White Paper Report of the RAD-AID Conference on International Radiology for Developing Countries: Identifying Challenges, Opportunities, and Strategies for Imaging Services in the Developing World

To link to full-text access for this article, visit this link: http://dx.doi.org/10.1016/j.jacr.2010.01.018 Byline: Daniel J. Mollura (a), Ezana M. Azene (a)(b), Anna Starikovsky (a), Aduke Thelwell (c), Sarah Iosifescu (d), Cary Kimble (e), Ann Polin (f), Brian S. Garra (g)(h), Kristen K. DeStigter (g)(h), Brad Short (i), Benjamin Johnson (j), Christian Welch (j), Ivy Walker (k), David M. White (l), Mehrbod S. Javadi (b), Matthew P. Lungren (a)(m), Atif Zaheer (a)(b), Barry B. Goldberg (n), Jonathan S. Lewin (b) Keywords: Radiology; developing countries; public health; microcredit; microfinance; residency education; international global imaging; economic development; health care policy; information technology; limited-resource regions; health care disparity; radiology readiness Abstract: The RAD-AID Conference on International Radiology for Developing Countries was an assembly of individuals and organizations interested in improving access to medical imaging services in developing countries where the availability of radiology has been inadequate for both patient care and public health programs. The purpose of the meeting was to discuss data, experiences, and models pertaining to radiology in the developing world and to evaluate potential opportunities for future collaboration. Conference participants included radiologists, technologists, faculty members of academic medical institutions, and leadership of nongovernmental organizations involved in international health care and social entrepreneurship. Four main themes from the conference are presented in this white paper as important factors for the implementation and optimization of radiology in the developing world: (1) ensuring the economic sustainability of radiologic services through financial and administrative training support of health care personnel; (2) designing, testing, and deploying clinical strategies adapted for regions with limited resources; (3) structuring and improving the role of American radiology residents interested in global health service projects; and (4) implementing information technology models to support digital imaging in the developing world. Author Affiliation: (a) RAD-AID International, Chevy Chase, Maryland (b) The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, Maryland (c) Legatum Center for Development and Entrepreneurship, Massachusetts Institute of Technology, Cambridge, Massachusetts (d) Grameen Foundation, Capital Management and Advisory Center, Washington, D.C (e) Project HOPE, Millwood, Virginia (f) Brier, Washington, D.C (g) Fletcher Allen Health Care/University of Vermont, Burlington, Vermont (h) Imaging the World, Charlotte, Vermont (i) American College of Radiology, Reston, Virginia (j) University of California, San Diego, School of Medicine, San Diego, California (k) World Health Imaging, Telemedicine & Informatics Alliance, Chicago, Illinois (l) Applied Physics Laboratory, Johns Hopkins University, Baltimore, Maryland (m) Department of Radiology, Duke University, Durham, North Carolina (n) Division of Diagnostic Ultrasound, Department of Radiology, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania Article Note: (footnote) The RAD-AID Conference on International Radiology for Developing Countries was funded in part by the William Gatewood Fellowship Fund, Baltimore, MD.