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Real\u2010world deployments report up to 65% time\u2010savings and multi\u2010million\u2010dollar returns on investment within 3\u2009years at high\u2010volume centres. Across prostate, bladder, renal and testicular systems, contemporary algorithms equal or exceed expert accuracy for cancer detection, grading and prognostication. Foundation models trained on millions of whole\u2010slide images now match specialized organ\u2010specific tools without bespoke tuning. High AI\u2013pathologist concordance is widely regarded as a surrogate marker of safety and clinical acceptability, yet no universally codified regulatory threshold for sensitivity, specificity or concordance has been issued. 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