White Paper Report of the RAD-AID Conference on International Radiology for Developing Countries: Identifying Challenges, Opportunities, and Strategies for Imaging Services in the Developing World

Authors: Daniel J. Mollura, MDa, Ezana M. Azene, MD, PhDab, Anna Starikovskya, Aduke Thelwellc, Sarah Iosifescud, Cary Kimblee, Ann Polin, MSRS, RDMS, RDCS, RVTf, Brian S. Garra, MDgh, Kristen K. DeStigter, MDgh, B

a RAD-AID International, Chevy Chase, Maryland
b The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, Maryland
c Legatum Center for Development and Entrepreneurship, Massachusetts Institute of Technology, Cambridge, Massachusetts
d Grameen Foundation, Capital Management and Advisory Center, Washington, D.C
e Project HOPE, Millwood, Virginia
f Brier, Washington, D.C
g Fletcher Allen Health Care/University of Vermont, Burlington, Vermont
h Imaging the World, Charlotte, Vermont
i American College of Radiology, Reston, Virginia
j University of California, San Diego, School of Medicine, San Diego, California
k World Health Imaging, Telemedicine & Informatics Alliance, Chicago, Illinois
l Applied Physics Laboratory, Johns Hopkins University, Baltimore, Maryland
m Department of Radiology, Duke University, Durham, North Carolina
n Division of Diagnostic Ultrasound, Department of Radiology, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania

The RAD-AID Conference on International Radiology for Developing Countries was an assembly of individuals and organizations interested in improving access to medical imaging services in developing countries where the availability of radiology has been inadequate for both patient care and public health programs. The purpose of the meeting was to discuss data, experiences, and models pertaining to radiology in the developing world and to evaluate potential opportunities for future collaboration. Conference participants included radiologists, technologists, faculty members of academic medical institutions, and leadership of nongovernmental organizations involved in international health care and social entrepreneurship. Four main themes from the conference are presented in this white paper as important factors for the implementation and optimization of radiology in the developing world: (1) ensuring the economic sustainability of radiologic services through financial and administrative training support of health care personnel; (2) designing, testing, and deploying clinical strategies adapted for regions with limited resources; (3) structuring and improving the role of American radiology residents interested in global health service projects; and (4) implementing information technology models to support digital imaging in the developing world.