MSF

Médecins Sans Frontières/Doctors without Borders

Project identified by Savvas Andronikou

Tele-reading

 The WFPI is collaborating with MSF to provide pediatric imaging telereporters to support MSF’s global telemedicine network, using platforms and technology already set up in project sites.

Four WFPI volunteers are enlisted on the Collegium Telemedicus platform. Well over 100 radiographs have been read to date, with subsequent exchange occurring on some cases. Projects covered are in the CAR, Tajikistan, Malawi and Cambodia. The platform is rudimentary, but works. Quality is highly variable.

See WFPI's mini-symposium, "Outreach in the Developing World" for articles on MSF's tele-radiological history and quality assurance/lessons learnt. 

Discussions are underway with MSF's diagnostic imaging network for expanding WFPI's support. Our strong tuberculosis focus dovetails with MSF's massive TB drive: see here for MSF's TB overview, associated literature and films 

  

Click on the image to find out more about MSF's drug-resistant TB manifesto, signed by WFPI 


Other MSF work

MSF sends doctors to South Africa for HIV training where pediatric imaging sessions are delivered by the WFPI.

The WFPI's Outreach Leader, Savvas Andronikou, assists in the production of MSF diagnostic guidelines and recently co-authored an article on a quality assessment of X-rays interpreted via tele-radiology for MSF, accepted for publication in the Journal of Telemedicine and Telecare. Two "Seven Minute Snippets" (short videos) on the interpretation of pediatric tuberculosis CXR films were co-produced with MSF in South Africa: see here

Khayelitsha

Khayelitsha, Western Cape, South Africa


Project identified by Savvas Andronikou MD and the South African Society of Pediatric Imaging (SASPI)

Project start-up

WFPI began tele-reading chest and other plain X-rays  for Khayeltisha Hospital, Western Cape, South Africa, in July 2012. Starting with 5 South African readers, the team reached  50 volunteer tele-readers worldwide and has read over 500 X-rays to date. Radiographs are digital, converted to JPEG. Their quality is adequat for interpretation.

Image left: Dr Harlem Gongxeca, a SASPI member and practicing pediatric radiologist in South Africa who voluntarily tele-reads for Khayelitsha and the WFPI 

Project roll-out: ups & downs!

The project wound down in early 2013 following the departure of the onsite technician (responsible for referring films to WFPI). It re-started in September 2013, with a transfer of tele-reading from WFPI to Stanford University Hospital, USA, as part of WFPI's drive to set up partnerships between facilities in lower resource and modern medical settings. Referrals come from the facility's clinicians as opposed to the technician team, resulting in a reduced flow of problem cases only: an excellent development which avoids WFPI substitution of basic imaging services and places us in a role of "provider of expert second opinions".

The activity flow has been through further stops and starts since. Each clinician needs internet access for tele-platform use, which has proven problematic.

The WFPI-Stanford tele-support role has been confirmed for the time being; the Red Cross Memorial Children's Hospital and WFPI will provide onsite lectures and training to strengthen pediatric imaging knowledge.

 Project backround: click here

ONSITE TRAINING

Savvas Andronikou delivered an on-site training session for non-radiologists in October 2012 and January 2013. The visits proved useful for exposing problems and re-orientating the WFPI’s work accordingly  and reinforced the necessity to back up WFPI tele-reading with training and education. Some can be delivered online, but onsite visits are key to success.

Project reports: click here


AUDIT & EVALUATION

WFPI has published an audit and sustainability evaluation of its tele-reading for Khayelitsha in WFPI's mini-symposium, "Outreach in Developing Countries": click here.

 

 

IGICH

Indira Ghandi Institute of Child Health, Bangalore, India

Project identified by Drs. Catherine Owens and Samantha Sonnappa from GOSH, UK. Project lead: Cicero Silva

A WFPI tele-reading project is underway in the IGICH, a 250 bed children hospital supported by UNICEF and WHO. The hospital's radiology department performs an average of 1000 X-rays, 500 US and 150 CT scans per month with only one radiologist onsite.

The WFPI's tele-reading platform, developed by the WFPI's Telecommunications Committee, was ready for use in early 2014 and the project is now underway.  


Progress report, June 2013

23 reports made
1 x patient with radiographs (skull, knees and forearms), all other with CTs (mostly chest CTs, a few abdominal CTs). 
Time range, study reaches WFPI coordinator -> report fed into the software: 0-4 days, mean 1.4 days, median 1 day.
Findings in most CT patients: suspicious for tuberculosis or fungal disease
6 active WFPI tele-volunteers: Ahmed Aadil, Jon Brandon, Sarah Desoky, Pacharn Preeyacha, Erich Sorantin, Cicero Silva

for more information on the IGICH

Central Europe

WFPI in Central and Eastern Europe

 

 

The WFPI is looking to expand its pediatric imaging support to Central and Eastern Europe. Future projects are likely to draw on health facilities forming part of the CEEPUS network (Central Europe Exchange Programme for University Studies) which links up facilities with each othere and partner facilities in Western Europe.

The WFPI would offer tele-reading support for facilities lacking pediatric imaging expertise, tied into existing educational and training programs run by CEEPUS.

This project is under development - we will post more details as our plans take shape

MAP: the CEEPUS network. Click here for more project information (slow file to open)

 

WATCH THIS SPACE!!

Click here
for a project start-up form submitted by
Clinical Hospital of Tetovo, Macedonia 

Zdravstveni Centar Studenica, Serbia
A CEEPUS member and possible WFPI project site