Establishing a State-of-the-Art Diagnostic and Medical Imaging Center in Afghanistan: Achievements, Challenges, and Future Perspectives

Abstract

Despite being an indispensable component of modern medicine and clinical practice, the radiology field is still underdeveloped and underappreciated in Afghanistan. The lack of adequate diagnostic and medical imaging centers (DMIC) poses an obstacle to timely diagnosis, as well as efficacious disease treatment and monitoring. This article details the experience of establishing a state-of-the-art DMIC in Herat, a province in western Afghanistan. Experiences from the conceptualization to the actualization phases of the establishment are presented. Challenges encountered throughout the process and ways to overcome them are illustrated. Future perspectives in providing evidence-based high-value imaging care in Afghanistan are discussed. Conclusion: Establishing, maintaining and developing a diagnostic and medical imaging center in a low-income country is feasible, albeit challenging. Collaboration with multiple stakeholders is required to ensure sustainable radiology services and to expand the role of radiology in disease management.