Clinical Neuroradiology最新文献

{"title":"Freiburg Neuropathology Case Conference: Progressive Optic Nerve Lesion Over a 16-Year Period.","authors":"I E Duman Kavus, R Sankowski, R Rölz, A Dressing, M Prinz, H Urbach, D Erny, C A Taschner","doi":"10.1007/s00062-025-01505-8","DOIUrl":"10.1007/s00062-025-01505-8","url":null,"abstract":"","PeriodicalId":10391,"journal":{"name":"Clinical Neuroradiology","volume":" ","pages":"215-222"},"PeriodicalIF":2.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11832575/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143254859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Inferior Vena Cava Thrombosis in the Setting of Lumbar Spondylodiscitis.","authors":"Valeria Ortega, Alexander Levitt","doi":"10.1007/s00062-024-01466-4","DOIUrl":"10.1007/s00062-024-01466-4","url":null,"abstract":"","PeriodicalId":10391,"journal":{"name":"Clinical Neuroradiology","volume":" ","pages":"207-214"},"PeriodicalIF":2.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142496319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Imaging in the Late Time Window of Acute Ischemic Stroke: Enough Is Enough?","authors":"Jessica Jesser","doi":"10.1007/s00062-025-01504-9","DOIUrl":"10.1007/s00062-025-01504-9","url":null,"abstract":"","PeriodicalId":10391,"journal":{"name":"Clinical Neuroradiology","volume":"35 1","pages":"1-2"},"PeriodicalIF":2.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11832645/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143439638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The ASCEND Technique-A Modified Direct Aspiration First Pass Technique for a Faster and Cost-effective Mechanical Thrombectomy.","authors":"Martin Lewis, Juveria Siddiqui, Sara Sciacca, Vishwajeet Singh, Jeremy Lynch, Thomas Booth, Naga Kandasamy, Parthiban Balasundaram","doi":"10.1007/s00062-024-01469-1","DOIUrl":"10.1007/s00062-024-01469-1","url":null,"abstract":"<p><strong>Purpose: </strong>Direct aspiration first pass technique (ADAPT) has been the standard for aspiration thrombectomy (AT) in anterior circulation large vessel occlusion (AC-LVO) with modifications of the technique based on devices used and difficulties encountered. We introduce the ASCEND technique (Aspiration with Steam-shaped Catheter, Excluding additioNal Devices), and hypothesize that it improves catheter navigation, leading to time and cost savings in MT.</p><p><strong>Methods: </strong>This is a single institute, retrospective, pre-post intervention study, including consecutive patients with AC-LVO who underwent AT as first-pass technique. Patients were divided into two groups based on the first-pass technique attempted (ASCEND vs conventional ADAPT). Baseline characteristics, primary outcomes (first pass time, total procedure time, total additional devices and device cost) and secondary outcomes (recanalization, complications) were compared between groups. Multiple linear regression models were built for primary outcomes to look for the effect of steam-shaping when covariates are present to reflect real-world setting. Multi-national survey performed to introduce the technique and feedback obtained.</p><p><strong>Results: </strong>ASCEND (n = 39) and cADAPT (n = 40) groups were similar in baseline clinical characteristics. Anterior genu and ophthalmic segment were crossed in 94.9%, clot reached in 84.6%, and entire MT procedure completed in 59.0% of patients of the ASCEND group without use of additional materials. Groups were similar in performance and safety indicators. ASCEND technique was superior to conventional ADAPT with less first-pass time (8.9 vs 14.7 min), total procedure time (20.2 vs 35.4 min), additional devices used (0 vs 3) and cost involved (2083 vs 5830 £) per procedure (all P < 0.05). Multiple linear regression models maintained improved primary outcomes with steam-shaping (all P < 0.05). Neurointerventionalists who tried ASCEND (n = 11) affirmed that it was safe and likely to save time and cost involved.</p><p><strong>Conclusion: </strong>ASCEND technique, involving a simple step of steam-shaping the aspiration catheter during MT can provide huge benefits in time and cost savings, without compromise of performance or safety.</p>","PeriodicalId":10391,"journal":{"name":"Clinical Neuroradiology","volume":" ","pages":"173-184"},"PeriodicalIF":2.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142667456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Deep Learning Based Detection of Large Vessel Occlusions in Acute Ischemic Stroke Using High-Resolution Photon Counting Computed Tomography and Conventional Multidetector Computed Tomography.","authors":"Jan Boriesosdick, Iram Shahzadi, Long Xie, Bogdan Georgescu, Eli Gibson, Lynn Johann Frohwein, Saher Saeed, Nina P Haag, Sebastian Horstmeier, Christoph Moenninghoff, Julius Henning Niehoff, Alexey Surov, Jan Borggrefe, Jan Robert Kroeger","doi":"10.1007/s00062-024-01471-7","DOIUrl":"10.1007/s00062-024-01471-7","url":null,"abstract":"<p><strong>Purpose: </strong>Deep learning (DL) methods for detecting large vessel occlusion (LVO) in acute ischemic stroke (AIS) show promise, but the effect of computed tomography angiography (CTA) image quality on DL performance is unclear. Our study investigates the impact of improved image quality from Photon Counting Computed Tomography (PCCT) on LVO detection in AIS using a DL-based software prototype developed by a commercial vendor, which incorporates a novel deep learning architecture.</p><p><strong>Materials and methods: </strong>443 cases that underwent stroke diagnostics with CTA were included. Positive cases featured vascular occlusions in the Internal Carotid Artery (ICA), M1, and M2 segments of the Middle Cerebral Artery (MCA). Negative cases showed no vessel occlusion on CTA. The performance of the DL-based LVO detection software prototype was assessed using Syngo.via version VB80.</p><p><strong>Results: </strong>Our study included 267 non-occlusion cases and 176 cases. Among them, 150 cases were scanned via PCCT (no occlusion = 100, ICA and M1 = 41, M2 = 9), while 293 cases were scanned using conventional CT (no occlusion = 167, ICA and M1 = 89, M2 = 37). Independent of scanner type, the algorithm showed sensitivity and specificity of 70.5 and 98.9% for the detection of all occlusions. DL algorithm showed improved performance after excluding M2 occlusions (sensitivity 86.2%). After stratification by scanner type, the algorithm showed significantly a trend towards better performance (p = 0.013) on PCCT CTA images for the detection of all occlusions (sensitivity 84.0%, specificity 99%) compared to CTA images from conventional CT scanner (sensitivity 65.1%, specificity 98.8%). The detection of M2 occlusions was also better on PCCT CTA images (sensitivity 55.6%) compared to conventional scanner CTA images (sensitivity 18.9%), but the sample size for M2 occlusions was limited, and further research is needed to confirm these findings.</p><p><strong>Conclusion: </strong>Our study suggests that PCCT CTA images may offer improved detection of large vessel occlusion, particularly for M2 occlusions. However further research is needed to confirm these findings. One of the limitations of our study is the inability to exclude the presence of a perfusion deficit, despite ruling out vascular occlusion, due to the lack of CT perfusion (CTP) imaging data. Future research may investigate CNNs by leveraging both CTA and CTP images from PCCT for improved performance.</p>","PeriodicalId":10391,"journal":{"name":"Clinical Neuroradiology","volume":" ","pages":"185-195"},"PeriodicalIF":2.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142709769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anatomical Flow Diversion by Hybrid Strategy for Intractable Large Cerebral Aneurysms.","authors":"Wataro Tsuruta, Takayuki Hara, Satoshi Miyamoto, Jun Isozaki, Daiichiro Ishigami, Hisayuki Hosoo, Yoshiro Ito, Mikito Hayakawa, Aiki Marushima, Yuji Matsumaru","doi":"10.1007/s00062-024-01452-w","DOIUrl":"10.1007/s00062-024-01452-w","url":null,"abstract":"<p><strong>Background and importance: </strong>Flow diverters (FDs) provide curative endovascular treatment for wide-necked sidewall aneurysms. The efficacy of FDs for bifurcation or branching sidewall aneurysms is probably limited. We used anatomical flow diversion (AFD) for intractable large cerebral aneurysms. We report our experiences with AFD.</p><p><strong>Methods: </strong>The concept of AFD is the transformation from the bifurcation or branching sidewall type to the nonbranching sidewall type. Linearization of the parent artery by stenting, intentional branch occlusion, and aneurysmal coil embolization were performed. Furthermore, bypass surgery is performed for patients intolerant to branch occlusions. We evaluated the clinical outcomes of intractable aneurysms treated with AFD.</p><p><strong>Results: </strong>AFD was performed in seven unruptured large aneurysms. Aneurysmal locations were the top of the basilar artery (BA), BA-superior cerebellar artery (SCA), internal carotid artery (IC)-posterior communicating artery (PcomA), and IC terminal. The mean dome diameter was 17.0 ± 4.6 mm. Six patients underwent bypass surgery. The occluded branches were the PCA + SCA, PcomA, and anterior cerebral artery (ACA) A1. An FD was used in three patients and a neck bridge stent in four patients. No intraprocedural complications occurred. Two postprocedural ischemic complications occurred in one patient. Six (86%) patients demonstrated a modified Rankin Scale (mRS) 0 at the 3-month follow-up, and one with an ischemic complication showed an mRS 5. Complete occlusion of all aneurysms was maintained with a median follow-up duration of 60 months.</p><p><strong>Conclusion: </strong>AFD is useful for intractable large cerebral aneurysms with high curability, although safety verification is required.</p>","PeriodicalId":10391,"journal":{"name":"Clinical Neuroradiology","volume":" ","pages":"59-66"},"PeriodicalIF":2.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142072162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Thrombectomy Outcomes for Anterior Circulation Stroke in the 6-24 h Time Window Solely Based On NCCT and CTA: A Single Center Study.","authors":"Dmytro Shchehlov, Stanislav Konotopchk, Valentyna Pankiv, Farida Rzayeva, Sergii Kolomiichenko, Mykola Vyval, Fabian Flottmann, Jens Fiehler, Anna A Kyselyova","doi":"10.1007/s00062-024-01462-8","DOIUrl":"10.1007/s00062-024-01462-8","url":null,"abstract":"<p><strong>Purpose: </strong>Since perfusion imaging may be unavailable in smaller hospitals, alternative imaging selection methods for acute ischemic stroke can improve outcomes and optimize resources. This study assessed the safety and effectiveness of using imaging criteria other than DEFUSE 3 and DAWN for thrombectomy beyond 6 h from symptom onset in patients stroke in the anterior circulation.</p><p><strong>Methods: </strong>This is a retrospective, single-center analysis of consecutive patients with large vessel occlusion in the anterior circulation undergoing thrombectomy. Patients were categorized into two groups based on the collateral status (moderate collaterals and good collaterals).</p><p><strong>Results: </strong>Among 198 patients, 106 (54%) met the inclusion criteria and were analyzed. Good collateral status was observed in 78 (74%) patients. Patients with good collaterals showed significantly lower mRS scores at discharge and at 90 days compared to their counterparts with moderate collateral status (4 (3-4) vs. 4 (4-5); p = 0.001 and 2 (0-4) vs. 6 (3-6); p < 0.001, respectively). More patients with good collateral status achieved favorable outcomes at 90 days compared to those with moderate status (48 (61.5%) vs. 5 (17.9%); p < 0.001). Good collaterals were an independent predictor of good clinical outcomes at 90 days (OR = 1.31, 95% CI: 1.13-1.53, p < 0.001).</p><p><strong>Conclusion: </strong>Selecting patients for endovascular treatment of acute ischemic stroke using non-contrast CT and CT angiography shows 90-day outcomes similar to the DAWN and DEFUSE-3 trials. Using collateral status on CT angiography can predict favorable outcomes after mechanical thrombectomy in resource-limited settings where perfusion imaging is unavailable.</p>","PeriodicalId":10391,"journal":{"name":"Clinical Neuroradiology","volume":" ","pages":"123-129"},"PeriodicalIF":2.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11832689/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142342856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of an Image-based Classification Model to Identify Glioma Subtypes Using Arterial Spin Labeling Perfusion MRI On the Publicly Available UCSF Glioma Dataset.","authors":"K Amador, H Kniep, J Fiehler, N D Forkert, T Lindner","doi":"10.1007/s00062-024-01465-5","DOIUrl":"10.1007/s00062-024-01465-5","url":null,"abstract":"<p><strong>Purpose: </strong>Glioma is a complex cancer comprising various subtypes and mutations, which may have different metabolic characteristics that can potentially be investigated and identified using perfusion imaging. Therefore, the aim of this work was to use radiomics and machine learning analysis of arterial spin labeling MRI data to automatically differentiate glioma subtypes and mutations.</p><p><strong>Methods: </strong>A total of 495 Arterial Spin Labeling (ASL) perfusion imaging datasets from the UCSF Glioma database were used in this study. These datasets were segmented to delineate the tumor volume and classified according to tumor grade, pathological diagnosis, and IDH status. Perfusion image data was obtained from a 3T MRI scanner using pseudo-continuous ASL. High level texture features were extracted for each ASL dataset using PyRadiomics after tumor volume segmentation and then analyzed using a machine learning framework consisting of ReliefF feature ranking and logistic model tree classification algorithms.</p><p><strong>Results: </strong>The results of the evaluation revealed balanced accuracies for the three endpoints ranging from 55.76% (SD = 4.28, 95% CI: 53.90-57.65) for the tumor grade using 25.4 ± 37.21 features, 62.53% (SD = 2.86, 95% CI: 61.27-63.78) for the mutation status with 23.3 ± 29.17 picked features, and 80.97% (SD = 1.83, 95% CI: 80.17-81.78) for the pathological diagnosis which used 47.3 ± 32.72 selected features.</p><p><strong>Conclusions: </strong>Radiomics and machine learning analysis of ASL perfusion data in glioma patients hold potential for aiding in the diagnosis and treatment of glioma, mainly for discerning glioblastoma from astrocytoma, while performance for tumor grading and mutation status appears limited.</p>","PeriodicalId":10391,"journal":{"name":"Clinical Neuroradiology","volume":" ","pages":"151-158"},"PeriodicalIF":2.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142459549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Measurement of Healthy Adult Brain Temperature Using ¹H Magnetic Resonance Spectroscopy Thermometry.","authors":"Yahong Tan, Wenjia Liu, Yanhua Li, Nan Zhang, Mingxiao Wang, Shuo Sun, Lin Ma","doi":"10.1007/s00062-024-01467-3","DOIUrl":"10.1007/s00062-024-01467-3","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study is to measure the brain temperature (T_br) by using ¹H magnetic resonance spectroscopy (¹H MRS) thermometry and investigate its age and gender differences in healthy adults. The brain temperature was further compared with the body temperature (T_bo) to investigate the possible existence of brain-body temperature gradient (∆T).</p><p><strong>Methods: </strong>A total of 80 subjects were included in this study. ¹H MRS data were collected on a 3.0T MR scanner using Point Resolved Selective Spectroscopy (PRESS) sequence. Voxels were positioned in the right frontal (RF) lobe and left frontal (LF) lobe, respectively. The temperature of each voxel was calculated by chemical shift difference (∆δ) between H₂O and NAA which was obtained by LCModel software. The average temperature of bilateral frontal lobe voxels was defined as T_br for each subject. The average forehead temperature was acquired before MR scanning, defined as T_bo, in this study. The difference between T_br and T_bo, denoted as the brain-body temperature gradient (∆T), was calculated. Age and gender characteristics of T_br, ∆T and T_bo were analyzed.</p><p><strong>Results: </strong>T_br (38.51 ± 0.59℃) was higher than T_bo (36.47 ± 0.26℃) (P < 0.05). Negative correlations were observed between T_br and age (r = -0.49, P < 0.05) and between ∆T and age (r = -0.44, P < 0.05), whereas no correlation existed between T_bo and age (r = -0.03, P = 0.79).</p><p><strong>Conclusion: </strong>Our observation demonstrated that the brain temperature, derived from ¹H MRS thermometry, is significantly higher than the body temperature, indicating the existence of a brain-body temperature gradient, and the brain temperature gradually decreases with age.</p>","PeriodicalId":10391,"journal":{"name":"Clinical Neuroradiology","volume":" ","pages":"159-164"},"PeriodicalIF":2.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11832680/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142544121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Susceptibility Vessel Sign and Intravenous Alteplase in Stroke Patients Treated with Thrombectomy : A Secondary Analysis of the SWIFT DIRECT Trial.","authors":"Morin Beyeler, Roman Rohner, Petra Ijäs, Omer F Eker, Christophe Cognard, Romain Bourcier, Igor Sibon, Margaux Lefebvre, Sébastien Richard, Arturo Consoli, Solène Moulin, Marielle Ernst, Marc Ribo, Charlotte Barbier, Omid Nikoubashman, David S Liebeskind, Martina B Goeldlin, Eike I Piechowiak, Lukas Bütikofer, Jan Gralla, Urs Fischer, Johannes Kaesmacher","doi":"10.1007/s00062-025-01501-y","DOIUrl":"https://doi.org/10.1007/s00062-025-01501-y","url":null,"abstract":"<p><strong>Background: </strong>The susceptibility vessel sign (SVS) on baseline MRI in acute ischemic stroke patients has been associated with better outcomes post-thrombectomy. This study aimed to investigate whether the presence of the SVS modifies the treatment effect of intravenous thrombolysis plus endovascular thrombectomy (IVT + EVT) versus thrombectomy alone (EVT alone).</p><p><strong>Methods: </strong>In this secondary analysis of the SWIFT DIRECT trial, comparing IVT + EVT versus EVT alone, treatment effect and its heterogeneity were assessed with rates of pre-interventional reperfusion (eTICI 2a-3) and successful post-interventional reperfusion (eTICI of 2b-3) according to the SVS status using adjusted multivariable logistic regression. Secondary objectives were to analyze whether the presence of SVS or its individual characteristics (location, length, width, overestimation ratio, two-layered sign) were associated with outcomes.</p><p><strong>Results: </strong>197 of the initial 408 trial participants were included in this secondary analysis, of which 52% received IVT + EVT. SVS was present in 92% of the participants (n = 181). There was no evidence for treatment effect heterogeneity regarding the post-interventional radiological and clinical effects of IVT + EVT versus EVT alone with strata of SVS. In SVS+ participants, IVT favored pre-interventional reperfusion (aOR 7.95, 95% CI 1.42-44.46), whereas in SVS-patients, it did not (P for interaction = 0.02). The individual SVS characteristics showed no significant associations with outcomes.</p><p><strong>Conclusion: </strong>Presence of SVS does not seem to modify the effect of IVT + EVT versus EVT alone. In SVS+ patients, IVT might improve pre-interventional reperfusion. There is insufficient evidence to recommend using SVS to inform IVT decisions prior to EVT.</p>","PeriodicalId":10391,"journal":{"name":"Clinical Neuroradiology","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143457040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}