Evaluasi Pemeriksaan MRI Brain dengan Klinis Vertigo di Rumah Sakit Otak dr. Drs. M. Hatta Bukittinggi

Mahfud Edy Widiatmoko, Asumsie Tarigan, Muslimatul Husna
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Abstract

Background: Vertigo is a symptom that arises as a result of disturbances in the balance of the vestibular system or disorders of the central nervous system. A radiological examination that can detect clinical vertigo is an MRI examination. There is a difference in the MRI Brain examination protocol for clinical vertigo between theory and the field, namely the addition of the 3D CISS protocol. The aim of this research is to determine the role of adding 3D CISS to MRI Brain examinations in clinical vertigo.Methods: This research is qualitative descriptive research, use 10 patients, and do in January to November 2023. Data was collected by observation, conducting interviews and questionnaires. This research use 13 sequences, namely Axial T2 TSE, DWI, Axial T2 TSE Dark Fluid, T2 SWI, Sagittal T1 TSE, Sagittal T2 TSE FS, Axial T1 TSE, Coronal T2 TSE, Coronal T1 TSE, Axial T1 TSE, Coronal, Sagittal + Contrast with cuts at the upper border of the vertex and the lower border of the cerebellum and T2 3D CISS axial isotropic sequences for the cuts used, namely at the level of the sponge, showing the vestibulocochlear cranial nerve (VIII).Results: The results of the assessment on the T2 3D CISS Axial Isotropic sequence showed that anatomical detail was clearly visible as much as 75% and the spatial resolution was clearly visible as much as 75%.Conclusions: Brain MRI examination with clinical vertigo provides information that helps in understanding the causes of vertigo, allowing for a more accurate and effective treatment approach.
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M. Hatta 脑科医院对临床眩晕症患者进行脑磁共振成像检查的评估
背景:眩晕是前庭系统平衡失调或中枢神经系统紊乱引起的症状。能检测临床眩晕的放射学检查是核磁共振成像检查。临床眩晕的核磁共振脑部检查方案在理论和实践上存在差异,即增加了三维 CISS 方案。本研究的目的是确定在临床眩晕的核磁共振脑部检查中添加三维 CISS 的作用:本研究为定性描述研究,使用 10 名患者,研究时间为 2023 年 1 月至 11 月。通过观察、访谈和问卷调查收集数据。本研究使用 13 个序列,即轴向 T2 TSE、DWI、轴向 T2 TSE 暗液、T2 SWI、矢状位 T1 TSE、矢状位 T2 TSE FS、轴向 T1 TSE、冠状位 T2 TSE、冠状位 T1 TSE、轴向 T1 TSE、冠状位 T2 TSE、矢状+对比,切口位于顶点上缘和小脑下缘,T2 三维 CISS 轴向各向同性序列用于切口,即海绵水平,显示前庭颅神经(VIII)。结果:T2 3D CISS 轴向各向同性序列的评估结果显示,解剖细节清晰可见率高达 75%,空间分辨率清晰可见率高达 75%:临床眩晕的脑磁共振成像检查提供的信息有助于了解眩晕的原因,从而采取更准确、更有效的治疗方法。
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