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Another loss of radioactive material in Thailand highlights the need for effective risk communication 泰国发生的另一起放射性物质损失凸显了进行有效风险通报的必要性
Pub Date : 2023-04-30 DOI: 10.46475/aseanjr.v24i1.458
Kwan Hoong Ng
On March 10th 2023, a cylinder containing caesium-137 was found missing from a power plant near Bangkok, Thailand. This generated lots of fear and anxiety, fuelled by social media and inadequate statements from the authorities. Later it was discovered in a foundry, compressed and partially melted. It is clear from this incident that risk communication was inadequate.            Two case studies from Southeast Asia, the 2004 Asian Earthquake and Tsunami in Banda Aceh, Indonesia, and the COVID-19 pandemic illustrate the significance of effective risk communication in crisis management and public policy.            This incident in Thailand serves as a "wake-up call" for other countries in Southeast Asia and beyond, urging them to ensure the safe management of radioactive materials as well as to pay attention to their own investments in creating efficient risk communication frameworks to deal with future disasters.
2023年3月10日,一个装有铯-137的圆柱体在泰国曼谷附近的一座发电厂被发现失踪。这引发了许多恐惧和焦虑,社交媒体和当局不充分的声明加剧了这种恐惧和焦虑。后来在一家铸造厂发现了它,被压缩并部分熔化。从这一事件中可以清楚地看出,风险沟通是不够的。东南亚的两个案例研究——2004年印度尼西亚班达亚齐地震和海啸以及2019冠状病毒病大流行——说明了有效的风险沟通在危机管理和公共政策中的重要性。泰国的这一事件为东南亚及其他地区的其他国家敲响了“警钟”,敦促它们确保放射性材料的安全管理,并注意自己在建立有效的风险沟通框架方面的投资,以应对未来的灾难。
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引用次数: 0
Acknowledgement of Reviewers 审稿人致谢
Pub Date : 2023-04-30 DOI: 10.46475/aseanjr.v24i1.687
Wiwatana Tanomkiat
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引用次数: 0
China’s reopening border, AOCR2023 in Bangkok, and Songkran 中国重新开放边境,曼谷AOCR2023和宋干河
Pub Date : 2023-04-30 DOI: 10.46475/aseanjr.v24i1.807
Wiwatana Tanomkiat
After 3 years of absence due to COVID-19 pandemic, the first group of Chinese tourists from Xiamen arrived Bangkok, Thailand, on Monday 9th January 2023 just a day after China abandoned zero-COVID policies and reopened its border on Sunday 8th January. During 9th-12th February, the Royal College of Radiologists of Thailand (RCRT) and the Radiological Society of Thailand (RST) hosted the 21th Asian Oceanian Congress of Radiology (AOCR), 40 years after they last hosted the 4th AOCR in 1983. Leaders in Radiology from Asian Oceanian countries met and shared their experiences and opinions on various topics. This issue takes core messages from Asian Symposia in AOCR on tuberculosis and post COVID lung disease. In March, the missing caesium-137 in Thailand generated lots of fear and anxiety, fuelled by social media and inadequate statements from the authorities. The need of effective risk communication was discussed in this issue. Songkran, the water splashing festival which is Thailand’s traditional new year during 13th-15th April, marked the end of wearing masks and social distancing due to the pandemic as both local and visitors from around the world, as many as more than 100, 000, gathered in many famous parts of Thailand.
在因COVID-19大流行而缺席三年后,第一批来自厦门的中国游客于2023年1月9日星期一抵达泰国曼谷,就在中国放弃零covid政策并于1月8日星期日重新开放边境的第二天。2月9日至12日,泰国皇家放射科医师学院(RCRT)和泰国放射学会(RST)主办了第21届亚洲大洋洲放射学大会(AOCR),这是他们上次在1983年主办第四届AOCR的40年后。来自亚洲及大洋洲国家的放射学领袖齐聚一堂,就不同主题分享他们的经验及意见。这一问题的核心信息来自AOCR关于结核病和COVID后肺病的亚洲专题讨论会。今年3月,在社交媒体和当局不充分的声明的推动下,泰国失踪的铯-137引发了大量的恐惧和焦虑。讨论了有效的风险沟通的必要性。4月13日至15日,泼水节是泰国的传统新年,标志着因疫情而戴口罩和保持社交距离的结束,多达10万名当地居民和来自世界各地的游客聚集在泰国许多著名地区。
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引用次数: 0
A visit to Songklanagarind Hospital, Prince of Songkla University 访问宋卡王子大学宋卡拉纳加林德医院
Pub Date : 2023-04-30 DOI: 10.46475/aseanjr.v24i1.204
Utit Pitaktong
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引用次数: 0
summary from AOCR2023, Bangkok, Thailand AOCR2023泰国曼谷会议摘要
Pub Date : 2023-04-30 DOI: 10.46475/aseanjr.v24i1.863
Wiwatana Tanomkiat
The Asian Oceanian Congress of Radiology (AOCR) was held in Bangkok, Thailand, by the Royal College of Radiologists of Thailand (RCRT) and the Radiological Society of Radiology of Thailand (RST) in a hybrid format, offering an opportunity for participants to attend the meeting virtually or in person and meet international colleagues face-to-face (Figure 1). It was well-attended by 1,162 participants from 29 countries around the world with 241 overseas participants and 921 local participants. There were 785 people attending the conference in person and 377 participating via the online channel. The countries with the highest number of participants included Thailand, South Korea, the Philippines, and Singapore, respectively
亚洲大洋洲放射学大会(AOCR)由泰国皇家放射学院(RCRT)和泰国放射学会(RST)在泰国曼谷举行,以混合形式举行,与会者可以虚拟或亲自参加会议,并与国际同事面对面交流(图1)。来自全球29个国家的1,162名与会者出席了会议,其中241名海外与会者和921名本地与会者。有785人亲自参加了会议,377人通过在线渠道参加了会议。参加人数最多的国家分别是泰国、韩国、菲律宾和新加坡
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引用次数: 0
Post-COVID-19 lung diseases: A short note from AOCR 2023, Bangkok, Thailand 2019冠状病毒病后肺部疾病:来自泰国曼谷AOCR 2023的简短说明
Pub Date : 2023-04-30 DOI: 10.46475/aseanjr.v24i1.521
Yutthaphan Wannasopha, Thitiporn Suwatanapongched, Joo Jeong Yeon, Bushra Johari, Noriyuki Tomiyama, Wiwatana Tanomkiat
The Asian Symposia II: Post-COVID Lung Diseases at the Asian Oceanian Congress of Radiology (AOCR) 2023, Bangkok, Thailand, discussed the current understanding regarding post-COVID-19 lung diseases, one of the topical health concerns. At the AOCR2023 Asian Symposia, representatives from South Korea, India, Malaysia, and Thailand presented different views, initiatives, and experiences in post-COVID-19 lung diseases.
在泰国曼谷举行的2023年亚洲大洋洲放射学大会(AOCR)上,亚洲专题讨论会II: covid -19后肺部疾病,讨论了目前对covid -19后肺部疾病的理解,这是热门的健康问题之一。在AOCR2023亚洲研讨会上,来自韩国、印度、马来西亚和泰国的代表介绍了不同的观点、倡议和经验,以应对covid -19后肺部疾病。
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引用次数: 0
Report from the 2022 annual meeting of thoracic radiologists in Thailand: National HRCT Protocol and its applications in 10 major institutes 泰国2022年胸科医师年会报告:国家HRCT方案及其在10个主要机构的应用
Pub Date : 2023-04-30 DOI: 10.46475/aseanjr.v24i1.214
Chayaporn Kaewsathorn, Phakphoom Thiravit, Thanisa Tongbai, Wariya Chintanapakdee, Itthi Itthisawatpan, Warawut Sukkasem, Krisna Dissaneevate, Juntima Euathrongchit, Panaya Tumsatan, Amolchaya Kwankua, Pisit Wattanaruangkowit, Watanya Jaidee, Nitra Piyavisetpat, Wiwatana Tanomkiat
The Royal College of Radiologists of Thailand (RCRT) and the Thoracic Society of Thailand Under Royal Patronage (T.S.T.) has established the standard national high-resolution computed tomography (HRCT) protocol for ILD in 2019 and announced the member to adopt the protocol. The Thoracic Society of Thailand Under Royal Patronage (T.S.T.) is required to evaluate whether this national protocol actually works in the real practice in many institutes across Thailand and monitor the problems, so the meeting among radiologists from various institutes in Thailand was held on September 2022 to update data and discuss the challenges of the current situation of the HRCT protocol in each institute. At the end of the meeting, we found that most institutes were able to adopt the national protocol. Although there were minor deviations from national protocols in a few institutes, only one institute demonstrated a significantly higher radiation dose than the recommendation in the national protocol. The institute will return to explore the cause, do a root cause analysis, and the matter will be discussed in the next meeting.
泰国皇家放射科医师学院(RCRT)和泰国皇家赞助胸科学会(T.S.T.)于2019年制定了ILD的标准国家高分辨率计算机断层扫描(HRCT)协议,并宣布了采用该协议的成员。泰国皇家赞助胸科学会(T.S.T.)被要求评估该国家方案在泰国许多机构的实际实践中是否有效,并监测问题,因此泰国各机构的放射科医生于2022年9月举行会议,更新数据并讨论每个机构HRCT方案现状的挑战。在会议结束时,我们发现大多数研究所都能够采用国家协议。虽然有几个研究所与国家规程略有偏差,但只有一个研究所的辐射剂量明显高于国家规程的建议。研究院将返回调查原因,进行根本原因分析,并在下次会议上讨论此事。”
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引用次数: 0
Imaging of mucormycosis during the COVID-19 pandemic: A pictorial review COVID-19大流行期间毛霉菌病的影像学研究:图片综述
Pub Date : 2022-04-30 DOI: 10.46475/aseanjr.v23i1.150
Utsav Ganguly, S. Agarwal, B. Arora, Aditya Bhargava, Virender Singh, Chandini Sharma
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. 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).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.
在2019年冠状病毒病(COVID-19)第二波大流行期间,鼻-眶-脑毛霉菌病(ROCM)病例显著增加,这是一种侵袭性急性真菌性鼻窦炎,具有快速扩散到眼眶和颅内隔室的倾向。及时诊断和随后的手术清创和抗真菌药物治疗是治疗ROCM的主要方法。放射学在疾病的诊断和扩散程度的评估中起着关键作用。本文旨在详细阐述ROCM患者的重要计算机断层扫描(CT)和磁共振成像(MRI)结果。这是基于第二波(2021年4月至6月)期间提交给我们研究所进行管理的146例微生物学/组织病理学证实病例的影像学结果。虽然CT提供了很好的骨解剖细节,特别是骨稀疏,但它在评估软组织扩散方面有局限性。MRI提供了良好的软组织描绘,并有助于评估眼眶的受累,特别是眶尖,以及颅内延伸。
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引用次数: 0
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 泰国皇家放射科医师学院和泰国放射学会的第一届混合年度大会:我们如何应对COVID-19
Pub Date : 2022-04-30 DOI: 10.46475/aseanjr.v23i1.172
W. Tanomkiat
sections performing chest radiographs to screen for tuberculosis and assess the severity of COVID-19 infection in communities.
进行胸片检查以筛查结核病并评估社区COVID-19感染的严重程度。
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引用次数: 0
Correlation between prediabetes, coronary artery calcification and cardiovascular risk factors: A 5-year retrospective case study 前驱糖尿病、冠状动脉钙化和心血管危险因素的相关性:一项5年回顾性病例研究
Pub Date : 2022-04-30 DOI: 10.46475/aseanjr.v23i1.136
Thunnawat Wattanaseth, Mart Maiprasert, Pattana Teng-Umnuay, P. Sugkraroek, Phawit Norchai
Objective 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.Method:  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.Results: (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 < 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.Conclusions: 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.
目的通过对2015年1月至2020年12月PACS 5年数据文件的回顾性分析,评估糖尿病前期、糖化血红蛋白(HbA1c) 5.7 ~ 6.4%、心血管风险(Framingham Risk Score: FRS)和冠状动脉钙评分(CACS)之间的相关性。方法:通过注册放射科医师通过PACS (Picture archive and Communication System)审核的无症状体检中心合格病例1639例,分为两组:(1)糖尿病前期组756例,(2)非糖尿病组883例。回顾所有符合条件的患者的生命体征、BMI、CACS、血检、HbA1c、空腹血糖(FBS)、血脂和血清尿酸的结果。采用线性回归、t检验、卡方检验和调整奇数比分析变量间的显著性和相关性。结果:(1)大多数糖尿病前期参与者(456例,占60.31%)具有Framingham风险评分(FRS)的中等风险。大多数非糖尿病患者(665例,75.31%)发生FRS的风险较低,差异有统计学意义(χ 2, P < 0.05);(2)糖尿病前期患者与非糖尿病患者冠脉钙化的相关性为2.38倍[校正优势比= 2.38 [95% CI(1.98 ~ 14.98)]。(3)中等心血管风险(FRS)与冠状动脉钙化阳性的相关性是低心血管风险的2.36倍[多因素校正OR = 2.36 (95% CI(1.06 - 5.46)]。(4)高心血管风险(FRS)与冠状动脉钙化阳性相关的比例是低心血管风险的8.64倍[多因素校正OR = 8.64 (95% CI(2.65 - 18.58)]。此外,我们发现糖尿病前期组的血清尿酸明显高于非糖尿病组。结论:47 - 62岁的亚临床糖尿病前期人群中,FRS的中等风险与冠状动脉钙化(动脉粥样硬化)阳性显著相关。CACS筛查与安全低剂量辐射方案和FRS相结合,在评估动脉粥样硬化性心血管疾病(ASCVD)的潜在风险方面是互补的。根据ACC/AHA一级预防指南(2019),将CACS和FRS联合使用的益处用于他汀类药物治疗的决策。此外,高血清尿酸(UA)是一个新的具有挑战性的ASCVD危险因素,目前我们发现它在前驱糖尿病。UA、心脏代谢疾病和冠状动脉粥样硬化之间的关系有待进一步研究。
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引用次数: 1
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The ASEAN Journal of Radiology
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