The Role of Short TAU Iversion Recovery (STIR) Sequence in Lumbar MRI Examinations at Andalas University Hospital
DOI:
https://doi.org/10.62872/o.v3i1.494Keywords:
Lumbar Magnetic Resonance Imaging (MRI), Short Tau Inversion Recovery (STIR), Low Back Pain (LBP), Hernia Nukleus Pulposus (HNP)Abstract
Magnetic Resonance Imaging (MRI) is a non-invasive diagnostic imaging modality that excels in displaying details of the body's soft tissues, including the lumbar spine area. One important sequence in a lumbar MRI examination is the Short Tau Inversion Recovery (STIR) which functions to suppress fat signals to increase the contrast between normal and pathological tissue. This study aims to determine the management of lumbar MRI examinations and analyze the role of the STIR sequence in detecting abnormalities in patients with clinical Low Back Pain (LBP) and Herniated Nucleus Pulposus (HNP). This study used a descriptive method with a qualitative approach at Andalas University Hospital in August 2025, Research Informants numbered 4 people, consisting of 2 radiographers, 1 Radiology doctor, and 1 head of the room. Data collection was carried out through in-depth interviews, observation, and documentation, then analyzed using source triangulation techniques and presented in tabular form. The results show that the STIR sequence is routinely used in sagittal and coronal sections. STIR plays a crucial role in homogenously suppressing fat signals, enhancing tissue contrast, and detecting edema, inflammation, and abnormalities in the spinal cord more clearly than other sequences such as T1, T2, and Fatsat. Although STIR has the drawback of a low Signal-to-Noise Ratio (SNR) and longer scan times, the overall image quality is considered optimal and very helpful in establishing radiological diagnoses. Therefore, the STIR sequence plays a crucial role in lumbar MRI examinations, especially in cases involving bone marrow and soft spinal tissue.
References
Agrilian, M. P., Tarigan, A., & Sari, G. (2023). penggunaan T2 STIR dan Fat Saturation pada pemeriksaan MRI Lumbal Kasus Hernia Nucleus Pulposus (HNP). 9, 24–28.
Aprisandi, A., & Silaban, G. (2023). Analisis faktor penyebab tingkatan gangguan Low Back Pain ( LBP ) pada pengrajin daun nipah di Kelurahan Terjun Kecamatan Medan Marelan Analysis factors causing the level of Low Back Pain ( LBP ) in palm leaf craftsmen in Kelurahan Terjun Kecamatan Medan Marelan. 03(01), 1–7.
Astuti, A. W. (2024). Penatalaksanaan Pemeriksaan Magnetic Resonance Imaging ( MRI ) Lumbal Dengan Kasus Hernia Nukleus Pulposus. 2(1).
Fikra, Z., Prasetya, made lana, & Setiawan, H. (2023). Peranan Sekuen Stir Pada Pemeriksaan MRI Shoulder Dengan Klinis Supraspinatus Injury Di Instalasi Radiologi Rumah Sakit Umum Pusat Persahabatan Jakarta Timur Zul Fikra Supraspinatus injury dapat diklasifikasikan sebagai Cedera Ringan Imaging Resonansi Mag. 2(2).
Hasbi, N. A., Jamal, N. J., Amir, A., Nurbeti, Rusli, M., Hanifah, W., Mareta, S., Saifudin, Nuramalia, P. P., & Nurfadhillah, D. (2025). Teknologi Imaging Medis : Teknologi dan Aplikasi Multidimensi. PT Bukuloka Literasi Bangsa.
Hasbi, N. A., Setiawan, R., Mar’athus, I. M. N., Hanifah, W., Dewilza, N., Silfina, R. O., Mayani, A. N., Fachruddin, Puspitaningtyas, D. A., & Nuryaman, I. B. (2025). Radiologi: Visualisasi Medis dan Diagnostik Modern. PT Bukuloka Literasi Bangsa.
Hikmah, eva maulidiana, Juliantara, putu eka, & Nuriman, I. (2023). Prosedur dan peranan sequence coronal STIR (Short tau inversion recovery) pada pemeriksaan hip joint. 10(11), 3220–3227.
Hulmansyah, D., & Bisra, M. (2025). prosedur pemeriksaan magnetic resonance imaging lumbal dengan kasus hernia nukleus puposus. 15, 886–892.
Mirfauddin, Wahyuni, F., Nasokha, I. M. M., Putri, M. N., Trihadijaya, A. F., Hanifah, W., Sumarsono, Astari, F. M., Saifudin, & Mareta, S. (2025). Radiologi Modern : Prinsip Dasar hingga Aplikasi Klinis dalam diagnosis dan intervensi. PT Bukuloka Literasi Bangsa.
Nizar, S., & Katili, M. I. (2019). Pengaruh variasi Time Repetition (TR) terhadap kulitas citra dan Informasi citra pada pemeriksaan MRI Lumbal sekuens T2 FSE potongan Sakital. 5, 89–98.
Nuha, M. D., & Prasetya, L. (2022). PERBEDAAN INFORMASI CITRA ANATOMI PADA PEMERIKSAAN MRI LUMBAL T2WI TSE FAT SATURATION DAN T2WI TSE DIXON POTONGAN SAGITAL PADA KLINIS HERNIA NUCLEUS PULPOSUS. 1(2).
Nurcahyo, P. W., Suwondo, A., & Sukmaningtyas, H. (n.d.). PERBEDAAN KUALITAS GAMBAR MRI 0 , 3 TESLA ANTARA METODE GRAPPA DAN METODE PERUBAHAN NILAI PARAMETER DENGAN METODE RUTIN ( Studi Pada Pemeriksaan MRI Vertebra Lumbal Potongan Sagital T2 FSE RSUD Prof . Dr . Margono Soekardjo Purwokerto Pada Pasien Dengan L. 1(1), 14–18.
Patriat, Q., Prigent, F., Aho, S., Lenfant, M., Ramon, A., Loffroy, R., Lambert, A., & Ornetti, P. (2023). Diagnostic Value of an Additional Sequence ( Large-Field Coronal Stir ) in a Routine Lumbar Spine MR Imaging Protocol to Investigate Lumbar Radiculopathy.
Sahr Ek Tsoon; Sneag, Darryl B., M. T. (2021). 3D MRI of the Spine. Semin Musculoskelet Radiol, 25(03), 433–440. https://doi.org/10.1055/s-0041-1731060
Samudra, A., Utami, H. S., Fitriana, L., Gimnastiar, F., Cahyla, D. Z., Andin, M., Pranata, D., Kesehatan, F. I., Purwokerto, M., Vokasi, F., Airlangga, U., & Semarang, P. K. (2025). PERBEDAAN KUALITAS CITRA MRI LUMBAL SEKUEN T2 TSE. 20(2), 82–89.
Sebayang, S., Astina, K. Y., & Triningsih, T. (2024). Analisis Pemeriksaan Lumbal Pada Kasus Low Back Pain ( LBP ) Di Instalasi Radiologi RSUD Kota Bogor Analysis Of Lumbal Examination In Cases Of Low Back Pain ( LBP ) In The Radiology Installation Of Bogor City Hospital Akademi Teknik Radiodiagnostik dan Ra. 3(1).
Vargas, M. I., Boto, J., & Meling, T. R. (2021). Imaging of the spine and spinal cord : An overview of magnetic resonance imaging ( MRI ) techniques. Revue Neurologique, 177(5), 451–458. https://doi.org/10.1016/j.neurol.2020.07.005
Westbrook, C., & Talbot, J. (2019). MRI in practice. In The British Journal of Psychiatry (Vol. 112, Issue 483). https://doi.org/10.1192/bjp.112.483.211-a
Wilhelm, G., Thomas, K., Ah, J., Mazda, C., & Reto, F. (2025). Diagnostic value of a coronal STIR sequence in conjoined lumbar nerve root detection : an MRI accuracy study. Skeletal Radiology, 54(10), 2157–2168. https://doi.org/10.1007/s00256-025-04945-y
Zadig, P., Ording, E. V. B. L. S., Tanturri, M. L., Rosendahl, K., & Avenarius, D. F. M. (2023). Pediatric whole ‑ body magnetic resonance imaging : comparison of STIR and T2 Dixon sequences in the detection and grading of high signal bone marrow changes. European Radiology, 33(7), 5045–5053. https://doi.org/10.1007/s00330-023-09413-6
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Copyright (c) 2026 Wahdini Hanifah, Nerifa Dewilza, Sagita Yudha, Chairun Nisa, Faiz Arkananta (Author)

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