Aesthetic Surgery Journal最新文献

{"title":"Response to: Hyaluronidase Availability Beyond the Aesthetic Office: A Shared Responsibility for Safety in Filler Complications.","authors":"Greg J Goodman, Steven Harris, Elena Currie, Bronwyn Granata, Katy Wallace, Niamh Corduff, Philip Bekhor, Michael Clague, Sarah Hart, Frank Lin, Nik Davies, Cara McDonald, Catherine E Porter, Mark Magnusson, Stefania Roberts, Lee Walker, Peter P Callan, Alice Rudd, Angelo Tsirbas, Alexander Rivkin, Ritu Gupta, Belinda Welsh","doi":"10.1093/asj/sjaf061","DOIUrl":"10.1093/asj/sjaf061","url":null,"abstract":"","PeriodicalId":7728,"journal":{"name":"Aesthetic Surgery Journal","volume":" ","pages":"NP139-NP141"},"PeriodicalIF":3.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12168437/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143958120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"High-Intensity Focused Electrical Stimulation and Sync Radiofrequency+ Technology for Submental Volume Reduction: An MRI Study.","authors":"Barry DiBernardo, Carolyn Jacob, Lesley Clark-Loeser","doi":"10.1093/asj/sjaf048","DOIUrl":"10.1093/asj/sjaf048","url":null,"abstract":"<p><strong>Background: </strong>Excessive weight gain, aging-related skin laxity, and weakened digastric muscle contribute to the formation of submental fullness.</p><p><strong>Objectives: </strong>The aim of this study was to investigate the efficacy and safety of combined high-intensity focused electrical stimulation (HIFES) and novel Synchronized Radiofrequency+ (Sync RF+) energies for submental volume reduction, and in addition to examine the effect of HIFES and Sync RF treatment on fat volume in the cheek area.</p><p><strong>Methods: </strong>Thirty-three subjects (n = 33) received 4 treatments once weekly, on the submental and cheek area. Two- and three-dimensional photographs were taken at baseline, after the fourth treatment, and at both follow-ups at 1 and 3 months posttreatment. MRI scanning was performed at baseline, and at both follow-ups.</p><p><strong>Results: </strong>The overall submental volume decreased by 25.12% at 1 month and by 36.20% at 3 months. The submental fat decreased by 20.54% at 1 month and by 30.37% at 3 months. The mean [standard deviation] volume reduction evaluated from 3D photography was 3.48 [3.60] mL immediately after the fourth treatment, 5.39 [5.93] mL at 1 month, and 10.25 [5.40] mL at 3 months. The mean Clinician-Reported Submental Fat Rating Scale grade improved by 0.56 [0.42] points after the fourth treatment, by 0.85 [0.53] points at 1 month, and by 1.03 [0.50] points at 3 months. Overall, 84.8% of subjects found the treatment comfortable and 93.9% were satisfied with the treatment results.</p><p><strong>Conclusions: </strong>The study findings suggest that this novel approach offers a notable option for submental volume reduction, indicating that HIFES and Sync RF+ technology is capable of aesthetic enhancement as well as skin and muscle improvement.</p><p><strong>Level of evidence: 4 (therapeutic): </strong></p>","PeriodicalId":7728,"journal":{"name":"Aesthetic Surgery Journal","volume":" ","pages":"709-714"},"PeriodicalIF":3.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12168439/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143778858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exosomes From Adipose-Derived Stem Cells Inhibit Skin T-Cell Activation and Alleviate Wound Inflammation.","authors":"Hongfan Ding, Yichen Wang, Ruiqi Bai, Qiang Li, Boyuan Ren, Jide Jin, Minliang Chen, Xiao Xu","doi":"10.1093/asj/sjaf040","DOIUrl":"10.1093/asj/sjaf040","url":null,"abstract":"<p><strong>Background: </strong>Skin T cells are essential for maintaining the skin's immune barrier and promoting early wound healing. Exosomes from adipose-derived stem cells (ADSCs-exo) can accelerate wound healing and reduce inflammation, but their impact on skin T-cell inflammation is unclear.</p><p><strong>Objectives: </strong>This study aims to explore ADSCs-exo's regulatory effects on skin T cells and wound inflammation.</p><p><strong>Methods: </strong>ADSCs-exo were isolated by differential ultracentrifugation. An in vitro inflammation model using the human skin T-cell line HuT 78 was established to analyze the effects of ADSCs-exo on T-cell activation markers, inflammatory cytokines, and PI3K/Akt signaling. Apoptosis in HuT 78 cells was assessed with Calcein-AM/PI staining. A full-thickness skin injury model in C57 mice was used to evaluate ADSCs-exo's impact on dendritic epidermal T cells (DETCs) and inflammatory cytokine expression.</p><p><strong>Results: </strong>Phorbol 12-myristate 13-acetate (PMA) enhanced interleukin (IL)-2, IL-17A, tumor necrosis factor alpha, and interferon gamma mRNA expression elevated T cell activation marker CD25 and reduced Akt/PI3K phosphorylation in HuT 78 cells, while inducing apoptosis. Although ADSCs-exo alone showed no CD25 modulation, their co-administration with PMA attenuated CD25 expression, inhibited IL-2 and IL-17A, and enhanced Akt/PI3K phosphorylation compared with PMA alone. Furthermore, ADSCs-exo can reverse the proapoptotic effect of PMA. In vivo, DETCs comprised 1% of mouse epidermal cells and increased at the wound margins postinjury. ADSCs-exo reduced both DETC recruitment and IL-17A levels during early wound healing.</p><p><strong>Conclusions: </strong>ADSCs-exo inhibited PMA-induced skin T-cell activation and inflammatory cytokine expression. Although acute trauma increased DETC expression at the wound site, ADSCs-exo inhibited early DETC and IL-17A expression, preventing excessive inflammation.</p>","PeriodicalId":7728,"journal":{"name":"Aesthetic Surgery Journal","volume":" ","pages":"723-734"},"PeriodicalIF":3.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143655803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhancing Skin Quality With a Sequential Treatment Using Two Hyaluronic Acid Dermal Fillers: A Prospective, Multicenter, Interventional Study.","authors":"Paula Rosso, Jesús Colina, Carlos Jarne, Eva Garrigós, Bárbara Magalhães, Manuel-Anthony Da Costa, Kevin Poupard","doi":"10.1093/asj/sjaf111","DOIUrl":"https://doi.org/10.1093/asj/sjaf111","url":null,"abstract":"<p><strong>Background: </strong>Skin quality affects facial attractiveness, which can significantly impact self-esteem and overall quality of life. The preferred fillers for enhancing skin quality are non-crosslinked or slightly crosslinked HA gels, such as RHA1 and R1, as they diffuse more easily into peripheral tissues.</p><p><strong>Objectives: </strong>This study was designed to assess the performance and safety of RHA1 treatment for fine lines, such as smiling lines (SLs), including an exploratory arm assessing the performance of subsequent R1 treatments.</p><p><strong>Methods: </strong>SKINQARE was a prospective, multicenter, low-interventional, open-label study. The primary outcome was Global Aesthetic Improvement Scale (GAIS) score recorded at two months post-injection with RHA1. Questionnaires were used to evaluate both subject and investigator satisfaction. Skin quality parameters were measured with standard equipment and the VISIA® CANFIELD imaging system. Safety assessment covered adverse events, injection site pain and common treatment responses (CTRs).</p><p><strong>Results: </strong>The primary endpoint was met, with 92.7% of subjects exhibiting GAIS improvement two months after receiving RHA1 treatment for SLs. Subsequent treatment with R1 doubled the \"very satisfied\" rate compared to RHA1 alone at 6 months. Subjects also reported prolonged skin firmness, smoothness, and bounce, along with a refreshed feeling. No serious adverse events were reported during the study.</p><p><strong>Conclusions: </strong>RHA1 was effective for skin beautification in all indications, including SLs, and subsequent R1 treatment improved performance. Both treatments were well tolerated. These findings highlight the potential benefits of using a combined treatment approach to improve skin quality.</p>","PeriodicalId":7728,"journal":{"name":"Aesthetic Surgery Journal","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144281997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tranexamic Acid in Body Contouring Surgery: A Systematic Review and Meta-Analysis.","authors":"Arman J Fijany, Cole A Holan, Thomas Troia, Lisandro Montorfano, Ronnie N Mubang, Kevin Bijan Givechian, Huseyin Karagoz, Jorys Martinez-Jorge, Galen Perdikis, Lauren M Connor, Elizabeth Dale Slater","doi":"10.1093/asj/sjaf112","DOIUrl":"https://doi.org/10.1093/asj/sjaf112","url":null,"abstract":"<p><p>Breast and body contouring procedures are plastic surgery's most popular and effective interventions. Though these procedures are generally safe, they are not without risks and complications. Antifibrinolytic drugs like tranexamic acid (TXA) have been used as an adjunct to improve outcomes. This meta-analysis explores the impact of TXA on complications in breast and body contouring procedures. We searched PubMed (US National Library of Medicine, Bethesda, MD) for studies that used TXA in standard breast reconstruction and body contouring procedures. We then performed a meta-analysis on the following complications: hematoma, seroma, infection, and wound healing complications. A Mantel-Haenszel method random effects model was used to calculate the odds ratio (OR) within and a 95% confidence interval (CI) for dichotomous outcomes. Subgroups were created for studies that utilized systemic (IV), topical or concurrent IV and topical TXA administration. A total of thirteen studies were selected and included in the analysis. There was a significant lower risk of hematoma (OR = 0.37; 95% CI = 0.18 to 077; P = 0.008) in the TXA cohort. There were no significant differences observed in terms of wound healing issues or seroma formation. Our subgroup analysis demonstrated significantly decreased risks of infection (OR = 0.41; 95% CI = 0.22 to 077; P = 0.005) in the topical TXA cohort. In breast and body contouring procedures, the risk of hematoma and wound healing complications can potentially be reduced by IV TXA administration. The infection risk can be potentially reduced by topical TXA administration.</p>","PeriodicalId":7728,"journal":{"name":"Aesthetic Surgery Journal","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144281998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"One Profile to Rule Them All? A Neural Network Analysis of the Homogenizing Effect of Primary Rhinoplasty.","authors":"Kristina L Khaw, Stephen M Lu","doi":"10.1093/asj/sjaf109","DOIUrl":"https://doi.org/10.1093/asj/sjaf109","url":null,"abstract":"<p><strong>Background: </strong>A goal of aesthetic rhinoplasty is to improve nasal aesthetics while preserving individuality.</p><p><strong>Objectives: </strong>We hypothesized that primary rhinoplasty has a homogenizing effect on a patient's appearance and in a distinct manner for a given rhinoplasty surgeon.</p><p><strong>Methods: </strong>Standardized, unedited pre- and postoperative photos, including frontal, lateral, and oblique views, of 145 Caucasian female primary rhinoplasty patients from the public websites of three independent, experienced rhinoplasty surgeons were included (Surgeon A: n=50, Surgeon B: n=50, Surgeon C: n=45). Using Amazon Rekognition, similarity between photos were calculated by comparing all preoperative photos to each other and all postoperative photos to each other. Similarity differences between pre- and postoperative views were calculated intra- and intercohort and standardized through the relative change in similarity. Paired t-tests evaluated the absolute relative changes while a simple t-test assessed the intercohort and intracohort differences.</p><p><strong>Results: </strong>Patients were significantly more similar post surgery (17.58%, p<0.001) in the lateral (19.17%), oblique (19.02%), and frontal (14.38%) views. In the subgroups, Surgeon A similarity increased 37.95% while Surgeon B had a 24.60% increase, and Surgeon C a 17.68% increase. The intercohort similarity increase (14.15%) was significantly less than the intracohort increase (30.89%).</p><p><strong>Conclusions: </strong>This study illustrates that primary rhinoplasty patients have increased homogeneity postoperatively, particularly within surgeon cohorts. This is the first study that quantifies the homogenizing effect of rhinoplasties using neural networks and shows the quantifiable \"signature\" effect of a specific surgeon on their patients' appearances as a population. This study may impact how surgeons set patients' expectations.</p>","PeriodicalId":7728,"journal":{"name":"Aesthetic Surgery Journal","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144274021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Innovations in Rhytidoplasty: 480 Cases Validating the Efficacy of the Inner Hemostatic Net.","authors":"Eduardo Pellini, Valerio Finocchi, Roberta Albanese","doi":"10.1093/asj/sjaf108","DOIUrl":"https://doi.org/10.1093/asj/sjaf108","url":null,"abstract":"<p><strong>Background: </strong>Cervicofacial rejuvenation procedures often face challenges related to soft tissue repositioning, dead space management, and long-term contour stability. The Internal Hemostatic Net (IHN) technique offers a systematic approach to deep fixation that improves surgical outcomes and reduces complications such as hematomas or tissue displacement.</p><p><strong>Objectives: </strong>To describe a reproducible, layered suture technique for cervicofacial lifting that addresses deep neck contouring and flap stabilization through a combined submental and lateral approach, while minimizing the risk of postoperative complications.</p><p><strong>Methods: </strong>A prospective evaluation was conducted on patients undergoing cervicofacial lifting with IHN application. The technique involves three phases: submental quilting and fixation sutures after deep neck sculpting; lateral progressive tension and SMAS-platysma anchoring sutures; and superficial quilting for flap adherence. A progressive reduction in suture caliber is applied according to tissue thickness. A double incision approach (submental and lateral) ensures controlled access and uniform distribution of vectors.</p><p><strong>Results: </strong>The technique was applied in over 100 patients with consistent aesthetic improvements and no major complications. The elimination of dead space through deep-layer quilting and progressive tension sutures reduced hematoma rates and improved long-term contour definition. Minor complications were self-limiting and managed conservatively. The standardized sequence improved intraoperative control and postoperative predictability.</p><p><strong>Conclusions: </strong>The IHN technique provides a reliable, anatomically guided method for cervicofacial rejuvenation. By addressing the neck, face, and submental regions in a structured sequence, this approach enhances surgical precision, flap stability, and patient outcomes-offering a valuable contribution to aesthetic surgery literature.</p>","PeriodicalId":7728,"journal":{"name":"Aesthetic Surgery Journal","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144274020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Thirty Year Experience in Augmentation Rhinoplasty Using a Silicone Implant: A Safer, Cheaper, Faster, and More Effective Technique.","authors":"Edmund Kwan, Albert Truong, Justin Park","doi":"10.1093/asj/sjaf102","DOIUrl":"https://doi.org/10.1093/asj/sjaf102","url":null,"abstract":"<p><strong>Background: </strong>The debate between alloplastic and autologous implant material for dorsal augmentation rhinoplasty continues among the aesthetic surgery community. Silicone implants are criticized for high rates of infection and extrusion; however, autologous methods increase the risk for warping and resorption, and donor-site deformity, which may affect positive outcomes.</p><p><strong>Objectives: </strong>To demonstrate that silicone implants are a safe and reliable method of nasal augmentation when performed with proper technique, in an appropriate setting, and by qualified practitioners.</p><p><strong>Methods: </strong>A retrospective chart review was conducted on 1019 patients who underwent implant rhinoplasty from February1995 to October 2024 by a single surgeon. All procedures were performed in a QuadA certified operating room under anesthesia by the senior author. I-shaped silicone implants were used for dorsal augmentation.</p><p><strong>Results: </strong>The most common complication was due to malposition of the implant (n=37, 4%), subjective dissatisfaction was the leading reason for revision (n=43, 4%). Rates of extrusion and infection were low (n=9, <1%; n=4, <0.4%).</p><p><strong>Conclusions: </strong>Compared to the current literature on silicone implant rhinoplasty, complications can be minimized with proper techniques, such as creating a precise subperiosteal pocket, selecting an appropriate implant length, and minimizing tension at the tip. Given this risk profile supports silicone implant augmentation rhinoplasty is a safe technique and should be considered for its benefits of shorter operation times, cost-effectiveness, and aesthetic outcomes especially in ethnic populations.</p>","PeriodicalId":7728,"journal":{"name":"Aesthetic Surgery Journal","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144274022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of the Aesthetic Relationship Between the Female Breast and the Lateral Chest Wall: Important Considerations for Breast Augmentation, Breast Reduction, and Breast Reconstruction Surgery.","authors":"Michael R Ruta, Isra Abdulwadood, Nicole Van Spronsen, Mehrdad Motamed, Yu-Hui Chang, Robert Singer, Robert Bernard, Edward M Reece","doi":"10.1093/asj/sjaf107","DOIUrl":"https://doi.org/10.1093/asj/sjaf107","url":null,"abstract":"<p><strong>Background: </strong>The contribution of the lateral chest wall to overall aesthetic outcome following breast augmentation, breast reduction, or breast reconstruction has been understudied. This study aims to determine if a patient-perceived \"ideal\" lateral extension of the chest wall exists and whether it is influenced by respondents' demographic factors or body perceptions.</p><p><strong>Objectives: </strong>This study seeks to provide plastic surgeons with valuable insights to optimize aesthetic results in breast procedures and better manage patient expectations.</p><p><strong>Methods: </strong>Realistic female figures were modeled to represent different body types. For each body type, three torsos were created with increasing lateral chest wall fullness (concave, neutral, and full) were created. An anonymous online survey was sent to subscribers of a beauty magazine to determine their aesthetic preference towards lateral chest wall contours related to their perceived body type.</p><p><strong>Results: </strong>A total of 1,131 individuals responded to the survey, with 894 meeting the inclusion criteria. 48.7% selected the neutral lateral chest wall as the most aesthetically appealing, 46.0% the concave contour, and 5.3% the full contour. First-choice preferences varied significantly by self-selected body type (P<0.001) and cosmetic procedure history (P=0.01). With increasing BMI, respondents ranked the concave contour less favorably (P<0.001), while the neutral (P=0.007) and full (P=0.01) contours received higher rankings.</p><p><strong>Conclusions: </strong>The aesthetics of the lateral chest wall are highly dependent on individual anatomy as well as patient perception of their body morphology. A contour ranging from slightly concave to neutral is generally preferred, with preferences correlating directly with body composition. These insights suggest that plastic surgeons should discuss the lateral chest wall with patients in consultation for breast procedures. Additionally, surgeons should adopt personalized surgical plans that consider the breast-chest wall relationship and integrate ancillary procedures to optimize patient satisfaction.</p>","PeriodicalId":7728,"journal":{"name":"Aesthetic Surgery Journal","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144257152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Response to: Critical Evaluation of Generative Text-to-Image AI Models in Plastic Surgery: Balancing Promise and Precision.","authors":"Maissa Trabilsy, Arianna Genovese, Srinivasagam Prabha, Sahar Borna, Cesar A Gomez-Cabello, Syed Ali Haider, Cui Tao, Antonio J Forte","doi":"10.1093/asj/sjaf106","DOIUrl":"https://doi.org/10.1093/asj/sjaf106","url":null,"abstract":"","PeriodicalId":7728,"journal":{"name":"Aesthetic Surgery Journal","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144245944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}