Loading…

Post-reperfusion acute MR diffusion in stroke is a potential predictor for clinical outcome in rats

Middle cerebral artery occlusion (MCAO) models show substantial variability in outcome, introducing uncertainties in the evaluation of treatment effects. Early outcome predictors would be essential for prognostic purposes and variability control. We aimed to compare apparent diffusion coefficient (A...

Full description

Saved in:
Bibliographic Details
Published in:Scientific reports 2023-04, Vol.13 (1), p.5598-5598, Article 5598
Main Authors: Nagy, Szilvia Anett, Ivic, Ivan, Tóth, Péter, Komoly, Sámuel, Kiss, Tamás, Pénzes, Máté, Málnási-Csizmadia, András, Dóczi, Tamás, Perlaki, Gábor, Orsi, Gergely
Format: Article
Language:English
Subjects:
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by
cites cdi_FETCH-LOGICAL-c492t-c0fe9f2377171a5ba9a0e5a7139b3e512a779c8903515945f4290d92af8abfc23
container_end_page 5598
container_issue 1
container_start_page 5598
container_title Scientific reports
container_volume 13
creator Nagy, Szilvia Anett
Ivic, Ivan
Tóth, Péter
Komoly, Sámuel
Kiss, Tamás
Pénzes, Máté
Málnási-Csizmadia, András
Dóczi, Tamás
Perlaki, Gábor
Orsi, Gergely
description Middle cerebral artery occlusion (MCAO) models show substantial variability in outcome, introducing uncertainties in the evaluation of treatment effects. Early outcome predictors would be essential for prognostic purposes and variability control. We aimed to compare apparent diffusion coefficient (ADC) MRI data obtained during MCAO and shortly after reperfusion for their potentials in acute-phase outcome prediction. Fifty-nine male rats underwent a 45-min MCAO. Outcome was defined in three ways: 21-day survival; 24 h midline-shift and neurological scores. Animals were divided into two groups: rats surviving 21 days after MCAO (survival group, n = 46) and rats dying prematurely (non-survival/NS group, n = 13). At reperfusion, NS group showed considerably larger lesion volume and lower mean ADC of the initial lesion site (p 
doi_str_mv 10.1038/s41598-023-32679-1
format article
fullrecord <record><control><sourceid>proquest_doaj_</sourceid><recordid>TN_cdi_doaj_primary_oai_doaj_org_article_3e08306d482a4862821adc6c13534ea2</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><doaj_id>oai_doaj_org_article_3e08306d482a4862821adc6c13534ea2</doaj_id><sourcerecordid>2795917797</sourcerecordid><originalsourceid>FETCH-LOGICAL-c492t-c0fe9f2377171a5ba9a0e5a7139b3e512a779c8903515945f4290d92af8abfc23</originalsourceid><addsrcrecordid>eNp9Uk1rFTEUHUSxpfYPuJABN25G8zlJViKlaqGiiK7DfZmbZ57zJs8kI_jvzXSetXVhICSce-7JPeE0zVNKXlLC9assqDS6I4x3nPXKdPRBc8qIkB3jjD28cz9pznPekbokM4Kax80JV4Qaw_hp4z7FXLqEB0x-ziFOLbi5YPvhczsEf4TC1OaS4ndsQ26hPcSCUwkwtoeEQ3AlptbX7cYwBVfhOBcX97j0JSj5SfPIw5jx_HieNV_fXn65eN9df3x3dfHmunPCsNI54tF4xpWiioLcgAGCEhTlZsNRUgZKGacN4bJaF9ILZshgGHgNG-8YP2uuVt0hws4eUthD-mUjBHsDxLS1kEpwI1qORHPSD0IzELpnmlEYXO8ol1wgLFqvV63DvNnj4KrhBOM90fuVKXyz2_jTUkJUzxmtCi-OCin-mDEXuw_Z4TjChHHOlimjqFC615X6_B_qLs5pqn-1sKSh1biqLLayXIo5J_S301Bil0zYNRO2ZsLeZMIuUzy76-O25U8CKoGvhFxL0xbT37f_I_sbum7Bfw</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2795917797</pqid></control><display><type>article</type><title>Post-reperfusion acute MR diffusion in stroke is a potential predictor for clinical outcome in rats</title><source>Publicly Available Content Database (Proquest) (PQ_SDU_P3)</source><source>Full-Text Journals in Chemistry (Open access)</source><source>PubMed Central</source><source>Springer Nature - nature.com Journals - Fully Open Access</source><creator>Nagy, Szilvia Anett ; Ivic, Ivan ; Tóth, Péter ; Komoly, Sámuel ; Kiss, Tamás ; Pénzes, Máté ; Málnási-Csizmadia, András ; Dóczi, Tamás ; Perlaki, Gábor ; Orsi, Gergely</creator><creatorcontrib>Nagy, Szilvia Anett ; Ivic, Ivan ; Tóth, Péter ; Komoly, Sámuel ; Kiss, Tamás ; Pénzes, Máté ; Málnási-Csizmadia, András ; Dóczi, Tamás ; Perlaki, Gábor ; Orsi, Gergely</creatorcontrib><description>Middle cerebral artery occlusion (MCAO) models show substantial variability in outcome, introducing uncertainties in the evaluation of treatment effects. Early outcome predictors would be essential for prognostic purposes and variability control. We aimed to compare apparent diffusion coefficient (ADC) MRI data obtained during MCAO and shortly after reperfusion for their potentials in acute-phase outcome prediction. Fifty-nine male rats underwent a 45-min MCAO. Outcome was defined in three ways: 21-day survival; 24 h midline-shift and neurological scores. Animals were divided into two groups: rats surviving 21 days after MCAO (survival group, n = 46) and rats dying prematurely (non-survival/NS group, n = 13). At reperfusion, NS group showed considerably larger lesion volume and lower mean ADC of the initial lesion site (p &lt; 0.0001), while during occlusion there were no significant group differences. At reperfusion, each survival animal showed decreased lesion volume and increased mean ADC of the initial lesion site compared to those during occlusion (p &lt; 10 –6 ), while NS group showed a mixed pattern. At reperfusion, lesion volume and mean ADC of the initial lesion site were significantly associated with 24 h midline-shift and neurological scores. Diffusion MRI performed soon after reperfusion has a great impact in early-phase outcome prediction, and it works better than the measurement during occlusion.</description><identifier>ISSN: 2045-2322</identifier><identifier>EISSN: 2045-2322</identifier><identifier>DOI: 10.1038/s41598-023-32679-1</identifier><identifier>PMID: 37019923</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>631/378 ; 631/378/1689/534 ; 692/308/1426 ; Animals ; Behavior ; Biochemistry ; Brain Ischemia - pathology ; Cerebral blood flow ; Clinical outcomes ; Diffusion ; Diffusion coefficient ; Diffusion Magnetic Resonance Imaging ; Disease Models, Animal ; Humanities and Social Sciences ; Infarction, Middle Cerebral Artery - pathology ; Ischemia ; Lesions ; Magnetic Resonance Imaging ; Male ; Medical prognosis ; Medical research ; multidisciplinary ; Neurosciences ; Rats ; Reperfusion ; Science ; Science (multidisciplinary) ; Stroke ; Survival</subject><ispartof>Scientific reports, 2023-04, Vol.13 (1), p.5598-5598, Article 5598</ispartof><rights>The Author(s) 2023</rights><rights>2023. The Author(s).</rights><rights>The Author(s) 2023. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c492t-c0fe9f2377171a5ba9a0e5a7139b3e512a779c8903515945f4290d92af8abfc23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2795917797/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2795917797?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25753,27924,27925,37012,37013,44590,53791,53793,74998</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37019923$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nagy, Szilvia Anett</creatorcontrib><creatorcontrib>Ivic, Ivan</creatorcontrib><creatorcontrib>Tóth, Péter</creatorcontrib><creatorcontrib>Komoly, Sámuel</creatorcontrib><creatorcontrib>Kiss, Tamás</creatorcontrib><creatorcontrib>Pénzes, Máté</creatorcontrib><creatorcontrib>Málnási-Csizmadia, András</creatorcontrib><creatorcontrib>Dóczi, Tamás</creatorcontrib><creatorcontrib>Perlaki, Gábor</creatorcontrib><creatorcontrib>Orsi, Gergely</creatorcontrib><title>Post-reperfusion acute MR diffusion in stroke is a potential predictor for clinical outcome in rats</title><title>Scientific reports</title><addtitle>Sci Rep</addtitle><addtitle>Sci Rep</addtitle><description>Middle cerebral artery occlusion (MCAO) models show substantial variability in outcome, introducing uncertainties in the evaluation of treatment effects. Early outcome predictors would be essential for prognostic purposes and variability control. We aimed to compare apparent diffusion coefficient (ADC) MRI data obtained during MCAO and shortly after reperfusion for their potentials in acute-phase outcome prediction. Fifty-nine male rats underwent a 45-min MCAO. Outcome was defined in three ways: 21-day survival; 24 h midline-shift and neurological scores. Animals were divided into two groups: rats surviving 21 days after MCAO (survival group, n = 46) and rats dying prematurely (non-survival/NS group, n = 13). At reperfusion, NS group showed considerably larger lesion volume and lower mean ADC of the initial lesion site (p &lt; 0.0001), while during occlusion there were no significant group differences. At reperfusion, each survival animal showed decreased lesion volume and increased mean ADC of the initial lesion site compared to those during occlusion (p &lt; 10 –6 ), while NS group showed a mixed pattern. At reperfusion, lesion volume and mean ADC of the initial lesion site were significantly associated with 24 h midline-shift and neurological scores. Diffusion MRI performed soon after reperfusion has a great impact in early-phase outcome prediction, and it works better than the measurement during occlusion.</description><subject>631/378</subject><subject>631/378/1689/534</subject><subject>692/308/1426</subject><subject>Animals</subject><subject>Behavior</subject><subject>Biochemistry</subject><subject>Brain Ischemia - pathology</subject><subject>Cerebral blood flow</subject><subject>Clinical outcomes</subject><subject>Diffusion</subject><subject>Diffusion coefficient</subject><subject>Diffusion Magnetic Resonance Imaging</subject><subject>Disease Models, Animal</subject><subject>Humanities and Social Sciences</subject><subject>Infarction, Middle Cerebral Artery - pathology</subject><subject>Ischemia</subject><subject>Lesions</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medical prognosis</subject><subject>Medical research</subject><subject>multidisciplinary</subject><subject>Neurosciences</subject><subject>Rats</subject><subject>Reperfusion</subject><subject>Science</subject><subject>Science (multidisciplinary)</subject><subject>Stroke</subject><subject>Survival</subject><issn>2045-2322</issn><issn>2045-2322</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNp9Uk1rFTEUHUSxpfYPuJABN25G8zlJViKlaqGiiK7DfZmbZ57zJs8kI_jvzXSetXVhICSce-7JPeE0zVNKXlLC9assqDS6I4x3nPXKdPRBc8qIkB3jjD28cz9pznPekbokM4Kax80JV4Qaw_hp4z7FXLqEB0x-ziFOLbi5YPvhczsEf4TC1OaS4ndsQ26hPcSCUwkwtoeEQ3AlptbX7cYwBVfhOBcX97j0JSj5SfPIw5jx_HieNV_fXn65eN9df3x3dfHmunPCsNI54tF4xpWiioLcgAGCEhTlZsNRUgZKGacN4bJaF9ILZshgGHgNG-8YP2uuVt0hws4eUthD-mUjBHsDxLS1kEpwI1qORHPSD0IzELpnmlEYXO8ol1wgLFqvV63DvNnj4KrhBOM90fuVKXyz2_jTUkJUzxmtCi-OCin-mDEXuw_Z4TjChHHOlimjqFC615X6_B_qLs5pqn-1sKSh1biqLLayXIo5J_S301Bil0zYNRO2ZsLeZMIuUzy76-O25U8CKoGvhFxL0xbT37f_I_sbum7Bfw</recordid><startdate>20230405</startdate><enddate>20230405</enddate><creator>Nagy, Szilvia Anett</creator><creator>Ivic, Ivan</creator><creator>Tóth, Péter</creator><creator>Komoly, Sámuel</creator><creator>Kiss, Tamás</creator><creator>Pénzes, Máté</creator><creator>Málnási-Csizmadia, András</creator><creator>Dóczi, Tamás</creator><creator>Perlaki, Gábor</creator><creator>Orsi, Gergely</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><general>Nature Portfolio</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88A</scope><scope>88E</scope><scope>88I</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>M7P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20230405</creationdate><title>Post-reperfusion acute MR diffusion in stroke is a potential predictor for clinical outcome in rats</title><author>Nagy, Szilvia Anett ; Ivic, Ivan ; Tóth, Péter ; Komoly, Sámuel ; Kiss, Tamás ; Pénzes, Máté ; Málnási-Csizmadia, András ; Dóczi, Tamás ; Perlaki, Gábor ; Orsi, Gergely</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c492t-c0fe9f2377171a5ba9a0e5a7139b3e512a779c8903515945f4290d92af8abfc23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>631/378</topic><topic>631/378/1689/534</topic><topic>692/308/1426</topic><topic>Animals</topic><topic>Behavior</topic><topic>Biochemistry</topic><topic>Brain Ischemia - pathology</topic><topic>Cerebral blood flow</topic><topic>Clinical outcomes</topic><topic>Diffusion</topic><topic>Diffusion coefficient</topic><topic>Diffusion Magnetic Resonance Imaging</topic><topic>Disease Models, Animal</topic><topic>Humanities and Social Sciences</topic><topic>Infarction, Middle Cerebral Artery - pathology</topic><topic>Ischemia</topic><topic>Lesions</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Medical prognosis</topic><topic>Medical research</topic><topic>multidisciplinary</topic><topic>Neurosciences</topic><topic>Rats</topic><topic>Reperfusion</topic><topic>Science</topic><topic>Science (multidisciplinary)</topic><topic>Stroke</topic><topic>Survival</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nagy, Szilvia Anett</creatorcontrib><creatorcontrib>Ivic, Ivan</creatorcontrib><creatorcontrib>Tóth, Péter</creatorcontrib><creatorcontrib>Komoly, Sámuel</creatorcontrib><creatorcontrib>Kiss, Tamás</creatorcontrib><creatorcontrib>Pénzes, Máté</creatorcontrib><creatorcontrib>Málnási-Csizmadia, András</creatorcontrib><creatorcontrib>Dóczi, Tamás</creatorcontrib><creatorcontrib>Perlaki, Gábor</creatorcontrib><creatorcontrib>Orsi, Gergely</creatorcontrib><collection>SpringerOpen</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Biology Database (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>ProQuest Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Science Journals</collection><collection>ProQuest Biological Science Journals</collection><collection>Publicly Available Content Database (Proquest) (PQ_SDU_P3)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Scientific reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nagy, Szilvia Anett</au><au>Ivic, Ivan</au><au>Tóth, Péter</au><au>Komoly, Sámuel</au><au>Kiss, Tamás</au><au>Pénzes, Máté</au><au>Málnási-Csizmadia, András</au><au>Dóczi, Tamás</au><au>Perlaki, Gábor</au><au>Orsi, Gergely</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Post-reperfusion acute MR diffusion in stroke is a potential predictor for clinical outcome in rats</atitle><jtitle>Scientific reports</jtitle><stitle>Sci Rep</stitle><addtitle>Sci Rep</addtitle><date>2023-04-05</date><risdate>2023</risdate><volume>13</volume><issue>1</issue><spage>5598</spage><epage>5598</epage><pages>5598-5598</pages><artnum>5598</artnum><issn>2045-2322</issn><eissn>2045-2322</eissn><abstract>Middle cerebral artery occlusion (MCAO) models show substantial variability in outcome, introducing uncertainties in the evaluation of treatment effects. Early outcome predictors would be essential for prognostic purposes and variability control. We aimed to compare apparent diffusion coefficient (ADC) MRI data obtained during MCAO and shortly after reperfusion for their potentials in acute-phase outcome prediction. Fifty-nine male rats underwent a 45-min MCAO. Outcome was defined in three ways: 21-day survival; 24 h midline-shift and neurological scores. Animals were divided into two groups: rats surviving 21 days after MCAO (survival group, n = 46) and rats dying prematurely (non-survival/NS group, n = 13). At reperfusion, NS group showed considerably larger lesion volume and lower mean ADC of the initial lesion site (p &lt; 0.0001), while during occlusion there were no significant group differences. At reperfusion, each survival animal showed decreased lesion volume and increased mean ADC of the initial lesion site compared to those during occlusion (p &lt; 10 –6 ), while NS group showed a mixed pattern. At reperfusion, lesion volume and mean ADC of the initial lesion site were significantly associated with 24 h midline-shift and neurological scores. Diffusion MRI performed soon after reperfusion has a great impact in early-phase outcome prediction, and it works better than the measurement during occlusion.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>37019923</pmid><doi>10.1038/s41598-023-32679-1</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 2045-2322
ispartof Scientific reports, 2023-04, Vol.13 (1), p.5598-5598, Article 5598
issn 2045-2322
2045-2322
language eng
recordid cdi_doaj_primary_oai_doaj_org_article_3e08306d482a4862821adc6c13534ea2
source Publicly Available Content Database (Proquest) (PQ_SDU_P3); Full-Text Journals in Chemistry (Open access); PubMed Central; Springer Nature - nature.com Journals - Fully Open Access
subjects 631/378
631/378/1689/534
692/308/1426
Animals
Behavior
Biochemistry
Brain Ischemia - pathology
Cerebral blood flow
Clinical outcomes
Diffusion
Diffusion coefficient
Diffusion Magnetic Resonance Imaging
Disease Models, Animal
Humanities and Social Sciences
Infarction, Middle Cerebral Artery - pathology
Ischemia
Lesions
Magnetic Resonance Imaging
Male
Medical prognosis
Medical research
multidisciplinary
Neurosciences
Rats
Reperfusion
Science
Science (multidisciplinary)
Stroke
Survival
title Post-reperfusion acute MR diffusion in stroke is a potential predictor for clinical outcome in rats
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-07T22%3A12%3A24IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_doaj_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Post-reperfusion%20acute%20MR%20diffusion%20in%20stroke%20is%20a%20potential%20predictor%20for%20clinical%20outcome%20in%20rats&rft.jtitle=Scientific%20reports&rft.au=Nagy,%20Szilvia%20Anett&rft.date=2023-04-05&rft.volume=13&rft.issue=1&rft.spage=5598&rft.epage=5598&rft.pages=5598-5598&rft.artnum=5598&rft.issn=2045-2322&rft.eissn=2045-2322&rft_id=info:doi/10.1038/s41598-023-32679-1&rft_dat=%3Cproquest_doaj_%3E2795917797%3C/proquest_doaj_%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c492t-c0fe9f2377171a5ba9a0e5a7139b3e512a779c8903515945f4290d92af8abfc23%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2795917797&rft_id=info:pmid/37019923&rfr_iscdi=true