Publications by authors named "Alexandre Woernle"

Purpose Of Review: There is an ever-growing focus on climate change and its impact on our society. With healthcare contributing a sizeable proportion of carbon emissions, the sector has a duty to address its environmental impact. We highlight the recent progress, current challenges, and future prospects for reducing the carbon footprint in diagnostic urology, specifically for imaging, without compromising patient care.

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Magnetic resonance imaging is the gold standard imaging modality for the diagnosis of prostate cancer (PCa). Image quality is a fundamental prerequisite for the ability to detect clinically significant disease. In this critical review, we separate the issue of image quality into quality improvement and quality assessment.

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Article Synopsis
  • The study explored the effectiveness of using semi-automated software for second reads of prostate MRI scans in one-stop clinics, assessing if this method could lead to fewer biopsy procedures.
  • Out of 664 patients, 31% had equivocal scan results (scored Likert 3), with 61% showing agreement between first and second readings, and 30% of biopsies revealing significant disease.
  • Using the new workflow, nearly 24% of biopsies for equivocal scans could have been avoided, highlighting the method's potential to reduce unnecessary procedures and related side effects.
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