Journal

Percutaneous Transhepatic Biliary Stones Removal — An Effective and Safe Alternative

JHM Cheng, WKW Leung, AHC Wong, BKH Lee, BST Leung, CY Chu, WK Kan

Radiological Findings in COVID-19 and Adaptive Approaches for Radiology Departments: Literature Review and Experience Sharing

   CME

LFH Ng, HHC Tsang, FHY Wong, MWC Law, WH Chong, CHN Ho, JKJ Fung, CCY Chan, LSK Li, KT Wong, JCX Chan, SHY Lam, KH Wong, PL Kwok, L Xu, TKK Lai, KK Cheng, TYW Hon, JYH Hui, SKY Kwok, JKF Ma

SPECIAL ARTICLE AND INVITED REVIEW    CME
 
Radiological Findings in COVID-19 and Adaptive Approaches for Radiology Departments: Literature Review and Experience Sharing
 
LFH Ng1, HHC Tsang2, FHY Wong3, MWC Law4, WH Chong5, CHN Ho6, JKJ Fung7, CCY Chan8, LSK Li1, KT Wong4, JCX Chan5, SHY Lam3, KH Wong9, PL Kwok7, L Xu2, TKK Lai6, KK Cheng8, TYW Hon10, JYH Hui10, SKY Kwok5, JKF Ma1
1 Department of Radiology, Princess Margaret Hospital, Laichikok, Hong Kong
2 Department of Radiology and Organ Imaging, Queen Elizabeth Hospital, Jordan, Hong Kong
3 Department of Radiology, Queen Mary Hospital, Pokfulam, Hong Kong
4 Department of Imaging and Interventional Radiology, Prince of Wales Hospital, Shatin, Hong Kong
5 Department of Radiology, Tuen Mun Hospital, Tuen Mun, Hong Kong
6 Department of Radiology, Tseung Kwan O Hospital, Tseung Kwan O, Hong Kong
7 Department of Radiology, Pamela Youde Nethersole Eastern Hospital, Chai Wan, Hong Kong
8 Department of Diagnostic and Interventional Radiology, Kwong Wah Hospital, Yaumatei, Hong Kong
9 Department of Radiology, North District Hospital, Sheung Shui, Hong Kong
10 Department of Radiology, United Christian Hospital, Kwun Tong, Hong Kong
 
Correspondence: Dr LFH Ng, Department of Radiology, Princess Margaret Hospital, Laichikok, Hong Kong. Email: ngphonehim@gmail.com
 
Submitted: 24 Apr 2020; Accepted: 13 May 2020.
 
Contributors: LFHN, JCXC, SKYK and JKFM designed the study. All authors contributed to the acquisition of data. LFHN and JCXC analysed the data and drafted the manuscript. All authors had critical revision of the manuscript for important intellectual content. All authors had full access to the data, contributed to the study, approved the final version for publication, and take responsibility for its accuracy and integrity.
 
Conflicts of Interest: All authors have disclosed no conflicts of interest.
 
Funding/Support: This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.
 
Ethics Approval: This study was approved by the Hong Kong Hospital Authority Central Institutional Review Board (Ref CCO-2020-0010).
 
 
 
 
 
Abstract
 
Radiological investigations play an important role in the treatment course of patients with coronavirus disease 2019 (COVID-19) and radiologists should be familiar with the imaging characteristics. Being an integral component of the healthcare system, radiology departments have made adaptations to enhance infection control and strengthen the service. In this article, we review the radiological features of COVID-19 on chest radiography and computed tomography, and share experiences on the adaptive approach of radiology departments amidst the COVID-19 pandemic.
 
Key Words: Coronavirus; COVID-19; Radiography; Severe acute respiratory syndrome coronavirus 2
 
 
中文摘要
 
2019冠狀病毒病的放射學發現和放射科的調整處理方法:文獻綜述和經驗分享
 
吳豐謙、曾凱晴、黃皓源、羅穎聰、莊永豪、何灝、馮喬政、陳卓忻、李思琪、黃嘉德、陳積聖、林曉燕、黃健開、郭寶琳、徐璐、賴國強、鄭加勁、韓予偉、許懿馨、郭啓欣、馬嘉輝
 
放射學檢查在2019冠狀病毒病(COVID-19)患者的治療過程中起著重要作用,放射科醫生應熟悉其成像特徵。作為醫療系統不可或缺的組成部分,放射科已經做出調整以增強感染控制和提高服務質量。本文回顧COVID-19在胸部X光和電腦斷層掃描上的放射學特徵,並分享COVID-19大流行中放射科調整處理方法的經驗。
 
 

Young Adult Hip Dysplasia: An Important and Under-recognised Clinical Cause of Hip Pain on Plain Radiographs

SK Wong, KH Tse, NY Pan

ORIGINAL ARTICLE
 
Young Adult Hip Dysplasia: An Important and Under-recognised Clinical Cause of Hip Pain on Plain Radiographs
 
SK Wong, KH Tse, NY Pan
Department of Radiology, Princess Margaret Hospital, Laichikok, Hong Kong
 
Correspondence: Dr SK Wong, Department of Radiology, Princess Margaret Hospital, Laichikok, Hong Kong. Email: wkh731@ha.org.hk
 
Submitted: 26 Apr 2018; Accepted: 6 Aug 2018.
 
Contributors: All authors designed the study, acquired and analysed the data, drafted the manuscript, and had critical revision of the manuscript for important intellectual content. All authors had full access to the data, contributed to the study, approved the final version for publication, and take responsibility for its accuracy and integrity.
 
Conflicts of Interest: All authors have disclosed no conflicts of interest.
 
Funding/Support: This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.
 
Ethics Approval: This research was approved by the Kowloon West Cluster Research Ethics Committee (Ref KW/EX-18-071(123-10)).
 
 
 
 
 
Abstract
 
Objective
 
Hip pain is the main indication for hip radiographs, which comprise a significant proportion of outpatient

Gemcitabine Plus Nanoparticle Albumin-bound Paclitaxel for Patients with Inoperable Pancreatic Cancer: Experience at a Single Oncology Centre

TY Lee, MHC Lam, KM Cheung, HC Cheng, RKC Ngan, KH Wong

ORIGINAL ARTICLE
 
Gemcitabine Plus Nanoparticle Albumin-bound Paclitaxel for Patients with Inoperable Pancreatic Cancer: Experience at a Single Oncology Centre
 
TY Lee, MHC Lam, KM Cheung, HC Cheng, RKC Ngan, KH Wong
Department of Clinical Oncology, Queen Elizabeth Hospital, Jordan, Hong Kong
 
Correspondence: Dr TY Lee, Department of Clinical Oncology, Queen Elizabeth Hospital, Jordan, Hong Kong. Email: lukelee2@gmail.com
 
Submitted: 3 Feb 2019; Accepted: 23 Apr 2019.
 
Contributors: TYL, HCC, RKCN and KHW designed the study. TYL, MHCL and KMC acquired the data. TYL drafted the manuscript. All authors contributed to data analysis, and had critical revision of the manuscript for important intellectual content. All authors had full access to the data, contributed to the study, approved the final version for publication, and take responsibility for its accuracy and integrity.
 
Conflicts of Interest: As editors of the journal, TY Lee, MHC Lam, and RKC Ngan were not involved in the peer review process. Other authors have no conflicts of interest to disclose.
 
Funding/Support: This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.
 
Ethics Approval: The study was approved by the Kowloon Central / Kowloon East institution’s Research Ethics Committee (Ref KC/KE-18- 0177/ER-1) and was conducted in compliance with the Declaration of Helsinki.
 
 
 
 
 
Abstract
 
Objective
 
To review the outcomes of gemcitabine plus nanoparticle albumin-bound (nab)-paclitaxel for patients with

Risk of Radiation Pneumonitis after Post-lobectomy Thoracic Radiotherapy for Non-small-cell Lung Cancer

W Chan, JSF Nyaw, WWY Tin, EKC Lee, SH Lo, ACH Liu, FCS Wong

ORIGINAL ARTICLE
 
Risk of Radiation Pneumonitis after Post-lobectomy Thoracic Radiotherapy for Non-small-cell Lung Cancer
 
W Chan, JSF Nyaw, WWY Tin, EKC Lee, SH Lo, ACH Liu, FCS Wong
Department of Clinical Oncology, Tuen Mun Hospital, Tuen Mun, Hong Kong
 
Correspondence: Dr W Chan, Department of Clinical Oncology, Tuen Mun Hospital, Hong Kong. Email: cw698@ha.org.hk
 
Submitted: 14 Feb 2019; Accepted: 29 Jul 2019.
 
Contributors: All authors contributed to the concept of study, acquisition and analysis of data, drafting of the manuscript, and had critical revision of the manuscript for important intellectual content. All authors had full access to the data, contributed to the study, approved the final version for publication, and take responsibility for its accuracy and integrity.
 
Conflicts of Interest: As an editor of the journal, FCS Wong was not involved in the peer review process. Other authors have disclosed no conflicts of interest.
 
Funding/Support: This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.
 
Ethics Approval: This retrospective study was approved by the New Territories West Research Ethics Committee (Ref NTWC/CREC/18053).
 
 
 
 
 
Abstract
 
Introduction
 
Patients who had lobectomy prior to thoracic radiotherapy may be more prone to developing radiation

Treatment Outcomes in Patients Receiving Regorafenib for Metastatic Colon Cancer

   CME

L Fok, KM Cheung, YL Kwok, KH Wong

ORIGINAL ARTICLE    CME
 
Treatment Outcomes in Patients Receiving Regorafenib for Metastatic Colon Cancer
 
L Fok, KM Cheung, YL Kwok, KH Wong
Department of Clinical Oncology, Queen Elizabeth Hospital, Jordan, Hong Kong
 
Correspondence: Dr L Fok, Department of Clinical Oncology, Queen Elizabeth Hospital, Jordan, Hong Kong. Email: leslie.fok@link.cuhk.edu.hk
 
Submitted: 7 Jun 2019; Accepted: 3 Sep 2019.
 
Contributors: LF and KMC designed the study and acquired the data. All authors contributed to the analysis of data, drafted the manuscript, and had critical revision of the manuscript for important intellectual content. All authors had full access to the data, contributed to the study, approved the final version for publication, and take responsibility for its accuracy and integrity.
 
Conflicts of Interest: The authors have no conflicts of interest to disclose.
 
Funding/Support: This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.
 
Ethics Approval: This study was approved by the Research Ethics Committee (Kowloon Central/Kowloon East) of the Hospital Authority, Hong Kong (Ref KC/KE-19-0046-ER/4). The requirement for patient consent was waived. All patients were treated in compliance with the Declaration of Helsinki.
 
 
 
 
 
Abstract
 
Introduction
 
To review the treatment outcomes of patients with chemorefractory metastatic colorectal cancer receiving

Breast Cancer Patients Treated by Helical Tomotherapy, Intensity-modulated Radiotherapy, and Volumetric Arc Therapy: Comparison of Lung Doses

   CME

WK Ho, RKC Ngan, CWY Yip, FKH Lee, JCF Lui

ORIGINAL ARTICLE    CME
 
Breast Cancer Patients Treated by Helical Tomotherapy, Intensity-modulated Radiotherapy, and Volumetric Arc Therapy: Comparison of Lung Doses
 
WK Ho, RKC Ngan, CWY Yip, FKH Lee, JCF Lui
Department of Clinical Oncology, Queen Elizabeth Hospital, Jordan, Hong Kong
 
Correspondence: Dr WK Ho, Department of Clinical Oncology, Queen Elizabeth Hospital, Jordan, Hong Kong. Email: hwk757@ha.org.hk
 
Submitted: 12 Feb 2018; Accepted: 2 Oct 2018.
 
Contributors: WKH and RKCN designed the study. WKH, CWYY, FKHL and JCFL acquired the data. WKH and RKCN analysed the data, drafted the manuscript, and had critical revision of the manuscript for important intellectual content. All authors had full access to the data, contributed to the study, approved the final version for publication, and take responsibility for its accuracy and integrity.
 
Conflicts of Interest: As an editor of the journal, RKC Ngan was not involved in the peer review process. Other authors have disclosed no conflicts of interest.
 
Funding/Support: This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.
 
Ethics Approval: This study has been approved by the Research Ethics Committee of the Hospital Authority (Ref KC/KE-18-0002/ER-2). The requirement for patient consent was waived by the Research Ethics Committee.
 
 
 
 
 
Abstract
 
Introduction
 
We compared the dosimetry of three different radiotherapy (RT) techniques: helical tomotherapy

Perceptions of Junior Doctors in the United Kingdom Regarding a Career in Interventional Radiology

Full Article

J O’Donovan, M Nair

Hong Kong J Radiol 2019;22:275-6

https://doi.org/10.12809/hkjr1917045

No abstract available.

Magnetic Resonance Imaging of Anterior Cruciate Ligament Repair and Complications: a Pictorial Essay

Full Article

TS Chan, NY Pan, HF Chan

Hong Kong J Radiol 2019;22:271-4

https://doi.org/10.12809/hkjr1916930

No abstract available.

Computed Tomography for Elbow Fractures: Adding Value to the Radiology Report

Full Article

YC Lee, NY Pan, HF Chan

Hong Kong J Radiol 2019;22:263-70

https://doi.org/10.12809/hkjr1916926

No abstract available.

Dolichoectasia of the Anterior Cerebral Circulation: a Case Report

Full Article

MC Chan, RKL Lee, J Abrigo

Hong Kong J Radiol 2019;22:258-62

https://doi.org/10.12809/hkjr1916967

No abstract available.

Anomalous Direct Drainage of Left Adrenal Vein into Left-sided Inferior Vena Cava Encountered during Adrenal Venous Sampling: a Case Report

Full Article

KKF Fung, KK Cheng, BKH Lee, DHY Cho

Hong Kong J Radiol 2019;22:254-7

https://doi.org/10.12809/hkjr1916982

No abstract available.

Positron-emission Tomography/Computed Tomography Staging and Evaluation of Post-transplant Lymphoproliferative Disorder after Paediatric Liver Transplant: a Case Report

Full Article

KKF Fung, EYL Kan, HY Lau, AKS Chiang, PL Khong

Hong Kong J Radiol 2019;22:249-53

https://doi.org/10.12809/hkjr1917010

No abstract available.

Efficacy of Iodine Perfusion Maps from Dual-energy Computed Tomography of the Pulmonary Arteries in Pulmonary Embolism Assessment

Full Article

SY Tan, K Lau, A Borsaru, D Jackson, D Nandurkar

Hong Kong J Radiol 2019;22:243-8

https://doi.org/10.12809/hkjr1916942

Introduction: There has been increasing availability and use of dual-energy computed tomography (DECT) over

Diagnostic Yield of Endoscopy after Upper Gastrointestinal Tract Abnormality Found on Computed Tomography

Full Article

J Chia, L Shimwell, C Bano, D Neal, D Howlett

Hong Kong J Radiol 2019;22:235-42

https://doi.org/10.12809/hkjr1916907

Introduction: The aim of this study was to evaluate the diagnostic yield of endoscopy after upper gastrointestinal

Reporting of Osteoporotic Vertebral Fracture Detected Opportunistically on Thoraco-abdominal Computed Tomography

Full Article

L Catalan, F Xiao, JF Griffith

Hong Kong J Radiol 2019;22:230-4

https://doi.org/10.12809/hkjr1916919

Introduction: The aim of the present study was to investigate the reporting of opportunistic vertebral fracture

Computed Tomography-based Three-dimensional Image-guided Brachytherapy for Cancer of the Cervix Uteri

Full Article

RPY Tse, SWK Siu, A Chow, W Chan, F Tang, P Ho, TW Leung, P Kwong

Hong Kong J Radiol 2019;22:224-9

https://doi.org/10.12809/hkjr1916868

Objective: To clarify the treatment results of three-dimensional (3D) image-guided brachytherapy (IGBT) for

Dysplasia Epiphysealis Hemimelica (Trevor-Fairbank Disease): a Case Report

Full Article

F Abd Ghani, R Sridharan, F Mohd Zaki, RR Md Zain, S Ibrahim

Hong Kong J Radiol 2019;22:e9-13

https://doi.org/10.12809/hkjr1916913

No abstract available.

Low-cost Self-made Phantom Model for Ultrasound-guided Breast Intervention Practice

Full Article

VSH Chan, VKS Li, SY Hui, TPW Lam, WWM Lam

Hong Kong J Radiol 2019;22:216-8

https://doi.org/10.12809/hkjr1917007

No abstract available.

Radiological Features of Liquid Cocaine Body Packing on Plain Abdominal Radiography: a Pictorial Essay

Full Article

WWL Chan, KCK Wong, ACH Lit, OF Wong, HM Ma

Hong Kong J Radiol 2019;22:210-5

https://doi.org/10.12809/hkjr1916939

No abstract available.