Sean Woolen
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View article: Urethra contours on MRI: Multidisciplinary consensus educational atlas and reference standard for artificial intelligence benchmarking
Urethra contours on MRI: Multidisciplinary consensus educational atlas and reference standard for artificial intelligence benchmarking Open
View article: Post-hoc Estimation of a Quantitative Restriction Spectrum Imaging Biomarker for Prostate Cancer Detection Using Conventional MRI
Post-hoc Estimation of a Quantitative Restriction Spectrum Imaging Biomarker for Prostate Cancer Detection Using Conventional MRI Open
Background Multiparametric MRI is useful for early detection of clinically significant prostate cancer (csPCa), but its standard Apparent Diffusion Coefficient (ADC) has limited utility as a quantitative metric for automated, patient-level…
View article: Hepatocellular Carcinoma Surveillance: Operational and Environmental Impact of Abbreviated MRI Protocols
Hepatocellular Carcinoma Surveillance: Operational and Environmental Impact of Abbreviated MRI Protocols Open
Objective: To assess the operational and environmental benefits of using an abbreviated protocol for hepatocellular carcinoma (HCC) surveillance. Methods: This IRB-approved retrospective single-center quality improvement study evaluated ti…
View article: Green Imaging: Scoping Review of Radiology’s Environmental Impact
Green Imaging: Scoping Review of Radiology’s Environmental Impact Open
Among thousands of publications on imaging sustainability, few provide primary data. This review consolidates evidence on radiology's environmental impact and outlines priorities for future research.
View article: Urethra contours on MRI: multidisciplinary consensus educational atlas and reference standard for artificial intelligence benchmarking
Urethra contours on MRI: multidisciplinary consensus educational atlas and reference standard for artificial intelligence benchmarking Open
Introduction The urethra is a recommended avoidance structure for prostate cancer treatment. However, even subspecialist physicians often struggle to accurately identify the urethra on available imaging. Automated segmentation tools show p…
View article: Multidisciplinary Consensus Prostate Contours on Magnetic Resonance Imaging: Educational Atlas and Reference Standard for Artificial Intelligence Benchmarking
Multidisciplinary Consensus Prostate Contours on Magnetic Resonance Imaging: Educational Atlas and Reference Standard for Artificial Intelligence Benchmarking Open
View article: A Comparative Environmental Impact Analysis of Screening Tests for Colorectal Cancer
A Comparative Environmental Impact Analysis of Screening Tests for Colorectal Cancer Open
BACKGROUND Healthcare is a major contributor to global greenhouse gas emissions. Colorectal cancer (CRC) screening is one of the most widely used healthcare services in the US, indicated for approximately 134 million adults. Recommended sc…
View article: Advanced Restriction Imaging and Reconstruction Technology for Prostate Magnetic Resonance Imaging (ART-Pro): A Study Protocol for a Multicenter, Multinational Trial Evaluating Biparametric Magnetic Resonance Imaging and Advanced, Quantitative Diffusion Magnetic Resonance Imaging for the Detection of Prostate Cancer
Advanced Restriction Imaging and Reconstruction Technology for Prostate Magnetic Resonance Imaging (ART-Pro): A Study Protocol for a Multicenter, Multinational Trial Evaluating Biparametric Magnetic Resonance Imaging and Advanced, Quantitative Diffusion Magnetic Resonance Imaging for the Detection of Prostate Cancer Open
View article: Deep learning AI and Restriction Spectrum Imaging for patient-level detection of clinically significant prostate cancer on MRI
Deep learning AI and Restriction Spectrum Imaging for patient-level detection of clinically significant prostate cancer on MRI Open
Background The Prostate Imaging Reporting & Data System (PI-RADS), based on multiparametric MRI (mpMRI), is widely used for the detection of clinically significant prostate cancer (csPCa, Gleason Grade Group (GG≥2)). However, its diagnosti…
View article: Advanced Restriction imaging and reconstruction Technology for Prostate MRI (ART-Pro): Study protocol for a multicenter, multinational trial evaluating biparametric MRI and advanced, quantitative diffusion MRI for detection of prostate cancer
Advanced Restriction imaging and reconstruction Technology for Prostate MRI (ART-Pro): Study protocol for a multicenter, multinational trial evaluating biparametric MRI and advanced, quantitative diffusion MRI for detection of prostate cancer Open
Background Multiparametric MRI (mpMRI) is strongly recommended by current clinical guidelines for improved detection of clinically significant prostate cancer (csPCa). However, major limitations of mpMRI are the need for intravenous (IV) c…
View article: Restriction Spectrum Imaging as a quantitative biomarker for prostate cancer with reliable positive predictive value
Restriction Spectrum Imaging as a quantitative biomarker for prostate cancer with reliable positive predictive value Open
Background and Objective Positive predictive value of PI-RADS for clinically significant prostate cancer (csPCa, grade group [GG]≥2) varies widely between institutions and radiologists. The Restriction Spectrum Imaging restriction score (R…
View article: Environmental Sustainability and AI in Radiology: A Double-Edged Sword
Environmental Sustainability and AI in Radiology: A Double-Edged Sword Open
According to the World Health Organization, climate change is the single biggest health threat facing humanity. The global health care system, including medical imaging, must manage the health effects of climate change while at the same ti…
View article: Environmental Sustainability and <scp>MRI</scp>: Challenges, Opportunities, and a Call for Action
Environmental Sustainability and <span>MRI</span>: Challenges, Opportunities, and a Call for Action Open
The environmental impact of magnetic resonance imaging (MRI) has recently come into focus. This includes its enormous demand for electricity compared to other imaging modalities and contamination of water bodies with anthropogenic gadolini…
View article: Ecodesign and Operational Strategies to Reduce the Carbon Footprint of MRI for Energy Cost Savings
Ecodesign and Operational Strategies to Reduce the Carbon Footprint of MRI for Energy Cost Savings Open
Background Radiology is a major contributor to health care's climate footprint due to energy-intensive devices, particularly MRI, which uses the most energy. Purpose To determine the energy, cost, and carbon savings that could be achieved …
View article: Radiology Environmental Impact: What Is Known and How Can We Improve?
Radiology Environmental Impact: What Is Known and How Can We Improve? Open
The healthcare sector generates approximately 10% of the total carbon emissions in the United States. Radiology is thought to be a top contributor to the healthcare carbon footprint due to high energy-consuming devices and waste from inter…
View article: Computerized Decision Support for Bladder Cancer Treatment Response Assessment in CT Urography: Effect on Diagnostic Accuracy in Multi-Institution Multi-Specialty Study
Computerized Decision Support for Bladder Cancer Treatment Response Assessment in CT Urography: Effect on Diagnostic Accuracy in Multi-Institution Multi-Specialty Study Open
This observer study investigates the effect of computerized artificial intelligence (AI)-based decision support system (CDSS-T) on physicians’ diagnostic accuracy in assessing bladder cancer treatment response. The performance of 17 observ…
View article: Association Between the Frequent Use of Perineal Talcum Powder Products and Ovarian Cancer: a Systematic Review and Meta-analysis
Association Between the Frequent Use of Perineal Talcum Powder Products and Ovarian Cancer: a Systematic Review and Meta-analysis Open
Background Risk of ovarian cancer in women with frequent perineal talcum powder product is not well understood. Prior systematic reviews focused on ever use. The purpose of this study is to estimate the association between frequent (at lea…
View article: Prospective multicenter assessment of patient preferences for properties of gadolinium-based contrast media and their potential socioeconomic impact in a screening breast MRI setting
Prospective multicenter assessment of patient preferences for properties of gadolinium-based contrast media and their potential socioeconomic impact in a screening breast MRI setting Open
Objective It is unknown how patients prioritize gadolinium-based contrast media (GBCM) benefits (detection sensitivity) and risks (reactions, gadolinium retention, cost). The purpose of this study is to measure preferences for properties o…
View article: Patient Preferences for Hepatocellular Carcinoma Surveillance Parameters
Patient Preferences for Hepatocellular Carcinoma Surveillance Parameters Open
View article: Prediction of Disease Free Survival in Laryngeal and Hypopharyngeal Cancers Using CT Perfusion and Radiomic Features: A Pilot Study
Prediction of Disease Free Survival in Laryngeal and Hypopharyngeal Cancers Using CT Perfusion and Radiomic Features: A Pilot Study Open
(1) Purpose: The objective was to evaluate CT perfusion and radiomic features for prediction of one year disease free survival in laryngeal and hypopharyngeal cancer. (2) Method and Materials: This retrospective study included pre and post…
View article: Intraobserver Variability in Bladder Cancer Treatment Response Assessment With and Without Computerized Decision Support
Intraobserver Variability in Bladder Cancer Treatment Response Assessment With and Without Computerized Decision Support Open
We evaluated the intraobserver variability of physicians aided by a computerized decision-support system for treatment response assessment (CDSS-T) to identify patients who show complete response to neoadjuvant chemotherapy for bladder can…
View article: Risk of Nephrogenic Systemic Fibrosis in Patients With Stage 4 or 5 Chronic Kidney Disease Receiving a Group II Gadolinium-Based Contrast Agent
Risk of Nephrogenic Systemic Fibrosis in Patients With Stage 4 or 5 Chronic Kidney Disease Receiving a Group II Gadolinium-Based Contrast Agent Open
PROSPERO identifier: CRD42019123284.
View article: Diagnostic Accuracy of CT for Prediction of Bladder Cancer Treatment Response with and without Computerized Decision Support
Diagnostic Accuracy of CT for Prediction of Bladder Cancer Treatment Response with and without Computerized Decision Support Open
View article: Optimizing Electronic Release of Imaging Results through an Online Patient Portal
Optimizing Electronic Release of Imaging Results through an Online Patient Portal Open
Purpose To determine an optimal embargo period preceding release of radiologic test results to an online patient portal. Materials and Methods This prospective discrete choice conjoint survey with modified orthogonal design was administere…
View article: An Introductory, Computer-Based Learning Module for Interpreting Noncontrast Head Computed Tomography
An Introductory, Computer-Based Learning Module for Interpreting Noncontrast Head Computed Tomography Open
This computerized learning module is effective for teaching basic interpretation skills to new radiology and neurology residents. The module allows for asynchronous, programmed learning and the use of a step-by-step search-pattern approach.
View article: Targeted epidural patch with n-butyl cyanoacrylate (n-BCA) through a single catheter access site for treatment of a cerebral spinal fluid leak causing spontaneous intracranial hypotension
Targeted epidural patch with n-butyl cyanoacrylate (n-BCA) through a single catheter access site for treatment of a cerebral spinal fluid leak causing spontaneous intracranial hypotension Open
Spontaneous intracranial hypotension (SIH) usually occurs in the setting of a spontaneous cerebral spinal fluid (CSF) leak. We report the first description of a case of SIH caused by a CSF leak which improved after a targeted epidural patc…