Publications by authors named "Kartamihardja A"

Article Synopsis
  • Active venous leg ulcers (VLU) are a serious form of chronic venous disease that drastically impact patients' health and quality of life, prompting economic concerns due to the need for treatment.* ! -
  • The study describes three patients with active VLUs treated through endovenous laser ablation (EVLA), which involved using specific laser energy protocols to target severe great saphenous vein reflux.
  • Follow-up results showed significant healing of the ulcers and reduced venous clinical severity scores, indicating that EVLA is a safe and effective treatment for patients with VLUs.
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 Urinary tract infection (UTI) is one of the commonly encountered conditions in children. Dimercaptosuccinic acid (DMSA) scintigraphy is widely advocated for functional and morphological evaluation of the renal cortex including parenchymal defect. Moreover, only a small percentage of renal defects are detected by ultrasound.

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  • - Varicose veins are a chronic venous disease that can lead to significant healthcare complications if treatment is delayed; common treatments include endovenous laser ablation (EVLA) and stab avulsion.
  • - A 71-year-old woman received innovative treatment for chronic venous insufficiency using direct varicose ablation, which was performed for the first time at the National Cardiovascular Center - Harapan Kita in Indonesia.
  • - The procedure resulted in complete obliteration of the incompetent great saphenous vein without any incisions or complications, and the patient was discharged with no significant issues two days later, highlighting the effectiveness of the Utoh's technique.
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  • Anthropogenic gadolinium (Gd), primarily from Gd-based contrast agents used in MRIs, was studied in the Tone River in Japan due to concerns about its toxicity and environmental accumulation.
  • * The research involved collecting water samples from 15 locations in the river and measuring Gd concentrations, revealing significant Gd-anomalies that increased by 7.7 times since 1996.
  • * Strong correlations were found between Gd-anomalies and the number of hospitals and MRI units nearby, highlighting an urgent need for further research on the health risks and removal technologies for anthropogenic gadolinium.
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Background: Suitable aortic neck is one of the essential components for thoracic endovascular aortic repair (TEVAR) and endovascular aortic repair (EVAR). Advanced techniques were developed to adjust and compromise the aneurysm neck angulation but with adding additional devices and complexity to the procedure. We proposed a simple technique to modify severe neck angulation and/or iliac artery tortuosity by using the multiple stiff wire (MSW) technique.

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Graves' disease (GD) is the commonest cause of hyperthyroidism, accounted for 70-80% in iodine sufficient countries and up to 50% in iodine deficient countries. Combination of genetic predisposition and environmental factors influences the development of GD. Graves' orbitopathy (GO) represents the most common extra-thyroidal manifestation of GD with substantial impact on morbidity and quality of life.

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Background: Tuberculosis remains a complicated problem. A lack of awareness accompanied by difficulty in diagnosis hinders the management of tuberculosis. Delayed management, particularly in osteoarticular regions, results in unnecessary procedures, including joint-sacrificing surgery.

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 The aim of this study was to determine the cut-off value of thyroglobulin (Tg) levels as a predictor of metastases in post total thyroidectomy patients with well-differentiated thyroid carcinoma (DTC).  A retrospective case-control study with an observational diagnostic approach was done. Subjects were 102 DTC patients divided into a case group with metastases and a control group without metastases.

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Therapeutic radiopharmaceuticals have been researched extensively in the last decade as a result of the growing research interest in personalized medicine to improve diagnostic accuracy and intensify intensive therapy while limiting side effects. Radiometal-based drugs are of substantial interest because of their greater versatility for clinical translation compared to non-metal radionuclides. This paper comprehensively discusses various components commonly used as chemical scaffolds to build radiopharmaceutical agents, i.

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  • Gadolinium deposition in the brain, especially in iron-rich areas, has raised concerns about its effects on neuronal cells, specifically focusing on Purkinje cells in the cerebellum.
  • The study examined how iron (Fe) influenced the impact of gadolinium-based contrast agents (GBCA) on the growth of dendrites in Purkinje cells using various treatment groups and immunocytochemistry techniques.
  • Results indicated that while the number of Purkinje cells remained similar across all groups, dendrite growth was significantly enhanced in groups treated with gadolinium compared to controls, with iron amplifying the gadopentetate effect but not influencing gadobutrol.
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Objective: Non-Hodgkin lymphoma (NHL) is a hematological malignancy with a high rate of relapse and refractory cases. It is believed to be caused by resistance to standard treatment modalities. Valproic acid (VPA), previously used as a broad-spectrum anticonvulsant drug, has been proposed for NHL owing to its action of epigenetic modification by inhibiting histone deacetylase.

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  • * The study involved three groups of renal failure mice receiving different treatments: saline, gadodiamide, and gadopentetate, over a three-week period, with skin lesions monitored and inflammatory markers analyzed.
  • * Results indicated increased fibrotic markers and NE activity in mice treated with GBCAs, with gadodiamide causing more significant changes compared to gadopentetate, suggesting NE's involvement in fibrosis development from GBCAs.
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  • - The study investigates the ability of water hyacinth to absorb gadolinium (Gd), which has not been thoroughly researched despite the plant’s known effectiveness at removing heavy metals.
  • - After growing water hyacinth in Gd-containing solutions for 30 days, results showed a 98.5% absorption of GdCl by the roots, with minimal transfer to the leaves, while only 12% of gadoterate (GBCA) was absorbed.
  • - The findings suggest that water hyacinth can effectively remove Gd ions from water without harming the plant, but it does not absorb GBCA, potentially leading to environmental risks as Gd accumulates in aquatic ecosystems.
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Background: Myocardial dissection (MD) in a left sinus of Valsalva aneurysm (LSVA) is a rare condition that may lead to a fatal complication. Determining the MD etiology is challenging because of various possibilities ranging from congenital to acquired diseases. Here, we discuss an approach for determining the etiology of MD complicating LSVA in Takayasu arteritis (TA) and its treatment.

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α-mangostin is a xanthone compound isolated from mangosteen pericarp. It is known as an anticancer through induction of apoptotic process by inhibiting fatty acid synthase (FAS) receptor. α-mangostin is a potentially useful ligand for diagnostic purposes in the form of complexes with a radionuclide such asGallium (Ga).

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Purpose: The aim of this study was to determine the influence of H2RAs to the 24-h I-131 uptake in the thyroid gland.

Material And Methods: A prospective study with quasi-experimental pre- and post-study design was done. Subjects with normal fT4 level who fulfilled the inclusion criteria were selected.

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  • Overexpression of the epidermal growth factor receptor (EGFR) is a key target for treating non-small cell lung cancer (NSCLC), but the effectiveness of cetuximab, an EGFR-targeting drug, remains uncertain due to difficulties in identifying appropriate patients.
  • This study explored the use of radiolabeled cetuximab as a non-invasive method to predict the drug's accumulation in NSCLC tumors with varying EGFR levels using PET imaging in mouse models.
  • Results indicated that higher EGFR expression significantly correlated with increased cetuximab uptake, suggesting that immuno-PET imaging could be a useful clinical tool for anticipating which NSCLC patients would benefit from cetuximab treatment.
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Objective: To investigate the role of transporter proteins in gadolinium (Gd) distribution and retention in the brain after one high-dose injection of Gd-based contrast agent (GBCA).

Methods And Materials: 30 ddY mice were randomly divided into three treatment groups to be intravenously injected with either Gadodiamide (linear GBCA), Gadobutrol (macrocyclic GBCA), or Gadoterate (macrocyclic GBCA) at a dose of 5 mmol/kg, while five mice in the control group received 250 µL saline. Five minutes (5 min) and ten days (10d) post-injection, the cerebrospinal fluid (CSF), choroid plexus (CP), and meninges and associated vasculature (MAV) were collected.

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Spines is a common site of extrapulmonary Mycobacterium tuberculosis infection (MTI). Spine destruction due to MTI can mimic other etiologies. Treatment of choice for spinal tuberculosis (STB) is anti-TB drugs while surgery could be needed in other causes.

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Background: We evaluated the potential of diffusion-weighted MRI (DW-MRI) and F-FDG-PET for the early prediction of a triple negative breast cancer (TNBC) response to cisplatin.

Methods: Cisplatin-treated TNBC tumor-bearing mice were categorized as responders or non-responders based on the tumor growth rate. DW-MRI and F-FDG-PET were performed before and after treatment (day 0 and days 3 and 7, respectively).

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Objective: Tuberculosis (TB) still remains the world's endemic infection. TB affects the lungs and any part of the body other than the lung. The diagnosis of TB has not changed much over the decades.

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  • * Bone scans (BS) are commonly used to monitor these metastases, but there’s a lack of effective clinical techniques for assessing bone tumors and their impact on patient risk.
  • * This study evaluated an automated bone scan index (aBSI) to predict survival in 50 PCa patients, finding that lower aBSI values correlated with better survival outcomes, establishing aBSI as a significant prognostic indicator for PCa prognosis.
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Alzheimer's disease (AD) is a type of dementia which is known as one of a major problem in elderly. Clinicians commonly use mini-mental state examination (MMSE) score to determine the severity of cognitive decline, but MMSE has some limitations such as more subjective, influenced by age, educational degree, and local culture. F-18 fluorodeoxyglucose positron emission tomography (F-18 FDG PET) can be used to assess the process of glucose metabolism in posterior cingulate cortex (PCC) area which endures a central role in supporting cognitive function directly.

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Thyroid nodule is one of the most common endocrine diseases in the world; it occurs in 4-7% of the general population. Depending on the method of discovery, 4-8% nodules are discovered using palpation, 10-41% with ultrasound (US), and 50% through autopsy where only 20% or less of cold thyroid nodules are caused by cancerous lesions. The aim of this study was to assess US as supporting modality for thyroid scintigraphy to predict malignancy in patient with thyroid cold nodules.

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