The ASEAN Journal of Radiology https://asean-journal-radiology.org/index.php/ajr <p><strong>General Information</strong><br />The ASEAN Journal of Radiology (ASEAN-JR), an official journal of ASEAN association of Radiology (AAR), publishes articles pertaining to the clinical imaging, therapy, and basic science of the radiology, radiation therapy, medical physics and related educational, socioeconomic and medicolegal issue in ASEAN regions and worldwide. The content of the ASEAN-JR is determined by the Editors.<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) Wed, 25 Aug 2021 16:14:18 +0700 OJS 3.2.1.1 http://blogs.law.harvard.edu/tech/rss 60 RadioVolunteer, a novel combination of social, management and technological innovations by the Royal College of Radiologists of Thiland in response to the COVID-19 pandemic https://asean-journal-radiology.org/index.php/ajr/article/view/146 <p>RadioVolunteer, a project launched by the Royal College of Radiologists of Thailand, combinedsocial, technological and management innovation, and integrated government, private and non-profit sectors, to overcome a complex task that only one sector could not seamlessly complete. Working on a digital platform which allowed radiologist volunteers from any part of Thailand to promptly read and report chest radiographs of patients with corona virus disease 2019 (COVID-19) who resided in prisons across the country. Its digitized reporting format helped triage patients with Covid-19 pneumonia, and also screen for tuberculosis.</p> Wiwatana Tanomkiat, M.D., Adisorn Taprig, B.Sc., Nitra Piyavisetpat, M.D. Copyright (c) 2021 The ASEAN Journal of Radiology https://creativecommons.org/licenses/by-nc-nd/4.0 https://asean-journal-radiology.org/index.php/ajr/article/view/146 Wed, 25 Aug 2021 00:00:00 +0700 MRI used for non-invasive description of new octopus species https://asean-journal-radiology.org/index.php/ajr/article/view/137 Linda Brown, M.D., Arthur E. Brown, M.D., M.P.H. Copyright (c) 2021 The ASEAN Journal of Radiology https://creativecommons.org/licenses/by-nc-nd/4.0 https://asean-journal-radiology.org/index.php/ajr/article/view/137 Wed, 25 Aug 2021 00:00:00 +0700 Kinked coronary saphenous vein graft after aortic dissection surgery: An unusual differential diagnosis of cardiac tamponade https://asean-journal-radiology.org/index.php/ajr/article/view/118 <p>A 73-year-old female patient presented with cardiac tamponade following Stanford type A aortic dissection required immediate pericardiocentesis and followed by root replacement with coronary artery bypass grafting. The patient's postoperative course was eventful and coronary graft kinking contributed to myocardial ischemia, but the presentation was confused with cardiac tamponade.</p> Kaushalendra Rathore, F.R.A.C.S, Mark Teh, M.D., Mark Newman, F.R.A.C.S. Copyright (c) 2021 The ASEAN Journal of Radiology https://creativecommons.org/licenses/by-nc-nd/4.0 https://asean-journal-radiology.org/index.php/ajr/article/view/118 Wed, 25 Aug 2021 00:00:00 +0700 Memorial-Associated Professor Wilaiporn Bhothisuwan https://asean-journal-radiology.org/index.php/ajr/article/view/147 <p>Dr. Bhothisuwan’s academic career in Faculty of Medicine, Siriraj hospital, Mahidol University was successful. She published articles and wrote books on ultrasonography and breast imaging. She was an active member of The Royal College of Radiologists of Thailand, the Radiological Society of Thailand, and the Medical Ultrasonic Society of Thailand. She served in Broad of Directors of The Royal College of Radiologists of Thailand during 1995- 2015 as president for the Medical Ultrasonic Society of Thailand during 2008-2011. We uniformly admired Dr.Bhothisuwan for her clinical expertise, commitment to education, and sweet and worm personality.&nbsp;</p> Wiwatana Tanomkiat, M.D. Copyright (c) 2021 The ASEAN Journal of Radiology https://creativecommons.org/licenses/by-nc-nd/4.0 https://asean-journal-radiology.org/index.php/ajr/article/view/147 Wed, 25 Aug 2021 00:00:00 +0700 Rama Co-RADS: Cutting-edge tool for improved communication in management and treatment of COVID-19 patients in Thailand https://asean-journal-radiology.org/index.php/ajr/article/view/144 <p>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. </p> Thitiporn Suwatanapongched, M.D., Chayanin Nitiwarangkul, M.D., Vanlapa Arnuntasupakul, M.D., Sasisopin Kiertiburanakul, M.D. Copyright (c) 2021 The ASEAN Journal of Radiology https://creativecommons.org/licenses/by-nc-nd/4.0 https://asean-journal-radiology.org/index.php/ajr/article/view/144 Wed, 25 Aug 2021 00:00:00 +0700 Utility of screening chest radiographs in patients with asymptomatic and mildly symptomatic COVID-19 at a field hospital in Samut Sakhon, Thailand https://asean-journal-radiology.org/index.php/ajr/article/view/119 <p><strong>Background: </strong>In a new episode of the COVID -19 pandemic in Thailand during the beginning of 2021, cases in Samut Sakhon Province mainly occurred in foreign workers and were mostly asymptomatic or had mild disease. To prevent overwhelming the local hospital, a field hospital was established which used chest radiography as one of screening tools for triaging patients.</p> <p><strong>Objective: </strong>To determine the clinical utility of chest radiographs as a screening tool for COVID-19 patients who were asymptomatic or mildly symptomatic.</p> <p><strong>Materials and Methods: </strong>Six hundred nineteen patients with COVID -19 (confirmed by reverse transcriptase-polymerase chain reaction) were registered at the field hospital at Samut Sakhon provincial sport stadium during 5-8 January 2021 and had chest radiographs taken. The image readings were based on the consensus of two radiologists and a final decision was made by a third radiologist if the first two did not agree. Findings on chest radiographs and clinical outcomes were evaluated.</p> <p><strong>Results</strong>: The study included 619 radiographs; 328/619 (53%) men and 291/619 (47%) women had a mean age of 33.3+/- 9.7 (range, 5-64) years. There was mild disease in 13/619, and asymptomatic infections in 606/619. Chest radiographs were normal in 568 (91.7%) and abnormal in 51 (8.3%) patients; typical findings of COVID-19 were seen in 3 (0.5%) patients. Other abnormal findings were found in 23 (3.8%) patients such as active tuberculosis in 6 (1.0%). Four patients were transferred to the hospital, one of whom required supplemental oxygen. </p> <p><strong>Conclusion</strong>: Combined chest radiographic and clinical information allows better decisions regarding hospital transfers of asymptomatic and mildly symptomatic COVID-19 patients at a field hospital.</p> Pilawan Trimankha, M.D., Lakkana Jirapong, M.D., Runnaya Rungsin, M.D., Orawan Autravisittikul, M.D., Pariyanoot Deesuwan, M.D., Yasinee Mekavuthikul, M.D., Anocha Chodpanich, M.D. Copyright (c) 2021 The ASEAN Journal of Radiology https://creativecommons.org/licenses/by-nc-nd/4.0 https://asean-journal-radiology.org/index.php/ajr/article/view/119 Wed, 25 Aug 2021 00:00:00 +0700 Hospitals, field hospitals, community isolation centers, and finally home isolation https://asean-journal-radiology.org/index.php/ajr/article/view/148 <p>Unlike the first and second waves of COVID-19 pandemic in Thailand which were limited among certain populations in certain areas, the third wave starting in April 2021 spread nationwide. It was from less than 10 new cases a day in 2020, to be around 2,000 a day in June and then more than 20,000 new cases a day in August 2021. Among four doctors who were killed by COVID-19 during this third wave in Thailand, the Royal College of Radiologists of Thailand lost a very active and warm member, Associated Professor Wilaiwan Bhothisuwan. When hospitals and field hospitals were full, now COVID-19 infected patients were cared in community isolation centers. Home isolation, the last and probably the final form of health care, was set in this August. The Royal College of Radiologists of Thailand had launched a project “RadioVolunteer” to interpret and report chest radiographs of COVID-19 patients in prisons, field hospitals where there were shortage of radiologists, some community isolation centers, and radiographic units for patients with home isolation.</p> Wiwatana Tanomkiat, M.D. Copyright (c) 2021 The ASEAN Journal of Radiology https://creativecommons.org/licenses/by-nc-nd/4.0 https://asean-journal-radiology.org/index.php/ajr/article/view/148 Wed, 25 Aug 2021 00:00:00 +0700