Jonas Sogbadji, Karim Kadry, Gianluca Poletti, Francesca Berti, Elazer R Edelman, Farhad R Nezami
{"title":"Impact of lesion preparation-induced calcified plaque defects in vascular intervention for atherosclerotic disease: in silico assessment.","authors":"Jonas Sogbadji, Karim Kadry, Gianluca Poletti, Francesca Berti, Elazer R Edelman, Farhad R Nezami","doi":"10.1007/s10237-024-01923-6","DOIUrl":"https://doi.org/10.1007/s10237-024-01923-6","url":null,"abstract":"<p><p>Percutaneous coronary interventions in highly calcified atherosclerotic lesions are challenging due to the high mechanical stiffness that significantly restricts stent expansion. Intravascular lithotripsy (IVL) is a novel vessel preparation technique with the potential to improve interventional outcomes by inducing microscopic and macroscopic cracks to enhance stent expansion. However, the exact mechanism of action for IVL is poorly understood, and it remains unclear whether the improvement in-stent expansion is caused by either the macro-cracks allowing the vessel to open or the micro-cracks altering the bulk material properties. In silico models offer a robust means to examine (a) diverse lesion morphologies, (b) a range of lesion modifications to address these deficiencies, and (c) the correlation between calcium morphology alteration and improved stenting outcomes. These models also help identify which lesions would benefit the most from IVL. In this study, we develop an in silico model of stent expansion to study the effect of macro-crack morphology on interventional outcomes in clinically inspired geometries. Larger IVL-induced defects promote more post-stent lumen gain. IVL seems to induce better stenting outcomes for large calcified lesions. IVL defects that split calcified plaque in two parts are the most beneficial for stenting angioplasty, regardless of the calcified plaque size. Location of the IVL defect does not seem to matter with respect to lumen gain. These findings underscore the potential of IVL to enhance lesion compliance and improve clinical outcomes in PCI. The macroscopic defects induced by IVL seem to have a substantial impact on post-stent outcomes.</p>","PeriodicalId":489,"journal":{"name":"Biomechanics and Modeling in Mechanobiology","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142998080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Louis Parker, Emilie Bollache, Shannon Soulez, Khaoula Bouazizi, Nicolas Badenco, Daniel Giese, Estelle Gandjbakhch, Alban Redheuil, Mikael Laredo, Nadjia Kachenoura
{"title":"A multi-modal computational fluid dynamics model of left atrial fibrillation haemodynamics validated with 4D flow MRI.","authors":"Louis Parker, Emilie Bollache, Shannon Soulez, Khaoula Bouazizi, Nicolas Badenco, Daniel Giese, Estelle Gandjbakhch, Alban Redheuil, Mikael Laredo, Nadjia Kachenoura","doi":"10.1007/s10237-024-01901-y","DOIUrl":"https://doi.org/10.1007/s10237-024-01901-y","url":null,"abstract":"<p><p>Atrial fibrillation (AF) is characterized by rapid and irregular contraction of the left atrium (LA). Impacting LA haemodynamics, this increases the risk of thrombi development and stroke. Flow conditions preceding stroke in these patients are not well defined, partly due the limited resolution of 4D flow magnetic resonance imaging (MRI). In this study, we combine a high-resolution computed tomography (CT) LA reconstruction with motion and pulmonary inflows from 4D flow MRI to create a novel multimodal computational fluid dynamics (CFD) model, applying it to five AF patients imaged in sinus rhythm (24 ± 39 days between acquisitions). The dynamic model was compared with a rigid wall equivalent and the main flow structures were validated with 4D flow MRI. Point-by-point absolute differences between the velocity fields showed moderate differences given the sensitivity to registration. The rigid wall model significantly underestimated LA time-averaged wall shear stress (TAWSS) (p = 0.02) and oscillatory shear index (OSI) (p = 0.02) compared to the morphing model. Similarly, in the left atrial appendage (LAA), TAWSS (p = 0.003) and OSI (p < 0.001) were further underestimated. The morphing model yielded a more accurate mitral valve waveform and showed low TAWSS and high OSI in the LAA, both associated with thrombus formation. We also observed a positive correlation between indexed LA volume and endothelial cell activation potential (ECAP) (R<sup>2</sup> = 0.83), as well as LAA volume and LAA OSI (R<sup>2</sup> = 0.70). This work demonstrates the importance of LA motion in modelling LAA flow. Assessed in larger cohorts, LAA haemodynamic analysis may be beneficial to refine stroke risk assessment for AF.</p>","PeriodicalId":489,"journal":{"name":"Biomechanics and Modeling in Mechanobiology","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142998146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Asif Istiak, Saiful Islam, Malek Adouni, Tanvir R Faisal
{"title":"Hyperelastic constitutive modeling of healthy and enzymatically mediated degraded articular cartilage.","authors":"Asif Istiak, Saiful Islam, Malek Adouni, Tanvir R Faisal","doi":"10.1007/s10237-024-01919-2","DOIUrl":"https://doi.org/10.1007/s10237-024-01919-2","url":null,"abstract":"<p><p>This research demonstrates a systematic curve fitting approach for acquiring parametric values of hyperelastic constitutive models for both healthy and enzymatically mediated degenerated cartilage to facilitate finite element modeling of cartilage. Several widely used phenomenological hyperelastic constitutive models were tested to adequately capture the changes in cartilage mechanics that vary with the differential/unequal abundance of matrix metalloproteinases (MMPs). Trauma and physiological conditions result in an increased production of collagenases (MMP-1) and gelatinases (MMP-9), which impacts the load-bearing ability of cartilage by significantly deteriorating its extracellular matrix (ECM). The material parameters in the constitutive equation of each hyperelastic model are significant for developing a comprehensive computational interpretation of MMP mediated degenerated cartilage. Stress-strain responses obtained from indentation test were fitted with selected Ogden, polynomial, reduced polynomial, and van der Waals hyperelastic constitutive models by optimizing their adjustable parameters (material constants). The goodness of fit of the 2<sup>nd</sup> order reduced polynomial and van der Waals model exhibited the closest data fitting with the experimental stress-strain distributions of healthy and degraded articular cartilage. The coefficient of the shear modulus for the 2<sup>nd</sup> order reduced polynomial decreased gradually by 21.9% to 80.1% with more enzymatic degradation of collagen fibril due to the relative abundance of MMP-1 (collagenases), and 28.5% to 69.2% for the van der Waals model. Our findings showed that the major materials coefficients of the models were reduced in the degenerated cartilages, and the reduction varied differentially with the relative abundance of MMPs-1 and 9, correlating the severity of degeneration. This work advances the understanding of cartilage mechanics and offers insights into the impact of biochemical (enzymatic) effects on cartilage degradation.</p>","PeriodicalId":489,"journal":{"name":"Biomechanics and Modeling in Mechanobiology","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142998079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jacob N Hirst, Brian R Phung, Bjorn T Johnsson, Junyan He, Brittany Coats, Ashley D Spear
{"title":"Predicting fall parameters from infant skull fractures using machine learning.","authors":"Jacob N Hirst, Brian R Phung, Bjorn T Johnsson, Junyan He, Brittany Coats, Ashley D Spear","doi":"10.1007/s10237-024-01922-7","DOIUrl":"https://doi.org/10.1007/s10237-024-01922-7","url":null,"abstract":"<p><p>When infants are admitted to the hospital with skull fractures, providers must distinguish between cases of accidental and abusive head trauma. Limited information about the incident is available in such cases, and witness statements are not always reliable. In this study, we introduce a novel, data-driven approach to predict fall parameters that lead to skull fractures in infants in order to aid in determinations of abusive head trauma. We utilize a state-of-the-art finite element fracture simulation framework to generate a unique dataset of skull fracture patterns from simulated falls. We then extract features from the resulting fracture patterns in this dataset to be used as input into machine learning models. We compare seven machine learning models on their abilities to predict two fall parameters: impact site and fall height. The results from our best-performing models demonstrate that while predicting the exact fall height remains challenging ( <math><msup><mi>R</mi> <mn>2</mn></msup> </math> 0.27 for the ridge regression model), we can effectively identify potential impact sites ( <math><msup><mi>R</mi> <mn>2</mn></msup> </math> between 0.65 and 0.76 for the random forest regression model). This work not only provides a tool to enhance the ability to assess abuse in cases of pediatric head trauma, but also advocates for advancements in computational models to simulate complex skull fractures.</p>","PeriodicalId":489,"journal":{"name":"Biomechanics and Modeling in Mechanobiology","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142998081","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"On the Gaussian modulus of lipid membranes.","authors":"Ashutosh Agrawal","doi":"10.1007/s10237-025-01925-y","DOIUrl":"https://doi.org/10.1007/s10237-025-01925-y","url":null,"abstract":"<p><p>The Gaussian modulus is a crucial property that influences topological transformations in lipid membranes. However, unlike the bending modulus, estimating the Gaussian modulus has been particularly challenging due to the constraints imposed by the Gauss-Bonnet theorem. Despite this, various theoretical, computational, and experimental approaches have been developed to estimate the Gaussian modulus, though they are often complex, and analytical estimates remain rare. In this work, we present a minimalist model inspired by the folding of a sheet of paper, which provides an exact calculation of the Gaussian modulus. Remarkably, the induced deformation does not affect the Gaussian curvature or alter the system's topology, yet it yields the modulus that governs these geometric properties.</p>","PeriodicalId":489,"journal":{"name":"Biomechanics and Modeling in Mechanobiology","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142982326","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nicoletta Braidotti, Davide Rizzo, Catalin D Ciubotaru, Giuseppina Sacco, Annalisa Bernareggi, Dan Cojoc
{"title":"Actin instability alters red blood cell mechanics and Piezo1 channel activity.","authors":"Nicoletta Braidotti, Davide Rizzo, Catalin D Ciubotaru, Giuseppina Sacco, Annalisa Bernareggi, Dan Cojoc","doi":"10.1007/s10237-024-01921-8","DOIUrl":"https://doi.org/10.1007/s10237-024-01921-8","url":null,"abstract":"<p><p>The organization and dynamics of the spectrin-actin membrane cytoskeleton play a crucial role in determining the mechanical properties of red blood cells (RBC). RBC are subjected to various forces that induce deformation during blood microcirculation. Such forces also regulate membrane tension, leading to Piezo1 channel activation, which is functionally linked to RBC dehydration through calcium influx and subsequent activation of Gardos channels, ultimately resulting in variations in RBC volume. In this study, we investigated how actin instability affects Piezo1 channel gating, in relation to RBC deformation and mechanical properties, using micropipette aspiration and optical tweezers. Actin instability, induced by 0.5 μM Cytochalasin-D (Cyt-D), led to a 22% reduction in the activation pressure. Additionally, we observed a decreasing trend in Young's modulus, membrane tension, and viscosity. By measuring the time required for cell shape recovery after deformation in an optical trap, we found that Cyt-D-treated RBC took approximately 14% longer to recover compared to untreated cells. The bimodal imaging feature of our experimental approach allowed us to simultaneously measure and correlate activation pressure with mechanical properties at the single-cell level. A significant correlation was found between these parameters in both treated and untreated RBC. Our findings demonstrate the influence of actin instability on both Piezo1 activation and RBC mechanics. These results offer new insights into the interplay between F-actin and Piezo1 in RBC mechanobiology.</p>","PeriodicalId":489,"journal":{"name":"Biomechanics and Modeling in Mechanobiology","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142941914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kexin Yan, Wenfeng Ye, Antonio Martínez, Leonardo Geronzi, Pierre Escrig, Jacques Tomasi, Michel Rochette, Pascal Haigron, Aline Bel-Brunon
{"title":"Fluid-structure-growth modeling in ascending aortic aneurysm: capability to reproduce a patient case.","authors":"Kexin Yan, Wenfeng Ye, Antonio Martínez, Leonardo Geronzi, Pierre Escrig, Jacques Tomasi, Michel Rochette, Pascal Haigron, Aline Bel-Brunon","doi":"10.1007/s10237-024-01915-6","DOIUrl":"https://doi.org/10.1007/s10237-024-01915-6","url":null,"abstract":"<p><p>Predicting the evolution of ascending aortic aneurysm (AscAA) growth is a challenge, complicated by the intricate interplay of aortic geometry, tissue behavior, and blood flow dynamics. We investigate a flow-structural growth and remodeling (FSG) model based on the homogenized constrained mixture theory to simulate realistic AscAA growth evolution. Our approach involves initiating a finite element model with an initial elastin insult, driven by the distribution of Time-Averaged Wall Shear Stress (TAWSS) derived from computational fluid dynamics simulations. Through FSG simulation, we first calibrate the growth and remodeling material parameters to reproduce the growth observed on a patient-specific case. Then, we explore the influence of two critical parameters: the direction of the inlet jet flow, which affects the zone of significant TAWSS, and prestretch, which impacts the tissue homeostatic state. Our results show that calibrating material parameters, inlet flow direction, and prestretch allows to reproduce the observed growth, and that prestretch calibration and inlet flow direction significantly influence the simulated growth pattern. Our workflow can be applied to additional patient cases to confirm these tendencies and progress toward a predictive tool for clinical decision support.</p>","PeriodicalId":489,"journal":{"name":"Biomechanics and Modeling in Mechanobiology","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142930395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Eli Broemer, Pragya Saxena, Sarah Bartolone, Grant Hennig, Gerald M Herrera, Bernadette Zwaans, Nathan R Tykocki, Sara Roccabianca
{"title":"Modeling bladder mechanics with 4D reconstruction of murine ex vivo bladder filling.","authors":"Eli Broemer, Pragya Saxena, Sarah Bartolone, Grant Hennig, Gerald M Herrera, Bernadette Zwaans, Nathan R Tykocki, Sara Roccabianca","doi":"10.1007/s10237-024-01914-7","DOIUrl":"https://doi.org/10.1007/s10237-024-01914-7","url":null,"abstract":"<p><p>This study presents a novel methodology for high-resolution 3D bladder modeling during filling, developed by leveraging improved imaging and computational techniques. Using murine bladder filling data, the methodology generates accurate 3D geometries across time, enabling in-depth mechanical analysis. Comparison with a traditional spherical model revealed similar stress trends, but the 3D model permitted nuanced quantifications, such as localized surface curvature and stress analysis. This advanced 3D model captures complex tissue behavior crucially influenced by tissue-specific microstructural characteristics. This methodology can also be extended to other tissues such as lungs, uterus, and gastrointestinal tract tissues. Applying this analysis to different tissues can uncover mechanisms driven by localized mechanics, such as the sensation of fullness in the bladder due to microcontractions, uterine contractions during labor, and peristaltic contractions in the gastrointestinal tract. This broader applicability underscores our approach's potential to advance the understanding of tissue-specific mechanical behaviors across various biological systems.</p>","PeriodicalId":489,"journal":{"name":"Biomechanics and Modeling in Mechanobiology","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142908681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Marissa Gionet-Gonzales, Gianna Gathman, Jonah Rosas, Kyle Y Kunisaki, Dominique Gabriele P Inocencio, Niki Hakami, Gregory N Milburn, Angela A Pitenis, Kenneth S Campbell, Beth L Pruitt, Ryan S Stowers
{"title":"Stress relaxation rates of myocardium from failing and non-failing hearts.","authors":"Marissa Gionet-Gonzales, Gianna Gathman, Jonah Rosas, Kyle Y Kunisaki, Dominique Gabriele P Inocencio, Niki Hakami, Gregory N Milburn, Angela A Pitenis, Kenneth S Campbell, Beth L Pruitt, Ryan S Stowers","doi":"10.1007/s10237-024-01909-4","DOIUrl":"https://doi.org/10.1007/s10237-024-01909-4","url":null,"abstract":"<p><p>The heart is a dynamic pump whose function is influenced by its mechanical properties. The viscoelastic properties of the heart, i.e., its ability to exhibit both elastic and viscous characteristics upon deformation, influence cardiac function. Viscoelastic properties change during heart failure (HF), but direct measurements of failing and non-failing myocardial tissue stress relaxation under constant displacement are lacking. Further, how consequences of tissue remodeling, such as fibrosis and fat accumulation, alter the stress relaxation remains unknown. To address this gap, we conducted stress relaxation tests on porcine myocardial tissue to establish baseline properties of cardiac tissue. We found porcine myocardial tissue to be fast relaxing, characterized by stress relaxation tests on both a rheometer and microindenter. We then measured human left ventricle (LV) epicardium and endocardium tissue from non-failing, ischemic HF and non-ischemic HF patients by microindentation. Analyzing by patient groups, we found that ischemic HF samples had slower stress relaxation than non-failing endocardium. Categorizing the data by stress relaxation times, we found that slower stress relaxing tissues were correlated with increased collagen deposition and increased α-smooth muscle actin (α-SMA) stress fibers, a marker of fibrosis and cardiac fibroblast activation, respectively. In the epicardium, analyzing by patient groups, we found that ischemic HF had faster stress relaxation than non-ischemic HF and non-failing. When categorizing by stress relaxation times, we found that faster stress relaxation correlated with Oil Red O staining, a marker for adipose tissue. These data show that changes in stress relaxation vary across the different layers of the heart during ischemic versus non-ischemic HF. These findings reveal how the viscoelasticity of the heart changes, which will lead to better modeling of cardiac mechanics for in vitro and in silico HF models.</p>","PeriodicalId":489,"journal":{"name":"Biomechanics and Modeling in Mechanobiology","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142908779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Measuring the biomechanical properties of cell-derived fibronectin fibrils.","authors":"Caleb J Dalton, Soma Dhakal, Christopher A Lemmon","doi":"10.1007/s10237-024-01918-3","DOIUrl":"https://doi.org/10.1007/s10237-024-01918-3","url":null,"abstract":"<p><p>Embryonic development, wound healing, and organogenesis all require assembly of the extracellular matrix protein fibronectin (FN) into insoluble, viscoelastic fibrils. FN fibrils mediate cell migration, force generation, angiogenic sprouting, and collagen deposition. While the critical role of FN fibrils has long been appreciated, we still have an extremely poor understanding of their mechanical properties and how these mechanical properties facilitate cellular responses. Here, we demonstrate the development of a system to probe the mechanics of cell-derived FN fibrils and present quantified mechanical properties of these fibrils. We demonstrate that: fibril elasticity can be classified into three phenotypes: linearly elastic, strain-hardening, or nonlinear with a \"toe\" region; fibrils exhibit pre-conditioning, with nonlinear \"toe\" fibrils becoming more linear with repeated stretch and strain-hardened fibrils becoming less linear with repeated stretch; fibrils exhibit an average elastic modulus of roughly 8 MPa; and fibrils exhibit a time-dependent viscoelastic behavior, exhibiting a transition from a stress relaxation response to an inverse stress relaxation response. These findings have a potentially significant impact on our understanding of cellular mechanical responses in fibrotic diseases and embryonic development, where FN fibrils play a major role.</p>","PeriodicalId":489,"journal":{"name":"Biomechanics and Modeling in Mechanobiology","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142890938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}