Ghana - RSNA Visiting Professor, Dr. Dorothy Bulas (2016)

International Visiting Professor to GHANA
Feb 20 – March 6 2016    
Dorothy Bulas MD

RSNA under a generous grant from FUJIFILM supports the RSNA International Visiting Professor Program.  4-6 IVP programs are supported each year coordinated via the Committee on International Radiology Education – CIRE.   This year the IVP program supported a trip to Ghana. The Ghana Radiologic Society requested educators in pediatric radiology and interventional radiology.  I was invited to participate with Dr. Ann Roberts an interventional radiologist who has traveled extensively teaching in previous IVP programs in Nigeria and Nepal. 


And click here for more pictures and details of this teaching/training trip 

Malawi - GIZ development program, Malawi (Dr. Eva Kis)

Dr. Eva Kis, teaching and training in Malawi, 2015

Project title: Deutsche Gesellschaft für Internationale Zusammenarbeit (GIZ) and European Union programme:  "Strengthening of Medical Care in Malawi"
Assignment title: Paediatric Radiology
Type of assignment:Teaching in Paediatric Radiology and clinical work
Duration: 13.10.2015-12.12. 2015
Venues: Kamuzu Central Hospital, Lilongwe, Queen Elizabeth Central Hospital, Blantyre


TB infection control - teaching in Swaziland, SASPI (Dr. Jaishree Naidoo)

TB infection control in Swaziland is a priority health concern given the high rate of people living with HIV/AIDS and co-infected with TB (85%in adults and 60% in children).

The South Africa Society of Paediatric Imaging/SASPI (click here and scroll down for details) has expanded its mission to include outreach support to centres in South Africa and neighbouring countries lacking paediatric radiology expertise.

ICAP (Columbia University) has been supporting regional multidisciplinary mentorship teams in Hhohho, Lubombo and Manzini Regions in their integration of HIV and TB issues into health facilities in collaboration with CDC Atlanta and the MOH. ICAP has also been working with the national HIV and TB program to reinforce and centralize TB/HIV collaboration activities including building technical capacity of site providers to decentralize TB services.

In this regard, ICAP and SASPI collaborated and planned an outreach activity in September 2014 to develop skills for radiology use to diagnose and manage TB in children in different referral health sites. The activity entailed a 3 day visit from radiologist Dr. Jaishree Naidoo (Charlotte Maxeke Hospital, Johannesburg, and  President, SASPI) and radiographer Mrs Stella Legoabe to conduct on-site radiology sessions with radiology technicians and clinicians. [See below "The Future" for June 2015 update, 2nd visit plans]


The visit rationale: support a QI exercise on the radiology department with the technicians and  facilitate an on-site session with physicians to strengthen their reading skills of X-rays and with sonographers in point of care ultrasound when diagnosing TB in children. 

Image: general store towards Pigs Peak mountain region in Swaziland. © Caitlain, Hertfordshire, UK


Stella Legoabe (above left) and Dr. Jaishree Naidoo (above right, below) teaching radiographers and radiologists on the lateral chest X-ray and PoC ultrasound

During the teaching and training sessions at the different centres, the critical importance of lateral chest x-rays in assisting with the diagnosis of TB was emphasized. Click below for 7 minutes videso on the interpretation of frontal and laterial x-rays in TB, produced by SASPI member Prof. Savvas Andronikou.


Savvas' Seven Minute Snippets

Interpreting CXRs 
Pediatric tuberculosis
Clues from the frontal film 



Savvas' Seven Minute Snippets

Interpreting CXRs
Pediatric tuberculosis
Clues from the lateral film 


The SASPI team also observed that ultrasound equipment lacks a linear, high frequency ultrasound probe, essential for better detection and assessment of splenic micro abscess/lymphadenopathy in TB.  


The future 

Due to the shortage of specialists, paediatric x-rays are interpreted by the medical officers and interns. These doctors need support in interpretation of difficult cases. However, there is no digital x-ray machine and therefore images would need photographing for uploading via mail/a platform. SASPI has offered to assist the doctors in the interim but a more sustainable solution needs to be found.

The new TB clinic at the Baylor Center is a welcome addition to Swaziland's healthcare services as it will provide access to pathology and radiological investigations in one center. SASPI has offered it assistance with the training of the new staff in paediatric x-ray and ultrasound technique and interpretation of pulmonary and extra pulmonary manifestations of TB. 

Update June 2015: a second visit to the clinic is being planned; sponsorship avenues look encouraging.

Click here for WFPI's TB Corner


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Dr. Jennifer Nicholas
Chair, Digital Education and Social Media Committee



WFPI Mission
Communication and collaboration between pediatric imaging practitioners, via their organizations
Advocating for appropriate practices and resource allocation for children
Patient safety, in particular radiation safety and protection
Outreach and training in lower resource settings
Provision of information & resources




Ultrasound, Rwanda - SFIPP (Drs. Anne Geoffray and Edith Rivoal)


The French-speaking Society for Pediatric and Antenatal Imaging (SFIPP) offers assistance to medically underserved areas as part of its scope of action.


The 2nd course of pediatric Ultrasound for general practitioners was held in Rwamagana, Rwanda, organised by Drs Anne Geoffray and Edith Rivoal, pediatric radiologists in France and members of SFIPP (French society for pediatric and prenatal imaging, WFPI member). 25 general practitioners (GPs) coming from all district hospitals or health centres in Rwanda attended this 4 days course run from 3-6 February 2014. The educational aim: provide these primary health centres' GPs with the basics of pediatric ultrasound so as to diagnose their patients and make timely decisions regarding the transfer of patients to another hospital for further surgical treatment or imaging.

There are only 7 radiologists in Rwanda for a population of 10 million people. All of them work in Kigali and have access to CT and MRI.

Photo: students and teachers, 2nd course of pediatric ultrasound for general physicians, February 2014, Rwamagama, Rwanda 

This second course was again both theoretical and practical:  theoretical presentations in the morning (normal anatomy, main pathological anomalies, how to reach a diagnosis, etc.),  practice on patients from local facilities in the afternoon. Every doctor attending the course was able to  conduct practice studies on each day of the four days. The course covered all  pathologies, with a main focus on abdominal, and the teaching included transfontanellar for  neonatal evaluation. All the participants were actively engaged in the course, raising many questions. A short evaluation was undertaken on the last day.

As was the case last year, we plan to stay in contact and monitor this group so to ascertain the realities of their practice and discuss their difficulties with them. We could consider organising a second-level course in the coming years. For us, the teachers, it was again a busy but rewarding time. The students are enthusiastic and willing to learn, the needs are important. We also learned a great deal through our involvement in this educational initiative.

Anne Geoffray, Edith Rivoal

 along similar lines. Drs. Geoffray has also joined WFPI's Médecins sans Frontières/Doctors without Borders' team as a pediatric imaging tele-reader and we are seeking to draw Drs. Geoffray and Rivoal into WFPI's network for ultrasound in lower resource settings so as to benefit from their work with Rwanda's Ministry of Health and invaluable teaching experience.

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