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Global Health in Radiology: Evolution, Challenges, and a Framework for the Future
Rakhshan Kamran1, Danial Aminaei2, Mariano Scaglione3
1Department of Medical Imaging, Temerty Faculty of Medicine, University of Toronto, ON, Canada.
Summary
Global health radiology requires a systems approach beyond outreach, focusing on sustainable training, equipment, and financing for equitable imaging services. Addressing these factors is crucial for effective and reliable radiology worldwide.
Area of Science:
- Global Health
- Radiology
- Health Systems Strengthening
Background:
- Global health radiology has grown significantly but is often framed by outreach and volunteerism.
- This perspective overlooks critical systems issues impacting long-term radiology service effectiveness.
- Radiology services depend on training, equipment, infrastructure, governance, and financing for equitable care.
Purpose of the Study:
- To review the evolution of global health radiology.
- To differentiate it from public health and international outreach.
- To synthesize literature on key areas and identify challenges and future directions.
Main Methods:
- Narrative review of existing literature.
- Examination of global health radiology development.
- Synthesis of information across diverse subfields.
Main Results:
- Key areas include education, service development, teleradiology, point-of-care ultrasound, low-field MRI, AI, and interventional radiology.
- Challenges include high costs, maintenance needs, and sustained training requirements.
- Limitations include fragmented efforts, lack of evaluation, inequitable partnerships, and insufficient focus on implementation and funding.
Conclusions:
- Future directions emphasize equitable partnerships, sustainable funding, and integration with broader health priorities.
- A systems-based approach is essential for effective global health radiology.
- Addressing implementation and financing is critical for sustainable impact.
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