Veterinary Surgery最新文献

{"title":"Reconsidering the evidence for muscle-mediated rotational stability in the CCL-deficient stifle.","authors":"Yusuf Altundağ","doi":"10.1111/vsu.70146","DOIUrl":"https://doi.org/10.1111/vsu.70146","url":null,"abstract":"","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149115461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Core decompression augmented with bone marrow aspirate concentrate for refractory distal sesamoid bone pathology in horses: A retrospective clinical study.","authors":"Grigorios Maleas, Mahmoud Mageed, Kristyna Hargitaiova","doi":"10.1111/vsu.70139","DOIUrl":"10.1111/vsu.70139","url":null,"abstract":"<p><strong>Objective: </strong>To determine short- and long-term outcomes of core decompression combined with autologous bone marrow aspirate concentrate (BMAC) in treating moderate-to-severe refractory distal sesamoid bone (DSB) trabecular pathology in horses.</p><p><strong>Study design: </strong>Retrospective observational study.</p><p><strong>Animals: </strong>A total of 21 client-owned Warmblood horses with DSB pathology unresponsive to conservative management.</p><p><strong>Methods: </strong>Preoperative diagnosis included lameness localization by diagnostic analgesia and magnetic resonance imaging (MRI) confirmation of DSB trabecular pathology. Horses underwent arthroscopic core decompression via the palmar recess of the distal interphalangeal joint followed by intraosseous BMAC injection. Outcomes were assessed clinically and by follow-up radiography and MRI.</p><p><strong>Results: </strong>No major intraoperative or postoperative complications occurred in any of the 21 operated horses. Nine horses met inclusion criteria for long-term follow-up, which included clinical, radiographic, and MRI assessments at 6 months and up to 18 months postoperatively. At 6 months, six of nine horses (67%) were sound and returned to training. MRI follow-up demonstrated reduced short tau inversion recovery (STIR) hyperintensity and increased T1-weighted signal within the DSB trabecular bone, consistent with a reduction in active trabecular bone pathology. Three horses remained lame with unchanged MRI findings. At 18 months, six horses remained sound, and three returned to their previous or intended performance levels. Radiographic remodeling of cyst-like lesions was evident in three cases.</p><p><strong>Conclusion: </strong>Core decompression augmented with BMAC was well tolerated with no unexpected complications in this cohort. This approach allowed horses with advanced DSB trabecular pathology refractory to conservative therapy return to function.</p><p><strong>Clinical impact: </strong>This combined surgical-orthobiologic approach may offer a viable therapeutic option for horses with advanced refractory navicular bone pathology.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"1246-1260"},"PeriodicalIF":1.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13643678/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148654344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Open versus minimally invasive surgical techniques for displaced abomasum in dairy cattle: A systematic review and meta-analysis.","authors":"Uygur Canatan, Vildan Aslan Canatan","doi":"10.1111/vsu.70150","DOIUrl":"10.1111/vsu.70150","url":null,"abstract":"<p><strong>Objectives: </strong>To compare open and minimally invasive surgical approaches for the treatment of abomasal displacement (AD) in dairy cows regarding effectiveness (mortality, recurrence, milk yield, and complications) and efficiency (operative time). Abomasal volvulus was not evaluated; thus, findings should not be extrapolated to that condition.</p><p><strong>Study design: </strong>Systematic review and meta-analysis of randomized and nonrandomized comparative studies conducted in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.</p><p><strong>Sample population: </strong>Ten studies including 2900 dairy cows with AD, comprising three randomized controlled trials and seven nonrandomized comparative studies.</p><p><strong>Methods: </strong>PubMed, Scopus, and Web of Science were searched for studies published through May 2025 comparing open and minimally invasive surgical techniques for AD. Outcomes assessed included mortality, operative time, recurrence, postoperative complications, and milk yield. Risk ratios (RR) and mean differences (MD) with 95% confidence intervals (95% CI) were calculated using a random-effects model. Analyses were performed using Review Manager software (RevMan, version 5.4.1).</p><p><strong>Results: </strong>In the pooled analysis of all 10 studies, minimally invasive surgery was associated with lower mortality (RR = 0.65; 95% CI 0.50-0.84; p = .001) and higher postoperative milk yield (MD = 1.76 kg/day; 95% CI 1.31-2.22; p < .00001) compared with open surgery. However, a sensitivity analysis restricted to the three randomized controlled trials showed no difference in mortality (RR = 1.27; 95% CI 0.39-4.07; p = .69), indicating that the overall mortality advantage was driven largely by nonrandomized studies. The milk yield result was similarly dependent on a single large observational study at serious risk of bias; excluding this study reduced the precision of the estimate (MD = 1.85 kg/day; 95% CI 0.09-3.60; p = .04), while the direction of the effect remained unchanged. No differences were found for operative time, recurrence, or complications, although the recurrence estimate was unstable in sensitivity analyses.</p><p><strong>Conclusion: </strong>Minimally invasive surgical techniques were associated with decreased mortality and improved milk production; however, these findings were driven predominantly by nonrandomized studies, and the mortality benefit was not confirmed in the randomized controlled trial (RCT)-only sensitivity analysis. Operative time, recurrence, and complication rates were similar between approaches.</p><p><strong>Clinical significance: </strong>Minimally invasive procedures remain a reasonable option for the surgical management of AD in dairy cattle. However, because the supporting evidence is largely observational, a true survival or milk-yield advantage over open techniques cannot yet be considered established.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"1177-1187"},"PeriodicalIF":1.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13643641/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148832792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Variations on the rostral labial pivot flap for reconstruction of maxillary lip defects in four dogs.","authors":"Hyunmook Im, Katelin V Dark, Owen T Skinner","doi":"10.1111/vsu.70148","DOIUrl":"10.1111/vsu.70148","url":null,"abstract":"<p><strong>Objective: </strong>To describe the technique and outcome of a rostral labial pivot flap variant in dogs.</p><p><strong>Animals: </strong>Four dogs with rostral lip/paranasal defect underwent rostral labial pivot flap.</p><p><strong>Study design: </strong>Short case series.</p><p><strong>Methods: </strong>Rostral lip and paranasal defects with concurrent nasal mucosal involvement resulting from tumor resection were reconstructed using the rostral labial pivot flap and its variants, including incorporation of a mucosal island flap ± nasal rotation flap for modification of lip heights. Medical records were reviewed for all dogs that underwent tumor resection followed by reconstruction with a rostral labial pivot flap technique and its modifications.</p><p><strong>Results: </strong>The rostral labial pivot flap and its variants provided acceptable outcomes in four dogs for reconstruction of rostral lip and paranasal defects. Incorporation of a mucosal island flap was effective for nasal mucosal reconstruction, and use of a nasal rotation flap to reduce tension and address lip height discrepancy resulted in acceptable outcomes. Two dogs experienced minor complications, including an oronasal fistula and mild narial stenosis, neither of which was associated with clinical signs. All dogs were considered to have normal function and quality of life at follow-up.</p><p><strong>Conclusion: </strong>The rostral labial pivot flap can be a reasonable and adaptable option for reconstruction of rostral lip and paranasal defects in dogs. Acceptable cosmetic and functional outcomes with low morbidity were observed in this series; however, additional cases are needed to better define success rates and complications.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"1294-1303"},"PeriodicalIF":1.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148764888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Technical note on cervical epidural catheterization in two adult horses: Injectate distribution and epidural space effects.","authors":"Orlaith O'Scanaill, Valerie J Moorman, Michael Perlini, Rachel A Reed","doi":"10.1111/vsu.70140","DOIUrl":"10.1111/vsu.70140","url":null,"abstract":"<p><strong>Objective: </strong>To determine the caudalmost extent of diffusion of contrast media administered through a cervical epidural catheter (CEC) and to describe pathologic changes associated with maintaining an indwelling CEC for up to 17 days.</p><p><strong>Study design: </strong>Pilot study.</p><p><strong>Animals: </strong>Two mature horses.</p><p><strong>Methods: </strong>CECs were placed under ultrasound guidance in two horses. Both horses were injected with 5 mL 50% Iohexol contrast solution, followed by radiographs of catheter insertion site to confirm placement. A total volume of 15 mL contrast solution was injected in 5 mL aliquots up to 25 min post-initial injection. Laterolateral radiographs were taken every 5 min post-initial 5 mL injection in the caudal cervical region. Horses were euthanized 16 or 17 days after placement of an indwelling CEC and the area surrounding the catheter was examined using gross necropsy.</p><p><strong>Results: </strong>In one horse, cranial C6 was reached at 25 min following 15 mL of contrast solution. In the other horse, cranial C6 was reached at 1 min following 5 mL of contrast solution. The caudalmost extent of contrast solution was reached after 15 mL and 20-25 min. Grossly, areas of mild inflammation and fibrosis were identified in the epidural space surrounding the catheters at 16-17 days post-catheter placement.</p><p><strong>Conclusion: </strong>These results indicate that a 10-15 mL volume of contrast solution can reach the cranial extent of the brachial plexus. Indwelling CECs at days 16 and 17 displayed similar findings on gross necropsy to those previously described for sacrococcygeal and lumbosacral epidural catheters.</p><p><strong>Clinical significance: </strong>Further studies are warranted to assess the effect of the medical treatment of lesions in the caudal cervical vertebrae of horses through administration via cervical epidural catheters.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"1304-1308"},"PeriodicalIF":1.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13643672/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148621480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Biomechanical evaluation of carpal joint ligaments in the cat: An experimental and radiographic cadaveric study.","authors":"Mario Candela Andrade, Phillip Meinck, Pavel Slunsky, Leo Brunnberg","doi":"10.1111/vsu.70114","DOIUrl":"10.1111/vsu.70114","url":null,"abstract":"<p><strong>Objective: </strong>To define the stabilizing role of feline carpal ligaments through selective transection and radiographic assessment of joint angulation under standardized loading.</p><p><strong>Study design: </strong>Experimental ex vivo cadaveric study.</p><p><strong>Sample population: </strong>Sixty carpal joints from 30 adult cats without orthopedic disease.</p><p><strong>Methods: </strong>Carpi were mounted in a custom radiolucent clamping device and subjected to standardized 20 N varus, valgus, and extension loads. Measurement tolerances were 3.5° for varus, 6.4° for valgus, and 6° for extension. Individual ligaments or ligament complexes were sequentially transected, and stability changes were quantified radiographically using dorsopalmar and mediolateral projections.</p><p><strong>Results: </strong>Transection of the medial collateral ligament produced only minor valgus increase below tolerance thresholds. Palmar radiocarpal ligament desmotomy caused valgus and hyperextension instability with consistent radiocarpal subluxation. Additional flexor retinaculum transection increased extension by up to 27.9° and resulted in antebrachiocarpal luxation. Lateral collateral ligament transection produced marked varus instability (+16.8°) with ulnocarpal subluxation, and the ulnopalmar and accessory ulnar ligaments acted as secondary stabilizers. Distal palmar carpometacarpal ligament transection caused hyperextension (+12.3°) with mediocarpal and carpometacarpal subluxation. Isolated flexor myotomy or tenotomy did not produce measurable instability unless fascial structures were disrupted.</p><p><strong>Conclusion: </strong>Feline carpal stability depends on coordinated ligamentous and fascial interactions rather than a single dominant stabilizer. This reproducible multiplanar testing model provides a biomechanical basis to improve diagnosis and treatment of feline carpal injuries, which are often extrapolated from canine data.</p><p><strong>Clinical relevance: </strong>These data highlight that isolated ligament repair may not adequately restore carpal stability in cats. Clinicians should consider the integrated role of ligamentous and fascial structures when diagnosing and managing carpal injuries.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"1275-1285"},"PeriodicalIF":1.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13643615/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147782940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of thoracic duct identification by CT lymphangiography and intraoperative contrast on surgical outcome in cats with idiopathic chylothorax.","authors":"Camille Andrews, J Brad Case, Marie Burneko, Kelley Thieman, Rachel W Williams, Kathleen Ham, Francesca P Solari, J Misha Lubanski, Federico R Vilaplana-Grosso","doi":"10.1111/vsu.70164","DOIUrl":"https://doi.org/10.1111/vsu.70164","url":null,"abstract":"<p><strong>Objective: </strong>To report the success of thoracic duct (TD) enhancement in cats with idiopathic chylothorax on preoperative computed tomography lymphangiography (CTLA) and intraoperative TD colorization (IOC), and to compare surgical outcomes between cats that did and did not have successful pre- and intraoperative TD enhancement.</p><p><strong>Study design: </strong>Multi-institutional retrospective study.</p><p><strong>Animals: </strong>A total of 24 cats undergoing preoperative CTLA, IOC and TD ligation between February 2016 and January 2025.</p><p><strong>Methods: </strong>Signalment, preoperative diagnostics, method of iohexol administration and quality of TD enhancement on CTLA, surgical procedure, success of TD enhancement via intraoperative colorization, postoperative complications, and clinical outcome were reviewed.</p><p><strong>Results: </strong>TD enhancement on CTLA was successful in 70.8% of cats, with similar quality of enhancement appreciated with metatarsal and popliteal iohexol injection. TD colorization with indocyanine green (ICG) seen via near-infrared fluorescence (NIRF) was successful in four of five (80%) cats, while methylene blue was successful in eight of 15 (53%) cats. When both TD enhancement on CTLA and IOC occurred, clinical resolution rates were highest (77%) and significantly longer survival times were observed (p = .002), compared to when either CTLA or IOC (53%) or neither (25%) was successful.</p><p><strong>Conclusion: </strong>Successful enhancement of the TD via CTLA and IOC led to higher clinical resolution rates and was associated with longer survival compared to when only one or neither modality was successful.</p><p><strong>Clinical significance: </strong>The success of TD enhancement via CTLA and IOC may have prognostic significance for cats with idiopathic chylothorax.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149115493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Use of a cell saver device for perioperative autotransfusion in 102 dogs and one cat.","authors":"Anna Michalska, Jonathan Bray","doi":"10.1111/vsu.70144","DOIUrl":"10.1111/vsu.70144","url":null,"abstract":"<p><strong>Objective: </strong>To describe the application of a cell saver device (CSD) to manage blood loss in dogs and cats.</p><p><strong>Study design: </strong>Retrospective study.</p><p><strong>Animals: </strong>A total of 102 client-owned dogs and one cat.</p><p><strong>Methods: </strong>Medical records were reviewed for all animals in which autotransfusion using blood generated by the CSD was used. Data retrieved included signalment, surgical details, blood test results, degree of blood loss, blood collection method, transfusion volume, timing of administration, additional blood products used, variations in packed cell volume (PCV), and incidence of transfusion reactions. Short-term complications and overall outcome were assessed by telephone follow-up.</p><p><strong>Results: </strong>There were 103 autotransfusions performed, during emergency (n = 40) and elective (n = 63) procedures. The mean transfusion volume was 14 mL/kg. For every 1 mL of blood transfused per kilogram of bodyweight, PCV increased by approximately 0.6%. Allogeneic blood products (ABPs) were used in addition to autologous blood in 14% of cases. The transfusion reaction rate associated with autotransfusion was 1%.</p><p><strong>Conclusion: </strong>The use of a CSD appeared safe and versatile for management of blood loss in dogs. The inclusion of only a single feline case highlights the need for further studies evaluating the safety and efficacy of this technique in cats.</p><p><strong>Clinical significance: </strong>Autotransfusion using a CSD is applicable in a wide range of emergency and elective surgeries, presenting an alternative to ABPs.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"1188-1197"},"PeriodicalIF":1.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148689941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Scientific Presentation Abstracts.","authors":"","doi":"10.1111/vsu.70134","DOIUrl":"https://doi.org/10.1111/vsu.70134","url":null,"abstract":"","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":"55 7","pages":"e261-e321"},"PeriodicalIF":1.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149115415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tibial plateau leveling osteotomy surgical site infections: A systematic review with meta-analysis of prevalence and associated risk factors.","authors":"Alison C Bidjarano, Wanda Gordon-Evans, Christopher Thomson","doi":"10.1111/vsu.70152","DOIUrl":"10.1111/vsu.70152","url":null,"abstract":"<p><strong>Objective: </strong>To determine the overall prevalence of surgical site infection (SSI) following tibial plateau leveling osteotomy (TPLO) in dogs and to evaluate associated risk factors across published studies.</p><p><strong>Study design: </strong>Systematic review with meta-analysis.</p><p><strong>Sample population: </strong>Client-owned dogs that underwent TPLO as described in the published literature.</p><p><strong>Methods: </strong>A systematic review of studies reporting SSI following TPLO was conducted using PRISMA guidelines. Included studies were screened for quality, and pooled prevalence estimates were calculated using random-effects models. Subgroup and sensitivity analyses were performed. For risk factors, pooled ORs were calculated only when ≥3 comparable studies reported ORs with CIs (weight and postoperative antimicrobial administration).</p><p><strong>Results: </strong>The meta-analysis included 30 studies encompassing 8820 dogs (9576 TPLOs). Only 5/30 studies were considered level I or II and then further divided into moderate and high level of evidence. The overall SSI rate, including superficial and deep infections, was 9.11% (range: 2.9%-25.9%) and an explant rate of 4.11% (range: 0%-33.36%). Heterogeneity was moderate to high across studies. In pooled analyses limited to comparable studies, postoperative antimicrobial administration was associated with lower odds of SSI, while bodyweight showed minimal association with SSI risk; both findings should be interpreted cautiously given limited comparability across studies.</p><p><strong>Conclusion: </strong>TPLO SSI rates are higher than other clean orthopedic procedures. Current literature is mostly retrospective in nature. These findings emphasize the need for standardized reporting and infection prevention strategies in clinical practice.</p><p><strong>Clinical significance: </strong>While higher-quality (higher-level) evidence is needed, trends seen in this large population can be used to start quality control measures in hospitals to reduce TPLO SSI rates.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149070032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}