The ASEAN Journal of Radiology https://asean-journal-radiology.org/index.php/ajr <p>The ASEAN Journal of Radiology (ASEAN-JR) is the official journal of ASEAN association of Radiology (AAR), Royal College of Radiologists of Thailand (RCRT), Radiological Society of Thailand (RST), and Foundation of Orphan and Rare Lung Disease (FORLD). <br /><br />ISSN: 0859-144X (Print)<br />ISSN: 2672-9393 (Online)</p> en-US <p><span class="fontstyle0"><strong>Disclosure Forms and Copyright Agreements</strong><br></span><span class="fontstyle2">All authors listed on the manuscript must complete both the electronic copyright agreement. (in the case of acceptance)</span></p> aseanjournalradiology@gmail.com (Wiwatana Tanomkiat) aseanjournalradiology@gmail.com (Wiwatana Tanomkiat) Sat, 30 Apr 2022 16:18:52 +0700 OJS 3.2.1.1 http://blogs.law.harvard.edu/tech/rss 60 Imaging of mucormycosis during the COVID-19 pandemic: A pictorial review https://asean-journal-radiology.org/index.php/ajr/article/view/150 <p>During the second wave of the coronavirus disease 2019 (COVID-19) pandemic, there was a significant rise in cases of rhino-orbito-cerebral mucormycosis (ROCM), an invasive form of acute fungal rhinosinusitis with a propensity for rapid spread to the orbits and intracranial compartment. </p> <p>Prompt diagnosis and subsequent intervention in the form of surgical debridement and administration of antifungals is the mainstay of management of ROCM. Radiology plays a key role in the diagnosis of the disease and in the assessment of the extent of spread. This article serves to elaborate on the significant computed tomography (CT) and magnetic resonance imaging (MRI) findings in patients with ROCM. It is based on imaging findings of 146 microbiologically/ histopathologically proven cases that were presented to our institute for management during the second wave (April-June 2021).</p> <p>While CT gives excellent details of bony anatomy, particularly of bony rarefaction, it has limitations in terms of assessment of soft tissue spread. MRI provides excellent soft tissue delineation and helps with the assessment of the involvement of orbit, particularly the orbital apex, as well as intracranial extension.</p> Utsav Ganguly, M.B.B.S, Shalini Agarwal, M.D., D.N.B., Bhavna Arora, D.N.B., Aditya Bhargava, M.S., Virender Singh, M.D.S., Chandni Sharma, M.S. Copyright (c) 2022 The ASEAN Journal of Radiology https://creativecommons.org/licenses/by-nc-nd/4.0 https://asean-journal-radiology.org/index.php/ajr/article/view/150 Sat, 30 Apr 2022 00:00:00 +0700 The first hybrid annual congress of the Royal College of Radiologists of Thailand and the Radiological Society of Thailand: How we live with COVID-19 https://asean-journal-radiology.org/index.php/ajr/article/view/172 Wiwatana Tanomkiat, M.D. Copyright (c) 2022 The ASEAN Journal of Radiology https://creativecommons.org/licenses/by-nc-nd/4.0 https://asean-journal-radiology.org/index.php/ajr/article/view/172 Sat, 30 Apr 2022 00:00:00 +0700 Multidisciplinary working group for interstitial lung disease in Thailand: Part 2 – a concise review of published visual scoring methods for interstitial lung disease https://asean-journal-radiology.org/index.php/ajr/article/view/170 Juntima Euathrongchit, M.D., Phakphoom Thiravit, M.D., Wiwatana Tanomkiat, M.D., Chayanin Nitiwarangkul, M.D., Thanisa Tongbai, M.D., Yutthaphan Wannosopha, M.D., Thitiporn Suwatanapongched, M.D. Copyright (c) 2022 The ASEAN Journal of Radiology https://creativecommons.org/licenses/by-nc-nd/4.0 https://asean-journal-radiology.org/index.php/ajr/article/view/170 Sat, 30 Apr 2022 00:00:00 +0700 Multidisciplinary working group for interstitial lung disease in Thailand: Part 3 – the proposed visual scoring method for quantifying the global disease and fibrotic extents on high-resolution CT https://asean-journal-radiology.org/index.php/ajr/article/view/171 <p>None</p> Thitiporn Suwatanapongched, M.D, Chayanin Nitiwarangkul, M.D., Juntima Euathrongchit, M.D., Phakphoom Thiravit, M.D., Thanisa Tongbai, M.D., Wiwatana Tanomkiat, M.D Copyright (c) 2022 The ASEAN Journal of Radiology https://creativecommons.org/licenses/by-nc-nd/4.0 https://asean-journal-radiology.org/index.php/ajr/article/view/171 Sat, 30 Apr 2022 00:00:00 +0700 Correlation between prediabetes, coronary artery calcification and cardiovascular risk factors: A 5-year retrospective case study https://asean-journal-radiology.org/index.php/ajr/article/view/136 <p><strong>Objective</strong> was to evaluate the correlation between prediabetes, Hemoglobin A1c (HbA1c) 5.7 to 6.4%, cardiovascular risks (determined by Framingham Risk Score: FRS) and the coronary artery calcium score (CACS), by the retrospective analysis of 5 year data documents on PACS, Jan 2015 to Dec 2020.</p> <p><strong>Method: </strong> There were 1,639 eligible cases, reviewed by certified radiologists via Picture Archiving and Communication System (PACS), with an asymptomatic condition in the check-up center, divided into two groups: - (1) the prediabetes group, with 756 cases and (2) the non-diabetes group, with 883 cases. The results of vital signs, BMI, CACS, blood test, HbA1c, fasting blood sugar (FBS), lipid profiles, and serum uric acid of all eligible cases were reviewed. Linear regression, t-test, chi-square, and Adjusted Odd ratio were used analyzed the significance and correlation between variables.</p> <p><strong>Results:</strong> (1) Most of the prediabetes participants (456 cases, 60.31%) had an intermediate risk of Framingham Risk Score (FRS). While most of the non-diabetes participants (665 cases, 75.31%) had a low risk of FRS., with a statistical difference (Chi-square, P &lt; 0.05), (2) The prediabetes cases were significantly associated with coronary calcification at 2.38 times to the non-diabetic cases [Adjusted Odds Ratio = 2.38 [95% CI (1.98 – 14.98)]., (3) The intermediate cardiovascular risk (FRS) was associated with positive coronary artery calcification at 2.36 times to the low cardiovascular risk [Multivariate adjusted OR = 2.36 (95% CI (1.06 – 5.46)]., and (4) The high cardiovascular risk (FRS) was associated with positive coronary artery calcification at 8.64 times to the low cardiovascular risk [Multivariate adjusted OR = 8.64 (95% CI (2.65 – 18.58)]. Moreover, we found a significant higher serum uric acid in the prediabetes group than the non-diabetes group.</p> <p><strong>Conclusions</strong>: Subclinical prediabetes, among 47 to 62-year-old individuals, with an intermediate risk of FRS was significantly associated with positive coronary calcification (atherosclerosis). The combination of CACS screening with a safety low dose radiation protocol and FRS are of complementary together to evaluate the potential risk of Atherosclerotic Cardiovascular Disease (ASCVD). The benefits of combining CACS and FRS are used for decision making of the statin therapy, according to the ACC/AHA primary prevention guidelines (2019). Moreover, a high serum uric acid (UA) is a new challenging ASCVD risk factor in the present that we found it in prediabetes. The association of UA, cardiometabolic disease, and coronary atherosclerosis needs further studies.</p> Thunnawat Wattanaseth, M.D., Ph.D., ABAARM, Mart Maiprasert , M.D., ABAARM, Pattana Teng-Umnuay, M.D., Ph.D., Pansak Sugkraroek, M.D, Phawit Norchai , M.D., Ph.D., ABAARM Copyright (c) 2022 The ASEAN Journal of Radiology https://creativecommons.org/licenses/by-nc-nd/4.0 https://asean-journal-radiology.org/index.php/ajr/article/view/136 Sat, 30 Apr 2022 00:00:00 +0700