Browsing by Author "Brakohiapa, W.O."
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Item Pattern Of Breast Diseases In Accra: Review Of Mammography Reports(Ghana medical journal, 2013-09) Brakohiapa, E.K.; Armah, G.E.; Clegg-Lamptey, J.N.A.; Brakohiapa, W.O.Objectives: To document the mammographic patterns in females seeking medical attention in Accra. Design: An analytic retrospective study was conducted using data extracted from mammography request forms and corresponding radiological reports of 180 females. Setting: The radiology departments of Korle-Bu Teaching Hospital, the Trust Hospital and Medical Imaging Ghana, all located in Accra. Results: One hundred and eighty radiologic request forms for mammographic evaluations and their corresponding reports from the study period were reviewed. The mean age of the study population was 48.7 years (SD=10.0), and the median age group was the 41–50 group. There were more screening mammography evaluations (115 examinations) than diagnostic mammography evaluations (65 examinations). Most of the cases diagnosed as breast cancer were in the age group 41–50 years. Benign lesions were commoner than cancer (55 and 16 cases respectively). The commonest presenting complaint was of pain. Conclusion: The larger number of screening mammographic evaluations conducted for asymptomatic females during the study period, as compared to diagnostic mammographic evaluations for symptomatic females, suggests that educational programs on early breast cancer detection are having a positive impact on the target population. The observation that 22.8% of lesions had features suggestive of breast cancer in the study is significantly high to also warrant intensification of the existing awareness programs. As non-specific masses were the most common radiographically observed lesions, hospitals equipped with sonography and biopsy facilities that compliment their mammography are better suited for thorough breast disease evaluation.Item Pattern of breast diseases in Accra: review of mammography reports.(Ghana medical journal, 2013-09) Brakohiapa, E.K.; Armah, G.E.; Clegg-Lamptey, J.N.; Brakohiapa, W.O.To document the mammographic patterns in females seeking medical attention in Accra. An analytic retrospective study was conducted using data extracted from mammography request forms and corresponding radiological reports of 180 females. The radiology departments of Korle-Bu Teaching Hospital the Trust Hospital and Medical Imaging Ghana all located in Accra. One hundred and eighty radiologic request forms for mammographic evaluations and their corresponding reports from the study period were reviewed. The mean age of the study population was 48.7 years (SD=10.0), and the median age group was the 41-50 group. There were more screening mammography evaluations (115 examinations) than diagnostic mammography evaluations (65 examinations). Most of the cases diagnosed as breast cancer were in the age group 41-50 years. Benign lesions were commoner than cancer (55 and 16 cases respectively). The commonest presenting complaint was of pain. The larger number of screening mammographic evaluations conducted for asymptomatic females during the study period, as compared to diagnostic mammographic evaluations for symptomatic females, suggests that educational programs on early breast cancer detection are having a positive impact on the target population. The observation that 22.8% of lesions had features suggestive of breast cancer in the study is significantly high to also warrant intensification of the existing awareness programs. As non-specific masses were the most common radiographically observed lesions, hospitals equipped with sonography and biopsy facilities that compliment their mammography are better suited for thorough breast disease evaluation.Item Training of non-radiologist medical doctors in ultrasound in Ghana(Ghana Medical Journal, 2001-06) Jumali, K.B.; Brakohiapa, W.O.; Obajinii, M.G.; Armah, J.O.; Seffah, J.D.; Kragt, J.Ultrasound is an important diagnostic equipment widely used in modem medical practices. Appropriate high-quality ultrasound services are best provided by properly trained and committed radiologists and sonographers, using high-quality ultrasound equipment. In terms of use of both manpower and equipment, the Department of Radiology ultrasound service offers the best value for money. An ultrasound service sited within the Department of Radiology allows patients to be given the benefit of the radiologist's ability to use alternative or additional imaging techniques to deal with the clinical problem without delay. Outreach services, staffed by sonographers or radiologist arc likely to provide the most cost-effective use of skilled manpower in providing a wider, more accessible ultrasound service for patients where appropriate. Notwithstanding the points made above, there is the need 10 extend ultrasound services outside the main teaching and regional hospitals to the district hospitals and the polyclinics. Hence the need to train non-radiologist to these centers and to provide ultrasound equipment for these centers. Unfortunately, there have been acquisition of all types of ultrasound equipment by private individuals and clinics in the country which is being operated by doctors with very little or no technical know-how and issuing ultrasound medical reports