Value of three-dimensional visualization of preoperative prostatic magnetic resonance imaging based on measurements of anatomical structures in predicting positive surgical margin after radical prostatectomy.

Background: Positive surgical margin (PSM) or apical positive surgical margin (APSM) is an established predictive factor of biochemical recurrence or disease progression in prostate cancer (PCa) patients after radical prostatectomy. Since there are limited usable magnetic resonance imaging (MRI)-based models, we sought to explore the role of three-dimensional (3D) visualization for preoperative MRI in the prediction of PSM or APSM. Methods: From December 2016 to April 2022, 149 consecutive PCa patients who underwent radical prostatectomy were retrospectively selected from the Second Affiliated Hospital of Dalian Medical University. According to the presence of PSM or APSM, patients were divided into a PSM group (n=41) and a without PSM group (n=108) and into an APSM group (n=33) and a without APSM group (n=116). Twenty-one parameters, including prostate apical shape, PCa distance to the membranous urethra, and pubic angle, were measured on 3D visualization of MRI. The development of the nomogram models was built by the findings of multivariate logistic regression analysis for significant factors. Results: To predict the probability of PSM, a longer PCa distance to the membranous urethra (OR=0.136, p=0.019) and the distance from the anterior peritoneum to the anterior border of the coccyx (work space AP, OR=0.240, p=0.030) were independent protective factors, while a type 3 prostate apical shape (OR=8.262, p=0.025) and larger pubic angle 2 (OR=5.303, p=0.029) were identified as independent risk factors. The nomogram model presented an area under the curve (AUC) of the receiver operating characteristic curve (ROC) of PSM of 0.777. In evaluating the incidence of APSM, we found that the distance to the membranous urethra (OR=0.135, p=0.014) was associated with a low risk of APSM, while larger pubic angle 1 (OR=4.666, p=0.043) was connected to a higher risk of APSM. The nomogram model showed that the AUC of APSM was 0.755. Conclusion: As 3D visualization for preoperative MRI showed good performance in predicting PSM or APSM, the tool might be potentially valuable, which also needs to be validated by multicenter, large-scale, prospective studies.

Microplastics retention by reeds in freshwater environment.

Microplastic pollution has recently gained increasing attention. The accumulation of microplastics in plants has been confirmed in the marine environment. However, the extent of the microplastic retention in freshwater plants is still unknown. In this study, sediment and plant samples from six reed farms in the wetland of East Dongting Lake were collected and analyzed. The abundance of microplastics in the sediment of reed farms varied from 125.7 to 1219.5 items/kg dry weight (dw), with an average of 511.2 ± 295.0 items/kg. Moreover, different levels of microplastic abundance were found in reeds from 0 to 14 items/individual. The abundance of microplastics in sediment samples was moderate compared to that worldwide and higher than that in other regions of Dongting Lake. The microplastic pollution level was significantly higher in the reed vegetation belt than that in other sampling positions. On the basis of the distribution and characteristics of the collected microplastics, lake water and fishery are suggested as important sources of microplastics. Furthermore, the factors influencing microplastic retention in the reeds are discussed. This study, as the first direct evidence demonstrating that freshwater reeds tend to accumulate microplastics, constitutes valuable reference for future research.