Predictive role of measurement of pelvic floor muscle thickness with static MRI in stress and mixed urinary incontinence.

INTRODUCTION AND HYPOTHESIS: To investigate the role of measuring the thickness of pelvic floor muscles with static MRI in the physiopathology of urinary incontinence in women with stress and mixed types of urinary incontinence diagnosed with urodynamic studies. METHODS: A retrospective clinical study was designed in collaboration with the radiology department. We recruited only patients who had undergone static pelvic MRI to determine the etiology of pelvic pain and exclude gynecologic disorders. The study included 45 women diagnosed with stress or mixed-type urinary incontinence based on pelvic examination and urodynamic testing without symptomatic pelvic organ prolapse and 40 continent controls. We evaluated the images of pelvic static MRI of all patients to measure the thickness of the pelvic floor muscles with the radiologist by using an image analysis workstation retrospectively. RESULTS: The right and left puborectalis parts of levator ani muscle thicknesses were significantly lower in the urinary incontinence group than in the control group (p < 0.01). The right and left PR/OI ratios were significantly lower than in the control group. (p = 0.001). CONCLUSION: Morphologic changes of pelvic floor muscle thickness can be demonstrated by a static pelvic MRI, and this can be used as a prognostic test in the treatment and follow-up of patients with stress or mixed urinary incontinence.

Analysis of potential predatory journals in radiology.

PURPOSE: The aim of this study is to determine the presence and evaluate the features of potential predatory journals in the radiology field. METHODS: The presence of the keywords related to radiology listed in the name of journals was investigated in Beall's list. We have searched and recorded the features and the information of the included journals listed under the following headings: address and location, publishing features, editorial board, indexing features, submission, and peer-review processes. RESULTS: A total of 66 radiology journals from 27 publishers were identified from the updated version of the original Beall's list. Regarding the publishers, 33 journals (50%) reported an address in the United States of America, while others were from United Kingdom, India, Hong Kong, Iran, and Canada. While 44 journals' (67%) website reported a contact address, no addresses were declared in the website of 21 journals (32%). The median time of publication activity was 3.5 years (interquartile range [IQR], 1-5 years; range, 0-16 years). Thirty-five journals (53%) indicated their publication ethics policy on the website. Forty-seven (71%) journals reported a regular editorial board (EB) list. The competency of the EB was considered as "inappropriate" in 27 (41%) journals. Only 18% of the total number of EB members had affiliations related to radiology (n=286/1566). Forty journals (61%) did not report any indexing and database coverage. We found 26 journals (39%) which had a DOI number in its latest 5 articles. Fifty-nine (89%) journals clearly reported article processing change (APC) on the webpage. The median APC value was 641.43 USD (IQR, 300-918.75 USD; range, 100-2588 USD). Considering the latest 5 articles, the number of journals with radiologic images in all of the articles was 8 (12%). Mean peer-review time was 63.5 days (IQR, 21.75-87.5 days; range, 1-237 days) for the journals which indicated the submission and acceptance dates clearly. CONCLUSION: We demonstrated the several main characteristics of potential predatory journals in the radiology field such as reliability of the reported address, APC, publication frequencies, indexing features, features of published article and peer-review time which were all found to be similar to the characteristics of potential predatory journals in other biomedical fields.

Diffusion Weighted MR Imaging of Breast and Correlation of Prognostic Factors in Breast Cancer.

BACKGROUND: Through Diffusion Weighted Imaging (DWI), information related to early molecular changes, changes in the permeability of cell membranes, and early morphologic and physiologic changes such as cell swelling can be obtained. AIMS: We investigated the correlation between the prognostic factors of breast cancer and apparent diffusion coefficient (ADC) in DWI sequences of malignant lesions. STUDY DESIGN: Retrospective cross-sectional study. METHODS: Patients who were referred to our clinic between September 2012 and September 2013, who underwent dynamic breast MRI before or after biopsy and whose biopsy results were determined as malignant, were included in our study. Before the dynamic analysis, DWI sequences were taken. ADC relationship with all prognostic factors was investigated. Pearson correlation test was used to compare the numerical data, while Spearman correlation and Fisher exact tests were used to compare the categorical data. The advanced relationships were evaluated with linear regression analysis and univariate analysis. The efficiency of the parameters was evaluated using ROC analysis. The significance level (P) was accepted as 0.05. RESULTS: In total, 41 female patients with an average age of 49.4 years (age interval 21-77) and 44 lesions were included into the study. In the Pearson correlation test, no statistically significant difference was determined between ADC and the patient's age and tumor size. In the Spearman correlation test, a statistically significant difference was determined between nuclear grade (NG) and ADC (r=-0.424, p=0.04); no statistically significant correlation was observed between the other prognostic factors with each other and ADC values. In the linear regression analysis, the relationship of NG with ADC was found to be more significant alone than when comparing all parameters (corrected r2=0.196, p=0.005). Further evaluations between the NG and ADC correlation were carried out with ROC analysis. A statistically significant difference was determined when NG 1 separately was compared with NG 2 and 3 (p=0.03). A statistically significant difference was also determined (p=0.05) in the comparison of NG 1 with only NG 3. No statistically significant difference was determined when NG 2 separately was compared with NG 1 and NG 3 and when NG 3 separately was compared with NG 1 and 2 (p=0.431, p=0.097). CONCLUSION: We found that ADC values obtained by breast DWI showed a higher correlation with the NG of breast cancer, which is an important factor in the patient's treatment. Predictions can be made about NG by analyzing the ADC values. Additional studies are needed, however, and the ADC value of the lesion can be used as a prognostic factor proving the aggressiveness.