Annals of thoracic surgery short reports最新文献

{"title":"Preoperative Jugulofemoral Shunting in Complex Extended Thymectomy—Anesthetic Optimization for Invasive Thymoma","authors":"Tiffany To MBBS,&nbsp;Hoi Leong Chum MBChB,&nbsp;Ki Kwong Li MBBS,&nbsp;Ho Yan Howard Chan MBChB,&nbsp;Wai Hon Chu MBBS","doi":"10.1016/j.atssr.2026.02.004","DOIUrl":"10.1016/j.atssr.2026.02.004","url":null,"abstract":"<div><div>Malignant thymomas infiltrate adjacent blood vessels and mediastinal structures, posing challenges to surgical treatment. A 50-year-old man, who was diagnosed with type AB thymoma (Masaoka stage IVa) adhering to both superior vena cava (SVC) and bilateral innominate veins, underwent an extended total thymectomy with vascular reconstruction through a median sternotomy. Given the invasive nature of the large thymoma, which required SVC clamping and repair, a jugulofemoral shunt was introduced to improve hemostasis and minimize the risk of cerebral venous hypertension intraoperatively. This case highlights the successful application of preoperative venovenous shunting, emphasizing its role in preventing complications associated with SVC clamping.</div></div><div>Malignant thymomas infiltrate adjacent blood vessels and mediastinal structures, posing challenges to surgical treatment. A 50-year-old man, who was diagnosed with type AB thymoma (Masaoka stage IVa) adhering to both superior vena cava (SVC) and bilateral innominate veins, underwent an extended total thymectomy with vascular reconstruction through a median sternotomy. Given the invasive nature of the large thymoma, which required SVC clamping and repair, a jugulofemoral shunt was introduced to improve hemostasis and minimize the risk of cerebral venous hypertension intraoperatively. This case highlights the successful application of preoperative venovenous shunting, emphasizing its role in preventing complications associated with SVC clamping.</div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"4 3","pages":"Pages 993-996"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148871033","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":"Transcervical Enucleation of a Giant Cervicothoracic Intramural Esophageal Spindle Cell Tumor","authors":"Jacob Beiriger BS,&nbsp;Hilary C. McCrary MD,&nbsp;Kajsa Affolter MD,&nbsp;Nicolas Contreras MD","doi":"10.1016/j.atssr.2026.03.014","DOIUrl":"10.1016/j.atssr.2026.03.014","url":null,"abstract":"<div><div>Mammary-type myofibroblastoma and spindle cell lipoma are rare benign spindle cell tumors commonly present in soft tissue sites. We report a novel case of a giant intramural retinoblastoma susceptibility gene (<em>RB1</em>)–deleted spindle cell neoplasm of the esophagus in a 61-year-old man with dysphagia. The 9-cm cervicothoracic tumor extended from the upper esophageal sphincter to the level of the aortic arch. The tumor was enucleated from the esophageal wall through a transcervical incision. This type of giant cervicothoracic tumor provided an anatomic and surgical challenge and was able to be successfully resected through the neck.</div></div><div>Mammary-type myofibroblastoma and spindle cell lipoma are rare benign spindle cell tumors commonly present in soft tissue sites. We report a novel case of a giant intramural retinoblastoma susceptibility gene (<em>RB1</em>)–deleted spindle cell neoplasm of the esophagus in a 61-year-old man with dysphagia. The 9-cm cervicothoracic tumor extended from the upper esophageal sphincter to the level of the aortic arch. The tumor was enucleated from the esophageal wall through a transcervical incision. This type of giant cervicothoracic tumor provided an anatomic and surgical challenge and was able to be successfully resected through the neck.</div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"4 3","pages":"Pages 1007-1010"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148871040","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":"Does Fixation of Middle Lobe/Lingula During Right Upper Lobectomy/Left Apical Trisegmentectomy Reduce Postoperative Torsion/Atelectasis?","authors":"Devanish N. Kamtam MBBS, MS,&nbsp;Douglas Z. Liou MD,&nbsp;Mark F. Berry MD,&nbsp;Satya Malla MBBS,&nbsp;Jake J. Kim MD,&nbsp;Natalie S. Lui MD,&nbsp;Irmina A. Elliott MD,&nbsp;Brandon A. Guenthart MD,&nbsp;Leah M. Backhus MD,&nbsp;Joseph B. Shrager MD","doi":"10.1016/j.atssr.2026.03.017","DOIUrl":"10.1016/j.atssr.2026.03.017","url":null,"abstract":"<div><h3>Background</h3><div>Frank torsion, or lesser atelectasis, of the right middle lobe/lingula may occur after right upper lobectomy/left apical trisegmentectomy. Although some surgeons fix/pex the right middle lobe/lingula to the lower lobe, the necessity for this is unclear.</div></div><div><h3>Methods</h3><div>We retrospectively reviewed patients who underwent right upper lobectomy/left apical trisegmentectomy at our institution (2008-2023). We compared patients who underwent fixation vs those who did not. The primary outcomes were incidence of acute torsion within 6 months after surgery and atelectasis on ∼6-month postoperative computed tomography.</div></div><div><h3>Results</h3><div>Of the 497 patients, 438 (88.1%) underwent right upper lobectomy and 143 (28.8%) underwent fixation. Age, sex, race, comorbidities, and operative diagnosis were similar between the pexy and no-pexy groups (<em>P</em> = .20-.93). Thoracotomy approach was more common in the pexy group (64 [44.8%] vs 65 [18.4%], <em>P</em> &lt; .001), whereas chronic obstructive pulmonary disease (69 [19.5%] vs 10 [7.0%], <em>P</em> &lt; .001) was more prevalent in the no-pexy group. On the primary outcomes, there was no difference between the groups in frank torsion (0 [0%] vs 0 [0%]) or any atelectasis (23 [22.5%] vs 64 [22.9%], <em>P</em> = .94). These findings were unchanged in subgroups of patients without chronic obstructive pulmonary disease and with only right upper lobectomy patients. In a multivariate logistic regression model, undergoing fixation was not a significant predictor of atelectasis on 6-month postoperative computed tomography (odds ratio, 0.94; 95% CI, 0.48-1.86; <em>P</em> = .87).</div></div><div><h3>Conclusions</h3><div>Routine fixation/pexy of the right middle lobe/lingula during right upper lobectomy/left apical trisegmentectomy does not reduce rates of postoperative torsion or atelectasis. Although ensuring no malrotation of remaining lobes during lung reexpansion is likely important, the routine practice of pexy, which has downsides, should be abandoned.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"4 3","pages":"Pages 921-926"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148870988","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":"The Role of Resection for Stage II Small Cell Lung Cancer","authors":"Frank Gleason MD,&nbsp;Rongbing Xie DrPH, MPH,&nbsp;Wendelyn M. Oslock MD, MBA,&nbsp;Himani Bhatt MBBS,&nbsp;Yifei Sun BS,&nbsp;James Donahue MD,&nbsp;Benjamin Wei MD","doi":"10.1016/j.atssr.2026.02.019","DOIUrl":"10.1016/j.atssr.2026.02.019","url":null,"abstract":"<div><h3>Background</h3><div>We sought to determine whether surgery provides a survival benefit for patients with stage II small cell lung cancer (SCLC).</div></div><div><h3>Methods</h3><div>We compared patients with stage II SCLC who underwent surgical resection with those who did not using the National Cancer Database from 2004-2020. Groups were propensity-matched and overall survival difference was compared with Kaplan-Meier analysis.</div></div><div><h3>Results</h3><div>We identified 6797 patients with stage II SCLC who received treatment. Only 10% underwent surgery. Ninety percent of patients underwent nonsurgical treatment, with the most common treatment being chemotherapy combined with radiation (n = 4610). After propensity matching, the surgical cohort had higher overall survival: 79.1% vs 70.6% at 1 year and 33.2% vs 20.4% at 5 years (<em>P</em> &lt; .001).</div></div><div><h3>Conclusions</h3><div>In a propensity-matched analysis of patients in the National Cancer Database with stage II SCLC, we found sustained survival benefit for patients whose treatment included surgery. This survival benefit was present for both N0 and N1 disease, but most pronounced for N0 patients.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"4 3","pages":"Pages 914-920"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148870994","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":"Not All T4 Patients Should Be Considered Equal: Non-Small Cell Lung Cancer Heterogeneity and Surgical Outcome","authors":"Xun Luo MD MPH,&nbsp;J.W. Awori Hayanga MD, MPH,&nbsp;Jason Lamb MD,&nbsp;James Hunter Mehaffey MD, MSc,&nbsp;Vinay Badhwar MD,&nbsp;Alper Toker MD","doi":"10.1016/j.atssr.2026.02.003","DOIUrl":"10.1016/j.atssr.2026.02.003","url":null,"abstract":"<div><h3>Background</h3><div>Stage T4 non-small cell lung cancer (NSCLC) is currently considered to include multifocal tumors in different ipsilateral lobes, local invasion, or tumor size &gt;7 cm. Hence, T4 includes heterogeneous diseases with different oncologic biology that may impact outcomes after surgical resection.</div></div><div><h3>Methods</h3><div>We used the National Cancer Database to examine survival of NSCLC T4 N0-2 M0 after surgical resection between 2010 and 2021 and categorized by 3 T4 subgroups: multifocal, locally invasive, and tumors &gt;7 cm. We used multivariable Cox regression to perform an effect modification analysis between T4 subgroups and nodal stages to evaluate differential association across nodal stages.</div></div><div><h3>Results</h3><div>Among 27,235 patients with T4 NSCLC, 22.9% had multifocal tumors, 13.9% had locally invasive tumors, and 63.2% had tumors &gt;7 cm. After resection, 5-year survival for multifocal tumors, locally invasive tumors, and tumor size &gt;7 cm was 47.1%, 39.9%, and 39.3%, respectively. Compared with multifocal tumors, locally invasive tumors had 11% higher mortality (hazard ratio, 1.11; <em>P</em> &lt; .001), and tumors &gt;7 cm had 37% higher mortality (hazard ratio, 1.37; <em>P</em> &lt; .001). The association varied across nodal stages. With N0, multifocal tumors had the highest survival, locally invasive tumors had lower survival, and tumors &gt;7 cm had the lowest survival. With N1 or N2, the significant difference between multifocal and locally invasive tumors disappeared, and tumors &gt;7 cm had the worst survival.</div></div><div><h3>Conclusions</h3><div>Among T4 NSCLC, multifocal tumors had higher survival than tumors &gt;7 cm or locally invasive. The difference between T4 subgroups further varied by nodal stages. Heterogeneity within T4 NSCLC requires better optimization of patient selection to enhance surgical outcomes.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"4 3","pages":"Pages 889-894"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148870944","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":"Plug Closure of an Ascending Aortic Graft Anastomotic Pseudoaneurysm After Mediastinitis","authors":"Keiichi Ishida MD,&nbsp;Yoshiaki Katada MD, PhD,&nbsp;Hitoshi Nakanowatari MD,&nbsp;Ikuko Shibasaki MD, PhD,&nbsp;Yoshihito Irie MD, PhD","doi":"10.1016/j.atssr.2026.01.012","DOIUrl":"10.1016/j.atssr.2026.01.012","url":null,"abstract":"<div><div>Ascending aortic pseudoaneurysms are rare but high-risk complications after cardiac surgery. Whereas open repair remains standard, transcatheter closure offers a less invasive option for high-risk patients. We report the case of a 50-year-old man in whom an ascending aortic graft anastomotic pseudoaneurysm developed 10 months after aortic valve and ascending aortic replacement complicated by mediastinitis. As redo surgery carried a significant risk, an Amplatzer vascular plug II was deployed across the anastomotic defect with a disk-to-disk configuration, achieving complete exclusion. Follow-up computed tomography at 3 and 6 months revealed progressive shrinkage of the pseudoaneurysm, supporting plug closure as a feasible alternative.</div></div><div>Ascending aortic pseudoaneurysms are rare but high-risk complications after cardiac surgery. Whereas open repair remains standard, transcatheter closure offers a less invasive option for high-risk patients. We report the case of a 50-year-old man in whom an ascending aortic graft anastomotic pseudoaneurysm developed 10 months after aortic valve and ascending aortic replacement complicated by mediastinitis. As redo surgery carried a significant risk, an Amplatzer vascular plug II was deployed across the anastomotic defect with a disk-to-disk configuration, achieving complete exclusion. Follow-up computed tomography at 3 and 6 months revealed progressive shrinkage of the pseudoaneurysm, supporting plug closure as a feasible alternative.</div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"4 3","pages":"Pages 774-777"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148870879","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":"Postoperative Hyponatremia After Pleural Symphysis","authors":"Cheryssa Hislop BS,&nbsp;David Rekhtman MD,&nbsp;Karina Bruestle MD,&nbsp;Sunil Singhal MD","doi":"10.1016/j.atssr.2026.02.009","DOIUrl":"10.1016/j.atssr.2026.02.009","url":null,"abstract":"<div><div>Pleurodesis is the definitive management for recurrent spontaneous pneumothorax. We report the case of a 62-year-old man with Birt-Hogg-Dubé syndrome who developed recurrent left-sided spontaneous pneumothorax. He initially underwent mechanical pleurodesis, followed by chemical pleurodesis after recurrence. On both occasions, his postoperative course was complicated by severe hyponatremia consistent with the syndrome of inappropriate antidiuretic hormone secretion. This case highlights both the challenge of recurrence despite pleurodesis and the importance of recognizing the syndrome of inappropriate antidiuretic hormone secretion as a rare but clinically significant postoperative complication.</div></div><div>Pleurodesis is the definitive management for recurrent spontaneous pneumothorax. We report the case of a 62-year-old man with Birt-Hogg-Dubé syndrome who developed recurrent left-sided spontaneous pneumothorax. He initially underwent mechanical pleurodesis, followed by chemical pleurodesis after recurrence. On both occasions, his postoperative course was complicated by severe hyponatremia consistent with the syndrome of inappropriate antidiuretic hormone secretion. This case highlights both the challenge of recurrence despite pleurodesis and the importance of recognizing the syndrome of inappropriate antidiuretic hormone secretion as a rare but clinically significant postoperative complication.</div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"4 3","pages":"Pages 942-944"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148870985","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":"Starr-Edwards Valve Explantation After 40 Years","authors":"Joshua G. Crane MD,&nbsp;Mark S. Slaughter MD","doi":"10.1016/j.atssr.2026.02.031","DOIUrl":"10.1016/j.atssr.2026.02.031","url":null,"abstract":"","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"4 3","pages":"Pages 853-854"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148870943","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":"Initial Surgical Experience of a Novel Frozen Elephant Trunk Without Distal Stent for Acute Type A Aortic Dissection","authors":"Naoto Fukunaga MD, PhD,&nbsp;Taiki Takanishi MD,&nbsp;Tatsuto Wakami MD,&nbsp;Akio Shimoji MD,&nbsp;Otohime Mori MD,&nbsp;Nobushige Tamura MD, PhD","doi":"10.1016/j.atssr.2026.03.001","DOIUrl":"10.1016/j.atssr.2026.03.001","url":null,"abstract":"<div><h3>Purpose</h3><div>A novel frozen elephant trunk (FET) has a reduced radial force in the stent graft and a 6-cm stent graft part with a 2-cm non–stent graft part. This study aimed to evaluate the novel FET for acute type A aortic dissection.</div></div><div><h3>Description</h3><div>We collected data of 5 patients who underwent total arch replacement with the novel FET for acute type A aortic dissection. Aortic diameter in the descending aorta was measured at the stent graft part, non–stent graft part, and aortic valve level on computed tomography angiography. The true lumen ratio was calculated by dividing the true lumen diameter by the aortic diameter.</div></div><div><h3>Evaluation</h3><div>Five patients with a mean age of 61.6 ± 10.1 years underwent total arch replacement and FET implantation. Spinal cord injury was not recorded. Postoperative and 6-month true lumen ratios at the stent graft part and aortic valve level significantly increased compared with those preoperatively. Aortic diameter at 6 months showed significant shrinkage at those levels. No evidence of distal stent graft–induced new entry was observed.</div></div><div><h3>Conclusions</h3><div>Initial experience with the novel FET implantation demonstrated favorable aortic remodeling and its safe use.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"4 3","pages":"Pages 757-762"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148870685","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":"A Cardiac Surgery–Specific Artificial Intelligence Model to Automate Risk Stratification for 30-day Readmissions Using Discharge Summaries","authors":"Daniel Alexander Alber BS,&nbsp;Katherine G. Phillips MD,&nbsp;Eric Karl Oermann MD,&nbsp;Eugene A. Grossi MD,&nbsp;Ralph S. Mosca MD, MBA","doi":"10.1016/j.atssr.2026.03.002","DOIUrl":"10.1016/j.atssr.2026.03.002","url":null,"abstract":"<div><h3>Background</h3><div>Readmission risk can be assessed with risk calculators but typically requires manual chart review. We aimed to develop an artificial intelligence (AI) large language model (LLM) to predict 30-day readmission risk by directly analyzing electronic discharge summaries of cardiac surgery patients.</div></div><div><h3>Methods</h3><div>We developed a cardiac surgery–specific LLM by fine-tuning a general medical LLM to predict 30-day all-cause readmissions directly from unaltered text in discharge summaries of 5244 adult cardiac surgery patients (2014-2021). Strict temporal validation was implemented in a test cohort (2021-2024; n = 3031). Model predictions were compared with readmission length of stay.</div></div><div><h3>Results</h3><div>The model achieved an area under the curve of 0.71, with sensitivities and specificities of 78.6% and 50.2%, respectively. Performance showed temporal degradation from 2022 to 2024 (area under the curve, 0.78 to 0.67), mitigated through recalibration. Patients in the highest vs lowest predicted risk score quintile had a greater mean readmission length of stay (7.1 vs 3.7 days; <em>P</em> &lt; .001).</div></div><div><h3>Conclusions</h3><div>A cardiac surgery–specific LLM showed high sensitivity, moderate specificity, and modest ability to discriminate 30-day readmission risk. Temporal trends in documentation influenced model performance, underscoring the need for dynamic recalibration to update AI models. This study suggests that AI-automated screening to assess readmission risk at the time of discharge is possible and may help inform readmission prevention strategies.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"4 3","pages":"Pages 1076-1080"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148870688","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}