Dave Fornell, ITN Editor at RSNA

Dave Fornell is the editor of Imaging Technology News magazine and Diagnostic & Interventional Cardiology magazine.

Blog | Dave Fornell, ITN Editor at RSNA | RSNA 2017| December 08, 2017 | Dave Fornell

A Glimpse Into Radiology in the Developing World in Africa

A Glimpse Into Radiology in the Developing World in Africa

RSNA members Stanley Ogoinja, MBBS, and Mayomi Onuwaje, M.D., both from Nigeria, said they are among less than 60 radiologists that serve their entire county of 190 million people.

When I attend evening sessions at any of the medical conferences I go to throughout the year, I always look forward to meeting doctors who can talk about what they do on a daily basis to get a reality check on the true current state of healthcare. As an editor of a new technology magazine, you get a skewed sense when you only see work-in-progress and brand new FDA-cleared products. At the 2017 Radiological Society of North America (RSNA) meeting in late November, I attended a Toshiba evening event and met two radiologists from Nigeria. We had a great conversation about the state of healthcare in their country. It also gave me a reality check as to the state of medicine in developing countries, compared to the U.S. and Europe.

RSNA members Stanley Ogoinja, MBBS, from Yenagoa, and Mayomi Onuwaje, M.D., from Warri, said their African country of 190 million people has a major shortage of doctors. They are among a group of less than 60 radiologists that serve the entire country’s population.

Access to advanced imaging systems like CT is limited to about one machine in most large cities, mostly 16-slice or lower systems. MRI access is even lower. However, Dr. Ogoinja showed me spinal MRI trauma images on his iPhone that are from his 1.5T MRI system that matched the excellent quality of anything I have seen from U.S. hospitals.

They said access to care is limited to people who can pay out of pocket, since very few Nigerians have insurance. The annual income of most people is about $50 per month and the cost of an MRI is about $200, so MRI is often used as a last resort or is reserved only for people who have higher incomes. The cost for surgery is sometimes lower than CT or MRI, so exploratory surgery is still used as a less expensive option. Point-of-care ultrasound is widely available and is the primary imaging modality available, they said.

Access to hospitals is also an issue, as people from rural areas may take several days to get to a city hospital. This, combined with the high cost of care that makes many people come to hospitals only as a last resort, leads to poor outcomes with many diseases. They said this is most pronounced in cases of stoke and coronary disease. Ambulance and paramedic services to the hospitals also are nonexistent. 

Radiologists make about $2,000 a month and the cost of a good apartment is about $1,000 per year, they said. The cost of living in Nigeria is also pretty low, compared to Europe and the U.S., so they said doctors can live pretty well there.

In Africa, they said Egypt and South Africa are the two main hubs of education and advanced imaging and healthcare. In central Africa, Kenya and Ghana are the two most advanced in terms of access to care and advanced imaging capabilities, they said.

To see what vendors showed at RSNA 2017, visit the ITN RSNA FastPass microsite.

Watch ITN videos from RSNA 2017.


Related Content

News | Business | March 08, 2018
Scranton Gillette Communications’ Imaging Technology News (ITN) was recently named a 2018 Azbee Award finalist in five...
Imaging agent helps predict success of lung cancer therapy
News | Oncology Diagnostics | March 08, 2018
March 8, 2018 – Doctors contemplating the best therapy for...
Sponsored Content | Case Study | Imaging | March 06, 2018
As one of the largest Catholic, not-for-profit healthcare systems in the United States, St. Louis-based SSM Health has...
Enterprise imaging is evolving to address the problem — to find and assemble relevant information so that accurate diagnoses can be made efficiently and effectively
Feature | Enterprise Imaging | March 06, 2018 | By Jeff Zagoudis
Physicians are struggling with too much of a good thing. They have never had so much information about their patients....
Sponsored Content | Videos | Women's Health | February 27, 2018
Fujifilm details its latest innovations in women's health including its ASPIRE Cristalle mammography system with...
Sponsored Content | Videos | Pediatric Imaging | February 22, 2018
FUJIFILM Medical Systems U.S.A., Inc. and FUJIFILM SonoSite Inc., are offering a full-suite pediatric solutions...
ECR 2018 Spotlights Artificial Intelligence and Current Radiology Trends
News | Interventional Radiology | February 21, 2018
The European Congress of Radiology (ECR) announced the theme of its 2018 annual meeting, Feb. 28-March 4 in Vienna...
Sponsored Content | Videos | Flat Panel Displays | February 21, 2018
This 5 megapixel, high-brightness color monitor has the high-definition display necessary for breast imaging.
A brain MRI. Gadolinium contrast agents (GBCAs) are partly retained in the brain, raising safety concerns.
Feature | Magnetic Resonance Imaging (MRI) | February 16, 2018 | Dave Fornell
One of the biggest concerns in radiology in recent years is the safety of gadolinium-based contrast agents (GBCAs) us
Radiography Education Enrollment Shows Marginal Rise in 2017
News | Business | February 15, 2018
Directors of radiography educational programs report the number of enrolled students increased slightly in 2017, while...
Overlay Init