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Training of General Radiologists to Detect Silent Cerebral Infarcts in Low-Middle Income Settings
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  • Michael DeBaun,
  • Mustapha S. Hikima,
  • Mohammed K. Saleh,
  • Mohammad A. Suwaid,
  • Djamila L. Ghafuri,
  • Ibrahim M. Idris,
  • Mark Rodeghier,
  • Lori Jordan,
  • Robert McKinstry
Michael DeBaun
Vanderbilt Department of Pediatrics

Corresponding Author:[email protected]

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Mustapha S. Hikima
Aminu Kano Teaching Hospital
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Mohammed K. Saleh
Bayero University
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Mohammad A. Suwaid
Bayero University
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Djamila L. Ghafuri
Vanderbilt University Medical Center
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Ibrahim M. Idris
Aminu Kano Teaching Hospital
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Mark Rodeghier
Rodeghier Consultants
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Lori Jordan
Vanderbilt Department of Pediatrics
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Robert McKinstry
Washington University in St Louis School of Medicine Mallinckrodt Institute of Radiology
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Abstract

The probability of silent cerebral infarcts (SCIs) is high among individuals with sickle cell anemia (SCA). The American Society of Hematology’s (ASH) guidelines recommend at least one non-sedated magnetic resonance image (MRI) in the SCA population. Implementing ASH guidelines in low-middle-income settings requires training non-neuroradiologists. We hypothesize that three general radiologists located in Nigeria will achieve a high level of agreement when assessed against a reference set of brain MRIs previously adjudicated for the presence of SCIs. Consensus evaluation utilizing MRIs from the axial and coronal planes by the radiologists revealed an excellent or substantial agreement with reference MRI scans. Thus, radiologists can detect SCIs comparable with board-certified radiologists.
21 Jul 2023Submitted to Pediatric Blood & Cancer
21 Jul 2023Submission Checks Completed
21 Jul 2023Assigned to Editor
21 Jul 2023Review(s) Completed, Editorial Evaluation Pending
21 Jul 2023Reviewer(s) Assigned
09 Aug 2023Editorial Decision: Revise Major