Omisore Adeleye D, Odedeyi Akinola A, Famurewa Olusola C, Aderibigbe Adeniyi S, Akinsulore Roli Y, Adeyemi Folasade M, Adisa Adebayo F, Orji Ernestina C, Ayeni Abidemi I, Towoju Anuoluwapo G, Mango Victoria L, Bryce Yolanda, Omoyiola Oluwatosin Z, Edelweiss Marcia, Dako Farouk, Alatise Olusegun I, Kingham Peter T, Sutton Elizabeth J
Department of Radiology, Obafemi Awolowo University, Ile-Ife, Nigeria.
Department of Radiology, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria.
JCO Glob Oncol. 2025 Jul;11:e2400637. doi: 10.1200/GO-24-00637. Epub 2025 Jul 1.
The introduction of an interventional radiology (IR) unit at the Obafemi Awolowo University Teaching Hospitals Complex (OAUTHC) in 2017 marked a significant advancement in health care delivery in a low-resource setting in Nigeria. This study documents the processes, milestones, services, challenges, innovations, and collaborations that have supported the establishment of an IR unit.
We conducted an institutional review board-approved retrospective case study using archival data from the service records (2017-2024). To supplement our findings, we distributed a structured survey to 51 referring clinicians using Google Forms, with a 100% response rate. We analyzed the data descriptively using Microsoft Excel.
The establishment of the IR unit in the OAUTHC was driven by structured training, international collaborations, and innovative solutions to overcome infrastructural limitations. The unit began with breast intervention services and was expanded to offer diverse ultrasound- and computed tomography-guided body intervention services. Breast biopsies (31.4%) and liver biopsies (23.5%) constituted the majority of IR referrals. Survey respondents (78.4%; 40 of 51) acknowledged the significant impact of IR services in reducing the need for invasive surgeries, with 84.3% (43 of 51) suggesting the need for increased procedure availability to address long waiting times. Despite challenges such as limited procedural options (56.9%) and long waiting times (41.2%), clinicians rated the IR unit's contributions to patient care as very important (41.2%) or moderately important (52.9%). Key lessons include the importance of structured training programs, leveraging international partnerships to overcome resource gaps, and implementing adaptive strategies to meet local needs.
The IR unit transformed patient care at the OAUTHC. This is a replicable model for building sustainable IR programs in other Nigerian hospitals and low-resource settings.
2017年，奥巴费米·阿沃洛沃大学教学医院综合院区（OAUTHC）引入介入放射科（IR），这标志着尼日利亚资源匮乏地区的医疗服务取得了重大进展。本研究记录了支持介入放射科成立的过程、里程碑、服务、挑战、创新及合作情况。
我们使用服务记录（2017 - 2024年）中的存档数据，开展了一项经机构审查委员会批准的回顾性案例研究。为补充研究结果，我们通过谷歌表单向51名转诊临床医生发放了结构化调查问卷，回复率达100%。我们使用微软Excel对数据进行描述性分析。
OAUTHC介入放射科的成立得益于结构化培训、国际合作以及克服基础设施限制的创新解决方案。该科室最初提供乳腺介入服务，后扩展至提供多种超声和计算机断层扫描引导下的身体介入服务。乳腺活检（31.4%）和肝脏活检（23.5%）占介入放射科转诊的大部分。调查受访者（78.4%；51人中有40人）认可介入放射科服务在减少侵入性手术需求方面的重大影响，84.3%（51人中有43人）表示需要增加手术可及性以解决等待时间过长的问题。尽管存在诸如手术选择有限（56.9%）和等待时间长（41.2%）等挑战，但临床医生认为介入放射科对患者护理的贡献非常重要（41.2%）或较为重要（52.9%）。关键经验教训包括结构化培训计划的重要性、利用国际伙伴关系克服资源差距以及实施适应性策略以满足当地需求。
介入放射科改变了OAUTHC的患者护理模式。这是在其他尼日利亚医院和资源匮乏地区建立可持续介入放射科项目的可复制模式。
