Peranan T2 HASTE dan T2 HASTE Fat Saturation pada Kasus Kanker Serviks di Instalasi Radiodiagnostik RSUP Dr. Hasan Sadikin Bandung

Abstract

Background: MRI pelvic examination procedure of cervical cancer case in Radiodiagnostic installation of RSUP Dr. Hasan Sadikin Bandung using T2 HASTE sequence and T2 HASTE Fat Saturation where the sequence is not used by some literature. This study aims to determine the examination procedure and the reason for the addition of the sequence in the pelvic MRI examination with cervical cancer cases.

Methods This study is a qualitative research with a case study approach. Respondents in this study include 3 patients, 3 radiographers, 3 Radiology Specialists, and 1 dispatcher. Data collection is done by observation, interview, and documentation. Data analysis using interactive models with the stages of data collection, data reduction, data presentation, discussion and conclusion.

Results: Pelvic MRI examination protocol with cervical cancer cases on pre contrast using localizer sequences, T2 HASTE sagittal, axial, and coronal, T2 HASTE Fat Saturation sagittal, T1 TSE sagittal and axial, DWI, T2 TSE STIR coronal. While in post contrast using sequence T1 VIBE Dynamic sagittal, T1 TSE Fat saturation axial, sagittal and coronal. The reason for the addition of T2 HASTE is to see lesions in the cervical area, measure the magnitude of the mass, reduce moving artifacts due to diaphragm movement, and be able to show enlarged lymph nodes in the pelvic area. The addition of T2 HASTE Fat Saturation is used to determine and detect the composition of cervical cancer lesions from cystic, solid, or bleeding.

Conclusion: T2 HASTE can detect and measure the magnitude of the mass while T2 haste Fat Saturation can see the components of the mass.