Journal of Clinical Imaging Science最新文献

{"title":"Survival and clinical success of endovascular intervention in patients with Budd-Chiari syndrome: A systematic review.","authors":"Gauri Mukhiya,&nbsp;Dechao Jiao,&nbsp;Xinwei Han,&nbsp;Xueliang Zhou,&nbsp;Gaurab Pokhrel","doi":"10.25259/JCIS_130_2022","DOIUrl":"https://doi.org/10.25259/JCIS_130_2022","url":null,"abstract":"<p><p>Budd-Chiari syndrome is a complex clinical disorder of hepatic venous outflow obstruction, originating from the accessory hepatic vein (HV), large HV, and suprahepatic inferior vena cava (IVC). This disorder includes both HV and IVC obstructions and hepatopathy. This study aimed to conduct a systematic review of the survival rate and clinical success of different types of endovascular treatments for Budd-Chiari syndrome (BCS). All participant studies were retrieved from four databases and selected according to the eligibility criteria for systematic review of patients with BCS. The survival rate, clinical success of endovascular treatments in BCS, and survival rates at 1 and 5 years of publication year were calculated accordingly. A total of 3398 patients underwent an endovascular operation; among them, 93.6% showed clinical improvement after initial endovascular treatment. The median clinical success rates for recanalization, transjugular intrahepatic portosystemic shunt (TIPS), and combined procedures were 51%, 17.50%, and 52.50%, respectively. The median survival rates at 1 and 5 years were 51% and 51% for recanalization, 17.50% and 16% for TIPS, and 52.50% and 49.50% for combined treatment, respectively. Based on the year of publication, the median survival rates at 1 and 5 years were 23.50% and 22.50% before 2000, 41% and 41% in 2000‒2005, 35% and 35% in 2006‒2010, 51% and 48.50% in 2010‒2015, and 56% and 55.50% after 2015, respectively. Our findings indicate that the median survival rate at 1 and 5 years of recanalization treatment is higher than that of TIPS treatment, and recanalization provides better clinical improvement. The publication year findings strongly suggest progressive improvements in interventional endovascular therapy for BCS. Thus, interventional therapy restoring the physiologic hepatic venous outflow of the liver can be considered as the treatment of choice for patients with BCS which is a physiological modification procedure.</p>","PeriodicalId":15512,"journal":{"name":"Journal of Clinical Imaging Science","volume":"13 ","pages":"5"},"PeriodicalIF":0.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/dc/0d/JCIS-13-5.PMC9899460.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9243997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lemmel syndrome, a rare cause of obstructive jaundice by periampullary duodenal diverticulum: Case report and review of the literature.","authors":"Massupa Krisem,&nbsp;Pornrujee Hirunpat,&nbsp;Nuttapat Tungtrongchitr","doi":"10.25259/JCIS_9_2023","DOIUrl":"https://doi.org/10.25259/JCIS_9_2023","url":null,"abstract":"<p><p>Lemmel syndrome is a pancreaticoduodenal disease caused by compression of the mid or distal common bile duct by a periampullary diverticulum. This condition should be considered a rare complication of a duodenal diverticulum and an unusual cause of obstructive jaundice. Because of its infrequent occurrence and non-specific clinical presentation, Lemmel syndrome can mimic other conditions. We herein report the clinical and imaging findings (computed tomography, magnetic resonance imaging) of a patient who presented with intermittent abdominal pain and jaundice. Large air-filled outpouching lesions of the duodenum compressed the biliary duct, resulting in upstream biliary ductal dilatation that led to the diagnosis of Lemmel syndrome.</p>","PeriodicalId":15512,"journal":{"name":"Journal of Clinical Imaging Science","volume":"13 ","pages":"11"},"PeriodicalIF":0.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/80/4b/JCIS-13-11.PMC10159321.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9435998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A call to action; national survey of teaching radiology curriculum to medical students.","authors":"Scott Andrew Rohren,&nbsp;Serageldin Kamel,&nbsp;Zoha A Khan,&nbsp;Parth Patel,&nbsp;Sammar Ghannam,&nbsp;Akilan Gopal,&nbsp;Peggy H Hsieh,&nbsp;Khaled M Elsayes","doi":"10.25259/JCIS_36_2022","DOIUrl":"https://doi.org/10.25259/JCIS_36_2022","url":null,"abstract":"<p><strong>Objectives: </strong>Radiology and medical imaging are important yet often an underrepresented facet of medical education. Notably, there is concern among radiologists that students do not receive enough radiology exposure and that they struggle to interpret image findings on entering residency. Therefore, this survey aims to identify how medical students perceive the radiology curriculum and to determine gaps in delivery.</p><p><strong>Material and methods: </strong>Students were recruited from United States (US) medical schools and given a 21-question survey assessing their perception of the radiology curriculum as well as asking about their confidence levels regarding medical imaging. The inclusion criteria were age >18 and enrolled in US medical school. The surveys were completed in April-July 2020 by students across the US. Objective parameters were measured as percentage correct, while subjective parameters used a 4-point Likert scale.</p><p><strong>Results: </strong>A total of 472 medical students across 31 medical schools completed the surveys with a response rate of 69%. Responses represented all class years within medical schools and showed equal distribution among the future career plans. Students responded that didactic lectures were the most common teaching method and that radiologists were their primary teachers during preclinical education. Students were unfamiliar with the American College of Radiology appropriateness criteria with 65% responding they had never heard of it and 33% reporting that they have heard of it but never used it. In assessing students' perceptions of radiology education, 72% of students responded that they received too little, and 28% of students responded, \"Just right.\" <1% of students responded that there was \"Too much\" radiology in their curriculum.</p><p><strong>Conclusion: </strong>Radiologists are increasing their educational representation in medical school curricula. Despite this, radiology continues to be under-represented with students desiring more exposure to medical imaging. Integrating the student's perceptions with existing curricula suggests that efforts should focus on increasing awareness of which studies are appropriate and teaching students how to systematically interpret an image.</p>","PeriodicalId":15512,"journal":{"name":"Journal of Clinical Imaging Science","volume":" ","pages":"57"},"PeriodicalIF":0.9,"publicationDate":"2022-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/aa/ef/JCIS-12-57.PMC9610045.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40451752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tracheal bronchus and associated pathologies detected by multidetector-row computed tomography in the Vietnamese population.","authors":"Khanh Lam,&nbsp;Luong Van Hoang,&nbsp;Lam Viet Anh","doi":"10.25259/JCIS_40_2022","DOIUrl":"https://doi.org/10.25259/JCIS_40_2022","url":null,"abstract":"<p><p>Tracheal bronchus (TB) is a very rare condition, which is often associated with some other pathologies. This study was designed to characterize the morphology of tracheal bronchus and associated pathologies in Vietnamese individuals using multidetector-row computed tomography (MDCT). From August 2016 to February 2021, 16, 64-, and 128-detector-row computed tomography scanners were used to perform chest scans of 3663 patients, of whom 32 had tracheal bronchus and associated pathologies. The prevalence of tracheal bronchus was 0.9%, of which 0.6% were male and 0.3% were female. We found that one patient had bilateral tracheal bronchus (3.1%) and 31 patients (96.9%) had right-sided tracheal bronchus. Most patients (75.1%) had type II tracheal bronchus, whereas 15.6% and 6.2% had type III and type I tracheal bronchus, respectively. The average distance from the tracheal bronchus to the carina was 6.6 ± 6.4 mm. The average diameter of the tracheal bronchus was 4.4 ± 2.2 mm; the group with 2-4-mm tracheal bronchus accounted for the highest proportion (46.9%). Associated pathologies included congenital heart diseases (i.e., valvular heart disease, tetralogy of Fallot, cyanotic congenital heart disease-APSO, and aortic coarctation) (43.7%), stenosis of the bilateral pulmonary arteries (15.6%), absent left pulmonary artery (6.2%), stenosis of the right pulmonary artery (3.1%), anomalous pulmonary venous connection (3.1%), stenosis of the trachea (3.1%), stenosis of the left main bronchus (3.1%), bronchogenic cyst (3.1%), and bronchial atresia (3.1%), and the remaining 12.5% had no abnormalities. tracheal bronchus is a very rare abnormality among Vietnamese and is often accompanied by other pathologies. MDCT with a high spatial resolution and a good tissue contrast, along with contrast agent and appropriate scanning protocols, is efficient in detecting tracheal bronchus and associated pathologies.</p>","PeriodicalId":15512,"journal":{"name":"Journal of Clinical Imaging Science","volume":" ","pages":"56"},"PeriodicalIF":0.9,"publicationDate":"2022-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f1/aa/JCIS-12-56.PMC9609878.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40677860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Coil embolization of a complex renal artery aneurysm using a new scaffold (Comaneci) device - A case report.","authors":"Paige Ashley Hargis,&nbsp;Austin Fletcher,&nbsp;Ambarish Bhat","doi":"10.25259/JCIS_57_2022","DOIUrl":"https://doi.org/10.25259/JCIS_57_2022","url":null,"abstract":"<p><p>Advances in endovascular approaches have resulted in increasing utilization of minimally invasive techniques to treat visceral artery aneurysms including renal artery aneurysms (RAAs), with high rates of success. The basic endovascular approach to treating RAAs includes stent graft exclusion or coil embolization. Treatment of RAAs with wide necks or at the bifurcation of the main vessel is facilitated by scaffolding techniques, which have been previously described. These techniques have their limitations and cannot be used in all situations. We describe a scaffolding technique using the Comaneci device (Rapid Medical, Israel), a retrievable mesh device meant for intracranial treatment of wide neck or bifurcation aneurysms that we used to safely and successfully treat a 2 cm RAA.</p>","PeriodicalId":15512,"journal":{"name":"Journal of Clinical Imaging Science","volume":" ","pages":"55"},"PeriodicalIF":0.9,"publicationDate":"2022-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e2/24/JCIS-12-55.PMC9610415.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40677859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Groove pancreatitis: A unique case of focal pancreatitis.","authors":"Sejal Sanjeev Joshi,&nbsp;Avinash Dhok,&nbsp;Kajal Mitra,&nbsp;Prashant Onkar","doi":"10.25259/JCIS_69_2022","DOIUrl":"https://doi.org/10.25259/JCIS_69_2022","url":null,"abstract":"<p><p>Groove pancreatitis (GP) is an unusual form of chronic segmental pancreatitis that affects the \"pancreatic groove\" between the pancreatic head, the duodenum, and the common bile duct, also known as the groove area. Becker initially reported GP in 1973, and the term was given by Malde DJ <i>et al</i>. to define this unique type of segmental pancreatitis. Most physicians are still unfamiliar with an entity. Radiological diagnosis can be arduous since it can be difficult to distinguish it from other conditions affecting the prior mentioned groove area, such as pancreatic head cancer. It is a rare pancreatic condition with a difficult imaging diagnosis that can lead to treatment dilemmas. The hour needs to identify the infinitesimal differences between these two pathological entities, as their management and treatment differ significantly. Here, we present a case of GP in a 21-year-old man and discuss how this entity appears on ultrasonography and computed tomography.</p>","PeriodicalId":15512,"journal":{"name":"Journal of Clinical Imaging Science","volume":" ","pages":"54"},"PeriodicalIF":0.9,"publicationDate":"2022-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ce/dd/JCIS-12-54.PMC9610212.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40677861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Variation of Torg-Pavlov ratio with age, gender, vertebral level, dural sac area, and ethnicity in lumbar magnetic resonance imaging.","authors":"Hana' Qudsieh,&nbsp;Israa Al-Rawashdeh,&nbsp;Abdallah Daradkeh,&nbsp;Tareq Abualnadi,&nbsp;Basil Al Tah","doi":"10.25259/JCIS_67_2022","DOIUrl":"https://doi.org/10.25259/JCIS_67_2022","url":null,"abstract":"Objectives: The objectives of the study were to provide normal values of the Torg-Pavlov ratio (TPR) of the lumbar spine in magnetic resonance imaging (MRI) for the Jordanian population and examine differences observed according to factors including age, gender, lumbar level, dural sac area, or ethnic group. Material and Methods: Two hundred and eighteen lumbar MRIs from the Picture Archiving and Communication System were reviewed. These were collected from three main governmental hospitals, in North, Central, and South of Jordan. The mid-sagittal diameters of the vertebral body, spinal canal, and dural canal area were measured at all levels. Patients’ gender and age were documented as well. Exclusion criteria were kyphoscoliosis alignments disorders, lumbar spinal canal compression regardless of the cause, vertebral bony disease (including fractures), and the presence of technical artifacts. Statistical analyses used descriptive and correlational methods. Comparisons were made between genders, age groups, lumbar level, dural sac area in the study population using independent t-test and one-way ANOVA tests, and between ethnicities by reviewing previous reports on subjects of different ethnicities. Results: The mean TPR ratio for the study participants was 0.4502 ± 0.097. The value of TPR was widest in the 20–29-year-old group at all vertebral levels and in both males and females. Females had a significantly wider TPR than males (P = 0.003) in all age groups. TPR differed significantly between the five vertebral levels (P = 0.026). The difference in TPR between age groups was not statistically significant. TPR showed a positive significant correlation with dural sac (r = 0.203, P = 0.003). Comparison with the previous literature demonstrated variation in the TPR where Jordanian population had a lower TPR in comparison with Negros and Caucasoids whereas similar to Koreans, especially in females. Conclusion: There are significant differences in TPR according to gender, dural sac area, lumbar spinal level (except between L1 and L2), and ethnic group, but no significant difference with the age was found. The present study has identified normal values of Torg’s ratio in the Jordanian population. Although the study may not be able to provide clear guidelines for use in clinical practice, it has still highlighted possible between countries variations and has identified differences in these values to different factors. Implications on clinical practice could be reflected on the diagnosis of lumbar spinal stenosis or on predicting the prognosis of lumbar spine injury.","PeriodicalId":15512,"journal":{"name":"Journal of Clinical Imaging Science","volume":" ","pages":"53"},"PeriodicalIF":0.9,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/5a/77/JCIS-12-53.PMC9610521.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40677862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Iliocaval stenting for May-Thurner syndrome: Initial experience.","authors":"Matthew Ka Ki Law,&nbsp;Hoi Kevin Chin,&nbsp;Chi Yeung Chu,&nbsp;Yip Kan Kendrick Tang,&nbsp;Kam Wing Leung,&nbsp;Wai Kuen Kan","doi":"10.25259/JCIS_82_2022","DOIUrl":"https://doi.org/10.25259/JCIS_82_2022","url":null,"abstract":"<p><p>The aim of this report is to describe our experience in endovascular treatment of May-Thurner syndrome. We report three cases of iliocaval stenosis treated endovascularly at our institution. We included three patients age range from 41 to 85 years with two presenting with acute deep vein thrombosis and associated limb swelling and one with chronic lower limb symptoms. We reviewed the technical success, complications, and stent patency on follow-up, latter was monitored be serial imaging. The three cases of iliocaval stenosis were treated with endovascular stenting with follow-up imaging follow-up period ranged from 6 to 13 months (mean 5.6 months) with two out of the three cases maintaining stent patency. One case was complicated by intraprocedural reopening of previously venous bleed. Clinical symptoms resolved with no recurrence in two out of three cases. One case experienced symptomatic in-stent thrombosis following endovascular treatment. Endovascular treatment of iliocaval stenosis appears effective in immediate technical success. Periprocedural attention to anticoagulation and stent position are important in preventing in-stent restenosis.</p>","PeriodicalId":15512,"journal":{"name":"Journal of Clinical Imaging Science","volume":" ","pages":"52"},"PeriodicalIF":0.9,"publicationDate":"2022-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/4e/17/JCIS-12-52.PMC9479514.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40371167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hawkins sign of the knee: Imaging appearance and clinical implication of an unusual pattern of disuse osteopenia.","authors":"Nicholas C Adams,&nbsp;Robin L Alonge,&nbsp;Lance D Edmonds","doi":"10.25259/JCIS_33_2022","DOIUrl":"https://doi.org/10.25259/JCIS_33_2022","url":null,"abstract":"<p><p>Disuse osteopenia (DO) is a disorder due to reduced weight-bearing often following immobilization injuries. It is most commonly observed in the ankles and knees and is believed to be due primarily to increased bone reabsorption associated with disuse. Both traditional radiography and magnetic resonance (MR) imaging are useful in identifying abnormalities associated with DO. Specifically, linear subchondral osteopenia has been given the term \"Hawkins sign\" when seen in the talus, but this finding may also be seen elsewhere. When present, it not only is an indication of DO but also indicates the presence of sufficient vascular flow, and the unlikely development of avascular necrosis. We report a case of Hawkins sign of the knee demonstrated on radiography and MR and demonstrate the clinical importance of recognizing this sign, outside its usual setting, in assessing the prognosis of a healing fracture.</p>","PeriodicalId":15512,"journal":{"name":"Journal of Clinical Imaging Science","volume":" ","pages":"51"},"PeriodicalIF":0.9,"publicationDate":"2022-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d9/4d/JCIS-12-51.PMC9479503.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40371163","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Supralabyrinthine air cell is not present in superior semicircular canal dehiscence.","authors":"Alok A Bhatt,&nbsp;Larry B Lundy,&nbsp;Patricia A Rhyner","doi":"10.25259/JCIS_73_2022","DOIUrl":"https://doi.org/10.25259/JCIS_73_2022","url":null,"abstract":"<p><strong>Objectives: </strong>Superior semicircular canal dehiscence (SSCD) is defined as a defect in the bone overly the superior semicircular canal (SSC). The purpose of this study is to evaluate the pre-operative imaging examinations of patients who have undergone SSCD repair. We hypothesize that these patients will not have a supralabyrinthine air cell on the side of surgery.</p><p><strong>Material and methods: </strong>Our group retrospectively reviewed 50 consecutive pre-operative computed tomography (CT) temporal bone examinations who had confirmed SSCD on intraoperative examination and underwent repair for the presence of a supralabyrinthine air cell.</p><p><strong>Results: </strong>100% of patients who had confirmed SSCD on intraoperative examination had no supralabyrinthine air cell on pre-operative CT of the temporal bone.</p><p><strong>Conclusion: </strong>This study shows that a supralabyrinthine air cell is not present in SSCD. When a supralabyrinthine air cell is present, the roof of the SSC is intact. CT and magnetic resonance imaging (MRI) are often performed together to evaluate for SSCD and exclude other etiologies. We propose that if a supralabyrinthine air cell is seen on MRI, no CT is necessary, thus avoiding unnecessary radiation exposure and additional imaging costs to the patient.</p>","PeriodicalId":15512,"journal":{"name":"Journal of Clinical Imaging Science","volume":" ","pages":"50"},"PeriodicalIF":0.9,"publicationDate":"2022-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/da/83/JCIS-12-50.PMC9479531.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40371165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}