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Kartageners Syndrome: A Case Report in the Samutsakhon Hospital 卡氏综合征:Samutsakhon医院一例报告
Pub Date : 1900-01-01 DOI: 10.46475/aseanjr.v19i2.35
Luckana Girapongsa, Thanapat Puangpetch, Orawan Autravisitkul, Pariyanoot Deesuwun
Kartageners syndrome is an autosomal recessive disorder.1 It is characterized by the triad of situs inversus, bronchiectasis and sinusitis. Basic problem is defective movement of the cilia.3 Recognition in this condition keeps prevention for unnecessary investigation. We have presented a case of Kartageners syndrome in the Samutsakhon hospital.
卡塔金斯综合征是一种常染色体隐性遗传病它的特点是三联位倒置,支气管扩张和鼻窦炎。基本问题是纤毛运动缺陷在这种情况下的认识可以防止不必要的调查。我们在Samutsakhon医院报告了一例kartagers综合征。
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引用次数: 0
Reports of Four Cases of Hypertrophic Olivary Degeneration in King-Chulalongkorn Memorial Hospital from August 2010 to November 2011 2010年8月至2011年11月朱拉隆功国王纪念医院4例增生性橄榄变性报告
Pub Date : 1900-01-01 DOI: 10.46475/aseanjr.v19i2.31
Pra Urusopone, Sasitorn Petcharunpaisan, S. Lerdlum
We report four cases of hypertrophic olivary degeneration (HOD) , the first three cases after pontine hemorrhage from cavernous malformation, arteriovenous malformation (AVM) and hypertension and the latter one after surgery for removal of Non-Hodgkin lymphoma (NHL) involving dentate nucleus. The magnetic resonance (MR) features of all cases and diffuse tensor imaging (DTI) with fiber tractography findings in one case are described as well as discussion and review literature of this uncommon condition are performed.
我们报告了4例肥厚性橄榄变性(HOD),前3例是由于海绵状畸形、动静脉畸形(AVM)和高血压引起的脑桥出血,后1例是由于累及齿状核的非霍奇金淋巴瘤(NHL)切除手术后发生的。所有病例的磁共振(MR)特征和弥散张量成像(DTI)与纤维束造影结果在一个病例中进行了描述,并进行了讨论和回顾文献这种罕见的情况。
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引用次数: 0
Abdominal CT radiation dose reduction at Siriraj Hospital (Phase III) Siriraj医院腹部CT辐射剂量降低(第三期)
Pub Date : 1900-01-01 DOI: 10.46475/aseanjr.v22i1.82
P. Apisarnthanarak, Anawat Sriwaleephun, Sastrawut Thammakittiphan, Wimonrat Lornimitdee, Atchariya Klinhom, Tarntip Suwatananonthakij, K. Muangsomboon, Wanwarang Teerasamit, Sopa Pongpornsup, W. Chaiyasoot
OBJECTIVE: To compare the image quality and the radiation dose between fixed tube current (FTC) low dose abdominal CT currently performed at our hospital and new automatic tube current modulation (ATCM) low dose abdominal CT.MATERIALS AND METHODS: We prospectively performed ATCM low dose abdominal CT in 88 participants who had prior FTC low dose CT for comparison. Four experienced abdominal radiologists independently and blindly assessed the quality of FTC and ATCM low dose CT images by using a 5-point-scale satisfaction score (1 = unacceptable, 2 = poor, 3 = average, 4 = good, and 5 = excellent image quality). Each reader selected the preferred image set between FTC and ATCM low dose techniques for each participant. The image noise of the liver and the aorta in both techniques was measured. The volume CT dose index (CTDIvol) of both techniques was compared.RESULTS: The mean satisfaction scores (SD) for FTC and ATCM low dose CT were 4.38 (0.66) and 4.38 (0.64), respectively with the ranges of 3 to 5 in both techniques, which were all acceptable for CT interpretation. The preferred image set between FTC and ATCM low dose techniques of each participant randomly selected by each reader were varied, depending on the readers’ opinions. The mean image noise of the aorta on FTC and ATCM low dose CT accounted for 34.75 and 36.46, respectively, while the mean image noise of the liver was 28.86 and 29.81, respectively. The mean CTDIvol (SD) of FTC and ATCM low dose CT were 8.42 (0.32) and 8.12 (0.43) mGy, respectively.  CONCLUSION: FTC and ATCM low dose abdominal CT provided comparable acceptable image quality and showed no clinical significance in radiation dose optimization.
目的:比较我院目前采用的固定管电流(FTC)低剂量腹部CT与新型自动管电流调制(ATCM)低剂量腹部CT的图像质量和辐射剂量。材料和方法:我们前瞻性地对88名先前接受过FTC低剂量CT的参与者进行了ATCM低剂量腹部CT的比较。4名经验丰富的腹部放射科医生独立、盲目地对FTC和ATCM低剂量CT图像质量采用5分制满意度评分(1 =不能接受,2 =较差,3 =一般,4 =良好,5 =优秀)进行评估。每位读者为每位参与者选择FTC和ATCM低剂量技术之间的首选图像集。测量了两种方法的肝脏和主动脉的图像噪声。比较两种方法的体积CT剂量指数(CTDIvol)。结果:FTC和ATCM低剂量CT的平均满意度评分(SD)分别为4.38(0.66)和4.38(0.64),范围在3 ~ 5之间,均可用于CT解释。每位读者随机选择的每位参与者在FTC和ATCM低剂量技术之间的首选图像集是不同的,这取决于读者的意见。FTC和ATCM低剂量CT主动脉图像噪声均值分别为34.75和36.46,肝脏图像噪声均值分别为28.86和29.81。FTC和ATCM低剂量CT的平均CTDIvol (SD)分别为8.42(0.32)和8.12 (0.43)mGy。结论:FTC与ATCM低剂量腹部CT图像质量相当,在优化辐射剂量方面无临床意义。
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引用次数: 0
Cerebral Hemorrhage and Femoral Neck Fracture as Initial Presentations of Hepatocellular Carcinoma 脑出血和股骨颈骨折是肝细胞癌的最初表现
Pub Date : 1900-01-01 DOI: 10.46475/aseanjr.v19i2.30
Patanee O Charoen
Hepatocellular carcinoma (HCC) is the most common primary liver tumor and one of the most common causes of cancer-related death in Thailand, particular in male. Extrahepatic metastases are common but usually diagnosed after detection of HCC. These reported cases presented with cerebralhemorrhage and femoral neck fracture which are rare initial presentations of HCC.
肝细胞癌(HCC)是泰国最常见的原发性肝脏肿瘤,也是癌症相关死亡的最常见原因之一,尤其是男性。肝外转移是常见的,但通常在HCC检测后才诊断出来。这些报告的病例表现为脑出血和股骨颈骨折,这是HCC的罕见首发表现。
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引用次数: 0
Rama Co-RADS: Cutting-edge tool for improved communication in management and treatment of COVID-19 patients in Thailand Rama Co-RADS:改善泰国COVID-19患者管理和治疗沟通的尖端工具
Pub Date : 1900-01-01 DOI: 10.46475/aseanjr.v22i2.144
T. Suwatanapongched, C. Nitiwarangkul, V. Arnuntasupakul, S. Kiertiburanakul
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.  
在泰国,COVID-19确诊病例数量的快速和持续增长,以及在第三波COVID-19期间需要呼吸和其他医疗生命支持的患者数量的增加,使该国现有的医疗机构、医生和其他医疗工作者不堪重负。因此,早期识别高危易感患者和早期COVID-19肺炎对于及时管理和使用抗病毒药物或皮质类固醇治疗以防止其发展为COVID-19严重肺炎至关重要。在替代医疗机构进行基线筛查时,尤其是在资源有限的情况下,及时提供包含清晰简明信息的胸部x光报告至关重要。本文介绍了纳入Rama Co-RADS(一种诊断COVID-19确诊患者肺炎的胸部x线检查分类评估方案)。尽管放射科医生的经验不同,但它的使用有助于快速、清晰和简明的x射线报告。全面一致的胸片信息成功缩短了医护人员之间的时间间隔和沟通差距,帮助一线值班医生根据国家现行指导方针,对新冠肺炎患者的管理和治疗做出更及时、更准确的决策。
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引用次数: 3
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The ASEAN Journal of Radiology
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