUE ON DIFFERENT FRACTIONS)This study was aimed at evaluating radiation field verification in breast cancer using Intensity Modulated Radiotherapy Technique (IMRT) on different fractions. The implementation of IMRT required 3 Dimensional verification processes to ensure the accuracy of the coordinates of the center caused by the shift. To analyze the value of the shift between Treatment Planning and Radiation Treatment, this research was conducted at the Department of Radiotherapy of Siloam TB Simatupang Hospital in February - June of 2017. The design of this study was quantitative descriptive by using 15 samples of breast cancer patients. The data were observed in the form of couch coordinate values X, Y, Z. The verification results using Cone Beam Computed Tomography (CBCT) then were analyzed using statistical test of Non Parametric Wilcoxon Test. The research instruments used were LINAC Varian Trilogy and verification tools On Board Imager CBCT. The result shows that longitudinal couch (coordinate Y) indicated significant differences from the Treatment Planning using Radiation Treatment. While on the lateral couch (X coordinates) and Vertical (coordinate Z) has no significant difference. From the study result, the average value of the verification has exceeded the tolerance standard at coordinate Y with value 0.2cm.
Bakcground: The differences in fat suppression MR images between Proton Density Fat Saturated sequence with STIR sequence in MRI pedis sagital view. This research aims to analyze the differences of SNR, CNR, and the details MR images. Methods: Secondary data were using by non-probability sampling technique with 10 purposive sampling of pedis MR images Proton Density Fat Saturated sequence and STIR sequence sagittal view in DICOM were done by using imageJ software. The instrument of this research consisted of a worksheet and questionnaire. Result: This research showed SNR p value/sig 0,000 < 0,05 and CNR p value/sig 0,575 > 0,05. In Proton Density Fat Saturated sequence sagittal view the detail of ekstra-articular fluids value is 1,76, tendon Achilles value is 2,88, joint space value is 2,86 and bone marrow value is 2,04, contrast resolution value is 2,418, noise ratio value is 2,32. Pedis MR images of STIR sequence sagittal view the details of ekstra-articular fluids value is 2,92, tendon Achilles value is 3,28, joint space value is 2,84 and bone marrow value is 3,4, contrast resolution value is 3,022 and noise ratio value is 2,44. Conclusion: There is a significant difference of SNR value, no significant differences in CNR value and value of MRI pedis sequence Proton Density Fat Saturated sagittal detail is clear enough to show tendon achiles, bone marrow, joint space and not clear to show ekstra-articular fluids. STIR nice to show tendon achiles and bone marrow and clear enough to show ekstra-articular fluids and joint space.
ABSTRACT Diverticulum is outpouching of hollow (or fluid-filled) structures, which can form in various organs in the body. Increased intravesical pressure (3-5 times) causes the bladder mucosa to infiltrate itself between the bladder muscle bundles which results in the development of extravasational sacs or saccules which subsequently results in diverticulum formation. The sonographic diagnosis of bladder diverticula depends on the demonstration of communication between the bladder and the mass. When such communication, or estuary, is not seen during ultrasound examination, the bladder diverticulum can look like any other type of cystic pelvic mass. The approach used is descriptive qualitative. This study aims to analyze the examination of the USG Abdomen with clinical bladder diverticula to get an appropriate picture of USG so that the diagnosis can be established. The study population was patients who performed an abdominal USG examination at the Cilegon Regional General Hospital. The sample of this study were 1 (one) patient. The method used in collecting data in this study is observation, documentation, and literature study. Keywords: Ultrasound, Urinary Bladder, Diverticula
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