Department of Radiology
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Item Density and regional distribution of radiologists in a low‑income country: the Ghana situation(Chinese Journal of Academic Radiology, 2023) Sarkodie, B.D.; Ohene‑Botwe, B.; Mensah, Y.B.; et al.Background This study assessed the density and distribution of radiologists across all 16 regions in Ghana to generate ref erence information for planning and policy formulation to encourage radiology specialization and in designing systems to improve the dissemination of radiological services across all the regions in Ghana. Method A cross-sectional design was used to collect secondary data on all radiologists (n=93) registered with the Medical and Dental Council of Ghana (MDCG) as of December 2022. This information collected on the records of the MDCG was confrmed with records from the Ghana Association of Radiologists. Population and land area data were also collected from the National Statistical Service of Ghana for each region in the country. The Stata statistical software version 15 was used to analyze the data collected. Results There were 93 radiologists in the country. The majority were male (n=60, 65%) and about one-third of the radiolo gists were female. The national density of radiologists was 1.9 radiologists per 5000 km2 . Only 3 of the 16 regions in the country had a better distribution of radiologists per 5000 km2 . There were three radiologists per million people in Ghana with a skewed regional distribution. Seven out of the 16 regions lacked radiologists. The proportion of female radiologists stationed within the Greater Accra and Ashanti regions was 87.9% (29/33). The Bono, Eastern, Northern, and Western regions had one female radiologist each. Conclusions Actions are needed to improve the shortage and skewed distribution of radiologists. The outcome will help to improve radiological services across all the regions in Ghana.Item Cancer care workforce in Africa: perspectives from a global survey(Infectious Agents and Cancer, 2019-05-21) Vanderpuye, V.; Hammad, N.; Martei, Y.; Hopman, Y.M.; Fundytus, A.; Sullivan, R.; Seruga, B.; Lopes, G.; Sengar, M.; Brundage, M.D.; Booth, C.M.Background: While the burden of cancer in Africa is rapidly rising, there is a lack of investment in healthcare professionals to deliver care. Here we report the results of a survey of systemic therapy workload of oncologists in Africa in comparison to oncologists in other countries. Methods: An online survey was distributed through a snowball method via national oncology societies to chemotherapy-prescribing physicians in 65 countries. The survey was distributed within Africa through a network of physicians associated with the African Organisation for Research and Training in Cancer (AORTIC). Workload was measured as the annual number of new cancer patient consults seen per oncologist. Job satisfaction was ranked on a 10-point Likert scale; scores of 9–10 were considered to represent high job satisfaction. Results: Thirty-six oncologists from 18 countries in Africa and 1079 oncologists from 47 other countries completed the survey. Compared to oncologists from other countries, African oncologists were older (median age 51 vs 44 years, p = 0.007), more likely to prescribe chemotherapy and radiation [61% (22/36) vs 10% (108/1079), p < 0.001], less likely to have completed training in their home country [50% (18/36) vs 91% (979/1079), p < 0.001], and more likely to work in the private sector [47% (17/36) vs 34% (364/1079), p = 0.037]. The median number of annual consults per oncologist was 325 in Africa compared to175 in other countries. The proportion of oncologists seeing > 500 consults/year was 31% (11/36) in Africa compared to 12% (129/1079) in other countries (p = 0.001). African oncologists were more likely than global colleagues to see all cancer sites [72% (26/26) vs 24% (261/1079), p < 0.001]. Oncologists in Africa were less likely than other oncologists to have high job satisfaction [17% (6/36) vs 30% (314/1079), p = 0.013]. Conclusion: African oncologists within the AORTIC network have a substantially higher clinical workload and lower job satisfaction than oncologists elsewhere in the world. There is an urgent need for governments and health systems to improve the oncologist-to-patient ratio and develop new models of capacity building, retention and skills enhancement to strengthen the wide variety of cancer care systems across continental AfricaItem Left Thoracic Kidney: A rare finding at Intravenous Urography(Ghana Medical Journal, 2010-03) Mensah, Y.B.; Forson, C.Thoracic kidney is a rare type of renal ectopia. Patients with thoracic kidneys are usually asymptomatic and the condition is usually discovered incidentally during radiological evaluation for other conditions or during thoracic surgery. An intravenous urography done for a thirty-eight year old man referred on account of a seemingly small right kidney on an abdominal ultrasound scan, showed a normal right kidney and a left thoracic kidney. Thoracic kidney is a rare but an important cause of a thoracic ‘mass’ or ‘elevated hemi diaphragm’. It should be considered in the evaluation of such patients to prevent unnecessary surgical interventions and image guided biopsies.Item Prostatic volume determination by transabdominal ultrasonography: Does accuracy vary significantly with urinary bladder volumes between 50 to 400 mL?(Journal of Medical Radiation Sciences, 2018-12-20) Brakohiapa, E.K.; Botwe, B.O.; Sarkodie, B.D.Introduction: In Ghana, trans-abdominal ultrasonography is the main sonographic method of prostatic volume evaluation. The examinations are done when the patient’s bladder is full. However, the delay and the discomforting experiences associated with a full bladder have been well documented. In an attempt to investigate other less discomforting options, this study was undertaken to determine if sonographic transabdominal prostatic evaluations performed at urinary bladder volumes of 50–99 mL differ significantly to evaluations done at volumes of 100–199, 200–299 and 300– 399 mL. Methods: A prostatic study of adult patients was undertaken in Accra, from 2014 to 2015. Using an ultrasound machine, 79 sets of prostatic measurements were recorded at a urinary bladder volume of 50–99 mL (V1 as our reference volume), and at least one of three other urinary bladder volumes (V2 = 100–199 mL, V3 = 200–299 mL and V4 = 300–399 mL), in 66 males. Twelve of the participants had multiple sets of prostate volume measurements. SPSS was used to analyse the data. T-test, Bland-Altman plots and linear regression were used to compare and test for the existence of proportional biases in measurements. Results: There was a statistically significant difference in prostatic volumes recorded at V1 and V2 (P = 0.017). However, the prostatic volume differences recorded for V1/V3, and V1/V4 groups of data were all not statistically significant (P > 0.05). The limits of agreement for the set of measurements spread from approximately 29 to +18 mL for V1/V2, 48 to +36 mL for V1/V3 and 12 to +12 mL for V1/V4 variables. There was no proportional bias in the V1/V2 (P = 0.55) and V1/V4 (P = 0.463) measurements. Conclusion: Urinary bladder volume of 50–99 mL produces prostatic volume measurements comparable to volumes measured in patients with a full (300–399 mL), or nearly full urinary bladder (200–299 mL). A urinary bladder volume of 50–99 mL may therefore be adequate for scanning the prostate gland, and is likely to be tolerated much better by patients.Item MRI age verification of U-17 footballers: The Ghana study(Journal of Forensic Radiology and Imaging, 2018-03) Sarkodie, B.D.; Botwe, B.O.; Pambo, P.; Brakohiapa, E.K.; Mayeden, R.N.Background A fair playground is absolutely necessary in any age limited sports. Age determination in countries where birth registration is not compulsory can often be difficult making it a challenge to determine ages of people born in such countries. Objective To determine correlation between chronological ages of under 17 Ghanaian footballers and the FIFA MRI grading. Method The degree of radial epiphyseal fusion was evaluated in 286 male Ghanaian footballers aged 13–16 years over a 4 year period (June 2012–November 2016) using 1.5 T Magnetic Resonance Imaging. The ages of the participants used in the study were those provided by the football players and confirmed with their national passports. Results Over 48% of these Ghanaian players below the age of 17 years had completely fused radial epiphysis. No significant correlation between the given chronological ages and the degree of fusion was found. The Spearmans correlation was given as (r = 0.069; p = 0.540). Conclusion There was no correlation between chronological age and degree of radial fusion among Ghanaian players. Normative study among Ghanaian/black African players is long overdue to ensure the U-17 players from these countries are not unfairly disadvantaged.