Prosedur Pemeriksaan MRI Leher pada Kasus Karsinoma Nasofaring di Instalasi Radiologi RS Ken Saras Kabupaten Semarang
Abstract
Background: Magnetic Resonance Imaging (MRI) is a diagnostic imaging modality that can generate slices anatomy body multiplanar by contrast in a very good resolution. The results of the of an MRI description is more accurate for diagnosing Carcinoma of the nasopharynx. On examination of of the neck MRI with the case of carcinoma, after infusion of contrast Moeller and Reif (2003) suggested to use T1 TSE Coronal and axial sequence and using the 4 mm slice thickness , but in Radiology instalation of Ken Saras Hospital using T1 and T1 TSE TSE Fat Saturation Coronal, sagittal and axial sequence as well as using slice thickness 2 mm in axial slices. The purpose of this research is to know the procedure of examination of of the neck MRI in the case of Carcinoma of the nasopharynx, justifying T1 Fat Saturation sequence after infusion media kontaras and reasons of wearing slice thickness 2 mm in axial slices.
Methods: This type of research is qualitative research with case studies approach. Data retrieval is done by observation, documentation, interviews with two specialists in radiology, 2 radiografer and 1 doctor who send the patient. The data obtained analized by using the table categorisation and coding.
Result: The results of the research showed that MRI examination procedure of the neck in the case of Carcinoma of nasopharynx in Radiology Installation of Ken Saras hospital using T1 TSE multi planar (coronal, sagittal and axial), T2 TSE multi planar and T2 TSE Fat Saturation multi planar sequences before infusion of contrast media, T1 and T1 TSE TSE Fat Saturation multi planar sequences after infusion contrast and using the slice thickness 2 mm in axial slices. Addition sequence T1 TSE Fat Saturation after infusion of contrast aimed to clarify the limits of the tumor with surrounding tissue and image of Lymphadenopathy.
Conclusion: While using 2 mm slice thickness in axial slices aims to show the abnormalities or nodules-small nodules on the nasopharynx and to see the expansion Stadium in the surrounding area of the nasopharynx.
Keywords
Full Text:
PDFReferences
Asroel, Harry A, 2002, Penatalaksanaan Radioterapi Pada Karsinoma Nasofaring. Diakses tanggal 14 Januari 2018: http://library.usu.ac.id/download/fk/tht-hary2.pdf
Ballenger JJ. 1994, Aplikasi Klinis Anatomi dan Fisiologi Hidung dan Sinus Paranasal. Dalam : Penyakit Telinga Hidung Telinga Tenggorok Kepala dan leher, Edisi ke-13, Binarupa Aksara : Jakarta
Bushberg TT, 2011, The Essentiae Physics of Medical Emaging Third Edition, Williams Wilkins : Philadelphia.
Cameron, Ian, 2009, Technique of Fat Suppression, Diakses tanggal 14 Januari 2018, http://cds.ismrm.org/protected/09MProceedings/files/Tues%20C Cameron.pdf.
Elmaoglu M,Celik A, 2012, MRI Handook,MR Physics,Patient Positioning and Protocols, Springer : New York.
Faiza S, Rahman S, Asri A, Karakteristik Klinis dan Patologis Karsinoma Nasofaring di Bagian THT- KL RSUP Dr.M.Djamil Padang, Diakses tanggal 12 Januari 2018, http://jurnal.fk.unand.ac.id/index.php/jka/article/view/450
George R, J. Dela Cruz, R. Singh, dan Fran Han, 2014, MRI Of Nasofaring. www.mrimaster.com. Diakses pada tanggal 22 Mei 2016.
Kartawiguna, Daniel, 2015, Tomografi Resonansi Magnetik Inti, Teori Dasar, Pembentukan Gambar dan Instrumentasi Perangkat Kerasnya, Graha Ilmu, Jogjakarta.
Klefer Berthold, Wilhelm Horger, 2011, Fat Suppression Techniques-a Short Overview, Diakses tanggal 16 Januari 2018, https://static.healthcare.siemens.com/siemens_hwem hwem_ssxa_websites-root/wcm/idc/groups/public/@global/@imaging/@mri/documents/download/mday/mju2/~edisp/mri_46_horger-01203110.pdf
Kuperman, Vadim, 2000. Magnetic Resonance Imaging Physical Principles and Applications. Academic Press, A Harcourt Science and Technology Company : New York.
Kurniawan P, Yusuf M, 2014, Proses Metastasis pada Keganasan Kepala dan Leher, Jurnal THT - KL, Vol. 7, No. 1. Diakses tanggal 14 Januari 2018 journal.unair.ac.id/download-fullpapers-thtkl8acd34b0212full.pdf
Marlinda, Soehartati G, 2017, Kanker Nasofaring, Diakses tanggal 14 Januari 2018, kanker.kemkes.go.id/guidelines/PNPKKNF.pdf
Moeller and Reif, 2007. Atlas of Sectional Anatomy, Computer Tomography and Magnetic Resonance Imaging, Thiem Stuttgart : New York.
Moeller dan Reif, 2003. MRI Parameters And Posotioning. Thiem Stuttgart : New York.
Nurul A dan Dwi A, 2017. Instrumentasi pada Magnetic Resonance Imaging, Diakses tanggal 20 Mei 2018, http://dwi-arini-vokasi16.web.unair.ac.id/artikel.html
Razek, Ahmed Abdel Khalek Abdel dan Ann King. 2011. MRI and CT of Nasopharyngeal Carcinoma, American Journal, Diakses pada tanggal 22 Januari 2018.
Sudiono J, Irma H, 2013, DNA Epstein-Barr virus (EBV) sebagai biomaker diagnosis karsinoma nasofaring, Jurnal Unair, Diakses pada tanggal 22 Januari 2018. https://e-journal.unair.ac.id/MKG/article/download
Westbrook, C, dan Kaunt, C., 2011, MRI in Practise, Blackwell Science Ltd : United Kingdom.
Woodward, Peggy ang William, W. Arrison, 2001, MRI Optimization, a hand on approach, McGraw-Hill, Co : USA
DOI: https://doi.org/10.31983/jimed.v7i1.6613
Article Metrics
Refbacks
- There are currently no refbacks.
JURNAL IMEJING DIAGNOSTIK by http://ejournal.poltekkes-smg.ac.id/ojs/index.php/jimed is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.