A Different World of Diseases: Enhancing Neuroradiology Education In
Ethiopia
RB Peterson, AE Gill, A Sekhar, PA Hudgins MD FACR
Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, GA
Background
Emory University has a long-standing collaboration with Black Lion
Hospital (BLH), Ethiopia’s 800-bed teaching hospital and major referral
center for the country of 85 million people.
OSIRIX
Emory/Grady/CHOA
PACS
Despite the high Neuroradiology caseload, including a high volume of head
trauma and stroke, the Department of Radiology at Black Lion Hospital
does not have an organized Neuroradiology Fellowship. In addition, there
is no image archival system to save cases for further education or training.
Imaging techniques and modalities are limited due to financial and facility
restrictions.
Limitations include:
2-slice CT scanner without Power injector capabilities
No MRI
No informatics or PACS support
Methods
•  Assemble key educational exams from Emory, Grady and CHOA
•  Categorize cases based on American Society of Neuroradiology
(ASNR) fellowship curriculum
•  Anonymize PHI using OSIRIX
Export
•  Package 10 full cases every month and send via mail to BLH
•  BLH residents view cases via free DICOM reader (RadiAnt)
Feedback
Send Reports
•  BLH residents respond to survey giving Findings, Differential Diagnosis
and Final Impression
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•
Anonymize
Categorize
Package
•
Future capabilities include:
64-slice CT with CT angiography and perfusion capabilities
1.5 Tesla MRI unit
Rudimentary PACS system
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•
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Purpose
In order to supplement the education of residents, prepare for these
advanced imaging modalities and start a future Neuroradiology fellowship,
the Division of Neuroradiology in the Department of Radiology and
Imaging Sciences at Emory University Hospital assembled and
categorized a library of educational cases. By supplying residents at our
sister university with supplemental cases, we will help broaden their
education, improve their diagnostic abilities, and further foster our bond
with the Radiology Department.
Ship
Free Viewer
Survey
•  Emory provides feedback and full dictated reports for each case
Results
In a recent month long visit to Black Lion Hospital with Emory’s Global
Health Residency Scholars Program, the plan for supplemental teaching
cases was presented to the residents and faculty. The program was
received with enthusiasm. The first 10 cases were distributed on DVD to
both residents and faculty. We are currently awaiting responses. We will
continue collecting cases to build the teaching file database.
Conclusions
Supplemental Neuroradiology cases will help broaden the education of
residents and attendings at our sister university in Addis Ababa Ethiopia.
As a result of selecting and reviewing the cases, the Emory Radiology
residents will be familiar with a broad spectrum of neurologic lesions and
the common imaging appearances. This project is mutually beneficial to
residents in both countries, and has potential for being a sustainable
project that will potentially be in place for years.