Bringing MRI to low‐ and middle‐income countries: Directions, challenges and potential solutions

Author:

Murali Sanjana1ORCID,Ding Hao1,Adedeji Fope2,Qin Cathy3,Obungoloch Johnes4,Asllani Iris5,Anazodo Udunna67ORCID,Ntusi Ntobeko A. B.89,Mammen Regina10,Niendorf Thoralf11,Adeleke Sola1213

Affiliation:

1. School of Medicine, Faculty of Medicine Imperial College London London UK

2. School of Medicine, Faculty of Medicine University College London London UK

3. Department of Imaging Imperial College Healthcare NHS Trust London UK

4. Department of Biomedical Engineering Mbarara University of Science and Technology Mbarara Uganda

5. Department of Biomedical Engineering Rochester Institute of Technology Rochester New York USA

6. Department of Medical Biophysics Western University London Ontario Canada

7. The Research Institute of London Health Sciences Centre and St. Joseph's Health Care London Ontario Canada

8. Department of Medicine University of Cape Town and Groote Schuur Hospital Cape Town South Africa

9. South African Medical Research Council Extramural Unit on Intersection of Noncommunicable Diseases and Infectious Diseases Cape Town South Africa

10. Department of Cardiology The Essex Cardiothoracic Centre Basildon UK

11. Berlin Ultrahigh Field Facility (BUFF) Max‐Delbrück Centre for Molecular Medicine in the Helmholtz Association Berlin Germany

12. School of Cancer & Pharmaceutical Sciences King's College London London UK

13. High Dimensional Neuro‐oncology, University College London Queen Square Institute of Neurology, Faculty of Brain Sciences University College London London UK

Abstract

AbstractThe global disparity of magnetic resonance imaging (MRI) is a major challenge, with many low‐ and middle‐income countries (LMICs) experiencing limited access to MRI. The reasons for limited access are technological, economic and social. With the advancement of MRI technology, we explore why these challenges still prevail, highlighting the importance of MRI as the epidemiology of disease changes in LMICs. In this paper, we establish a framework to develop MRI with these challenges in mind and discuss the different aspects of MRI development, including maximising image quality using cost‐effective components, integrating local technology and infrastructure and implementing sustainable practices. We also highlight the current solutions—including teleradiology, artificial intelligence and doctor and patient education strategies—and how these might be further improved to achieve greater access to MRI.

Publisher

Wiley

Subject

Spectroscopy,Radiology, Nuclear Medicine and imaging,Molecular Medicine

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