Journal of Vascular and Interventional Radiology最新文献

{"title":"Superselective Embolization of Plantar Fasciitis with Resorbable Embolics: Technical Consideration and Outcomes.","authors":"Seyed Amin Astani, Nassir Rostambeigi, Amanda Oliveira, Jafar Golzarian","doi":"10.1016/j.jvir.2026.109097","DOIUrl":"10.1016/j.jvir.2026.109097","url":null,"abstract":"<p><strong>Purpose: </strong>To assess plantar fasciitis embolization (PFE) outcomes using combined nonselective posterior tibial artery embolization and superselective embolization technique.</p><p><strong>Materials and methods: </strong>Patients refractory to conservative treatment who underwent PFE with resorbable embolics were retrospectively reviewed. The temporary embolic agent was injected nonselectively into the posterior tibial artery. If the blush persisted after 5 minutes, the calcaneal branches leading to the hyperemia were selected and embolized. Embolic agent injection was repeated until disappearance of arterial blush. Visual analog scale (VAS) and Foot and Ankle Disability Index (FADI) scores were collected at baseline, 1 month, 3 months, and 6 months. Radiographic findings, duration of symptoms, procedure-related parameters, and need for reintervention were evaluated. Multiple regression analysis was performed to identify factors associated with symptoms improvements.</p><p><strong>Results: </strong>Forty-one legs in 34 patients were treated. Median number of embolized arteries was 2 (range, 1-5 arteries) with median total intraprocedural embolizations of 3 times (range, 1-8 times). VAS (-2.4 points, P = .001) and FADI (22 points, P = .001) scores significantly improved at 1 month. At 1, 3, and 6 months, the proportions of patients with >20% improvements in FADI and VAS were 70%, 68.7%, and 91.6% and 57%, 76.4%, and 91.6%, respectively (P < .01). Treatment effects were maintained between time points of 1 and 6 months. FADI or VAS changes were no different if bony spur was present on radiograph (P = nonsignificant). At 6 months' follow-up, 5 legs (12%) required a repeat PFE. There were no major adverse events.</p><p><strong>Conclusions: </strong>PFE using this combined technique is effective and safe with maintained improvement in pain and function in short-term analysis.</p>","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":" ","pages":"109097"},"PeriodicalIF":3.1,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149065132","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":"Suture-Mediated Vascular Closure for Iatrogenic Femoral Artery Pseudoaneurysms: A Multicenter Experience.","authors":"Joon Ho Kwon, Chang Ho Jeon, Jeet Minocha, Jin Ho Hwang, Soo Buem Cho, Jae Hwan Lee, Minuk Kim","doi":"10.1016/j.jvir.2026.109099","DOIUrl":"10.1016/j.jvir.2026.109099","url":null,"abstract":"<p><p>This multicenter retrospective case series evaluated ultrasound (US)-guided suture-mediated vascular closure for selected iatrogenic femoral artery pseudoaneurysms. Sixteen consecutive patients treated at 3 tertiary referral hospitals between August 2021 and June 2026 were included. Pseudoaneurysms involved the common femoral artery in 9 patients, the superficial femoral artery in 6 patients, and the deep femoral artery in 1 patient; 5 were multilobulated, 4 followed 12-14-f access, and 2 had failed prior thrombin injection. A Perclose ProGlide or ProStyle device was deployed under real-time US guidance without angiography or iodinated contrast. Technical success was achieved in all patients. During a median follow-up of 498.5 days, no recurrence, reintervention, surgery, or procedure-related complication occurred. US-guided suture-mediated closure may be a feasible contrast-sparing option for carefully selected femoral pseudoaneurysms when conventional treatment is unsuitable or has failed.</p>","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":" ","pages":"109099"},"PeriodicalIF":3.1,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149065146","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":"Effects of Celiac and Hepatic Sympathetic Denervation on Glucose Homeostasis: A Scoping Review.","authors":"Tushar Garg, Melissa S Putman, Yi-Fen Yen, Thomas J An, Leo L Tsai","doi":"10.1016/j.jvir.2026.109095","DOIUrl":"10.1016/j.jvir.2026.109095","url":null,"abstract":"<p><strong>Purpose: </strong>To map the human and animal evidence on the effects of celiac and hepatic sympathetic denervation on glucose homeostasis and identify gaps to inform future trials.</p><p><strong>Materials and methods: </strong>PubMed, Embase, Web of Science, and Scopus were searched from inception to December 2025 for studies reporting glucose outcomes after sympathetic denervation of the celiac plexus, celiac and superior mesenteric ganglia (CSMG), or common hepatic artery perivascular nerves in humans or animals. Vagotomy-only studies were excluded.</p><p><strong>Clinicaltrials: </strong>gov and bioRxiv were also searched. Two reviewers screened records; data were charted per Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) extension for Scoping Reviews methodology, and 1 preprint was included and identified as such.</p><p><strong>Results: </strong>Twenty-nine studies were included: 3 human studies (2 endovascular denervation [EDN] cohorts, n = 41), 25 animal studies (rat, mouse, dog, and pig), and 1 unpublished preprint (mouse). In patients with Type 2 diabetes mellitus, percutaneous EDN-reduced hemoglobin A1c level by 0.9-1.9 percentage points at 6-12 months, with no serious adverse events. In animals, sympathetic denervation broadly improved glucose tolerance and reduced hepatic glucose output across species and denervation paradigms. Counterregulatory responses to hypoglycemia showed species-specific divergence: nearly abolished in pigs after complete denervation, attenuated in rats, and preserved in chronically denervated dogs. One preprint found that CSMG ablation recapitulated the glycemic effects of sleeve gastrectomy in obese mice.</p><p><strong>Conclusions: </strong>Celiac and hepatic sympathetic denervation was associated with favorable glycemic effects across human and animal studies, although the human evidence was limited to 2 uncontrolled cohorts. Counterregulatory responses to hypoglycemia varied by species and extent of denervation.</p>","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":" ","pages":"109095"},"PeriodicalIF":3.1,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149026425","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":"Cone-Beam CT Hepatic Arteriography-Guided Microwave Ablation of Ultrasound-Occult Liver Lesions.","authors":"Mario Ghosn, Youssef Zaarour, Hicham Kobeiter, Achref Jelassi, Cécile Masson-Grehaigne, Maxime Blain, Salim Jazzar, Mahdi Krichen, Athena Galletto, Kais Thabti, Alain Luciani, Haytham Derbel, Vania Tacher","doi":"10.1016/j.jvir.2026.109096","DOIUrl":"10.1016/j.jvir.2026.109096","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the technical success and safety of cone-beam computed tomography (CT) hepatic arteriography-guided microwave ablation (MWA) for hepatic lesions invisible on ultrasound (US).</p><p><strong>Materials and methods: </strong>In this retrospective study, all consecutive patients with primary or secondary liver malignancies referred for MWA between September 2023 and March 2025, in whom the target lesion was not visible on US, were included. Thirty-eight patients with 46 nodules were included. Thirty-four nodules (34 [74%] of 46) were hepatocellular carcinoma, and 12 (12 [26%] of 46) were colorectal cancer metastases. Tumor median size was 11.5 mm (interquartile range [IQR], 10.0-13.8 mm). A catheter was inserted into the common hepatic artery or a segmental branch, and dual-phase cone-beam CT was performed to visualize the lesion and plan the antenna insertion trajectory. Dual-phase cone-beam CT was repeated to confirm antenna placement and complete ablation. Technical success was defined as successful lesion identification, antenna placement, and visualization of the ablation zone.</p><p><strong>Results: </strong>Technical success was achieved in 41 (89%) of 46 lesions. After a median follow-up time of 11.9 months (IQR, 6.8-19.8 months), primary local tumor progression occurred in 2 (4.9%) of 41 lesions. No major complications occurred.</p><p><strong>Conclusions: </strong>Cone-beam CT hepatic arteriography was a safe and effective procedure for performing MWA of hepatic lesions that were not visible on US in this series. Key advantages of this technique included increased tumor visualization and ability to assess ablation margins.</p>","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":" ","pages":"109096"},"PeriodicalIF":3.1,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149026592","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":"Bilateral Transarterial Microembolization for Primary Ankle Osteoarthritis: A Systematic Multi-Vessel Approach Targeting the Perimalleolar Arterial Network.","authors":"Layth Alkhani, Nicholas Prus, Mikin V Patel, Junaid Makda, Osman Ahmed","doi":"10.1016/j.jvir.2026.109094","DOIUrl":"https://doi.org/10.1016/j.jvir.2026.109094","url":null,"abstract":"","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":" ","pages":"109094"},"PeriodicalIF":3.1,"publicationDate":"2026-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149013210","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":"Limb Anatomic Capital Across the Claudication-to-Chronic Limb-Threatening Ischemia Trajectory: A Scoping Review and Framework for Longitudinal Revascularization Stewardship.","authors":"Jeffrey H Shuhaiber","doi":"10.1016/j.jvir.2026.109092","DOIUrl":"https://doi.org/10.1016/j.jvir.2026.109092","url":null,"abstract":"<p><strong>Purpose: </strong>To explore whether claudication-stage management may affect native arterial substrate available for later revascularization options and propose a longitudinal stewardship framework.</p><p><strong>Materials and methods: </strong>A PRISMA-ScR review searched PubMed/MEDLINE across four domains: prior intervention and bypass outcomes, tibial runoff, procedural burden and conservative management, and no-option chronic limb-threatening ischemia (CLTI).</p><p><strong>Results: </strong>Twenty-eight studies and guidelines were included. Prior ipsilateral endovascular intervention was associated in one study with higher 1-year major amputation (31% vs 20%) and graft occlusion (28% vs 18%). Three-year primary patency was 35.8% with absent tibial outflow versus 60.9% with intact runoff. Complete optimal medical therapy was documented in 38.1% at intervention; supervised exercise completion ranged from 5% to 55%. Approximately 20% of patients with CLTI were reported to lack a conventional revascularization option.</p><p><strong>Conclusions: </strong>Evidence supports prospective measurement of limb anatomic capital but does not separate natural disease progression from intervention-associated change. Proposed stewardship tools require prospective clinical validation.</p>","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":" ","pages":"109092"},"PeriodicalIF":3.1,"publicationDate":"2026-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149009259","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":"Interventional Radiology as the Most Utilized Treatment Specialty for Hepatocellular Carcinoma: A 25-Year Multidisciplinary Analysis at a High-Volume Academic Transplant Center.","authors":"Arsalan Nadeem, Laura M Kulik, Aparna Kalyan, Daniel Borja-Cacho, Fatima Z Islam, Beau B Toskich, Kent Sato, Zachary Dietch, Karen Grace, Melissa J Williams, Ramona Gupta, Andrew C Gordon, Robert J Lewandowski","doi":"10.1016/j.jvir.2026.109089","DOIUrl":"https://doi.org/10.1016/j.jvir.2026.109089","url":null,"abstract":"<p><strong>Purpose: </strong>To characterize the longitudinal role of interventional radiology (IR) in multidisciplinary hepatocellular carcinoma (HCC) care over 25 years at a high-volume liver transplant center, and to evaluate changes in IR utilization and procedural composition following FDA approval of atezolizumab plus bevacizumab (Atezo/Bev) as first-line systemic therapy.</p><p><strong>Materials and methods: </strong>This retrospective single-center cohort included patients 3,473 patients with HCC (ICD-9: 155.0; ICD-10: C22.0) treated between 2000 and 2025. The cohort was 71.7% male, with a median age of 64 years. Data were obtained from institutional procedure records and CPT codes. Outcomes included patients and procedures by specialty, IR procedural mix by era, treatment sequencing, and peri-transplant patterns. Analyses included descriptive statistics and chi-square tests.</p><p><strong>Results: </strong>IR treated 2,520 (72.6%) and performed 4,313 procedures, including TARE (72.6%), TACE (18.7%), and ablation (7.9%). Surgery treated 1,350 (38.9%), medical oncology 746 (21.5%), and radiation oncology 96 (2.8%). Of 939 liver transplant patients, 510 (54.3%) received IR pre-transplant at a median of 201 days, primarily TARE (67.0%). After Atezo/Bev approval, IR patient proportion declined from 75.7% to 64.6% (p<0.001), while annual procedural volume remained stable (151 vs 192, p=0.366). TARE increased from 67.4% to 86.8% of procedures, while TACE decreased from 24.7% to 2.3%.</p><p><strong>Conclusion: </strong>Over 25 years, IR was the most utilized specialty in HCC care. TARE became the dominant locoregional and bridging therapy. After Atezo/Bev approval, IR utilization proportion declined, but procedural volume remained stable with a marked shift toward TARE and away from TACE.</p>","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":" ","pages":"109089"},"PeriodicalIF":3.1,"publicationDate":"2026-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149009284","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":"Ultrasound-Derived Hemodynamic Parameters for Predicting Presence and Site of Arteriovenous Fistula Stenosis.","authors":"Maofeng Gong, Keith Quencer, Takeshi Suzuki, Khashayar Farsad, Kentaro Yamada","doi":"10.1016/j.jvir.2026.109085","DOIUrl":"10.1016/j.jvir.2026.109085","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate predictive performance of ultrasound (US)-derived hemodynamic parameters in detecting ≥50% stenosis in patients with hemodialysis arteriovenous fistula (AVF) and determine predictors of juxta-anastomotic stenosis (JAS).</p><p><strong>Materials and methods: </strong>This single-center retrospective study reviewed patients with AVFs who underwent both US and fistulography. Basic demographics, comorbidities, AVF configuration, stenosis type, image time interval, US hemodynamic parameters, and angiographic information were compared.</p><p><strong>Results: </strong>A total of 87 patients were included. Both the stenotic peak systolic velocity (PSV) and Δstenotic-to-juxtastenotic PSV (adjusted odds ratio [aOR], 1.282; 95% CI, 1.103-1.491; P = .001) are associated with ≥50% stenosis, with the latter demonstrating superior predictive value (area under the curve, 0.659 vs 0.799; P = .004). Restricted cubic spline analysis showed that a larger Δstenotic-to-juxtastenotic PSV had an increased risk of ≥50% stenosis (P = .012). Furthermore, anastomotic PSV (aOR, 1.003; 95% CI, 1.001-1.006; P = .002) distinguished JAS from stenosis in draining or outflow vein. Among patients with JAS, the Δstenotic-to-juxtastenotic PSV was slightly superior to Δanastomotic PSV in detecting ≥50% stenosis.</p><p><strong>Conclusions: </strong>US-derived hemodynamic parameters based on PSV may serve as useful predictors in detecting the presence and site of AVF stenosis. ΔStenotic-to-juxtastenotic PSV demonstrated superior diagnostic performance for detecting overall AVF stenosis and JAS. A larger Δstenotic-to-juxtastenotic PSV was associated with an increased risk of ≥50% stenosis. Anastomotic PSV may help distinguish JAS from stenosis located in draining or outflow vein.</p>","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":" ","pages":"109085"},"PeriodicalIF":3.1,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148992182","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":"Opioid-Sparing Sedation for Gastrostomy Tube Placement: A Retrospective Cohort Study Comparing Ketamine/Midazolam and Fentanyl/Midazolam.","authors":"Dylan Goodman, Ashraf Ahmad, Adam Belcher, Amy R Deipolyi","doi":"10.1016/j.jvir.2026.109081","DOIUrl":"https://doi.org/10.1016/j.jvir.2026.109081","url":null,"abstract":"<p><p>Percutaneous gastrostomy tube placement is associated with substantial procedural and postprocedural pain. This retrospective single-center sequential before-and-after cohort study compared fentanyl/midazolam versus ketamine/midazolam sedation for percutaneous gastrostomy placement between October 2022 and April 2026. Of 129 consecutive procedures screened, 30 were excluded, yielding 99 procedures performed with fentanyl/midazolam (n = 54) or ketamine/midazolam (n = 45). The primary outcome was a composite sedation/analgesia-related clinical outcome, including serious sedation-related events, oxygen desaturation <90%, postoperative analgesic use, or antiemetic administration. Ketamine/midazolam was associated with a lower rate of the composite clinical outcome compared with fentanyl/midazolam (40.0% vs 63.0%, p = .027), primarily driven by lower postoperative analgesic requirements. Trends favored ketamine for desaturation and serious sedation-related events, while antiemetic use, nadir systolic blood pressure, and Aldrete recovery scores were similar between groups. These findings suggest ketamine/midazolam was associated with reduced postoperative analgesic requirements and comparable observed safety for gastrostomy tube placement.</p>","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":" ","pages":"109081"},"PeriodicalIF":3.1,"publicationDate":"2026-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148957220","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":"Intravascular Ultrasound-Guided Transcaval Cisterna Chyli Access for Lymphatic Intervention: A Proof-of-Concept Study in a Porcine Model.","authors":"Nicholas Perkons, James Ronald, Waleska Pabon-Ramos, Charles Kim, Brendan Cline","doi":"10.1016/j.jvir.2026.109077","DOIUrl":"https://doi.org/10.1016/j.jvir.2026.109077","url":null,"abstract":"<p><strong>Purpose: </strong>Central lymphatic interventions are an emerging frontier for Interventional Radiology. Conventional lymphatic access relies on transabdominal puncture of the cisterna chyli following secondary opacification from groin or pedal contrast injection. These techniques are time-consuming and risk injury to multiple structures. This study evaluated the feasibility of direct transcaval cisterna chyli access using intravascular ultrasound with an intracardiac echocardiography probe (IVUS-ICE), motivated by the close proximity of the IVC and cisterna chyli in the retroperitoneum.</p><p><strong>Materials and methods: </strong>IVUS-ICE guidance was used to attempt cisterna chyli cannulation from the IVC in six swine. In the first cohort (n = 2), nodal lymphangiography was performed to co-localize the cisterna chyli prior to ultrasound guided cannulation. In the second cohort (n = 4), de novo access of the cisterna was attempted; rescue nodal lymphangiography was only performed if the cisterna could not be definitively identified sonographically. After central lymphatic cannulation, thoracic duct embolization was performed with coils and/or glue.</p><p><strong>Results: </strong>Transcaval cisterna chyli cannulation and subsequent thoracic duct embolization was successful in all animals (n=6). In the second cohort where primary IVUS-ICE access was attempted, de novo cannulation without preceding lymphangiography was successful in 75% of subjects. Success depended on the sonographic visibility and proximity of lymphatics to the IVC.</p><p><strong>Conclusion: </strong>This study demonstrates that IVUS-ICE-guided transcaval access is technically feasible. This approach may improve procedural safety and efficiency by eliminating transgression of abdominal structures inherent to transabdominal access and the often-time-consuming process for central lymphatic opacification for a subset of patients.</p>","PeriodicalId":49962,"journal":{"name":"Journal of Vascular and Interventional Radiology","volume":" ","pages":"109077"},"PeriodicalIF":3.1,"publicationDate":"2026-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148957225","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}