Enterprise Medical Imaging for Improved Radiological Workflows in Zambian Public Health Facilities
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The document presents an overview of a project aimed at improving radiological workflows in Zambian public health facilities through enterprise medical imaging. It highlights the current challenges faced in medical image storage and management, emphasizing the limited use of eHealth technologies in government hospitals compared to private and military facilities. The proposed solution includes the implementation of a standards-based PACS platform to enhance storage, management, and access to medical images, with future work focusing on evaluating its usability and integrating artificial intelligence for pathology interpretation.
![[1] Zulu, E.O., and Phiri, L. (2022). Enterprise Medical Imaging in the
Global South: Challenges and Opportunities. In Proceedings of
2022 IST-Africa Conference (IST-Africa 2022).
[2] Zulu, E.O. and Phiri, L. (2021). Enterprise Medical Imaging for
Streamlined Radiological Diagnosis in Zambian Public Health
Facilities. The University of Zambia.
[3] C. J. Roth, L. M. Lannum, and K. R. Persons, ‘A Foundation for
Enterprise Imaging: HIMSS-SIIM Collaborative White Paper’, J.
Digit. Imaging, vol. 29, no. 5, pp. 530–538, Oct. 2016, doi:
10.1007/s10278-016-9882-0. [Online]. Available:
https://doi.org/10.1007/s10278-016-9882-0
Bibliography](https://image.slidesharecdn.com/talks-dhc22-digitalhealthconference-221207191416-130fa900/85/Enterprise-Medical-Imaging-for-Improved-Radiological-Workflows-in-Zambian-Public-Health-Facilities-24-320.jpg)
Enterprise Medical Imaging for Improved Radiological Workflows in Zambian Public Health Facilities
- 1. Enterprise Medical Imaging for Improved Radiological Workflows in Zambian Public Health Facilities 1 Adult Hospital, University Teaching Hospitals, ZAMBIA 2 DataLab Research Group, University of Zambia, ZAMBIA Ernest Obbie Zulu1 Lighton Phiri2 1st Zambia Digital Health Conference October 19–21, 2022 | Lusaka, Zambia
- 2. 2/25 October 19–21 , 2022 1st Zambia Digital Health Conference Outline ● Radiological Workflow ● Project Overview ● Zambia eHealth Strategy ● Methodology ● Medical Image Storage, Management and Access ● Prototype PACS Platform ● Conclusion & Future Work
- 3. 3/25 October 19–21 , 2022 1st Zambia Digital Health Conference Radiological Workflows
- 4. 4/25 October 19–21 , 2022 1st Zambia Digital Health Conference Project Overview: Health Sector in Zambia ● ~2815 health facilities ○ Government of the Republic of Zambia (GRZ), Military, Non-Governmental Organisations (NGO) and Private http://datalab.unza.zm/bibcite/reference/37 “Enterprise Medical Imaging in the Global South: Challenges and Opportunities” Ernest Obbie Zulu and Lighton Phiri (IST-Africa 2022)
- 5. 5/25 October 19–21 , 2022 1st Zambia Digital Health Conference Project Overview: Health Sector in Zambia ● Our work focused on GRZ health facilities ○ 151 facilities classified as Level 1, 2 or 3 Hospitals ● Only 9 GRZ Radiologists, operating in five facilities http://datalab.unza.zm/bibcite/reference/37 “Enterprise Medical Imaging in the Global South: Challenges and Opportunities” Ernest Obbie Zulu and Lighton Phiri (IST-Africa 2022)
- 6. 6/25 October 19–21 , 2022 1st Zambia Digital Health Conference Project Overview: Preliminary findings from EMI project ● Health facility adoption and use of eHealth are more in private- and military-owned health facilities ● Generally good awareness of potential of eHealth to make healthcare service delivery more efficient ● Stakeholders in public health facilities desire and are willing to accept use of eHealth
- 7. 7/25 October 19–21 , 2022 1st Zambia Digital Health Conference Project Overview: Radiological Workflows in Public Health Facilities in Zambia (1/2)
- 8. 8/25 October 19–21 , 2022 1st Zambia Digital Health Conference Project Overview: Radiological Workflows in Public Health Facilities in Zambia (2/2)
- 9. 9/25 October 19–21 , 2022 1st Zambia Digital Health Conference Radiological Workflows Using Enterprise Medical Imaging Strategies https://wiki.ihe.net
- 10. 10/25 October 19–21 , 2022 1st Zambia Digital Health Conference Towards a Useful and Interoperable PACS Platform https://wiki.ihe.net
- 11. 11/25 October 19–21 , 2022 1st Zambia Digital Health Conference Medical Image Storage, Management and Access (1/4)
- 12. 12/25 October 19–21 , 2022 1st Zambia Digital Health Conference Medical Image Storage, Management and Access (2/4) ● Inefficient image organisation ● Example: Optical discs originate from University Teaching Hospitals (UTHs) ○ COVID-19 studies
- 13. 13/25 October 19–21 , 2022 1st Zambia Digital Health Conference Medical Image Storage, Management and Access (3/4) ● Inefficient image organisation ● Some medical images are stored on external hard drives ○ Medical images are stored and organised on generic filesystem in hierarchical folder structures
- 14. 14/25 October 19–21 , 2022 1st Zambia Digital Health Conference Medical Image Storage, Management and Access (4/4) ● Some medical images are stored on external hard drives ○ Medical images are stored and organised on generic filesystem in hierarchical folder structures
- 15. 15/25 October 19–21 , 2022 1st Zambia Digital Health Conference PACS Implementation: Standards-Based, Interoperable & Useful PACS Platforms (1/3) ● PACS platform implemented using the Dicoogle open source PACS archive software ○ Web-based, with the user interface consisting of a management module and a public end user interface ○ Configured to use the Lucene and File Storage prerequisite plugins, for facilitating indexing and querying of DICOM file metadata and storage of DICOM files
- 16. 16/25 October 19–21 , 2022 1st Zambia Digital Health Conference PACS Implementation: Standards-Based, Interoperable & Useful PACS Platforms (2/3) ● Standards-based platforms using international standards ● Interoperable with other systems used in health facilities ● Useful to key stakeholders involved in radiological workshops: Physicians, Radiographers and Radiologists
- 17. 17/25 October 19–21 , 2022 1st Zambia Digital Health Conference PACS Implementation: Standards-Based, Interoperable & Useful PACS Platforms (3/3)
- 18. 18/25 October 19–21 , 2022 1st Zambia Digital Health Conference PACS Implementation: Standards-Based, Interoperable & Useful PACS Platforms (3/3)
- 19. 19/25 October 19–21 , 2022 1st Zambia Digital Health Conference PACS Implementation: Standards-Based, Interoperable & Useful PACS Platforms (3/3)
- 20. 20/25 October 19–21 , 2022 1st Zambia Digital Health Conference PACS Implementation: Standards-Based, Interoperable & Useful PACS Platforms (3/3)
- 21. 21/25 October 19–21 , 2022 1st Zambia Digital Health Conference PACS Implementation: Standards-Based, Interoperable & Useful PACS Platforms (3/3)
- 22. 22/25 October 19–21 , 2022 1st Zambia Digital Health Conference Conclusion and Future Work ● PACS platform anticipated to facilitate effective storage, management and access of medical images ● PACS platform design can potentially be standards-based to facilitate interoperability with current HMS ● Current and future work ○ Requirements elicitation to design a useful PACS platform ○ Usefulness and usability evaluation of PACS platform ○ Design and implementation of RIS platform ○ Feasibility of using artificial intelligence for semi-automated interpretation of common pathologies ○ Interactions with key stakeholders: Ministry and Infratel
- 23. 23/25 October 19–21 , 2022 1st Zambia Digital Health Conference Q & A Session ● Comments, concerns and complaints?
- 24. [1] Zulu, E.O., and Phiri, L. (2022). Enterprise Medical Imaging in the Global South: Challenges and Opportunities. In Proceedings of 2022 IST-Africa Conference (IST-Africa 2022). [2] Zulu, E.O. and Phiri, L. (2021). Enterprise Medical Imaging for Streamlined Radiological Diagnosis in Zambian Public Health Facilities. The University of Zambia. [3] C. J. Roth, L. M. Lannum, and K. R. Persons, ‘A Foundation for Enterprise Imaging: HIMSS-SIIM Collaborative White Paper’, J. Digit. Imaging, vol. 29, no. 5, pp. 530–538, Oct. 2016, doi: 10.1007/s10278-016-9882-0. [Online]. Available: https://doi.org/10.1007/s10278-016-9882-0 Bibliography
- 25. Enterprise Medical Imaging for Improved Radiological Workflows in Zambian Public Health Facilities 1 Adult Hospital, University Teaching Hospitals, ZAMBIA 2 DataLab Research Group, University of Zambia, ZAMBIA Ernest Obbie Zulu1 Lighton Phiri2 1st Zambia Digital Health Conference October 19–21, 2022 | Lusaka, Zambia