Interventional Radiology Readiness Assessment Tool for Global Health

Kline, Aaron D.; Dixon, Robert G.; Brown, M.; Culp, Melissa P.

doi:10.7191/jgr.2017.1035

Cited by 16 publications

(6 citation statements)

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“…Considering the increasing demand for IR procedures in low and middle income countries, strategies to provide structured, accredited, and sustainable on-site training programs aiming to supply fully trained interventional radiologists in these settings are needed ( 1 , 12 , 13 ). While few such programs have been initiated over the past several years, demonstrating on a small scale that this can be achieved, there is need for massive upscaling of these efforts if IR care is to be provided worldwide ( 12 , 14 , 15 ). This especially holds true for pediatric IR, which struggles with even more challenges than adult IR, given the need for more specialized training and equipment to meet the needs of a young patient population ( 16 ).…”

Section: Discussionmentioning

confidence: 99%

Establishment of an interdisciplinary vascular anomalies program in Tanzania, East Africa

Puhr‐Westerheide

Masthoff²,

Shah³

et al. 2023

Front. Med.

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PurposeThe aim of this project is the sustainable implementation of a vascular anomalies (VA) program in Tanzania.Materials and methodsIn 2021 the first interdisciplinary VA program was initiated at Muhimbili National Hospital (MNH), Dar Es Salaam, Tanzania in a stepwise approach. During the planning phase the clinical need for minimally-invasive therapies of VAs and the preexisting structures were assessed by the local Interventional Radiology (IR) team at MNH. During the initiation phase, an IR team from two German VA centers joined the interdisciplinary team at MNH for clinical workup, image-guided procedures and follow-up. VA patients were recruited from existing patient records or seen at clinics as de novo presentations following nationwide advertisement. In the post-processing phase joined online conferences for follow-up and support in management of new patients were established. Further follow-up was supported by attending providers from other established VA centers, traveling to bolster the primary operators of MNH.ResultsThe first interdisciplinary VA program was successfully launched in Tanzania. Minimally-invasive treatments were successfully trained, by performing ultrasound-guided sclerotherapy with polidocanol and bleomycin in twelve patients with slow-flow malformations, one endovascular embolization of a high-flow malformation, and medical treatment of an aggressive infantile hemangioma. Regular online follow-up presentations have been initiated. Follow-up evaluation and required treatment was sustained when appropriate.ConclusionThe presented “hands-on” training set the ground for the first interdisciplinary VA program in Tanzania. This framework is expected to establish comprehensive and sustainable care of patients with VAs in East Africa and can serve as a blueprint for other sites.

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Section: Discussionmentioning

confidence: 99%

Establishment of an interdisciplinary vascular anomalies program in Tanzania, East Africa

Puhr‐Westerheide

Masthoff²,

Shah³

et al. 2023

Front. Med.

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“…The additional knowledge base and skills gained during the fellowship year before travel can serve as a springboard for focused collaboration. For example, one of the authors, a vascular and interventional radiology fellow, traveled to a hospital in Malawi to perform an interventional radiology readiness assessment and to develop relationships with the hospital's department of surgery [4]. Before travel, the fellow, along with an ABR-certified radiologist, obtained a Malawian medical license.…”

Section: Resident and Fellow Experience Within A Global Health Partnershipmentioning

confidence: 99%

Evolution in Trainee Participation in Global Health

Kline

Harford

Murdock

et al. 2018

Journal of the American College of Radiology

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“…Plusieurs initiatives sont menées surtout dans les pays d'expression anglaise afin de réduire ce gap en matière de RI. Il existe peu de données sur la RI dans les pays à faible revenu [11]…”

Section: Introductionunclassified

État des lieux de la pratique de la radiologie interventionnelle en Afrique subsaharienne francophone

Admin,

SAVI de TOVE Kofi-Mensa,

AKANNI Djivèdé

et al. 2020

J Afr Imag Méd

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Objective : To describe the state of the ractice of interventional radiology (IR) in sub-Saharan Africa French-speaking countries. Methods: Descriptive cross-sectional study conducted from 1 May to 31 August 2017. A self-administered questionnaire was addressed by email and by direct contact to radiologists practicing in French-speaking sub-Saharan Africa. The socio-demographic profile of the respondents, the equipment available and the interventional radiology procedures practiced were filled in. Results: The response rate was 27% for 92 radiologists. The average age of respondents was 36.93±6.16 years. There was a male predominance (sex ratio=2.14). Five radiologists (5%) had a university degree in IR and 46 (50%) had undergone continuing medical education in interventional radiology. The most available imaging modality was ultrasound (99%). Only 4% of the radiologists had an angiography room. Of the 67(73%) respondents performing IR procedures, 29(43%) of the procedures were diagnostic, 2(3%) therapeutic and 36(54%) both. The most common IR procedures were percutaneous sampling (67%) for diagnostic procedures, evacuation of collections and abscesses (41%) and osteoarticular therapeutic procedures (14%). All performed non-vascular procedures and only 09 (13%) performed vascular procedures. Conclusion: Interventional radiology in sub-Saharan Africa french speaking countries remains embryonic. It is necessary to strengthen training policies and improve technical platforms. RESUME Objectif : Décrire l’état des lieux de la pratique de la radiologie interventionnelle (RI) en Afrique subsaharienne francophone. Méthodes : Etude transversale descriptive menée du 1er mai au 31 août 2017. Un questionnaire auto-administré a été adressé par mail et par contact direct à des radiologues exerçant en Afrique subsaharienne francophone. Le profil sociodémographique des enquêtés, les équipements disponibles et les actes de radiologies interventionnels pratiqués ont été renseignés. Résultats : Le taux de réponse était de 27% soit 92 radiologues. L’âge moyen des répondants était de 36,93±6,16 ans. Il y avait une prédominance masculine (sex-ratio=2,14). Cinq radiologues (5%) avaient un diplôme universitaire de RI et 46 (50%) avaient suivi une formation médicale continue en radiologie interventionnelle. Le moyen d’imagerie le plus disponible était l’échographie (99%). Seulement 4% des radiologues disposaient d’une salle d’angiographie. Sur 73% (67) des enquêtés réalisant des actes de RI, 43%(29) des actes étaient à visée diagnostique, 3%(2) thérapeutiques et 54%(36) les deux. Les actes de RI les plus pratiqués étaient les prélèvements percutanés (67%) pour les actes à visée diagnostiques, des évacuations de collections et d’abcès (41%) et des gestes thérapeutiques ostéo articulaires (14%). Tous pratiquaient des actes non vasculaires et seulement 09 (13%) des actes vasculaires. Conclusion : La RI en Afrique subsaharienne francophone reste embryonnaire. Un renforcement des politiques de formation et l’amélioration du plateau technique sont nécessaires.

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Interventional Radiology Readiness Assessment Tool for Global Health

Cited by 16 publications

References 0 publications

Establishment of an interdisciplinary vascular anomalies program in Tanzania, East Africa

Establishment of an interdisciplinary vascular anomalies program in Tanzania, East Africa

Evolution in Trainee Participation in Global Health

État des lieux de la pratique de la radiologie interventionnelle en Afrique subsaharienne francophone

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