Radiology in conflict: scoping review
Abstract The United Nations estimate a quarter of the global population currently lives in violent conflict zones. Radiology is an integral part of any healthcare system, providing vital information to aid diagnosis and treatment of a range of disease and injury. However, its delivery in conflict-af...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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BMC
2024-01-01
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| Series: | Conflict and Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13031-023-00550-9 |
| _version_ | 1797349855651168256 |
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| author | Trisha Suji Richard Sullivan Gemma Bowsher |
| author_facet | Trisha Suji Richard Sullivan Gemma Bowsher |
| author_sort | Trisha Suji |
| collection | DOAJ |
| description | Abstract The United Nations estimate a quarter of the global population currently lives in violent conflict zones. Radiology is an integral part of any healthcare system, providing vital information to aid diagnosis and treatment of a range of disease and injury. However, its delivery in conflict-affected settings remains unclear. This study aims to understand how radiology services are currently delivered in conflict settings, the challenges of doing so, and potential solutions. A hermeneutic narrative review of multiple databases, including grey literature sources, was undertaken. Key themes were identified, and articles grouped accordingly. Various conflict zones including Gaza, Ukraine, Iraq, Yemen, Afghanistan, and Somalia were identified in literature relating to radiology services. Three key themes were identified: underserving of local medical imaging services, strong presence of military hospitals, and the importance of teleradiology. A severe shortage of radiologists, technicians, and equipment in conflict affected settings are a significant cause of the underserving by local services. Teleradiology has been used to blunt the acuity of the these struggling services, alongside military hospitals which often serve local populations. Radiology faces unique challenges compared to other healthcare services owing to its expensive equipment which is difficult to fund and can be less effective due to international sanctions placed on contrast medium to enhance image quality. Further the equipment is reliant on local infrastructure, e.g., power supply, which can be affected in conflict. Key recommendations to improve radiology services include retention of radiologists within conflict zones, careful allocation of funds to supply necessary imaging machinery, international cooperation to ensure sanctions do not affect sourcing of radiology equipment, special training for military medical teams to help preparedness for the unique demands of the local population, and investment in communication devices, like smartphones, to allow international teleradiology efforts. |
| first_indexed | 2024-03-08T12:37:26Z |
| format | Article |
| id | doaj.art-5d5653e8ef8c421da8ffd8da713e7c59 |
| institution | Directory Open Access Journal |
| issn | 1752-1505 |
| language | English |
| last_indexed | 2024-03-08T12:37:26Z |
| publishDate | 2024-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Conflict and Health |
| spelling | doaj.art-5d5653e8ef8c421da8ffd8da713e7c592024-01-21T12:23:51ZengBMCConflict and Health1752-15052024-01-011811810.1186/s13031-023-00550-9Radiology in conflict: scoping reviewTrisha Suji0Richard Sullivan1Gemma Bowsher2School of Medicine, King’s College LondonCentre for Conflict & Health Research, King’s College LondonCentre for Conflict & Health Research, King’s College LondonAbstract The United Nations estimate a quarter of the global population currently lives in violent conflict zones. Radiology is an integral part of any healthcare system, providing vital information to aid diagnosis and treatment of a range of disease and injury. However, its delivery in conflict-affected settings remains unclear. This study aims to understand how radiology services are currently delivered in conflict settings, the challenges of doing so, and potential solutions. A hermeneutic narrative review of multiple databases, including grey literature sources, was undertaken. Key themes were identified, and articles grouped accordingly. Various conflict zones including Gaza, Ukraine, Iraq, Yemen, Afghanistan, and Somalia were identified in literature relating to radiology services. Three key themes were identified: underserving of local medical imaging services, strong presence of military hospitals, and the importance of teleradiology. A severe shortage of radiologists, technicians, and equipment in conflict affected settings are a significant cause of the underserving by local services. Teleradiology has been used to blunt the acuity of the these struggling services, alongside military hospitals which often serve local populations. Radiology faces unique challenges compared to other healthcare services owing to its expensive equipment which is difficult to fund and can be less effective due to international sanctions placed on contrast medium to enhance image quality. Further the equipment is reliant on local infrastructure, e.g., power supply, which can be affected in conflict. Key recommendations to improve radiology services include retention of radiologists within conflict zones, careful allocation of funds to supply necessary imaging machinery, international cooperation to ensure sanctions do not affect sourcing of radiology equipment, special training for military medical teams to help preparedness for the unique demands of the local population, and investment in communication devices, like smartphones, to allow international teleradiology efforts.https://doi.org/10.1186/s13031-023-00550-9RadiologyImagingMRICTX-rayPET |
| spellingShingle | Trisha Suji Richard Sullivan Gemma Bowsher Radiology in conflict: scoping review Conflict and Health Radiology Imaging MRI CT X-ray PET |
| title | Radiology in conflict: scoping review |
| title_full | Radiology in conflict: scoping review |
| title_fullStr | Radiology in conflict: scoping review |
| title_full_unstemmed | Radiology in conflict: scoping review |
| title_short | Radiology in conflict: scoping review |
| title_sort | radiology in conflict scoping review |
| topic | Radiology Imaging MRI CT X-ray PET |
| url | https://doi.org/10.1186/s13031-023-00550-9 |
| work_keys_str_mv | AT trishasuji radiologyinconflictscopingreview AT richardsullivan radiologyinconflictscopingreview AT gemmabowsher radiologyinconflictscopingreview |