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Interventional Procedures for Global Health Radiology

  • Mark L. Lessne
  • Andrew Kesselman
  • Paul V. Suhocki
Chapter

Abstract

Diagnostic imaging has revolutionized modern medicine; however, its availability is limited or nonexistent in low- and middle-income countries (LMICs). Though the evolution of minimally invasive interventional radiological procedures has allowed unique therapies to minimize or obviate the need for open surgeries, there remain significant obstacles that must be overcome to safely and practically implement these procedures in LMICs. Careful consideration given to resource allocation, personnel training, and procedural selection is crucial to maintaining a safe and sustainable interventional radiology (IR) practice in underserved regions.

Financial requirements may be mitigated by a careful needs-based analysis and reliance on cost-effective modalities. Alternative and durable training schemes involving long-term partnerships with developing institutions and the implementation of medical simulation training programs can be used to overcome the practical and ethical limitations of traditional training methods in the areas of low resource. IR practice in austere environments, such as in combat, or in mobile healthcare programs, can be used as a framework for establishing practices in LMICs. Creative implementation of the most basic and relatively inexpensive radiological equipment has made interventional procedures possible in underserved regions; commonly performed procedures in high-income nations can be modified to be lower cost with minimal change in their efficacy or safety.

Through careful planning and innovative techniques, local providers in LMICs can have access to the training and equipment necessary to offer lifesaving, minimally invasive procedures. With creative modifications to traditional IR procedures and healthcare delivery, the interventional radiologist can make significant medical contributions to the global community.

Keywords

Interventional radiology Image-guided interventions Minimally invasive procedures Catheterization Angiography Image-guided procedures Global health Medical training Medical simulation Free online access medical education Ultrasound-guided 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Mark L. Lessne
    • 1
    • 2
  • Andrew Kesselman
    • 3
  • Paul V. Suhocki
    • 4
  1. 1.Department of RadiologyVascular & Interventional Specialists of Charlotte RadiologyCharlotteUSA
  2. 2.Johns Hopkins Medical InstituteBaltimoreUSA
  3. 3.Department of RadiologyWeill Cornell MedicineNew YorkUSA
  4. 4.Department of RadiologyDuke University HospitalDurhamUSA

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