Hiten D. Patel
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View article: MRI Utilization Rates for Veterans at Risk of Prostate Cancer
MRI Utilization Rates for Veterans at Risk of Prostate Cancer Open
This cross-sectional study evaluates trends in the utilization of and disparities in prostate magnetic resonance imaging (MRI) across the Veterans Health Administration.
View article: Vitamin D Status and Clinical Correlates in Children with Recurrent Wheeze: Insights from North India.
Vitamin D Status and Clinical Correlates in Children with Recurrent Wheeze: Insights from North India. Open
View article: Contemporary assessment of diagnostic performance and histologic concordance of renal mass biopsy with surgical pathology
Contemporary assessment of diagnostic performance and histologic concordance of renal mass biopsy with surgical pathology Open
Background Improvements in imaging and technique have led to a greater role for renal mass biopsy (RMB) to risk‐stratify localized renal masses. We sought to assess the contemporary diagnostic accuracy of RMB for identifying renal cell car…
View article: Effect of prior HoLEP procedure on multiparametric MRI accuracy in detection of prostate cancer
Effect of prior HoLEP procedure on multiparametric MRI accuracy in detection of prostate cancer Open
Objectives The objective of this study is to evaluate whether prior Holmium laser enucleation of the prostate (HoLEP) affects the diagnostic accuracy of multiparametric prostate MRI (mpMRI) with PI‐RADS scoring for detecting clinically sig…
View article: Cost‐effectiveness of office‐based, magnetic resonance imaging‐guided transperineal versus transrectal prostate biopsy: An economic analysis of the PREVENT trial
Cost‐effectiveness of office‐based, magnetic resonance imaging‐guided transperineal versus transrectal prostate biopsy: An economic analysis of the PREVENT trial Open
Background As antimicrobial resistance increases, safer alternative approaches to prostate biopsy are needed. PREVENT was a multi‐institutional, randomized controlled trial comparing transperineal (TP) biopsy without antibiotic prophylaxis…
View article: Artificial Intelligence (AI)-Driven Screening of Equivocal Prostate Immunohistochemistry (IHC) Cases: Development and Validation of a Screening and Cancer Detection Framework
Artificial Intelligence (AI)-Driven Screening of Equivocal Prostate Immunohistochemistry (IHC) Cases: Development and Validation of a Screening and Cancer Detection Framework Open
View article: Genomic Signatures Correlating With Adverse Pathologic Features in Men Eligible for Active Surveillance
Genomic Signatures Correlating With Adverse Pathologic Features in Men Eligible for Active Surveillance Open
Background Genomic biomarkers offer opportunities to improve risk stratification for patients with prostate cancer. We performed a transcriptomic profile of active surveillance (AS)‐eligible patients who underwent radical prostatectomy (RP…
View article: Evaluating Cost‐Effective Strategies for Asymptomatic Microhematuria Diagnosis: A Risk‐Based Alternative to the American Urological Association Guidelines
Evaluating Cost‐Effective Strategies for Asymptomatic Microhematuria Diagnosis: A Risk‐Based Alternative to the American Urological Association Guidelines Open
Background and Objectives The American Urological Association (AUA) guidelines recommend evaluating asymptomatic microhematuria (MH) at ≥ 3 red blood cells per high powered field (RBCs/hpf), resulting in significant costs with limited blad…
View article: PSMA PET/CT findings in high‐risk biochemical recurrence after local treatment of prostate cancer
PSMA PET/CT findings in high‐risk biochemical recurrence after local treatment of prostate cancer Open
Objectives To describe PSMA PET/CT characteristics of patients with high‐risk BCR. Subjects/patients and methods This was a retrospective analysis of patients with high‐risk BCR prostate cancer (PSA ≥ 2 ng/ml above nadir after radiation th…
View article: Evaluation of PALM - COEIN classification and management of abnormal uterine bleeding in peri-menopausal age group
Evaluation of PALM - COEIN classification and management of abnormal uterine bleeding in peri-menopausal age group Open
Background: Abnormal uterine bleeding (AUB) is a prevalent condition affecting a significant portion of women, particularly in the perimenopausal age group. The FIGO PALM-COEIN classification system, introduced in 2011, categorizes AUB bas…
View article: Study of ectopic pregnancy in a tertiary care hospital
Study of ectopic pregnancy in a tertiary care hospital Open
Background: Ectopic pregnancy, occurring in 1.5-2% of pregnancies globally, is a serious, life-threatening complication and a leading cause of maternal morbidity and mortality in the first trimester. It poses risks to the mother’s life and…
View article: Peak early‐phase enhancement ratio on contrast‐enhanced MRI to differentiate chromophobe renal cell carcinoma from oncocytoma
Peak early‐phase enhancement ratio on contrast‐enhanced MRI to differentiate chromophobe renal cell carcinoma from oncocytoma Open
Objectives To evaluate the feasibility of using the peak early‐phase enhancement ratio (PEER) of tumour to renal cortex measured on contrast‐enhanced magnetic resonance imaging (MRI) to distinguish between chromophobe renal cell carcinoma …
View article: Negative Predictive Value of a Prostate MRI in Black Men: Implications for Biopsy Decision-Making
Negative Predictive Value of a Prostate MRI in Black Men: Implications for Biopsy Decision-Making Open
PIRADS < 3 has a lower NPV and sensitivity in Black men. For negative prostate MRIs, PSAD ≥ 0.09 may be a better threshold for safe biopsy deferral in Black men to maintain a ≥ 90% sensitivity.
View article: Utilization of cardiopulmonary bypass at radical nephrectomy for renal cell carcinoma with tumour thrombus
Utilization of cardiopulmonary bypass at radical nephrectomy for renal cell carcinoma with tumour thrombus Open
Objectives The objective of this study is to evaluate preoperative factors associated with cardiopulmonary bypass (CPB) utilization and outcomes for patients with renal cell carcinoma (RCC) and tumour thrombus (TT). Radical nephrectomy wit…
View article: Treatment Modalities and Risks of Complication for Patients With Localized Renal Cell Carcinoma Aged 75 and Older
Treatment Modalities and Risks of Complication for Patients With Localized Renal Cell Carcinoma Aged 75 and Older Open
Background and Objectives Partial (PN)/radical (RN) nephrectomy is the standard treatment for localized renal‐cell carcinoma (RCC). The potential risks of these procedures are concerns for the elderly. We evaluated perioperative outcomes/s…
View article: Implementation of PSMA PET/CT and alignment of ordering to SNMMI appropriate use criteria in a large network system
Implementation of PSMA PET/CT and alignment of ordering to SNMMI appropriate use criteria in a large network system Open
INTRODUCTION: The Society of Nuclear Medicine and Molecular Imaging (SNMMI) provides appropriate use criteria (AUC) for prostate-specific membrane antigen positron emission tomography/computed tomography (PSMA PET/CT) which include guidanc…
View article: Transperineal vs Transrectal Prostate Biopsy—The PREVENT Randomized Clinical Trial
Transperineal vs Transrectal Prostate Biopsy—The PREVENT Randomized Clinical Trial Open
This randomized clinical trial compares the effect of transperineal vs transrectal prostate biopsy on infection rates after biopsy.
View article: Utility of dynamic contrast enhancement for clinically significant prostate cancer detection
Utility of dynamic contrast enhancement for clinically significant prostate cancer detection Open
Objective This study aimed to evaluate the association of dynamic contrast enhancement (DCE) with clinically significant prostate cancer (csPCa, Gleason Grade Group ≥2) and compare biparametric magnetic resonance imaging (bpMRI) and multip…
View article: Prostate MRI and Clinicopathologic Risk Calculator to Predict Laterality of Extraprostatic Extension at Radical Prostatectomy
Prostate MRI and Clinicopathologic Risk Calculator to Predict Laterality of Extraprostatic Extension at Radical Prostatectomy Open
Background Traditional nomograms can inform the presence of extraprostatic extension (EPE) but not laterality, which remains important for surgical planning, and have not fully incorporated multiparametric MRI data. We evaluated predictors…
View article: A Novel Case of Anomalous Origin of Left Vertebral Artery Associated With Left Subclavian Steal Syndrome
A Novel Case of Anomalous Origin of Left Vertebral Artery Associated With Left Subclavian Steal Syndrome Open
The subclavian steal syndrome (SSS) is defined by the reversal of flow in the ipsilateral vertebral artery in the setting of subclavian artery stenosis proximal to its origin. Here, we describe a rare case of left SSS with significant left…
View article: Effect of Aspirin Use on the Adverse Outcomes in Patients Hospitalized for COVID-19
Effect of Aspirin Use on the Adverse Outcomes in Patients Hospitalized for COVID-19 Open
No significant differences were found in acute cardiovascular events, acute DVT/PE, mechanical ventilator support, and mortality rate between hospitalized COVID-19 patients who were taking aspirin compared to those not taking aspirin. Howe…
View article: Detection of clinically significant prostate cancer following initial omission of biopsy in multiparametric MRI era
Detection of clinically significant prostate cancer following initial omission of biopsy in multiparametric MRI era Open
Background Multiparametric prostate MRI (mpMRI) is being increasingly adopted for work-up of prostate cancer. For patients selected to omit biopsy, we identified factors associated with repeat MRI, eventual prostate biopsy, and subsequent …
View article: Ultrasensitive PSA: rethinking post-surgical management for node positive prostate cancer
Ultrasensitive PSA: rethinking post-surgical management for node positive prostate cancer Open
Introduction Clinicians may offer patients with positive lymph nodes (pN1) and undetectable PSA following surgery for prostate cancer either observation or adjuvant therapy based on AUA, EAU, and NCCN guidelines considering standard PSA de…
View article: Spontaneous superficial femoral artery pseudoaneurysm: a rare case report
Spontaneous superficial femoral artery pseudoaneurysm: a rare case report Open
Spontaneous femoral artery pseudoaneurysm (PSA) is a rare disease and there are few reported cases. We report a case of a 45 year-old male with painless, non-pulsatile swelling in the medial aspect of left lower thigh, which is gradually i…
View article: Comparison of Magnetic Resonance Imaging–Based Risk Calculators to Predict Prostate Cancer Risk
Comparison of Magnetic Resonance Imaging–Based Risk Calculators to Predict Prostate Cancer Risk Open
Importance Magnetic resonance imaging (MRI)–based risk calculators can replace or augment traditional prostate cancer (PCa) risk prediction tools. However, few data are available comparing performance of different MRI-based risk calculator…
View article: Implementation of PSMA PET/CT and alignment of ordering to SNMMI appropriate use criteria in a large network system
Implementation of PSMA PET/CT and alignment of ordering to SNMMI appropriate use criteria in a large network system Open
Introduction The Society of Nuclear Medicine and Molecular Imaging (SNMMI) provides appropriate use criteria (AUC) for prostate‐specific membrane antigen positron emission tomography/computed tomography (PSMA PET/CT) which include guidance…
View article: Robotic transperitoneal versus retroperitoneal approach for anterior renal mass nephron-sparing surgery
Robotic transperitoneal versus retroperitoneal approach for anterior renal mass nephron-sparing surgery Open
View article: The Evolution of Tumor Enucleation Partial Nephrectomy: A Comparison of Perioperative Outcomes for Sutureless Hemostatic Bandage as an Alternative to Standard Renorrhaphy
The Evolution of Tumor Enucleation Partial Nephrectomy: A Comparison of Perioperative Outcomes for Sutureless Hemostatic Bandage as an Alternative to Standard Renorrhaphy Open
Background The standard approach to hemostasis during partial nephrectomy (PN) is to perform suture renorrhaphy (SR). Application of a hemostatic bandage (HB) is an alternative maneuver to minimize blood loss and devitalized renal parenchy…
View article: Transperineal Versus Transrectal Magnetic Resonance Imaging–targeted and Systematic Prostate Biopsy to Prevent Infectious Complications: The PREVENT Randomized Trial
Transperineal Versus Transrectal Magnetic Resonance Imaging–targeted and Systematic Prostate Biopsy to Prevent Infectious Complications: The PREVENT Randomized Trial Open
View article: Antiviral Flavonoids as a Potential Substitute for Overcoming Antiviral Resistance
Antiviral Flavonoids as a Potential Substitute for Overcoming Antiviral Resistance Open
Antiviral resistance has emerged as a major global health challenge, undermining the efficacy of conventional antiviral drugs. This has led researchers to explore alternative therapeutic agents, with flavonoids gaining attention due to the…