The international journal of cardiovascular imaging最新文献

{"title":"Dual-layer dual-energy CT characterization of thrombus composition in acute pulmonary embolism and chronic thromboembolic pulmonary hypertension.","authors":"Roman Johannes Gertz, Simon Lennartz, Kenan Kaya, Robert Peter Wawer Matos Reimer, Lenhard Pennig, Jonathan Kottlors, Jan Robert Kröger, Carsten Herbert Gietzen, Nils Große Hokamp, Stephan Rosenkranz, Florian Johannes Fintelmann, Michael Pienn, Alexander Christian Bunck","doi":"10.1007/s10554-024-03309-2","DOIUrl":"10.1007/s10554-024-03309-2","url":null,"abstract":"<p><p>To evaluate dual-layer dual-energy computed tomography (dlDECT)-based characterization of thrombus composition for differentiation of acute pulmonary embolism (PE) and chronic thromboembolic pulmonary hypertension (CTEPH). This retrospective single center cohort study included 49 patients with acute PE and 33 patients with CTEPH who underwent CT pulmonary angiography on a dlDECT from 06/2016 to 06/2022. Conventional images), material specific images (virtual non-contrast [VNC], iodine density overlay [IDO], electron density [ED]), and virtual monoenergetic images (VMI_50KeV) were analyzed. Regions-of-interest (ROIs) were manually placed in pulmonary artery thrombi, and morphological imaging characteristics for acute and chronic PE were assessed. Area under the receiver operating characteristics curve (AUC) of ROI measurements, morphological imaging features, and their combination in distinguishing between acute PE and CTEPH were evaluated. Compared to PE, thrombi in patients with CTEPH had lower attenuation on conventional images (Median [inter-quartile range]: 40 [35-47] HU vs 64 [52-83] HU) and VMI_50keV reconstructions (59 [46-72] HU vs 101 [80-123] HU) as well as decreased iodine uptake (IDO: 0.5 [0.2-1.0] vs 1.2 [0.5-1.8]; p for all < 0.001). Conventional images and VMI_50keV reconstructions were the most accurate for differentiating between acute and chronic thrombi (conventional: AUC 0.92, 95% CI 0.86-0.98; VMI_50keV: AUC 0.91, 95% CI 0.85-0.97). Main pulmonary artery (MPA) diameter combined with thrombus attenuation significantly increased the AUC compared to MPA diameter alone (p = 0.002 respectively). Thrombi in patients with CTEPH exhibit lower attenuation and reduced contrast enhancement. Analyzing attenuation in pulmonary thrombi may add diagnostic information to established morphological parameters in differentiating acute PE from CTEPH.</p>","PeriodicalId":94227,"journal":{"name":"The international journal of cardiovascular imaging","volume":" ","pages":"303-314"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142886572","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":"Insights from 3D echocardiography: unveiling the prognostic value of RV function in pulmonary hypertension: a systematic review and meta-analysis.","authors":"Ashfaq Ahmad, Xiaoyu Wang, Lingling Li, Ting Liu, Fen-Ling Fan","doi":"10.1007/s10554-025-03326-9","DOIUrl":"10.1007/s10554-025-03326-9","url":null,"abstract":"<p><p>The role of right ventricular (RV) dysfunction in pulmonary hypertension (PH) has garnered increasing interest in terms of outcomes. This systematic review and meta-analysis evaluated the prognostic utility of three-dimensional echocardiography (3DE) derived right ventricular ejection fraction (RVEF) in PH. A systematic review and meta-analysis were performed using MEDLINE, Embase, and Scopus databases for publications reporting the hazard ratio (HR) of 3DE-derived RVEF in PH patients for the clinical end-points of composite outcome or all-cause mortality. Nine articles totaling 885 subjects were included, among which 67.23% had pulmonary arterial hypertension (PAH), with the remainder having a range of PH etiologies. The mean value of 3DE-derived RVEF was 35.5 ± 9.07% reflecting impaired RV function. The primary endpoint was all-cause mortality in three studies, while the rest of the studies reported composite outcomes. Follow-up duration ranges from 6 to 44 months. From seven publications, the pooled HR by 3DE-derived RVEF was 0.91 (95% CI: 0.85 to 0.97, p = 0.001; heterogeneity: I² = 62%, p = 0.004). In subgroup analysis, 3DE-derived RVEF was a significant prognostic factor for group 1 PH (HR: 0.90, CI: 0.86-0.94; heterogeneity I² = 43%, p < 0.0001). From meta-regression analysis, only follow-up duration was found statistically significant with the HR of RVEF in the population (estimate: 0.028, p = 0.026). 3DE-derived RVEF provides important prognostic value in a large population of PH patients, especially for group 1 PH. Further accumulation of evidence is needed to perform a detailed subgroup analysis in each type of PH.</p>","PeriodicalId":94227,"journal":{"name":"The international journal of cardiovascular imaging","volume":" ","pages":"185-197"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142981142","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":"Evaluating pulmonary stenosis and regurgitation impact on cardiac strain and strain rate in a porcine model via magnetic resonance feature tracking.","authors":"Simon F Rösel, Sören J Backhaus, Torben Lange, Alexander Schulz, Johannes T Kowallick, Kritika Gowda, Julia Treiber, Andreas Rolf, Samuel T Sossalla, Gerd Hasenfuß, Shelby Kutty, Andreas Schuster","doi":"10.1007/s10554-024-03305-6","DOIUrl":"10.1007/s10554-024-03305-6","url":null,"abstract":"<p><strong>Background: </strong>Pulmonary stenosis (PS) is common in congenital heart disease and an integral finding in Tetralogy of Fallot (TOF). Pulmonary regurgitation (PR) is more commonly found following surgery in repaired TOF. We aimed to evaluate the haemodynamic effects of PS and PR on cardiac physiology in a porcine model using cardiac magnetic resonance-based feature tracking (CMR-FT) deformation imaging.</p><p><strong>Methods: </strong>CMR-FT was performed in 14 pigs before and 10-12 weeks after surgery. Surgery included either pulmonary artery banding to simulate PS (n = 7), or an incision to the pulmonary valve to simulate PR (n = 7). CMR-FT assessment included left and right ventricular global longitudinal (LV/RV GLS) and LV circumferential (GCS) strain and strain rates (SR) as well as left and right atrial reservoir/conduit/booster pump (LA/RA Es, Ee, Ea) strain and SR.</p><p><strong>Results: </strong>RV GLS was significantly reduced following PS compared to PR induction (PS -7.51 vs. PR -23.84, p < 0.001). RV GLS improved after induction of PR (before - 20.50 vs. after - 23.84, p = 0.018) as opposed to PS (before - 11.73 vs. after - 7.51, p = 0.128). Similarly, RA Es (PS 14.22 vs. PR 27.34, p = 0.017) and Ee (PS 8.65 vs. PR 20.51, p = 0.004) were decreased in PS compared to PR with detrimental impact of PS (Es before 23.20 vs. after 14.22, p = 0.018, Ee before 15.04 vs. after 8.65, p = 0.028) but not PR (Es before 31.65 vs. after 27.34, p = 0.176, Ee before 20.63 vs. after 20.51, p = 0.499).</p><p><strong>Conclusions: </strong>In a porcine model of RV pressure vs. volume overload, increased after- but not preload shows detrimental impact on RV and RA physiology.</p>","PeriodicalId":94227,"journal":{"name":"The international journal of cardiovascular imaging","volume":" ","pages":"257-268"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143026247","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":"Effectiveness of single-energy metal artifact reduction algorithm in CT: application to contrast-enhanced CT with EVAR and coil embolization.","authors":"Junji Mochizuki, Noriko Oyama-Manabe, Fumi Kato, Hideki Takahashi, Osamu Manabe, Akihiro Sawada, Homare Okamura, Mitsunori Nakano, Atsushi Yamaguchi","doi":"10.1007/s10554-024-03318-1","DOIUrl":"10.1007/s10554-024-03318-1","url":null,"abstract":"<p><p>This study aimed to evaluate the efficacy of the single-energy metal artifact reduction (SEMAR) algorithm in reducing metal artifacts and enhancing image quality in contrast-enhanced computed tomography (CT) for patients undergoing endovascular aneurysm repair (EVAR) with coil embolization. Thirty-eight patients (mean age 81.0 ± 6 years; 31 men, 7 women) who underwent contrast-enhanced CT following EVAR and internal iliac artery coil embolization between September 2022 and May 2023 were retrospectively analyzed. The Artifact Index (AI) quantified metallic artifacts from internal iliac artery aneurysm coils in CT images, calculated from the standard deviation of the artifact-containing region relative to a reference region. CT values of the external iliac artery at the same slice were also evaluated and compared. Two radiologists independently performed qualitative assessments of SEMAR and non-SEMAR images. SEMAR significantly reduced metal artifacts, decreasing the AI from 171.9 ± 74.5 HU to 35.8 ± 16.9 HU (p < 0.001). The mean CT values of the external iliac artery were similar for SEMAR (259.4 ± 63.7 HU) and non-SEMAR (257.1 ± 63.6 HU, indicating no significant difference. Qualitative assessment scores improved significantly with SEMAR (from 1.0 ± 0.0 to 2.5 ± 0.5; p < 0.001), enhancing visualization of internal iliac artery aneurysms. Interobserver agreement was high (κ = 0.83). The SEMAR algorithm effectively reduces metal artifacts in contrast-enhanced CT, significantly enhancing image quality without altering adjacent artery CT values. These improvements enhance the image quality of post-operative assessments in patients undergoing EVAR with coil embolization.</p>","PeriodicalId":94227,"journal":{"name":"The international journal of cardiovascular imaging","volume":" ","pages":"369-376"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143019125","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":"Native liver T1 mapping on magnetic resonance imaging for an evaluation of congestive liver injury in children with congenital heart disease.","authors":"Katsuo Tao, Yuichi Ishikawa, Sayo Suzuki, Shota Muraji, Ayako Kuraoka, Masaki Sato, Kenichiro Yamamura, Koichi Sagawa","doi":"10.1007/s10554-024-03310-9","DOIUrl":"10.1007/s10554-024-03310-9","url":null,"abstract":"<p><p>Fontan-associated liver disease (FALD) may be caused by chronic liver congestion due to high central venous pressure (CVP). Recently, the usefulness of liver native T1 mapping in magnetic resonance imaging (MRI) in adulthood has been reported. To evaluate the usefulness of native liver T1 mapping in children with congenital heart disease (CHD), we investigated the utility of native liver T1 relaxation time (LT1) in pediatric Fontan patients in comparison to other CHDs. Correlations between LT1 and laboratory biomarkers or hemodynamic data were also assessed. A total of 155 patients with CHD (biventricular repair, n = 42; bidirectional Glenn circulation, n = 38; and Fontan circulation, n = 75) underwent blood tests, cardiac catheterization, and cardiac MRI within 48 h. Both CVP and LT1 levels were higher in Fontan patients than in bidirectional Glenn and biventricular patients. There were significant correlation in the overall population and weak correlation in Fontan patients between CVP and LT1(correlation coefficient 0.644 [0.541-0.728] and 0.244 [0.0179-0.446], P < 0.001 and 0.035, respectively). Among the laboratory data, the multiple linear regression analysis revealed that the fibrosis-4 index and alanine aminotransferase were significantly correlated with LT1 in the overall population (P = 0.008,0.012), and the fibrosis-4 index was correlated with LT1 in Fontan patients (P = 0.019). LT1 might have some role to predict elevated CVP and liver injury in children with CHD.</p>","PeriodicalId":94227,"journal":{"name":"The international journal of cardiovascular imaging","volume":" ","pages":"315-324"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142901446","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":"Redundant and aneurysmal interatrial septum motion: a commentary on anatomical factors and clinical implications.","authors":"Altair Heidemann, Murilo Foppa","doi":"10.1007/s10554-025-03340-x","DOIUrl":"https://doi.org/10.1007/s10554-025-03340-x","url":null,"abstract":"","PeriodicalId":94227,"journal":{"name":"The international journal of cardiovascular imaging","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076750","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":"Comparison of global and regional myocardial blood flow quantification using dynamic solid-state detector SPECT and Tc-99 m-sestamibi or Tc-99 m-tetrofosmin in a routine clinical setting.","authors":"Wiebke Wieting, Frank M Bengel, Johanna Diekmann","doi":"10.1007/s10554-025-03339-4","DOIUrl":"https://doi.org/10.1007/s10554-025-03339-4","url":null,"abstract":"<p><p>Solid-state detector single photon emission computed tomography (SPECT) enables the acquisition of dynamic data for calculation of myocardial blood flow (MBF) and myocardial flow reserve (MFR). Here, we report about our experiences on routine clinical use and robustness using Tc-99 m-sestamibi and Tc-99 m-tetrofosmin. 307 patients underwent dynamic list-mode myocardial perfusion imaging (MPI) and standard static MPI for clinical workup of coronary artery disease on a dedicated cardiac SPECT camera. After exclusion of 33 scans, 274 scans were eligible for MBF and MFR calculation using a 1-tissue-compartment model. Attenuation correction was performed for all patients using an external computed tomogram. Patients underwent stress-only scans, both stress and rest scans or rest-only scans using Tc-99 m-tetrofosmin or Tc-99 m-sestamibi. 30 patients without known cardiovascular comorbidities and without perfusion defect on static scans were compared in a sub analysis. Global stress myocardial blood flow (MBF) was significantly higher than rest MBF (2.3 vs. 1.1 ml/min/g; p < 0.001), and showed a high variability among individuals. Global myocardial flow reserve (MFR) was 2.1 (range 0.5-7.8). An analysis of 30 patients without known cardiovascular comorbidities yielded similar stress MBF measures for Tc-99 m-sestamibi and Tc-99 m-tetrofosmin (3.1 ± 1.2 vs. 2.8 ± 0.9 ml/min/g; p = 0.429). The use of attenuation correction lead to systematically lower MBF measures. Patients who underwent a one-day protocol had notably higher rest MBF (1.2 ± 0.5 vs. 1.0 ± 0.46 ml/min/g; p = 0.009) and consequently a lower MFR. Summed defect scores from standard static scans and presence of cardiovascular comorbidities negatively impacted MBF and MFR. Quantitative SPECT MBF and MFR in a clinical routine setting yields flow measures in range of expectation at an albeit wide range and is comprehensibly linked with results from standard static scan and patients history of cardiovascular diseases. Use of one-day protocols and attenuation correction systematically alters quantitative results. However, SPECT-derived MBF and MFR lack clinical reliability due to less validated reference ranges and high inter-individual variability.</p>","PeriodicalId":94227,"journal":{"name":"The international journal of cardiovascular imaging","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069833","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":"Real-world application of CCTA with CT-FFR for coronary assessment pre-TAVI: the CT2TAVI study.","authors":"Kifah Hussain, Kevin Lee, Iva Minga, Lucas Wathen, Senthil S Balasubramanian, Natasha Vyas, Lavisha Singh, Mrinali Shetty, Jonathan R Rosenberg, Justin P Levisay, Ilya Karagodin, Jared Liebelt, Robert R Edelman, Mark J Ricciardi, Amit Pursnani","doi":"10.1007/s10554-025-03333-w","DOIUrl":"https://doi.org/10.1007/s10554-025-03333-w","url":null,"abstract":"<p><p>This study aims to evaluate the implementation of concomitant CAD assessment on pre-TAVI (transcatheter aortic valve implantation) planning CTA (CT angiography) aided by CT-FFR (CT-fractional flow reserve) [The CT2TAVI protocol] and investigates the incremental value of CT-FFR to coronary CT angiography (CCTA) alone in the evaluation of patients undergoing CT2TAVI. This is a prospective observational real-world cohort study at an academic health system on consecutive patients who underwent CTA for TAVI planning from 1/2021 to 6/2022. This represented a transition period in our health system, from not formally reporting CAD on pre-TAVI planning CTA (Group A) to routinely reporting CAD on pre-TAVI CTA (Group B; CT2TAVI protocol). All CTAs were retrospective ECG-gated using a dual source 192 slice CT scanner without nitrate or intravenous beta blocker premedication. We assessed downstream ICA and revascularization pre-TAVI and clinical outcomes 30 days and 1 year post-TAVI in both groups. 307 patients were included with 199 patients in Group A and 108 patients in Group B. In Group B, ICA was performed pre-TAVI in only 40.7% of patients. The use of CT-FFR, which was primarily aimed at identifying hemodynamically significant proximal vessel disease, helped avoid downstream invasive testing for 60.5% (23/38) of patients who were deemed to have obstructive proximal vessel disease using CCTA alone or had one or more uninterpretable proximal segments using CCTA. All-cause mortality, cardiovascular mortality, myocardial infarction and need for revascularization at 1-year post-TAVI were comparable between groups with a higher trend toward heart failure hospitalizations in Group A. Routine ICA can safely be deferred pre-TAVI, with the CT2TAVI strategy using modern CT scanners aided by CT-FFR analysis.</p>","PeriodicalId":94227,"journal":{"name":"The international journal of cardiovascular imaging","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143070149","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":"When a common sore throat unmasks a rare disease.","authors":"Francesco Natale, Luigi Marotta, Paolo Golino, Giovanni Cimmino","doi":"10.1007/s10554-025-03338-5","DOIUrl":"https://doi.org/10.1007/s10554-025-03338-5","url":null,"abstract":"","PeriodicalId":94227,"journal":{"name":"The international journal of cardiovascular imaging","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143070132","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":"Myocardial extracellular volume fraction estimations using late enhancement CT in patients with atrial fibrillation: a comparative study with cardiac MR.","authors":"Yoshihiko Kagawa, Masafumi Takafuji, Satoshi Fujita, Takanori Kokawa, Tomoyuki Fukuma, Masaki Ishida, Eitaro Fujii, Ryuji Okamoto, Kakuya Kitagawa, Hajime Sakuma, Kaoru Dohi","doi":"10.1007/s10554-024-03316-3","DOIUrl":"https://doi.org/10.1007/s10554-024-03316-3","url":null,"abstract":"<p><p>Myocardial extracellular volume fraction (ECV) measured via MRI serves as a quantitative indicator of myocardial fibrosis. However, accurate measurement of ECV using MRI in the presence of AF is challenging. Meanwhile, CT could be a promising alternative tool for measuring ECV regardless of sinus rhythm or AF. The purpose of this study was to assess the reliability of estimating ECV using CT in patients with AF by comparing it with MRI-derived ECV. Forty-two patients (n = 42) with AF underwent cardiac CT a median of 12 days before catheter ablation, and cardiac MRI a median of 1 day after catheter ablation. Myocardial ECV measured by CT and MRI was compared. Pre-ablation CT scan was performed in the presence of AF in 25 patients, with the remaining 17 in sinus rhythm (SR). All patients were in SR at the time of MRI post ablation. The average of CT-derived ECVs was 0.277 ± 0.022 and that of MRI-derived ECVs was 0.282 ± 0.019 in patients with AF. The average of CT-derived ECVs was 0.268 ± 0.025 and that of MRI-derived ECVs was 0.278 ± 0.025 in patients with SR at the time of the CT scan. CT and MRI were in good agreement with mean differences of -0.0048 ± 0.027 in AF and - 0.0095 ± 0.0354 in SR. CT-derived ECV in the presence of AF measured before ablation showed good agreement with ECV by MRI in SR after ablation. CT-ECV estimations are reliable and feasible in patients with AF.</p>","PeriodicalId":94227,"journal":{"name":"The international journal of cardiovascular imaging","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069852","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}