Abstract
Pediatric radiology in resource-limited countries faces significant challenges regarding the availability and accessibility of diagnostic imaging technologies and specialized professional training. However, it is possible to adapt and make the most of existing resources by employing innovative technologies and techniques.
Ultrasound is a valuable tool in these settings, as it is affordable, portable, noninvasive, and can be applied in multiple clinical situations. The use of ultrasound in the evaluation of pediatric diseases has increased in recent years, and it has proven effective in diagnosing and monitoring conditions such as pneumonia, congenital heart diseases, and abdominal trauma, among others.
Computed tomography (CT) can also be an effective alternative in resource-limited countries, especially when magnetic resonance imaging (MRI) is not available. Although MRI is preferable in certain cases, CT can be useful in diagnosing diseases like Dandy Walker complex, retinoblastoma, and in evaluating patients with seizure disorders, among others.
The adoption of innovative digital technologies such as artificial intelligence (AI) and telemedicine can enhance the quality and availability of pediatric radiology worldwide. Telemedicine can provide radiology services to rural areas and improve patient care by enabling radiologists to work remotely. Additionally, AI can improve medical imaging diagnosis by offering computer-aided detection and classification tools, as well as the prioritization of emergency cases.
To ensure the successful adoption of AI in resource-limited countries, a holistic approach that includes clinical radiology education, infrastructure implementation, and phased AI introduction is necessary. This can strengthen the capacity of local radiologists to use AI safely and effectively, and improve the quality of healthcare for pediatric patients.
In summary, pediatric radiology in resource-limited countries can benefit significantly from the adaptive and innovative use of diagnostic imaging technologies and the implementation of telemedicine and artificial intelligence strategies. This can enhance the quality and accessibility of healthcare in these regions, allowing for more efficient diagnosis and treatment for pediatric patients.
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Ugas-Charcape, C.F., Naidoo, J., Sodhi, K.S. (2022). Pediatric Radiology in Resource-Limited Settings. In: Otero, H.J., Kaplan, S.L., Medina, L.S., Blackmore, C.C., Applegate, K.E. (eds) Evidence-Based Imaging in Pediatrics. Evidence-Based Imaging. Springer, Cham. https://doi.org/10.1007/978-3-030-38095-3_44-1
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