Introduction: To accommodate for the rapidly increasing patient volume and followup visits of men with prostate cancer on active surveillance (AS), we carried out a quality improvement project to secure high-quality care and enhance patient experience. Methods:We proposed an innovative clinic systems redesignd"shared medical appointments" (SMAs)din which multiple patients were seen in a group format at the same time by the health care team led by a urologist leading the Institution's AS program.Results: We piloted four SMAs during JulyeNovember 2019. Running the SMAs was feasible and improved the contact time for each patient while at the same time being time and resource efficient for the health care providers and using the standard billing processes. The group dynamic was open and pleasant. The majority of patients rated their overall experience with SMA as excellent. Almost all patients responded that they were likely or very likely to attend another SMA in the future. All patients said that they would either definitely or probably recommend this visit type to a friend of family member with prostate cancer. Most patients rated their overall satisfaction with the SMA as extremely high.Conclusions: Utilizing SMAs for AS followup visits was feasible and acceptable. Our promising findings suggest that SMAs can ensure high-quality patient care. Well-controlled studies comparing SMAs to individual usual care visits should be conducted with end points including knowledge, patient and staff satisfaction, anxiety and quality-of-life outcomes, AS adherence, process measures and resource utilization.

Abstract-Imaging techniques are used to create images of structure, function and pathology of human body organs for cancer diagnosis. Various imaging techniques like X-ray, Positron Emission Tomography (PET), Ultrasound (US), MRI etc. are used for cancer diagnosis. These imaging techniques have gone through Lot of advancements during last few years. These techniques vary in the technology and application. Various artifacts exist in these imaging techniques and images produced by theses imaging techniques. These artifacts can be exploited to enhance the imaging technique and the images produced by them.