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Adj Assoc Prof Tang Phua Hwee

Adj Assoc Prof Tang Phua Hwee

MBBS (Spore), FRCR (UK), Masters of Medicine (Diagnostic Radiology) (Spore)

Deputy Head and Senior Consultant

KK Women's and Children's Hospital

Specialty: Diagnostic & Interventional Imaging

Sub-specialties: Paediatric Imaging

Clinical Appointments

  • Deputy Head and Senior Consultant Department of Diagnostic & Interventional Imaging KK Women's and Children's HospitalKK Women's and Children's Hospital

Academic Appointments

  • Adjunct Associate Professor, Duke NUS Graduate School of Medicine, Singapore
  • Clinical Senior Lecturer, NUS Yong Loo Lin School of Medicine, Singapore
  • Director, Paediatric Imaging SingHealth Duke-NUS Radiological Sciences Academic Clinical Programme
  • Associate Program Director for SingHealth Diagnostic Radiology Residency Program
  • Site Director and Core Faculty for NHG Residency

Profile

Dr Tang Phua Hwee is a paediatric radiologist with keen interest in neuroimaging. She is a graduate of the National University of Singapore and did her basic and advanced radiology training in various hospitals in Singapore. After obtaining her FRCR and Masters in Diagnostic Radiology, she spent 6 months in University of California San Francisco learning the finer points of paediatric imaging, including paediatric neuroimaging and foetal imaging. She has also done a mini-fellowship in neuroradiology at Cincinnati Children’s Hospital Medical Centre and a visiting fellowship at Athinoula A. Martinos Center for Biomedical Imaging. Research conducted after completing the Khoo Clinical Scholar’s Program has resulted in use of educational videos to help children co-operate better during MRI scans, Ultrafast MRI brain sequences for paediatric patients and an AI model to select patients suitable for Ultrafast MRI.

Dr Tang is actively involved in education and has won Outstanding Faculty (Residency) RADSC ACP Education Award as well as the RadSci ACP Programme Excellence Award for “KKH Ultrasound Training Programme for Residents” for application of best practices in education philosophies and scholarly approach in creation and improvement of training curriculum leading to high quality teaching and learning.

Education

  • MBBS (National University of Singapore) 1998
  • FRCR (United Kingdom) 2003
  • MMed (Diagnostic Radiology) National University of Singapore 2003

Professional Appointments and Committee Memberships

  • Senior Consultant, Department of Diagnostic and Interventional Imaging, KK Women’s and Children’s Hospital from 2012
  • Artificial Intelligence Special Interest Group member since 5 October 2021.
  • Member, KKH’s JCI Standards : Human Subjects Research Programs (HRP) from 15 June 2017
  • Data Analytic Office Representative of Department of Diagnostic and Interventional Imaging from June 2017
  • SingHealth Advanced Bioimaging Advisory and Users Committee member from 2012
  • KK Research Committee member from 1 March 2010
  • KK Review Committee member 2008-2009
  • AMEI member from 2014
  • AMRI member from 2012

Awards

  • RadSci ACP Education Awards 2022 Programme Excellence Award for “KKH Ultrasound Training Programme for Residents”
  • 2021 Ellis Barnett Prize for “The most useful cranial ultrasound predictor of neurodevelopmental outcome at 2 years for preterm infants.” being the most outstanding paper with ultrasound content published in Clinical Radiology.
  • Ella Preiskel Prize 2019 for “Using a checklist to assess if a child undergoing MRI needs general anaesthesia” published in Clinical Radiology
  • Merit Poster Award for “Evaluation of tubal blockage on HSG vs HyFoSy by comparing against findings at FTR” at Singapore Congress of Radiology 15-17 August 2019
  • Outstanding Faculty (Residency) for RADSC ACP Education Award 2019
  • Merit Award for “Senior residents’ ratings of radiology residency training components.” (Short communications presentation). Asia Pacific Medical Education Conference (AOMEC) 2019. 12 Jan 2019
  • Ella Preiskel Prize 2018 for “Prospective randomised controlled trial on the effect of videos on the cooperativeness of children undergoing MRI and their requirement for general anaesthesia” published in Clinical Radiology
  • Best poster in Clinical Research (Senior Category) for “Evaluating effectiveness of child assessment checklist to predict child’s need for general anaesthesia during MRI scan.” at SingHealth Duke NUS Scientific Congress 2018
  • Best Poster Award for “Effectiveness of ultrafast MRI scans in children” at 10th Asia Pacific Global Summit on Healthcare 12th-14th March 2018, Holiday Inn Atrium, Singapore.
  • Merit Award for at Radiology Asia 2017 for “Longitudinal study of traumatic brain injury in non-human primate using MRI.” Oral presentation at Radiology Asia 2017. Singapore Expo 19 -20 May 2017.
  • 2017 Long Service Award recipient (10 year service)
  • 2nd SAHK (Society of Anaesthetists of Hong Kong) poster prize in the topic Pain for “Pain network on arterial spin labelling MRI in post hysterectomy patients.” At 16th World Congress of Anaesthesiologists, Hong Kong, 28 Aug – 2 Sept 2016.
  • Best Scientific Oral Paper for “Best MRI sequence for imaging paediatric brain tumour” at Singapore Congress of Radiology 2016, 19-21 Feb
  • Outstanding Faculty Award (as voted by Residents) Academic Year 2013/2014, SingHealth Residency
  • Singapore Health Quality Service Award (Silver Award) in recognition of outstanding and commendable services for the period April 2011 to March 2012.
  • Singapore Medical Journal 2011 Reviewer Recognition Award.
  • Best Oral Presentation Award (Obstetrics) for “Fetal MRI complements antenatal ultrasound” at International Society of Ultrasound in Obstetrics and Gynaecology-2nd Scientific Congress of College of O&G Singapore 2010
  • Best Oral Free Paper 2nd prize for oral presentation of “MRI of the Foetal Central Nervous System in Singapore” at Asian Oceanic Society of Pediatric Radiology 2009
  • Certificate of Merit for poster “A Pictorial Review of Imaging Findings in Congenital Middle Ear Deafness on HRCT of the Temporal Bone”at European Congress of Radiology 2006
  • Bronze prize for oral presentation of “Diffusion Tensor Imaging: Distinguishing Displaced and Destroyed White Matter in Brain Tumours” at ASEAN Association of Radiology Congress 2004
  • Bronze prize for oral presentation of “Endovascular stenting of the thoracic aorta in Tan Tock Seng Hospital” at ASEAN Association of Radiology Congress 2002

Research Interests

  • Paediatric Imaging
  • New technology

Publications

  • CT-based morphologic and radiomics features for the classification of MYCN gene amplification status in pediatric neuroblastoma.
    Tan E, Merchant K, Kn BP, Cs A, Zhao JJ, Saffari SE, Tan PH, Tang PH.
    Childs Nerv Syst. 2022 Aug;38(8):1487-1495. doi: 10.1007/s00381-022-05534-3. Epub 2022 Apr 23. PMID: 35460355. (IF 1.475)
  • Should Paediatric Chest Compression Depth Targets Consider Body Habitus? - A Chest Computed Tomography Imaging Study.
    Gene Yong-Kwang Ong, Aloysius Jian Feng Ang; Zhao Jin Chen; Yiong Huak Chan; Phua Hwee Tang; Elisabeth Sue Sheun Fong; Jun Yuan Tan; AmirZeb S O Aurangzeb; Jen Heng Pek; Ian Maconochie; Vinay M Nadkarni. Resuscitation Plus 2022;9:100202
  • Occult Antenatal Fetal Abdominal Emergencies Resulting in Unplanned Preterm Delivery.
    Khoo CY, Sim MYL, Tang PH, Laksmi NK. Indian J Pediatr. 2022 Feb 4. doi: 10.1007/s12098-022-04091-6
  • Association of Anesthetic and Surgical Risk Factors with Outcomes of Initial Diagnostic Biopsies in A Current Cohort of Children with Anterior Mediastinal Masses.
    Huma Faiz Halepota, Josephine SK Tan, Satish K Reddy, Phua Hwee Tang. Lin Yin Ong, York Tien Lee, Mei Yoke Chan, Shui Yen Soh, Agnes SB Ng, Amos HP Loh. World Journal of Ped Surgery 2021;4:e000303
  • The Characteristics of Real-time Transvaginal Sono-elastography in Endometrial Cancer. Ong CL, Chew LE, Han NR, Ooi CC, Yeo YC, Chew SH, Wong WL, Tang PH, Teo SY. J Med Ultrasound. 2022 Jan 6;30(2):101-108.
  • Evaluation and outcomes of paediatric epilepsy surgery in Singapore: a single-centre audit. Tan Si Qi, Adeline Ngoh Seow Fen, Ng Wai Hoe, Xie Wanying, Janardhan Krishnappa, Nazima Binte Sahul Hamed, Tang Phua Hwee, Tchoyoson Lim Choie Cheio, Kenneth Chang Tou En, Lee Ming, Martha Kao I-Ming, David Low Chyi Yeu, Derrick Chan Wei Shih. Neurology Asia. 2021; 26(3)
  • Improving children’s cooperativeness during MRI scans using interactive educational animated videos: a prospective, randomized, non-inferiority trial.
    Evelyn Gabriela Utama, Seyed Ehsan Saffari, Tang Phua Hwee. Singapore Med J. 2021 Oct 7
  • What is the potential for over-compression using current paediatric chest compression guidelines? – A Chest Computed Tomography Study.
    Ong GY, Ang AJF, SO Aurangzeb A, Fong ESS, Tan JY, Chen ZJ, Chan YH, Tang PH, Pek JH, Maconochie I, Ng C, Nadkarni V. Resuscitation Plus Volume 6 June 2021, 100112
  • Role of Modified Ultrafast MRI Brain Protocol in Clinical Pediatric Neuroimaging.
    Ahamed SH, Lee KJ, Tang PH.
    Clinical Radiology 2020 Dec;75(12):914-920
  • Maintaining Training with Self Ultrasound during COVID-19.
    Tang PH, Chen EMH, Liang MM, Teo SY, Ong CL.
    Acad Radiology 2020 Oct; 27(10):1491
  • Appropriateness of MRI Brain Orders: Application of American and British Guidelines.
    Lim LLJ, McAdory LE, Tang PH, Conceicao EP, Lim EHW, De Silva DA, Tan EK, Chan LL. Journal of the Neurological Sciences 29 April 2020;414:116874
  • The most useful cranial ultrasound predictor of neurodevelopmental outcome at 2 years for preterm infants.
    Hou W, Tang PH, Agarwal P. Clinical Radiology 2020;75:278-286
  • Hypothalamic harmatoma and polydactyly: Think Pallister-Hall syndrome.
    Grace Yan Ling Ler, Wendy Kein-Meng Liew, Jocelyn Yi Xiu Lim, Jiin Ying Lim, Lin Yin Ong, Phua Hwee Tang, David Chyi Yeu Low, Tchoyoson Choie Cheio Lim, Shekhar Jamuar Saumya. Neurology/2019 Dec 3;(23):e1016-e1017
  • Using a checklist to assess if child undergoing MRI needs general anaesthesia.
    Sum MY, Ong YZ, Low SXK, Lye WK, Tang PH.
    Clinical Radiology. 2019;74(6):488.e17-488.e23 doi10.1016/j.crad.2019.02.015.
  • Posterior Retroperitoneoscopic Adrenalectomy For Pediatric Adrenal Tumors.
    Lee YT, Samsudin H, Ong CCP, Tang PH, Lim KBL, Loh AHP. J Pediatric Surg. 2019 Feb 28. Pii:S0022-3468(19)30133-2. doi: 10.1016/j.jpedsurg.2019.01.068.
  • Retroperitoneal Tumors and Congenital Vascular Anomalies of Retroperitoneal Great Vessels.
    Sai Woon Merng Tip, York Tien Lee, Phua Hwee Tang, Kenneth Tou En Chang, Shui Yen Soh, Ah Moy Tan, Amos Hong Pheng Loh. J Pediatric Surg. Jan 2019 JPEDSURG-D-18-00664 doi: 10.1016/j.jpedsurg.2019.01.002
  • Altered sensory insular connectivity in chronic postsurgical pain patients.
    Yin Ying Ching, Chenhao Wang, Terence Tay, Yng Miin Loke, Phua Hwee Tang, Ban Leong Sng, Juan Zhou. Frontiers in Human Neuroscience. 2018;12:483. doi:10.3389/fnhum.2018.00483
  • General anesthesia / sedation requirement influences the way MRI brain scans are ordered in a tertiary pediatric hospital.
    Sum MY, Low K, Tang PH. Journal of Magnetic Resonance Imaging. 2018 Nov 3. Doi: 10.1002/jmri.26551
  • Increased white matter connectivity seen in young judo athletes with MRI.
    Toh ZH, Gu QL, Seah TAC, Wong WH, McNab JA, Chuang K, Hong X, Tang PH. Clinical Radiology. 2018 July ; http://doi.org/10.1016/j.crad.2018.06.003
  • Prospective randomised controlled trial on the effect of videos on the cooperativeness of children undergoing MRI and their requirement for general anaesthesia.
    Ong YZ, Saffari SE, Tang PH. Clinical Radiology. 2018 October ;73(10):909.e15-909.e24
  • Concurrent paediatric medulloblastoma and Chiari I malformation with syringomyelia,
    Low SYY, Lian DWQ, Tang PH; Loh E, Seow WT, Low DCY. Childs Nerv Syst. 2017 Jun;33(6):881-883.
  • Clinical relevance of the nonvisualized appendix on abdominal ultrasonography of the abdomen in children.
    Nah SA, Ong SS, Lim WX, Amuddhu SK, Tang PH, Low Y.
    J Pediatr 2017 Mar;182:164-169
  • Concurrent paediatric medulloblastoma and Chiari I malformation with syringomyelia,
    Low SYY, Lian DWQ, Tang PH; Loh E, Seow WT, Low DCY.
    Childs Nerv Syst. 2017 Jun;33(6):881-883.
  • Changes to the geometry and fluid mechanics of the carotid siphon in the pediatric Moyamoya disease.
    Jamil M, Tan GX, Huq M, Kang H, Lee ZR, Tang PH, Hu XH, Yap CH
    Comput Methods Biomech Biomed Engin. 2016 Dec;19(16):1760-1771.
  • Fetal hypothalamic hamartoma with suprasellar arachnoid cyst.
    Tang PH, Chang K, Hwang WS, Yeo SH, Ong CL.
    Ultrasound Obstet Gynecol. 2012 Feb 28.
  • Review of congenital inner ear abnormalities on CT temporal bone.
    RSZ Yiin, PH Tang, TY Tan.
    The British Journal of Radiology 2011;(84):859-863
  • Clinics in Diagnostic Imaging (133). Retained placenta from an intra-abdominal pregnancy. Win T, Tang PH.
    Singapore Med J 2011; 11(52) : 53
  • Imaging of parotid gland primitive neuroectodermal tumor.
    Niketa C Chotai, Phua Tang, Anil N Gopinathan.
    Journal of Cancer Research and Therapeutics (J Can Res Ther) 2010; July-September 6(3):327-9
  • Primitive neuroectodermal tumour metastases mimicking neurofibromatosis type 2.
    Chotai N C, Tang P H, Gan B K, Lim C C T.
    Singapore Med J 2010; 51(6) : e98
  • Hypoxic Ischaemic Injury in an Immature Brain on MRI.
    Chotai N, Tang PH, Agarwal P.
    Proceedings of Singapore Healthcare. 2010 Volume 19 Number 2 pages 163-5
  • Imaging Paediatric Brain Tumours.
    Tang PH
    Journal of Paediatrics, Obstetrics and Gynaecology 2010; 36(4):158-162
  • MR of the foetal central nervous system in Singapore.
    Tang PH, Ong CL, Stringer D, Tan JVK, Yeo GSH.
    Ann Acad Med Singapore 2009;38:774-81
  • Imaging findings of chronic subluxation of the os odontoideum and cervical myelopathy in a child with Beare-Stevenson cutis gyrate syndrome after surgery to the head and neck.
    Too CW, Tang PH.
    Ann Acad Med Singapore 2009;38:832-4
  • Imaging of Accidental Paediatric Head Trauma.
    Tang PH, TCC Lim.
    Pediatr Radiol. 2009 May;39(5):438-46.
  • Primary Neuroblastoma of the Mandible
    Tang PH, P Cohen.
    Singapore Med J. 2009 Jan;50(1):e5-7.
  • Diagnostic Imaging Quiz – Endobronchial intubation.
    Tang PH.
    KK Hospital Review Volume 12 Issue 2 November 2009 page 101-2
  • Agenesis of the Corpus Callosum: An MR Analysis of Associated Abnormalities in the Fetus.
    PH Tang, A Bartha, ME Norton, A Barkovich, EH Sherr, OA Glenn.
    AJNR 2009 Feb;30(2):257-63
  • Superior Sagittal Sinus Thrombosis: Subtle Signs on Neuroimaging.
    Tang PH, Chai J, Chan YH, Chng SM, Lim CT.
    Ann Acad Med Singapore 2008 May 37(5):397-5
  • Diagnostic Imaging Quiz – Polymicrogyria.
    Lim TC, Tang PH.
    KK Hospital Review Volume 11 Issue 2 December 2008 page 82-3
  • Diagnostic Imaging Quiz – Adenomyosis and Endometriosis.
    Lam WW, Tang PH.
    KK Hospital Review Volume 11 Issue 1 July 2008 page 63-4
  • Hysterosalpingogram: current applications.
    Eng CW, Tang PH, Ong CL.
    Singapore Med J. 2007 Apr;48(4):368-73
  • Intracranial Aneurysm detection on 3T MRA.
    Tang PH, Hui F, Sitoh YY.
    Ann Acad Med Singapore 2007 June 36(6):388-93
  • A community study of male androgenetic alopecia in Bishan, Singapore.
    Tang PH, Chia HP, Cheong LL, Koh D.
    Singapore Med J 2000 May 41(5):202-5

Research Trials

  • Radiology eTutor for Paediatric Imaging. SingHealth Duke-NUS Academic Clinical Programme FY2020 Cycle 1 Educational Grant (10/FY2021/P1/02-A17)
  • Auto anonymization of imaging data. SingHealth Duke-NUS Radiological Sciences Academic Clinical Programme FY2018 Pitch for Funds Grant
  • Entertain, Educate, Empower- Creation of a game to train children to keep still for MRI scans
    (FY2017 SingHealth Duke-NUS Radiological Sciences Academic Clinical Programme
    Clinical Innovation Support Programme Grant )10/FY2017/P2/08-A52
  • Evaluation of Compliance of MRI Brain Scans to American College of Radiology (ACR)
    Ordering Guidelines in a Multi-centre Study HEARTS/2017/024 (Health Services Research and Analytics Technologies for SingHealth (HEARTS) 2017
  • Setting up Computerised Objective Radiology Assistant (CORA) 10/FY2015/P2/06-A48
    (SingHealth Duke-NUS Radiological Sciences Academic Clinical Programme FY2015
    Clinical Innovation Support Programme Grant)
  • Determining the Potential and Feasibility of Choline Concentration to Distinguish between Malignant and Benign Extracranial Soft tissues in a Pediatric population (Khoo Foundation Research Award Duke-NUS-KCSP/2012/0004)
  • Does arterial spin labelling or diffusion tensor imaging enhance the sensitivity of structural MRI in those with focal epilepsy? (Khoo Foundation Research Award Duke-NUS-KCSP/2012/0005)
  • To investigate the use of arterial spin labelling and diffusion tensor imaging in detecting brain lesions in children with focal epilepsy (Singapore Radiological Society 2012)
  • To improve clinical outcomes in the healthcare of women and children in Singapore with cutting edge advanced imaging technology (SingHealth Foundation Grant
    SHF/10/GMC(2)/006(R))
  • Improving the Outcomes of Women's and Children's Diseases in Singapore with Advanced Bioimaging (BMRC Extramural Grant SBIC RP C-01/2010)