背景:自1994年卢旺达对图西族的种族灭绝以来,卢旺达一直致力于重建其医疗保健系统,尽管挑战之一是放射学资源匮乏。
目的:使用地理空间制图和基于人口的数据评估卢旺达放射设施的位置和可及性。
方法:于2023年5月进行了一项横断面研究,使用基加利大学教学医院放射科和WorldPop数据库提供的位置和放射学模态数据,一个公开可用的数据库,提供开放获取的地理空间人口数据。放射设备包括磁共振(MR),计算机断层扫描(CT),正电子发射断层扫描(PET),放射治疗,X光片,乳房X线照相术,和透视机。使用ArcGISPro2.8.6软件进行地理空间分析。
结果:确定了56个放射设施,包括5MR,7CT,1放疗,52X光片,5乳房X线照相术,5透视,和0PET机。有0.4MR,0.5CT,0PET,0.1放射治疗,3.9X射线,0.4乳房X线照相术,和0.4透视单位每100万人。
结论:卢旺达是东非放射学准入最低的国家之一;然而,有进展的证据,特别是在更先进的诊断成像技术,如计算机断层扫描和磁共振成像。
■这项研究提供了卢旺达目前的放射学资源和获取途径的10年最新情况。确定进展和持续稀缺的领域,作为未来发展方向的指南。
结论:•随着卢旺达致力于重建其医疗保健系统,本研究对国内目前的放射学资源进行了评估.•除X射线以外的每种成像方式,每百万卢旺达人口中只有不到一个放射单位。•虽然卢旺达的放射性通道落后于其邻国,增长集中在先进的成像模式和人力资源培训上。
BACKGROUND: Rwanda has aimed to rebuild its health care system since the Rwandan genocide against the Tutsis in 1994, though one of the challenges has been a scarcity of radiologic resources.
OBJECTIVE: To assess the location and accessibility of radiologic facilities in Rwanda using geospatial mapping and population-based data.
METHODS: A cross-sectional study was conducted in May 2023 using location and radiologic modality data provided by the Department of Radiology at the University Teaching Hospital of Kigali and the WorldPop database, a publicly available database providing open-access geospatial population data. Radiologic equipment included magnetic resonance (MR), computed tomography (CT), positron emission tomography (PET), radiotherapy, X-ray, mammography, and fluoroscopy machines. Geospatial analysis was performed using ArcGIS Pro 2.8.6 software.
RESULTS: Fifty-six radiologic facilities were identified, including 5 MR, 7 CT, 1 radiotherapy, 52 X-ray, 5 mammography, 5 fluoroscopy, and 0 PET machines. There were 0.4 MR, 0.5 CT, 0 PET, 0.1 radiotherapy, 3.9 X-ray, 0.4 mammography, and 0.4 fluoroscopy units per 1 million people.
CONCLUSIONS: Rwanda is one of the countries with the lowest radiologic access in East Africa; however, there is evidence of progress, particularly in more advanced diagnostic imaging techniques such as computed tomography and magnetic resonance imaging.
UNASSIGNED: This study provides a 10-year update on current radiologic resources and access in Rwanda, identifying areas of progress and ongoing scarcity, serving as a guide for future direction of growth.
CONCLUSIONS: • As Rwanda works on rebuilding its health care system, this study provides an assessment of the current radiologic resources within the country. • There is less than one radiologic unit for every million of the Rwandan population for every imaging modality other than X-ray. • While radiologic access in Rwanda lags behind that of its neighbors, there has been growth focused on advanced imaging modalities and the training of human resources.