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Hemorrhoids are swellings of tissue containing veins located in the walls of the rectum and anus. Mass or bulge in the anal area accompanied by anal bleeding is the main symptom. Proper diagnosis and management of hemorrhoids is very important to reduce morbidity and improve the patient's quality of life. This case report was obtained from primary data through history taking, physical examination and supporting examination. The patient complains of a lump in the anus accompanied by bloody stools since 5 years. Initially the lump came out if the patient strained and could still go in on its own if the patient was not straining anymore. But since 1 year, the lump can't go in on its own, but must be helped to push it with a finger. Heavy bleeding from the anus since 2 months ago. On physical examination the rectal toucher found: good anal sphincter tone, palpable mass with a flat surface, solid, chewy consistency, reddish color, firm boundaries, tenderness (+), lumps can be inserted with fingers, blood on gloves (-), mucus (-), feces (-). Colonoscopy examination revealed grade III internal hemorrhoids. The treatment is hemorrhoidectomy.

Background: Kidney stones (nephrolithiasis) are solid masses formed from urine precipitated crystals. The formation of stones is caused by increased calcium, oxalate and uric acid content in the body, scans to view kidney stones (nephrolithiasis) can be performed with or without contrast. Non-contrast CT urography is the imaging modality of choice for the initial evaluation of patients with suspected urolithiasis, as it has a sensitivity of up to 98% and specificity of 96-98%. Components that affect image quality in CT scans are spatial resolution, contrast resolution, and noise. One of the important parameters in image quality is the selection of slice thickness. Spatial resolution is the ability to show objects or organs with a high level of contrast. Noise is the standard deviation percentage of the sum of pixel values obtained from the waterbath image. Methods; This type of research is quantitative research with an experimental approach to analyze the effect of slice thickness variations on image quality using variations of 2 mm, 3 mm, 4 mm, 5 mm, and 6 m. The data were collected in August 2023 with 10 samples. Data were collected in August 2023 with 10 samples. Researchers took urographic CT scan examination data with a diagnosis of nephrolithiasis. Results and Conclusion: With the results of the research conducted, it can be concluded that in the overall Friedman test results there is an effect of using slice thickness variations on image quality in urographic CT Scan examinations with nephrolithiasis diagnoses. using slice thickness variations. Based on the results of this study, the researcher can recommend on CT Scan urography with nephrolithiasis diagnosis using 4 mm slice thickness to get good and optimal image quality results.

Introduction : Mastoiditis is inflammation that occurs in the mastoid bone located in the temporal bone. Mastoiditis can affect all ages, both children and adults. The most frequent cause of the disease is stressptococcus pneumonia. This disease requires surgery as soon as possible. Mastoiditis can develop into a bezold abscess if left untreated. Case report: This case report is about a 31-year-old male patient complaining of swelling the size of a marble seed on the bone behind the right ear ± 1 week, swelling from the protruding bone behind the right ear to the neck. Swelling is accompanied by pain, redness, fluctuations (+), fever that disappears and decreased hearing function. Conclusion: The patient has a bezold abscess preceded by mastoiditis. The diagnosis in this patient is based on history, physical examination, and supporting examinations in the form of laboratory and mastoid X-rays with stenvers and schuller positions. In patients carried out drainage measures of abscesses as well as pharmacotherapy administration.

Mitral stenosis (MS) is a heart valve disorder in which the mitral valve (located between the left atrium and left ventricle) becomes narrowed or hardened, blocking blood flow from the left atrium to the left ventricle. Coronary angiography (CAG) is an invasive diagnostic technique used to evaluate the condition of the coronary blood vessels in patients with acute transmural myocardial infarction (MI). Coronary Angiography (CAG) examination in cases of Severe Mitral Stenosis (MS) Severe involves patient preparation, equipment preparation, medical team, examination procedures, post-action care, description of examination results, and its role in the management of Severe (MS) Patient preparation involves patient education about procedures, fasting before examination, renal function checks, medication adjustments, vascular access preparation, discussion of contrast agents, and vital monitoring. Narrowing of the heart's mitral valve is a pathological condition in which this narrowing inhibits blood flow from the left atrium to the left ventricle. Coronary angiography (CAG) plays an important role in clinical evaluation and therapeutic planning. Background: Mitral stenosis (MS) is a heart valve disorder in which the mitral valve (located between the left atrium and left ventricle) becomes narrowed or hardened, blocking blood flow from the left atrium to the left ventricle. This can increase pressure in the left atrium and reduce the amount of blood pumped throughout the body. Because MS is associated with increased left atrial pressure and can affect overall cardiac hemodynamics, it is important to understand how this condition may interact with coronary artery pathology. This research method is a literature review study, where literature exploration is carried out in various databases with keywords such as Coronary Angiography, Severe Mitral Stenosis Cases. Results: Coronary Angiography (CAG) examination in cases of Severe Mitral Stenosis (MS) Severe involves patient preparation, equipment preparation, medical team, examination procedures, post-action care, description of examination results, and their role in the management of (MS) Severe Patient preparation involves patient education about the procedure, fasting before examination, renal function testing, medication adjustments, vascular access preparation, discussion of contrast agents, and vital monitoring. Severe (MS) patients require special attention in this preparation. Equipment preparation includes a stable catheterization table, a fluoroscopic imaging system, various types of catheters, appropriate contrast agents, resuscitation equipment, pre-procedure medications, and hemostasis equipment. The medical team involved in CAG examination in Severe (MS) patients involves an interventional cardiologist, radiological technologist, catheterization nurse, catheterization technician, and additional support personnel such as the anesthesia team and resuscitation team. The examination procedure includes patient preparation, vascular access, catheter insertion into the coronary arteries, evaluation and imaging of the coronary arteries, and completion of the procedure. CAG examination has an important role in the detection of coronary artery disease. CAG examination in patients with (MS) Severe requires careful preparation and involves the collaboration of a well-coordinated medical team to provide optimal results and a significant contribution in the management of (MS) Severe. Conclusion: Narrowing of the mitral valve, severe mitral stenosis (MS) is a pathological condition where this narrowing inhibits blood flow from the left atrium to the left ventricle. This condition is most often caused by rheumatic heart disease, which results in inflammation and ultimately thickening and narrowing of the mitral valve. Coronary Angiography (CAG) examination in Severe Mitral Stenosis (MS) cases has an important role in detecting coronary artery disease.

Supervision and care during pregnancy is something that is important to do for the survival of the mother and the baby to be born. Antenatal care (ANC) is a pregnancy examination to optimize the mental and physical health of pregnant women. So that they are able to deal with childbirth, the postpartum period, preparation for breastfeeding and the return of reproductive health in a natural way. This study was conducted to determine the experience of midwives in providing counseling about ante natal care to pregnant women at the Puskesmas in Padangsidimpuan City. The research design is phenomenology. The method of data collection was carried out by in-depth interviews. Purposive sampling method was used to select participants who met the criteria as participants. Participants involved in this study were midwives who worked at the Puskesmas in Padangsidimpuan City, totaling 3 people. The results of the interviews were transcribed and analyzed using the Collaizi method and obtained 5 themes, namely: 1) The motivation of midwives to provide counseling, 2) Obstacles faced by midwives in providing counseling, 3) Strategies to motivate pregnant women to participate in counseling, 4) Responses of pregnant women after receiving counseling , and 5) Support from health institutions for puskesmas activities. Keywords: Midwife, counseling, pregnant women

CRS occurs when there is irritation to the cervical nerve roots due to the vertebral disc bulging out. In diagnosing CRS, supporting tools such as MRI are needed. The purpose of this study was to determine how the cervical MRI examination procedure with a diagnosis of CRS at the Radiology Installation of Dr. Moewardi Hospital and why the cervical MRI examination with a diagnosis did not use the T2*GRE and Proton Density sequences. This study used a qualitative method with a case study approach conducted from June-July 2023 with the object of research as many as five patients diagnosed with CRS. The respondents consisted of three radiographers, three radiology specialists, and one sending doctor. The cervical MRI examination procedure with a diagnosis of CRS at the Radiology Installation of Dr. Moewardi Hospital has no special preparation, the patient only releases metal objects in the patient's body before entering the examination room. The sequences used are Coronal T1 FSE, Coronal STIR, Sagittal T2 FRFSE, Sagittal T1 FSE, Sagittal STIR, Axial T2 FRFSE, Axial T1 FSE, and Myelography. Based on the results of the study, using T2*GRE in CRS diagnosis will produce a poor picture. While Proton Density is good for bone but because of the use of a long time and CRS diagnosis is more focused on nerve fibers and soft tissue, it does not need to be used.

Hyperlipidemia is a metabolic disorder that indicates an increase in lipid levels in the body. Obesity, particularly central obesity, is correlated with hyperlipidemia and metabolic syndrome. Complications of hyperlipidemia such as coronary artery disease, type 2 diabetes, and high blood pressure can be fatal if left untreated. Education and early detection of hyperlipidemia are crucial to prevent serious complications and maintain good health. This community service involved 50 elderly at Santa Anna Elderly Care Facility. All respondents participated in a series of activities, including education through posters, physical examinations, and diagnostic tests. Results of the diagnostic tests indicated 2 respondents had LDL levels ? 135 mg/dL, 6 respondents had HDL levels < 40 mg/dL, and 12 respondents had total cholesterol levels ? 200 mg/dL. The results of the education activities are expected to increase public awareness, all of which can reduce the overall healthcare burden when applied correctly and properly.

The determination of a suspect must be in accordance with applicable legal provisions based on 2 (two) valid pieces of evidence, namely witness statements obtained by the investigator, expert statements obtained by the investigator, letters, and instructions for each piece of evidence obtained by the investigator through an in-depth examination. The investigator's coercive actions must be carried out responsibly according to the law and legal provisions so that arbitrary actions do not occur against the suspect's freedom, independence, and human rights. The problem in this research is the law, implementation, and what factors become obstacles and obstacles in the process of determining suspects for perpetrators of criminal acts. This research uses a descriptive analysis method using a normative approach (legal research) and is supported by empirical research. This was carried out to obtain primary data obtained through interviews through field research. The results of this study explain that the Criminal Procedure Code (KUHAP) has clearly and firmly regulated matters relating to the rights of suspects. The rights of suspects regulated in the Criminal Procedure Code are Priority Rights for Case Settlement, this has been emphasized in Article 50 of the Criminal Procedure Code (KUHAP) which reads: a) A suspect has the right to immediately be examined by investigators, then can be submitted to the Public Prosecutor. b) The suspect has the right to immediately bring his case to court by the public prosecutor. c) The accused has the right to be tried immediately by the Court., The right to prepare a defense, the right to get an interpreter, and the right to choose their own legal adviser The purpose of this right is to get legal counsel in accordance with the provisions of Article 54 of the Criminal Procedure Code for suspects. For this reason, it is expected that in determining the suspect to have qualified investigators they pay attention to the following matters: Have general knowledge, Knowledge is quite broad, where Investigating Officers are required to have knowledge that is quite extensive, Confident in themselves. Investigating Officers must have high self-confidence, have character, be professional, understand psychology practically, be brave, honest, talented actor, wise, alert, and experienced. Courage, honesty, wisdom, and vigilance are needed in the examination process by an investigating officer. Experience Investigating officers must be experienced in order to master psychology/psychology and be able to act in acting is also very important to have.

The aim of this study was to analyze the results of Hb screening of pregnant women in the third trimester and birth weight. Cross sectional observational research. Population of third trimester pregnant women in the Labuhan Rasoki Health Center area, Southeast Padangsidimpuan District, Padangsidimpuan City. The total sample population was 30 respondents. Data were collected for Hb examination using the Easy Touch GHb tool and weighing newborns. Pearson correlation test data analysis.       Results: Relationship between age and birth weight. Pearson correlation coefficient value (r) -0.464, significance level (p) 0.007, significant between age and birth weight of the baby. Parity with an r value of -0.300, significance level (p) 0.007, is not significant between parity and birth weight. The r value of pregnancy spacing is -0.234. significance level (p) 0.198, there is a significant relationship between pregnancy distance and birth weight. LILA r value is -0.030, significance level (p) 0.869, there is no significant relationship between LILA measurements and birth weight of the baby. Hemoglobin, r value 0.751, significance level (p) 0.058. There is a significant relationship between third trimester Hb levels and baby birth weight.elationship between external factors which are significantly related to birth weight, age, gestational interval and the Hb level of pregnant women. Arm circumference and parity were not related to birth weight. Pregnant women's Hb is checked every trimester, the data supports care planning.

Mycobacterium tuberculosis is a bacterium that causes the infectious disease pulmonary tuberculosis (TB). Bayongong District is ranked second in terms of TB cases found in Garut Regency. The involvement of adolescents in controlling TB disease is needed as an agent of change to increase early detection of TB in their family members. With early detection of TB disease, treatment can be started quickly and transmission can be controlled. To increase teenagers' knowledge and awareness of TB disease, it is necessary to provide education to teenagers, namely high school students in Bayongbong District, about the importance of recognizing symptoms, transmission, prevention and treatment, as well as laboratory examinations for TB disease. Education is carried out by presenting material related to TB disease. Apart from that, students were also shown a video on how to carry out a TB examination using BTA (Acid Fast Bacteria) staining and TCM (Rapid Molecular Test). Before and after education, each student received a questionnaire designed to measure their level of knowledge. After community service, education about TB disease among high school students resulted in an increased understanding of TB symptoms, transmission, prevention, treatment and examination.

Medical records are files that contain records of documents regarding patient identity, examinations, treatment, actions and other services provided to patients. Medical records contain written or recorded information containing identity, anamnesis, support, diagnosis, services and medical actions that will be given to patients and treatment whether inpatient, outpatient or receiving emergency services (Permenkes RI No. 269 of 2008) . Increasing the effectiveness of recording medical record data accurately and quickly can take advantage of current technological advances through Electronic Medical Records (RME). Electronic Medical Records are Medical Records created using an electronic system intended for the maintenance of Medical Records

Background: The component that can affect image quality is noise. Noise in CT Scan images comes from random variations in photon detection. Scan time is the time it takes for x-rays to exit for data collection of each slice. Pitch is one of the important component parameters in the CT Scan protocol and fundamentally affects the quality of the resulting image, as well as the time required for scanning. The use of pitch in the Radiology Installation of Ibnu Sina Islamic Hospital Pekanbaru in the head CT Scan examination is 0.55. The pitch value variations used by the author in this study are pitch 0.55, 0.75, 1, 1.25 and 1.5.Methods: This type of research is quantitative research using an experimental approach. The study was conducted to determine the effect of pitch value variation on image quality (noise) and scan time using a water phantom on head CT Scan examination protocol using pitch 0.55, 0.75, 1, 1.25 and 1.5. A sample of 10 CT Scan images was taken, and the image quality (noise) was measured by identifying a specific region in the image (Region of Interest or ROI), while the scan time value was observed from the consul monitor. Data analysis was performed using one-way ANOVA statistical test with a significance level of 5%.Results: The results show that there is a significant difference in image quality (noise) on pitch value variation, with a significance level of 0.004, and there is also a significant difference in scan time on pitch value variations with a significance level of less than 0.001. Conclusions: Based on the conclusion, pitch 1 is the value that produces optimal noise level and scan time in head CT Scan protocol using water phantom.  

The diagnosis of obstructive ileus is comfirmed by a CT Scan of the abdomen. The CT Scan of the Abdomen examination procedure with contrast in clinical obstructive ileus at Bhayangkara Hospital Makassar uses intravenous contrast injection. This study aims to analyze abdominal CT Scans with contrast in cases of obstruktive ileus and the contrast media injection technique used. This type of research is descriptive qualitative with a case study approach. This research was conducted at Bhayangkara Hospital Makassar. Data collection methods and were carried out by means of observation, interviews, and documentation. The results of this study show that the abdominal protocol, then pre contrast scanning is carried out. 50 ml of contrast is admistered intravenously. The abdominal CT Scan examination procedure with contras in cases of obstructive ileus at Bhayangkara Hospital Makassar only uses intravenous administration of contrast media because it is sufficient for diagnosis and the examination time is shorter.

Sharia Microfinance is support given to clients who need resources as business capital or hypothesis. This help can give accommodation to MSMEs who need resources for increment sharia microfinancing to foster their associations. This examination expects to decide the effect of sharia support on expanding little and medium endeavors (MSMEs) in the town of Kp. Charge, Area Na-LX-X North Labuhanbatu Rule. The model in this appraisal is 50 MSME merchants. The data request strategy utilizes quick and prompt reiteration tests. The results of this test are: 1) The F esteem decided is 364.736 with a sig esteem. of 0.000 is more modest than the degree of significance utilized in this examination, to be exact 0.05 (0.000 < 0.05), then, at that point, Ho is dismissed and Ha is recognized, implying that the sharia subsidizing variable (X) affects business progress. MSMEs in the Town of Kp. Charge, Area Na-LX-X North Labuhanbatu Regime Labuhanbatu Na-LX-X Guidelines, and, 2) The impact of R Square is 0.934 or 93.4%. This implies that 93.4% of the variety in autonomous elements can figure out the reliant variable, particularly sharia support. In the mean time, the excess 6.6% was brought about by different factors not examined in this audit. The aftereffects of the assurance coefficient test (R2) actually intend that there are then again other autonomous variables that impact the advancement of MSMEs in Kp Town. Charge, Area Na-LX-X North Labuhanbatu Regime.

Knee injuries are often encountered in general practice and in hospitals. One injury that can occur is injury to the meniscus which causes a meniscus tear. The meniscus is a fibro cartilage disc which is the content of the knee joint and is divided into two, namely the lateral meniscus and the medial meniscus. To confirm the diagnosis of injured ligaments is by carrying out an MRI examination. MRI examination of the knee joint using T2* Multi Echo Rechalled Gradient Echo can provide optimal images in cases of meniscus tears. MRI examination of the knee joint using MEDIC is very useful for cervical imaging, cartilage, joint and musculoskeletal examination. The advantage of the MEDIC sequence is that it can be used for 2D and 3D imaging and can reduce chemical shift artifacts. Based on the journal taken by the author, the sequence needed to clinically show a meniscus tear on an MRI Knee Joint examination is sagittal STIR and sagittal T2 MEDIC. then the most optimal sequence in clinically showing a meniscus tear is chosen to increase the efficiency of the examination time. The type of research used is qualitative research with a case study approach. The subjects used in this research were 3 Radiology Specialist Doctors and 3 Radiographers. The STIR and T2 MEDIC sequences on the MRI Knee Joint examination have their respective roles in confirming the diagnosis of Tear Meniscus. The STIR sequence plays a role in assessing the Anterior Cruriated Ligament, Posterior Cruriated Ligament, radiologists also want to see edema or swelling that occurs in the patient's genu. The MEDIC T2 sequence plays a role in assessing the medial and lateral meniscus, the radiologist also wants to see blood production in the patient's genu. The STIR and T2 MEDIC sequences in the MRI Knee Joint examination at the Balimed Denpasar Hospital installation are able to confirm the diagnosis, especially in the clinical Tear Meniscus, because with these two sequences, the picture of the Medial Meniscus, Lateral Meniscus, Anterior Cruriated Ligament, Posterior Cruriated Ligament, product blood and edema can be clearly seen.

Background: CT Scan is a medical technology that can show images in the form of slices to see the anatomy of the human body because this technology combines X-rays and television. Basically, how a CT scan works uses a radiation source from X-rays. There are various examinations that can be carried out using a CT scan, one of which is a head examination with a CT scan. CT scan of the head at the Radiology Installation at Bhayangkara Hospital Makassar uses a Slice Thickness of 3 mm to produce a better image. The aim of this research is to determine the Head CT Scan Examination Procedure for Clinical Hemorrhagic Stroke in the Radiology Installation of Bhayangkara Hospital, Makassar. Results: The results of this study indicate that the CT scan procedure of the head with clinical hemorrhagic stroke at the radiology installation at Bhayangkara Hospital, Makassar was carried out without any special preparation but the patient was instructed to remove metal objects or accessories around the head such as earrings, hairpins and necklaces. Using a slice thickness of 3 mm is good enough to display image results and confirm the diagnosis. Conclusion: The head CT scan procedure for clinical hemorrhagic stroke was carried out using the head first protocol. The slice thickness used in this examination is 3 mm. The choice of slice thickness is the biggest factor because a thick slice thickness will produce images with low detail and cause artifacts, whereas a thin size will produce images with high detail but there is noise in the image.

The background of this research is that vertigo is a symptom caused by disturbances in body balance due to the different locations of the lesions. Vertigo is not a disease but a symptomatic condition of vestibular system disorders. Evaluation of patients with audiovestibular disorders, sensorineural hearing disorders, tinnitus, and vertigo . Brain MRI is used to evaluate patients with audiovestibular dysfunction, including sensorineural hearing loss, tinnitus, and vertigo. This research method is descriptive qualitative research with a case study approach using a research design, namely observation, interviews and documentation which aims to find out why the T2 MATRIX 3D SPAIR sequence is needed for MRI brain examinations in vertigo cases at the Radiology Installation at Balimed Hospital, Denpasar. The data collection method was obtained using 3 Brain MRI patients, 3 radiology specialists and 3 radiographers. The results of this research show that the Magnetic Resonance Imaging (MRI) brain examination procedure in Vertigo cases at the Radiology installation at Balimed Hospital Denpasar uses the additional T2 MX3D SPAIR sequence for Vertigo cases because this sequence is able to show the nerve fibers in the brain. The conclusion is that the Magnetic Resonance Imaging (MRI) brain examination procedure in Vertigo cases at the Radiology installation at Balimed Hospital Denpasar does not require special preparation, only more attention is paid to the patient's condition, whether they are wearing braces or dentures because the two tools used will interfere with the results of the MRI image used. The reason for using the T2 MX3D SPAIR sequence is with the aim of adding diagnostic information from the image quality results in order to establish a diagnosis of many neurological disorders or nerve fibers, one of which is Vertigo.  

An elderly person is someone who has reached the age of 60 years and over. One of the health problems that often occurs in the elderly is a decline in memory, learning and cognitive abilities in the elderly which causes them to have difficulty interacting and being difficult to understand. Conditions that affect cognitive abilities in the elderly are called dementia. Dementia is a chronic and progressive decline in memory and thinking function, causing disruption of functional activities. Nursing interventions that can be given to the elderly to improve cognitive function in the occurrence of dementia include brain gymnastics. The case study design used is descriptive research. The method used to collect data is using the Android-based MMSE (Mini Mental State Examination), namely MEFuKo (MMSE for Cognitive Function) to determine the level of dementia in the elderly. Brain exercise therapy (brain gym) is carried out for 7 consecutive days, 1 meeting per day with a duration of 15 minutes. Subject I's MMSE score before brain exercise therapy was 16 (presence of definite cognitive impairment) increased to 19 (presence of probable cognitive impairment) and there was an increase of 3 in total MMSE scores. The MMSE score in subject II before brain exercise therapy was 19 (possible cognitive impairment), after therapy the MMSE score became 23 (probable cognitive impairment) and there was an increase of 4 in total MMSE scores. The more activities you do, the less likely it is that seniors will experience a decline in cognitive function. The conclusion is that there was an increase in cognitive function in the two case study subjects which illustrate the application of brain gym therapy to cognitive function in elderly people with dementia. Brain exercise therapy is recommended to improve working memory function which can improve the quality of life of the elderly.  

The urographic ct scan is a diagnostic procedure which aims comprehensively evaluate kidney, ureter, and bladder, as well as the general function of the urinary tracts.   One of common pathologies detected on urographic examination is kidney cyst. The kidney cyst is a spherical or oval-shaped sac which contains a fluid form inside the kidney. This case study aims to explain the Urographic CT scan procedures with contrast media. This study assess the strengths and weakness of CT Urographic examinations with patients with kidney cysts. The study shows that CT Urographic exmination procedure involves informed consent, patient and equipment preparation, patient positioning, image acquisition and reconstruction. The study also shows that there was a difference in scanning phase on theory and clinical practices. While the theory  states that the the Urographic CT examinations must be conducted with with four phases including non-contractional phases, cortikomedular phases, nefrographic and excretion phases, in clinical practices, the scanning was acquired with non-contrast phase, kidney phase, ureter phase and bladder phase.  

Background: Magnetic resonance imaging (MRI) is a cross-sectional imaging technique based on the principle of magnetic resonance of hydrogen atoms due to radio frequency (RF) signals with the same frequency as the precession frequency (lamor frequency). MRI at the beginning of its development used a semiconductor magnetic field with a power of 0.5-1.5 Tesla, but now MRI uses a superconductor magnetic field with a power of 1.5-3 Tesla. One of the advantages of brain MRI in epilepsy cases is that it can display clear information about the anatomy and pathology of the head in general in the temporal lobe area. The use of 3D sequences with isotropic voxels such as SPACE (Sampling Perfection With Application Optimized Contrasts With Varying Flip Angle Evolution) is very useful for generating images with high resolution, thinner cuts, and multi-level reconstruction can be performed in several fragments that allow the acquisition of 3D sequences at one time. Methods: The type used is descriptive qualitative research with a case study approach by conducting interviews with 2 radiology specialists, 1 neurology specialist and 3 radiographers related to MRI brain examinations with clinical epilepsy in August-September 2023 in the Radiology Unit of Prof. Dr. I. G. Ngoerah Denpasar Hospital. G. N. G. Ngoerah Denpasar. Results and Conclusion: This study used five (5) patient data who had clinical epilepsy. Based on the results of observations, interviews and documentation in the radiology unit of Prof. Dr. I.G.N.G. Ngoerah Denpasar Hospital, it can be seen that the procedure for examining MRI Brain with clinical epilepsy is that there is no special preparation, only filling out inform consent. The patient is positioned supine on the examination table with a head fixation device with a head first body position and hands beside the body. Radiographers put the patient into the gantry by setting the isocenter i n the middle of the glabella. After positioning the patient the radiographer sets the parameters using axial T2 Turbo Spin Echo (TSE), sagittal T2 Turbo Spin Echo (TSE), coronal T2 Turbo Spin Echo (TSE), axial T2 Turbo Spin Echo (TSE) dark fluit, axial T1 Turbo Spin Echo (TSE) axial Diffusion Weighted Imaging (DWI) and Susceptibility Weighted Imaging (SWI) and coronal T1 SPACE IR isotropic sequences.In addition, the role of coronal slice T1 SPACE sequences is to clearly see the presence of partical dystrophy, to see the thickening or irregularity of the cortex cerebri clearly. In addition, it is also to see the calcification of the temporal lobe and to measure the volume of the hippocampus.