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Sustainable Health Innovation for Global Health Equity: Solar-Powered MRI for Affordable Healthcare in Resource-Limited Settings

Papasavva, M.; Abate, G. B.; Piper, J.; Kahari, C.; Tavengwa, N. V. B.; Mazhanga, C.; Chidhanguro, D.; Mutero, A.; Musiiwa, L.; Giampietro, V.; Twumasi, R.; Clemensson, P.; Bennallick, C.; Deoni, S.; Nyachowe, C.; Ntozini, R.; Williams, S. C. R.; Prendergast, A. J.; Bourke, N. J.

2026-05-10 neurology
10.64898/2026.05.07.26352684 medRxiv
Show abstract

IntroductionMagnetic resonance imaging (MRI) is central to neurological care, yet access remains profoundly inequitable in low- and middle-income countries, especially in rural health facilities where high costs and fragile electricity supply limit services. Ultra-low-field (ULF) portable MRI offers a way to expand access, but deployment in weak-grid settings requires robust affordable power. We characterized the power needs of a 0.064T portable ULF MRI system and assessed the feasibility of a solar-powered MRI-capable facility in a rural Zimbabwean clinic, which we believe to be the first of its kind in the world. MethodsWe measured the power draw of an ultra-low-field MRI session from a portable photovoltaic (PV) battery kit in the UK, quantifying scan, standby and energy use. We then monitored a PV-battery micro-grid supplying a protected circuit at an MRI-capable clinic in Shurugwi, Zimbabwe. Inverter telemetry was used to derive PV generation, load, battery state of charge (SoC) and grid import for working days in October-November 2025, spanning the end of the dry season and onset of the rainy season. ResultsIn the portable configuration, a 64-minute MRI session consumed [~]0.21 kWh, with standby demand of [~]1.44 kWh per 24 hours. In clinic, mean PV generation was 9.10 kWh (SD=1.34) and load 9.91 kWh, with zero recorded grid import and minimum daily SoC typically [≥]60%, including during the early rainy season. ConclusionAn affordable PV-battery micro-grid can reliably support ULF MRI and associated research power loads in a rural, weak-grid clinic, offering a reproducible blueprint to narrow diagnostic equity gaps in resource-limited settings.

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