Analisis Pemeriksaan Mri Brain dengan Sekuens Axial 3D T2 Spair pada Klinis Vertigo
DOI:
https://doi.org/10.31004/koloni.v5i3.1260Keywords:
axial 3D T2 SPAIR; CPA-IAC; Brain MRI; case study; vertigoAbstract
Penelitian ini bertujuan menganalisis prosedur pemeriksaan MRI Brain dengan sekuens Axial 3D T2 SPAIR pada klinis vertigo dan menilai perannya terhadap visualisasi anatomi CPA-IAC. Penelitian menggunakan metode kualitatif dengan pendekatan studi kasus di unit radiologi rumah sakit tempat penelitian. Sampel kasus terdiri atas tiga pemeriksaan MRI Brain klinis vertigo yang telah dianonimkan, sedangkan responden terdiri atas tiga dokter radiologi dan dua radiografer MRI yang dipilih secara purposif. Data diperoleh melalui wawancara terstruktur, telaah SOP, parameter sekuens, citra, dan hasil ekspertise. Prosedur meliputi persiapan dan skrining keselamatan pasien, positioning supine pada head coil, stabilisasi kepala, localizer, sekuens standar MRI Brain, dan penambahan Axial 3D T2 SPAIR. Sekuens ini memiliki irisan 1 mm, akuisisi 3D, kontras T2, penekanan lemak, dan kemampuan rekonstruksi multiplanar untuk membantu menampilkan CPA-IAC, internal auditory canal, kompleks nervus VII-VIII, dan labirin. Tiga sampel menunjukkan variasi temuan sentral dan vaskular, tetapi tidak ditemukan massa CPA-IAC atau kelainan saraf kranialis yang tervisualisasi. Hasil menunjukkan bahwa Axial 3D T2 SPAIR meningkatkan keterbacaan anatomi CPA-IAC secara kualitatif, dengan kendala berupa gerakan pasien, mual, kecemasan, dan tambahan waktu pemeriksaan.
References
American College of Radiology. (2024a). ACR Appropriateness Criteria: Hearing loss and/or vertigo. Retrieved May 22, 2026, from https://acsearch.acr.org/docs/69488/Narrative/
American College of Radiology. (2024b). ACR manual on MR safety. Reston, VA: Author.
Badan Penelitian dan Pengembangan Kesehatan. (2013). Riset Kesehatan Dasar (Riskesdas) tahun 2013 dalam bentuk angka. Jakarta: Badan Penelitian dan Pengembangan Kesehatan.
Badan Penelitian dan Pengembangan Kesehatan. (2019). Laporan Nasional Riskesdas 2018. Jakarta: Lembaga Penerbit Badan Penelitian dan Pengembangan Kesehatan.
Benson, J. C., Carlson, M. L., & Lane, J. I. (2020). MRI of the internal auditory canal, labyrinth, and middle ear: How we do it. Radiology, 297(2), 252–265. https://doi.org/10.1148/radiol.2020201767
Casani, A. P., Gufoni, M., & Ducci, N. (2023). Episodic vertigo: A narrative review based on a single-center clinical experience. Audiology Research, 13(6), 845–858. https://doi.org/10.3390/audiolres13060074
Creswell, J. W., & Poth, C. N. (2018). Qualitative inquiry and research design: Choosing among five approaches (4th ed.). Thousand Oaks, CA: SAGE Publications.
European Society of Radiology, Delattre, B. M. A., Laghi, A., Kincses, A., & Becker, M. (2025). ESR Modern Radiology eBook: Magnetic resonance imaging. Retrieved May 24, 2026, from https://www.myesr.org/app/uploads/2025/05/ESR_Modern_eBook_05.pdf
Hennink, M., & Kaiser, B. N. (2022). Sample sizes for saturation in qualitative research: A systematic review of empirical tests. Social Science & Medicine, 292, 114523. https://doi.org/10.1016/j.socscimed.2021.114523
Huang, K., Lin, X., Luo, Y., Hu, Q., Guo, B., Ouyang, F., et al. (2023). Image quality and evaluation ability of magnetic resonance imaging techniques for thyroid-associated ophthalmopathy: Dixon fat-suppression technique vs spectral attenuated inversion recovery. Frontiers in Medicine, 10, 1154828. https://doi.org/10.3389/fmed.2023.1154828
Lempert, T., Olesen, J., Furman, J., Waterston, J., Seemungal, B., Carey, J., et al. (2022). Vestibular migraine: Diagnostic criteria update. Journal of Vestibular Research, 32(1), 1–6. https://doi.org/10.3233/VES-201644
Lopez-Escamez, J. A., Carey, J., Chung, W. H., Goebel, J. A., Magnusson, M., Mandala, M., et al. (2015). Diagnostic criteria for Meniere's disease. Journal of Vestibular Research, 25(1), 1–7. https://doi.org/10.3233/VES-150549
Makhamrah, O., Ahmad, M. S., Doufish, D., & Mohammad, H. (2023). Internal auditory canal and cerebellopontine angle: Comparison between T2-weighted SPACE and 3D-CISS sequences at 1.5T. Radiation Physics and Chemistry, 206, 110797. https://doi.org/10.1016/j.radphyschem.2023.110797
McRobbie, D. W., Moore, E. A., Graves, M. J., & Prince, M. R. (2017). MRI from picture to proton (3rd ed.). Cambridge: Cambridge University Press.
Miles, M. B., Huberman, A. M., & Saldaña, J. (2014). Qualitative data analysis: A methods sourcebook (3rd ed.). Thousand Oaks, CA: SAGE Publications.
Neuhauser, H. K. (2007). Epidemiology of vertigo. Current Opinion in Neurology, 20(1), 40–46. https://doi.org/10.1097/WCO.0b013e328013f432
Neuhauser, H. K., von Brevern, M., Radtke, A., Lezius, F., Feldmann, M., Ziese, T., et al. (2005). Epidemiology of vestibular vertigo: A neurotologic survey of the general population. Neurology, 65(6), 898–904. https://doi.org/10.1212/01.wnl.0000175987.59991.3d
Pellegrino, N., Di Stefano, V., Rotondo, E., Graziosi, A., Rispoli, M. G., Torrente, A., et al. (2022). Neurological vertigo in the emergency room in pediatric and adult age: Systematic literature review and proposal for a diagnostic algorithm. Italian Journal of Pediatrics, 48, 125. https://doi.org/10.1186/s13052-022-01313-7
Rumah Sakit Baliméd Denpasar. (2025). Pemeriksaan MRI pada kepala: SPO.RAD.090. Denpasar: Rumah Sakit Baliméd Denpasar.
Strauss, S. B., Stern, S., Lantos, J. E., Lin, E., Shin, J., Yao, P., et al. (2022). High-resolution T2-weighted imaging for surveillance in postoperative vestibular schwannoma: Equivalence with contrast-enhanced T1WI for measurement and surveillance of residual tumor. AJNR American Journal of Neuroradiology, 43(12), 1792–1796. https://doi.org/10.3174/ajnr.A7717
Strupp, M., Bisdorff, A., Furman, J., Hornibrook, J., Jahn, K., Maire, R., et al. (2022). Acute unilateral vestibulopathy/vestibular neuritis: Diagnostic criteria. Journal of Vestibular Research, 32(5), 389–406. https://doi.org/10.3233/VES-220201
von Brevern, M., Radtke, A., Lezius, F., Feldmann, M., Ziese, T., Lempert, T., et al. (2007). Epidemiology of benign paroxysmal positional vertigo: A population based study. Journal of Neurology, Neurosurgery & Psychiatry, 78(7), 710–715. https://doi.org/10.1136/jnnp.2006.100420
Wang, L. L., Shih, R. Y., Dmytriw, A. A., et al. (2024). ACR Appropriateness Criteria dizziness and ataxia: 2023 update. Journal of the American College of Radiology. https://doi.org/10.1016/j.jacr.2024.02.018
Westbrook, C. (2014). Handbook of MRI technique (4th ed.). Chichester: Wiley Blackwell.
Yin, R. K. (2018). Case study research and applications: Design and methods (6th ed.). Thousand Oaks, CA: SAGE Publications.
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