04:10 CET
EM 1 - Radiology in Africa: facing challenges and opportunities
Education EuroSafe Imaging General Radiology Management/Leadership Physics in Medical Imaging
Thursday, February 28, 10:30 - 12:00
Type of session: ESR meets Africa
Topic: Education, EuroSafe Imaging, General Radiology, Management/Leadership, Physics in Medical Imaging
Moderators: L. E. Derchi (Genoa/IT), H. A. Gharbi (Tunis/TN)

Chairpersons' introduction (part 1)
L. E. Derchi; Genoa/IT
Learning Objectives

1. To give an overview of radiology in Africa.
2. To list the existing cooperation programmes of the European Society of Radiology in Africa.
3. To point out what African radiologists can do for the ESR and what the ESR can do for radiology in Africa.


Africa is a large continent, with people of different cultures and habits, which may be difficult to understand as a whole. Therefore, a number of speakers from different African regions have been selected to present an overview of Radiology in Africa from a variety of perspectives. They will present topics about professional issues such referral guidelines, radiation protection, use of radiological services and promotion of Radiology in their regions. Furthermore, there will be a discussion on how to develop cooperation between African Radiological Societies and the ESR. This point, specifically, will underline the bilateral nature of the relationship, discussing what ESR can do to help African radiologists as well as on what African radiologists, can offer to European societies.

Chairpersons' introduction (part 2)
H. A. Gharbi; Tunis/TN
Learning Objectives

1. To give an overview of radiology in Africa.
2. To list the existing cooperation programmes of the European Society of Radiology in Africa.
3. To point out what African radiologists can do for the ESR and what the ESR can do for radiology in Africa.

Structured strategies to combat radiation protection challenges in Africa. What can the ESR do?
D. Husseiny Salama; Cairo/EG
Learning Objectives

1. To give an overview on the situation of imaging referral guidelines and clinical decision support (CDS) in Africa.
2. To update on the European societies' activities in the region in regard to guidelines.
3. To give tips from African radiologists on solutions and the way forward.
4. To present the bilateral strategic planning with the ESR to improve the performance of radiation protection.

Is imaging underused in Africa? East Africa as an example. Solutions: what can the ESR do?
S. Vinayak; Nairobi/KE
Learning Objectives

1. To present the current situation in Eastern Africa.
2. To describe what we are doing to promote radiology in Africa.
3. To present what we would like to request from the ESR.

Interlude 1: Enjoy the difference between African and European music
How to promote radiation protection in West Africa. Needs and expected role of the ESR
E. H. Niang; Dakar Fann/SN
Learning Objectives

1. To summarise the radiation protection situation in West Africa, discuss workforce aspects and present an overview of educational facilities and maintenance services.
2. To update on the role of European societies in our region, what is done in general and in the field of radiation protection in particular.
3. To explain what we, as African radiologists, can offer to European societies.

Most important challenges for imaging in North Africa
L. Rezgui Marhoul; Tunis/TN
Learning Objectives

1. To give an overview of the radiology situation in North Africa.
2. To enlist the cooperation programmes between North African societies and the European societies with bilateral exchanges in radiodiagnosis and interventional radiology.
3. To understand what North African radiologists can bring back to the table for European radiology.
4. To propose a plan for the promotion of collaboration between North Africa and ESR.

Interlude 2: Enjoy the difference between Arabic and European music
The WHO's programme in Africa: the past, the present and the future
M. d. R. Perez; Geneva/CH
Learning Objectives

1. To present the WHO's role, objective, core functions, structure and where/how radiology fits into them.
2. To explain the WHO's programmes in Africa and the place of radiology and radiologists in the context of the current priorities in the global public health agenda.
3. To understand the WHO's views about radiation protection in Africa.
4. To present the WHO's radiology programmes/activities in Africa. What has been done? What is currently being done? What is planned in the future?

Panel discussion: Radiology in Africa, reality and dreams
G. Frija1, L. E. Derchi2, H. A. Gharbi3, D. Husseiny Salama4, S. Vinayak5, E. Niang6, L. Rezgui Marhoul3, M. d. R. Perez7, B. Mansouri8, K. M. Naidu9; 1Paris/FR 2Genoa/IT 3Tunis/TN 4Cairo/EG 5Nairobi/KE 6Dakar Fann/SN 7Geneva/CH 8Algiers/DZ 9Cape Town/ZA
Conclusion (part 1)
L. E. Derchi; Genoa/IT

Challenges to African radiology are great, but even more significant are the opportunities for growth facing radiologists in this continent. As a matter of fact, the end of this session “ESR meets Africa” is just a beginning. From here reciprocal knowledge and reciprocal cooperation must start, aiming at a strong commitment to excellence and safety and increased availability and use of Radiology worldwide, and especially in Africa.

Conclusion (part 2)
H. A. Gharbi; Tunis/TN

Africa is a veritable mosaïc of 54 different countries
with a population of more than 1.200 Million inhabitants, making up 16% of the
world’s population. The diversity of mosaïc is multifaceted. There are variable
socioeconomic levels with GNPs ranging from less than 500 USD, in Somalia to
more than 38000 USD in the Equatorial Guinea. There are many different cultures
and languages, but fortunately English, French, Arab and Portuguese, and internet
facilities are widespread, adapted and efficient means of communications.

The impact study of medical imaging on the diverse
continent is very difficult because:

- No official complete statistics are available in all
the countries

-The medical imaging market is often very disorganized

-There are enormous differences between the different countries
and even between different regions in the same countrie. The number of
radiologists varies from less than one radiologist for one million of inhabitants to more than 80 radiologists
per one million inhabitants

We can divide the radiological situation in Africa in
2 regions

-The North including Egypt, Tunisia, Algeria and
Morocco and South Africa where the situation is more or less acceptable

- The center including 49 countries and 75% of the population where
the situation require an urgent solution

In fact, the needs are everywhere and require more or
less the same solution from the European Society of Radiology, training,
collaborating programs but Radiation Protection
rules must be established and respected, so we can guaranty an efficient and
good development of the Radiology

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