Tom Cundy

An AI model has been trained to identify kidney stones on a KUB X-ray with 97.4% accuracy. Identification of kidney stones in KUB X-ray images using VGG16 empowered with explainable artificial intelligence | Scientific Reports nature.com/articles/s4159…

@LauraBurgoyne1 @alistair_jukes Best wishes for your recovery @LauraBurgoyne1 and well done @alistair_jukes

Urologist's foe turned friend for SGLTi? Issues of UTI and peri-op risk, now perhaps balanced with decr risk of urolithiasis (40% RRR cf. placebo). Mechanism theories seem plausible. Incr urinary flow, citrate excretion, reduced prox tubule inflamm. sciencedirect.com/science/articl…

@archie_hh @hani_marcus @imperialurology Congrats Archie!

Great day today. Landed my dream job as a substantive consultant @imperialurology. Here’s to future in robotic and complex open renal surgery 😊.

Varicocele myth-busting. Routine abdominal imaging in right varicocele? Depends. Large series = no diff in cancer diagnosis by varicocele laterality. Consider if sudden onset, large, doesn’t empty when supine. Andrology session chaired by @DocBlecher @USANZUrology #USANZTW22

Terrific talk on tricks and tips in Peyronie’s disease surgery by Mr Chris Love. Great session. Andrology plenary chaired by Mr Gideon Blecher @USANZUrology Trainee Week 2022. #USANZTW22

LC/MS assay = “gold standard” for total testosterone but often need to direct patient to specific labs that provide this test. Tips in work up for hypogonadism by Dr Stella Sarlos (Endocrinologist). Andrology plenary @USANZUrology Trainee Week 2022. #USANZTW22

'Expectation gap' in literature approx. 80% (mismatch of expectations between surgeon and patient). Tailor consent to individual circumstances. Outline realistic expectations. Informed consent workshop at @USANZUrology Trainee Week 2022. #USANZTW22.

Is there still a role for DRE in era of MRI for prostate cancer care (triaging per PROMIS, routine pre-biopsy in biopsy naive, AS, etc)? Panel response = yes, remains important. Plenary Session on Prostate Cancer. @USANZUrologyTrainee Week 2022. #USANZTW22

@EndoLuminalEndo @USANZUrology 👋 @EndoLuminalEndo. pubmed.ncbi.nlm.nih.gov/28720373/

@tomcundy @USANZUrology Can you add the reference/ references to the thread? It’s a commonly faced scenario and the literature supporting best practice would be useful and helpful - thanks a lot

Endourology contrast use in known IV contrast allergy = no sig increased risk adverse reaction in largest study > 75,000 patients. @USANZUrology Trainee Week 2022. #USANZTW22

@cari_smith1 @USANZUrology 👋 @cari_smith1. Non-IV urinary tract imaging with iodinated contrast (RGP, cystogram, conduitogram, etc). Overall AR = 0.48%. Documented history of adverse contrast reaction no increased risk of AR on multivariate analysis. pubmed.ncbi.nlm.nih.gov/28720373/

@tomcundy @USANZUrology Sorry what contrast are we talking about?

Communicating PSA screening to GPs in ANZ for PSA screening may be as easy as "1,2,3". PSA < 1 = reassure, PSA > 2 with fam history = investigate, PSA > 3 = investigate. Pearl from the panel. Plenary Session on Prostate Cancer. @USANZUrology Trainee Week 2022. #USANZTW22

Macroscopic fat on imaging doesn’t always = AML. Without calcification consider AML or RCC. With calcification high suspicion RCC. MRI helpful to assess for microscopic fat = supports AML. @USANZUrology Trainee Week 2022. #USANZTW22

Who can find the prolene marking stitch on cord stump during RPLND? Straw poll = not often. RP and testicular oncology session chaired by @thehalfmiler @USANZUrology Trainee Week 2022. #USANZTW22

Example of our research project using machine learning/object detection to automatically track surgeons hands and instruments across a cardiac surgical operating field to learn more about ergonomics and how it differs between surgeons in different situations @NewcastleHosps

Considerations in biopsy for suspected sarcoma RP mass. Value of early sarcoma unit involvement includes marking biopsy tract for later tract excision if sarcoma confirmed. Retroperitoneal oncology session chaired by @thehalfmiler @USANZUrology Trainee Week 2022. #USANZTW22

Surgical risk in SGCT post-chemotherapy RPLND. “Beauty of open approach over robot-assisted is 5 fingers on your hand to plug 5 holes in aorta”. Great panel discussion chaired by @thehalfmiler @USANZUrology Trainee Week 2022. #USANZTW22

RPLND limited template Heidenreich criteria outlined by Sean Heywood. @USANZUrology Trainee Week 2022. #USANZTW22

The next session at the @USANZUrology Trainee Week 2022 is Retroperitoneal and Testicular Oncology, chaired by Joseph Ischia. #USANZTW22