Annals of Anatomy-Anatomischer Anzeiger最新文献

{"title":"AI-powered techniques in anatomical imaging: Impacts on veterinary diagnostics and surgery","authors":"A.S. Vickram ,&nbsp;Shofia Saghya Infant ,&nbsp;Priyanka ,&nbsp;Hitesh Chopra","doi":"10.1016/j.aanat.2024.152355","DOIUrl":"10.1016/j.aanat.2024.152355","url":null,"abstract":"<div><h3>Background</h3><div>Artificial intelligence (AI) is rapidly transforming veterinary diagnostic imaging, offering improved accuracy, speed, and efficiency in analyzing complex anatomical structures. AI-powered systems, including deep learning and convolutional neural networks, show promise in interpreting medical images from various modalities like X-rays, ultrasounds, CT scans, and MRI/mammography.</div></div><div><h3>Study design</h3><div>Narrative review</div></div><div><h3>Objective</h3><div>This review aims to explore the innovations and challenges of AI-enabled imaging tools in veterinary diagnostics and surgery, highlighting their potential impact on diagnostic accuracy, surgical risk mitigation, and personalized veterinary healthcare.</div></div><div><h3>Methods</h3><div>We reviewed recent literature on AI applications in veterinary diagnostic imaging, focusing on their benefits, limitations, and future directions.</div></div><div><h3>Conclusion</h3><div>AI-enabled imaging tools hold immense potential for revolutionizing veterinary diagnostics and surgery. By enhancing diagnostic accuracy, enabling precise surgical planning, and supporting personalized treatment strategies, AI can significantly improve animal health outcomes. However, addressing challenges related to data privacy, algorithm bias, and integration into clinical workflows is crucial for the widespread adoption and success of these transformative technologies.</div></div>","PeriodicalId":50974,"journal":{"name":"Annals of Anatomy-Anatomischer Anzeiger","volume":"258 ","pages":"Article 152355"},"PeriodicalIF":2.0,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142694088","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":"Implementing 3D printing and extended reality in anatomy education: Organization, evolution, and assessment of an innovative teaching program in an undergraduate medical school in the Netherlands","authors":"Dylan Henssen ,&nbsp;Jort Karstens ,&nbsp;Guido De Jong ,&nbsp;Jacobus Dylan Duits ,&nbsp;Lucas Boer ,&nbsp;Monique Brink ,&nbsp;Thomas Maal ,&nbsp;Liesbeth Peters-Bax","doi":"10.1016/j.aanat.2024.152354","DOIUrl":"10.1016/j.aanat.2024.152354","url":null,"abstract":"<div><h3>Background</h3><div>A knowledge gap exists on how to implement three dimensional (3D) printing and extended reality (XR) technologies in anatomy education. Also, it remains unclear how students experience the implementation of these new technologies in anatomy education,. This report describes the result of an elective course on the use of 3D prints and XR at our Faculty of Medical Sciences.</div></div><div><h3>Methods</h3><div>A 10-week elective course on the use of 3D prints and XR was organized for undergraduate students studying Medicine and Biomedical Sciences. Students were trained on how to construct 3D models and/or XR models from radiological data. Students received further education on the strengths and limitations of each technique and on how to evaluate scientific literature on this topic. Also, students received training on providing anatomy education using 3D models and/or XR models. The course was evaluated using a specifically designed survey containing twelve questions. Questions needed to be answered using a 5-point Likert scale to rate several topics concerning the course itself, educational elements and perceived study load.</div></div><div><h3>Results</h3><div>An extensive course description is provided to help other anatomy educators to adopt 3D prints and/or XR models in the curriculum at their institution. Student evaluations indicated that learners found the constructed (virtual) models insightful and highly motivating, which helped them to actively engage in (future) anatomy education.</div></div><div><h3>Discussion</h3><div>Here presented results encourage the further implementation of 3D models and/or XR models based on radiological data in anatomy education. However, future research on educational effectiveness are needed.</div></div>","PeriodicalId":50974,"journal":{"name":"Annals of Anatomy-Anatomischer Anzeiger","volume":"257 ","pages":"Article 152354"},"PeriodicalIF":2.0,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142694090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Visible Human Project based applications can prompt integrating cross-sectional anatomy into the medical school curriculum when combined with radiological modalities: A three-year cross-sectional observational study","authors":"Azzat Al-Redouan ,&nbsp;Alexander Dudin ,&nbsp;Abbygale Jirina Urbanek ,&nbsp;Ebba Olsson ,&nbsp;David Kachlik","doi":"10.1016/j.aanat.2024.152357","DOIUrl":"10.1016/j.aanat.2024.152357","url":null,"abstract":"<div><h3>Background</h3><div>Cross-sectional anatomy is a challenging yet a vital foundation to clinical practice. The traditional teachings of gross anatomy cadaveric dissections do not cover adequate training of recognizing anatomical structures on CT, MRI and sonographic cross-sections. New modern technologies are emerging as teaching tools in anatomy aiming to deliver visual interactive experience. The Visible Human Project provides a library of cross-sectional images compiled from cryosectioned body donors that was utilized by modern technologies such as the virtual dissection table (Anatomage) in constructing 3D software applications visualizing the internal composition of the human body virtually. Hereby, this article explores an integrative approach utilizing the Visible Human Project based applications and basic radiological modalities.</div></div><div><h3>Purpose</h3><div>The purpose of our newly implemented teaching approach was to test and assure technology fitness to the medical curriculum and its potential influence on students’ performance in learning gross as well as cross-sectional anatomy in much depth.</div></div><div><h3>Basic procedures</h3><div>A three years (2021–2024) observational study was conducted by implanting a practical cross-sectional anatomy optional course by selectively utilizing Anatmage interactively beside CT, MRI and ultrasound practice. The performance of 50 participants was evaluated in the form of a written test comprised of labeling of ten cross-sectional images and drawing of two cross-section schemes. Their optional course test scores were compared to their obligatory anatomy subject test scores; and to a non-participants control group of 50 retrospective obligatory anatomy subject test scores. In addition, the participants’ attitude toward the training lessons was assessed through a survey focused on satisfaction level, competence and ability to recognize structures on radiological images.</div></div><div><h3>Main findings</h3><div>The participants reported a high level of practical engagement. The test scores in the anatomy obligatory subject were positively influenced by this implemented practical course. Students showed improved test scores in the standardized labeling keyword questions, while the scheme questions showed discrepancy.</div></div><div><h3>Principal conclusions</h3><div>Integrating Visible Human Project based applications with radiological modalities showed positive efficacy on the students’ engagement and learning performance. Inevitably, cadaveric dissection and prosection remain the cornerstone of gross anatomy education. Integrating both modalities of teaching would excel students’ practical skills in applied clinical anatomy.</div></div>","PeriodicalId":50974,"journal":{"name":"Annals of Anatomy-Anatomischer Anzeiger","volume":"257 ","pages":"Article 152357"},"PeriodicalIF":2.0,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142692730","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":"Geometric morphometric analysis of plastinated brain sections using computer-based methods: Evaluating shrinkage and shape changes","authors":"Barış Batur ,&nbsp;İhsan Berat Kiliçli ,&nbsp;Hasen Awel Yunus ,&nbsp;Sinan Şahi̇n ,&nbsp;Ozan Gündemi̇r ,&nbsp;Doğukan Özen ,&nbsp;Caner Bakici","doi":"10.1016/j.aanat.2024.152351","DOIUrl":"10.1016/j.aanat.2024.152351","url":null,"abstract":"<div><h3>Background</h3><div>Plastination preserves biological specimens for long-term and geometric morphometry analyzes shape differences with advanced statistical methods. This study primarily aimed to statistically quantify shrinkage in brain sections following plastination. The secondary goal was to present the shrinkage occurring in both tissues and cavities of specific anatomical structures using geometric morphometry.</div></div><div><h3>Methods</h3><div>Fourteen sections from each of nine male bovine brains underwent silicone plastination using the standard technique, which involves four stages: fixation, dehydration, forced impregnation, and curing. The shrinkage percentage in plastinated sections was measured using ImageJ, while geometric morphometry was used for shape analysis. Correlation analysis was performed to reveal the relationship between ventricle area and shrinkage percentage.</div></div><div><h3>Results</h3><div>Significant shrinkage was observed in each brain section. A positive correlation was observed between the shrinkage on the sections and ventricular area. However, with the exception of sections number 2, 5, 9, 12 and 13, this correlation was not statistically significant for the remaining sections. Using geometric morphometric, shrinkage, and associated shape variations in specific anatomical regions within the serial brain sections were illustrated with visual graphics. Shape analysis revealed the most pronounced shrinkage in the sulcus coronalis, sulcus suprasylvius rostralis, ventral surface of the thalamus, and the third ventricle. Additionally, the cornu ammonis (hippocampus) exhibited the most significant shrinkage and shape variation. While morphometric analyses did not reveal significant shrinkage in cavity-like structures, geometric morphometric analyses demonstrated significant shrinkage in the third ventricle.</div></div><div><h3>Conclusions</h3><div>This study is unique in that it is the first to comprehensively demonstrate, using geometric morphometry, the morphological changes that occur in brain tissue during plastination. The findings, when combined with graphical and statistical data analysis, emphasize the effectiveness of geometric morphometry as a powerful tool for elucidating shape changes in plastination research.</div></div>","PeriodicalId":50974,"journal":{"name":"Annals of Anatomy-Anatomischer Anzeiger","volume":"257 ","pages":"Article 152351"},"PeriodicalIF":2.0,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640407","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":"Obituary","authors":"Reinhard Putz ,&nbsp;Peter Proff","doi":"10.1016/j.aanat.2024.152350","DOIUrl":"10.1016/j.aanat.2024.152350","url":null,"abstract":"","PeriodicalId":50974,"journal":{"name":"Annals of Anatomy-Anatomischer Anzeiger","volume":"257 ","pages":"Article 152350"},"PeriodicalIF":2.0,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142759627","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":"Advances in upper urinary tract anatomy through imaging techniques","authors":"Mayra Aparecida Côrtes ,&nbsp;Rafaela Franco Moreira ,&nbsp;Isadora Ribeiro Doria ,&nbsp;Jislaine Debacker ,&nbsp;Izadora Mellanie Silva de Oliveira ,&nbsp;Augusto Costa Ataides ,&nbsp;José Mariedson da Silva Junior ,&nbsp;Flávio César Vieira Valentim ,&nbsp;Gilberto Santos Cerqueira ,&nbsp;Renata de Sousa Alves","doi":"10.1016/j.aanat.2024.152353","DOIUrl":"10.1016/j.aanat.2024.152353","url":null,"abstract":"<div><div>This scoping review was conducted based on the Joanna Briggs Institute's theoretical framework and registered with the Open Science Framework (<span><span>https://osf.io/b27wc</span><svg><path></path></svg></span>). The study analyzed 29 manuscripts published between 2013 and 2023, focusing on imaging exams to synthesize evidence on the anatomy and clinical correlations of the upper urinary tract. The results revealed significant findings, highlighting the intrarenal pelvis as a possible predictive indicator of urinary loss after partial nephrectomy. This emphasizes the importance of anatomical assessment of the renal pelvis. Brödel's avascular plane has been categorized into three types relevant to pre-surgical patient planning. Multiple renal arteries and venous variations have also been reported, including retro-aortic and circum-aortic renal veins. A movable section related to the ureter was described in the perirenal space, delimited by the point of intersection with the gonadal vessels. The ureteropelvic and ureterovesical junctions were found to be anatomical points susceptible to ureteral constriction. On the other hand, the point at which the ureter crosses the iliac vessels is no longer considered a site prone to ureteral obstruction. The authors emphasize the need to adopt a standardized terminology to describe the anatomical variations of the blood vessels related to the kidney. Using diverse and unclear terms can hinder teaching and research in this area and lead to inaccuracies. From the authors' perspective, imaging exams have enhanced anatomical accuracy, benefiting the teaching of human anatomy and significantly contributing to continuous medical breakthroughs.</div></div>","PeriodicalId":50974,"journal":{"name":"Annals of Anatomy-Anatomischer Anzeiger","volume":"257 ","pages":"Article 152353"},"PeriodicalIF":2.0,"publicationDate":"2024-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142634335","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":"How to deal with the variability of peripheral nerve lesion patterns after inguinal herniotomy? A descriptive approach for a new terminology in clinical practice","authors":"Andreas Posa ,&nbsp;Christiane Barthel ,&nbsp;Malte Kornhuber","doi":"10.1016/j.aanat.2024.152352","DOIUrl":"10.1016/j.aanat.2024.152352","url":null,"abstract":"<div><h3>Background</h3><div>Inguinal hernia is one of the most common visceral surgical conditions in industrialised countries. The aim of the present observational clinical study was to investigate the dermatome patterns after nerve injury following inguinal hernia surgery and to demonstrate the marked individual anatomical and topographical variability of peripheral nerves in the inguinal region.</div></div><div><h3>Methods</h3><div>220 patients were followed up for one year after inguinal herniotomy. Surgical treatment was performed either with tension-free mesh techniques or open according (Lichtenstein).</div></div><div><h3>Results</h3><div>One year after inguinal herniotomy, 25 patients (11.4 %) reported postoperative symptoms. Of these, 15 patients showed evidence of a distinct nerve lesion. The results of the clinical neurological examination sometimes differed considerably from the subjective perceptions of the patients. In addition, a marked individual variability in the dermatomes of surgically lesioned nerves was found, with discrepancies to the classical and conventional dermatome data in textbooks.</div></div><div><h3>Conclusions</h3><div>This study has shown that it is hardly possible to assign a specific lesional inguinal dermatome to a specific nerve, as nerves show a large individual variability in their anatomical, topographical location and thus in their dermatome boundaries. Therefore, we propose a descriptive approach to the terminology of peripheral inguinal nerve lesions using common regional landmarks. This will avoid a potentially erroneous dermatome assignment to a certain nerve and facilitate the reproducibility of lesion descriptions between different observers, thus facilitating communication in clinical practice.</div></div>","PeriodicalId":50974,"journal":{"name":"Annals of Anatomy-Anatomischer Anzeiger","volume":"257 ","pages":"Article 152352"},"PeriodicalIF":2.0,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142634337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"CT imaging analysis of the C7 pedicle and lateral mass in children aged 0–14 years","authors":"Chong Liu ,&nbsp;Jiarui Chen ,&nbsp;Chengqian Huang ,&nbsp;Tianyou Chen ,&nbsp;Jiang Xue ,&nbsp;Sitan Feng ,&nbsp;Zhongxian Zhou ,&nbsp;Sen Mo ,&nbsp;Rongqing He ,&nbsp;Xiaopeng Qin ,&nbsp;Boli Qin ,&nbsp;Yingying Qin ,&nbsp;Wendi Wei ,&nbsp;Hao Li ,&nbsp;Zhaojun Lu ,&nbsp;Shixin Pan ,&nbsp;Jiakun Li ,&nbsp;Xiangtao Xie ,&nbsp;Xinli Zhan ,&nbsp;Cheng Wei","doi":"10.1016/j.aanat.2024.152349","DOIUrl":"10.1016/j.aanat.2024.152349","url":null,"abstract":"<div><h3>Background and objective</h3><div>There is currently a lack of anatomical research on the C7 pedicle and lateral mass in children aged 0–14 years, and experience with pediatric lower cervical spine surgeries remains limited. This study aims to investigate the anatomical structure of the C7 pedicle and lateral mass in a large pediatric sample to understand their growth patterns, providing imaging and anatomical references for pediatric lower cervical spine surgeries and the design of pediatric C7 screws.</div></div><div><h3>Methods</h3><div>We measured 12 parameters, including the width, length, height, and angles of the C7 pedicle and lateral mass in children aged 0–14 years. The t-test was used to analyze bilateral and gender differences, and least squares regression was applied for curve fitting analysis.</div></div><div><h3>Results</h3><div>The size parameters of the C7 pedicle and lateral mass generally increased with age, while angular parameters fluctuated within specific ranges. The average values for each parameter between ages 0–14 were as follows: D1: 2.78–5.28 mm, D2: 18.15–30.54 mm, D3: 2.44–6.01 mm, angle A: 38.05–44.48°; D4: 6.81–10.94 mm, D5: 5.37–11.23 mm, D6: 8.07–13.28 mm, D7: 1.94–4.88 mm, D8: 5.67–9.39 mm, angle C: 18.50–28.80°, angle D: 43.23–52.01°, angle E: 33.74–44.96°. Bilateral analysis showed no significant differences for most parameters across most age groups, with differences mainly observed in angle A, angle C, D6, and D8. Gender differences were primarily noted in length parameters across different age groups, especially in the 3–4, 6–7, 9–11, and 13–14 age groups. Regression analysis indicated that most parameters followed cubic function curves, while a few followed power or quadratic function curves.</div></div><div><h3>Conclusion</h3><div>This study provides detailed CT imaging anatomy of the C7 pedicle and lateral mass in children aged 0–14 years. Preoperative thin-slice CT scans and careful measurements of key parameters are essential for pediatric lower cervical spine surgeries. The findings offer valuable imaging and anatomical references for pediatric posterior cervical fixation surgery and screw design.</div></div>","PeriodicalId":50974,"journal":{"name":"Annals of Anatomy-Anatomischer Anzeiger","volume":"257 ","pages":"Article 152349"},"PeriodicalIF":2.0,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142549491","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":"The effect of Scheuermann's kyphosis on rib cage morphology: A skeletal study","authors":"Smadar Peleg ,&nbsp;Ruth Pelleg Kallevag ,&nbsp;Gali Dar ,&nbsp;Nili Steinberg ,&nbsp;Ziv Lenzner ,&nbsp;Hila May","doi":"10.1016/j.aanat.2024.152348","DOIUrl":"10.1016/j.aanat.2024.152348","url":null,"abstract":"<div><h3>Background</h3><div>Evolutionary changes in human rib cage morphology rendered it prone to pathologies like Scheuermann's kyphosis (SK). However, the impact of SK on rib cage morphology is unclear.</div></div><div><h3>Purpose</h3><div>This study aimed to examine differences in rib cage morphology (e.g., ribs and sternum) between SK patients and a control group.</div></div><div><h3>Methods</h3><div>Measurements of the vertebral body, transverse process angle, sternum, and rib size were taken from the skeletons of SK patients (76) and a control group (96). Statistical tests were carried out to examine differences between the study and control groups and between the right and left sides. Correlations were obtained to examine the associations between the extent of the kyphosis (kyphosis angle) and rib cage variables.</div></div><div><h3>Results</h3><div>The SK group yielded significantly longer and flatter ribs than the control group in both sexes. However, males had the largest differences in the 9th rib and females in the upper ribs (5−7). Inconsistency in symmetry results was found between the sexes. In summary, SK patients had a larger anteroposterior diameter in relation to the transverse diameter than the control group.</div></div><div><h3>Discussion and Conclusions</h3><div>SK affects the morphology of the entire thorax and changes rib proportions similarly in males and females. These changes might have a role in bipedal stability and locomotion efficiency. Moreover, understanding the unique anatomy of SK patients is essential when performing an anterior release and anterior fusion operative approach. Finally, it provides insights into respiratory complications and poor prognosis related to individuals suffering from severe hyperkyphosis.</div></div>","PeriodicalId":50974,"journal":{"name":"Annals of Anatomy-Anatomischer Anzeiger","volume":"257 ","pages":"Article 152348"},"PeriodicalIF":2.0,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142514489","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":"Body sourcing for anatomical education and research: Experiences from the African continent","authors":"Goran Štrkalj,&nbsp;Brendon Kurt Billings","doi":"10.1016/j.aanat.2024.152346","DOIUrl":"10.1016/j.aanat.2024.152346","url":null,"abstract":"","PeriodicalId":50974,"journal":{"name":"Annals of Anatomy-Anatomischer Anzeiger","volume":"257 ","pages":"Article 152346"},"PeriodicalIF":2.0,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142514487","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}