Journal of endourology最新文献

{"title":"Pediatric Robotic Assisted Laparoscopic Pyeloplasty.","authors":"Meghan F Davis, Arun K Srinivasan, Sameer Mittal, Aseem R Shukla","doi":"10.1089/end.2024.0399","DOIUrl":"10.1089/end.2024.0399","url":null,"abstract":"<p><p>Ureteropelvic junction obstruction (UPJO) is a common cause of hydronephrosis in the pediatric population. Management with an open dismembered pyeloplasty was first described by Anderson-Hynes in 1949; minimally invasive approaches have been increasingly utilized. In the subsequent text and accompanying video, we review the technique for dismembered robotic assisted laparoscopic pyeloplasty in the pediatric population. Large retrospective series demonstrate an over 90% success rate for robotic assisted laparoscopic pyeloplasty. Given success and complication rates are similar to an open approach, utilization of this approach will likely continue to increase.</p>","PeriodicalId":15723,"journal":{"name":"Journal of endourology","volume":"39 S1","pages":"S60-S65"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143657434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Robotic Multiport Buccal Mucosa Graft Ureteroplasty: Tips and Tricks.","authors":"Brian W Chao, Matthew Lee, Daniel D Eun","doi":"10.1089/end.2024.0342","DOIUrl":"10.1089/end.2024.0342","url":null,"abstract":"<p><p>Robotic buccal mucosa graft ureteroplasty (RU-BMG) has become a cornerstone in the armamentarium of robotic ureteral reconstruction. Previously, long-segment strictures of the proximal and mid-ureter were relegated to aggressive reconstructive options such as ileal ureter substitution and renal autotransplantation. RU-BMG has emerged as an option for repair with comparatively minimal morbidity and excellent success rates. We herein present a detailed description of our pre- and postoperative considerations, operative techniques, and tips and tricks. The accompanying video provides multiple examples of intraoperative decision-making and technical nuances to maximize efficiency and efficacy.</p>","PeriodicalId":15723,"journal":{"name":"Journal of endourology","volume":"39 S1","pages":"S52-S59"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143657438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Role of Tumor Volume Ratio in Predicting Clinically Significant Prostate Cancer on Transperineal Biopsy.","authors":"Pier Paolo Avolio, Toufic Hassan, Abdulmalik Addar, Hend Alshamsi, Victor McPherson, Nicolò Maria Buffi, Giovanni Lughezzani, Oleg Loutochin, Alexis Rompré-Brodeur, Maurice Anidjar, Rafael Sanchez-Salas","doi":"10.1089/end.2024.0428.fts24","DOIUrl":"10.1089/end.2024.0428.fts24","url":null,"abstract":"<p><p><b><i>Objectives:</i></b> Multiparametric magnetic resonance imaging (mpMRI) has made dramatic inroads into the management of localized prostate cancer (PCa); however, not all suspicious lesions represent clinically significant (cs) PCa. We aimed to analyze the hypothetical effect of incorporating tumor volume ratio (TVR) into prostate biopsy (PBx) decision-making. <b><i>Materials and Methods:</i></b> Two hundred and fifty-two patients with suspicious lesions at mpMRI undergoing transperineal PBx under local anesthesia between 2019 and 2022 were retrospectively evaluated. TVR was calculated by dividing the tumor volume by the prostate volume. A regression model was used to assess predictors of csPCa. Descriptive statistics were applied to evaluate the effect of including TVR in PBx decision-making. <b><i>Results:</i></b> Overall, 119 patients (47%) were found to have csPCa. Age (<i>p</i> < 0.001), prior negative PBx (<i>p</i> = 0.011), and TVR (<i>p</i> < 0.001) were found to be independent predictors of csPCa. Applying the TVR cutoff of 0.23, a total of 117/252 (46%) PBx would have been avoided at the cost of missing csPCa in 26 (10%) men. <b><i>Conclusions:</i></b> Age, previous biopsy status, and TVR were found to be independent predictors of csPCa in men with suspicious lesions at mpMRI. Implementation of TVR into PBx decision-making improves the accuracy of mpMRI. Future studies are required to validate our findings and evaluate the role of TVR in avoiding unnecessary PBx.</p>","PeriodicalId":15723,"journal":{"name":"Journal of endourology","volume":" ","pages":"S47-S53"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142716366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is New Always Better? Comparing the Piranha^© and Multicut^© Morcellators During Endoscopic Enucleation of the Prostate: A Prospective Randomized Trial.","authors":"Ivan Schwartzmann, Pedro Hernandez-Peñalver, Alba Farré Alejo, Paula Izquierdo Gonzalez, Laura Mas Grillo, Maria Montlleó, Enver Moncada Castro, Pietro Diana, Alberto Breda, Joan Palou, Javier Ponce de Leon Roca","doi":"10.1089/end.2024.0581","DOIUrl":"10.1089/end.2024.0581","url":null,"abstract":"<p><p><b><i>Introduction:</i></b> The main objective of the study was to demonstrate the noninferiority of the morcellation efficiency (ME) of the Multicut^© morcellator compared with the Piranha^© morcellator following anatomical endoscopic enucleation of the prostate (AEEP). <b><i>Patients and Methods</i></b>: The present study is a prospective, randomized, controlled, and single-center trial. Patients with an indication for obstructive prostate surgery via AEEP were prospectively included in the study. To assess ME, the time in minutes required for morcellation was recorded and divided by the weight in grams of morcellated prostatic tissue obtained from the pathology report. A comparative analysis of ME was also performed between cases with >60 g and <60 g of morcellated tissue. <b><i>Results:</i></b> A total of 137 patients were included, 68 in the Multicut group and 69 in the Piranha group. The average ME was higher in the Piranha group, with 9.33 g/minute compared with 7.34 g/minute in the Multicut group (<i>p</i> = 0.012). When analyzing cases with ≤60 g of morcellated tissue, the MEs were 7.32 g/minute for Multicut and 11.31 g/minute for Piranha (<i>p</i> = 0.004). For cases with >60 g of tissue, the efficiencies were 7.4 g/minute and 8.0 g/minute (<i>p</i> = 0.220), respectively. The incidence of beach balls was slightly higher in the Multicut group than in the Piranha group, 14.7% vs 7.2% (<i>p</i> = 0.261). We observed a 4.4% and 0% incidence of bladder mucosa injury with the Multicut and Piranha, respectively. <b><i>Conclusions:</i></b> In terms of ME, the Multicut is inferior to the Piranha. This difference appears to be more pronounced in smaller prostates. It seems that the Piranha might experience more malfunctions, whereas the Multicut might be associated with more bladder injuries and might require more auxiliary procedures to complete the retrieval of the prostatic tissue.</p>","PeriodicalId":15723,"journal":{"name":"Journal of endourology","volume":" ","pages":"292-297"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143389945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"MONARCH™ Robotic-Assisted Combined Mini-Percutaneous Nephrolithotomy and Flexible Ureteroscopic Lithotripsy: A Step-By-Step Guide.","authors":"Andrei D Cumpanas, Mihir Desai, Jaime Landman","doi":"10.1089/end.2024.0304","DOIUrl":"10.1089/end.2024.0304","url":null,"abstract":"<p><p>The following video atlas summary comprehensively reviews all technical aspects of the standardized set-up, patient positioning, electromagnetic-guided renal access, integrated irrigation-aspiration system use, and robotic lithotripsy of the novel MONARCH^TM (Johnson & Johnson MedTech, Redwood City, CA) combined mini-percutaneous nephrolithotomy and flexible ureteroscopy platform.</p>","PeriodicalId":15723,"journal":{"name":"Journal of endourology","volume":"39 S1","pages":"S18-S22"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143657383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Single-Port and Multi-Port Robotic Donor Nephrectomy.","authors":"Chih Peng Chin, Micah Levy, Modassar Awan, Michael Palese","doi":"10.1089/end.2024.0421","DOIUrl":"10.1089/end.2024.0421","url":null,"abstract":"<p><p>Robotic donor nephrectomy (RDN) has been shown to be a safe and effective method for living donor nephrectomy. RDN can utilize both a multi-port (MP) and a single-port (SP) approach, which share many similarities but differ in certain aspects of the preoperative and intraoperative approach. These differences and the findings of studies reporting clinical outcomes of both the MP and SP approaches are discussed in the following video and written article. In this article, we describe the indications, preoperative preparations, and postoperative care plans for RDN at our institution as well as some of the major differences in the equipment, patient positioning, and port placements for the MP <i>vs</i> SP approaches. We then detail the 12-step surgical technique for both the MP and SP, indicating major differences in how the surgical approach can impact intraoperative measures. Finally, we summarize our recent findings on the clinical success of the MP and SP approaches as compared with laparoscopic approaches and between the MP and SP techniques. Together, our clinical and research experiences have shown that both the MP and SP are safe, feasible, and effective options for living donor nephrectomy. When compared with the laparoscopic technique and when comparing the MP with the SP approaches, they both offer comparable graft outcomes. From our clinical experience, certain aspects of the SP approach may offer advantages during specific steps of the procedure. Future randomized prospective clinical trials are necessary to confirm the findings of our clinical and research experiences and to continue to identify possible benefits or drawbacks of the SP and MP RDN.</p>","PeriodicalId":15723,"journal":{"name":"Journal of endourology","volume":"39 S1","pages":"S66-S71"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143657444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Navigating Focal Therapy for Prostate Cancer: Contemporary Perspectives and Future Trajectories in the Canadian Context.","authors":"Charles Hesswani, Pier-Paolo Avolio, Alexis Rompre-Brodeur, Sangeet Ghai, Maurice Anidjar, Adam Kinnaird, Joseph Chin, Nathan Perlis, Mostapha Soytas, Miles Mannas, Ardalanejaz Ahmad, Lawrence Klotz, Simon Tanguay, Wassim Kassouf, Victor McPherson, Armen Aprikian, Peter Pinto, Rafael Sanchez-Salas","doi":"10.1089/end.2024.0619","DOIUrl":"10.1089/end.2024.0619","url":null,"abstract":"<p><p><b><i>Objective:</i></b> This article equips Canadian urologists with the latest advancements in focal therapy (FT) principles and outcomes while providing an overview of its current landscape in Canada, including challenges and future directions. <b><i>Methods:</i></b> We conducted a nonsystematic review of the literature on FT in urology and prostate cancer (PCa), focusing on Canadian-led studies. Articles were identified using PubMed, MEDLINE, and Google Scholar and selected based on relevance and originality. The final search was completed in April 2024. A survey was also conducted among Canadian urologists and radiologists practicing FT. It covered their experiences, access to technology, implementation challenges, and reimbursement policies. Data were collected via video calls, phone calls, or email, and responses were reported anonymously. <b><i>Results:</i></b> Fourteen Canadian urologists and radiologists performing FT were contacted, and 12 participated in this study. Despite the increasing adoption of FT by Canadian urologists, nationwide implementation remains limited due to financial constraints and resource shortages. This has restricted the availability of FT for Canadian men with PCa compared with their American and European counterparts. Only two provinces-Saskatchewan and Alberta-currently have billing codes for FT, forcing patients elsewhere to either join clinical trials or pay out of pocket. To close this care gap, equitable health care coverage and integration of FT into standard treatment options are essential. <b><i>Conclusion:</i></b> The quality of research in FT is showing promising improvements, with several clinical trials currently underway that may pave the way for broader acceptance within clinical guidelines by multiple urological societies. Although Canada has been slower to adopt FT compared with other parts of the world, Canadian urologists continue to advocate for provincial health care coverage to ensure that this innovative technology becomes accessible to Canadian patients.</p>","PeriodicalId":15723,"journal":{"name":"Journal of endourology","volume":" ","pages":"S29-S37"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11971556/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142750963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association Between Renal Pelvis Urine Density and the Risk of Infectious Complications after Retrograde Intrarenal Surgery.","authors":"Ufuk Caglar, Caglar Dizdaroglu, Resit Yusuf, Ufuk Can Aksu, Ali Ayranci, Omer Sarilar, Faruk Ozgor","doi":"10.1089/end.2024.0578","DOIUrl":"10.1089/end.2024.0578","url":null,"abstract":"<p><p><b><i>Introduction:</i></b> Renal pelvis urine density (RPUD), as measured by computed tomography (CT), may serve as an effective predictor for pyonephrosis. Our objective was to evaluate the correlation between the likelihood of developing infectious complications post-retrograde intrarenal surgery (RIRS) and RPUD measurements obtained from preoperative CT scans. <b><i>Materials and Methods:</i></b> We retrospectively reviewed data from patients who underwent RIRS for kidney stone treatment at a tertiary care facility between June 2017 and June 2024, using the hospital's database. The patients were divided into two groups based on the development of postoperative infective complications. The groups were compared in terms of preoperative (demographic data, stone characteristic, and RPUD) and operation data. RPUD was measured by creating an ellipse much as possible area encompassing the renal pelvis on the treated side area encompassing the renal pelvis on the treated side, and the average Hounsfield unit (HU) value was recorded. <b><i>Results:</i></b> Postoperative infection developed in 31 of 588 patients (5.3%). The median RPUD value was 15 in the infective group and 8 in the noninfective group, with a statistically significant difference between the groups (<i>p</i> = 0.001). Body mass index, stone burden, stone density, and RPUD were associated with postoperative infection in the multivariate analysis (<i>p</i> = 0.001, <i>p</i> = 0.008, <i>p</i> = 0.007, and <i>p</i> = 0.001, respectively). Each unit increase in RPUD increased the risk of postoperative infection 1.107-fold. The receiver operating characteristic (ROC) analysis demonstrated a significant relationship between RPUD value and the risk of postoperative infection, with an area under the curve of 0.742 (<i>p</i> = 0.001). When the RPUD cut-off value was accepted as 14, sensitivity was 0.613 and specificity was 0.779. <b><i>Conclusion:</i></b> This study showed a significant association between HU values in RPUD and the risk of infectious complications following RIRS. This finding suggests that incorporating urine HU values from CT images into preoperative risk assessment could be crucial for infection prevention and management.</p>","PeriodicalId":15723,"journal":{"name":"Journal of endourology","volume":" ","pages":"231-236"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143255788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Does Deep Learning Reconstruction Improve Ureteral Stone Detection and Subjective Image Quality in the CT Images of Patients with Metal Hardware?","authors":"Ruben Crew, Jason Smith, Mohammad Kassir, Ala'a Farkouh, Kai Wen Cheng, Bertha Escobar-Poni, Jun Ho Chung, Uy Lae Kim, Jammie-Lyn Quines, Grant Sajdak, Katya Hanessian, Sikai Song, Akin S Amasyali, Zhamshid Okhunov, Udochukwo Oyoyo, D Daniel Baldwin, Kerby Oberg, D Duane Baldwin","doi":"10.1089/end.2024.0666","DOIUrl":"10.1089/end.2024.0666","url":null,"abstract":"<p><p><b><i>Introduction:</i></b> Diagnosing ureteral stones with low-dose CT in patients with metal hardware can be challenging because of image noise. The purpose of this study was to compare ureteral stone detection and image quality of low-dose and conventional CT scans with and without deep learning reconstruction (DLR) and metal artifact reduction (MAR) in the presence of metal hip prostheses. <b><i>Methods:</i></b> Ten urinary system combinations with 4 to 6 mm ureteral stones were implanted into a cadaver with bilateral hip prostheses. Each set was scanned under two different radiation doses (conventional dose [CD] = 115 mAs and ultra-low dose [ULD] = 6.0 mAs). Two scans were obtained for each dose as follows: one with and another without DLR and MAR. Two blinded radiologists ranked each image in terms of artifact, image noise, image sharpness, overall quality, and diagnostic confidence. Stone detection accuracy at each setting was calculated. <b><i>Results:</i></b> ULD with DLR and MAR improved subjective image quality in all five domains (<i>p</i> < 0.05) compared with ULD. In addition, the subjective image quality for ULD with DLR and MAR was greater than the subjective image quality for CD in all five domains (<i>p</i> < 0.05). Stone detection accuracy of ULD improved with the application of DLR and MAR (<i>p</i> < 0.05). Stone detection accuracy of ULD with DLR and MAR was similar to CD (<i>p</i> > 0.25). <b><i>Conclusions:</i></b> DLR with MAR may allow the application of low-dose CT protocols in patients with hip prostheses. Application of DLR and MAR to ULD provided a stone detection accuracy comparable with CD, reduced radiation exposure by 94.8%, and improved subjective image quality.</p>","PeriodicalId":15723,"journal":{"name":"Journal of endourology","volume":" ","pages":"306-313"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143391043","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of Patient-Specific Nomogram to Assist in Clinical Decision-Making for Single Port Versus Multi-Port Robotic Partial Nephrectomy: A Report from the Single Port Advanced Robotic Consortium.","authors":"Nicolas A Soputro, Kennedy E Okhawere, Roxana Ramos-Carpinteyro, Ruben Sauer Calvo, Yuzhi Wang, Celeste Manfredi, Elizabeth Snajdar, Michael Raver, Indu Saini, Jaya S Chavali, Carter D Mikesell, Adriana M Pedraza, Mutahar Ahmed, Michael D Stifelman, Craig Rogers, Adam Lorentz, Riccardo Autorino, Bertram Yuh, Ryan J Nelson, Simone Crivellaro, Ketan K Badani, Jihad Kaouk","doi":"10.1089/end.2024.0547","DOIUrl":"10.1089/end.2024.0547","url":null,"abstract":"<p><p><b><i>Objective:</i></b> To develop a patient-specific algorithm to better guide clinical decision-making when considering between single port (SP) and multi-port (MP) robotic partial nephrectomy (RPN). <b><i>Materials and Methods:</i></b> A retrospective review was performed on the institutional review board-approved, prospectively maintained multi-institutional database of the Single Port Advanced Research Consortium to identify all consecutive patients who underwent SP and MP-RPN between 2019 and 2023. Baseline clinicodemographic variables were used to identify the significant predictors of SP-RPN. The significant variables were used to construct a nomogram to predict the likelihood of SP vs MP-RPN. <b><i>Results:</i></b> Of the 1021 patients included in our analysis, 189 (18.5%) and 832 (81.5%) underwent SP and MP-RPN, respectively. Statistically significant predictors of SP-RPN included a lower comorbidity profile, a significant abdominal surgical history as characterized by a higher Hostile Abdomen Index, as well as tumors of lower complexity. The nomogram generated using the aforementioned variables demonstrated a reasonable performance with an area under the curve of 0.79. An optimal cutoff point was determined, with likelihood ratios above 0.12 indicating a preference for SP-RPN. Of note, all SP-RPN cases that scored above the 0.12 cutoff exhibited improved perioperative outcomes, including shorter ischemia time and less intraoperative blood loss. <b><i>Conclusions:</i></b> In this study, we have devised a novel patient selection nomogram aimed at enhancing clinical decision-making within the expanding repertoire of RPN approaches. The findings highlighted in this study offer valuable guidance to facilitate appropriate patient selection and thereby ensuring favorable perioperative outcomes associated with RPN procedures.</p>","PeriodicalId":15723,"journal":{"name":"Journal of endourology","volume":" ","pages":"252-260"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143255789","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}