Husband, father of two, technophile, life hacker, academic urologist. Proud alumnus of @brady_urology, @umiamimedicine, & @umich. EIC of @BJUICompass.

Joined September 2015
Michael Gorin, M.D. retweeted
What is the reliability and practicability of FAP-RADS Version 1.0 for structured reporting of FAPI imaging in pulmonary and urothelial carcinoma? ow.ly/SFKW50YmVxJ #NuclearMedicine #MolcularImaging #PETscan @ProfKHerrmann @michael_gorin @radnucmp
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Michael Gorin, M.D. retweeted
🚨🤖 How safe is AI triage at consumer scale? A structured stress test of ChatGPT Health (launched Jan 2026) evaluated triage accuracy using 60 clinician-authored cases across 21 domains (960 total responses). 📊 What emerged: Performance followed an inverted U-shape — most dangerous failures occurred at clinical extremes. ⚠️ Emergency cases: • 52% of gold-standard emergencies were under-triaged • Examples: diabetic ketoacidosis & impending respiratory failure → advised 24–48 hr follow-up instead of ED • Classical emergencies (e.g., stroke, anaphylaxis) were correctly triaged 🟡 Non-urgent cases: • 35% showed inappropriate escalation 🧠 Cognitive bias vulnerability: When family/friends minimized symptoms (anchoring bias), recommendations shifted significantly (OR 11.7) — mostly toward less urgent care. 💬 Crisis safeguards: Suicide-related prompts triggered crisis messaging inconsistently — sometimes more often when no specific method was described. 📉 Equity findings: No statistically significant differences by race or gender, though CIs could not exclude meaningful disparities. 🔎 Bottom line: Missed high-risk emergencies + inconsistent crisis activation raise safety concerns. Prospective validation is essential before large-scale consumer deployment of AI-driven triage systems. #AIinHealthcare #DigitalHealth #PatientSafety #ClinicalAI #HealthTech #MedicalEthics nature.com/articles/s41591-0…
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Michael Gorin, M.D. retweeted
🆕 @NatureMedicine How does ChatGPT Health do for appropriately triaging a person as to whether to go to the emergency room or stay home? nature.com/articles/s41591-0… Not very well. Under-triaged 52% of case vignettes that are considered gold-standard emergencies, like diabetic ketoacidosis or impending respiratory failure
Readers added context they thought people might want to know
This study relies on multiple choice questions and does not allow followup questions, which does not reflect real world performance well. When followup questions are allowed from the model, performance increases drastically. x.com/thekaransingha…
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Weekend print for daughters birthday party.
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Michael Gorin, M.D. retweeted
Nice summary of Artificial Intelligence >> Machine Learning >> Deep Learning from @michael_gorin to kick off @BJUIjournal session at #AUA25 Will image segmentation CNNs provide answer to IDing "potentially lethal" prostate cancer (on MRI or histology)? I think so! #SPACE_Study
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Michael Gorin, M.D. retweeted
.@michael_gorin, MD, @IcahnMountSinai, shares the advantages of the transperineal approach over the traditional transrectal method, particularly in minimizing infectious complications caused by rectal mucosa puncture. #Prostate #Biopsy #Urology
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Michael Gorin, M.D. retweeted
Our Department Chair, @EdwardSchaeffer, MD, PhD, traveled back to his roots as he is this weeks #VisitingProfessor at John Hopkins Medicine! Dr. Schaeffer completed his residency from John Hopkins in 2007 and is pictured with the current Department Chair, Mohammad Allaf, MD, as well as our newest faculty member, Jennifer Miles-Thomas, MD, URPS, MBA.
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My newest baby has arrived! ⁦@ollama⁩ ⁦@huggingface⁩
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Michael Gorin, M.D. retweeted
#CLARIFY: PET using 64Cu-SAR-bisPSMA in patients with high-risk #ProstateCancer prior to radical prostatectomy. Presentation of this phase 3 diagnostic study @michael_gorin @RKSayyid @UofT > bit.ly/3KsWyKU @ASCO
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Michael Gorin, M.D. retweeted
Thought provoking talk from @michael_gorin at @BJUIjournal / @USANZUrology / @BAUSurology session on reducing burden of iatrogenic disease caused by #ProstateCancer treatment. "First do no harm".... Screening Biopsies Focal Tx RARP RT ADT Systemic Tx... #AUA24
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Michael Gorin, M.D. retweeted
Winner of the 2024 #BJUIAmericasPrize at #AUA24 is @HitenDPatel for his role on the BJUI Paper "A prostate biopsy risk calculator based on MRI: development and comparison of the PLUM and PBCG risk calculators" Read it here doi.org/10.1111/bju.15835
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Michael Gorin, M.D. retweeted
Replying to @michael_gorin
@michael_gorin nice talk showing EMPIRE trial changes 34% of the decision making in PC BCR optimizing outcomes #AUA2024
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Michael Gorin, M.D. retweeted
The @BAUSurology BJUI @USANZUrology session reconvenes at 2.45, starting with the promise of a "Roast Battle" between Drs Brennan and Hayne, plus talks by @BJUICompass Editor-in-Chief @michael_gorin and USANZ President @OconnellProf. Room 207
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Michael Gorin, M.D. retweeted
#AUA24 Tomorrow at 1 pm the @BAUSurology @BJUIjournal @USANZUrology joint session Faculty: @OconnellProf @VaibhavModgil @JoCresswell4 @Freddie_Hamdy @mariasatchi @michael_gorin Janelle Brennan, Gregory Jack, Dickon Hayne, Bishoy Hanna Program: bjui.pub/AUA24
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An interesting development in the wold of LLMs. Been playing with @Microsoft’s Phi-3 the last few days and I’m blown away. I’m thinking this is @OpenAI’s response? No real details yet…. medium.com/@thomas_reid/open…
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