Tunisie Medicale最新文献

{"title":"[Social Media Addiction, Self-Control Strategies and Academic procrastination in Medical Students].","authors":"Ahlem Hajri, Mayssene Shiri, Amira Maamri, Emira Khelifa, Abdennour Karmous, Haifa Zalila","doi":"10.62438/tunismed.v104i05.6427","DOIUrl":"https://doi.org/10.62438/tunismed.v104i05.6427","url":null,"abstract":"<p><strong>Introduction: </strong>Evidence from the literature suggests a link between social media addiction (SMA) and academic procrastination, both of which are negatively correlated with academic performance.</p><p><strong>Objectives: </strong>To assess the relationships between SMA, academic procrastination, and self- control strategies for social media use among medical students.</p><p><strong>Methods: </strong>We conducted a descriptive and analytical cross-sectional study using an online self-administered questionnaire distributed to Tunisian medical students. The questionnaire included socio-demographic data, characteristics of social media use, and the Arabic versions of the Bergen Social Media Addiction Scale and the Academic Procrastination Scale.</p><p><strong>Results: </strong>A total of 156 responses were collected. Sixteen percent of students had SMA. The median Academic Procrastination Scale score was 67.5. We found a moderate positive correlation (ρ = 0.514, p < 0.001) between the Academic Procrastination Scale score and the Bergen Social Media Addiction Scale score. The most commonly used self-control strategy among medical students to regulate social media use was \"direct self-control\" (23.7%). Students using self-control strategy 1 had significantly lower Bergen Social Media Addiction Scale scores compared with those using strategies 4 (p = 0.03), 5 (p = 0.036), or 7 (p = 0.045).</p><p><strong>Conclusion: </strong>Targeted interventions aimed at reducing problematic social media use and academic procrastination could improve students' well-being and academic performance.</p>","PeriodicalId":38818,"journal":{"name":"Tunisie Medicale","volume":"104 4","pages":"666-672"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148707786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictive factors of hemoptysis recurrence after hospital discharge.","authors":"Emna Ben Jemia, Ella Nemsi, Hend Ouertani, Mohamed Sadok Boudaya, Sarra Lamine, Hana Hedhli, Yosr Ben Attig, Emna Azza, Jihen Ben Amar, Haifa Zaibi","doi":"10.62438/tunismed.v104i05.6024","DOIUrl":"https://doi.org/10.62438/tunismed.v104i05.6024","url":null,"abstract":"<p><strong>Introduction: </strong>Hemoptysis is a potentially life-threatening symptom that requires prompt evaluation and management. Its recurrence can be as distressing as the initial episode and represents a significant clinical concern.</p><p><strong>Aim: </strong>This study aimed to identify predictors of hemoptysis recurrence outside the hospital setting.</p><p><strong>Methods: </strong>We conducted a retrospective, longitudinal, descriptive, and analytical study including all patients hospitalized for hemoptysis in the Pneumology Department of Charles Nicolle Hospital, Tunis, between January 2015 and June 2022. The follow-up period extended from the first hospitalization to the last medical consultation, with a minimum duration of one year. Patients who experienced recurrence during follow-up were analyzed to identify clinical, etiological, and therapeutic factors associated with hemoptysis recurrence.</p><p><strong>Results: </strong>A total of 200 patients were included, with a mean age of 52.5 ± 15.8 years (range: 18-90), and a marked male predominance (83.5%). Active smoking was reported in 83.5% of patients. Drug use was noted in 13% of cases, and 15% had high-risk behaviors. Comorbidities were present in 52% of patients, predominantly cardiovascular diseases. Five patients (2.5%) were receiving vitamin K antagonists, and eight (4%) were on antiplatelet therapy. Multivariate logistic regression analysis identified cardiovascular comorbidities (OR = 2.2), bronchiectasis (OR = 9.8), and antiplatelet therapy (OR = 3) as independent predictors of hemoptysis recurrence. Additionally, markers of initial episode severity, including acute anemia requiring blood transfusion (OR = 2.5) and the need for octreotide (OR = 8.2), were significantly associated with an increased risk of out-of-hospital recurrence.</p><p><strong>Conclusion: </strong>These findings underscore the importance of risk stratification, close follow-up, and individualized management in patients at high risk of hemoptysis recurrence. Early identification of predictive factors may help optimize preventive strategies and improve clinical outcomes.</p>","PeriodicalId":38818,"journal":{"name":"Tunisie Medicale","volume":"104 4","pages":"673-677"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148707898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Chronic pain among patients treated for breast cancer: Prevalence and associates factors.","authors":"Wiem Khechine, Marwa Chouat, Alaeddine Hmad, Badii Amamou, Asma Felfoul, Asma Korbi, Fethi Jebali, Sonia Zaied, Amira Daldoul","doi":"10.62438/tunismed.v104i05.6520","DOIUrl":"https://doi.org/10.62438/tunismed.v104i05.6520","url":null,"abstract":"<p><strong>Objectives: </strong>Chronic pain has emerged as a significant health issue among women treated for breast cancer, representing a substantial burden that negatively affects quality of life. This study aimed to determine the prevalence and characteristics of chronic pain among Tunisian breast cancer survivors.</p><p><strong>Methods: </strong>We conducted a cross-sectional descriptive and analytical study including 100 Tunisian women treated for breast cancer at the Medical Oncology Department of Fattouma Bourguiba University Hospital (Monastir, Tunisia). Data collected included sociodemographic and clinical characteristics, lifestyle habits, and medical history. Validated instruments were used, including the Brief Pain Inventory (BPI), Pain Catastrophizing Scale (PCS), DN4 questionnaire, Hospital Anxiety and Depression Scale (HADS), and Family APGAR score.</p><p><strong>Results: </strong>The prevalence of chronic pain in our population was 100%. All participants reported persistent pain following breast cancer surgery, without any other identified medical cause. The most common pain locations were the breast and ipsilateral upper limb. Pain interference was generally mild in both affective and activity domains. Most participants (88%) belonged to highly functional families. Higher pain intensity was significantly associated with a greater number of children and a history of dysthyroidism. Multivariate analysis identified body mass index, number of children, and number of lymph nodes removed as independent predictors of pain intensity. Higher pain intensity was also associated with increased anxiety levels.</p><p><strong>Conclusions: </strong>Chronic pain is highly prevalent among breast cancer survivors and is influenced by multiple factors, highlighting the need for comprehensive assessment and management strategies.</p>","PeriodicalId":38818,"journal":{"name":"Tunisie Medicale","volume":"104 4","pages":"678-682"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148707947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Advancing clinical exercise physiology and integrative health policy in Tunisia: An international perspective on curriculum reform and professional recognition.","authors":"Amine Ghram, Karim Chamari, Wassim Moalla, Lilia Zakhama, Rihab Moncer, Imed Latiri, Helmi Ben Saad","doi":"10.62438/tunismed.v104i05.6752","DOIUrl":"10.62438/tunismed.v104i05.6752","url":null,"abstract":"<p><p>Sedentary and non-communicable diseases continue to rise in Tunisia. Yet, graduates from the country's four institutes of Sport Sciences face persistent barriers to employment and lack legal recognition within the healthcare system. Although these graduates receive academic learning and training in exercise physiology, biomechanics, adapted physical activity, and performance sciences, current legislation prevents them from prescribing exercise or working with clinical populations. Across worldwide, many countries such as the United States, United Kingdom, Australia, and Canada have established regulated pathways for Clinical Exercise Physiologists, supported by accredited university programs, national certification systems, and clear scopes of practice. Global initiatives such as Exercise is Medicine®, active in many countries, further demonstrate the integration of physical activity into healthcare; however, Tunisia, like most Middle East and North Africa countries, remains unrepresented. In this policy-oriented narrative review, we reviewed the international models and propose a strategic roadmap for Tunisia to modernize sport-science curricula, develop interdisciplinary degrees in exercise physiology, establish national accreditation and professional registration systems, authorize clinical practice, and integrate exercise into national health policy. Such reforms could reduce unemployment, enhance preventive healthcare, and align Tunisia with global standards in exercise-based medicine.</p>","PeriodicalId":38818,"journal":{"name":"Tunisie Medicale","volume":"104 4","pages":"602-616"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148707850","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the integration of 4P healthcare principles into hospital management: A systematic review protocol.","authors":"Aziz Hantem, Ahmed Madi, Widad Lachehab, Sara Alouane","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>At the present time, the major paradigm changes that are impacting hospitals are being driven by new technology, digitization, precision medicine and patient expectations. The 4P Health Care concept of Preventive, Predictive, Personalized and Participatory healthcare is now influencing how hospitals are being managed as well as how medical care is provided to patients. The main purpose of this systematic review is to identify, review, examine and synthesis the existing management practices, models and theories used in hospitals based on the 4P health care principles.</p><p><strong>Methods: </strong>This systematic review will be conducted following the PRISMA guidelines. Databases to be searched include MEDLINE/PubMed, Scopus, Embase, Web of Science, Emerald Insight, and Google Scholar, combining keywords in English and French around '4P health' and 'hospital management'. Search terms will include the following keywords and terms: (\"Hospitals\"[MeSH] OR \"Hospital Administration\"[MeSH] OR \"Health Facility Administration\"[MeSH] OR \"hospital management\" OR \"hospital governance\" OR \"healthcare management\" OR \"health services administration\") AND (\"Precision Medicine\"[MeSH] OR \"Preventive Medicine\"[MeSH] OR \"Patient Participation\"[MeSH] OR \"4P medicine\" OR \"P4 medicine\" OR \"predictive medicine\" OR \"personalized medicine\" OR \"preventive health\" OR \"participatory health\" OR \"precision health\") Results:A complete summary will be provided to demonstrate how hospitals practice management as it relates to the 4P health care principles using both narrative synthesis and meta-analysis where appropriate. A PRISMA flowchart will illustrate the process for selecting studies included in the review.</p><p><strong>Registration: </strong>The study protocol has been registered in PROSPERO [CRD420251171543].</p>","PeriodicalId":38818,"journal":{"name":"Tunisie Medicale","volume":"104 4","pages":"579-582"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148707880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementation Strategies for Effective Chalk Talks: Optimizing Pedagogy Through Integration with Complementary Teaching Methods.","authors":"Mohamed Hajri, Mohamed Ali Chaouch, Ahlem Hajri, Elmontasser Belleh Zaafouri, Abdelwaheb Nakhli, Lassad Gharbi, Hafedh Mestiri, Dhouha Bacha","doi":"10.62438/tunismed.v104i05.6428","DOIUrl":"https://doi.org/10.62438/tunismed.v104i05.6428","url":null,"abstract":"<p><strong>Background: </strong>Chalk talks are a dynamic teaching method that combine real-time visual explanations with active learner engagement, fostering deeper understanding and participation. Despite being a traditional approach, chalk talks remain highly relevant, particularly when integrated with modern pedagogical strategies.</p><p><strong>Methods: </strong>This narrative review was conducted to explore implementation strategies that enhance the effectiveness of chalk talks in medical education. A targeted search of PubMed, Scopus, and Google Scholar was performed using keywords such as \"chalk talk\", \"medical education\", \"PowerPoint integration\", \"simulation\", \"bedside teaching\", and \"case-based learning\". Peer-reviewed articles, editorials, and educational reports published in English between 2000 and 2025 were considered. Out of 92 references initially screened, 22 articles were selected for analysis and narrative synthesis.</p><p><strong>Results: </strong>The analysis showed varying emphasis on different teaching methodologies. PowerPoint presentations were discussed in 16 articles, reflecting their central role as a structured digital tool. Simulations were reported in 9 articles. Demonstrations and bedside teaching were discussed in 7 articles each, while case-based learning was reported in 6 articles. Across studies, effective chalk talks were consistently linked with careful planning, clear visual organization, and interactive delivery. Integration with complementary methods enhanced learner engagement, participation, and knowledge retention. Reported limitations included reduced suitability for complex visuals, time constraints, and visibility challenges in large classrooms.</p><p><strong>Conclusion: </strong>Chalk talks remain a versatile and effective teaching method when strategically combined with complementary approaches. Their adaptability allows educators to create interactive, learner-centered environments that strengthen conceptual understanding and promote skill development in medical education.</p>","PeriodicalId":38818,"journal":{"name":"Tunisie Medicale","volume":"104 4","pages":"622-626"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148707890","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychometric quality of multiple-choice questions in the residency entrance examination at the Faculty of Medicine in Batna: A tool for improving assessment practices.","authors":"Mohamed Ridha Guedjati, Hanane Benaldjia, Jalaleddinne Omar Bouhidel, Adeila Dallel Taibi, Abdesselam Hamizi","doi":"10.62438/tunismed.v104i05.6612","DOIUrl":"https://doi.org/10.62438/tunismed.v104i05.6612","url":null,"abstract":"<p><strong>Introduction: </strong>A psychometric analysis of multiple-choice questions (MCQs) is an important step in the assessment process. It makes sure that MCQ items are valid and reliable. The residency competition is an important part of medical training. It is how we choose future doctors who can meet the clinical and scientific requirements. Our aim is to find out what the medical residency competition's MCQs are like.</p><p><strong>Methods: </strong>150 multiple-choice questions (MCQs) were analysed from the October 2025 medical residency exam. There were 760 candidates in the exams. This analysis looked at the difficulty index (DIF I), the discrimination index (DI), and Cronbach's alpha coefficient.</p><p><strong>Results: </strong>78 (52%) of the multiple-choice questions were at a recommended/acceptable level of difficulty, with an average DIF I of 43± 2,03. 45 (30%) were too difficult. 97 items (64%) had a DI between excellent and acceptable, and 40 (26%) were rejected, with an overall average DI of 0,325± 0,017. There was a relationship between DIF I and DI (r=0.36, p0.01). The reliability of the items was satisfactory at 0.84, as measured by Cronbach's alpha coefficient.</p><p><strong>Conclusion: </strong>Our study allowed us to find good MCQs to add to the question bank for future tests, as well as MCQs that needed to be changed. This thorough analysis makes sure that the assessments are valid and reliable. It makes sure that the selection process is tough and that it meets the necessary academic and practical standards.</p>","PeriodicalId":38818,"journal":{"name":"Tunisie Medicale","volume":"104 4","pages":"627-633"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148707881","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pediatric cancers in Tunisia: Epidemiology, clinical characteristics and survival outcomes from a 10-year single-center experience.","authors":"Faten Fdhila Ben Ayed, Ranim Zairi, Mohamed Amine Mansouri, Sarra Ben Ahmed, Rim Amdouni, Elhem Jbebli, Raoui Farhat, Samir Haddad, Samar Rhayem, Monia Khemiri","doi":"10.62438/tunismed.v104i05.6685","DOIUrl":"10.62438/tunismed.v104i05.6685","url":null,"abstract":"<p><strong>Background and aims: </strong>Pediatric cancers represent a major public health challenge, particularly in low- and middle-income countries (LMICs). This study aimed to describe the epidemiological and clinical characteristics of pediatric cancers managed at a reference center in Tunisia, analyze treatment pathways, and identify prognostic factors associated with net survival.</p><p><strong>Methods: </strong>A retrospective, single-center, observational prognostic study was conducted at the Pediatric Oncology Unit (POU) of Béchir Hamza Children's Hospital of Tunis over ten years (January 2012 - December 2021), in accordance with STROBE guidelines. All children diagnosed with cancer before age 16 years were included.</p><p><strong>Results: </strong>A total of 563 children were included (sex ratio 1.18). Mean age at diagnosis was 4.3 ± 3.8 years (median: 3.0 years). Solid tumors predominated (81%), led by neuroblastoma (23.6%), renal tumors (17.2%), and retinoblastoma (10.7%). Five-year net survival was 69%. Multivariate Cox regression identified four independent prognostic factors: leukemia (HR=3.33, 95% CI: 2.07-5.35, p<0.001), metastatic disease (HR=2.65, 95% CI: 1.92-3.66, p<0.001), relapse (HR=2.74, 95% CI: 1.96-3.82, p<0.001), and residence >100 km from the POU (HR=1.32, 95% CI: 0.97-1.80, p=0.018).</p><p><strong>Conclusions: </strong>Satisfactory survival outcomes are achievable in resource-limited settings with a well-structured oncology unit. Reducing geographic barriers to care and strengthening early diagnosis remain key priorities to further improve outcomes.</p>","PeriodicalId":38818,"journal":{"name":"Tunisie Medicale","volume":"104 4","pages":"659-665"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148707910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ethical Issues in Oncogeriatrics in Tunisia.","authors":"Imen Akkari","doi":"10.62438/tunismed.v104i05.6215","DOIUrl":"10.62438/tunismed.v104i05.6215","url":null,"abstract":"<p><strong>Background: </strong>Oncogeriatrics is a sensitive medical specialty dealing with malignant neoplastic diseases in elderly patients. Ethical challenges have emerged due to both the specific characteristics of the affected population and the severity of the disease.</p><p><strong>Aim: </strong>To report and analyze the ethical issues raised in oncogeriatrics.</p><p><strong>Results: </strong>Oncogeriatrics is an emerging specialty that has developed in response to two major epidemiological observations: the aging population and the increasing number of cancer patients. Assessing these patients using specific scoring tools is essential to identify their particular needs. The unique characteristics of this population give rise to several ethical dilemmas, including end-of-life issues (such as therapeutic obstinacy and euthanasia) and those related to the patient's capacity for discernment and informed consent. The main ethical concerns discussed in this paper include access to care, research, consent and the right to information, and end-of-life issues. Addressing these challenges involves applying the four fundamental principles of medical ethics: respect for autonomy, non-maleficence, beneficence, and justice.</p><p><strong>Conclusion: </strong>Adhering to the four principles of ethics provides a framework for managing ethical issues. However, in oncogeriatrics, applying these principles must be carefully evaluated due to the specific characteristics of the elderly population.</p>","PeriodicalId":38818,"journal":{"name":"Tunisie Medicale","volume":"104 4","pages":"617-621"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148707902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Siemens Single-Shot T1 Mapping Sequence as an Alternative to MOLLI.","authors":"Mariem Dali, Narjes Benameur, Younes Arous, Salam Labidi","doi":"10.62438/tunismed.v104i05.6107","DOIUrl":"https://doi.org/10.62438/tunismed.v104i05.6107","url":null,"abstract":"<p><strong>Background: </strong>Native T1 mapping has become an essential tool for quantitative myocardial tissue characterization in cardiac magnetic resonance (CMR). However, widely used techniques such as Modified Look-Locker Inversion Recovery (MOLLI) remain limited by their proprietary nature and limited accessibility, particularly in resource-constrained settings.</p><p><strong>Aim: </strong>This study aimed to develop and validate a more accessible Single-Shot T1 mapping technique as a practical alternative to MOLLI, and to assess its agreement and diagnostic performance against a reference standard (Circle Cardiovascular Imaging, CVI⁴²).</p><p><strong>Methods: </strong>A retrospective study was conducted on 40 subjects (25 healthy controls and 15 patients with cardiac pathologies) who underwent 3T CMR imaging. Native T1 values were acquired using a modified Single-Shot inversion recovery scheme (3(3)3(3)5). Quantitative analysis was performed using custom MATLAB-based post-processing and compared with reference measurements obtained using CVI⁴² software. Agreement was assessed using Bland-Altman analysis, while group differences were evaluated using independent t-tests.</p><p><strong>Results: </strong>Pathological subjects demonstrated significantly elevated native T1 values compared to healthy controls (1566 ± 65 ms vs. 1079 ± 80 ms, p < 0.001). The proposed method showed strong agreement with the reference standard, with a mean difference of 5.7 ms and no statistically significant bias. Additionally, the Single-Shot approach exhibited significantly reduced inter-subject variability compared to CVI⁴²-based measurements.</p><p><strong>Conclusion: </strong>The proposed Single-Shot T1 mapping technique provides a reliable, reproducible, and accessible alternative to MOLLI, with comparable accuracy and improved numerical stability. This approach may expand access to advanced myocardial tissue characterization, particularly in low-resource settings.</p>","PeriodicalId":38818,"journal":{"name":"Tunisie Medicale","volume":"104 4","pages":"651-658"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148707808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}