Archiving System Research Articles

GDPRxiv: Establishing the State of the Art in GDPR Enforcement

Though European Union's General Data Protection Regulation (GDPR) is hailed as a model privacy regulation, details about its enforcement are not well understood. To address this gap, we propose establishing the state of the art (SOTA) in GDPR enforcement, and present the design and implementation of GDPRxiv: an information archival system that collects and curates GDPR rulings, judgements, reports, and official guidances. GDPRxiv consists of 8000+ official precedents and guidances, the largest such collection. To demonstrate the usefulness of this corpora, we share insights gleaned at the aggregate-level (say, how is the GDPR being enforced in the field) and at the article-level (say, what are the common failures observed in the field while implementing article-17 Right to be Forgotten). We release all of our software artifacts and datasets at https://GDPRxiv.org.

ANALISIS PENGELOLAAN ARSIP DINAMIS AKTIF LAPORAN HASIL PEMERIKSAAN PADA INSPEKTORAT PROVINSI JAWA TENGAH

<p>There is an intensity to the observation of this research to understand the management of the active dynamic archive of the Examination Results Report (LHP) at the Central Java Provincial Inspectorate and also the obstacles and solutions to such obstacles. As for the observations, the research is qualitatively descriptive and uses a method of data collection, documentation, and interviews. Observations show that LHP archive processing includes creation, maintenance, storage, and shrinkage. Creation processes include creation in the processing unit, recording in the archive unit, and scanning. LHP archives are stored in the archive unit room and also in the record center using a number storage system. The process of LHP shrinkage has not been completed. The obstacles faced are the lack of SDM, lack of storage space, insufficient security aspects of the record center, and also poor archival systems, according to Agus Sugiarto and Teguh Wahyono. The advice that can be given is to: 1) make the recruitment of archive experts; 2) repair the corrupted record center; 3) make the procurement of archive equipment; 4) improve the security aspects of the record center; and 5) make the process of narrowing strictly.</p>

Factors Affecting Quality in the Design Phase: An Evidence from the Construction Industry in United Arab Emirates

The objective of this research is to identify the factors affecting quality in the design phase of building construction projects in the United Arab Emirates. Based on the intensive and extensive literature search, the researcher developed the questionnaire addressing the key quality parameters while interviewing several project managers handling prestigious projects in UAE. Sets of data were collected from the Project managers handling construction projects in the UAE in context to the quality in the design phase and relevant contributing factors, such as cooperation level of design professionals, educational level, organizational practices, understanding of quality standards and compliance to local and international standards. By analyzing the response, the researchers have summarized that selected companies in the UAE region are committed towards continuous improvement in quality in the design phase by implementing quality as the corporate policy, senior management commitment towards continuous improvement towards excellence in the quality, best communication channels among team members and designers of different domains, focus on developing skills, providing training to the design team with the latest design techniques, accessibility of project related technical documents and project specifications to all team members and system of archiving and circulating past project, s best practices and lessons learned at current projects.

Correlations Between Eight Comprehensive Skeletal Maturity Systems in a Modern Peripubertal Pediatric Population.

Several skeletal maturity systems allow for accurate skeletal age assessment from a wide variety of joints. However, discrepancies in estimates have been noted when applying systems concurrently. The aims of our study were to (1) compare the agreement among 8 different skeletal maturity systems in modern pediatric patients and (2) compare these discrepancy trends qbetween modern and historic children. We performed a retrospective (January 2000 to May 2022) query of our picture archiving and communication systems and included peripubertal patients who had at least two radiographs of different anatomic regions obtained ≤3 months apart for 8 systems: (1) proximal humerus ossification system (PHOS), (2) olecranon apophysis ossification staging system (OAOSS), (3) lateral elbow system, (4) modified Fels wrist system, (5) Sanders Hand Classification, (6) optimized oxford hip system, (7) modified Fels knee system, and (8) calcaneal apophysis ossification staging system (CAOSS). Any abnormal (ie, evidence of fracture or congenital deformity) or low-quality radiographs were excluded. These were compared with a cohort from a historic longitudinal study. SEM skeletal age, representing the variance of skeletal age estimates, was calculated for each system and used to compare system precision. A total of 700 radiographs from 350 modern patients and 954 radiographs from 66 historic patients were evaluated. In the modern cohort, the greatest variance was seen in PHOS (SEM: 0.28y), Sanders Hand (0.26y), and CAOSS (0.25y). The modified Fels knee system demonstrated the smallest variance (0.20y). For historic children, the PHOS, OAOSS, and CAOSS were the least precise (0.20y for all). All other systems performed similarly in historic children with lower SEMs (range: 0.18 to 0.19y). The lateral elbow system was more precise than the OAOSS in both cohorts. The precision of skeletal maturity systems varies across anatomic regions. Staged, single-parameter systems (eg, PHOS, Sanders Hand, OAOSS, and CAOSS) may correlate less with other systems than those with more parameters. Level III-retrospective study.

Weeping sponge kidney: an unusual phenomenon that should be considered in cases of severe renal haemorrhage

To describe the clinical presentation, imaging evaluation, endovascular management, and outcomes of multifocal renal capsular haemorrhage, "weeping sponge kidney", and to identify associated risk factors and the pathophysiological mechanism behind this condition. This is a case series in which clinical information for each of the cases was collected retrospectively from electronic patient notes as well as the radiology information and picture archiving and communication systems. Four consecutive cases were included in the series. All of the cases were treated successfully with embolisation. Three of the four patients had chronic renal failure with renal atrophy, which are patient factors that appear to be associated with multifocal renal capsular haemorrhage. Based on the procedural findings and the published literature, a pathophysiological mechanism is described to explain this condition and the relevance of the collateral arterial supply to the kidney in such cases is discussed. Small subcapsular haematomas are usually self-limiting but in patients with renal failure, there may be an increased risk of developing a weeping sponge kidney, which can be life-threatening. The endovascular treatment for multifocal haemorrhage differs from that for a single bleeding point, especially if preservation of renal function is not a priority.

Development of a System for Transmitting Medical Data and Diagnostic Images via the Internet for Hospitals in Thailand

This research project aims to advance healthcare data and diagnostic imaging delivery by employing a digital Picture Archiving and Communication System, also known as PACS, alongside a web application that is internet accessible. The study explores two main areas, which are User Interface design and system functionality. The User Interface design merges the aesthetic of traditional paper documentation with the advantages of electronic displays to enhance both readability and overall user experience. The system functionality has been assessed and confirmed to offer secure and efficient transmission of medical diagnostic data as well as radiographic images. By complying with the Personal Data Protection Act of 2019 or PDPA, the system ensures the safe handling of confidential personal information. Test results show that the system meets performance standards and has been well-received by users. The project serves as a timely solution for today's medical industry, focusing on the speed and security of diagnostic data and image transmission.

From Pixels to Pathology: Employing Computer Vision to Decode Chest Diseases in Medical Images.

Radiology has been a pioneer in the healthcare industry's digital transformation, incorporating digital imaging systems like picture archiving and communication system (PACS) and teleradiology over the past thirty years. This shift has reshaped radiology services, positioning the field at a crucial junction for potential evolution into an integrated diagnostic service through artificial intelligence and machine learning. These technologies offer advanced tools for radiology's transformation. The radiology community has advanced computer-aided diagnosis (CAD) tools using machine learning techniques, notably deep learning convolutional neural networks (CNNs), for medical image pattern recognition. However, the integration of CAD tools into clinical practice has been hindered by challenges in workflow integration, unclear business models, and limited clinical benefits, despite development dating back to the 1990s. This comprehensive review focuses on detecting chest-related diseases through techniques like chest X-rays (CXRs), magnetic resonance imaging (MRI), nuclear medicine, and computed tomography (CT) scans. It examines the utilization of computer-aided programs by researchers for disease detection, addressing key areas: the role of computer-aided programs in disease detection advancement, recent developments in MRI, CXR, radioactive tracers, and CT scans for chest disease identification, research gaps for more effective development, and the incorporation of machine learning programs into diagnostic tools.

Optimal cutoff point of vertebral body cross-sectional area as a morphological parameter for predicting lumbar spondylolysis.

The relationship between vertebral body cross-sectional area (VBCSA) and spinal conditions associated with increased lumbar lordosis, such as lumbar spondylolysis (LSL), is not known. We investigated the morphological parameter, VBCSA, to predict LSL. The VBCSA on MRI has not been studied for its association with LSL. We hypothesized that VBCSA is an important morphological parameter for LSL prediction. We collected VBCSA data from 90 patients (43 males and 47 females) with LSL and 91 control subjects (44 males and 47 females) who underwent lumbar spine magnetic resonance imaging (LS-MRI). Axial T2-weighted LS-MRI images were obtained from all participants. Using our picture archiving and communications system, we analyzed the VBCSA at the level of the L5 vertebral body by utilizing MRI. The average VBCSA was 2263.51 ± 306.02 mm2 in the male control group and 1820.92 ± 224.89 mm2 in the male LSL group. LSL patients had significantly lower VBCSAs (P < .001) than did the male controls. The average VBCSA was 1985.21 ± 258.05 mm2 in the female control group and 1553.73 ± 250.02 mm2 in the female LSL group, and the LSL patients also had significantly lower VBCSAs (P < .001) than did the female controls. The optimal VBCSA cutoff value in the male group was 2014.69 mm2 with 76.7% sensitivity, 75.0% specificity, and an area under the receiver operating curve (AUC) of 0.89 (95% CI: 0.82-0.95). In the female group, the optimal cutoff score was 1814.11 mm2 with 76.6% sensitivity, 76.6% specificity, and an AUC of 0.88 (95% CI: 0.82-0.95). VBCSA is a sensitive objective morphological parameter for assessing LSL, and a lower VBCSA is associated with a higher possibility of LSL. We believe that these results will be useful in diagnostic radiology for evaluating patients with LSL.

PERANCANGAN SISTEM INFORMASI PENGARSIPAN SURAT PT.PERKEBUNAN NUSANTARA VII BAGIAN KANTOR KOMODITI TEH 2

Information systems are connected components that work together to collect, process, store and disseminate information to support decision making, coordination, control and to provide an overview of activities within the company, especially in archiving mail data. Archives are documentation of activities or events packaged in various forms made and received by institutions. In a company, data archives are one of the important points that are very influential. PT Perkebunan Nusantara VIII, especially the Tea Commodity Office 2 which is in charge of controlling plantations in West Java, should have a modern and structured letter data archiving information system, but in fact the data is not organized and can even be accessed by anyone. A letter archive information system application is needed so that it can help overcome obstacles in managing documents properly and limiting access rights. The application design is made object oriented using UML (Unified Modeling Language) using the Waterfall method because this method can develop software that allows system development to be carried out in a structured and systematic manner.

Peningkatan Kompetensi Digital Guru SMK Melalui In House Training

The aim of this community service activity is so that teachers at SMK Negeri 2 Parepare City have understanding and competence regarding the implementation of the independent curriculum. One of the materials is Increasing Digital Competence Through In House Training. The method used is coordination and synchronization with partners, namely the teachers of Negeri 2 Parepare, training and mentoring on the Digital Electronic Archives System system. The results obtained are 1) Increased information and insight among vocational school teachers, 2) Vocational school teachers also have skills in using digital-based filing system software, 3) More than 80% of vocational school teachers have excellent digital-based filing system skills. ..

Current role and future applications of image-guided interventional procedures in musculoskeletal oncology - A narrative review

BackgroundMusculoskeletal (MSK) image-guided interventional procedures have been increasingly used in and remain crucial in the diagnosis and treatment of musculoskeletal tumours. AimsIn this article, we aim to describe commonly performed interventional procedures in the subspeciality of MSK oncology drawing experience from our tertiary referral centre. Recent advances, emerging techniques and future applications of image-guided interventional procedures in the field of MSK oncology are highlighted. Material and methodsA retrospective search using the keyword ‘musculoskeletal system’, ‘neoplasms’, ‘biopsy’, and ‘interventional radiology’ was performed at our tertiary care oncology orthopaedic referral centre radiology database. The radiology images were collected from our Picture Archiving and Communication System (PACS) and Radiology Information System (RIS). Electronic Patient Records, histopathology laboratory records and patient characteristics were collaborated to generate this narrative experience at our centre. ResultsImage-guided interventional procedures have been utilised in a spectrum of primary and secondary MSK tumours. Current applications include diagnosis of bone and soft tissue MSK neoplastic lesions with biopsies, thermal, cryotherapy and Radiofrequency ablations and augmentation procedures. ConclusionMusculoskeletal (MSK) image-guided interventions have increasing applications in the diagnosis, management, treatment and monitoring of patients with MSK tumours. The emergence of newer imaging technologies with enhanced skills of interventional radiologists will allow a range of therapeutic MSK interventions in both effective control of primary lesions and palliative care of metastatic lesions.

Successes and challenges in extracting information from DICOM image databases for audit and research.

In radiography, much valuable associated data (metadata) is generated during image acquisition. The current setup of picture archive and communication systems (PACS) can make extraction of this metadata difficult, especially as it is typically stored with the image. The aim of this work is to examine the current challenges in extracting image metadata and to discuss the potential benefits of using this rich information. This work focuses on breast screening, though the conclusions are applicable to other modalities.The data stored in PACS contain information, currently underutilised, and is of great benefit for auditing and improving imaging and radiographic practice. From the literature, we present examples of the potential clinical benefit such as audits of dose, and radiographic practice, as well as more advanced research highlighting the effects of radiographic practice, e.g. cancer detection rates affected by imaging technology.This review considers the challenges in extracting data, namely,• The search tools for data on most PACS are inadequate being both time-consuming and limited in elements that can be searched.• Security and information governance considerations• Anonymisation of data if required• Data curationThe review describes some solutions that have been successfully implemented.• Retrospective extraction: direct query on PACS• Extracting data prospectively• Use of structured reports• Use of trusted research environmentsUltimately, the data access process will be made easier by inclusion during PACS procurement. Auditing data from PACS can be used to improve quality of imaging and workflow, all of which will be a clinical benefit to patients.

Lessons learned: audit of the record-keeping quality of a tertiary hospital’s mammography service

Breast cancer is the most common cancer worldwide. In diagnostic centers offering mammography, periodic audit of medical archived procedures is an important component of a quality assurance program; this ensures optimal follow-up of positive cases and establishment of measures to combat any deficiencies. The study aimed to audit the record-keeping of the mammography service in a tertiary institution, with a view to improving its efficiency. A retrospective audit of request forms, questionnaires, mammograms, and reports of 1,098 women who had mammography at the radiology department of a public tertiary hospital between 2011 and 2018. An internal audit of records evaluated the completeness of clinical information on the request forms, questionnaires, accuracy of diagnosis, and state of stored mammographic films, years later. Microsoft Excel and SPSS version 23 were used for the analysis of descriptive and inferential statistics, respectively. Two hundred and thirty (21%) and 791 (72%) women had screening and diagnostic mammography, respectively; their ages ranged from 31 to 85 years. Indication of study was not stated on 73 (7%) request forms and 281 (26%) request forms were improperly filled. There were 52 (4.7%) women not clerked with the questionnaire, while 158 (14%) had no clinical breast examination prior to imaging. One hundred and thirty (12%) mammograms were damaged, while 2 were missing and not reviewed. Our study revealed a significant lapse in quality of our mammography record archival system. Evidence obtained helped institute necessary measures in place for digitization and quality control of mammography services.

Clinical Value of a Nomogram Model Based on Apparent Diffusion Coefficient Values Within 1 cm of the Tumor Cavity to Predict Postoperative Progression of Glioma

To explore the clinical value of constructing a nomogram model based on apparent diffusion coefficient values within 1cm of the residual tumor cavity to predict the postoperative progression of gliomas. Clinical data of patients with glioma who underwent surgery were retrospectively retrieved from the First Hospital of Qinhuangdao. The mean apparent diffusion coefficient (mADC) was measured using a picture archiving and communication system. The Kaplan-Meier survival curve was constructed with the optimal mADC threshold determined by the X-tile. A nomogram was developed based on the independent risk factors determined using the Cox proportional hazards model (Cox regression model) to predict the progression of postoperative glioma. A receiver operating characteristic curve was drawn to evaluate the prediction accuracy of the model, and decision curve analysis was performed to assess the clinical value of the nomogram. There was good agreement between the mADC values of the 2 repeated measurements before and after, with a consistency correlation coefficient of 0.83. Multivariate Cox regression analysis showed that peritumoral mADC values, degree of peritumoral enhancement, age, pathological grading, and degree of tumor resection were independent risk factors for predicting postoperative progression of glioma (all P<0.05). The receiver operating characteristic curves of the nomogram predicting 1, 2, and 3years postoperative progression were 0.86, 0.82, and 0.91, respectively. The calibration curve showed good consistency between the observed and predicted values in the model. The curve showed that the nomogram model has a good clinical application value. The peritumoral mADC values, degree of peritumoral enhancement, age, pathological grade, and degree of tumor resection were independent factors affecting the postoperative progression of glioma. The nomogram model established for the first time based on mADC values within 1cm of the tumor can predict the postoperative condition of patients with glioma intuitively and comprehensively. It can provide a relatively accurate prediction tool for neurosurgeons to individualize the evaluation of survival and prognosis, and formulate treatment plans for patients.

Cubonavicular Coalition: Magnetic Resonance Imaging Findings and Associated Pathology of a Rarely Reported Condition in 27 Patients

(1) Describe multimodality imaging of cubonavicular coalition (CNC) with magnetic resonance imaging (MRI) focus, (2) evaluate CNC associated foot and ankle pathology, (3) examine clinical presentation/symptoms associated with CNC, (4) record CNC treatment. Retrospective Institutional Review Board (IRB) approved study. Picture Archiving and Communication System (PACS) databases searched for CNC. Final study population: 34 cases in 27 patients. Each CNC was reviewed for: coalition type (osseous versus non-osseous- cartilaginous versus fibrous), tendon and ligament pathology, bone marrow edema at CNC and adjacent joints, presence and severity of degenerative changes at CNC and adjacent joints, fractures, additional coalitions, laterality, and pes planus. MRI planes and radiographic views on which coalitions were best identified were recorded. Each CNC EMR was reviewed for: symptoms, trauma, management, patient demographics. Inter-reader reliability was performed for type of non-osseous coalition. Final cohort included 34 cases in 27 patients (average age: 34.7, range: 10-76; 71% female). No CNC was completely osseous. On MRI, 89.5% of coalitions were non-osseous and 5.3% were partially osseous. 76.5% of patients had referable symptoms including pain, limited motion, inability to bear weight. 23.5% of patients were surgically managed/pathologically proven. On MRI, 36.8% of patients had tendon pathology, 52.6% had ligamentous pathology, 100% had bone marrow edema-like signal abnormality about the CNC, and 88.2% had CNC degenerative changes. There was bone marrow edema-like signal abnormality at bones adjacent to the CNC in 52.6% and adjacent joint degenerative disease present in 50%. CNC was best identified on oblique radiographs and axial MRI. Inter-reader reliability for non-osseous coalition type was poor, Cronbach's alpha 0.554. CNC is subtle and findings of osteoarthritis or bone marrow edema-like about the cubonavicular articulation should raise suspicion for underlying coalition.

Clinical Efficacy of Orbital Computed Tomographic Assessment in Determination of the Optimal Length of the Jones Tube in Endo CDCR.

To investigate whether preoperative orbital computed tomography (CT) may be useful for predicting the optimal length of the Jones tube and determining the predictive parameters of orbital CT that are associated with the optimal length of Jones tubes in endoscopic conjunctivodacryocystorhinostomy (CDCR). The medical records of 36 patients (42 eyes) who underwent endoscopic CDCR with Jones tube insertion and preoperative orbital CT from March 2018 to April 2022 were retrospectively evaluated. Analyzing the orbital CT films using the Picture Archiving and Communication System, the distance from the lacrimal fossa to the nasal septum was measured in coronal and axial views. In the successful group, the length of the inserted Jones tube was significantly correlated with the length difference between the inserted tube and the diagonal length measured in the axial view ( r=-0.485, P= 0.030). Equivalency of the length verified in the operating room and length measured on orbital CT were demonstrated as follows: diagonal length measured in axial view (Da), horizontal length between the medial eyeball to the nasal septum in coronal view (Hc) and the estimated length (Ej) in axial view with α = tan30° and α = tan25°. The optimal length of the Jones tube is best predicted using the length of the lacrimal fossa to nasal septum in coronal and axial views. Preoperative orbital CT assessments can be noninvasive and useful in predicting adequate lengths of the Jones tube.

Hepatic Iron Deposition Quantification in Patients with β-Thalassemia Using Magnetic Resonance Imaging

Background: Detection and quantification of liver iron overload are significant to initiate treatment and monitoring of iron overload. This study aimed to quantify liver iron deposits in β-thalassemia major patients using MRI T2* and its correlation with age and heart iron deposition. Methods and Results: This retrospective study included 54 records of patients between 5-16 years of age with hepatic iron deposition due to β-thalassemia major. Data were collected from MRI reports in Picture Archiving and Communication Systems-Radiology Information System (PACS-RIS) and serum ferritin (SF) test results obtained from Hospital Information Systems and written into a dedicated datasheet. The information was recorded on a data collection sheet. The datasheet included all the required data, demographic data, lab results, T2* mapping for iron deposition in the liver and heart, and liver measurements. All subjects had high SF (from 1120 to 9850 ng/ml) with an average of 4317.93±2779.9 ng/ml. Age and SF correlated positively (r=0.368, P=0.0006). A negative correlation was observed between SF and liver T2* (r= -0578, P=0.000) (Table 3), whereas between liver T2* and heart T2* correlation had a positive direction (r= 0.329, P=0.015) Conclusion: MRI provides accurate, non-invasive, valid, and repeatable techniques, which are more acceptable to patients for assessing iron load. Furthermore, MRI T2* methods measure iron overload within the target organ precisely.

Rancang Bangun Sistem Informasi Manajemen Arsip Kerja Sama Pada PT. Kelola Teknologi Informasi

Currently, in the globalization era, sophisticated technology, and one of them is a website-based information system used as information management tools using the internet. Hence by using web-based information system, not only simplifies and speeds up the work but also saves time and cost. The one example of the problem that the authors take is the design of the cooperation archive management information system at PT. Kelola Teknologi Informasi which is still manual, that the company staff organizes archives and documentation in computer folders and recapitulates in the number processing application (Excel). This study was conducted to build a website-based archive management information system. The system development Model used is Waterfall. The tests carried out are website performance and security tests. Performance testing results show that the website performs the desired functions with fast response times. While the results of website security testing using Quttera found that there was no malicious content detected and declared clean. With this information system makes it easier for archive and documentation systems to be accessed online by anyone and anywhere who has access.

Impact of Bileaflet Mechanical Mitral Valve Orientation on Pannus Overgrowth.

Pannus overgrowth is a chronic inflammatory process that can cause valve dysfunction and threaten the durability of prosthetic valves. Bileaflet mechanical mitral valve can be implanted in either an anatomical (parallel to the anatomical axis) or nonanatomical (perpendicular or oblique to the anatomical axis) orientation. The effect of the rotational orientation of the bileaflet mechanical mitral valve on excessive pannus enlargement is unknown. The present study compared the effect of bileaflet mechanical mitral valve orientation on pannus overgrowth. The study included patients who underwent bileaflet mechanical mitral valve replacement for rheumatic mitral valve stenosis. The pannus formation was confirmed by reexamining all transesophageal echocardiography images in the picture archiving and communication systems between May 2017 and April 2021. The primary aim of this study was the development of pannus overgrowth. Patients were divided into 2 groups based on their implantation orientation of the bileaflet mechanical mitral valve. Pannus overgrowth was found in 26 patients (56.5%) in the anatomical orientation group and 71 patients (74.7%) in the nonanatomical orientation group (P = 0.03). Anatomical orientation reduced the development of pannus overgrowth (odds ratio [OR] = 0.39, P = 0.04), and double left heart valve replacement increased the development of pannus overgrowth (OR = 2.73, P = 0.04). Pannus overgrowth was less common in bileaflet mechanical mitral valves implanted in the anatomical orientation.

Correlation between the Volume of MRI Brain Infarct and Inflammatory Markers among Acute Ischemic Stroke Patients

Stroke is one of the top five leading causes of death in Malaysia and increases in the mortality rate between 2016 and 2019. There is growing evidence that inflammation plays an important role in acute ischemic stroke. Studies showed that the level of inflammatory markers such as C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR) are strongly correlated with the volume of brain infarct detected using Magnetic Resonance Imaging (MRI). This cross-sectional study conducted in Hospital Pengajar Universiti Putra Malaysia (HPUPM) aims to determine the correlation between the volume of MRI brain infarct with inflammatory markers among patients with acute ischemic stroke in HPUPM. Patients’ sociodemographic information and level of inflammatory markers were extracted from the Hospital Information System (eHIS), the MRI images were accessed through the Picture Archiving and Communication System (PACS) whereas the MRI reports for each sample were searched from the Reporting Information System (RIS). In addition, the MRI sequences DWI/ADC and FLAIR axial were selected. The findings of the site and size of brain ischemia were studied. This study was based on 60 data sets of patients diagnosed with acute ischemic stroke in HPUPM. The majority of the patients were male (68.3%), Malay (51.7%) and ranging from age group 61-75 years old. The mean volume of MRI brain infarction was 27.3268±55.6957cm3. A statistically significant association was found between CRP and volume of brain infarction (r=0.297, p&lt;0.05) whereas no association was found between ESR and volume of brain infarction (r=0.192, p&gt;0.05). A significant association was found between CRP and volume of brain infarction. No association was found between ESR and volume of brain infarction.