S I N G A P O R E R A D I O L O G I C A L S O C I E T Y

and the incoming President of the European Society of Radiology, ... musculoskeletal ultrasound and MR imaging as well as interventional radiology (WI...

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SINGAPORE RADIOLOGICAL SOCIETY

Issue 1 | 2017 ISSUE 1 | 2017

W W W . S R S . O R G . S G

MESSAGE FROM HONORARY SECRETARY Dear Members,

In the second half of 2016, SRS played host to budding young trainees and seasoned specialists alike at our annual Residents’ Night and Social Night. The events provided excellent opportunities for forging new friendships and renewing old ties, with plenty of food, drink and entertainment adding to the merriment!

This year, two key events to mark in your calendars are the SRS Annual General Meeting (AGM) and RadiologyAsia 2017. On 11th of March the SRS AGM will be convened at Grand Copthorne Waterfront. Do take the time to come down and help shape the future of our society! RadiologyAsia 2017, the SRS-CRS annual scientific meeting, will be held at Singapore Expo from 19th to 20th of May. With a diverse faculty consisting of renowned local, regional and international speakers, it promises to be an exciting and educational experience! We hope that all members will lend their support by their presence and participation, and look forward to another successful conference!

As we step into 2017, we look forward to strengthening the bonds between our members and promoting greater professional collaboration through the work of our subsections. Wishing all our members a wonderful year ahead!

Dr Charles Goh Honorary Secretary SRS

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SRS RESIDENTS’ NIGHT 2016, 29 JULY The SRS Residents’ Night was held on the

In the later part of the evening members

29th July 2016 at Brotzeit, Vivo City.

old and new were ushered to their seats and served with authentic German cuisine

The al fresco event started off in the early evening with the sun setting over the

Harbourfront and Resorts World Sentosa.

including

scrumptious

pork

knuckle,

sauerkraut and fladen. A medley of sugary delights including beer battered apple slices

finished the proceedings.

Members and the next generation of radiation oncologists, nuclear medicine physicians and radiologists from all across

Throughout the evening members and

Singapore were introduced. Plenty of world

residents were seen enjoying themselves,

famous Munich beer was at hand for

whilst making new friends and renewing

refreshment along with white and red

old acquaintances.

wines from Austria.

Wiedersehen!

Until next time, Auf

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SOCIAL NIGHT 2016, 11 NOVEMBER What better way to end a hard day’s work than with great food, exquisite wines, and a fleet of supercars? There were big smiles, happy faces, and hearty laughs, as the Singapore Radiological Society played host to radiologists from both the public and private sectors during the 2016 Social Night, held on the 11th of November at the Lamborghini showroom (Suntec Convention Centre).

As radiologists from around the island made their way to the event venue, those that arrived earlier were busy admiring and snapping pictures of the Aventador and Huracan sitting beautifully in the showroom. Test drives were the first order of the event, made possible by special arrangement with Ultimate Drive Singapore. Each participant was accompanied by a driving instructor, who acquainted the doctors with the cars, and as they turned on the ignition, the silent night was greeted by the glorious roar of finely tuned engines. There was no shortage of onlookers, as they watched and took pictures of Lamborghini Huracans, an Aventador, Ferrari California, Porsche 911 and Maclaren 650 as they exited the compound in single file. The first flight of cars returned (thankfully unscathed!) and the next batch of excited doctors took their turn to drive around the block. Many thanks to the patient driving instructors, who accommodated us for 7 rounds of driving! Each flight returned with exhilarated and contented drivers, many wishing they could just take the cars home with them at the end of the night.

A beautiful spread of finely crafted finger foods and a line of hearty warm dishes awaited the participants as they returned. Avruga caviar on egg, coffee infused pork collar, and slow roasted wagyu with red wine jus were just a few of the items on the menu. Their thirst was quenched, and dinner was accompanied, by a meticulously selected assortment of champagnes and wines, ranging from Laherte Freres Champagne Brut Ultradition, 2007 Domaine Luneau-Papin Muscadet Sevre-et Maine, to 2012 Domaine Pierre Gonon St Joseph Rouge. With a dozen magnum bottles on hand, the event organizers were much relieved that the beverages were served only after the test drives…

A short presentation by co-hosts Standard Chartered Bank on personal wealth management and security concluded the event. Associates from Standard Chartered were obliging to stay and answer queries on their products, and to assist with new sign-ups. A truly enjoyable night it was. Alas, all good things must come to an end, but none left empty handed, as each attendee was given a complimentary parting gift from Lamborghini. All in all, this was a night for radiologists to kick back and relax, mingle and laugh, enjoy good food and drink, and have an opportunity of a lifetime to take a supercar out for a spin. The Singapore Radiological Society looks forward to hosting all of you again in 2017!

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Dear Members RadiologyAsia is the annual scientific meeting of the Singapore Radiological Society and College of Radiologists Singapore. This year, Dr Amy Khor (Senior Minister of State for Health) will be the guest of honour at our event. The theme for RadiologyAsia 2017 is "Bringing state of the art imaging into clinical practice", with focus on the appropriate and judicious use of advanced imaging technologies like CT and MRI in routine practice, in particular neuroimaging and musculoskeletal imaging. To increase participation, we have dropped the delegate pricing to $275 for the two day conference pass (radiologist rate) and $575 for the two day conference pass with AIRP (radiologist rate). We are fortunate to have built a strong scientific program that will be delivered by a number of renowned international experts from the USA, Europe and within Asia. These include our plenary speakers Donald Resnick and the incoming President of the European Society of Radiology, Paul Parizel. In addition, representatives from the American Society of Neuroradiologists (Howard Rowley, Pamela Schaeffer, Michael Brant-Zawadzki, James Smirniotopoulos and Richard Wiggins), musculoskeletal imaging experts from the Asian-Oceanian School of Radiology (Yuko Kobashi, Hong-Jen Chiou and Jung Ah Choi), breast imaging experts from the American Roentgen Ray Society (Yang Wei Tze and Regina Hooley) as well as an abdominal imaging expert from Mayo Clinic (Sudhakar Venkatesh). Outside of the main tracks, AIRP (Jeffrey R. Galvin) and WIRES (Hyunchul Rhim). To this, I would like to thank Prof Wilfred Peh and Tchoyoson Lim for their strong support in linking us up with many of the experts. Our exciting program spans three days: On the pre-congress day (18th May) we will conduct hands-on workshops in musculoskeletal ultrasound and MR imaging as well as interventional radiology (WIRES). On 19th May, we kick off the program with four parallel tracks include MSK, neuro, radiographer/nursing and business for radiology leaders - "Making Cents of Imaging". In this last track we have invited not only the thought leaders from our own Radiology fraternity, but also leaders from various healthcare institutions and the industry to discuss topics that concern the future of the radiology and its place in Singapore healthcare. We end the day with a gala dinner in the picturesque One° 15 Marina in Sentosa island for a night of comradery and celebration. On 20th May, the program continues to engage all other specialties including breast imaging, AIRP and WIRES. We close the conference with a plenary lecture on “To measure is to know: Quantitative MRI markers in Neuroradiology” and announcement of the winners of the scientific competition. Thus far we have already received very strong interest and sign-ups for our conference from the region including our Australian and Malaysian colleagues. I sincerely hope that all our SRS members will strongly support our event and outnumber the foreign delegates. I look forward to seeing all of you soon!

Warm regards Cher Heng Organising Chairman RadiologyAsia 2017

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CASE DISCUSSION HISTORY A 24 year old post-partum lady presents with shortness of breath and oxygen saturation (SpO2) of 60% on room air. What is the diagnosis?

FINDINGS CT pulmonary angiography reveals cardiomegaly with right ventricular hypertrophy, straightening of the interventricular septum and right atrial dilatation. There is also evidence of pulmonary arterial hypertension (PAH) with dilatation of the pulmonary trunk measuring up to 3.6 cm in diameter. Sagittal image shows a 1.6 cm defect at the high interventricular septum in keeping with a perimembranous ventricular septal defect (VSD). Subsequent 2D-echocardiography confirmed the diagnosis of perimembranous VSD complicated by PAH and shunt reversal (Eisenmenger syndrome).

DISCUSSION VSDs are the commonest congenital cardiac defect, accounting for 20% of all congenital cardiac anomalies (2-6 every 1000 live births). Four types are described based on location of the defect along the interventricular septum – perimembranous (commonest, in 70-80%), muscular, subarterial and inlet types. Natural history is dependent on size of the VSD, with small ones more likely to close spontaneously and large ones requiring surgical correction. Patients are typically asymptomatic but may present with shortness of breath on exertion, tachypnea, tachycardia, chest pain and syncope – especially if complicated by PAH and eventual Eisenmenger syndrome in larger VSDs that are left untreated. Our patient’s symptoms were likely exacerbated by the effects of pregnancy on her cardiac circulation and the physical stresses of recent vaginal delivery. REFERENCES 1. 2. 3. 4.

Rajiah P et al: Computed tomography of septal defects. J Cardiovasc Comput Tomogr. 4(4):231-45, 2010 Goo HW et al: CT of congenital heart disease: normal anatomy and typical pathologic conditions. Radiographics. 23 Spec No:S147-65, 2003 Mongeon FP et al: Indications and outcomes of surgical closure of ventricular septal defect in adults. JACC Cardiovasc Interv. 3(3):290-7, 2010 Jacobs JP et al: Congenital Heart Surgery Nomenclature and Database Project: ventricular septal defect. Ann Thorac Surg. 69 (3): 25–35, 2000

Case submitted by Dr Mark Wang

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HIGHLIGHTS Corporate rates with Siam Kempinski Hotel Bangkok (kempinski.com/Bangkok)



All rates quoted are on a per room per night basis.



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UPCOMING EVENTS Local Conferences / Events RadiologyAsia 2017 19 - 20 May 2017 | Max Atria @Singapore Expo www.radiologyasia.com

Overseas Conferences / Events Global Radiology Education 2017 23 - 25 February 2017 | Bali, Indonesia www.globalradiologyeducation.org ICMRI 2017 23 - 25 March 2017 | Seoul, Korea 2017.ksmrm.org Society of Interventional Radiology 2017 (SIR 2017) 4 - 9 March 2017 | Washington, D.C sirmeeting.org The 6th Asian Congress of Abdominal Radiology (ACAR 2017) 21 - 22 April 2017 | Busan, Korea [email protected] APSCVIR 2018 8 - 11 March 2018 | Auckland, New Zealand www.apscvir2018.com

ISSUE 1 | 2017