Prosedur Pemeriksaan MRI Pelvis Pada Kasus Kanker Serviks  di Instalasi Radiologi RSUP Dr. Hasan Sadikin Bandung

Fatimah; Akhmad Haris Sulistyadi; Fidya Karimah Ulfa

Fatimah Jurusan Teknik Radiodiagnostik dan Radioterapi; Poltekkes Kemenkes Semarang
Akhmad Haris Sulistyadi Jurusan Teknik Radiodiagnostik dan Radioterapi; Poltekkes Kemenkes Semarang
Fidya Karimah Ulfa Jurusan Teknik Radiodiagnostik dan Radioterapi; Poltekkes Kemenkes Semarang

Keywords: Pelvic MRI, DCE, T1W VIBE sagittal dynamic, cervical cancer

Abstract

Background: Cervical cancer is a carcinogenesis due to metaplastic process in squamocolumnar junctions. Based on the literature, DCE was not included in pelvic MRI protocol. However, at Radiology Department of RSUP Dr. Hasan Sadikin Bandung, pelvic MRI for cervical cancer cases utilized T1W VIBE sagittal dynamic sequence with DCE method. This research is aimed to perceive the procedure, the advantages and the disadvantages of T1W VIBE sagittal dynamic in pelvic MRI for cervical cancer cases.

Methods: This is qualitative research with case study approach. Data collection was accomplished in March-May 2023 at Radiology Department of RSUP Dr. Hasan Sadikin Bandung through observation, in-depth interview with radiographers, radiologist, and referring doctor, and documentation study. Interactive Analysis Model was utilized to analyze the data through data collection, coding, data display, and verification.

Results: The results showed, patient preparations started with screening, patients were instructued to change clothes to patient gowns and remove metal objects, IV-line insertions and intravaginal and intrarectal ultrasound gel injections. Pre-contrast sequences of Pelvic MRI were T1W TSE axial, coronal, sagittal; T2W HASTE axial, coronal, sagittal; T2W HASTE fat suppression sagittal, T2W TSE STIR coronal, DWI sagittal and post-contrast sequences were T1W VIBE sagittal dynamic, and T1W TSE fat suppression axial, sagittal dan coronal.

Conclusion: The advantages of T1W VIBE sagittal dynamic were its ability to determine cancer staging, lesion characteristic, tumor invasion to adjacent organs and likewise to detect fistulas. The disadvantages of this sequence were the long scan times, the risks of adverse reactions and the added cost from contrast media usage.