A review of MRI studies in Africa with special focus on quantitative MRI: Historical development, current status and the role of medical physicists.

This scoping review provides overview on the historical and major developments, current status, quantitative magnetic resonance (MR) studies and the role of medical physics bodies in MR imaging in Africa. The study analyzed MRI availability in 32 (59 %) of the 54 African countries. South Africa and Egypt have the most dominant MR systems. Number of MR systems in the 4 northern countries (Egypt, Morocco, Algeria and Libya) alone constitute 53 % of the total number of machines in the studied countries. Less than one-third of the countries have 1 MR system serving less than a million population. Libya recorded the most MR systems per million population. The studied countries altogether have an average of 1 machine per million population. The private sector far dominates number of installed MR systems across the region, making up two-thirds of the distribution. A major challenge was revealed where less than 3 % of Medical Physicists in the studied countries are engaged in MRI facilities. Review of MRI published studies in the last 5 years indicates dominance of literature on brain studies and most of such published works coming from Nigeria. Only 7 out of 27 published studies reviewed were quantitative. The African region has no dedicated MRI physics societies; however, the regional medical physics body and national associations have big roles to play in developing MRI through education, research, training and leveraging on awareness creation. Thisreview is the first of such wide scale study on MRI availability and quantitative studies in the African region.

Bone mineral density in an urban and a rural children population-A comparative, population-based study in Enugu State, Nigeria.

INTRODUCTION: Osteoporosis is one of the non-communicable diseases linked to urbanisation. The foundation of osteoporotic fractures stems from childhood. Therefore, studies that promote maximising peak bone mass are strongly advocated. Studies have shown that there are differences in the incidence of osteoporotic fractures in rural and urban communities. No study has investigated urban-rural differences in BMD of Nigerian children. This study, therefore, aimed to investigate urban-rural differences in BMD of Nigerian children and the association with physical activity, demographic and anthropometric variables. METHODS: In a cross-sectional, study in Enugu, Nigeria, estimated bone mineral density (eBMD) was measured at the calcaneum using the QUS densitometer, Hologic Sahara, in 457 urban (Enugu metropolis) and 559 rural (Nsukka community) children aged 6-14 years. Height, weight and physical activity were measured. Independent sample t-test was used for comparative analysis while Pearson correlation coefficients and multiple regression models were used to examine the relationship between the eBMD and the other parameters. RESULTS: The mean (S.D) eBMD of the urban children [0.52(0.09) g/cm2] were significantly higher (p < 0.05) than their age- and gender-matched counterparts in the rural areas [0.51(0.08) g/cm2]. Age and weight predicted (p < 0.05) the eBMD in the urban subjects while only age was the predictor (p < 0.05) in the rural subjects. The physical activity pattern had no relationship with eBMD in both urban and rural children in Enugu, Nigeria. CONCLUSIONS: The eBMD of rural children is lower than that of their age- and gender-matched urban counterparts.

Calcaneal Broadband Ultrasound Attenuation and Speed of Sound Measurements in a Population of Nigerian Children: Reference Data and the Influence of Sociodemographic Variables.

OBJECTIVES: The aim of our study was to establish a reference database of calcaneal broadband ultrasound attenuation (BUA) and the speed of sound (SOS) in a healthy Nigerian population of children aged 6 to 14 years and also to investigate the influence of sociodemographic and anthropometric variables on them. METHODS: The BUA and SOS of 1016 healthy children were measured by quantitative ultrasound densitometry. Height and weight were measured with a stadiometer and weighing balance, respectively, whereas the sociodemographic parameters of the participants were collected on a semistructured questionnaire. A multiple regression model using stepwise selection and Pearson correlation coefficients were used to examine the relationship between the ultrasound parameters and sociodemographic and anthropometric parameters. Comparisons between various age groups were made by analysis of variance. RESULTS: The mean BUA and SOS ± SD of the participants were 60.57 ± 16.21 dB/MHz and 1563.48 ± 21.74 m/s, respectively, for boys and 58.18 ± 15.16 dB/MHz and 1560.03 ± 22.32 m/s for girls. The BUA in both sexes was positively influenced by age and weight (P < .05), whereas only the father's educational status was its predictor (P < .05) in the boys. For the girls, the family size and mother's educational status were predictors of the BUA (P < .05). The SOS was marginally influenced by age and family size in the boys (P < .05), whereas the father's educational status was the predictor in the girls. CONCLUSIONS: The established BUA and SOS values in this study are baseline values, and further study, which would also involve data from a large number of Nigerian children, would be needed to support their effectiveness as reference values.

Sonographic assessment of petroleum-induced hepatotoxicity in Nigerians: does biochemical assessment underestimate liver damage?

BACKGROUND: Exposure to petroleum products has been shown to have significant adverse effects on the liver which can manifest either as morphological or physiological changes. OBJECTIVES: The aim of the study was to assess the effects of chronic exposure to some petroleum products on the liver of exposed workers using sonography and to determine whether biochemical assessments underestimated hepatotoxicity. METHODS: Abdominal ultrasound was performed on 415 exposed workers in order to evaluate liver echogenicity and size. Also, biochemical assessment of the liver was done to evaluate its function. RESULTS: Statistically significant increase in the liver parenchymal echogenicity and the liver size was seen in the exposed workers compared with control (p ≤ 0.05). These increased as the exposure duration increased. It was also noted that out of 16.87% (N=70) exposed workers with abnormal liver echopattern, only 2.65% (N=11) had alanine aminotransferase above the reference range. CONCLUSION: The study revealed evidence of ultrasound detectable hepatotoxicity among the exposed subjects. Sonography appeared to detect petroleum products-induced hepatic toxicity more than biochemical assays suggesting that biochemical assessment may have underestimated toxicity.

Transvaginal Sonography: perception and attitude of Nigerian women.

BACKGROUND: To assess the attitude to and perception of transvaginal sonography (TVS) among Nigerian women of mixed educational status in order to ascertain factors that may prevent them from submitting to TVS when recommended. METHODS: A Cross-sectional survey was adopted for the study. In all, one missionary, one government and eight private hospitals were enlisted. The instruments for data collection were visual analogue scale (VAS), to ascertain patients' pain/discomfort experience, and a researcher-developed semi-structured questionnaire. The level of pain/discomfort on the VAS was categorized into four on a scale of 100. The categories were: 0-5 (no pain), 6-40 (mild pain), 41-74 (moderate pain), and 75-100 (severe pain). RESULTS: Majority (50.6%) of the respondents who attained secondary education had positive attitude to TVS. Also majority of the respondents (63.1%) preferred female sonographers. Majority of the respondents (54.1%) perceived TVS as not embarrassing, 78% did not consider it stressful, 96.9% reported that the sonographers were professional, 46.7% felt that a chaperon was needed, 98.4% reported there were enough privacy and 84.7% reported they needed prior information. Most of the respondents (82%) were willing to consent to TVS in future, 90.5% reported no pain, 8.6% reported mild pain/discomfort and 0.9% reported moderate pain. CONCLUSIONS: Majority of our respondents had positive attitude to TVS and were willing to consent to TVS in future, hence it was acceptable to them. It was however observed that acceptability increased with increasing academic status.

Assessment of natural radioactivity in phosphate ore, phosphogypsum and soil samples around a phosphate fertilizer plant in Nigeria.

The radionuclides present in phosphate ore, phosphogypsum and soil samples in the vicinity of a phosphate fertilizer plants in Nigeria were identified and their activity concentration determined to assess the potential radiation impact on the environment due to fertilizer production. The mean activity concentration of (238)U, (232)Th, and (40)K radionuclides in phosphate ore samples were 616 ± 38.6, BDL (Below Detection Level) and 323.7 ± 57.5 Bq kg(-1) respectively. For the phosphogypsum, 334.8 ± 8.8, 4.0 ± 1.4, and 199.9 ± 9.3 Bq kg(-1) respectively and for soil samples range from 20.5 ± 7.3 to 175.7 ± 10.5 Bq kg(-1) for (226)Ra, 15.5 ± 1.5 to 50.4 ± 0.6 Bq kg(-1) for (232)Th and 89.5 ± 8.1 to 316.1 ± 41.3 Bq kg(-1) for (40)K respectively. The mean absorbed dose rate was 71.4 nGy h(-1). The mean annual effective dose was 86 µSv.