Rama Co-RADS: Cutting-edge tool for improved communication in management and treatment of COVID-19 patients in Thailand


  • Thitiporn Suwatanapongched, M.D. Division of Diagnostic Radiology, Department of Diagnostic and Therapeutic Radiology, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
  • Chayanin Nitiwarangkul, M.D. Division of Diagnostic Radiology, Department of Diagnostic and Therapeutic Radiology, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
  • Vanlapa Arnuntasupakul, M.D. Department of Anesthesiology, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
  • Sasisopin Kiertiburanakul, M.D. Division of Infectious Disease, Department of Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.




SAR-CoV-2, COVID-19, Chest X-ray, Chest radiograph, Report, Alternative healthcare facilities


In Thailand, the rapid and constant rise in the number of confirmed COVID-19 cases, together with the increasing number of patients requiring respiratory and other medical life support during the third wave of COVID-19, has drastically overwhelmed the existing country’s healthcare facilities, physicians, and other healthcare workers. Hence, early identification of vulnerable patients at risk and early COVID-19 pneumonia is crucial for timely management and treatment by antivirals or corticosteroids to prevent them from developing severe COVID-19 pneumonia. A prompt chest X-ray report with clear and concise information at baseline screening in alternative healthcare facilities, especially in resource-constrained conditions, is essential. The article presents the incorporation of Rama Co-RADS (a categorical assessment scheme for chest X-ray findings for diagnosing pneumonia in patients with confirmed COVID-19). Its use facilitates a rapid, clear, and concise X-ray report despite the various levels of radiologists’ experience. Comprehensibleand consistent chest X-ray information successfully reduces the time lapse and communication gap among medical staff and assists on-duty, frontline physicians to make prompt and more accurate decisions regarding the management and treatment of COVID-19 patients in accordance with the current national guideline.  


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The workflow chart for the management and treatment of COVID-19 patients in Ramathibodi hospitels.




How to Cite

Suwatanapongched T, Nitiwarangkul C, Arnuntasupakul V, Kiertiburanakul S. Rama Co-RADS: Cutting-edge tool for improved communication in management and treatment of COVID-19 patients in Thailand. ASEAN J Radiol [Internet]. 2021 Aug. 25 [cited 2024 Jun. 13];22(2):29-4. Available from: https://asean-journal-radiology.org/index.php/ajr/article/view/144



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