Frija Guy, Blažić Ivana, Frush Donald P, Hierath Monika, Kawooya Michael, Donoso-Bach Lluis, Brkljačić Boris
Professor Emeritus, Université de Paris, Paris, France.
Co-Chair International Society of Radiology Quality and Safety Alliance, France.
EClinicalMedicine. 2021 Jul 17;38:101034. doi: 10.1016/j.eclinm.2021.101034. eCollection 2021 Aug.
Imaging has become key in the care pathway of communicable and non-communicable diseases. Yet, there are major shortages of imaging equipment and workforce in low- and middle-income countries (LMICs). The International Society of Radiology outlines a plan to upscale the role of imaging in the global health agenda and proposes a holistic approach for LMICs. A generic model for organising imaging services in LMICs via regional Centres of Reference is presented. The need to better exploit IT and the potential of artificial intelligence for imaging, also in the LMIC setting, is highlighted. To implement the proposed plan, involvement of professional and international organisations is considered crucial. The establishment of an International Commission on Medical Imaging under the umbrella of international organisations is suggested and collaboration with other diagnostic disciplines is encouraged to raise awareness of the importance to upscale diagnostics at large and to foster its integration into the care pathway globally.
影像学已成为传染病和非传染病诊疗路径中的关键要素。然而，低收入和中等收入国家（LMICs）存在影像学设备和专业人员严重短缺的情况。国际放射学会制定了一项计划，以提升影像学在全球卫生议程中的作用，并为低收入和中等收入国家提出了一种整体方法。本文介绍了一种通过区域参考中心在低收入和中等收入国家组织影像服务的通用模式。强调了在低收入和中等收入国家背景下更好地利用信息技术以及人工智能在影像学方面潜力的必要性。为实施该提议的计划，专业组织和国际组织的参与被认为至关重要。建议在国际组织的框架下设立一个国际医学影像委员会，并鼓励与其他诊断学科开展合作，以提高对全面提升诊断水平重要性的认识，并促进其融入全球诊疗路径。
