Loading…

Comparative examination of the pons and corpus callosum as reference regions for quantitative evaluation in positron emission tomography imaging for Alzheimer’s disease using 11C-Pittsburgh Compound-B

Objectives Standardised uptake value ratio (SUVR) is usually obtained by dividing the SUV of the region of interest (ROI) by that of the cerebellar cortex. Cerebellar cortex is not a valid reference in cases where amyloid β deposition or lesions are present. Only few studies have evaluated the use o...

Full description

Saved in:
Bibliographic Details
Published in:Annals of nuclear medicine 2023-07, Vol.37 (7), p.410-418
Main Authors: Tada, Tomohiro, Hara, Kazuhiro, Fujita, Naotoshi, Ito, Yoshinori, Yamaguchi, Hiroshi, Ohdake, Reiko, Kawabata, Kazuya, Ogura, Aya, Kato, Toshiyasu, Yokoi, Takamasa, Masuda, Michihito, Abe, Shinji, Miyao, Shinichi, Naganawa, Shinji, Katsuno, Masahisa, Watanabe, Hirohisa, Sobue, Gen, Kato, Katsuhiko
Format: Article
Language:English
Subjects:
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by cdi_FETCH-LOGICAL-c406t-b11d686defbfeb680ea5db87d756254fdab146e73d89081aa52c74d2062dc7d93
cites cdi_FETCH-LOGICAL-c406t-b11d686defbfeb680ea5db87d756254fdab146e73d89081aa52c74d2062dc7d93
container_end_page 418
container_issue 7
container_start_page 410
container_title Annals of nuclear medicine
container_volume 37
creator Tada, Tomohiro
Hara, Kazuhiro
Fujita, Naotoshi
Ito, Yoshinori
Yamaguchi, Hiroshi
Ohdake, Reiko
Kawabata, Kazuya
Ogura, Aya
Kato, Toshiyasu
Yokoi, Takamasa
Masuda, Michihito
Abe, Shinji
Miyao, Shinichi
Naganawa, Shinji
Katsuno, Masahisa
Watanabe, Hirohisa
Sobue, Gen
Kato, Katsuhiko
description Objectives Standardised uptake value ratio (SUVR) is usually obtained by dividing the SUV of the region of interest (ROI) by that of the cerebellar cortex. Cerebellar cortex is not a valid reference in cases where amyloid β deposition or lesions are present. Only few studies have evaluated the use of other regions as references. We compared the validity of the pons and corpus callosum as reference regions for the quantitative evaluation of brain positron emission tomography (PET) using 11 C-PiB compared to the cerebellar cortex. Methods We retrospectively evaluated data from 86 subjects with or without Alzheimer’s disease (AD). All subjects underwent magnetic resonance imaging, PET imaging, and cognitive function testing. For the quantitative analysis, three-dimensional ROIs were automatically placed, and SUV and SUVR were obtained. We compared these values between AD and healthy control (HC) groups. Results SUVR data obtained using the pons and corpus callosum as reference regions strongly correlated with that using the cerebellar cortex. The sensitivity and specificity were high when either the pons or corpus callosum was used as the reference region. However, the SUV values of the corpus callosum were different between AD and HC (p 
doi_str_mv 10.1007/s12149-023-01843-y
format article
fullrecord <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10285001</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2828400228</sourcerecordid><originalsourceid>FETCH-LOGICAL-c406t-b11d686defbfeb680ea5db87d756254fdab146e73d89081aa52c74d2062dc7d93</originalsourceid><addsrcrecordid>eNp9kkuO1DAQhiMEYpqBC7CyxIZNwHbcjrNCQ4sBpJFgAWvLiSuJR4md8aM1zYprcKU5BifBmW6BYMHKJddfn-rxF8Vzgl8RjOvXgVDCmhLTqsREsKo8PCg2RHBWclZVD4sNbggrayLqs-JJCNcYU7EV9HFxVtWEY8GrTXG3c_OivIpmDwhu1Wxsjp1FrkdxBLQ4G5CyGnXOLymgTk2TC2lGKiAPPXiwHeRoMKuwdx7dJGWjiSfiXk3pCDQ2w4KJPscwmxDWz-hmN3i1jAdkZjUYO9wzLqZvI5gZ_M_vPwLSJoAKgFJY84Tsys8mxtAmP4xo7d8lq8u3T4tHvZoCPDu958XXy3dfdh_Kq0_vP-4ursqOYR7LlhDNBdfQtz20XGBQW92KWtdbTres16oljENdadFgQZTa0q5mmmJOdVfrpjov3hy5S2pn0B3Y6NUkF58n8AfplJF_Z6wZ5eD2kqz7x5hkwssTwbubBCHKvI8OpklZcClIKghpWD7QKn3xj_TaJW_zfFlFBcs3pSKr6FHVeRdCvsvvbgiWq1fk0Ssye0Xee0UeclF1LApZbAfwf9D_qfoFmu_Izw</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2828400228</pqid></control><display><type>article</type><title>Comparative examination of the pons and corpus callosum as reference regions for quantitative evaluation in positron emission tomography imaging for Alzheimer’s disease using 11C-Pittsburgh Compound-B</title><source>Springer Nature</source><creator>Tada, Tomohiro ; Hara, Kazuhiro ; Fujita, Naotoshi ; Ito, Yoshinori ; Yamaguchi, Hiroshi ; Ohdake, Reiko ; Kawabata, Kazuya ; Ogura, Aya ; Kato, Toshiyasu ; Yokoi, Takamasa ; Masuda, Michihito ; Abe, Shinji ; Miyao, Shinichi ; Naganawa, Shinji ; Katsuno, Masahisa ; Watanabe, Hirohisa ; Sobue, Gen ; Kato, Katsuhiko</creator><creatorcontrib>Tada, Tomohiro ; Hara, Kazuhiro ; Fujita, Naotoshi ; Ito, Yoshinori ; Yamaguchi, Hiroshi ; Ohdake, Reiko ; Kawabata, Kazuya ; Ogura, Aya ; Kato, Toshiyasu ; Yokoi, Takamasa ; Masuda, Michihito ; Abe, Shinji ; Miyao, Shinichi ; Naganawa, Shinji ; Katsuno, Masahisa ; Watanabe, Hirohisa ; Sobue, Gen ; Kato, Katsuhiko</creatorcontrib><description>Objectives Standardised uptake value ratio (SUVR) is usually obtained by dividing the SUV of the region of interest (ROI) by that of the cerebellar cortex. Cerebellar cortex is not a valid reference in cases where amyloid β deposition or lesions are present. Only few studies have evaluated the use of other regions as references. We compared the validity of the pons and corpus callosum as reference regions for the quantitative evaluation of brain positron emission tomography (PET) using 11 C-PiB compared to the cerebellar cortex. Methods We retrospectively evaluated data from 86 subjects with or without Alzheimer’s disease (AD). All subjects underwent magnetic resonance imaging, PET imaging, and cognitive function testing. For the quantitative analysis, three-dimensional ROIs were automatically placed, and SUV and SUVR were obtained. We compared these values between AD and healthy control (HC) groups. Results SUVR data obtained using the pons and corpus callosum as reference regions strongly correlated with that using the cerebellar cortex. The sensitivity and specificity were high when either the pons or corpus callosum was used as the reference region. However, the SUV values of the corpus callosum were different between AD and HC (p &lt; 0.01). Conclusions Our data suggest that the pons and corpus callosum might be valid reference regions.</description><identifier>ISSN: 0914-7187</identifier><identifier>EISSN: 1864-6433</identifier><identifier>DOI: 10.1007/s12149-023-01843-y</identifier><identifier>PMID: 37160863</identifier><language>eng</language><publisher>Singapore: Springer Nature Singapore</publisher><subject>Alzheimer's disease ; Amyloid ; Cerebellum ; Cognitive ability ; Corpus callosum ; Cortex ; Emission analysis ; Image processing ; Imaging ; Magnetic resonance imaging ; Medical imaging ; Medicine ; Medicine &amp; Public Health ; Neurodegenerative diseases ; Neuroimaging ; Nuclear Medicine ; Original ; Original Article ; Pons ; Positron emission ; Positron emission tomography ; Quantitative analysis ; Radiology ; Three dimensional analysis ; Tomography</subject><ispartof>Annals of nuclear medicine, 2023-07, Vol.37 (7), p.410-418</ispartof><rights>The Author(s) 2023</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><citedby>FETCH-LOGICAL-c406t-b11d686defbfeb680ea5db87d756254fdab146e73d89081aa52c74d2062dc7d93</citedby><cites>FETCH-LOGICAL-c406t-b11d686defbfeb680ea5db87d756254fdab146e73d89081aa52c74d2062dc7d93</cites><orcidid>0000-0002-2083-9319</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids></links><search><creatorcontrib>Tada, Tomohiro</creatorcontrib><creatorcontrib>Hara, Kazuhiro</creatorcontrib><creatorcontrib>Fujita, Naotoshi</creatorcontrib><creatorcontrib>Ito, Yoshinori</creatorcontrib><creatorcontrib>Yamaguchi, Hiroshi</creatorcontrib><creatorcontrib>Ohdake, Reiko</creatorcontrib><creatorcontrib>Kawabata, Kazuya</creatorcontrib><creatorcontrib>Ogura, Aya</creatorcontrib><creatorcontrib>Kato, Toshiyasu</creatorcontrib><creatorcontrib>Yokoi, Takamasa</creatorcontrib><creatorcontrib>Masuda, Michihito</creatorcontrib><creatorcontrib>Abe, Shinji</creatorcontrib><creatorcontrib>Miyao, Shinichi</creatorcontrib><creatorcontrib>Naganawa, Shinji</creatorcontrib><creatorcontrib>Katsuno, Masahisa</creatorcontrib><creatorcontrib>Watanabe, Hirohisa</creatorcontrib><creatorcontrib>Sobue, Gen</creatorcontrib><creatorcontrib>Kato, Katsuhiko</creatorcontrib><title>Comparative examination of the pons and corpus callosum as reference regions for quantitative evaluation in positron emission tomography imaging for Alzheimer’s disease using 11C-Pittsburgh Compound-B</title><title>Annals of nuclear medicine</title><addtitle>Ann Nucl Med</addtitle><description>Objectives Standardised uptake value ratio (SUVR) is usually obtained by dividing the SUV of the region of interest (ROI) by that of the cerebellar cortex. Cerebellar cortex is not a valid reference in cases where amyloid β deposition or lesions are present. Only few studies have evaluated the use of other regions as references. We compared the validity of the pons and corpus callosum as reference regions for the quantitative evaluation of brain positron emission tomography (PET) using 11 C-PiB compared to the cerebellar cortex. Methods We retrospectively evaluated data from 86 subjects with or without Alzheimer’s disease (AD). All subjects underwent magnetic resonance imaging, PET imaging, and cognitive function testing. For the quantitative analysis, three-dimensional ROIs were automatically placed, and SUV and SUVR were obtained. We compared these values between AD and healthy control (HC) groups. Results SUVR data obtained using the pons and corpus callosum as reference regions strongly correlated with that using the cerebellar cortex. The sensitivity and specificity were high when either the pons or corpus callosum was used as the reference region. However, the SUV values of the corpus callosum were different between AD and HC (p &lt; 0.01). Conclusions Our data suggest that the pons and corpus callosum might be valid reference regions.</description><subject>Alzheimer's disease</subject><subject>Amyloid</subject><subject>Cerebellum</subject><subject>Cognitive ability</subject><subject>Corpus callosum</subject><subject>Cortex</subject><subject>Emission analysis</subject><subject>Image processing</subject><subject>Imaging</subject><subject>Magnetic resonance imaging</subject><subject>Medical imaging</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Neurodegenerative diseases</subject><subject>Neuroimaging</subject><subject>Nuclear Medicine</subject><subject>Original</subject><subject>Original Article</subject><subject>Pons</subject><subject>Positron emission</subject><subject>Positron emission tomography</subject><subject>Quantitative analysis</subject><subject>Radiology</subject><subject>Three dimensional analysis</subject><subject>Tomography</subject><issn>0914-7187</issn><issn>1864-6433</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNp9kkuO1DAQhiMEYpqBC7CyxIZNwHbcjrNCQ4sBpJFgAWvLiSuJR4md8aM1zYprcKU5BifBmW6BYMHKJddfn-rxF8Vzgl8RjOvXgVDCmhLTqsREsKo8PCg2RHBWclZVD4sNbggrayLqs-JJCNcYU7EV9HFxVtWEY8GrTXG3c_OivIpmDwhu1Wxsjp1FrkdxBLQ4G5CyGnXOLymgTk2TC2lGKiAPPXiwHeRoMKuwdx7dJGWjiSfiXk3pCDQ2w4KJPscwmxDWz-hmN3i1jAdkZjUYO9wzLqZvI5gZ_M_vPwLSJoAKgFJY84Tsys8mxtAmP4xo7d8lq8u3T4tHvZoCPDu958XXy3dfdh_Kq0_vP-4ursqOYR7LlhDNBdfQtz20XGBQW92KWtdbTres16oljENdadFgQZTa0q5mmmJOdVfrpjov3hy5S2pn0B3Y6NUkF58n8AfplJF_Z6wZ5eD2kqz7x5hkwssTwbubBCHKvI8OpklZcClIKghpWD7QKn3xj_TaJW_zfFlFBcs3pSKr6FHVeRdCvsvvbgiWq1fk0Ssye0Xee0UeclF1LApZbAfwf9D_qfoFmu_Izw</recordid><startdate>20230701</startdate><enddate>20230701</enddate><creator>Tada, Tomohiro</creator><creator>Hara, Kazuhiro</creator><creator>Fujita, Naotoshi</creator><creator>Ito, Yoshinori</creator><creator>Yamaguchi, Hiroshi</creator><creator>Ohdake, Reiko</creator><creator>Kawabata, Kazuya</creator><creator>Ogura, Aya</creator><creator>Kato, Toshiyasu</creator><creator>Yokoi, Takamasa</creator><creator>Masuda, Michihito</creator><creator>Abe, Shinji</creator><creator>Miyao, Shinichi</creator><creator>Naganawa, Shinji</creator><creator>Katsuno, Masahisa</creator><creator>Watanabe, Hirohisa</creator><creator>Sobue, Gen</creator><creator>Kato, Katsuhiko</creator><general>Springer Nature Singapore</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7TK</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-2083-9319</orcidid></search><sort><creationdate>20230701</creationdate><title>Comparative examination of the pons and corpus callosum as reference regions for quantitative evaluation in positron emission tomography imaging for Alzheimer’s disease using 11C-Pittsburgh Compound-B</title><author>Tada, Tomohiro ; Hara, Kazuhiro ; Fujita, Naotoshi ; Ito, Yoshinori ; Yamaguchi, Hiroshi ; Ohdake, Reiko ; Kawabata, Kazuya ; Ogura, Aya ; Kato, Toshiyasu ; Yokoi, Takamasa ; Masuda, Michihito ; Abe, Shinji ; Miyao, Shinichi ; Naganawa, Shinji ; Katsuno, Masahisa ; Watanabe, Hirohisa ; Sobue, Gen ; Kato, Katsuhiko</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c406t-b11d686defbfeb680ea5db87d756254fdab146e73d89081aa52c74d2062dc7d93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Alzheimer's disease</topic><topic>Amyloid</topic><topic>Cerebellum</topic><topic>Cognitive ability</topic><topic>Corpus callosum</topic><topic>Cortex</topic><topic>Emission analysis</topic><topic>Image processing</topic><topic>Imaging</topic><topic>Magnetic resonance imaging</topic><topic>Medical imaging</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Neurodegenerative diseases</topic><topic>Neuroimaging</topic><topic>Nuclear Medicine</topic><topic>Original</topic><topic>Original Article</topic><topic>Pons</topic><topic>Positron emission</topic><topic>Positron emission tomography</topic><topic>Quantitative analysis</topic><topic>Radiology</topic><topic>Three dimensional analysis</topic><topic>Tomography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tada, Tomohiro</creatorcontrib><creatorcontrib>Hara, Kazuhiro</creatorcontrib><creatorcontrib>Fujita, Naotoshi</creatorcontrib><creatorcontrib>Ito, Yoshinori</creatorcontrib><creatorcontrib>Yamaguchi, Hiroshi</creatorcontrib><creatorcontrib>Ohdake, Reiko</creatorcontrib><creatorcontrib>Kawabata, Kazuya</creatorcontrib><creatorcontrib>Ogura, Aya</creatorcontrib><creatorcontrib>Kato, Toshiyasu</creatorcontrib><creatorcontrib>Yokoi, Takamasa</creatorcontrib><creatorcontrib>Masuda, Michihito</creatorcontrib><creatorcontrib>Abe, Shinji</creatorcontrib><creatorcontrib>Miyao, Shinichi</creatorcontrib><creatorcontrib>Naganawa, Shinji</creatorcontrib><creatorcontrib>Katsuno, Masahisa</creatorcontrib><creatorcontrib>Watanabe, Hirohisa</creatorcontrib><creatorcontrib>Sobue, Gen</creatorcontrib><creatorcontrib>Kato, Katsuhiko</creatorcontrib><collection>SpringerOpen</collection><collection>CrossRef</collection><collection>Calcium &amp; Calcified Tissue Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Annals of nuclear medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tada, Tomohiro</au><au>Hara, Kazuhiro</au><au>Fujita, Naotoshi</au><au>Ito, Yoshinori</au><au>Yamaguchi, Hiroshi</au><au>Ohdake, Reiko</au><au>Kawabata, Kazuya</au><au>Ogura, Aya</au><au>Kato, Toshiyasu</au><au>Yokoi, Takamasa</au><au>Masuda, Michihito</au><au>Abe, Shinji</au><au>Miyao, Shinichi</au><au>Naganawa, Shinji</au><au>Katsuno, Masahisa</au><au>Watanabe, Hirohisa</au><au>Sobue, Gen</au><au>Kato, Katsuhiko</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparative examination of the pons and corpus callosum as reference regions for quantitative evaluation in positron emission tomography imaging for Alzheimer’s disease using 11C-Pittsburgh Compound-B</atitle><jtitle>Annals of nuclear medicine</jtitle><stitle>Ann Nucl Med</stitle><date>2023-07-01</date><risdate>2023</risdate><volume>37</volume><issue>7</issue><spage>410</spage><epage>418</epage><pages>410-418</pages><issn>0914-7187</issn><eissn>1864-6433</eissn><abstract>Objectives Standardised uptake value ratio (SUVR) is usually obtained by dividing the SUV of the region of interest (ROI) by that of the cerebellar cortex. Cerebellar cortex is not a valid reference in cases where amyloid β deposition or lesions are present. Only few studies have evaluated the use of other regions as references. We compared the validity of the pons and corpus callosum as reference regions for the quantitative evaluation of brain positron emission tomography (PET) using 11 C-PiB compared to the cerebellar cortex. Methods We retrospectively evaluated data from 86 subjects with or without Alzheimer’s disease (AD). All subjects underwent magnetic resonance imaging, PET imaging, and cognitive function testing. For the quantitative analysis, three-dimensional ROIs were automatically placed, and SUV and SUVR were obtained. We compared these values between AD and healthy control (HC) groups. Results SUVR data obtained using the pons and corpus callosum as reference regions strongly correlated with that using the cerebellar cortex. The sensitivity and specificity were high when either the pons or corpus callosum was used as the reference region. However, the SUV values of the corpus callosum were different between AD and HC (p &lt; 0.01). Conclusions Our data suggest that the pons and corpus callosum might be valid reference regions.</abstract><cop>Singapore</cop><pub>Springer Nature Singapore</pub><pmid>37160863</pmid><doi>10.1007/s12149-023-01843-y</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-2083-9319</orcidid><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0914-7187
ispartof Annals of nuclear medicine, 2023-07, Vol.37 (7), p.410-418
issn 0914-7187
1864-6433
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10285001
source Springer Nature
subjects Alzheimer's disease
Amyloid
Cerebellum
Cognitive ability
Corpus callosum
Cortex
Emission analysis
Image processing
Imaging
Magnetic resonance imaging
Medical imaging
Medicine
Medicine & Public Health
Neurodegenerative diseases
Neuroimaging
Nuclear Medicine
Original
Original Article
Pons
Positron emission
Positron emission tomography
Quantitative analysis
Radiology
Three dimensional analysis
Tomography
title Comparative examination of the pons and corpus callosum as reference regions for quantitative evaluation in positron emission tomography imaging for Alzheimer’s disease using 11C-Pittsburgh Compound-B
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-25T17%3A19%3A25IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Comparative%20examination%20of%20the%20pons%20and%20corpus%20callosum%20as%20reference%20regions%20for%20quantitative%20evaluation%20in%20positron%20emission%20tomography%20imaging%20for%20Alzheimer%E2%80%99s%20disease%20using%2011C-Pittsburgh%20Compound-B&rft.jtitle=Annals%20of%20nuclear%20medicine&rft.au=Tada,%20Tomohiro&rft.date=2023-07-01&rft.volume=37&rft.issue=7&rft.spage=410&rft.epage=418&rft.pages=410-418&rft.issn=0914-7187&rft.eissn=1864-6433&rft_id=info:doi/10.1007/s12149-023-01843-y&rft_dat=%3Cproquest_pubme%3E2828400228%3C/proquest_pubme%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c406t-b11d686defbfeb680ea5db87d756254fdab146e73d89081aa52c74d2062dc7d93%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2828400228&rft_id=info:pmid/37160863&rfr_iscdi=true