{"title":"Computed tomography evaluation of variations in positions and measurements of appendix in patients with non-appendicular symptoms: time to revise the diagnostic criteria for appendicitis.","authors":"Neha Singh, Prasant Agrawal, Deepak Kumar Singh, Gaurav Raj Agrawal","doi":"10.5114/pjr.2023.131074","DOIUrl":"10.5114/pjr.2023.131074","url":null,"abstract":"<p><strong>Purpose: </strong>To estimate the frequency distribution of different anatomical positions, and to measure the diameter, wall thickness, and length of appendix in patients with non-appendicular symptoms.</p><p><strong>Material and methods: </strong>This retrospective observational study was conducted among 1,575 patients, who had undergone computed tomography (CT) scan of abdomen for various non-appendicular signs and symptoms. Frequency of distribution of different anatomic locations and measurements of various morphologic parameters were recorded.</p><p><strong>Results: </strong>The most common location of appendix was retrocecal, followed by sub-cecal, post-ileal, and pelvic locations. The mean length of appendix was 66.7 mm (range, 6.3-123 mm), and the diameter was 6.3 mm (range, 2.8-11.3 mm). Diameter of > 6 mm was noted in 48.12% patients. The mean wall thickness was 2.37 mm, ranging 1.2-4.2 mm. The most common intra-luminal content was air-mixed with hypodense or hyperdense material observed in 70.5% of cases.</p><p><strong>Conclusions: </strong>Although an appendix with diameter less than 6 mm may be considered normal, a diameter above 6 mm has an overlap between a normal and inflamed appendix. Therefore, it should be considered in association with clinical and secondary findings to avoid overdiagnosis and unnecessary appendicectomies. We strongly recommend that diameter-based CT criteria to diagnose appendicitis should be revised and standardized.</p>","PeriodicalId":94174,"journal":{"name":"Polish journal of radiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/91/fe/PJR-88-51361.PMC10551737.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41180168","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}
Mustafa Orhan Nalbant, Irem Erdil, Nihal Akcay, Ercan Inci, Figen Palabiyik
{"title":"Volumetric apparent diffusion coefficient (ADC) histogram analysis of the brain in paediatric patients with hypoxic ischaemic encephalopathy.","authors":"Mustafa Orhan Nalbant, Irem Erdil, Nihal Akcay, Ercan Inci, Figen Palabiyik","doi":"10.5114/pjr.2023.131696","DOIUrl":"10.5114/pjr.2023.131696","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the whole brain, hippocampus, thalamus, and lentiform nucleus by volumetric apparent diffusion coefficient (ADC) histogram analysis in paediatric patients with hypoxic-ischaemic encephalopathy (HIE).</p><p><strong>Material and methods: </strong>This retrospective study included 25 patients with HIE and 50 patients as the control group. Diffusion-weighted imaging was obtained at <i>b</i>-values of 1000 mm<sup>2</sup>/s. The histogram parameters of ADC values, including the mean, minimum, maximum, 5<sup>th</sup>, 10<sup>th</sup>, 25<sup>th</sup>, 50<sup>th</sup>, 75<sup>th</sup>, 90<sup>th</sup>, and 95<sup>th</sup> percentiles, as well as skewness, kurtosis, and variance were determined. The interclass correlation coefficient (ICC) was used to assess the inter-observer agreement.</p><p><strong>Results: </strong>ADC<sub>min</sub>, ADC<sub>mean</sub>, and ADC<sub>max</sub>, as well as the 5<sup>th</sup>, 10<sup>th</sup>, 25<sup>th</sup>, 50<sup>th</sup>, 75<sup>th</sup>, 90<sup>th</sup>, and 95<sup>th</sup> percentiles of ADC values for the HIE group were all lower than those of the control group (<i>p</i> < 0.001) in the volumetric histogram analysis of the hippocampus, thalamus, and lentiform nucleus. In the whole-brain histogram analysis, ADC min, and the 50<sup>th</sup> and 75<sup>th</sup> percentiles of ADC values did not differ significantly, while other parameters were lower in the HIE group. The ROC curve revealed that the ADC histogram parameters of the hippocampus provided the most accurate results for the diagnosis of HIE. The area under the curve (AUC) of the 95<sup>th</sup> percentile of ADC values was the highest (AUC = 0.915; cut-off 1.262 × 10<sup>-3</sup> mm<sup>2</sup>/s; sensitivity 88% and specificity 84%).</p><p><strong>Conclusions: </strong>Volumetric ADC histogram analysis of the whole brain, hippocampus, thalamus, and lentiform nucleus with <i>b</i>-values of 1000 mm<sup>2</sup>/s can serve as an imaging marker for determining HIE.</p>","PeriodicalId":94174,"journal":{"name":"Polish journal of radiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/4d/b3/PJR-88-51550.PMC10551736.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41167786","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":"Differentiating nasopharyngeal carcinoma from lymphoma in the head and neck region using the apparent diffusion coefficient (ADC) value: a systematic review and meta-analysis","authors":"Peyman Tabnak, Zanyar HajiEsmailPoor","doi":"10.5114/pjr.2023.132172","DOIUrl":"https://doi.org/10.5114/pjr.2023.132172","url":null,"abstract":"AMA Tabnak P, HajiEsmailPoor Z. Differentiating nasopharyngeal carcinoma from lymphoma in the head and neck region using the apparent diffusion coefficient (ADC) value: a systematic review and meta-analysis. Polish Journal of Radiology. 2023;88(1):472-482. doi:10.5114/pjr.2023.132172. APA Tabnak, P., & HajiEsmailPoor, Z. (2023). Differentiating nasopharyngeal carcinoma from lymphoma in the head and neck region using the apparent diffusion coefficient (ADC) value: a systematic review and meta-analysis. Polish Journal of Radiology, 88(1), 472-482. https://doi.org/10.5114/pjr.2023.132172 Chicago Tabnak, Peyman, and Zanyar HajiEsmailPoor. 2023. \"Differentiating nasopharyngeal carcinoma from lymphoma in the head and neck region using the apparent diffusion coefficient (ADC) value: a systematic review and meta-analysis\". Polish Journal of Radiology 88 (1): 472-482. doi:10.5114/pjr.2023.132172. Harvard Tabnak, P., and HajiEsmailPoor, Z. (2023). Differentiating nasopharyngeal carcinoma from lymphoma in the head and neck region using the apparent diffusion coefficient (ADC) value: a systematic review and meta-analysis. Polish Journal of Radiology, 88(1), pp.472-482. https://doi.org/10.5114/pjr.2023.132172 MLA Tabnak, Peyman et al. \"Differentiating nasopharyngeal carcinoma from lymphoma in the head and neck region using the apparent diffusion coefficient (ADC) value: a systematic review and meta-analysis.\" Polish Journal of Radiology, vol. 88, no. 1, 2023, pp. 472-482. doi:10.5114/pjr.2023.132172. Vancouver Tabnak P, HajiEsmailPoor Z. Differentiating nasopharyngeal carcinoma from lymphoma in the head and neck region using the apparent diffusion coefficient (ADC) value: a systematic review and meta-analysis. Polish Journal of Radiology. 2023;88(1):472-482. doi:10.5114/pjr.2023.132172.","PeriodicalId":94174,"journal":{"name":"Polish journal of radiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135059406","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}
Joanna Podgórska, Katarzyna Pasicz, Witold Skrzyński, Bogumił Gołębiewski, Piotr Kuś, Jakub Jasieniak, Agnieszka Rogowska, Paweł Kukołowicz, Andrzej Cieszanowski
{"title":"Application of diffusion kurtosis imaging in differential diagnosis of focal liver lesions","authors":"Joanna Podgórska, Katarzyna Pasicz, Witold Skrzyński, Bogumił Gołębiewski, Piotr Kuś, Jakub Jasieniak, Agnieszka Rogowska, Paweł Kukołowicz, Andrzej Cieszanowski","doi":"10.5114/pjr.2023.131911","DOIUrl":"https://doi.org/10.5114/pjr.2023.131911","url":null,"abstract":"AMA Podgórska J, Pasicz K, Skrzyński W, et al. Application of diffusion kurtosis imaging in differential diagnosis of focal liver lesions. Polish Journal of Radiology. 2023;88(1):455-460. doi:10.5114/pjr.2023.131911. APA Podgórska, J., Pasicz, K., Skrzyński, W., Gołębiewski, B., Kuś, P., & Jasieniak, J. et al. (2023). Application of diffusion kurtosis imaging in differential diagnosis of focal liver lesions. Polish Journal of Radiology, 88(1), 455-460. https://doi.org/10.5114/pjr.2023.131911 Chicago Podgórska, Joanna, Katarzyna Pasicz, Witold Skrzyński, Bogumił Gołębiewski, Piotr Kuś, Jakub Jasieniak, and Agnieszka Rogowska et al. 2023. \"Application of diffusion kurtosis imaging in differential diagnosis of focal liver lesions\". Polish Journal of Radiology 88 (1): 455-460. doi:10.5114/pjr.2023.131911. Harvard Podgórska, J., Pasicz, K., Skrzyński, W., Gołębiewski, B., Kuś, P., Jasieniak, J., Rogowska, A., Kukołowicz, P., and Cieszanowski, A. (2023). Application of diffusion kurtosis imaging in differential diagnosis of focal liver lesions. Polish Journal of Radiology, 88(1), pp.455-460. https://doi.org/10.5114/pjr.2023.131911 MLA Podgórska, Joanna et al. \"Application of diffusion kurtosis imaging in differential diagnosis of focal liver lesions.\" Polish Journal of Radiology, vol. 88, no. 1, 2023, pp. 455-460. doi:10.5114/pjr.2023.131911. Vancouver Podgórska J, Pasicz K, Skrzyński W, Gołębiewski B, Kuś P, Jasieniak J et al. Application of diffusion kurtosis imaging in differential diagnosis of focal liver lesions. Polish Journal of Radiology. 2023;88(1):455-460. doi:10.5114/pjr.2023.131911.","PeriodicalId":94174,"journal":{"name":"Polish journal of radiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136374447","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}
Agnieszka Kwiatkowska-Miernik, Bartosz Mruk, Katarzyna Sklinda, Artur Zaczyński, Jerzy Walecki
{"title":"Radiomics in the diagnosis of glioblastoma","authors":"Agnieszka Kwiatkowska-Miernik, Bartosz Mruk, Katarzyna Sklinda, Artur Zaczyński, Jerzy Walecki","doi":"10.5114/pjr.2023.132168","DOIUrl":"https://doi.org/10.5114/pjr.2023.132168","url":null,"abstract":"AMA Kwiatkowska-Miernik A, Mruk B, Sklinda K, Zaczyński A, Walecki J. Radiomics in the diagnosis of glioblastoma. Polish Journal of Radiology. 2023;88(1):461-466. doi:10.5114/pjr.2023.132168. APA Kwiatkowska-Miernik, A., Mruk, B., Sklinda, K., Zaczyński, A., & Walecki, J. (2023). Radiomics in the diagnosis of glioblastoma. Polish Journal of Radiology, 88(1), 461-466. https://doi.org/10.5114/pjr.2023.132168 Chicago Kwiatkowska-Miernik, Agnieszka, Bartosz Mruk, Katarzyna Sklinda, Artur Zaczyński, and Jerzy Walecki. 2023. \"Radiomics in the diagnosis of glioblastoma\". Polish Journal of Radiology 88 (1): 461-466. doi:10.5114/pjr.2023.132168. Harvard Kwiatkowska-Miernik, A., Mruk, B., Sklinda, K., Zaczyński, A., and Walecki, J. (2023). Radiomics in the diagnosis of glioblastoma. Polish Journal of Radiology, 88(1), pp.461-466. https://doi.org/10.5114/pjr.2023.132168 MLA Kwiatkowska-Miernik, Agnieszka et al. \"Radiomics in the diagnosis of glioblastoma.\" Polish Journal of Radiology, vol. 88, no. 1, 2023, pp. 461-466. doi:10.5114/pjr.2023.132168. Vancouver Kwiatkowska-Miernik A, Mruk B, Sklinda K, Zaczyński A, Walecki J. Radiomics in the diagnosis of glioblastoma. Polish Journal of Radiology. 2023;88(1):461-466. doi:10.5114/pjr.2023.132168.","PeriodicalId":94174,"journal":{"name":"Polish journal of radiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135059408","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}
Mikołaj Kamiński, Ada Kaczmarek, Tobiasz Wieczorek, Michalina Kierzek, Matylda Kręgielska-Narożna, Paweł Bogdański
{"title":"Availability of CT, MRI, and endoscopy procedures for Polish individuals with morbid obesity: cross-sectional telephone survey study","authors":"Mikołaj Kamiński, Ada Kaczmarek, Tobiasz Wieczorek, Michalina Kierzek, Matylda Kręgielska-Narożna, Paweł Bogdański","doi":"10.5114/pjr.2023.132171","DOIUrl":"https://doi.org/10.5114/pjr.2023.132171","url":null,"abstract":"AMA Kamiński M, Kaczmarek A, Wieczorek T, Kierzek M, Kręgielska-Narożna M, Bogdański P. Availability of CT, MRI, and endoscopy procedures for Polish individuals with morbid obesity: cross-sectional telephone survey study. Polish Journal of Radiology. 2023;88(1):467-471. doi:10.5114/pjr.2023.132171. APA Kamiński, M., Kaczmarek, A., Wieczorek, T., Kierzek, M., Kręgielska-Narożna, M., & Bogdański, P. (2023). Availability of CT, MRI, and endoscopy procedures for Polish individuals with morbid obesity: cross-sectional telephone survey study. Polish Journal of Radiology, 88(1), 467-471. https://doi.org/10.5114/pjr.2023.132171 Chicago Kamiński, Mikołaj, Ada Kaczmarek, Tobiasz Wieczorek, Michalina Kierzek, Matylda Kręgielska-Narożna, and Paweł Bogdański. 2023. \"Availability of CT, MRI, and endoscopy procedures for Polish individuals with morbid obesity: cross-sectional telephone survey study\". Polish Journal of Radiology 88 (1): 467-471. doi:10.5114/pjr.2023.132171. Harvard Kamiński, M., Kaczmarek, A., Wieczorek, T., Kierzek, M., Kręgielska-Narożna, M., and Bogdański, P. (2023). Availability of CT, MRI, and endoscopy procedures for Polish individuals with morbid obesity: cross-sectional telephone survey study. Polish Journal of Radiology, 88(1), pp.467-471. https://doi.org/10.5114/pjr.2023.132171 MLA Kamiński, Mikołaj et al. \"Availability of CT, MRI, and endoscopy procedures for Polish individuals with morbid obesity: cross-sectional telephone survey study.\" Polish Journal of Radiology, vol. 88, no. 1, 2023, pp. 467-471. doi:10.5114/pjr.2023.132171. Vancouver Kamiński M, Kaczmarek A, Wieczorek T, Kierzek M, Kręgielska-Narożna M, Bogdański P. Availability of CT, MRI, and endoscopy procedures for Polish individuals with morbid obesity: cross-sectional telephone survey study. Polish Journal of Radiology. 2023;88(1):467-471. doi:10.5114/pjr.2023.132171.","PeriodicalId":94174,"journal":{"name":"Polish journal of radiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135007526","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}
M. Rajasekaran, S. Pandey, Suresh Ashwathappa, G. Mandakulutur, Shashidhar V. Karpurmath, Manjunath I. Nandennavar
{"title":"An initial experience of computed tomography-guided trans superior vena caval biopsy: a novel approach for precarious mediastinal lesions","authors":"M. Rajasekaran, S. Pandey, Suresh Ashwathappa, G. Mandakulutur, Shashidhar V. Karpurmath, Manjunath I. Nandennavar","doi":"10.5114/pjr.2022.115808","DOIUrl":"https://doi.org/10.5114/pjr.2022.115808","url":null,"abstract":"Purpose As interventional radiologists, we encounter precarious deep-seated mediastinal lesions in our day-to-day practice. The conventional technique of percutaneous transthoracic biopsy of these lesions carries significant intrinsic complications. Endovascular approaches for such lesions under fluoroscopic guidance have been described in previous literature but with significant technical constraints. In this article, we would like to describe the novel approach of computed tomography (CT)-guided trans superior vena caval biopsy, which we have performed in 3 consecutive precarious mediastinal lesions. Material and methods We placed a vascular sheath under ultrasound and fluoroscopic guidance considering the intended angle of needle puncture and length to reach the target lesion from the puncture site. With the sheath in situ, the trans superior vena caval biopsy was performed under CT guidance, and multiple cores of target tissue were safely and successfully obtained. Results We have carefully and successfully employed this novel technique of CT-guided trans superior vena caval approach for 3 tricky deep-seated mediastinal lesions with very low risk of complications. Conclusions Through this article, we would like to enhance the importance of thought-provoking new techniques in tackling complex challenging referrals.","PeriodicalId":94174,"journal":{"name":"Polish journal of radiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42076416","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":"In response to the article “The relationship between renal sinus lipomatosis detected at abdominal computed tomography and abdominal visceral and subcutaneous fat accumulation and metabolic risk factors”. Pol J Radiol 2020; 85: e62-e66","authors":"Ankita Aggarwal, Neha Bagri","doi":"10.5114/pjr.2022.115807","DOIUrl":"https://doi.org/10.5114/pjr.2022.115807","url":null,"abstract":"We great interest the article “The relationship between renal sinus lipomatosis detected at abdominal computed tomography and abdominal visceral and subcutaneous fat accumulation and metabolic risk factors” au-thored by Yalçın et al . [1]. In this article, the relationship of abdominal visceral fat, subcutaneous fat, and metabolic factors with the development of renal sinus lipomatosis (RSL) was evaluated. diagnosis of RSL was were of RSL the study was on sub-jective with","PeriodicalId":94174,"journal":{"name":"Polish journal of radiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48649139","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}
Sergiusz Ustyniak, L. Stefanczyk, I. Kurnatowska, M. Kaczmarska, Maciej Goździk
{"title":"The reaction of arteries to haemodialysis – can a change in the cross-sectional area be an important parameter in the assessment of the vessels’ condition?","authors":"Sergiusz Ustyniak, L. Stefanczyk, I. Kurnatowska, M. Kaczmarska, Maciej Goździk","doi":"10.5114/pjr.2022.115804","DOIUrl":"https://doi.org/10.5114/pjr.2022.115804","url":null,"abstract":"Purpose The objectives of our study were to evaluate the changes in the cross-section area of carotid and femoral arteries caused by fluid loss during haemodialysis (HD) and to determine the direction and amount of these changes. Material and methods Seventy-four HD patients (28 women and 46 men) were studied. We performed ultrasound exams of the distal common carotid and proximal femoral arteries in each patient before and after a HD session. Recorded exams were analysed using EchoPac software. Arterial cross-section area values were acquired for further analysis. Results We found a statistically significant decrease in arterial systolic cross-section area values after HD sessions (carotid arteries area before HD equalled 0.6731 cm2 and 0.6333 cm2, p = 0.00001 after HD, femoral arteries area before HD equalled 0.8263 cm2 and 0.7635 cm2, p = 0.00001 after HD). The decrease of systolic carotid cross-section area correlated with the amount of fluid lost during HD sessions (correlation coefficient of 0.3122, p = 0.010) and the percentage of the body mass lost during HD (correlation coefficient of 0.3577, p = 0.003). No statistically significant changes were found in the femoral cross-section area. Conclusions Our findings suggest that the arterial cross-section area may be used in the assessment of response to body fluid loss. We were able to measure changes due to fluid loss during the HD session. The carotid cross-section values decreased after the procedure and correlated with the amount of fluid lost during the HD session.","PeriodicalId":94174,"journal":{"name":"Polish journal of radiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49574812","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}