Background: Awake surgery with intraoperative language mapping has become increasingly refined, allowing assessment not only of motor but also higher brain functions. Language remains the most critical function to evaluate and preserve. However, reports of multilingual patients undergoing such procedures are still limited, particularly those involving Japanese, a linguistically and structurally unique language.
Case description: We present the case of a 32-year-old right-handed multilingual male (Japanese L1, English L2, French L3), a film director and actor, who underwent awake craniotomy for a recurrent low-grade glioma involving the left temporal lobe. Preoperative functional MRI confirmed left hemispheric language dominance across all three languages, although French and English showed broader activation than Japanese during semantic fluency tasks. During surgery, cortical mapping with object naming and reading tasks was performed in Japanese, English, and French. Naming errors were observed in the posterior superior temporal gyrus across all three languages, whereas semantic paraphasia in the posterior middle temporal gyrus and reading impairment in the posterior inferior temporal gyrus were specific to Japanese. Postoperative MRI revealed subtotal resection with preservation of language function. Histopathology confirmed astrocytoma, IDH-mutant, WHO grade 3.
Conclusion: This case represents the first report of intraoperative language mapping in a Japanese-English-French trilingual patient, demonstrating both overlapping and language-specific cortical regions. The findings underscore the importance of individualized and multimodal language mapping in multilingual patients, particularly when typologically distant languages such as Japanese are involved.
{"title":"Intraoperative Language mapping in a Japanese-English-French trilingual patient with a left Temporal lobe glioma: a case report.","authors":"Kosei Yamamoto, Ryota Tamura, Sara Ganaha, Kosuke Karatsu, Tomoko Ishizawa, Kazuhiro Kojima, Makiko Ando, Kenzo Kosugi, Yohei Kitamura, Ryo Ueda, Aiko Ishikawa, Tomoyuki Imanishi, Tetsuya Tsuji, Masahiro Toda","doi":"10.1007/s00429-025-03052-x","DOIUrl":"10.1007/s00429-025-03052-x","url":null,"abstract":"<p><strong>Background: </strong>Awake surgery with intraoperative language mapping has become increasingly refined, allowing assessment not only of motor but also higher brain functions. Language remains the most critical function to evaluate and preserve. However, reports of multilingual patients undergoing such procedures are still limited, particularly those involving Japanese, a linguistically and structurally unique language.</p><p><strong>Case description: </strong>We present the case of a 32-year-old right-handed multilingual male (Japanese L1, English L2, French L3), a film director and actor, who underwent awake craniotomy for a recurrent low-grade glioma involving the left temporal lobe. Preoperative functional MRI confirmed left hemispheric language dominance across all three languages, although French and English showed broader activation than Japanese during semantic fluency tasks. During surgery, cortical mapping with object naming and reading tasks was performed in Japanese, English, and French. Naming errors were observed in the posterior superior temporal gyrus across all three languages, whereas semantic paraphasia in the posterior middle temporal gyrus and reading impairment in the posterior inferior temporal gyrus were specific to Japanese. Postoperative MRI revealed subtotal resection with preservation of language function. Histopathology confirmed astrocytoma, IDH-mutant, WHO grade 3.</p><p><strong>Conclusion: </strong>This case represents the first report of intraoperative language mapping in a Japanese-English-French trilingual patient, demonstrating both overlapping and language-specific cortical regions. The findings underscore the importance of individualized and multimodal language mapping in multilingual patients, particularly when typologically distant languages such as Japanese are involved.</p>","PeriodicalId":9145,"journal":{"name":"Brain Structure & Function","volume":"230 9","pages":"184"},"PeriodicalIF":2.9,"publicationDate":"2025-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145629919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-24DOI: 10.1007/s00429-025-03050-z
Michele Pignatelli, Kathleen S Rockland
Professor Nieuwenhuys is among the great neuroanatomists and a historical figure of the later 20th and early 21st centuries. His legacy is manifold. There is the tangible legacy of the multiple scientific volumes, at once physical and conceptual entities. There is the generational legacy of handed-on scientific and intellectual traditions, and there is the legacy of specific scientific directions. In this brief Commentary, we highlight just two examples of his scientific contributions.
{"title":"The legacy of Rudolf Nieuwenhuys in perspective.","authors":"Michele Pignatelli, Kathleen S Rockland","doi":"10.1007/s00429-025-03050-z","DOIUrl":"10.1007/s00429-025-03050-z","url":null,"abstract":"<p><p>Professor Nieuwenhuys is among the great neuroanatomists and a historical figure of the later 20th and early 21st centuries. His legacy is manifold. There is the tangible legacy of the multiple scientific volumes, at once physical and conceptual entities. There is the generational legacy of handed-on scientific and intellectual traditions, and there is the legacy of specific scientific directions. In this brief Commentary, we highlight just two examples of his scientific contributions.</p>","PeriodicalId":9145,"journal":{"name":"Brain Structure & Function","volume":"230 9","pages":"183"},"PeriodicalIF":2.9,"publicationDate":"2025-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145586263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-24DOI: 10.1007/s00429-025-03051-y
Betul Danisman, Osman Sinen, Ayşegül Gemici Sinen, Betül Çiçek, Narin Derin, Güven Akçay, Ahmet Hacimüftüoğlu
{"title":"Investigating the therapeutic potential of transcranial direct current stimulation in an experimental Parkinson's model through glutamate pathway.","authors":"Betul Danisman, Osman Sinen, Ayşegül Gemici Sinen, Betül Çiçek, Narin Derin, Güven Akçay, Ahmet Hacimüftüoğlu","doi":"10.1007/s00429-025-03051-y","DOIUrl":"10.1007/s00429-025-03051-y","url":null,"abstract":"","PeriodicalId":9145,"journal":{"name":"Brain Structure & Function","volume":"230 9","pages":"182"},"PeriodicalIF":2.9,"publicationDate":"2025-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145586183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-22DOI: 10.1007/s00429-025-03056-7
Syed Tawassul Hassan, Asjad Rizvi, Faizan Haider
{"title":"Letter to the Editor: Prefrontal cortex hypoactivation in response to sleep-related pictures in shift workers.","authors":"Syed Tawassul Hassan, Asjad Rizvi, Faizan Haider","doi":"10.1007/s00429-025-03056-7","DOIUrl":"10.1007/s00429-025-03056-7","url":null,"abstract":"","PeriodicalId":9145,"journal":{"name":"Brain Structure & Function","volume":"230 9","pages":"181"},"PeriodicalIF":2.9,"publicationDate":"2025-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145581887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Very preterm (VPT) children are prone to a variety of neurodevelopmental impairments, particularly regarding their attention and executive functions (i.e., inhibition, shifting, and working memory). Here, we aimed to investigate whether morphometric and connectivity characteristics from key brain regions associated with attention and executive functions may underlie their difficulties. Thirty-three VPT children (Mgestational age = 27.22 weeks, SD = 1.36) aged 8-10 years (Mage = 8.85, SD = 0.49, 17 girls) underwent a brain magnetic resonance imaging (MRI) session alongside neurodevelopmental testing. We performed a factor analysis to group the different behavioural variables measuring executive and attentional capacities. The analysis yielded a tripartite structure wherein the first factor was predominantly characterized by inhibitory abilities, the second by attentiveness, and the third by flexibility. To encompass brain regions involved in attention and executive processes, based on functional MRI meta-analyses, we selected the anterior cingulate (ACC) and the dorsolateral prefrontal cortices (DLPFC). From T1-weighted and diffusion MRI images we estimated their cortical thickness, fractional anisotropy, volume, cortical surface area, and betweenness centrality. Significant negative associations were observed for cortical thickness after multiple comparison corrections and adjustments for age and sex. Thinner cortex was related to higher inhibitory, flexibility, and attentional functioning. While these associations were independent of the hemispheres, the association with the inhibitory abilities was stronger in the DLPFC than in the ACC. No associations were found for the other brain measures. These findings provide new insights into brain structures underpinning executive and attentional abilities in VPT children at school age.
{"title":"Brain structures and their association with executive and attentional abilities in very preterm 8-year-old children.","authors":"Marion Décaillet, Yasser Alemán-Gómez, Mikkel Schöttner Sieler, Solange Denervaud, Cléo Huguenin-Virchaux, Laureline Besuchet, Céline J Fischer Fumeaux, Patric Hagmann, Juliane Schneider","doi":"10.1007/s00429-025-03047-8","DOIUrl":"10.1007/s00429-025-03047-8","url":null,"abstract":"<p><p>Very preterm (VPT) children are prone to a variety of neurodevelopmental impairments, particularly regarding their attention and executive functions (i.e., inhibition, shifting, and working memory). Here, we aimed to investigate whether morphometric and connectivity characteristics from key brain regions associated with attention and executive functions may underlie their difficulties. Thirty-three VPT children (M<sub>gestational age</sub> = 27.22 weeks, SD = 1.36) aged 8-10 years (M<sub>age</sub> = 8.85, SD = 0.49, 17 girls) underwent a brain magnetic resonance imaging (MRI) session alongside neurodevelopmental testing. We performed a factor analysis to group the different behavioural variables measuring executive and attentional capacities. The analysis yielded a tripartite structure wherein the first factor was predominantly characterized by inhibitory abilities, the second by attentiveness, and the third by flexibility. To encompass brain regions involved in attention and executive processes, based on functional MRI meta-analyses, we selected the anterior cingulate (ACC) and the dorsolateral prefrontal cortices (DLPFC). From T1-weighted and diffusion MRI images we estimated their cortical thickness, fractional anisotropy, volume, cortical surface area, and betweenness centrality. Significant negative associations were observed for cortical thickness after multiple comparison corrections and adjustments for age and sex. Thinner cortex was related to higher inhibitory, flexibility, and attentional functioning. While these associations were independent of the hemispheres, the association with the inhibitory abilities was stronger in the DLPFC than in the ACC. No associations were found for the other brain measures. These findings provide new insights into brain structures underpinning executive and attentional abilities in VPT children at school age.</p>","PeriodicalId":9145,"journal":{"name":"Brain Structure & Function","volume":"230 9","pages":"180"},"PeriodicalIF":2.9,"publicationDate":"2025-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12640349/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145581847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-20DOI: 10.1007/s00429-025-03049-6
Jonghun Lee, Youjin Kim, Junbeom Lee, Joon Yul Choi, Wanhyung Lee
Shift work has been associated with various adverse health outcomes, particularly those involving cognitive function and mental health. However, the neurobiological mechanisms linking shift work to these outcomes remain poorly understood. This pilot study aimed to examine the effects of shift work on cortical gray-to-white matter signal intensity contrast (GWC), an indirect marker of intracortical myelin content, through vertex-wise cortical analysis. Structural magnetic resonance imaging (MRI) data were obtained from 33 shift workers and 79 day workers. Vertex-wise cortical analysis was performed to identify regions with significant group differences in GWC, controlling for age and sex. Shift workers demonstrated significantly elevated GWC in several cortical regions implicated in cognitive function and emotional regulation, including the superior frontal gyrus, caudal middle frontal gyrus, inferior parietal lobule, lingual gyrus, and cuneus. Elevated GWC was also identified in regions strongly linked to certain psychiatric disorders. These findings offer preliminary evidence of structural brain alterations associated with shift work, suggesting potential neural pathways underlying the cognitive and mental health challenges experienced by shift workers. Further longitudinal research is warranted to validate these results and inform targeted interventions aimed at mitigating neurological and psychological risks related to shift work.
{"title":"Altered cortical myelination based on gray-to-white matter signal intensity contrast in shift workers.","authors":"Jonghun Lee, Youjin Kim, Junbeom Lee, Joon Yul Choi, Wanhyung Lee","doi":"10.1007/s00429-025-03049-6","DOIUrl":"10.1007/s00429-025-03049-6","url":null,"abstract":"<p><p>Shift work has been associated with various adverse health outcomes, particularly those involving cognitive function and mental health. However, the neurobiological mechanisms linking shift work to these outcomes remain poorly understood. This pilot study aimed to examine the effects of shift work on cortical gray-to-white matter signal intensity contrast (GWC), an indirect marker of intracortical myelin content, through vertex-wise cortical analysis. Structural magnetic resonance imaging (MRI) data were obtained from 33 shift workers and 79 day workers. Vertex-wise cortical analysis was performed to identify regions with significant group differences in GWC, controlling for age and sex. Shift workers demonstrated significantly elevated GWC in several cortical regions implicated in cognitive function and emotional regulation, including the superior frontal gyrus, caudal middle frontal gyrus, inferior parietal lobule, lingual gyrus, and cuneus. Elevated GWC was also identified in regions strongly linked to certain psychiatric disorders. These findings offer preliminary evidence of structural brain alterations associated with shift work, suggesting potential neural pathways underlying the cognitive and mental health challenges experienced by shift workers. Further longitudinal research is warranted to validate these results and inform targeted interventions aimed at mitigating neurological and psychological risks related to shift work.</p>","PeriodicalId":9145,"journal":{"name":"Brain Structure & Function","volume":"230 9","pages":"179"},"PeriodicalIF":2.9,"publicationDate":"2025-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145562761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-12DOI: 10.1007/s00429-025-03015-2
Anna Alexandratou, Viktoria Sefcikova, Michael S Elmalem, Jeroen Bisschop, Sibel Emilie Huet, George Samandouras, Parashkev Nachev
{"title":"A probabilistic map of motor and cognitive functions: a meta-analysis of 4325 stimulation sites.","authors":"Anna Alexandratou, Viktoria Sefcikova, Michael S Elmalem, Jeroen Bisschop, Sibel Emilie Huet, George Samandouras, Parashkev Nachev","doi":"10.1007/s00429-025-03015-2","DOIUrl":"10.1007/s00429-025-03015-2","url":null,"abstract":"","PeriodicalId":9145,"journal":{"name":"Brain Structure & Function","volume":"230 9","pages":"178"},"PeriodicalIF":2.9,"publicationDate":"2025-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12611997/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145494519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-11DOI: 10.1007/s00429-025-03034-z
Lucas Benjamin, Maxime Bacquet, François Leroy, Charlotte Mancuso, Lara Lordier, Joana Sa de Almeida, Laura Gui, Rachel E Lean, Cynthia E Rogers, Terrie Inder, Christopher D Smyser, Petra S Hüppi, Ghislaine Dehaene-Lambertz
Premature birth impacts the development of superior temporal brain regions, including the superior temporal sulcus (STS), a key cortical area for language, voice recognition, and music processing. Using three distinct newborn imaging datasets, we examined the impact of premature birth on STS morphology at term-equivalent age. In the large cohort of the Developing Human Connectome Project (dHCP), we observed a linear relationship between gestational age at birth and STS depth, with earlier birth associated with a shallower STS. We hypothesized that this effect may have resulted from reduced structured auditory stimulation during a critical period of perisylvian network development. To test this hypothesis, we analyzed two additional published cohorts in which preterm neonates were exposed to contrasting auditory environments: either enhanced with structured music or minimized in quiet private rooms. We found that music exposure was associated with deeper STS, while a quieter environment was linked to further STS shallowing. Although the cross-sectional design limits causal inference, our findings suggest that early auditory experience-both in and ex utero-may influence the structural development of temporal brain regions. These results highlight the need to deepen our understanding of environmental influences in order to optimize postnatal settings that support the harmonious development of auditory and language networks.
{"title":"The auditory environment drives superior temporal sulcus depth in the neonatal period.","authors":"Lucas Benjamin, Maxime Bacquet, François Leroy, Charlotte Mancuso, Lara Lordier, Joana Sa de Almeida, Laura Gui, Rachel E Lean, Cynthia E Rogers, Terrie Inder, Christopher D Smyser, Petra S Hüppi, Ghislaine Dehaene-Lambertz","doi":"10.1007/s00429-025-03034-z","DOIUrl":"10.1007/s00429-025-03034-z","url":null,"abstract":"<p><p>Premature birth impacts the development of superior temporal brain regions, including the superior temporal sulcus (STS), a key cortical area for language, voice recognition, and music processing. Using three distinct newborn imaging datasets, we examined the impact of premature birth on STS morphology at term-equivalent age. In the large cohort of the Developing Human Connectome Project (dHCP), we observed a linear relationship between gestational age at birth and STS depth, with earlier birth associated with a shallower STS. We hypothesized that this effect may have resulted from reduced structured auditory stimulation during a critical period of perisylvian network development. To test this hypothesis, we analyzed two additional published cohorts in which preterm neonates were exposed to contrasting auditory environments: either enhanced with structured music or minimized in quiet private rooms. We found that music exposure was associated with deeper STS, while a quieter environment was linked to further STS shallowing. Although the cross-sectional design limits causal inference, our findings suggest that early auditory experience-both in and ex utero-may influence the structural development of temporal brain regions. These results highlight the need to deepen our understanding of environmental influences in order to optimize postnatal settings that support the harmonious development of auditory and language networks.</p>","PeriodicalId":9145,"journal":{"name":"Brain Structure & Function","volume":"230 9","pages":"177"},"PeriodicalIF":2.9,"publicationDate":"2025-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12605579/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145487131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-10DOI: 10.1007/s00429-025-03042-z
Aslı Eroğlu, Burcu A Urgen
Perceiving others' actions is essential for survival and social interaction. Cognitive neuroscience research has identified a network of brain regions crucial to visual action perception, known as the Action Observation Network (AON), comprising the posterior superior temporal cortex (pSTS), posterior parietal cortex, and premotor cortex. Recent research highlights the importance of integrating top-down processes, such as attention, to gain a deeper understanding of action perception. This study investigates how attention modulates the AON during human action perception. We conducted a two-session fMRI experiment with 27 participants. They viewed eight videos of pushing actions, varying in actor (female vs. male), effector (hand vs. foot), and target (human vs. object). In the first session, participants focused on specific features of the videos (actor, effector, or target). In the second, they passively viewed the videos. From the passive viewing session data, we defined regions of interest (ROIs) in the pSTS, parietal, and premotor cortices for each hemisphere. We then performed model-based representational similarity analysis (RSA) and decoding analysis. RSA results showed that only the task model, among all tested models, exhibited a significant correlation with neural representational similarity matrices (RDMs) across all ROIs, indicating a specific alignment between AON nodes and the ongoing task. Decoding analysis further showed that different task types uniquely affected each AON node, indicating feature- and region-specific interactions. These findings underscore that top-down attentional processes significantly alter neural representations within the AON, highlighting the dynamic interplay between attention and action perception in the brain.
{"title":"Top-down modulation of visual action perception: distinct task effects in the action observation network.","authors":"Aslı Eroğlu, Burcu A Urgen","doi":"10.1007/s00429-025-03042-z","DOIUrl":"10.1007/s00429-025-03042-z","url":null,"abstract":"<p><p>Perceiving others' actions is essential for survival and social interaction. Cognitive neuroscience research has identified a network of brain regions crucial to visual action perception, known as the Action Observation Network (AON), comprising the posterior superior temporal cortex (pSTS), posterior parietal cortex, and premotor cortex. Recent research highlights the importance of integrating top-down processes, such as attention, to gain a deeper understanding of action perception. This study investigates how attention modulates the AON during human action perception. We conducted a two-session fMRI experiment with 27 participants. They viewed eight videos of pushing actions, varying in actor (female vs. male), effector (hand vs. foot), and target (human vs. object). In the first session, participants focused on specific features of the videos (actor, effector, or target). In the second, they passively viewed the videos. From the passive viewing session data, we defined regions of interest (ROIs) in the pSTS, parietal, and premotor cortices for each hemisphere. We then performed model-based representational similarity analysis (RSA) and decoding analysis. RSA results showed that only the task model, among all tested models, exhibited a significant correlation with neural representational similarity matrices (RDMs) across all ROIs, indicating a specific alignment between AON nodes and the ongoing task. Decoding analysis further showed that different task types uniquely affected each AON node, indicating feature- and region-specific interactions. These findings underscore that top-down attentional processes significantly alter neural representations within the AON, highlighting the dynamic interplay between attention and action perception in the brain.</p>","PeriodicalId":9145,"journal":{"name":"Brain Structure & Function","volume":"230 9","pages":"175"},"PeriodicalIF":2.9,"publicationDate":"2025-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12602651/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145480956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}