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Basuki, Hari
- Intracranial Meningioma Aggressivity Image and Level of Malignancy in Head Magnetic Resonance Imaging (MRI)
Authors
1 Department of Radiology, Faculty of Medicine - Dr.Soetomo General Hospital, Universitas Airlangga, Surabaya 60285, ID
2 Neuroradiology Division, Department of Radiology, Universitas Airlangga - Dr.Soetomo General Hospital, Surabaya, IN
3 Department of Radiotherapy, Universitas Airlangga - Dr.Soetomo General Hospital, Surabaya, IN
4 Department of Anatomical Pathology, Faculty of Medicine, Universitas Airlangga - Dr.Soetomo General Hospital, Surabaya, IN
5 Department of Biostatistics and Population, Faculty of Public Health, Universitas Airlangga, IN
Source
Medico-Legal Update, Vol 20, No 1 (2020), Pagination: 158-164Abstract
Background: Meningioma is the second most common central nervous system neoplasm in adults, usually benign that originally from arachnoid cap cells. Meningioma is categorized by WHO classification as benign (grade I), atypical (grade II), and anaplastic (grade III). Objectives: This study to know strong correlation between the image of intracranial meningioma aggressiveness and malignancy. Method: Restrivectively, forty-intracranial meningiomas of new cases who had undergone surgery from January 2014 to June 2015, preoperative MRI head examination and Anatomy Pathology at Dr. Soetomo Surabaya, observed signs of aggressiveness of meningioma and malignancy rate that analyzed by contingency coefficient and Spearman correlation coefficient. Results: Based on age 30-65 years; 82.5% of women and 17.5% of men was got a strong correlation between bone destruction (C = 0.533); weak association of intratumoral cystic changes (C = 0.230), hyperostosis (C = 0.327), vascular encasement (C = 0.327); a very weak correlation of extracranial tumor extension (C = 0.139), cerebral peritoneal edema (C = 0.104); with a malignant degree in meningioma. Conclusion: There was a strong correlation between bone destruction and malignancy rates in meningioma.Keywords
Intracranial meningioma, malignancy, MRI, nervous system
- Precision of 3D MSCT Scan Diagnostcs on Maxillofacial Trauma Compared to Stabilization and Instrumentation Operation Results
Authors
1 Department of Radiology, Faculty of Medicine, Universitas Airlangga-Dr. Soetomo General Hospital, Surabaya 60285, ID
Source
Medico-Legal Update, Vol 20, No 1 (2020), Pagination: 376-382Abstract
Handling standardized radiological readings of patients with maxillofacial trauma, particularly in radiology are currently absent. Appropriate and accurate of radiological reading results could be as the guideline for surgeons in determining surgical procedures. This study aimed to evaluate the diagnostic accuracy of maxillofacial fracture patients with head 3D CT scan compared to stabilization and instrumentation results as gold standard. Secondary data that derived from medical records were used as 29 patients with clinical maxillofacial trauma enrolled in this study at Radiology Section of Dr.Soetomo General Hospital from November 2012 to March 2013. The Mc Nemar test showed that there was no significant difference between the 3D CT scan results and the stabilization also instrumentation results with p = 1.000 (p> 0.05). While, the result was by calculating Kappa coefficient that a high suitability between head 3D CT scans and stabilization also instrumentation result with κ = 1.000, p = 0.000 (p <0.05). There were several complications in the form of Cranii Bone Fraktur (25%), intracranial complication (15.24%), Haematosinus (52.38%) and Soft tissue haematoma (32.38%) with most intracranial complications ICH (31.25%), then, most soft tissue complications were in the Orbita region (26.47%) and the most common Haematosinus complications regarding Sinus Ethmoid and Maksilaris (29.09%). It concluded that the 3D CT scan results were in accordance with the results of stabilization and instrumentation operations.Keywords
Maxillofacial Trauma, Head Ct Scan, Head 3D Scan, Stabilization Operation- Association of Periventricular Edema Thickness and Optical Perineal Thickness in Hydrocephalus Non Communications by Magnetic Resonance Imaging Examination
Authors
1 Department of Radiology, Faculty of Medicine-Dr.Soetomo General Hospital, Universitas Airlangga, Surabaya, ID
2 Department of Biostatistics and Population, Faculty of Public Health, Universitas Airlangga, Surabaya, ID
Source
Medico-Legal Update, Vol 20, No 1 (2020), Pagination: 1248-1252Abstract
Background: Hydrocephalus is a complex neurological disorder that characterized by increased amounts of cerebrospinal fluid and enlargement of the cerebral ventricles also subarachnoid space. Magnetic Resonance Imaging (MRI) is the first choice to diagnose hydrocephalus with better anatomical features. Periventricular interstitial edema is an indication of the presence of hydrocephalus, while Magnification of the diameter in the nerve sheath is an indicator of increased intracranial pressure in humans and apes.
Objectives: To analyze the correlation between the periventricular thickness of edema and optic perineurium thickness in non-communicating hydrocephalus with Magnetic Resonance Imaging (MRI) examination.
Method: The cross-sectional study using secondary data obtained 29 samples that met the criteria from January 2014 to April 2015 which was chosen by consecutive and then analyzed.
Results: Twenty-nine samples consisted of: women 16 (55.2%) and men 13 (44.8%), age <10 months (13.8%), age 10-19 months (34.5%), age 20-29 months (34.5 %), age 30-39 months (6.9%), age ≥39 months (10.3%). The age range of patients between 7 months and 46 months with mean age 21.93 ± 11.35 months. The results of the measurements showed that there was a correlation between the periventricular thickness of edema and the thickness of the optic peri nervus.
Conclusion: There was a correlation between the periventricular thickness of edema and the thickness of the optic peri nervus. The thicker the periventricular edema, the thicker the optic peri nervus.