Semin Musculoskelet Radiol 2011; 15(5): 441-445
DOI: 10.1055/s-0031-1293490
© Thieme Medical Publishers

Diagnostic Radiology in the Tropics: Technical Considerations

Kwan-Hoong Ng1 , 2 , Ian Donald Mclean3
  • 1Department of Biomedical Imaging, University of Malaya, Kuala Lumpur, Malaysia
  • 2University of Malaya Research Imaging Centre, Kuala Lumpur, Malaysia
  • 3Dosimetry and Medical Radiation Physics Section, Human Health Division, International Atomic Energy Agency, Vienna, Austria
Further Information

Publication History

Publication Date:
11 November 2011 (online)

ABSTRACT

An estimated two thirds of the world's population is currently without access to diagnostic radiology services, and most of them live in resource-limited tropical regions with harsh environments. Most patients are diagnosed and treated in poorly equipped government-funded hospitals and clinics that have insufficiently trained staff and are barely operational. Any available imaging equipment is likely to be functioning suboptimally and be poorly maintained. The root of the problem is usually a lack of know-how and a quality culture, combined with insufficient basic equipment and infrastructure. Radiological imaging is an essential aspect of primary care and used in the critical diagnosis and management of trauma, tuberculosis, pneumonia, acquired immunodeficiency syndrome, cancer, and other respiratory and abdominal diseases. Considerations such as quality management and infrastructure, personnel, equipment, and radiation protection and safety are important to ensure the proper functioning and rational use of a diagnostic radiology facility in the tropics.

REFERENCES

  • 1 International Atomic Energy Agency .Comprehensive Clinical Audits of Diagnostic Radiology Practices: A Tool for Quality Improvement. Quality Assurance Audit for Diagnostic Radiology Improvement and Learning (QUAADRIL). Human Health Series No. 4. Vienna, Austria: IAEC; 2010. Available at: http://www-pub.iaea.org/MTCD/publications/PDF/Pub1425_web.pdf Accessed October 13, 2011
  • 2 Lloyd P. Quality Assurance Workbook for Radiographers and Radiological Technologists. International Society of Radiographers and Radiological Technologists. Geneva, Switzerland: World Health Organization; 2001
  • 3 McClelland I R. X-Ray Equipment Maintenance and Repairs Workbook for Radiographers and Radiological Technologists. Geneva, Switzerland: World Health Organization; 2004
  • 4 Swain J A, Flinton D M. X-ray cassettes a potential cross-infection risk.  J Diagn Radiogr Imaging. 2000;  3 121-125
  • 5 World Health Organization .Guidelines for Health Care Equipment Donations. Evidence and Information for Policy (EIP), Organization of Health Services Delivery (OSD). Geneva, Switzerland: WHO; 2000. Available at: http://www.who.int/hac/techguidance/pht/1_equipment%20dona-tionbuletin82WHO.pdf Accessed October 13, 2011
  • 6 International Atomic Energy Agency .Radiation Protection and Safety of Radiation Sources: International Basic Safety Standards. IAEA Safety Standards Series No. GSR Part 3. Vienna, Austria: IAEA; 2011
  • 7 International Atomic Energy Agency .Quality Assurance Programme for Digital Mammography. Human Health Series 17. Vienna, Austria: IAEA; 2011
  • 8 International Atomic Energy Agency .Status of Computed Tomography Dosimetry for Wide Cone Beam Scanners. Human Health Report X. Vienna, Austria: IAEA. Available at: http://www-naweb.iaea.org/nahu/dmrp/publication.asp Accessed October 13, 2011
  • 9 International Commission on Radiological Protection . Avoidance of radiation injuries from medical interventional procedures. ICRP Publication 85.  Ann ICRP. 2001;  30 (2)
  • 10 International Commission on Radiological Protection . Pregnancy and medical radiation. ICRP Publication 84.  Ann ICRP. 2000;  30 (1)
  • 11 International Commission on Radiological Protection . Radiological protection in paediatric diagnostic and interventional radiology. ICRP Publication 84.  Ann ICRP. 2011;  2012 in press

Kwan-Hoong NgPh.D. 

Department of Biomedical Imaging, University of Malaya

50603 Kuala Lumpur, Malaysia

Email: ngkh@ummc.edu.my

    >