Plastic surgery最新文献

{"title":"Experimental Investigation into the Effect of Variable Inflation Intervals on Capsule Thickness in Tissue Expander.","authors":"Buket Dursun Coban, Can Ilker Demir, Emrah Kagan Yaşar, Ismail Tekfiliz, Murat Sahin Alagoz, Busra Yaprak Bayrak","doi":"10.1177/22925503251315491","DOIUrl":"10.1177/22925503251315491","url":null,"abstract":"<p><p><b>Introduction:</b> Increasing the thickness of the capsule around the tissue expander, as in breast reconstruction complicates the expansion process and increases the time to achieve the required flap size. The aim of this study was to investigate the effect of changes in inflation intervals and amounts on the capsule thickness around the tissue expander. <b>Methods:</b> Fifteen adult rats were divided into 3 groups, and 25 cc elliptical tissue expanders were placed on the back of each, and inflated with 5 cc saline. Expanders were inflated daily in Group 1, every 3 days in Group 2, and every 10 days in Group 3. Inflation was stopped, then expanders were removed and skin flaps were harvested after the results of the expansion were measured. Biopsies containing skin and capsule tissue were evaluated by histomorphometry and immunohistochemistry. <b>Results:</b> Skin flaps were measured as 81 cm² in Group 1 and 89.3 cm² in both Groups 2 and 3. When capsule thickness and number of vessels were examined; the thickest capsule was found in Group 2 while Group 3 had the densest vascularization. On histopathological examination of the biopsies, no significant difference was found between groups, except for the histiocyte density, which was the lowest in Group 1 and the highest in Group 3. <b>Conclusions:</b> This experiment showed that inflating tissue expander in small amounts at frequent intervals decreased the thickness of the capsule but it resulted in smaller skin flaps. Thus, it may be beneficial to adopt this protocol in some patients, for example in patients who are predicted to have increased capsule thickness due to the effect of radiotherapy and/or chemotherapy, or who are prone to fibrosis. Additionally, in patients whose flap size is important, it may be reasonable to inflate the tissue expander at less frequent intervals and in relatively large volumes for preventing flap loss and avoiding an increase in capsule thickness.</p>","PeriodicalId":20206,"journal":{"name":"Plastic surgery","volume":" ","pages":"22925503251315491"},"PeriodicalIF":0.7,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11863000/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524055","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Beyond the Surface: Assessing GPT-4's Accuracy in Detecting Melanoma and Suspicious Skin Lesions From Dermoscopic Images.","authors":"Jonah W Perlmutter, John Milkovich, Sierra Fremont, Shaishav Datta, Adam Mosa","doi":"10.1177/22925503251315489","DOIUrl":"10.1177/22925503251315489","url":null,"abstract":"<p><p><b>Introduction:</b> Self-examinations for skin cancer detection are limited by sensitivity. ChatGPT-4 has image recognition capabilities that can be a useful adjunct for screening cancers and tele-health applications. This study investigated the efficacy of ChatGPT-4 in identifying skin lesions. <b>Methods:</b> Dermoscopic images were retrospectively selected from the PH² dataset, categorized by clinical diagnosis, and uploaded to ChatGPT-4 with a predesigned prompt. Responses were compared against clinical diagnoses. Confidence intervals were calculated using the bootstrap method assessing precision and significance was calculated using McNemar's test. Analyses were performed using Jupyter Notebook and Python. <b>Results:</b> The GPT-4 model showed moderate performance in melanoma detection with 68.5% accuracy, 52.5% sensitivity, and 72.5% specificity, significantly differing from the clinical standard (<i>P</i> = .002). For suspicious lesion detection, it performed better with 68.0% accuracy, 78.0% precision, and 70.0% F-measure, still not closely matching clinical diagnosis for atypical nevi and melanoma (<i>P</i> = .0169). <b>Conclusion:</b> The statistical difference between ChatGPT-4 diagnosis of melanoma and suspicious lesions compared with clinical diagnoses and other AI models suggests the need for improvement in ChatGPT-4 algorithms. This study's limitations included the use of a secondary care database with a higher melanoma incidence, high-quality dermoscopic images that limit generalizability, a small sample size lacking diversity, and the need for larger datasets to validate findings in broader contexts.</p>","PeriodicalId":20206,"journal":{"name":"Plastic surgery","volume":" ","pages":"22925503251315489"},"PeriodicalIF":0.7,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11836967/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143468774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ultrasonographic Detection of Early Flexor Tendon Re-rupture.","authors":"Sergio Asensio Ramos, Shigeki Ishibashi","doi":"10.1177/22925503251318737","DOIUrl":"10.1177/22925503251318737","url":null,"abstract":"","PeriodicalId":20206,"journal":{"name":"Plastic surgery","volume":" ","pages":"22925503251318737"},"PeriodicalIF":0.7,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11811941/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143409883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Allograft Use in Hand Surgery - 'Off the Shelf' Tendon Reconstruction: A Scoping Review.","authors":"Ahmed Hagiga, Daphne Le Min Chiew, Mohamed A Radhi, Rikki Mistry, Baljit Dheansa","doi":"10.1177/22925503231190924","DOIUrl":"10.1177/22925503231190924","url":null,"abstract":"<p><p><b>Introduction:</b> Tendon grafting is standard for treating tendon defects. Allografts are popular in cruciate ligament reconstruction but not yet in upper limb tendon reconstruction. A scoping review was conducted to map the existing practice of allograft use in hand surgery for tendon reconstruction and identify gaps in knowledge for future research. <b>Methods:</b> Two independent reviewers searched MEDLINE and SCOPUS databases for studies on upper limb tendon reconstruction using tendon allografts until June 2022. Eligible studies included controlled randomised clinical trials, cohort, case-control, cross-sectional, or case report and series studies conducted in English and enrolling patients who underwent tendon allograft reconstruction in the upper limb. Screening for eligibility was done by both reviewers, who reached a consensus through discussion, with no exclusion based on poor methodological quality. Data charting included study title, patients' demographics and outcomes, complications, and follow-up period. <b>Results:</b> The database search found 6 eligible articles with a total of 116 patients and 148 allografts used for reconstruction. Of the studies that looked at functional outcomes, 72.9% of patients had 'good' or 'fair' results, while 25.8% were classed as 'poor'. All of the patients assessed for subjective outcomes were at least partially/fairly satisfied with the allograft. <b>Conclusion:</b> This scoping review has indicated that the utilisation of tendon allografts in the upper limb can potentially be a promising approach for tendon reconstruction, especially in cases of severe trauma or salvage. However, further research is needed to comprehensively assess efficacy, long-term outcomes, complications, postoperative rehabilitation protocols, and comparative effectiveness against autograft tendon reconstruction.</p>","PeriodicalId":20206,"journal":{"name":"Plastic surgery","volume":" ","pages":"85-93"},"PeriodicalIF":0.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11770730/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44344725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Examination of Sensory Recovery of Breasts Reconstructed With Silicone Breast Implants After Nipple-Sparing Mastectomy.","authors":"Masahiro Sasaki, Yukiko Aihara, Kaoru Sasaki, Junya Oshima, Yoichiro Shibuya, Mitsuru Sekido","doi":"10.1177/22925503231175507","DOIUrl":"10.1177/22925503231175507","url":null,"abstract":"<p><p><b>Background:</b> Reconstructed breast with silicone breast implants (SBIs) after nipple-sparing mastectomy (NSM) provides high patient satisfaction from a cosmetic point of view, but low patient satisfaction with respect to hypoesthesia of the reconstructed breast, and reinnervation is required. Currently, few reports are available on reinnervation in breast reconstruction with implants, and detailed data on desensitization of reconstructed breasts are lacking. Therefore, we examined perceptual data after NSM with respect to reinnervation. <b>Methods:</b> In our department, after NSM, tissue expander or SBI was used to perform 1-stage or 2-stage breast reconstruction, and touch, warm and cold, and pain sensations in 31 cases more than 1 year after completion of reconstruction were examined. <b>Results:</b> All tests of sensations tended to be better in the medial region than in the lateral region, but no correlation with postoperative years was found. In the comparison of the incision lines, in the Semmes-Weinstein monofilament test (SW test), a significant difference was observed between the inframammary fold (IMF) incision and the para-areola incision in the breast D region, between the lateral incision and the para-areola incision, and between the IMF incision and the para-areola incision in the areola b region. In addition, linear regression analysis of postoperative years did not establish a predictive formula for the SW test or pain sensation in any of the 9 regions. <b>Conclusions:</b> The difference in the excision range was considered to be the largest factor affecting hypoesthesia. We also speculated that preservation of the internal mammary artery perforators during mastectomy led to preservation of the anterior cutaneous branch of the intercostal nerves, and therefore, the perception of the medial region was better than that of the lateral region. In the case of NSM in which the anterior cutaneous branch was preserved, the recovery of outer perception including that of the nipple-areolar complex (NAC) was poor, so it was considered that nerve reconstruction between the lateral cutaneous branch and the NAC was effective for reinnervation.</p>","PeriodicalId":20206,"journal":{"name":"Plastic surgery","volume":" ","pages":"7-13"},"PeriodicalIF":0.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11770780/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46088853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pediatric Pilomatrixomas: Four Atypical Clinical Presentations.","authors":"Laura Fortunata Melloni-Magnelli, Daniel González-Gaytán, Marbella Sepulveda-Valenzuela, Claudia Yenensi Peña-Jiménez, Hector Martínez-Leija, Enrique G Villarreal","doi":"10.1177/22925503231198098","DOIUrl":"10.1177/22925503231198098","url":null,"abstract":"<p><p>Pilomatrixoma, also called Malherbe's calcifying epithelioma or pilomatrixoma, is a benign adnexal tumor that originates from keratinocytes (cells of the hair matrix, the internal sheath of the hair root or the cortex) and constitutes the second most prevalent skin neoplasm in children. These lesions are typically slow-growing, firm, nodules located on the head, neck, trunk, and extremities (in decreasing order of frequency). Due to the rarity, combined with their varied clinical presentations, pilomatrixomas are often misdiagnosed. Current pilomatrixoma classification schemes remain controversial. In this article, we present 4 pediatric patients that exemplify different clinical and atypical scenarios of the same tumor. Accordingly, we invite future studies to create a novel system for the classification of pilomatrixomas based on atypical clinical characteristics, including lesion morphology, number, size, and anatomic location.</p>","PeriodicalId":20206,"journal":{"name":"Plastic surgery","volume":" ","pages":"133-138"},"PeriodicalIF":0.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11770722/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47730282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Compression of the Ulnar Nerve Following Carpal Tunnel Release.","authors":"Liam Robbins, Andrew Lovy, Joshua Gillis","doi":"10.1177/22925503231190927","DOIUrl":"10.1177/22925503231190927","url":null,"abstract":"<p><p>Given the proximity and shared structures of Guyon's canal and the carpal tunnel, compression of the ulnar nerve is a rarely observed but possible complication of carpal tunnel release. In this case report, a patient underwent previous carpal tunnel release and immediately experienced ipsilateral hand weakness in keeping with an ulnar nerve compression syndrome. Clinical, electrodiagnostic, and magnetic resonance imaging findings after carpal tunnel release demonstrated a compression or injury to the deep motor branch of the ulnar nerve not previously present. Subsequent release of Guyon's canal identified a separate compartment of the deep motor branch of the ulnar nerve within the ulnar leaflet of the transverse carpal ligament. After the release of the motor branch from this compartment, the patient experienced recovery from their neuropathic symptoms. This case report outlines the relevant anatomy and clinical data surrounding an anomalous compartment of the deep motor branch of the ulnar nerve.</p>","PeriodicalId":20206,"journal":{"name":"Plastic surgery","volume":" ","pages":"94-96"},"PeriodicalIF":0.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11770740/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44753644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Descriptive Analysis of Preoperative Breast Reconstruction Patient Expectations Using the BREAST-Q Expectations Module.","authors":"Leslie N Kim, Robyn N Rubenstein, Kathryn Haglich, Minji Kim, Michelle Coriddi, Andrea L Pusic, Jonas A Nelson, Colleen M McCarthy","doi":"10.1177/22925503231184261","DOIUrl":"10.1177/22925503231184261","url":null,"abstract":"<p><p><b>Background:</b> Patient expectations have been shown to influence postoperative outcomes across surgical specialties. However, the impact of expectations in breast reconstruction is not well understood. The purpose of this project is to perform the first large-scale analysis and classification of BREAST-Q Expectations responses in patients undergoing implant-based reconstruction. <b>Methods:</b> We performed a retrospective analysis of patients who underwent postmastectomy implant-based reconstruction and completed the BREAST-Q Expectations module preoperatively between 2012 and 2021. Variables of interest included patient demographics, comorbidities, and surgical characteristics. Outcomes of interest included BREAST-Q Expectations module scores. Shapiro Wilk Normality Tests demonstrated that none of the domains had a normal distribution of scores; scores were categorized by thirds to generate thresholds for optimistic, neutral, and pessimistic scores. <b>Results:</b> 298 patients met criteria. The mean age of the cohort was 50.3 and the mean BMI was 25.4. Half of the patients had at least one comorbidity - most commonly obesity, followed by diabetes. About two-thirds had a psychiatric diagnosis. Scores on all domains were skewed overwhelmingly positive (expectations of Medical Team, Coping, Appearance, Self-feelings, and Sexuality) or overwhelmingly negative (expectations of Pain and Recovery), which informed score categorization and interpretation. <b>Conclusions:</b> Preoperative expectations in patients undergoing implant-based reconstruction skew overwhelmingly optimistic for most domains, but overwhelmingly pessimistic on expectations of Pain and Recovery. These results emphasize a need for improved preoperative patient education and counseling as well as a closer analysis of the relationship between preoperative expectations and postoperative outcomes and quality of life.</p>","PeriodicalId":20206,"journal":{"name":"Plastic surgery","volume":" ","pages":"16-22"},"PeriodicalIF":0.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11770723/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48565485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Comprehensive Analysis on the Readability of Rhinoplasty-Based Web Content for Patients.","authors":"Emma C Levine, Shayan A McGee, Joshua Kohan, James Fanning, Thomas D Willson","doi":"10.1177/22925503231195018","DOIUrl":"10.1177/22925503231195018","url":null,"abstract":"<p><p><b>Background:</b> Rhinoplasty is one of the most common cosmetic procedures performed by plastic surgeons and otolaryngologists. Previous studies have concluded that the readability of rhinoplasty information does not meet the recommended guidelines for the 8th grade reading level. In this study, we performed an updated readability analysis and a comprehensive online review of decision-making factors for patients considering rhinoplasty. Additionally, the differences between plastic surgery and otolaryngology-specific web pages were also analyzed in this study. <b>Methods:</b> This study analyzed 30 websites from universities and private practice webpages for decision-making factors, readability, and tone. These sites were identified by performing a depersonalized Google search using the search terms \"nose job decision factors\" and \"rhinoplasty decision factors.\" An independent <i>t</i>-test was performed to assess the differences between webpages. <b>Results:</b> A total of 30 websites were comprehensively reviewed for a comparative analysis of readability for potential rhinoplasty patients. Decision-making factors were divided into 3 categories: individual factors, goals of the procedure, and technical considerations. These categories were then further divided into subcategories. The most common decision-making factor discussed was procedural considerations (83.3%), the least common being lifestyle (10%). Additionally, only 26.7% of web pages mentioned ethnic background and skin type as potential considerations before surgery. Less than half (40%) discussed the importance of setting realistic expectations for the procedure. Of the total sites analyzed in the study, 65.5% were ENT-based, 24.1% were plastic surgery-based, 3.4% were dental/oral maxillofacial surgeons, and 6.9% were combined plastic surgeons and ENT. Statistically significant differences between ENT- and plastic surgeon-based webpages were observed. Risks and complications were more frequently discussed on ENT web pages (<i>P</i> = .02). ENT sites also had more adverbs (<i>P</i> = .024) and more uses of passive voice (<i>P</i> = .006). Additionally, plastic surgery web pages appeared to elicit more of the emotion \"disgust\" after analysis utilizing IBM Watson Natural Language Understanding (<i>P</i> < .001). <b>Conclusions:</b> This study highlights the necessity for continued improvement in the readability of webpages designed for patients considering rhinoplasty. Additionally, there were statistically significant differences between decision-making factors presented on ENT-based webpages and plastic-surgery-based webpages. This study may aid surgeons in developing websites that are more accessible, equitable to patients, and contain a more comprehensive discussion regarding key patient decision-making factors and preoperative considerations.</p>","PeriodicalId":20206,"journal":{"name":"Plastic surgery","volume":" ","pages":"107-115"},"PeriodicalIF":0.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11770731/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47602208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Prospective Clinical Trial Evaluating the Efficacy and Safety of Non-Animal Stabilized Hyaluronic Acid Injections for Non-Surgical Rhinoplasty.","authors":"Andreas Nikolis, Kaitlyn M Enright, Quynh Nguyen, Hani H Sinno, Sebastian Cotofana","doi":"10.1177/22925503231184263","DOIUrl":"10.1177/22925503231184263","url":null,"abstract":"<p><p><b>Background:</b> Non-surgical rhinoplasty with hyaluronic acid (HA) filler is a three-dimensional reshaping technique that achieves tissue enhancement by placing HA deep to nasal skin. Due to its unique rheology, Restylane® Lyft (HA-L, Galderma, Uppsala, Sweden) may be particularly well-suited for injection rhinoplasty, as it has high gel firmness (G') for strong structural support with minimal integration propensity. <b>Methods:</b> A prospective clinical trial was conducted to evaluate HA-L use for non-surgical rhinoplasty. Thirty-three females were observed over eight months, using the following schedule: Visit 1 = Baseline/Treatment 1; Visit 2 = Optional touch up (Week 2); Visits 3-6 = Follow-ups (Months 1,3,6,8). The primary endpoint was subject improvement at Month 1 assessed by a blinded evaluator using the Global Aesthetic Improvement Scale (GAIS). Subject satisfaction and adverse events (AEs) were also evaluated. <b>Results:</b> A deep, periosteal injection using a bolus technique and 0.34 cc of HA-L was most often used. Seven cases of positive aspiration occurred in 167 injection points (4.19%), among 6/33 (18.18%) subjects. Based on the GAIS, 100% of subjects met the primary endpoint. Subject satisfaction was maximal at Month 1 (100%) and largely maintained at Month 8 (78.57%). Besides expected injection-related AEs (eg, ecchymosis, erythema), immediate AEs during/following treatment were limited to presyncopal symptoms [5/33 subjects (15.15%)]. Importantly, no cases of ischemia were observed. Subject-reported AEs (eg, swelling, erythema, pain) dissipated within 2 to 7 days. <b>Conclusion:</b> Given the technical nature of this technique, HA-L may be well-suited for injection rhinoplasty, due to its strong safety and efficacy profile. <b>Level of Evidence:</b> Level III: Evidence obtained from well-designed cohort study.</p>","PeriodicalId":20206,"journal":{"name":"Plastic surgery","volume":" ","pages":"97-106"},"PeriodicalIF":0.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11773380/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46714062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}