Radiology

X-ray image was the first radio diagnostic tool that KCH used at the time of opening the hospital. Over a period of 37 years modern day radiological imaging is no longer limited to the use of x-rays. It actually includes technology intensive imaging with high frequency sound waves, magnetic field and radioactivity

KCH radiology department has not lagged much with technology. Currently the department has such technologies as ultrasound, computed tomography and conventional x-ray machines

The Radiology facilities at KCH include on site fixed 64-slice CT scan, four conventional X-ray rooms, two ultrasound rooms, 1 mammography room and 1Computed Radiography room. The department has electronic registration system, which is capable of capturing, and retrieving data for number patients, number and type of examinations including films used and wasted.

The department caters for in and outpatients, a range specialized medical imaging procedures in the field of ultrasound, urology, gynecology, obstetrics and gastrointestinal examinations are performed. The department is an accredited centre for training of student Radiographers and provides district hospital support through provision of basic training in clinical sonography to Radiographers from district and faith based hospitals.

The staff compliment of 2 Consultant Radiologists, 15 Diagnostic Radiographers, 3 Radiographers specialized in CT and image interpretation, I Radiographer specialized in mammography, 1 Clinical Sonographer and 2 radiology nurses run a 24 hour imaging services.

 

The department has appointment system for all specialized examinations with exceptions in emergency cases. The department produces electronically generated Radiology reports upon request and ensures that patient care is a priority. The department provides both paying and non-paying services in all relevant Radiology disciplines including Radiology reporting.

The department has an exchange program with Haukeland University hospital in Norway, which sees Radiographers from Norway work at this facility and Malawian Radiographers also visit Norway.

Future Plans

The department plans to have MRI machine, gradual shift from conventional x-rays to digital x-ray within the next five years. Installation of a digital mammography unit, which is a vital tool for breast cancer screening, will be completed by April 2014. Inauguration of telesonography and teleradiography facilities will give an opportunity for teleconsultation with health facilities in India, courtesy of Indian government.

The department plans to have mobile x-ray and ultrasound machine in four intensive care units of the hospital,  a total of 4 mobile x-ray machines and four Ultrasound machine for main intensive care unit a Obstetric, Medical, surgical and Peadiatric High dependency units to ensure that critical patients care is supported by  timely onsite medical imaging facilities.

On trauma management, in collaboration with surgical department plans are in place to have static x-ray machine and Ultrasound machine in the emergency department to ensure that trauma cases get medical imaging services within the golden hour.

The department wishes to establish partnerships with interested Radiology departments in Africa and abroad to improve service delivery through sharing of ideas and experiences in the field of Radiology.

Plans are underway to install Television set at the patient waiting area that will provide information to patients about the services, procedures provided and patient flow within the department including health promotion messages.

 

Hospital reforms

In the work of hospital reforms, the department plans to strengthen the paying section of Radiology services in order to boost the financial base, as an alternative way of health financing whose proceeds can contribute in procurement of Radiology consumables, service of equipment and staff motivation.

Dr SuzgoMzumara (Consultant Radiologist):  Head of Department

 

Analogue X-ray

A Radiographer taking an x-ray image using Phillips analogue static x-ray .Due to the rising cost and scarcity of x-ray films and processing solutions the hospital plans to shift from analogue to digital radiography in the next five years.

 

64-Slice Phillips CT Scanner

This is a new entry into the radiology section, the first of its kind in the country. Commissioned in October 2013 this machine has improved capacity of the hospital to support clinicians establish diagnosis. This machine has many applications ranging from investigative to interventional radiology. This facility can generate alot of revenue for the hospital when the paying section of the hospital is generated

One of the Doppler ultrasound machines at KCH, in experienced hands is capable of performing a range of specialized examinations like vascular studies, musculoskeletal examinations, Echocardiography, Basic and advanced Obstetrics, Gynecology examinations, Adult, Peadiatric abdominal scans and cranial sonography. One of the viable diagnostic tools for a range of medical conditions and has proved to be successful diagnostic too in pursuit of safe motherhood.

 

Digital X-ray

This recent form of X-ray imaging where digital sensors are used instead of traditional photographic films has advantages like time efficiency and better resolution. Introduced by the University of North Carollina project within the hospital to support research.

 

Digital Mammography

For the first time KCH will have a digital mammography donated by the Indian government. This machine will allow faster and more accurate stereotactic biopsy. This will result in shorter examination times and significantly improve patient comfort and convenience

 

Bone densitometry (DEXA)

This machine is also known as dual energy x-ray absorptiometry (DEXA). It is mainly used for measuring bone loss. DEXA is most often used to diagnose osteoporosis and other conditions that cause bone loss. It can also be used for assessing risk for developing fractures. 

 

Though osteoporosis is rare the DEXA machine available at KCH has increased capacity to help people living in Malawi but of non African origin to access investigations that would help them prevent developing fractures.

Contact Us

 The Hospital Director,

Kamuzu Central Hospital,

P.O. Box 149,

Lilongwe, Malawi

 Tel : +265 1 754 725/420

 Fax : +265 1 756 380

 Email :hospitaldirector@kch.gov.mw

 Website: http://www.kch.gov.mw