Digital Commons Network^™

Liberalne Podejście W Sprawach Pomocy Państwa Stanowiącej Rekompensatę Za Świadczenie Pocztowych Usług Powszechnych Na Przykładzie Ostatnich Rozstrzygnięć Organów Unijnych, Artur Salbert

internetowy Kwartalnik Antymonopolowy i Regulacyjny (internet Quarterly on Antitrust and Regulation)

Celem artykułu jest próba ustalenia przyczyn bardzo liberalnego podejścia wobec pomocy państwa udzielanej operatorom pocztowym. Przeprowadzenie analizy w tym zakresie bazuje na aktualnym stanowisku Komisji Europejskiej oraz Trybunału Sprawiedliwości Unii Europejskiej w sprawach dotyczących pomocy państwa stanowiącej rekompensatę za świadczenie pocztowych usług powszechnych. Powszechna cyfryzacja spowodowała, że w ostatnich latach zapotrzebowanie na niektóre tradycyjne usługi pocztowe – w szczególności przesyłanie listów – znacząco spadło. Nie dotyczy to wyłącznie korespondencji prywatnej, lecz również wynika z rozwoju cyfrowych usług administracji publicznej. Jednocześnie handel elektroniczny przyczynił się do istotnego rozwoju innego segmentu sektora pocztowego, tj. usług związanych z przesyłaniem paczek. Jednak w ujęciu …

Stosowanie Rozporządzenia 2022/2560 W Sprawie Subsydiów Zagranicznych Zakłócających Rynek Wewnętrzny W Pierwszych Latach Implementacji, Maria Rudzińska

internetowy Kwartalnik Antymonopolowy i Regulacyjny (internet Quarterly on Antitrust and Regulation)

Artykuł dotyczy stosowania rozporządzenia 2022/2560 dotyczącego subsydiów zagranicznych zakłócających rynek wewnętrzny (dalej jako: FSR) w pierwszych latach obowiązywania regulacji. Celem tekstu jest kompleksowa teoretyczna analiza FSR oraz przedstawienie najważniejszych wyzwań wynikających z dotychczasowej praktyki stosowania, uwzględniając zarówno perspektywę regulacyjną, jak i doświadczenia uczestników rynku. Jako punkt wyjścia dla analizy dokonano charakterystyki kluczowych pojęć oraz mechanizmów działania FSR, w tym „zagranicznego wkładu finansowego”, „korzyści gospodarczej” oraz „zakłócenia na rynku wewnętrznym” oraz procedur w obszarach koncentracji, zamówień publicznych oraz postępowań ex officio.

Następnie, w artykule przeanalizowano w jakim stopniu FSR realizuje zakładane funkcje ochrony konkurencji oraz jakie wyzwania rodzi dla podmiotów …

Sytuacja Przedsiębiorców Posiadających Zezwolenia Na Działalność W Specjalnej Strefie Ekonomicznej Po 31.12.2026 R. Utworzenie Funduszu Strefowego Na Realizację Nowych Inwestycji., Mirosław Pachucki, Radosław Pioterczak

internetowy Kwartalnik Antymonopolowy i Regulacyjny (internet Quarterly on Antitrust and Regulation)

W niniejszym artykule autorzy analizują prawne aspekty możliwości wprowadzenia nowego programu pomocy publicznej dla przedsiębiorców, których zezwolenia na prowadzenie działalności gospodarczej na terenie specjalnych stref ekonomicznych wygasną z mocy prawa z dniem 31 grudnia 2026 roku. W ocenie autorów, z uwagi na znaczącą przyznaną, ale nie wykorzystaną kwotę pomocy publicznej, istnieje uzasadnienie dla wprowadzenia mechanizmu, który pozwoliłby na stworzenie grantowego programu pomocy publicznej opartego na tych niewykorzystanych środkach. W ramach takiego projektu, nazwanego roboczo Programem nowych inwestycji, uprawnieni przedsiębiorcy uzyskaliby prawo do finansowania nowych inwestycji po roku 2026 w ramach odprowadzanych do budżetu podatków dochodowych.

Glosa Do Wyroku Naczelnego Sądu Administracyjnego Z Dnia 17 Kwietnia 2024 R., Sygn. Akt I Gsk 1833/22, Bartosz Wojtaczka

internetowy Kwartalnik Antymonopolowy i Regulacyjny (internet Quarterly on Antitrust and Regulation)

Niniejszy komentarz poddaje krytycznej analizie wyrok Naczelnego Sądu Administracyjnego (NSA) z dnia 17 kwietnia 2024 r. w sprawie o sygn. akt I GSK 1833/22. W orzeczeniu tym NSA stwierdził, że prawidłowe stosowanie mechanizmów wsparcia stanowiących pomoc de minimis wymaga także uwzględnienia unijnej definicji mikro-, małych i średnich przedsiębiorstw (dalej: MŚP)1. W ocenie NSA, w przypadku, gdy kryteria określające katalog podmiotów uprawnionych do wsparcia referują do definicji MŚP, niezbędne jest, sięgnięcie do jej unijnej wersji. Taki obowiązek ma przy tym wynikać wprost z prawa unijnego, w związku z czym wszelkie odmienne rozwiązania prawa krajowego muszą zostać pominięte. Zdaniem autora przyjęte przez …

Sprawozdanie Z Warsztatów Pt.: „Istotne Zmiany W Przepisach Dotyczących Pomocy Publicznej Ze Szczególnym Uwzględnieniem Spraw Z Zakresu Energetyki I Czystego Przemysłu”, Bartosz Wojtaczka

internetowy Kwartalnik Antymonopolowy i Regulacyjny (internet Quarterly on Antitrust and Regulation)

Warsztaty – Warszawa, 3 kwietnia 2025 roku

Sprawozdanie Z Międzynarodowej Konferencji Naukowej Pn. "Building Competition Institutions For Sustainable Growth. A Retrospective On The Role Of Competition Law And Policy In Central And Eastern Europe 20 Years After Eu Enlargement And Lessons For The Future", Warszawa, 27 Maja 2025 R., Anastazja Drapata

internetowy Kwartalnik Antymonopolowy i Regulacyjny (internet Quarterly on Antitrust and Regulation)

Konferencja naukowa – Warszawa, 27 maja 2025 roku

Sprawozdanie Z Międzynarodowej Konferencji Naukowej Pt. „13th International Phd Students’ Conference On Competition Law: Antitrust Institutional Design”, Białystok, 10 Października 2025 Roku, Paulina Korycińska-Rządca, Anna Piszcz

internetowy Kwartalnik Antymonopolowy i Regulacyjny (internet Quarterly on Antitrust and Regulation)

Międzynarodowa Konferencja  pt. 13th International PhD Students’ Conference on Competition Law: Antitrust Institutional Design, Białystok, 10 października 2025 r.

Sprawozdanie Z Konferencji Cars Pt. „Przeciwdziałanie Nieuczciwemu Wykorzystaniu Przewagi Kontraktowej W Łańcuchu Dostaw Żywności”, Warszawa, 7 Października 2025 Roku, Wojciech P. Wydmański

internetowy Kwartalnik Antymonopolowy i Regulacyjny (internet Quarterly on Antitrust and Regulation)

„Przeciwdziałanie nieuczciwemu wykorzystaniu przewagi kontraktowej w łańcuchu dostaw żywności”, Warszawa, 7 października 2025 roku

Internetowy Kwartalnik Antymonopolowy I Regulacyjny Vol. 15(2) 2026

internetowy Kwartalnik Antymonopolowy i Regulacyjny (internet Quarterly on Antitrust and Regulation)

Vol. 15(2) 2026

The Outcome Of Primary Anastomosis Without Diversion Versus With Diversion In Colorectal Cancer Surgeries, Ahmed Sameh, Shams Nazem, Ahmed A Monem, Amr F Elalfy

Mansoura Medical Journal

Background: Anastomotic leakage (AL) is the most feared complication after colorectal surgery. It is a very morbid consequence that is associated with higher morbidity, longer hospital stay, higher medical expenses, or even worse functional outcomes. The role of diverting ileostomy (DI) in reducing the incidence of anastomotic leakage is still debatable. Methods: Our study included 95 patients with left sided colon cancer and rectal cancer, 49 patients in the non-ileostomy group and 46 patients in the ileostomy group after resection anastomosis of the primary tumor. The analysis included the following variables: patient-related variables (age, sex, comorbid conditions, ASA score, smoking …

The Relationship Between Acne Vulgaris And Insulin Resistance, Nora Moawad Erian, Nora Mohamed Darwish, Eman Saber Elhennawy, Fatma Faisal El Dakrory

Mansoura Medical Journal

Background Some have hypothesized that resistance to insulin, a condition in which cells become less responsive to insulin, contributes to the development and worsening of acne vulgaris. The study's primary objective was to identify any associations among resistance to insulin and acne vulgaris severity. Methods Forty patients (range: 18–40 years old) with acne vulgaris and forty healthy controls (range: 18–40 years old, sex: X), were included in this case control study. Height as well as weight were the anthropometric metrics. To determine how bad acne is, doctors utilize the Global Acne Grading System. Laboratory testing for insulin resistance was conducted …

Predictors And Outcome Of Sepsis And Septic Shock Induced Acute Kidney Injury In Diabetic Patients: A Prospective Observational Study, Shrouk Essam, Rehab Shaheen Bahram Shaheen, Rasha Mahmoud Prof., Adel I. Abdelsalam

Mansoura Medical Journal

Background: One characteristic of sepsis is the dysregulation of the host's reaction to infection, which can result in potentially fatal organ failure.This work aimed to assess predictors and outcome of sepsis and septic shock induced acute kidney injury (AKI) in diabetic patients. Methods: This prospective observational study included diabetic patients aged over 18 years who were admitted with sepsis or septic shock in the Medical Critical Care Unit of the Specialized Medical Hospital, Mansoura University. All patients were divided into 2 groups:AKI Group (N=74): diagnosed with AKI and No AKI Group (N=26): did not develop AKI. Results: Analysis of risk …

Effect Of High-Dose Vitamin D Supplementation On Serum Sclerostin Levels In Chronic Kidney Disease Patients: A Randomized Controlled Trial, Mohamed A. Hassany, Mariam A. Fawy

Mansoura Medical Journal

Background Vitamin D deficiency and altered bone metabolism are common in patients with chronic kidney disease (CKD). Sclerostin, a key inhibitor of bone formation, has been implicated in CKD–mineral and bone disorder (CKD-MBD), but the impact of high-dose vitamin D supplementation on circulating sclerostin is unclear. This work examined the effect of intramuscular cholecalciferol on serum sclerostin and bone-related markers in CKD patients. Methods This randomized controlled trial involved 128 adult CKD patients (stages 3–5), 18–70 years, both sexes, with vitamin D deficiency. Adults were equally randomized into two groups: the intervention group received intramuscular cholecalciferol (300,000 IU at baseline …

Study Of The Relationship Between Insulin Resistance And Osteoporosis In Type 2 Diabetes Mellitus And Diabetic Nephropathy Elderly Patients, Mohamed Zakarya Nooh, Alaa Abdelsalam Dawood, Bassant Samy Hamed Hafez, Moustafa Bakrey Hamed Ata

Mansoura Medical Journal

Background Type 2 diabetes mellitus and diabetic kidney disease play a major role in bone deterioration and increased fracture risk because they influence both insulin sensitivity and bone metabolism. Objective The purpose of this study was to investigate the connection between osteoporosis and insulin resistance in older individuals with type 2 diabetes and diabetic kidney disease (DKD). Methods: A total of 105 participants were enrolled in the study and divided equally into three groups: 35 diabetic patients with albuminuria, 35 diabetic patients without albuminuria, and 35 age- and gender-matched healthy controls. The study was conducted at the Endocrinology & DM …

The Diagnostic Value Of Serum Ferritin In Telogen Effluvium, Sara Khaled Mohamed Elbasiouny, Marwa H. Elnagdy, Sherif R. Ismaeil, Fawzia A. Saafan

Mansoura Medical Journal

Background Telogen effluvium (TE) is a common cause of hair loss (HL) in females, characterized by diffuse HL. Iron deficiency has a significant relationship with emotional stress, and anxiety is another prevalent cause for HL. So, our aim was to evaluate the serum ferritin levels among TE patients, compared to healthy controls. Methods This case-control study was conducted on 100 subjects, and they were divided into 2 groups, group (A) included 50 patients with Telogen Effluvium and group (B) included 50 healthy normal volunteers matching for age and sex with the patients. Clinical examination of diffuse shedding and positive pull …

Evaluation Of Neutrophils To Albumin Ratio (Nar) And C-Reactive Protein To Albumin Ratio (Car) As Markers Of Disease Activity In Patients With Ulcerative Colitis, Doaa Salah Abd-El-Fattah, Mohamed Abd El-Maksoud, Salwa M. Abo El-Khair, Ahmed El-Eraky, Amany Hasson

Mansoura Medical Journal

Background Ulcerative colitis (UC) is considered an extensive disease due to the risks of proximal extension, malignant transformation, disability and impaired life quality. This study aimed to explore the role of Neutrophils to Albumin Ratio (NAR) and C - reactive protein to Albumin Ratio (CAR) in evaluation of disease activity in patients with UC. Methods This cross-sectional study included 227subjects classified into two groups; group (I) included 126patients suffering from ulcerative colitis and group (II) included 101 healthy individuals with normal basic laboratory tests matched for age and sex. Estimating disease activity and severity clinically was according to Truelove criteria. …

Chronic Stress And Toxoplasma Gondii Infection: Investigating The Two-Hit Hypothesis On Behavior And Cognition In Chronic Toxoplasmosis Mice Model, Nora Labeeb El-Tantawy

Mansoura Medical Journal

Background: Toxoplasmagondii infects about one third of people around the world and is associated with neuropsychiatric disorders. But not everyone who has it ends up with behavioral symptoms, which is kind of interesting. The study aimed to investigate the two-hit hypothesis, basically testing if chronic stress makes the effects of the infection worse in mice, on behavior and cognition. Methods: Sixty Swiss Webster mice were included in the study divided into four groups (15 for each). Group 1 control, group 2 stressed animals exposed to the chronic unpredictable stress protocol, Group 3 infected with T. gondii, and group 4 received …

Fractional Ablative Co2 Laser Versus Screw Threads In Post-Traumatic Atrophic Linear Scars, Eman Emad Elfeel, Marwa Zohdy Ali, Shereen Ezzalregal Alashry, Sherihan Hassan Allam

Mansoura Medical Journal

Background Scar is the result of the natural healing and reparative process, which are frequently accompanied by a few aesthetic, functional, and social impairments and may negatively affect quality of life. Fractional CO2 laser improves both the pigmentary and textural changes by removing thin layers of skin with minimal thermal damage. Thread lifting technology is a non-surgical facial rejuvenation technology that can minimize postoperative recovery period and scar from the incision Aim To compare the efficacy of fractional ablative CO2 laser therapy versus screw threads in post-traumatic atrophic linear scars. Methods This prospective randomized clinical study included 2 groups; group …

Impact Of Admission Hyperglycemia On In-Hospital Arrhythmia In Medical Critical Illness, Ebrahim Elsayed Tawfik, Afaf Abdel Hafez, Tarek El-Sayed Gouda, Rehab Shaheen Bahram Shaheen

Mansoura Medical Journal

Background Admission hyperglycemia is frequently encountered in critically ill patients, even in the absence of pre-existing diabetes. Acute stress hyperglycemia triggers autonomic activation, oxidative stress, and electrophysiological disturbances that may predispose to cardiac arrhythmias. Aim of work The present study aimed to explore the frequency and type of arrhythmic events among critically ill patients with admission hyperglycemia in medical intensive care units (MICU). Methods: A prospective study was conducted on 354 critically ill ICU patients . They were divided into group A with admission hyperglycemia (>180 mg/dL) and group B with admission normoglycemia (≤180 mg/dL). All patients were subjected …

Evaluation Of The Frequency Of Subclinical Peripheral Neuropathy Among Children And Adolescents With Type 1 Diabetes Mellitus Using Nerve Conduction Studies, Hadeer Ashraf Abdulwahab, Ann A. Abdelkader, Nanees Salem, Bothina Hasaneen

Mansoura Medical Journal

Background: The long-term vascular complications of diabetes mellitus (DM) include nephropathy, retinopathy, neuropathy, and macrovascular diseases, so the aim of this study was to evaluate the frequency of subclinical peripheral neuropathy among children and adolescents with Type 1 DM using nerve conduction studies (NCSs) in relation to diabetesrelated clinical and metabolic parameters. Methods: This cross-sectional study was conducted on 50 children and adolescents with T1D. The patients were divided into 2 groups, symptomatic group who had symptoms or signs of diabetic sensorimotor polyneuropathy (DSPN) and asymptomatic group who had no signs or symptoms of polyneuropathy. NCSs were conducted and sensory …

Readmission And Reoperation Following Transurethral Incision Of The Prostate For Benign Prostatic Obstruction: A 20-Year Retrospective Review And Analysis, Amr Wael Yehia, Mohamed Hegazy, Ahmed Refat Elnahas, Ahmed Mohamed Elshal

Mansoura Medical Journal

Introduction: Transurethral Incision of the Prostate (TUIP) is a recognized surgical treatment for benign prostatic obstruction (BPO), particularly in patients with smaller glands. While valued for its minimal invasiveness, it is associated with higher medium-term reoperation rates. This study analyzes a 20-year institutional experience to define the rate, timing, causes, and predictors of readmission and reoperation after TUIP. Methods: A retrospective review of 557 patients who underwent TUIP for BPO was conducted. Data collected included demographics, comorbidities, perioperative details and complications graded by the Clavien-Dindo system. Univariate and multivariate logistic regression analyses identified predictors of readmission and reoperation if present. …

Assessment Of Serum Level Of Il-38 In Patients With Non-Segmental Vitiligo And Its Relation To Disease Severity, Zahraa Jafar Ahmed Altaitoon, Al-Shahat Farag Ahmed Sharaf, Hamdy Fouad A. Marzo, Mohammed Samir Sultan

Mansoura Medical Journal

Background: Vitiligo is a common autoimmune disorder (AID) characterized by extensive loss of melanocytes, causing depigmented skin patches. Interleukin-38 (IL- 38), an anti-inflammatory cytokine, has been linked to several autoimmune conditions, but its involvement in vitiligo hasn’t been confirmed. Aim: To measure serum IL-38 levels in patients with non-segmental vitiligo (NSV) and explores how these levels relate to disease severity and activity. Methods: We conducted a cross-sectional case-control study that included 40 patients with non-segmental vitiligo and 40 healthy individuals matched for age, sex, and BMI. Assessment of disease severity and activity was conducted by using the Vitiligo Area Scoring …

Management Of Seroma After Posterior Lumbar Spine Decompression, Ayman Mohamed Basha, Ahmed Anas Zahra

Mansoura Medical Journal

Background: Postoperative seroma formation represents a significant complication following posterior lumbar spine decompression (PLSD) that can compress neural structures, cause radiculopathy, and serve as potential infection sources. This study evaluated the clinical characteristics and therapeutic approaches for seroma formation after posterior lumbar decompression procedures.

Methods: An observational study was conducted on 140 patients aged 18 years and older who underwent elective PLSD. Patients were systematically evaluated at predetermined intervals using clinical examination and diagnostic imaging when seroma was suspected. Management protocols were stratified according to seroma size, symptom severity, and clinical progression, ranging from conservative compression dressings to percutaneous aspiration …

Role Of 16s Rrna Gene And Activin-A In Detection Of Neonatal Sepsis, Reem Gomaa, Walaa Othman Elshabrawy, Nada Mohsen, Mohamed Mofreh

Mansoura Medical Journal

Objective: A bloodstream infection in a newborn less than 28 days is referred to as neonatal sepsis (NS). A novel quick and sensitive markers are required for the early detection of bacterial infections in neonates with sepsis, even if blood culture is a great way to diagnose sepsis because the results are delayed. This study was done to estimate the value of activin-A and molecular method (16S rRNA gene) by PCR as new methods for diagnosis of neonatal sepsis.

Methods: Fifity neonates came to the Mansoura University Children Hospital (MUCH) divided into two Groups: Group І (Sepsis group) …

Comparative Study Between Cervical Disc Arthroplasty And Anterior Cervical Discectomy And Fusion, Samer Samy, Ayman Mohamed Basha

Mansoura Medical Journal

Background: Cervical disc arthroplasty (CDA) has emerged as an alternative to anterior cervical discectomy and fusion (ACDF), aiming to preserve segmental motion and reduce adjacent segment disease (ASD). However, evidence regarding its superiority remains controversial. This study was designed to relate ACDF and CDA following anterior cervical discectomy with respect to safety, efficacy, and impact on patient lifestyle.

Methods: This retrospective comparative study included 36 patients who underwent anterior cervical discectomy between August 2021 and September 2024. Twenty patients underwent ACDF (Group A), and sixteen patients underwent CDA (Group B). Clinical outcomes were assessed using the Visual Analogue Scale (VAS) …

Could Peri-Coronary Fat Thickness Predict Severity Of Pulmonary Covid 19 And Post Covid-19 Pulmonary Scarring?, Basma A El-Ged, Dalia Fahmy, Mohamed Hamoda, Mohamed Tohlob, Heba M Abou El-Atta

Mansoura Medical Journal

Objective: to study the correlation between peri-coronary fat thickness (PCFT) and clinical disease severity in patients with proved COVID-19, as well as post COVID-19 scarring.

Patients and methods: This retrospective comparative study included 202 patients with pulmonary COVID-19 who were referred for Chest High Resolution Computed Tomography (HRCT). Patients were further classified into Group A who had non-severe covid 19 disease and group B who had severe and critical disease according to WHO criteria. CT severity score (CSS), Total fibrosis score (TFS) and peri coronary fat thickness (PCFT) were evaluated and compared for both groups in the CT scans of …

Adnexal Magnetic Resonance (Adnex –Mr) Scoring System; A New Standardized Method For Characterization Of Adnexal Masses Inside Mansoura University Hospitals, Nora Diaa Ali Okab, Basma Elged, Sherif Abdel Fatah Moustafa, Sieza Samir, Yasser.M. Mesbah

Mansoura Medical Journal

Background Gynecologic masses are the most common subject of gynecologic imaging. The usefulness of MRI is high in the characterization of adnexal masses. The ADNEX MR classification framework was launched to stratify sonographically identified adnexal masses in to five groups based on their probability of malignancy: grade 1 (no lesion), grade 2 (benign), grade 3 (probably benign), grade 4 (indeterminate), and grade 5 (probably malignant). Aim to determine the accuracy of the ADNEX MR scoring system in classification of adnexal masses at Mansoura University Hospitals (MUH). Methods A total of 48 female patients with 52 adnexal masses on ultrasound were …

Epidemiology Of Closed Ruptured Tendoachilles, Hesham Mousad Alsakaan, Wael Mansour Wafa, Mohieb Sayed Ahmed, Ahmed El Sayed Magdy Elhawary

Mansoura Medical Journal

Background: To restore tendon function and avoid long-term impairment, early diagnosis and adequate treatment are crucial. The purpose of this study was to ascertain the incidence pattern of ATR and to pinpoint possible variables related to presentation and management approach.

Aim  identifying potential risk factors either patient or environmental related and to assess the incidence rate of ATR

Patients and Methods: This retrospective cross-sectional study was performed on 87 achilles tendon rupture patients. All the patients were subjected to full medical history taking. Clinical examination was performed including thompson test and Matles test and radiological investigations.

Results: The median age …

Use Of Thyroid Imaging Reporting And Data Systems (Tirads) Ultrasound In Differential Diagnosis Of Thyroid Nodules, Aya Mohamed Hamed Abdelaal, Ghada M Ahmed Gaballah, Donia Mohamed Sobh

Mansoura Medical Journal

Background: Thyroid nodules refer to masses of abnormally proliferating cells with abnormal tissue stiffness in thyroid. This study aimed to assess diagnostic accuracy of Thyroid Imaging Reporting and Data System in differentiating benign from malignant thyroid nodules.

Methods: This cross-sectional study included forty adult patients with sixty-two thyroid nodules. A 7.5-10 MHz linear array transducer was used to perform imaging protocol. Three-dimensional measurements were done on nodules. All thyroid nodules were  examined using doppler ultrasound. All thyroid nodules were described in terms of composition, echogenicity, margins, shape and echogenic foci.  According to ACR TI-RADS,  the points were given …

Whole Tumor Apparent Diffusion Coefficient Histogram In Assessment Of Treatment Response In Locally Advanced Cervical Cancer, Wahdan. N, Wahba. H, Samir. S, Dina. G. Abdelzaher

Mansoura Medical Journal

Purpose:

We aimed to determine the prognostic value of whole-tumor ADC histogram analysis in predicting therapeutic outcomes for patients undergoing concurrent chemoradiotherapy (CCRT) for locally advanced cervical cancer (LACC).

Methods:

This prospective, single-institution study enrolled 40 women (mean age 53.8 ± 11.4 years) with pathologically confirmed LACC (FIGO stages IIB–IVA). Pelvic MRI including diffusion-weighted imaging (DWI) was performed at baseline and after CCRT. Whole-tumor regions of interest (ROIs) were manually delineated on ADC maps to extract histogram parameters (mean, minimum, maximum ADC, skewness, and kurtosis). Using RECIST 1.1 criteria, patients were classified as responders (complete or partial response) or …