Oral and maxillofacial surgery最新文献

{"title":"Comparison of the accuracy/precision among guided (static), manual, and dynamic navigation in dental implant surgery: a systematic review and meta-analysis.","authors":"Filipe Castro, Pedro Pereira, Carlos Falcão-Costa, Artur Falcão, Juliana Campos Hasse Fernandes, Gustavo Vicentis Oliveira Fernandes, José-Vicente Rios","doi":"10.1007/s10006-025-01462-z","DOIUrl":"https://doi.org/10.1007/s10006-025-01462-z","url":null,"abstract":"<p><strong>Objective: </strong>To assess whether dynamic navigation (dCAIS) has greater accuracy/precision and less discrepancy in parallelism compared to guided (static, sCAIS) and free-hand (FH) surgery in Implantology.</p><p><strong>Materials and methods: </strong>A search was conducted across six databases using specific key terms. Randomized controlled trials (RCTs), retrospective or prospective clinical studies published within the last 10 years (2014-2024) were included. Risk of bias was assessed using the Joanna Briggs Institute Critical Appraisal tool. A meta-analysis using a random-effects model was employed. The heterogeneity analysis was conducted using Cochran's Q-test and Higgins' I² statistic.</p><p><strong>Results: </strong>Thirteen articles were included. A total of 554 patients and 687 implants were enrolled, with 215 using the FH system, 195 using sCAIS, and 277 using dCAIS. The meta-analysis compared the following: (1) dCAIS vs. sCAIS; (2) dCAIS vs. FH; (3) sCAIS vs. FH. The first group had a mean difference of -0.08 mm, with a substantial heterogeneity (I² = 52%) and no statistically significant difference (p = 0.08); the second presented a mean difference of -0.48 mm, high heterogeneity (I²=89%), and a statistically significant better accuracy for dCAIS than FH (p < 0.01); the last comparison found a mean difference of -0.62 mm, with a considerable heterogeneity (I²=84%), and sCAIS showing statistically significantly better accuracy than the FH approach (p < 0.01).</p><p><strong>Conclusions: </strong>Using CAIS (dCAIS or sCAIS) substantially improved accuracy compared to the FH approach, with no statistically significant difference between dCAIS and sCAIS.</p><p><strong>Clinical relevance: </strong>The findings support the use of CAIS for improved implant accuracy and precision compared to FH techniques.</p>","PeriodicalId":520733,"journal":{"name":"Oral and maxillofacial surgery","volume":"29 1","pages":"170"},"PeriodicalIF":1.8,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145260546","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":"Articaine provides a faster onset and longer duration of analgesia at lower supplemental injections compared to mepivacaine in third molar extractions.","authors":"Samara de Souza Santos, Mariana da Silva Bonatto, Pedro Gomes Junqueira Mendes, Henrique Alves Barros Assunção, Davisson Alves Pereira, Guilherme José Pimentel Lopes de Oliveira","doi":"10.1007/s10006-025-01476-7","DOIUrl":"https://doi.org/10.1007/s10006-025-01476-7","url":null,"abstract":"<p><strong>Purpose: </strong>This study compared the anesthetic efficacy of mepivacaine and articaine in third molar extractions.</p><p><strong>Methods: </strong>In this split-mouth, single-blind, randomized controlled trial, 36 patients underwent extraction of all four third molars. Each patient received two different local anesthetics: one side was anesthetized with 2% mepivacaine with epinephrine (1:100,000), and the other with 4% articaine with epinephrine (1:100,000). Anesthesia was administered using three cartridges per hemiarch to achieve analgesia for both maxillary and mandibular third molars. The number of supplemental anesthetic cartridges used, the onset and duration of anesthesia, and intraoperative pain (measured using the Visual Analog Scale [VAS]) were recorded.</p><p><strong>Results: </strong>The side anesthetized with articaine demonstrated a significantly shorter onset time (p < 0.05) and a longer duration of analgesia (p < 0.01) compared to the mepivacaine side. Fewer supplemental cartridges were required when articaine was used (p < 0.05). Patients did not report significant differences in perceived pain between the mepivacaine and articaine sides (p > 0.05).</p><p><strong>Conclusion: </strong>It can be concluded that articaine provides a faster onset and a longer duration of anesthesia lower supplemental injections compared to mepivacaine.</p>","PeriodicalId":520733,"journal":{"name":"Oral and maxillofacial surgery","volume":"29 1","pages":"168"},"PeriodicalIF":1.8,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145260539","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":"Ossification-deficient atypical ossifying fibromyxoid tumor of submandibular gland with PHF1::EP400 fusion: diagnostic challenges.","authors":"Yanan Sun, Mengxin Ren, Yaying Hu, Jiali Zhang","doi":"10.1007/s10006-025-01468-7","DOIUrl":"https://doi.org/10.1007/s10006-025-01468-7","url":null,"abstract":"<p><strong>Background: </strong>Ossifying fibromyxoid tumor (OFMT) is a soft tissue neoplasm of uncertain differentiation, characterized by peripheral ossification within a fibromyxoid stroma and typically occurring in the extremities and trunk. However, OFMT arising from the submandibular gland is extremely rare.</p><p><strong>Case presentation: </strong>A 40-year-old male presented with a progressively enlarging painless mass in the left submandibular region over two years. Radiological examination revealed a well-demarcated, round lesion measuring 1.3 cm in maximal diameter. Histopathology demonstrated nodular/lobular growth of uniform round-to-oval tumor cells with abundant eosinophilic cytoplasm, focal epithelioid features, and minimal atypia. Prominent myxoid stroma containing vascular networks was also observed in tumor. While peripheral infiltration was noted in small nests, resection margins were clear and perineural invasion absent. Immunohistochemistry showed diffuse S-100/vimentin positivity, focal weak desmin reactivity, and cytokeratin/CD34/SMA negativity. Next-generation sequencing (NGS) identified a pathogenic PHF1::EP400 fusion, confirming OFMT diagnosis despite absent calcification. The presence of infiltrative tumor cell growth warrants a diagnosis of atypical OFMT in this case. No recurrence occurred at 18-month follow-up.</p><p><strong>Conclusion: </strong>In this report, we present a rare case of OFMT arising in the submandibular region without histological evidence of ossification. This case give prominence to molecular detection in diagnosing morphologically ambiguous tumors and expands the clinicopathological spectrum of OFMT regarding anatomical distribution and histological variants.</p>","PeriodicalId":520733,"journal":{"name":"Oral and maxillofacial surgery","volume":"29 1","pages":"169"},"PeriodicalIF":1.8,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145260404","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":"Estimation of salivary myeloid-related protein (calprotectin) level in patients with oral lichen planus: a case-control study.","authors":"Hala M El-Sadek, Eman El Sayed Mohamed, Basma El-Sayed Mohammad Risha, Mahmoud A Rageh","doi":"10.1007/s10006-025-01461-0","DOIUrl":"https://doi.org/10.1007/s10006-025-01461-0","url":null,"abstract":"<p><strong>Objectives: </strong>Oral lichen planus (OLP) is a chronic, autoimmune disease that causes inflammation in the oral mucosa. It has a 1.14% chance of malignant transformation. The pathogenesis of OLP is unclear. Myeloid-related protein (calprotectin) is a protein complex found in various cells and potentially serves as a biomarker for inflammation. We aimed to detect the relationship between salivary calprotectin levels and OLP.</p><p><strong>Materials and methods: </strong>Thirty patients with OLP and 30 age- and sex-matched healthy controls were recruited from our affiliated Dermatology outpatient clinics. Unstimulated whole saliva was collected (09:00 AM-12:00 PM) under standardized pre-collection restrictions, calprotectin concentration was measured by ELISA, and levels were compared between patients and controls.</p><p><strong>Results: </strong>Patients with OLP had higher salivary calprotectin levels than controls, with age and disease duration positively correlated. However, we found no significant correlation between salivary calprotectin levels and cutaneous involvement, sex, number of oral sites involved, or types of OLP. The study found substantial differences in calprotectin levels between cases with coexisting nail involvement and those without nail involvement. ROC analysis yielded AUC = 1.00 with an optimal cut-off of > 32 ng/mL (100% sensitivity and 100% specificity).</p><p><strong>Conclusion: </strong>Higher salivary calprotectin levels in OLP patients than in healthy subjects suggest that salivary calprotectin may contribute to OLP pathogenesis and can be helpful in disease diagnosis and monitoring.</p><p><strong>Clinical relevance: </strong>The ability to non-invasively measure salivary calprotectin (S100A8/A9) levels makes it an attractive option for diagnostic and monitoring purposes.</p>","PeriodicalId":520733,"journal":{"name":"Oral and maxillofacial surgery","volume":"29 1","pages":"167"},"PeriodicalIF":1.8,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145254263","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":"Multi-label diagnosis of dental conditions from panoramic x-rays using attention-enhanced deep learning.","authors":"Zahra Raeisi, Shayan Rokhva, Fatemeh Rahmani, Ali Goodarzi, Hossein Najafzadeh","doi":"10.1007/s10006-025-01463-y","DOIUrl":"https://doi.org/10.1007/s10006-025-01463-y","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to develop and evaluate automated deep learning models for multi-class classification of dental conditions in panoramic X-ray images, comparing the effectiveness of custom CNN architectures with attention mechanisms, pre-trained models, and hybrid approaches.</p><p><strong>Methodology: </strong>A dataset of 1,512 panoramic dental X-rays was preprocessed through segmentation, creating 4,764 class-balanced images across four categories: Fillings, Cavity, Implant, and Impacted Tooth. Data augmentation and preprocessing techniques including brightness adjustment, CLAHE enhancement, and normalization were applied. Multiple architectures were evaluated: custom CNN with attention mechanism, pre-trained models (VGG16, ResNet50, Xception) with attention integration, and hybrid CNN-machine learning approaches (CNN + SVM, CNN + Random Forest, CNN + Decision Tree). Performance was assessed using 5-fold cross-validation with accuracy, precision, recall, F1-score, and ROC-AUC metrics.</p><p><strong>Results: </strong>The hybrid CNN + Random Forest model with preprocessing achieved the highest performance: 90.6% accuracy, 0.987 ROC-AUC, and 0.906 F1-score. Preprocessing consistently improved performance across all architectures, with accuracy gains ranging from 6.3% (VGG16) to 19.4% (ResNet50). The custom CNN with attention mechanism reached 86.0% accuracy, outperforming conventional CNN approaches (76.0%). Among pre-trained models, Xception with preprocessing achieved 79.8% accuracy.</p><p><strong>Conclusion: </strong>Hybrid CNN-machine learning approaches demonstrated superior performance for dental condition classification compared to end-to-end deep learning models. However, clinical implementation requires addressing the dataset limitation of lacking normal/healthy cases and conducting prospective validation studies across diverse clinical populations to establish real-world effectiveness and safety.</p>","PeriodicalId":520733,"journal":{"name":"Oral and maxillofacial surgery","volume":"29 1","pages":"166"},"PeriodicalIF":1.8,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145240798","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":"Retraction Note: Oral granular cell tumor: a collaborative clinicopathological study of 61 cases.","authors":"Helbert Henrique Rocha Aragão, Luana Beatriz Ribeiro Lima, Israel Leal Cavalcante, Sebastião Silvério da Silva Neto, Eveline Turatti, Roberta Barroso Cavalcante, Gerardo Gilligan, Rene Panico, Elismauro Francisco de Mendonça, Ricardo Luiz Cavalcanti de Albuquerque-Júnior, Cassiano Francisco Weege Nonaka, Pollianna Muniz Alves, Bruno Augusto Benevenuto de Andrade, John Lennon Silva Cunha","doi":"10.1007/s10006-025-01473-w","DOIUrl":"https://doi.org/10.1007/s10006-025-01473-w","url":null,"abstract":"","PeriodicalId":520733,"journal":{"name":"Oral and maxillofacial surgery","volume":"29 1","pages":"165"},"PeriodicalIF":1.8,"publicationDate":"2025-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145226493","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":"Head and neck related quality of life following glossectomy among tongue cancer patients: a systematic review and meta-analysis.","authors":"Samuel Tundealao, Praise Okunlola, Orges Alabaku, Olumide Noah, Oluwaferanmi Alufa, Tolulope Titiloye","doi":"10.1007/s10006-025-01471-y","DOIUrl":"10.1007/s10006-025-01471-y","url":null,"abstract":"<p><strong>Objective: </strong>This study synthesized previous studies to evaluate the post-operative head and neck-related quality of life (QoL) and pre-post operative change in the QoL of tongue cancer patients who underwent glossectomy.</p><p><strong>Methods: </strong>Following the PRISMA guidelines, databases were searched on April 1, 2025, for relevant articles without date limits. Mean estimates and standardized mean differences were calculated for post-glossectomy and pre-post glossectomy changes in QoL, respectively. A random-effects model employing the restricted maximum likelihood was conducted. Effect heterogeneity was assessed using Q and I².</p><p><strong>Results: </strong>A total of 56 studies (2,832 participants; mean [SD] age, 55.1 [7.5] years; 68.2% male) were included in the study. The meta-analysis estimated a pooled composite QoL score of 71.9% (95% CI: 68.3-75.4) following glossectomy. Subgroup analyses revealed that patients who underwent partial/hemi-glossectomy (vs. subtotal/near-total/total glossectomy) and primary closure (vs. flap reconstruction) have higher QoL following tongue resection. Meta-analysis of 18 studies reporting both pre- and post-glossectomy QoL found an overall stabilization in QoL (SMD: -0.22; 95% CI: -0.63 to 0.19).</p><p><strong>Conclusion: </strong>This study provides potential evidence that patients with tongue cancer generally maintain their QoL following glossectomy, particularly in key functional domains such as swallowing, speech, and taste. However, high heterogeneity necessitates cautious interpretation.</p>","PeriodicalId":520733,"journal":{"name":"Oral and maxillofacial surgery","volume":"29 1","pages":"164"},"PeriodicalIF":1.8,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12479587/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145194346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical outcomes of conservative bone trocar versus conventional open technique in pediatric Iliac crest harvesting for alveolar bone grafting.","authors":"Aida M Mossaad, Moustapha A Abdelrahman, Nahed M Adly, Wael A Ghanem, Maiada Mohamed Awadd, Mohamed Ashraf AbdelFattah Mahmoud, Shadia A Elsayed","doi":"10.1007/s10006-025-01449-w","DOIUrl":"https://doi.org/10.1007/s10006-025-01449-w","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to compare the postoperative clinical outcomes between the conservative bone trocar and open conventional techniques for iliac crest bone harvesting for alveolar bone grafting.</p><p><strong>Methods: </strong>The study included 20 unilateral cleft patients aged between 8 and 11 years, just before canine eruption, who suffered from oro-nasal communication, and were divided into two groups. Group A: ten patients using the open technique with a 4 cm incision at the anterior superior iliac crest for harvesting bone chips. Group B: ten patients using a conservative technique with a 1 cm incision at the anterior superior iliac crest using a special bone trocar extractor and curette. Postoperative evaluation included the Visual Analogue Scale (VAS) for pain assessment to compare the level of pain postoperatively. Also Vancouver scale was used for scar wound evaluation through clinical examination of wound size and concerning tissue vascularity, pigmentation, pliability, and height.</p><p><strong>Results: </strong>There were no postoperative complications observed, including infection, dehiscence, and graft resorption in both groups. Two weeks postoperative: Group A reported significantly higher pain (7.8 ± 0.79) compared to Group B (3.6 ± 0.97) & p < 0.001, indicating statistically significant lower pain levels in Group B. Regarding the Vancouver Scar Scale, two weeks postoperative: Group A had significantly higher scar severity (9.1 ± 0.88) compared to Group B (3.0 ± 0.82) and p < 0.001, suggesting better scar satisfaction in Group B. One month postoperatively, Group B over time confirmed better scar appearance.</p><p><strong>Conclusion: </strong>Autogenous iliac crest using a conservative technique with a bone trocar is significantly more beneficial, less painful, and provides better wound scar healing satisfaction than the standard open approach in terms of VAS pain scale and Vancouver scar scale.</p>","PeriodicalId":520733,"journal":{"name":"Oral and maxillofacial surgery","volume":"29 1","pages":"162"},"PeriodicalIF":1.8,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145188290","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":"Comparative study of technical and patient-related question answering quality of DeepSeek-R1 and ChatGPT-4o in the field of oral and maxillofacial surgery.","authors":"Yunus Balel","doi":"10.1007/s10006-025-01464-x","DOIUrl":"https://doi.org/10.1007/s10006-025-01464-x","url":null,"abstract":"<p><strong>Background: </strong>Artificial Intelligence (AI) technologies demonstrate potential as supplementary tools in healthcare, particularly in surgery, where they assist with preoperative planning, intraoperative decisions, and postoperative monitoring. In oral and maxillofacial surgery, integrating AI poses unique opportunities and challenges due to its complex anatomical and functional demands.</p><p><strong>Objective: </strong>This study compares the performance of two AI language models, DeepSeek-R1 and ChatGPT-4o, in addressing technical and patient-related inquiries in oral and maxillofacial surgery.</p><p><strong>Methods: </strong>A dataset of 120 questions, including 60 technical and 60 patient-related queries, was developed based on prior studies. These questions covered impacted teeth, dental implants, temporomandibular joint disorders, and orthognathic surgery. Responses from DeepSeek-R1 and ChatGPT-4o were randomized and evaluated using the Modified Global Quality Scale (GQS). Statistical analysis was conducted using non-parametric tests, such as the Wilcoxon Signed-Rank Test and Kruskal-Wallis H Test, with a significance threshold of p = 0.05.</p><p><strong>Results: </strong>The mean GQS score for DeepSeek-R1 was 4.53 ± 0.95, compared to ChatGPT-4o's mean score of 4.39 ± 1.14. DeepSeek-R1 achieved a mean GQS of 4.87 in patient-related inquiries, such as orthognathic surgery and dental implants, compared to 4.73 for ChatGPT-4o. In contrast, ChatGPT-4o received higher average scores in technical questions related to temporomandibular joint disorders. Across all 120 questions, the two models had no statistically significant difference in performance (p = 0.270). In comparisons with previous models, ScholarGPT demonstrated higher performance than the other models. While this performance difference was not statistically significant compared to DeepSeek-R1 (P = 0.121), it was statistically significantly higher compared to ChatGPT-4o and ChatGPT-3.5 (P = 0.027 and P < 0.001, respectively).</p><p><strong>Conclusions: </strong>DeepSeek-R1 and ChatGPT-4o provide comparable performance in addressing patient and technical inquiries in oral and maxillofacial surgery, with small variations depending on the question category. Although statistical differences were not significant, incremental improvements in AI models' response quality were observed. Future research should focus on enhancing their reliability and applicability in clinical settings.</p>","PeriodicalId":520733,"journal":{"name":"Oral and maxillofacial surgery","volume":"29 1","pages":"163"},"PeriodicalIF":1.8,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145188291","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":"Reply to the commentary by Muhammad Ahsan and Minahil Laraib Asif on our article \"Occurrence and outcomes of retrobulbar haematoma in 2149 orbital fracture patients\".","authors":"Matilda Narjus-Sterba, Tero Puolakkainen, Linda Kokko, Hanna Thorén, Johanna Snäll","doi":"10.1007/s10006-025-01467-8","DOIUrl":"https://doi.org/10.1007/s10006-025-01467-8","url":null,"abstract":"","PeriodicalId":520733,"journal":{"name":"Oral and maxillofacial surgery","volume":"29 1","pages":"161"},"PeriodicalIF":1.8,"publicationDate":"2025-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145181065","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}