The incidence of post-transperineal prostate biopsy complications, specifically infection, remains low despite the omission of pre-procedural antibiotics and is comparable to national standards. The transperineal biopsy approach continues to offer a safe way of investigating prostate cancer, whilst the reduction in antibiotic usage may lead to significant improvements in antibiotic stewardship and healthcare savings.

There is strong correlation between Pi and radiologist’s prostate volumes taken from clinical practice, with a mean absolute percentage difference of 16%. In our smaller cohort of 30 study patients, agreement between Pi and radiologists is somewhat better (mean absolute percentage difference 11-13%), which might reflect more careful measurements by radiologists, and is comparable to inter-radiologist agreement. Pi volume measurements are considered suitable for routine use in clinical practice.

Patients with significant cancer have a higher median Pi Score than those without, and a higher median Pi Score is associated with a higher Grade Group on biopsy. Pi Score /= 4.5 has a high PPV for significant prostate cancer. AI tools could be used to help triage MRI findings in patients with suspected prostate cancer and might accelerate diagnostic pathways for prostate cancer.

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Ureteral stone size measurements in non-enhanced CT (NECT) - interreader variability and prediction of spontaneous stone passage in different window settings

CONCLUSIONS Low energy mono-energetic reconstructions significantly increase lesion attenuation and sensitivity for detection of high-risk prostate cancer.   Use of Low MonoE in clinical practice may aid cancer detection, pending larger studies investigating specificity.

T1 weighted Dixon sequences can be used for the detection of endometriosis. The acquisition of both axial and sagittal planes allows the highest detection rate with the lowest false positive rate.