Journal of Clinical Ultrasound最新文献

{"title":"Ultrasound Features of Ossifying Renal Tumor of Infancy: A Report of Four Cases.","authors":"Lianzhe Wu, Liqun Jia, Yu Wang, Yanxiu Hu, Xiaoman Wang","doi":"10.1002/jcu.70433","DOIUrl":"https://doi.org/10.1002/jcu.70433","url":null,"abstract":"<p><p>Ossifying renal tumor of infancy (ORTI) is an extremely rare benign renal tumor that typically presents with painless gross hematuria in infants. We describe the ultrasound features of four pathologically confirmed cases. All lesions were well-defined, hyperechoic masses located near a renal pole, protruding into the collecting system while preserving the renal contour. Calcification with posterior acoustic shadowing was present in every case. In the two cases with stored color Doppler images, internal signals were sparse. Recognition of this sonographic pattern may raise suspicion for ORTI and contribute to the preoperative differential diagnosis.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149182192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction to \"Application Value of Myocardial Segmental Thickness Variability Measured by Echocardiography in Distinguishing Ischemic and Nonischemic Dilated Cardiomyopathy\".","authors":"","doi":"10.1002/jcu.70428","DOIUrl":"https://doi.org/10.1002/jcu.70428","url":null,"abstract":"","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149182170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Review of Ultrasound Diagnosis of Ichthyosis in Fetuses.","authors":"Min Zhang, Zhulan Huang","doi":"10.1002/jcu.70410","DOIUrl":"https://doi.org/10.1002/jcu.70410","url":null,"abstract":"<p><p>Congenital ichthyoses are inherited disorders in which the outer layer of the skin forms abnormally. Prenatal ultrasound can show a recognizable pattern in some affected fetuses, but most published evidence comes from case reports and small case series. This narrative review summarizes sonographic findings that have been reported, when they became visible, and how they should be interpreted in clinical practice. The strongest imaging literature concerns harlequin ichthyosis. Reported findings include ectropion, eclabium or persistent mouth opening, a flattened nasal contour, fixed flexion of the hands or feet, an abnormal skin surface, echogenic amniotic fluid, and polyhydramnios. However, these findings are not specific and may appear only in the second half of pregnancy. Therefore, an earlier normal scan does not exclude disease. Evidence for other congenital ichthyoses is more limited. A genotype-confirmed TGM1-related case showed facial findings similar to harlequin ichthyosis, whereas ichthyosis prematurity syndrome has a late-gestation pattern described in a small series. By contrast, X-linked ichthyosis is more often suspected from maternal serum or genetic findings than from a structural fetal ultrasound pattern. Three-dimensional ultrasound can improve display of surface anatomy when two-dimensional findings are suspicious, but its diagnostic accuracy has not been established. Fetal magnetic resonance imaging has only an adjunctive role. Overall, ultrasound is best used to recognize a phenotype, guide further assessment, and prompt genetic testing rather than to provide a stand-alone molecular diagnosis.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149182187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Machine Learning Model Based on Ultrasound and Serological Markers for Predicting Postoperative Stenosis of Rex Shunt Procedure in Children With Extrahepatic Portal Venous Obstruction.","authors":"Xiangxiang Zhang, Haiyu Wang, Boyang Yang, Biqin Fu, Hongying Wang, Mingle Huang","doi":"10.1002/jcu.70440","DOIUrl":"https://doi.org/10.1002/jcu.70440","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the value of combining ultrasound parameters with serological markers for predicting postoperative Rex shunt stenosis in children with extrahepatic portal venous obstruction (EHPVO).</p><p><strong>Methods: </strong>The training cohort and temporal validation cohort consisted of 114 and 38 children with EHPVO after Rex shunt procedure, respectively. The study variables included clinical characteristics, ultrasound parameters, and serological markers. Five machine learning models were developed to predict postoperative stenosis after the Rex shunt procedure at different follow-up periods, with performance evaluated using the area under the receiver operating characteristic curve (AUROC).</p><p><strong>Results: </strong>In the temporal validation cohort, the optimal Logistic regression model integrating ultrasound parameters and serological markers achieved AUROCs of 0.61 (95% CI: 0.38-0.84) at 1 month, 0.67 (95% CI: 0.45-0.90) at 3 months, and 0.82 (95% CI: 0.67-0.98) at 6 months for predicting stenosis.</p><p><strong>Conclusions: </strong>A model combining serological markers and ultrasound parameters serves as a promising exploratory prototype for predicting Rex shunt stenosis in children with EHPVO, pending further independent multicenter validation.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149182036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical and Sonographic Features of Neonatal Ovarian Cysts With Autoamputation.","authors":"Fang Yuanlong, Ayşe Parlak, Chen Dan, Du Rui, Zhang Yan, Ge Wuping, Xiao Shangjie","doi":"10.1002/jcu.70389","DOIUrl":"https://doi.org/10.1002/jcu.70389","url":null,"abstract":"<p><strong>Purpose: </strong>Autoamputation is a rare but severe complication of neonatal ovarian cysts. This case series describes the clinical, sonographic, and pathological characteristics of neonatal ovarian cysts that progressed to autoamputation, compared with those that did not, based on a retrospective review of 19 cysts. We aim to help clinicians suspect autoamputation when managing complex neonatal ovarian cysts.</p><p><strong>Methods: </strong>Medical records of 18 neonates (19 ovarian cysts) treated at two medical centers between January 2012 and December 2023 were reviewed. All cysts appeared complex on postnatal ultrasonography. We documented prenatal and postnatal sonographic features (cyst size, solid components, septations, fluid-debris levels, calcification), timing of examinations, intraoperative findings (adhesions, autoamputation), and pathology results. Descriptive statistics and exploratory comparisons between autoamputation (n = 9 cysts) and non-autoamputation (n = 10 cysts) groups were performed, without claims of predictive modeling.</p><p><strong>Results: </strong>Of the 19 complex ovarian cysts, 9 (47.3%) were confirmed autoamputated at surgery. The autoamputation group showed a longer median interval from first complex features to surgery (68 vs. 21.5 days) and an older age at last postnatal ultrasound (11 vs. 1 days). Intra-abdominal adhesions were observed in 66.7% of autoamputation cases versus 10% of non-autoamputation cases. Follicles were absent in all autoamputated cysts on pathology but present in 90% of non-autoamputated cysts. Sonographic findings evolved over time: fluid-debris levels became the predominant feature with increasing duration, while calcification appeared late (22.2% in the autoamputation group).</p><p><strong>Conclusion: </strong>Autoamputation of neonatal ovarian cysts was associated with a longer interval from first complex features to surgery, absence of follicles on pathology, and frequent intra-abdominal adhesions. Sonographic features evolved over time, with fluid-debris levels becoming common and calcification appearing late but with poor sonographic sensitivity. These observations may help clinicians better understand the evolution of complex neonatal ovarian cysts associated with autoamputation; however, the diagnostic and predictive value of these findings requires further validation.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149170171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Altered Fetal Adrenal Gland Morphometry and Middle Adrenal Artery Doppler in Pregnancies With Rheumatoid Arthritis and Ankylosing Spondylitis: A Prospective Case-Control Study.","authors":"Deniz Oluklu, Dilek Sahin","doi":"10.1002/jcu.70431","DOIUrl":"https://doi.org/10.1002/jcu.70431","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate fetal adrenal gland (FAG) dimensions and middle adrenal artery (MAA) Doppler parameters in pregnancies complicated by rheumatoid arthritis (RA) and ankylosing spondylitis (AS), collectively termed inflammatory arthritis (IA), compared with healthy controls.</p><p><strong>Methods: </strong>This study enrolled 46 singleton pregnancies complicated by IA (22 RA, 24 AS) and 92 healthy controls. FAG dimensions (total adrenal gland [TAG] length, width, height; fetal zone [FZ] length, width, height) were measured in transverse and coronal planes. MAA pulsatility index (PI), peak systolic velocity (PSV), end-diastolic velocity (EDV), and time-averaged maximum velocity (TAmax) were recorded by pulsed-wave Doppler.</p><p><strong>Results: </strong>Compared with controls, the IAgroup had significantly lower MAA-PI, higher MAA-PSV, and higher MAA-EDV. TAG height, FZ length, and FZ width were all significantly larger in IA. In subgroup analysis, FZ width was larger in RA than in AS. MAA-PI was significantly lower than controls in both RA and AS.</p><p><strong>Conclusion: </strong>Pregnancies with RA or AS demonstrate increased FZ dimensions and altered MAA Doppler parameters, consistent with fetal adrenal adaptation to maternal inflammatory conditions. FZ width and MAA-PI showed the most consistent between-group differences; however, their clinical significance and utility remain to be established.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149127642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"First Prenatal Report of Ververi-Brady Syndrome: From Fetal Clues to Genetic Truth!","authors":"Ishita Agarwal, Kriti Menon, Divya Agarwal, Akshatha Prabhu, Vartika Mohan, Anita Kaul","doi":"10.1002/jcu.70427","DOIUrl":"https://doi.org/10.1002/jcu.70427","url":null,"abstract":"<p><strong>Background: </strong>Exome sequencing in fetal increased nuchal translucency is still debated upon- however it is able to detect rare disease causing genetic mutations especially those that are associated with neurodevelopmental delay. Mutations in neurodevelopmental genes are the main actionable genetic variations during prenatal testing, as they lead to significant lifelong disability and are not treatable. Ververi-Brady syndrome (VEBRAS) is a recently described neurodevelopmental syndrome with associated facial dysmorphology, first reported in 2018.</p><p><strong>Case: </strong>A 34-year-old primigravida at 12 weeks' gestation had fetal nuchal translucency measuring between the 95th to 99th centile with a low combined risk for the common aneuploidies. Early anomaly scan at 17 + 4 weeks showed resolving nuchal fold thickness, but with suboptimal fetal growth (12th centile) and echogenic bowel. An amniocentesis was performed and the Whole exome Sequencing revealed a mutation in Exon 3 of QRICH1 gene, associated with VEBRAS. A review scan at 23 weeks showed suboptimal fetal growth (5th centile), echogenic bowel, facial dysmorphism and delayed sulcations. Parental genetic testing was suggestive of a de novo mutation in the fetus.</p><p><strong>Conclusion: </strong>High throughput genome wide tests like Exome sequencing may detect non-specific genetic variations but when used judiciously at a specialist fetal medicine and genetic center, it is an excellent technology for detection and prevention of rare untreatable genetic conditions. Exome sequencing can facilitate prenatal diagnosis of rare genetic disorders such as VEBRAS; however, counseling remains challenging because the degree of neurodevelopmental involvement cannot be accurately predicted from prenatal findings alone.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149127687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ultrasonic Suggestive Findings of Complex Congenital Heart Diseases in Highly Selected High-Risk Fetuses During Mid-First Trimester: A Summary of Six Cases.","authors":"Shuihua Yang, Yinbei Qin, Longbin Yang, Mengfeng Liang, Guican Qin, Ang Tang","doi":"10.1002/jcu.70429","DOIUrl":"https://doi.org/10.1002/jcu.70429","url":null,"abstract":"<p><strong>Objective: </strong>To explore whether ultrasound can identify findings suggestive of fetal complex congenital heart disease in highly selected high-risk fetuses during the mid-first trimester.</p><p><strong>Methods: </strong>A retrospective analysis was conducted on 23 highly selected high-risk fetuses who related to CHD that underwent ultrasound examinations in our department between March 2015 and March 2025. Standardized scanning included mid-sagittal view, transverse views of the head, upper limbs, abdomen, lower limbs, thorax, and cardiac were obtained. A transverse scan of the cardiac was performed to obtain the color Doppler and/or gray scale four-chamber view and three-vessel-and-trachea view. Among them, six cases suspected of CHD were selected as the research objects. Ultrasound soft markers and abnormalities were recorded, and follow-up was performed with 11-14 gestational weeks recheck ultrasound, chromosomal analysis, and pathological anatomy.</p><p><strong>Results: </strong>Ultrasound soft markers were identified in six cases. Among them, nuchal translucency thickening was observed in five cases, and severe atrioventricular valve regurgitation was detected in four cases. Extracardiac abnormalities were diagnosed in five cases, including two cases of hydrops fetalis, one case each of conjoined twins, bilateral hook-shaped hands, and hydrops fetalis complicated by gastroschisis. Three cases of functional single ventricle, one case of hypoplastic left heart, one case of complete atrioventricular septal defect, and one case of aortic arch malformation were suspected. Chromosomal abnormalities were present in four cases.</p><p><strong>Conclusion: </strong>In highly selected high-risk fetuses, earlier fetal echocardiographic scanning may help identify findings suggestive of complex congenital heart disease during the mid-first trimester.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149127645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diagnostic Performance of Saline/Gel Sonovaginography in Assessment of Deep Infiltrating Endometriosis at Posterior Compartments; A Systematic Review and Meta-Analysis","authors":"Fatemeh Shakki Katouli,&nbsp;Masoumeh Sarvari,&nbsp;Sara Torabi,&nbsp;Narges Azizi,&nbsp;Fahimeh Azizinik,&nbsp;Mohammadreza Tahamtan,&nbsp;Maziar Daneshvar,&nbsp;Amene Abiri,&nbsp;Mahshad Afsharzadeh","doi":"10.1002/jcu.70311","DOIUrl":"10.1002/jcu.70311","url":null,"abstract":"<div>\u0000 \u0000 <p>Sonovaginography (SVG) is a specialized ultrasound technique for evaluating certain locations of deep endometriosis (DE) in the posterior compartments. In this study, we assessed the diagnostic accuracy of saline/gel SVG in the detection of DE lesions at the rectovaginal septum (RVS) and rectosigmoid (RS). A systematic search of PubMed, Embase, and Scopus yielded 10 eligible studies with a total of 1221 patients. For gel-SVG, meta-analysis was performed and sensitivity, specificity, and diagnostic odd ratio (DOR) were calculated using a random-effects model and bivariate binomial model (95% confidence interval). To assess study quality and risk of bias, the QUADAS-2 tool was used. Based on our results, the meta-analysis on Gel-SVG studies showed for RVS a pooled specificity of 99% (94%–100%), sensitivity of 82% (44%–96%), and DOR of 274 (95.87–786.51); For RS lesions of six studies, the overall specificity, sensitivity, and DOR were 96% (93%–97%), 87% (81%–92%), and 118.79 (41.68–338.52), respectively. For vaginal fornices, pooled data from five studies showed perfect specificity of 99% (98%–100%), with a moderate sensitivity of 65% (33%–88%). Eventually, Uterosacral ligament (USL) lesions had the least DOR ratio at 31.45 (15.79–62.63), with a specificity of 97% (91%–99%) and sensitivity of 55% (31%–76%). SVG, as a low-cost, widely available, non-invasive technique, yields high diagnostic accuracy in detecting the posterior compartment DE lesions, particularly RVS and RS lesions, enhancing the accuracy of DE mapping and supporting the treatment planning.</p>\u0000 </div>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":"54 8","pages":"1995-2006"},"PeriodicalIF":1.3,"publicationDate":"2026-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148329891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical and Ultrasound Features of Ovarian Sertoli–Leydig Cell Tumors: A Case Series and Literature Review","authors":"J. Wang,&nbsp;Q. Ren,&nbsp;J. Zou,&nbsp;H. Luo","doi":"10.1002/jcu.70281","DOIUrl":"10.1002/jcu.70281","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Aimed to characterize the clinical and ultrasound characteristics of ovarian Sertoli–Leydig cell tumors (SLCTs) with standardized terminology.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A retrospective analysis was conducted on individuals diagnosed with ovarian SLCTs at West China Second University Hospital between January 2015 and January 2025, and confirmed by pathology and immunohistochemistry. The International Ovarian Tumor Analysis (IOTA) terminology was employed to systematically describe the sonographic features of ovarian SLCTs. The study compiled the clinical and sonographic characteristics of ovarian SLCTs, drawing from cases at WCSUH-SCU and a literature review performed utilizing PubMed from January 1, 1995, to July 31, 2025.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Seventeen subjects, aged 12–77 (median, 32) years, were encompassed in the cohort. Three subjects had well-differentiated tumors, eight had moderately differentiated tumors, and six had poorly differentiated tumors. Fourteen subjects presented with endocrine symptoms. Eleven subjects with well- or moderately-differentiated SLCTs underwent unilateral salpingo-oophorectomy or ovarian tumor resection. Ultrasound examinations revealed that most lesions were regularly round or ovoid (82.4%), had regular margins (94.1%), had uniform echogenicity (58.8%), and were hypoechogenic (88.2%). Most lesions displayed moderate to abundant vascularity (color score of 3–4, 76.5%). A literature retrieval yielded 14 articles reporting the ultrasonographic features of 44 ovarian SLCT cases with characteristics comparable to those in the present cohort.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The ultrasonographic features of ovarian SLCTs include hypoechoic masses with homogeneous or heterogeneous echogenicity, often containing cystic components within the lesions. Scattered vascular distribution is observed within the tumor, with circumferential vascular patterns in some cases, and these lesions are frequently accompanied by endocrine symptoms.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":"54 8","pages":"1842-1853"},"PeriodicalIF":1.3,"publicationDate":"2026-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148042370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}