Better use of available radiology resources for women's health in Latin America and the Caribbean

Metastatic Uterine Leiomyosarcoma as a Rare and Sinister Cause of Respiratory Distress: A Case Report and Literature Review

Uterine leiomyosarcomas are an extremely rare subtype of uterine malignancy. This is a case report of a 47-year-old woman whose underlying uterine leiomyosarcoma manifested as acute respiratory distress secondary to pulmonary metastases. We highlight that a combination of suggestive imaging features and elevated lactate dehydrogenase (LDH) may prompt its diagnosis, notwithstanding that histological examination of a tissue sample is mandatory for its confirmation. The diagnosis of this condition is arduous for a multitude of reasons, including the insidious clinical course, aggressive nature, and high propensity to metastasize, coupled with a lack of standardised guidelines for its preoperative work-up. These challenges are amplified where resources may be limited, such as in the Caribbean region, where radiographic imaging and treatment options may not always be readily available.

The growth potential for diagnostic imaging training in the English-speaking Caribbean

OBJECTIVES

The aim is to review the status of diagnostic imaging training in the English-speaking Caribbean region and to identify gaps, and opportunities for growth.

KEY FINDINGS

Currently, there are only three training programmes within the English-speaking Caribbean that offer a Bachelor of Science degree in Diagnostic Imaging (DI) (Radiography). Despite the demand for DI services related to the growing prevalence of chronic non-communicable diseases and an ageing Caribbean population, access to such services is very limited. While there is a gap to be closed in terms of training numbers it is clear that there is also a need to develop a wider range of competencies in other modalities beyond conventional X-ray.

CONCLUSION

The English-speaking Caribbean is relatively underserved in terms of access to diagnostic imaging services. Current training programmes are limited in scope and enrolment. There is a need to address the training gaps within the region, as this is a significant opportunity for growth in this area of health professions education.

IMPLICATIONS FOR PRACTICE

While there is a clear rationale to support expanding and diversifying training, there is still relatively low investment in DI training. The way ahead for the Caribbean must be through enforcement of legislation, strong leadership and advocacy for training initiatives and partnership between educators and service providers.