How to improve access to medical imaging in low- and middle-income countries ?

Guy Frija*, Ivana Blažić, Donald P. Frush, Monika Hierath, Michael Kawooya, Lluis Donoso-Bach, Boris Brkljačić

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

20 Citations (Scopus)


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.

Original languageEnglish
Article number101034
Publication statusPublished - Aug 2021

Bibliographical note

Funding Information:
The paper was endorsed by the officers of the International Society of Radiology in January 2021. The authors would like to acknowledge the input from Dr. María del Rosario Pérez (WHO).

Publisher Copyright:
© 2021 The Author(s)

Other keywords

  • Access to imaging
  • Centre of reference
  • International commission on medical imaging
  • Low- and middle-income countries


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