The complex imaging climate in resource-limited settings is not easily navigable. The goal of this study is to provide a radiologist-oriented, baseline needs assessment to increase radiologic capacity, develop technical infrastructure and improve medical education in Rwanda. We conducted an on-site, 1 month descriptive study of radiologic needs using the RAD-AID survey tool. We hypothesized that Rwandan Hospitals vary regarding ultrasound and non-ultrasound imaging volume and range, equipment availability and functionality, and extent of personnel and training. Data were collected from 14% of government district (6/42) and 100% of referral Hospitals (2 University teaching, 1 tertiary referral); 100% of surveyed Hospitals had at least one functional ultrasound and radiograph machine, but 44% (4/9) reported at least one broken ultrasound. Referral Hospitals had increased volume and range of studies. CT and MRI were available at the tertiary referral Hospital only. All referral Hospitals had a full-time radiologist; however, general practitioners were primary interpreters at district Hospitals. Additional differences regarded training, ongoing education, digital/telemedicine capability and future development plans. Current radiologic capacity is markedly limited in Rwanda and will require substantial development for mature health-care infrastructure. Ultrasound has been and will continue to be an invaluable diagnostic modality, particularly at the district Hospital level. Radiologist-based outreach is crucial for a sophisticated imaging climate accounting for variable levels of need in resource-limited settings.

Journal of Clinical UltrasoundVolume 20, Issue 1 p. 72-76 Case Report Cystic leiomyosarcoma of the stomach in a child Deborah S. Ablin MD, Corresponding Author Deborah S. Ablin MD Department of Radiology University of California, DavisDepartment of Radiology, University of California, Davis, Ticon II Building, 2516 Stockton Boulevard, Sacramento, CA 95817Search for more papers by this authorWilliam E. Brant MD, William E. Brant MD Department of Radiology University of California, DavisSearch for more papers by this author Deborah S. Ablin MD, Corresponding Author Deborah S. Ablin MD Department of Radiology University of California, DavisDepartment of Radiology, University of California, Davis, Ticon II Building, 2516 Stockton Boulevard, Sacramento, CA 95817Search for more papers by this authorWilliam E. Brant MD, William E. Brant MD Department of Radiology University of California, DavisSearch for more papers by this author First published: January 1992 https://doi.org/10.1002/jcu.1870200115Citations: 3AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL References 1 Lack EE: Leiomyosarcomas in childhood: A clinical and pathologic study of 10 cases. Ped Pathol 6: 181– 187, 1986. 2 Pizzo PA, Poplack DG: Principles and Practice of Pediatric Oncology. JB Lippincott, Philadelphia, PA, 1989, pp 684– 685. 3 Angerpointer TA, Weitz H, Haas RJ, et al: Intestinal Leiomyosarcoma in childhood: Case report and review of the literature. J Pediatr Surg 16: 491– 495, 1981. 4 Delucchi MA, Latorre JJ, Guiraldes E, et al: Intestinal leiomyosarcoma in childhood: Report of two cases. J Pediatr Surg 23: 377– 379, 1988. 5 McGrath PC, Neifeld JP, Kay S, et al: Principles in the management of pediatric intestinal leiomyosarcomas. J Pediatr Surg 23: 939– 941, 1988. 6 Cohen SR, Thompson JW, Sherman NJ: Congenital stenosis of the lower esophagus associated with leiomyoma and leiomyosarcoma of the gastrointestinal tract. Ann Otol Rhinol Laryngol 97: 454– 459, 1988. 7 Wurlitzer FP, Mares AJ, Isaacs H, et al: Smooth muscle tumors of the stomach in childhood and adolescence. J Pediatr Surg 8: 421– 427, 1973. 8 Man DWK, Suen MWM, Lam TK: Multifocal leiomyosarcoma of the small intestine in childhood. Eur J Ped 148: 40– 42, 1988. 9 Carney JA: The triad of gastric epithelioid leiomyosarcomas, pulmonary chondroma and functioning extra-adrenal paraganglioma. A five-year review. Medicine 62: 159– 169, 1983. 10 Botting AJ, Soule EH, Brown AL: Smooth muscle tumors in childhood. Cancer 18: 711– 720, 1965. 11 Yannopoulos K, Stout AP: Smooth muscle tumors in children. Cancer 15: 958– 971, 1962. 12 Ranchod M, Kempson RL: Smooth muscle tumors of the gastrointestinal tract and retroperitoneum: A pathologic analysis of 100 cases. Cancer 39: 255– 262, 1977. 13 Skandalakis JE, Gray SW, Shepard D: Smooth muscle tumors of the small intestine. Am J Gastroenterol 42: 172– 188, 1964. 14 Akwari OE, Dozois RR, Weiland LH, et al: Leiomyosarcoma of the small and large bowel. Cancer 42: 1375– 1384, 1978. Citing Literature Volume20, Issue1January 1992Pages 72-76 ReferencesRelatedInformation

A rate case of spontaneous isolated mesenteric fibromatosis (mesenteric desmoid) unassociated with Gardner's syndrome or prior abdominal surgery is presented. Computed tomography revealed a nonenhancing, well-defined, large, soft-tissue mass in the mesentery. The clinical and radiographic features of mesenteri fibromatosis are reviewed and the differential diagnosis is discussed.

Journal of Clinical UltrasoundVolume 16, Issue 3 p. 191-194 Case Report Ultrasonographic detection of epididymal sarcoidosis Mark D. Forte MD, Corresponding Author Mark D. Forte MD Department of Radiology, David Grant USAF Medical Center, Travis Air Force Base, CaliforniaDepartment of Radiology, David Grant USAF Medical Center, Travis Air Force Base, California 94535Search for more papers by this authorWilliam E. Brant MD, William E. Brant MD Department of Radiology, David Grant USAF Medical Center, Travis Air Force Base, CaliforniaSearch for more papers by this author Mark D. Forte MD, Corresponding Author Mark D. Forte MD Department of Radiology, David Grant USAF Medical Center, Travis Air Force Base, CaliforniaDepartment of Radiology, David Grant USAF Medical Center, Travis Air Force Base, California 94535Search for more papers by this authorWilliam E. Brant MD, William E. Brant MD Department of Radiology, David Grant USAF Medical Center, Travis Air Force Base, CaliforniaSearch for more papers by this author First published: April 1988 https://doi.org/10.1002/jcu.1870160309Citations: 8AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat Citing Literature Volume16, Issue3April 1988Pages 191-194 RelatedInformation