AUCTORES
Globalize your Research
Research Article | DOI: https://doi.org/10.31579/2693-4779/178
1 Director from Division of Diagnostic Imaging & Interventional Ultrasound - CMM Diagnostic Center - Cava de’ Tirreni, Italy
2 Member of the Board of Directors T. & L. De Beaumont Bonelli Foundation for Cancer Research - Naples, Italy
3 President Foundation T. & L. De Beaumont Bonelli for Cancer Research - Naples, Italy
*Corresponding Author: Giulio Tarro, President Foundation T. & L. De Beaumont Bonelli for Cancer Research - Naples, Italy.
Citation: Ersilio Trapanese, Giulio Tarro, (2024), Research Article: PhiΦBreast New Diagnostic Techniques for Breast Cancer Detection, Clinical Research and Clinical Trials, 9(2); DOI:10.31579/2693-4779/178
Copyright: © 2024, Giulio Tarro. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Received: 11 January 2024 | Accepted: 31 January 2024 | Published: 08 February 2024
Keywords: phiφbreast, predictive algorithm, golden ratio, fibonacci sequence, breast cancer
Background:
Today, breast cancer is one of the most aggressive cancers in women and new cases continue to increase worldwide. In order to reduce mortality, we need to detect this life-threatening disease at an earlier stage.
For two years, we have conducted a study for the identification and characterization of suspicious breast lesions using a new diagnostic technique applied to ultrasonography and mammography called “PhiΦBreast.”
Methods:
We have conducted a study for the identification and characterization of suspicious breast lesions using a new diagnostic technique applied to mammography and ultrasonography.
Ultrasound systems with high frequency probes was used, 10-15 MHz, and Digital Breast Tomosynthesis (DBT).
Identification and characterization of category C4-C5 lesions of the breast with high Predictive Positive PPV value, with a new innovative method called “PhiΦBreast” using the Golden Ratio (Phi, or Φ 1.618...) Fibonacci sequence and a Predictive Algorithm, applied to the ultrasonography and mammography with subsequent deepening with cytological examination using Fine Needle Aspiration Cytology (FNAC), according to evaluation criteria of the Breast Imaging Report Data System (BI-RADS) and the American College of Radiology (ACR).
Usefulness of this research and the use of this new diagnostic tecnique is to detect the breast cancer in early stage. In addition to develop a classification model of the histological type identified in the section areas and the percentage of probability in relation between the Golden Ratio (Φ) and Fibonacci sequence.
Results:
With the use of Golden Ratio and Fibonacci sequence, applied to ultrasonography and mammography, we have experimented and developed a diagnostic map with characteristics of high probability of identifying suspicious lesions at an early stage.
We examined 987 women, 55 lesions detected with PhiΦBreast pattern were classified according to BI-RADS descriptors for US-imaging, including morphologic features that had a high predictive value for the malignancy (p <0.001)
This innovative diagnostic technique has shown a sensitivity of 95%, a specificity of 97%, a positive predictive value (PPV) of 97%, and negative predictive value (NPV) of 96%.
Furthermore, with a Predictive Algorithm associated with malignant cytology after FNAC, we have classified different types of potentially life-threatening cancers for patients.
Conclusion:
PhiΦBreast could be an important new model diagnostic technique to be applied mammography and ultrasound for detection of malignant lesions of category C4-C5.
In diagnostic imaging is fundamental to recognize predictively the characteristics of a potentially aggressive tumor. This new model could represent the cornerstone as an important contribution for early diagnosis of breast cancer.
Breast cancer is the most commonly diagnosed cancer among US women, with an estimated 268,600 newly diagnosed women with invasive disease (48,100 cases of ductal carcinoma in situ [DCIS]) in 2019, accounting for approximately 15.2%-30% of all new cancer cases among women, depending on the data sources [1-2].
In Europe, every year more than 200,000 women are affected by breast cancer every year, with an incidence ranging from 5 to 10
For two years, we have conducted a study for the identification and characterization of suspicious breast lesions using a new diagnostic technique applied to ultrasonography and mammography called “PhiΦBreast.”
All patients underwent to two-dimensional ultrasound examination (2 DUS).
Dynamic imaging sequences were acquired using ultrasound system with a 10-15 MHz high-frequency linear probes and Digital Breast Tomosynthesis procedure.
High-resolution real-time ultrasonography (US) can detect characteristics of breast nodules.
Characterization of the mammary nodules was performed according to the following criteria: shape, echostructure, level of echogenicity, margins, size and topographical area.
Using the method of PhiΦBreast ultrasonographic study, on 55/987 patients were identified solid lesions markedly hypoechoic echostructure, round shape, with irregular and infiltrative margins and cuneiform shape with blurred margins (Figure 1).
Figure 1. Ultrasonography Image of Suspicious Nodular Lesions Identified with PhiΦBreast Model.
Panel A solid lesion, round shape, markedly hypoechoic echostructure with irregular and infiltrative margins. Panel B solid lesion, cuneiform shape, markedly hypoechoic echostructure with blurred margins.
After having their consent, 55 selected patients underwent a mammography examination with subsequent diagnostic deepening Fine Needle Aspiration Cytology (FNAC) procedure under ultrasonography guidance.
PhiΦBreast imaging applied to the mammography in the craniocaudal (CC) view and mediolateral oblique (MLO) view has given risotto a mapping of neoplastic nonpalpable breast lesions (Figure 2 and Figure 3).
Figure 2. Golden Ratio (Φ) Breast Cancer Detection and Fibonacci Sequence
Cranial-caudal view (CC) show Fibonacci Spiral approximates the Golden Ratio (Φ) using mammogram inscribed in squares of integer Fibonacci number side, shown for square size (13,21,34,55,89,144) making use the following nomenclature "Fibonacci- number Side” (FS1, FS2, FS3, FS4, FS5, FS6). The arrow show extraordinary X-ray vision of the cancer accurately detected in FS6 side.
Figure 3: PhiΦBreast A New Diagnostic Technique for Breast Cancer Detection
Panel A show mediolateral oblique view (MLO) of the breast at mammographic X-ray with applied Golden Ratio and Fibonacci numbers of healthy individual. No nodules were detected along the Golden Ratio. Panel B PhiΦBreast imaging applied to the mammogram has provided a mapping of neoplastic lesion. White arrow highlights cancerous tumor detected in FS6 side of the Golden Spiral. Cancerous mass appears as a bright centrally dense and irregular image with borders spiculated edges.
PhiΦBreast produced important data for the elaboration of a Predictive Algorithm on the probability of development of various histological types of tumors and the percentage detectable in the areas of the Golden Ratio and the Fibonacci numbers, when applied in the breast (13,21,34,55,89,144) using the following nomenclature "Fibonacci-number Side" (FS1, FS2, FS3, FS4, FS5, FS6) (Table 1).
Table 1. ΦGolden Ratio and The Nomenclature *Fibonacci-number Side
Percentage of tumors detected in the Fibonacci-number Side: FS1-FS2 10% of ductal carcinomas in situ; FS3-FS4 21% of invasive ductal carcinomas; FS5 14% invasive lobular tumors and FS6 55% invasive carcinomas not otherwise specified.
The results of cytology identified 55 tumors:13 ductal carcinomas in situ, 10 invasive ductal carcinomas, 6 invasive lobular tumors and 26 invasive carcinomas not otherwise specified.
The surgery was established based on the type of tumor identified in patients in the preoperative phase.
The histological diagnosis confirmed the tumor nature of the cells of the analyzed tissues, performed according to the criteria established by the American College of Radiology (ACR) and Reporting Breast Imaging and Data System (BI- RADS).
Patients underwent blood chemistry controls and tumor markers. The follow up period lasted about 1 year.
The Golden Ratio (Phi, or Φ 1.618...) is a potentially unifying quantity of structure and function in nature, as best observed in phyllotactic patterns in plants. For centuries, Phi (Φ) has been identified in human anatomy, and in recent decades, Φ has been proved in human physiology as well with scientific studies of some authors [9-10]. With the use of Golden Ratio [11] and Fibonacci sequence [12] applied to ultrasonography and mammography, we have experimented and developed a diagnostic map with characteristics of high probability of identifying suspicious lesions at an early stage.
We examined 987 women, 55 lesions detected with PhiΦBreast pattern were classified according to BI-RADS descriptors for US-imaging, including morphologic features that had a high predictive value for the malignancy (p<0>This innovative diagnostic technique has shown a sensitivity of 95%, a specificity of 97%, a positive predictive value (PPV) of 97%, and negative predictive value (NPV) of 96%. Furthermore, with a Predictive Algorithm associated with malignant cytology after FNAC, we have classified different types of potentially life-threatening cancers for patients.
Fascinated by golden ratio and Fibonacci sequence, we have devised a new diagnostic imaging model called PhiΦBreast applied to ultrasonography and
mammography to early detection nodular lesions with echostructural features of malignancy.
The National Cancer Institute (NCI) recommends five categories for diagnosis of breast aspiration cytology [13] in order to bring a degree of uniformity to the diagnostic repoting. These categories are unsatisfactory (C1), benign lesion (C2), atypical, probably benign (C3), suspicious, probably malignant (C4), and malignat (C5).
However, some authors believe that C3 and C4 should be categorized in the same category [14-15].
The analyzed cytological samples were classified according to NHSBSP into the following categories: C4-C5 [16].
A modern predictive algorithm has been elaborated.
This diagnostic technique called PhiΦBreast in ultrasonography and mammography, respecting the criteria of the American College of Radiology (ACR) [17] & Breast Imaging Report Data System (BI-RADS) [18] proved to be reliable. Having compared our research with important magnetic resonance imaging (MRI) studies performed by various researchers [27,28.29.30.31], the early identification of malignant lesions was confirmed, with a high positive predictive value (PPV) with a sensitivity (95%) specificity (97%) value positive predictive (97%) negative predictive value (96%).
We selected 55 patients, which were subjected to a diagnostic deepening with mammography exam and used as a reading interpretation to mammogram the PhiΦBreast imaging method and subsequent FNAC [19] under ultrasound guidance with a 19-gauge needle by execution of three passages through the nodular lesion.
Suspicious lesions detected from topographic mapping were classified category C4-C5 (NCI guidelines) [20].
Patients were treated with different surgical techniques.
The Veronesi quadrantectomy [21] represents a milestone in the treatment of breast cancer, currently the first scientifically validated conservative protocol.
The Nipple Sparing Mastectomy (NSM) [22], the Skin-Sparing Mastectomy that includes the Nipple-Areolar Complex (SSM+NAC) [23] with lymphadenectomy and Intraoperative Radiation Teraphy (IORT) [24].
Post-operative histological results were all classified as carcinomas.
We paid special attention to the ability of PhiΦBreast to offer an innovative topographic diagnostic imaging of suspicious lesions and using a predictive algorithm.
Different types of tumors were detected in the Golden Section areas, using Fibonacci numbers for mapping and classify the percentage of cancers identified in the different sections.
Percentage of tumors detected in the Fibonacci-number side was as follows: FS1-FS2 (10%) of ductal carcinomas in situ; FS3-FS4 (21%) of invasive ductal carcinomas; FS5 (14%) invasive lobular tumors and FS6 (55%) invasive carcinomas not otherwise specified.
These new diagnostic techniques have been discussed in previous studies [ 25-26].
Described by other authors, irregular and spiculated margins have been shown to be associated with an increased likelihood of malignancy.
Liberman et al. [27] described in a study that a spicular margin was the most suspicious characteristic identified with a high PPV.
Wedegärtner et al. [28] reported an irregular margin of the lesion to be the most reliable morphological feature to indicate malignancy.
Schnall and colleagues [29] identified spiculated margins to be a highly predictive feature of the cancer image and Gutierrez et al. [30] found irregular or spiculated margins conferring the highest probability of malignancy by BI-RADS classification.
In a retrospective study, Tozaki and collaborators [31] found irregular shape (97%) and spiculated margins (100%) among the features with higher predictive value for carcinoma.
Availing Golden Ratio (Φ), Fibonacci sequence and Predictive Algorithm applied to ultrasonography and mammography, we have given rise to a new diagnostic imaging model called PhiΦBreast for the identification of category C4-C5 lesions with high PPV in respecting the criteria of the American College of Radiology (ACR) and Breast Imaging Reporting Data System (BI-RADS).
This original scientific paper could bring progress in science, an important advancement and discovery which could save more lives from despair and in the worst-case scenario of the patient's death.
PhiΦBreast could have important diagnostic imaging applications as a new strategy for thwart breast cancer.
Clearly Auctoresonline and particularly Psychology and Mental Health Care Journal is dedicated to improving health care services for individuals and populations. The editorial boards' ability to efficiently recognize and share the global importance of health literacy with a variety of stakeholders. Auctoresonline publishing platform can be used to facilitate of optimal client-based services and should be added to health care professionals' repertoire of evidence-based health care resources.
Journal of Clinical Cardiology and Cardiovascular Intervention The submission and review process was adequate. However I think that the publication total value should have been enlightened in early fases. Thank you for all.
Journal of Women Health Care and Issues By the present mail, I want to say thank to you and tour colleagues for facilitating my published article. Specially thank you for the peer review process, support from the editorial office. I appreciate positively the quality of your journal.
Journal of Clinical Research and Reports I would be very delighted to submit my testimonial regarding the reviewer board and the editorial office. The reviewer board were accurate and helpful regarding any modifications for my manuscript. And the editorial office were very helpful and supportive in contacting and monitoring with any update and offering help. It was my pleasure to contribute with your promising Journal and I am looking forward for more collaboration.
We would like to thank the Journal of Thoracic Disease and Cardiothoracic Surgery because of the services they provided us for our articles. The peer-review process was done in a very excellent time manner, and the opinions of the reviewers helped us to improve our manuscript further. The editorial office had an outstanding correspondence with us and guided us in many ways. During a hard time of the pandemic that is affecting every one of us tremendously, the editorial office helped us make everything easier for publishing scientific work. Hope for a more scientific relationship with your Journal.
The peer-review process which consisted high quality queries on the paper. I did answer six reviewers’ questions and comments before the paper was accepted. The support from the editorial office is excellent.
Journal of Neuroscience and Neurological Surgery. I had the experience of publishing a research article recently. The whole process was simple from submission to publication. The reviewers made specific and valuable recommendations and corrections that improved the quality of my publication. I strongly recommend this Journal.
Dr. Katarzyna Byczkowska My testimonial covering: "The peer review process is quick and effective. The support from the editorial office is very professional and friendly. Quality of the Clinical Cardiology and Cardiovascular Interventions is scientific and publishes ground-breaking research on cardiology that is useful for other professionals in the field.
Thank you most sincerely, with regard to the support you have given in relation to the reviewing process and the processing of my article entitled "Large Cell Neuroendocrine Carcinoma of The Prostate Gland: A Review and Update" for publication in your esteemed Journal, Journal of Cancer Research and Cellular Therapeutics". The editorial team has been very supportive.
Testimony of Journal of Clinical Otorhinolaryngology: work with your Reviews has been a educational and constructive experience. The editorial office were very helpful and supportive. It was a pleasure to contribute to your Journal.
Dr. Bernard Terkimbi Utoo, I am happy to publish my scientific work in Journal of Women Health Care and Issues (JWHCI). The manuscript submission was seamless and peer review process was top notch. I was amazed that 4 reviewers worked on the manuscript which made it a highly technical, standard and excellent quality paper. I appreciate the format and consideration for the APC as well as the speed of publication. It is my pleasure to continue with this scientific relationship with the esteem JWHCI.
This is an acknowledgment for peer reviewers, editorial board of Journal of Clinical Research and Reports. They show a lot of consideration for us as publishers for our research article “Evaluation of the different factors associated with side effects of COVID-19 vaccination on medical students, Mutah university, Al-Karak, Jordan”, in a very professional and easy way. This journal is one of outstanding medical journal.
Dear Hao Jiang, to Journal of Nutrition and Food Processing We greatly appreciate the efficient, professional and rapid processing of our paper by your team. If there is anything else we should do, please do not hesitate to let us know. On behalf of my co-authors, we would like to express our great appreciation to editor and reviewers.
As an author who has recently published in the journal "Brain and Neurological Disorders". I am delighted to provide a testimonial on the peer review process, editorial office support, and the overall quality of the journal. The peer review process at Brain and Neurological Disorders is rigorous and meticulous, ensuring that only high-quality, evidence-based research is published. The reviewers are experts in their fields, and their comments and suggestions were constructive and helped improve the quality of my manuscript. The review process was timely and efficient, with clear communication from the editorial office at each stage. The support from the editorial office was exceptional throughout the entire process. The editorial staff was responsive, professional, and always willing to help. They provided valuable guidance on formatting, structure, and ethical considerations, making the submission process seamless. Moreover, they kept me informed about the status of my manuscript and provided timely updates, which made the process less stressful. The journal Brain and Neurological Disorders is of the highest quality, with a strong focus on publishing cutting-edge research in the field of neurology. The articles published in this journal are well-researched, rigorously peer-reviewed, and written by experts in the field. The journal maintains high standards, ensuring that readers are provided with the most up-to-date and reliable information on brain and neurological disorders. In conclusion, I had a wonderful experience publishing in Brain and Neurological Disorders. The peer review process was thorough, the editorial office provided exceptional support, and the journal's quality is second to none. I would highly recommend this journal to any researcher working in the field of neurology and brain disorders.
Dear Agrippa Hilda, Journal of Neuroscience and Neurological Surgery, Editorial Coordinator, I trust this message finds you well. I want to extend my appreciation for considering my article for publication in your esteemed journal. I am pleased to provide a testimonial regarding the peer review process and the support received from your editorial office. The peer review process for my paper was carried out in a highly professional and thorough manner. The feedback and comments provided by the authors were constructive and very useful in improving the quality of the manuscript. This rigorous assessment process undoubtedly contributes to the high standards maintained by your journal.
International Journal of Clinical Case Reports and Reviews. I strongly recommend to consider submitting your work to this high-quality journal. The support and availability of the Editorial staff is outstanding and the review process was both efficient and rigorous.
Thank you very much for publishing my Research Article titled “Comparing Treatment Outcome Of Allergic Rhinitis Patients After Using Fluticasone Nasal Spray And Nasal Douching" in the Journal of Clinical Otorhinolaryngology. As Medical Professionals we are immensely benefited from study of various informative Articles and Papers published in this high quality Journal. I look forward to enriching my knowledge by regular study of the Journal and contribute my future work in the field of ENT through the Journal for use by the medical fraternity. The support from the Editorial office was excellent and very prompt. I also welcome the comments received from the readers of my Research Article.
Dear Erica Kelsey, Editorial Coordinator of Cancer Research and Cellular Therapeutics Our team is very satisfied with the processing of our paper by your journal. That was fast, efficient, rigorous, but without unnecessary complications. We appreciated the very short time between the submission of the paper and its publication on line on your site.
I am very glad to say that the peer review process is very successful and fast and support from the Editorial Office. Therefore, I would like to continue our scientific relationship for a long time. And I especially thank you for your kindly attention towards my article. Have a good day!
"We recently published an article entitled “Influence of beta-Cyclodextrins upon the Degradation of Carbofuran Derivatives under Alkaline Conditions" in the Journal of “Pesticides and Biofertilizers” to show that the cyclodextrins protect the carbamates increasing their half-life time in the presence of basic conditions This will be very helpful to understand carbofuran behaviour in the analytical, agro-environmental and food areas. We greatly appreciated the interaction with the editor and the editorial team; we were particularly well accompanied during the course of the revision process, since all various steps towards publication were short and without delay".
I would like to express my gratitude towards you process of article review and submission. I found this to be very fair and expedient. Your follow up has been excellent. I have many publications in national and international journal and your process has been one of the best so far. Keep up the great work.
We are grateful for this opportunity to provide a glowing recommendation to the Journal of Psychiatry and Psychotherapy. We found that the editorial team were very supportive, helpful, kept us abreast of timelines and over all very professional in nature. The peer review process was rigorous, efficient and constructive that really enhanced our article submission. The experience with this journal remains one of our best ever and we look forward to providing future submissions in the near future.
I am very pleased to serve as EBM of the journal, I hope many years of my experience in stem cells can help the journal from one way or another. As we know, stem cells hold great potential for regenerative medicine, which are mostly used to promote the repair response of diseased, dysfunctional or injured tissue using stem cells or their derivatives. I think Stem Cell Research and Therapeutics International is a great platform to publish and share the understanding towards the biology and translational or clinical application of stem cells.
I would like to give my testimony in the support I have got by the peer review process and to support the editorial office where they were of asset to support young author like me to be encouraged to publish their work in your respected journal and globalize and share knowledge across the globe. I really give my great gratitude to your journal and the peer review including the editorial office.
I am delighted to publish our manuscript entitled "A Perspective on Cocaine Induced Stroke - Its Mechanisms and Management" in the Journal of Neuroscience and Neurological Surgery. The peer review process, support from the editorial office, and quality of the journal are excellent. The manuscripts published are of high quality and of excellent scientific value. I recommend this journal very much to colleagues.
Dr.Tania Muñoz, My experience as researcher and author of a review article in The Journal Clinical Cardiology and Interventions has been very enriching and stimulating. The editorial team is excellent, performs its work with absolute responsibility and delivery. They are proactive, dynamic and receptive to all proposals. Supporting at all times the vast universe of authors who choose them as an option for publication. The team of review specialists, members of the editorial board, are brilliant professionals, with remarkable performance in medical research and scientific methodology. Together they form a frontline team that consolidates the JCCI as a magnificent option for the publication and review of high-level medical articles and broad collective interest. I am honored to be able to share my review article and open to receive all your comments.
“The peer review process of JPMHC is quick and effective. Authors are benefited by good and professional reviewers with huge experience in the field of psychology and mental health. The support from the editorial office is very professional. People to contact to are friendly and happy to help and assist any query authors might have. Quality of the Journal is scientific and publishes ground-breaking research on mental health that is useful for other professionals in the field”.
Dear editorial department: On behalf of our team, I hereby certify the reliability and superiority of the International Journal of Clinical Case Reports and Reviews in the peer review process, editorial support, and journal quality. Firstly, the peer review process of the International Journal of Clinical Case Reports and Reviews is rigorous, fair, transparent, fast, and of high quality. The editorial department invites experts from relevant fields as anonymous reviewers to review all submitted manuscripts. These experts have rich academic backgrounds and experience, and can accurately evaluate the academic quality, originality, and suitability of manuscripts. The editorial department is committed to ensuring the rigor of the peer review process, while also making every effort to ensure a fast review cycle to meet the needs of authors and the academic community. Secondly, the editorial team of the International Journal of Clinical Case Reports and Reviews is composed of a group of senior scholars and professionals with rich experience and professional knowledge in related fields. The editorial department is committed to assisting authors in improving their manuscripts, ensuring their academic accuracy, clarity, and completeness. Editors actively collaborate with authors, providing useful suggestions and feedback to promote the improvement and development of the manuscript. We believe that the support of the editorial department is one of the key factors in ensuring the quality of the journal. Finally, the International Journal of Clinical Case Reports and Reviews is renowned for its high- quality articles and strict academic standards. The editorial department is committed to publishing innovative and academically valuable research results to promote the development and progress of related fields. The International Journal of Clinical Case Reports and Reviews is reasonably priced and ensures excellent service and quality ratio, allowing authors to obtain high-level academic publishing opportunities in an affordable manner. I hereby solemnly declare that the International Journal of Clinical Case Reports and Reviews has a high level of credibility and superiority in terms of peer review process, editorial support, reasonable fees, and journal quality. Sincerely, Rui Tao.
Clinical Cardiology and Cardiovascular Interventions I testity the covering of the peer review process, support from the editorial office, and quality of the journal.
Clinical Cardiology and Cardiovascular Interventions, we deeply appreciate the interest shown in our work and its publication. It has been a true pleasure to collaborate with you. The peer review process, as well as the support provided by the editorial office, have been exceptional, and the quality of the journal is very high, which was a determining factor in our decision to publish with you.
The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews journal clinically in the future time.
Clinical Cardiology and Cardiovascular Interventions, I would like to express my sincerest gratitude for the trust placed in our team for the publication in your journal. It has been a true pleasure to collaborate with you on this project. I am pleased to inform you that both the peer review process and the attention from the editorial coordination have been excellent. Your team has worked with dedication and professionalism to ensure that your publication meets the highest standards of quality. We are confident that this collaboration will result in mutual success, and we are eager to see the fruits of this shared effort.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, I hope this message finds you well. I want to express my utmost gratitude for your excellent work and for the dedication and speed in the publication process of my article titled "Navigating Innovation: Qualitative Insights on Using Technology for Health Education in Acute Coronary Syndrome Patients." I am very satisfied with the peer review process, the support from the editorial office, and the quality of the journal. I hope we can maintain our scientific relationship in the long term.
Dear Monica Gissare, - Editorial Coordinator of Nutrition and Food Processing. ¨My testimony with you is truly professional, with a positive response regarding the follow-up of the article and its review, you took into account my qualities and the importance of the topic¨.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, The review process for the article “The Handling of Anti-aggregants and Anticoagulants in the Oncologic Heart Patient Submitted to Surgery” was extremely rigorous and detailed. From the initial submission to the final acceptance, the editorial team at the “Journal of Clinical Cardiology and Cardiovascular Interventions” demonstrated a high level of professionalism and dedication. The reviewers provided constructive and detailed feedback, which was essential for improving the quality of our work. Communication was always clear and efficient, ensuring that all our questions were promptly addressed. The quality of the “Journal of Clinical Cardiology and Cardiovascular Interventions” is undeniable. It is a peer-reviewed, open-access publication dedicated exclusively to disseminating high-quality research in the field of clinical cardiology and cardiovascular interventions. The journal's impact factor is currently under evaluation, and it is indexed in reputable databases, which further reinforces its credibility and relevance in the scientific field. I highly recommend this journal to researchers looking for a reputable platform to publish their studies.
Dear Editorial Coordinator of the Journal of Nutrition and Food Processing! "I would like to thank the Journal of Nutrition and Food Processing for including and publishing my article. The peer review process was very quick, movement and precise. The Editorial Board has done an extremely conscientious job with much help, valuable comments and advices. I find the journal very valuable from a professional point of view, thank you very much for allowing me to be part of it and I would like to participate in the future!”
Dealing with The Journal of Neurology and Neurological Surgery was very smooth and comprehensive. The office staff took time to address my needs and the response from editors and the office was prompt and fair. I certainly hope to publish with this journal again.Their professionalism is apparent and more than satisfactory. Susan Weiner
My Testimonial Covering as fellowing: Lin-Show Chin. The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews.
My experience publishing in Psychology and Mental Health Care was exceptional. The peer review process was rigorous and constructive, with reviewers providing valuable insights that helped enhance the quality of our work. The editorial team was highly supportive and responsive, making the submission process smooth and efficient. The journal's commitment to high standards and academic rigor makes it a respected platform for quality research. I am grateful for the opportunity to publish in such a reputable journal.
My experience publishing in International Journal of Clinical Case Reports and Reviews was exceptional. I Come forth to Provide a Testimonial Covering the Peer Review Process and the editorial office for the Professional and Impartial Evaluation of the Manuscript.
