World Neurosurgery: X最新文献

{"title":"Endovascular management of arterial-encasing meningiomas: A case report and review of treatment strategies","authors":"Mario Benvenutti-Regato ,&nbsp;Hannia M. Macias-Cruz ,&nbsp;Hector R. Martínez ,&nbsp;Carlos D. Acevedo-Castillo ,&nbsp;Omar R. Ortega-Ruiz ,&nbsp;Uriel A. Bautista-Coronado ,&nbsp;Jose A. Moran-Guerrero ,&nbsp;Rogelio E. Flores-Salcido ,&nbsp;Misael Salazar-Alejo ,&nbsp;Jose A. Figueroa-Sanchez","doi":"10.1016/j.wnsx.2025.100533","DOIUrl":"10.1016/j.wnsx.2025.100533","url":null,"abstract":"<div><h3>Introduction</h3><div>Skull base meningiomas pose significant surgical challenges due to their proximity to and encasement of critical neurovascular structures, particularly the internal carotid artery (ICA). While surgical resection remains the standard of care, complete excision may be limited by the risk of vascular injury. Endovascular approaches such as stenting and angioplasty have emerged as potential adjuncts to mitigate ischemic complications.</div></div><div><h3>Methods</h3><div>A review using Scopus, Medline, and Web of Science was conducted according to PRISMA guidelines to evaluate the use of endovascular stenting and angioplasty in patients with intracranial meningiomas encasing arteries. Inclusion criteria targeted cases with symptomatic encasement treated with endovascular procedures.</div></div><div><h3>Results</h3><div>Among 114 studies, three patients presented with skull base meningiomas involving the ICA, with symptoms including hemiparesis, aphasia, proptosis, and visual deficits. Endovascular strategies included: (1) ICA stenting for high-grade stenosis with favorable long-term patency; (2) preoperative angioplasty to reduce perioperative ischemic risk; and (3) postoperative stenting for vasospasm due to vessel kinking. Additionally, we report the case of a 71-year-old woman with a meningioma encasing the ICA, managed with endovascular stenting and radiotherapy. No ischemic events or tumor progression were observed at 12-month follow-up.</div></div><div><h3>Discussion</h3><div>The reviewed cases highlight the potential of endovascular strategies to maintain vascular integrity and prevent ischemia in tumors with arterial encasement. This strategy may reduce intraoperative complications and expand resection options. Current evidence is limited to isolated reports, underscoring the need for prospective studies to validate efficacy and safety.</div></div>","PeriodicalId":37134,"journal":{"name":"World Neurosurgery: X","volume":"28 ","pages":"Article 100533"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145219895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Serum pentraxin-3 and plaque burden predict unexplained early neurological deterioration in branch atheromatous disease","authors":"Zhiyong Cao ,&nbsp;Xiaoming Guo ,&nbsp;Mei Ding ,&nbsp;Zhuo Chen ,&nbsp;Lei Wang ,&nbsp;Qi Fang","doi":"10.1016/j.wnsx.2025.100530","DOIUrl":"10.1016/j.wnsx.2025.100530","url":null,"abstract":"<div><h3>Objective</h3><div>Pentraxin-3 (PTX-3), an inflammatory biomarker, is associated with atherosclerosis-related cerebral infarction. Plaque burden is a known predictor of poor prognosis in cerebral infarction. This study aimed to determine whether serum PTX-3 levels and plaque burden are independent risk factors for unexplained early neurological deterioration (END) in patients with branch atheromatous disease (BAD).</div></div><div><h3>Methods</h3><div>This prospective observational cohort study included 289 consecutive BAD patients. END was evaluated within 72 h after acute ischemic stroke onset. Univariate and multivariate regression analyses were used to assess the relationships between PTX-3, plaque burden, and END. Receiver operating characteristic (ROC) curves were generated to evaluate the predictive performance of PTX-3, plaque burden, and their combination for unexplained END.</div></div><div><h3>Results</h3><div>Among the 289 patients, 82 (28.4 %) developed END. END was associated with higher PTX-3, oxLDL, and LDL levels; older age; hypertension; higher NIHSS scores after END; and greater plaque burden. After adjusting for confounders, both the highest PTX-3 quartile (OR = 1.256, 95 % CI: 1.032–29.930) and plaque burden (OR = 1.568, 95 % CI: 0.918–2.926) were independent predictors of END. The ROC analysis demonstrated that the combination of PTX-3(AUC = 0.742, 95 % CI: 0.680–0.804) and plaque burden (AUC = 0.758, 95 % CI: 0.697–0.818) yielded the highest predictive value (AUC = 0.785, 95 % CI: 0.727–0.844, p &lt; 0.001).</div></div><div><h3>Conclusions</h3><div>Elevated serum PTX-3 levels and increased plaque burden were independently associated with unexplained END in BAD patients. Their combination showed superior predictive performance, indicating potential clinical utility for risk stratification.</div></div>","PeriodicalId":37134,"journal":{"name":"World Neurosurgery: X","volume":"28 ","pages":"Article 100530"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145219893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Retrospective analysis of surgical management and aesthetic outcomes in trigonocephaly: A decade of experience","authors":"Osman Efe Efeoğlu ,&nbsp;Serdar Onur Aydın ,&nbsp;Fırat Demir ,&nbsp;Lütfi Postalcı ,&nbsp;Bekir Can Kendirlioğlu ,&nbsp;Gaye Filinte ,&nbsp;Evren Aydoğmuş ,&nbsp;Tufan Hiçdönmez","doi":"10.1016/j.wnsx.2025.100494","DOIUrl":"10.1016/j.wnsx.2025.100494","url":null,"abstract":"<div><h3>Background</h3><div>This study aims to examine the demographic and clinical data of patients who underwent surgery for trigonocephaly at our clinic to evaluate the characteristics, assess cosmetic outcomes, and compare our results with findings reported in the existing literature.</div></div><div><h3>Materials and methods</h3><div>The clinical records and surgical techniques of patients who underwent surgery for trigonocephaly between 2010 and 2020 were retrospectively analyzed. Preoperative and postoperative photographs of the frontoorbital region were evaluated by two experienced surgeons using the Whitaker Classification to assess cosmetic outcomes. Statistical analysis was performed to compare the assessments made by the surgeons.</div></div><div><h3>Results</h3><div>Among 23 patients (15 males and 8 females), the median age at surgery was 7 months, and the median follow-up period was 6 years. A family history of craniosynostosis was present in 13 % of cases. Preoperative computed tomography (CT) imaging was performed in 57 % of patients, while the remaining were diagnosed clinically. Open reconstruction techniques were employed in all cases. According to the Whitaker Classification, 96 % of patients were categorized in the first two groups (excellent or good outcomes) by both surgeons, showing strong interobserver agreement.</div></div><div><h3>Conclusion</h3><div>Surgical intervention for trigonocephaly not only corrects cranial deformities but also supports proper brain development. Early surgical intervention is recommended to achieve optimal outcomes. The Whitaker Classification serves as a practical tool for standardizing the evaluation of both cosmetic and functional outcomes.</div></div>","PeriodicalId":37134,"journal":{"name":"World Neurosurgery: X","volume":"28 ","pages":"Article 100494"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144680472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Spinal nerve sheath tumors: Contrasting surgical resection and stereotactic radiosurgery cohorts in a single-center","authors":"Emre Yilmaz ,&nbsp;Thomas M. O'Lynnger ,&nbsp;Sandra Vermeulen ,&nbsp;Christian Fisahn ,&nbsp;Sarah M. Strot ,&nbsp;Marc Moisi ,&nbsp;Basem Ishak ,&nbsp;Joseph R. Dettori ,&nbsp;Clifford Pierre ,&nbsp;Julius Gerstmeyer ,&nbsp;Rod J. Oskouian ,&nbsp;Jens R. Chapman","doi":"10.1016/j.wnsx.2025.100524","DOIUrl":"10.1016/j.wnsx.2025.100524","url":null,"abstract":"<div><h3>Introduction</h3><div>Primary incidental spinal schwannomas, and neurofibromas are typically treated with surgical resection. Few studies have examined the effects of radiosurgery as the primary treatment of spinal benign tumors. The aim of this study was to evaluate the efficacy of radiosurgery as a primary treatment option for this pathology.</div></div><div><h3>Methods</h3><div>In this retrospective single-center study, the authors included all patients who were treated for spinal schwannomas, and neurofibromas with either radiosurgery or operative intervention from 2006 to 2016. Data points recorded include age, sex, BMI, smoking, immunosuppression status, neurological exam, functional scores, radiographic follow-up data, recurrence and treatment, medical comorbidities, and margins of resection.</div></div><div><h3>Results</h3><div>Seventeen patients (14 females, 3 males) underwent radiosurgery with a median age of 60 years (IQR 55–69). In comparison, 39 patients (15 females, 24 males) underwent surgical resection, with a median age of 52 years (IQR 42–67). Following radiosurgery, 13 of 17 patients demonstrated stable tumor size on follow-up imaging. There were notable significant changes for tumor state following treatments (p &lt; .001), however, there were no significant differences in preoperative symptoms, tumor volume, or postoperative outcomes between radiosurgery and open resection groups, including motor weakness, sensory loss, pain, neurological improvement, readmission, or reoperation rates.</div></div><div><h3>Conclusions</h3><div>Radiosurgery is a safe, feasible primary treatment for spinal neurofibromas and schwannomas. Surgery achieved greater tumor volume reduction, but both groups had comparable outcomes in pain, neurological improvement, adverse effects, readmission, and reoperation.</div></div>","PeriodicalId":37134,"journal":{"name":"World Neurosurgery: X","volume":"28 ","pages":"Article 100524"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145109608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comment on: Examining the correlation between hemoglobin-red blood cell distribution width ratio and hospital mortality in spontaneous intracerebral hemorrhage","authors":"Parth Aphale,&nbsp;Shashank Dokania,&nbsp;Himanshu Shekhar","doi":"10.1016/j.wnsx.2025.100536","DOIUrl":"10.1016/j.wnsx.2025.100536","url":null,"abstract":"","PeriodicalId":37134,"journal":{"name":"World Neurosurgery: X","volume":"28 ","pages":"Article 100536"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145219822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gazi Yaşargil: A minimalist genius in neurosurgery in parallel with the minimalism movement in art","authors":"Ali İhsan Ökten ,&nbsp;Saygı Uygur","doi":"10.1016/j.wnsx.2025.100537","DOIUrl":"10.1016/j.wnsx.2025.100537","url":null,"abstract":"<div><div>Prof. Dr. Gazi Yaşargil passed away at the age of 100 with the title of “Neurosurgeon of the Century”, leaving numerous invented neurosurgical instruments and techniques as well as trained neurosurgeons behind as his legacy. What mattered most to Yaşargil was finishing a surgery without causing harm to normal tissue. To this end, he introduced microscope into neurosurgery for the first time and developed many instruments to enhance his new techniques. Yaşargil's minimalist studies dating back to 1960s paved the road to modern, more advanced minimally invasive techniques. Notably, emergence of minimalist art movement coincides with Yaşargil's initial studies. Even though art, science and philosophy are distinct disciplines, it cannot be denied that they influence, pass through, and converge with each other throughout the history. One can observe how movements from different disciplines are embraced by others, fostering mutual empowerment while allowing each to pursue its own course. Similar pattern is apparent in minimalist art movement and minimally invasive surgical approaches. The idea of telling more with less by avoiding unnecessary materials and minimizing the number of objects to enhance the expression in minimalist art, has transformed into performing surgery with minimal harm through less invasive techniques that optimally preserve normal tissue and promote rapid patient recovery. Gazi Yaşargil pioneered the development of minimally invasive techniques in neurosurgery, simultaneously, with the emergence of the minimalist art movement, science and art reunited after a long hiatus.</div></div>","PeriodicalId":37134,"journal":{"name":"World Neurosurgery: X","volume":"28 ","pages":"Article 100537"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145219821","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Managing neurosurgical complications in emergency settings: An evidence-based review of challenges and strategies","authors":"Moustafa A. Mansour ,&nbsp;Salma Medhat ,&nbsp;Alaa Elnomary ,&nbsp;Mohammad M. Selim ,&nbsp;Ahmed Mohsen ,&nbsp;Mohammed Al-Amri ,&nbsp;Salah Musaed ,&nbsp;Mohamed E. Behiry ,&nbsp;Michael Zohney ,&nbsp;Hamdi Nabawi Mostafa","doi":"10.1016/j.wnsx.2025.100525","DOIUrl":"10.1016/j.wnsx.2025.100525","url":null,"abstract":"<div><div>Neurosurgical complications in emergency settings present significant challenges, requiring prompt and expert intervention. This evidence-based review analyzes critical post-operative complications, including infections (post-craniotomy, post-spinal, and rare pathogens), hematomas (epidural, subdural, intracerebral), seizures, cerebrospinal fluid (CSF) leakage, ischemia, elevated intracranial pressure (ICP), and hydrocephalus. Special emphasis is placed on ventriculoperitoneal (VP) shunt malfunctions and aneurysmal subarachnoid hemorrhage (aSAH) rebleeding, highlighting their pathophysiology, diagnostics, and management.</div><div>The review explores risk factors, clinical presentations, and advanced diagnostics like quantitative near-infrared spectroscopy (Q-NIRS) for ischemia. Treatment protocols include surgical interventions (e.g., craniotomy, endoscopic third ventriculostomy), medical management (e.g., antiepileptic drugs, hyperosmolar therapy), and preventive measures.</div><div>From a triage perspective, the review underscores the neurosurgeon's critical role in prioritizing time-sensitive emergencies, such as favoring immediate evacuation for a life-threatening epidural hematoma over other urgent cases, a decision that profoundly impacts survival.</div><div>Ethical and logistical challenges in emergency neurosurgery are examined, particularly in resource-limited settings, addressing triage dilemmas, consent issues, and global disparities in care access. The review synthesizes recent advancements, such as telemedicine and novel therapies like tranexamic acid for aSAH, while underscoring multidisciplinary collaboration.</div><div>By integrating current research and clinical best practices, this review aims to equip neurosurgeons and healthcare providers with actionable insights to optimize patient outcomes in high-stakes emergencies.</div></div>","PeriodicalId":37134,"journal":{"name":"World Neurosurgery: X","volume":"28 ","pages":"Article 100525"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145157608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Professor Mahmut Gazi Yaşargil (1925–2025): The pioneer and architect of modern neurosurgery","authors":"Cumhur Kaan Yaltırık ,&nbsp;Murat Şakir Ekşi","doi":"10.1016/j.wnsx.2025.100501","DOIUrl":"10.1016/j.wnsx.2025.100501","url":null,"abstract":"<div><div>Through his work on microsurgical tools and techniques, Professor Mahmut Gazi Yaşargil revolutionized neurosurgery by making it a safer and more successful area of brain surgery. Mahmut Gazi Yaşargil, a Turkish-born neurosurgeon, died in Switzerland in 2025 after being born in 1925. The medical world recognized him as the “Father of Modern Neurosurgery” because he devoted his life to precision, education, and the upbringing of future surgeons. This article examines his life history, scientific discoveries, academic achievements, and his lasting impact on neurosurgery practices around the world.</div></div>","PeriodicalId":37134,"journal":{"name":"World Neurosurgery: X","volume":"28 ","pages":"Article 100501"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145681113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Single versus double burr holes craniostomy drainage for chronic subdural hematoma: A systematic review and meta-analysis of randomized clinical trials","authors":"Abdulaziz M. Alghamdi ,&nbsp;Abdulrahman Ahmad Takroni ,&nbsp;Abdulwhab M. Alotaibi ,&nbsp;Razan Ayed Alboqami ,&nbsp;Orjwan Hashem Ateeq ,&nbsp;Fares F. Alsayegh ,&nbsp;Faisal Alotaibi","doi":"10.1016/j.wnsx.2025.100495","DOIUrl":"10.1016/j.wnsx.2025.100495","url":null,"abstract":"<div><h3>Objective</h3><div>This systematic review and meta-analysis aimed to compare the efficacy and safety of single- and double-burr hole craniostomies (sBHC) and (dBHC) in the management of chronic subdural hematoma (cSDH).</div></div><div><h3>Methods</h3><div>The PubMed, MEDLINE, Embase, and Cochrane CENTRAL databases were systematically searched for relevant articles. The included articles were randomized controlled trials (RCTs) written in English that compared the efficacy or safety of sBHC to that of dBHC for the treatment of patients with cSDH.</div></div><div><h3>Results</h3><div>Nine RCTs were included in this systematic review. The length of surgery was significantly shorter in the sBHC group (mean difference = −20.65, 95 % CI [-28.58, −12.72], <em>p</em> &lt; 0.00001, I² = 96 %). <strong><u>The mean length of surgery in sBHC was 34.9 min, compared to 55.5 min for a dBHC. There was no significant difference in the postoperative Glasgow Coma Scale (GCS) between the groups, presence of postoperative infections, presence of postoperative pneumocephalus, length of hospital stay, recurrence rates, and mortality rate.</u></strong></div></div><div><h3>Conclusion</h3><div>Both sBHC and dBHC are efficacious surgical techniques for managing cSDH. Based on this meta-analysis of RCTs, the safety and efficacy of sBHC and dBHC were comparable without statistically significant differences.</div></div>","PeriodicalId":37134,"journal":{"name":"World Neurosurgery: X","volume":"28 ","pages":"Article 100495"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144694380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between postoperative interleukin-6 levels in cerebrospinal fluid and invasiveness of surgery for subarachnoid hemorrhage","authors":"Hidetaka Onda ,&nbsp;Mizuki Kojima ,&nbsp;Nodoka Miyake ,&nbsp;Kenta Shigeta ,&nbsp;Naoki Tominaga ,&nbsp;Shoji Yokobori","doi":"10.1016/j.wnsx.2025.100511","DOIUrl":"10.1016/j.wnsx.2025.100511","url":null,"abstract":"<div><h3>Background</h3><div>Interleukin (IL)-6 levels in cerebrospinal fluid (CSF) may reflect postoperative inflammation and affect the outcomes of aneurysmal subarachnoid hemorrhage (SAH).</div></div><div><h3>Methods</h3><div>This study retrospectively analyzed CSF IL-6 levels on the first postoperative day in 77 patients with SAH treated by craniotomy or endovascular coiling within 12 h of diagnosis. IL-6 levels were measured by enzyme-linked immunosorbent assay and compared between treatment groups. Associations with cerebral vasospasm and clinical outcomes were evaluated by multiple regression analysis.</div></div><div><h3>Results</h3><div>The median IL-6 level in CSF was 10,501 pg/mL [interquartile range 3037.8, 43,118.5] and was significantly lower in the endovascular group than in the craniotomy group (<em>p</em> &lt; 0.001). In the craniotomy group, the IL-6 level was higher in patients with involvement of the anterior communicating artery than in those with aneurysm at other sites (<em>p</em> = 0.008). Cerebral vasospasm was identified in 13.0 % of cases and was associated with elevated IL-6 (<em>p</em> = 0.003). Higher IL-6 levels were correlated with unfavorable outcomes (<em>p</em> &lt; 0.001).</div></div><div><h3>Conclusion</h3><div>Elevated IL-6 levels in CSF on postoperative day 1 were associated with cerebral vasospasm and worse outcomes in patients with SAH. Endovascular treatment resulted in lower IL-6 levels, suggesting that minimally invasive methods may reduce inflammation and improve the prognosis. Regulating IL-6 could be a potential therapeutic strategy in SAH management.</div></div>","PeriodicalId":37134,"journal":{"name":"World Neurosurgery: X","volume":"28 ","pages":"Article 100511"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144904441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}