{"id":"https://openalex.org/W4400102382","doi":"https://doi.org/10.1093/ehjci/jeae142.042","title":"CCTA in the clinical workflow of athletes with anomalous origin of coronary arteries from the contralateral valsalva sinus","display_name":"CCTA in the clinical workflow of athletes with anomalous origin of coronary arteries from the contralateral valsalva sinus","publication_year":2024,"publication_date":"2024-06-27","ids":{"openalex":"https://openalex.org/W4400102382","doi":"https://doi.org/10.1093/ehjci/jeae142.042"},"language":"en","primary_location":{"id":"doi:10.1093/ehjci/jeae142.042","doi":"https://doi.org/10.1093/ehjci/jeae142.042","is_oa":true,"landing_page_url":"https://doi.org/10.1093/ehjci/jeae142.042","pdf_url":"https://academic.oup.com/ehjcimaging/article-pdf/25/Supplement_1/jeae142.042/58338827/jeae142.042.pdf","source":{"id":"https://openalex.org/S64942916","display_name":"European Heart Journal - Cardiovascular Imaging","issn_l":"2047-2404","issn":["2047-2404","2047-2412"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"European Heart Journal - Cardiovascular Imaging","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"https://academic.oup.com/ehjcimaging/article-pdf/25/Supplement_1/jeae142.042/58338827/jeae142.042.pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5096196998","display_name":"Lorenzo Giarletta","orcid":"https://orcid.org/0009-0003-7782-8957","observed_orcids":["https://orcid.org/0009-0003-7782-8957"]},"institutions":[{"id":"https://openalex.org/I103320735","display_name":"Universit\u00e0 Cattolica del Sacro Cuore","ror":"https://ror.org/03h7r5v07","country_code":"IT","type":"education","lineage":["https://openalex.org/I103320735"]},{"id":"https://openalex.org/I2802557943","display_name":"Agostino Gemelli University Polyclinic","ror":"https://ror.org/00rg70c39","country_code":"IT","type":"healthcare","lineage":["https://openalex.org/I2802557943"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"L Giarletta","raw_affiliation_strings":["Catholic University of the Sacred Heart - Fondazione Policlinico Universitario A. Gemelli IRCCS, Department of Radiological and Haematological Sciences; Section of Radiology , Rome , Italy","Section of Radiology, Rome, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Catholic University of the Sacred Heart - Fondazione Policlinico Universitario A. Gemelli IRCCS, Department of Radiological and Haematological Sciences; Section of Radiology , Rome , Italy","institution_ids":["https://openalex.org/I103320735","https://openalex.org/I2802557943"]},{"raw_affiliation_string":"Section of Radiology, Rome, Italy","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5104778442","display_name":"Eleonora Moliterno","orcid":"https://orcid.org/0009-0004-7672-1872","observed_orcids":["https://orcid.org/0009-0004-7672-1872"]},"institutions":[{"id":"https://openalex.org/I103320735","display_name":"Universit\u00e0 Cattolica del Sacro Cuore","ror":"https://ror.org/03h7r5v07","country_code":"IT","type":"education","lineage":["https://openalex.org/I103320735"]},{"id":"https://openalex.org/I2802557943","display_name":"Agostino Gemelli University Polyclinic","ror":"https://ror.org/00rg70c39","country_code":"IT","type":"healthcare","lineage":["https://openalex.org/I2802557943"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"E Moliterno","raw_affiliation_strings":["Catholic University of the Sacred Heart - Fondazione Policlinico Universitario A. Gemelli IRCCS, Department of Radiological and Haematological Sciences; Section of Radiology , Rome , Italy","Section of Radiology, Rome, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Catholic University of the Sacred Heart - Fondazione Policlinico Universitario A. Gemelli IRCCS, Department of Radiological and Haematological Sciences; Section of Radiology , Rome , Italy","institution_ids":["https://openalex.org/I103320735","https://openalex.org/I2802557943"]},{"raw_affiliation_string":"Section of Radiology, Rome, Italy","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5095831778","display_name":"A Brancasi","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I103320735","display_name":"Universit\u00e0 Cattolica del Sacro Cuore","ror":"https://ror.org/03h7r5v07","country_code":"IT","type":"education","lineage":["https://openalex.org/I103320735"]},{"id":"https://openalex.org/I2802557943","display_name":"Agostino Gemelli University Polyclinic","ror":"https://ror.org/00rg70c39","country_code":"IT","type":"healthcare","lineage":["https://openalex.org/I2802557943"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"A Brancasi","raw_affiliation_strings":["Catholic University of the Sacred Heart - Fondazione Policlinico Universitario A. Gemelli IRCCS, Department of Radiological and Haematological Sciences; Section of Radiology , Rome , Italy","Section of Radiology, Rome, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Catholic University of the Sacred Heart - Fondazione Policlinico Universitario A. Gemelli IRCCS, Department of Radiological and Haematological Sciences; Section of Radiology , Rome , Italy","institution_ids":["https://openalex.org/I103320735","https://openalex.org/I2802557943"]},{"raw_affiliation_string":"Section of Radiology, Rome, Italy","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5085343510","display_name":"Giancarlo Savino","orcid":"https://orcid.org/0000-0002-1140-9587","observed_orcids":["https://orcid.org/0000-0002-1140-9587"]},"institutions":[{"id":"https://openalex.org/I2802557943","display_name":"Agostino Gemelli University Polyclinic","ror":"https://ror.org/00rg70c39","country_code":"IT","type":"healthcare","lineage":["https://openalex.org/I2802557943"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"G Savino","raw_affiliation_strings":["IRCCS Foundation Agostino Gemelli University Hospital, Department of Diagnostic Imaging Oncological Radiotherapy and Haematology , Rome , Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"IRCCS Foundation Agostino Gemelli University Hospital, Department of Diagnostic Imaging Oncological Radiotherapy and Haematology , Rome , Italy","institution_ids":["https://openalex.org/I2802557943"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5041025897","display_name":"Luigi Natale","orcid":"https://orcid.org/0000-0002-7949-5119","observed_orcids":["https://orcid.org/0000-0002-7949-5119"]},"institutions":[{"id":"https://openalex.org/I2802557943","display_name":"Agostino Gemelli University Polyclinic","ror":"https://ror.org/00rg70c39","country_code":"IT","type":"healthcare","lineage":["https://openalex.org/I2802557943"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"L Natale","raw_affiliation_strings":["IRCCS Foundation Agostino Gemelli University Hospital, Department of Diagnostic Imaging Oncological Radiotherapy and Haematology , Rome , Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"IRCCS Foundation Agostino Gemelli University Hospital, Department of Diagnostic Imaging Oncological Radiotherapy and Haematology , Rome , Italy","institution_ids":["https://openalex.org/I2802557943"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5006469611","display_name":"Riccardo Marano","orcid":"https://orcid.org/0000-0003-2710-2093","observed_orcids":["https://orcid.org/0000-0003-2710-2093"]},"institutions":[{"id":"https://openalex.org/I2802557943","display_name":"Agostino Gemelli University Polyclinic","ror":"https://ror.org/00rg70c39","country_code":"IT","type":"healthcare","lineage":["https://openalex.org/I2802557943"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"R Marano","raw_affiliation_strings":["IRCCS Foundation Agostino Gemelli University Hospital, Department of Diagnostic Imaging Oncological Radiotherapy and Haematology , Rome , Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"IRCCS Foundation Agostino Gemelli University Hospital, Department of Diagnostic Imaging Oncological Radiotherapy and Haematology , Rome , Italy","institution_ids":["https://openalex.org/I2802557943"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":4834,"currency":"EUR","value_usd":5232},"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.16059496,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"25","issue":"Supplement_1","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12018","display_name":"Coronary Artery Anomalies","score":0.9970999956130981,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12018","display_name":"Coronary Artery Anomalies","score":0.9970999956130981,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11922","display_name":"Cardiovascular Effects of Exercise","score":0.002400000113993883,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10372","display_name":"Cardiac Imaging and Diagnostics","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2741","display_name":"Radiology, Nuclear Medicine and Imaging"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/anomalous-origin-of-coronary-artery","display_name":"anomalous coronary artery origin","score":0.8339999914169312},{"id":"https://openalex.org/keywords/coronary-ct-angiography","display_name":"coronary CT angiography","score":0.9079999923706055},{"id":"https://openalex.org/keywords/athletes","display_name":"athletes","score":0.7039999961853027},{"id":"https://openalex.org/keywords/sports-eligibility","display_name":"sports eligibility","score":0.6399999856948853},{"id":"https://openalex.org/keywords/sudden-cardiac-death","display_name":"sudden cardiac death","score":0.7360000014305115},{"id":"https://openalex.org/keywords/left-coronary-artery-anomaly","display_name":"left coronary artery anomaly","score":0.6019999980926514},{"id":"https://openalex.org/keywords/right-coronary-artery-anomaly","display_name":"right coronary artery anomaly","score":0.996999979019165},{"id":"https://openalex.org/keywords/interarterial-course","display_name":"interarterial course","score":0.8040000200271606},{"id":"https://openalex.org/keywords/stress-echocardiography","display_name":"stress echocardiography","score":0.7210000157356262},{"id":"https://openalex.org/keywords/cardiac-magnetic-resonance","display_name":"cardiac magnetic resonance","score":0.33399999141693115},{"id":"https://openalex.org/keywords/pre-participation-screening","display_name":"pre-participation screening","score":0.4880000054836273},{"id":"https://openalex.org/keywords/clinical-workflow","display_name":"clinical workflow","score":0.5059999823570251},{"id":"https://openalex.org/keywords/congenital-heart-disease","display_name":"congenital heart disease","score":0.5479999780654907}],"concepts":[{"id":"https://openalex.org/C2778742706","wikidata":"https://www.wikidata.org/wiki/Q18361829","display_name":"Coronary arteries","level":3,"score":0.7186936736106873},{"id":"https://openalex.org/C2781054738","wikidata":"https://www.wikidata.org/wiki/Q4813730","display_name":"Athletes","level":2,"score":0.7039077877998352},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.6667008996009827},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6643876433372498},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.6595852375030518},{"id":"https://openalex.org/C2776407911","wikidata":"https://www.wikidata.org/wiki/Q7525187","display_name":"Sinus (botany)","level":3,"score":0.5382416248321533},{"id":"https://openalex.org/C2776820930","wikidata":"https://www.wikidata.org/wiki/Q9655","display_name":"Artery","level":2,"score":0.28133946657180786},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.10101407766342163},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.07513511180877686},{"id":"https://openalex.org/C59822182","wikidata":"https://www.wikidata.org/wiki/Q441","display_name":"Botany","level":1,"score":0.0},{"id":"https://openalex.org/C157369684","wikidata":"https://www.wikidata.org/wiki/Q34740","display_name":"Genus","level":2,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1093/ehjci/jeae142.042","doi":"https://doi.org/10.1093/ehjci/jeae142.042","is_oa":true,"landing_page_url":"https://doi.org/10.1093/ehjci/jeae142.042","pdf_url":"https://academic.oup.com/ehjcimaging/article-pdf/25/Supplement_1/jeae142.042/58338827/jeae142.042.pdf","source":{"id":"https://openalex.org/S64942916","display_name":"European Heart Journal - Cardiovascular Imaging","issn_l":"2047-2404","issn":["2047-2404","2047-2412"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"European Heart Journal - Cardiovascular Imaging","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.1093/ehjci/jeae142.042","doi":"https://doi.org/10.1093/ehjci/jeae142.042","is_oa":true,"landing_page_url":"https://doi.org/10.1093/ehjci/jeae142.042","pdf_url":"https://academic.oup.com/ehjcimaging/article-pdf/25/Supplement_1/jeae142.042/58338827/jeae142.042.pdf","source":{"id":"https://openalex.org/S64942916","display_name":"European Heart Journal - Cardiovascular Imaging","issn_l":"2047-2404","issn":["2047-2404","2047-2412"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"European Heart Journal - Cardiovascular Imaging","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9940000176429749,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4400102382.pdf"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W3021346262","https://openalex.org/W2767332597","https://openalex.org/W2065984605","https://openalex.org/W7222951800","https://openalex.org/W3080936483","https://openalex.org/W2158631578","https://openalex.org/W2042683936","https://openalex.org/W3030228277","https://openalex.org/W4394958452","https://openalex.org/W3127847495"],"abstract_inverted_index":{"Abstract":[0],"Background":[1],"The":[2,215,355],"anomalous":[3,99,292],"origin":[4,100,231],"of":[5,17,52,69,81,89,96,101,107,271,291,352,371,373,380,393],"coronary":[6,53,82],"arteries":[7],"is":[8],"a":[9,61,66,94,349],"rare":[10],"congenital":[11],"heart":[12],"disease,":[13],"with":[14,98,130,136,250,257,385,414],"estimated":[15],"prevalence":[16,270],"0.3-5.8%":[18],"depending":[19],"on":[20,122,302],"definition,":[21],"evaluation":[22,124],"methods":[23],"and":[24,125,143,169,185,226,238,252,277,289,299,317,331,376,387,416],"studied":[25],"populations,":[26],"ranging":[27],"from":[28,314],"those":[29,43],"considered":[30],"an":[31,120],"incidental":[32],"finding":[33],"or":[34,106,135,150,172,396],"just":[35],"morphologic":[36],"variants":[37],"without":[38],"any":[39],"clinical":[40,126,386],"implications,":[41],"to":[42,112,141,319,327,332,390,398,400],"that":[44,117],"may":[45,118],"have":[46,119],"hemodynamic":[47],"effects.":[48],"An":[49],"early":[50],"diagnosis":[51],"anomalies,":[54],"especially":[55],"the":[56,79,87,102,108,269,369,410],"so-called":[57],"\"malignant\"":[58],"variants,":[59],"are":[60],"crucial":[62,367],"diagnostic":[63,123,411],"challenge,":[64],"being":[65],"relevant":[67,114],"cause":[68],"sudden":[70],"cardiac":[71],"death":[72],"in":[73,86,93,195,220,234,240,245,253,268,297,368,409],"young":[74],"athletes.":[75],"Purpose":[76],"To":[77],"evaluate":[78],"role":[80],"CT":[83,115],"angiography":[84],"(CCTA)":[85],"workflow":[88,412],"competitive":[90,315],"sports":[91,316,394,401],"eligibility":[92],"cohort":[95],"athletes":[97,197,222,311,330],"left-coronary":[103],"artery":[104,110],"(AOLCA)":[105],"right-coronary":[109],"(AORCA)":[111],"outline":[113],"findings":[116,147],"impact":[121],"management.":[127],"Methods":[128],"Athletes":[129],"suspected":[131,285],"AOLCA/AORCA":[132,303],"at":[133],"TTE":[134,138,415],"inconclusive":[137],"underwent":[139,340],"CCTA":[140,176,364,406],"exclude/confirm":[142],"characterize":[144],"specific":[145],"anatomical":[146],"including":[148],"partially-":[149,272],"full-interarterial":[151],"course":[152,164,167,217],"(INT),":[153],"high":[154],"take-off":[155,158],"(HTO),":[156],"acute":[157],"angle":[159],"(ATO),":[160],"slit-like":[161,278],"origin,":[162],"intramural":[163],"(IM),":[165],"interarterial":[166],"length,":[168],"lumen":[170],"reduction":[171],"hypoplasia":[173],"(HYPO).":[174],"Results":[175],"identified":[177],"28":[178],"athletes:":[179],"6":[180,339],"AOLCA":[181,225,247,329],"(3":[182,203,335],"males,":[183,189],"20.3\u00b111.0)":[184],"22":[186],"AORCA":[187,228,236,255,298,334],"(18":[188],"29.1\u00b116.5).":[190],"Symptoms":[191],"were":[192,263,312],"present":[193,233],"only":[194,338],"13":[196,333],"(46.4%;":[198],"10":[199],"AORCA).":[200],"Four":[201],"patients":[202,267],"AORCA)":[204,211],"had":[205,212],"abnormal":[206,213],"rest-ECG,":[207],"11":[208],"(40.7%;":[209],"9":[210],"stress-ECG.":[214,417],"INT":[216],"was":[218,232,300,325,360,366],"observed":[219],"15":[221],"(53.6%):":[223],"6/6":[224],"9/22":[227],"(40.9%).":[229],"Slit-like":[230],"7/22":[235],"(31.8%)":[237],"never":[239],"AOLCA.":[241],"Suspected":[242],"IM":[243],"resulted":[244,296],"3":[246],"(50%),":[248],"always":[249],"HYPO/ATO,":[251],"6/22":[254],"(27.3%)":[256],"HYPO.":[258],"No":[259,342],"statistically":[260],"significant":[261,282],"differences":[262],"found":[264],"between":[265,284],"asymptomatic/symptomatic":[266],"o":[273],"full-INT":[274],"courses,":[275],"high-take-off/ATO":[276],"ostium.":[279],"A":[280],"slightly":[281],"relationship":[283],"proximal-IM":[286],"(r=0.47,":[287],"P<0.05)":[288],"proximal-HYPO":[290],"vessel":[293],"(r=0.65,":[294],"P<0.01)":[295],"confirmed":[301],"pooled":[304],"analysis":[305],"(r=0.58,":[306],"P<0.01":[307],"for":[308],"HYPO).":[309],"All":[310],"disqualified":[313],"warned":[318],"avoid":[320],"vigorous":[321],"physical":[322],"efforts.":[323],"Surgery":[324],"recommended":[326],"all":[328],"asymptomatic),":[336],"but":[337],"surgery.":[341],"major":[343],"cardiovascular":[344],"event/ischemic":[345],"symptoms/signs":[346],"developed":[347],"during":[348],"mean":[350,356],"follow-up":[351],"49.6\u00b139.5":[353],"months.":[354],"effective":[357],"radiation":[358],"dose":[359],"1.64\u00b10.65":[361],"mSv.":[362],"Conclusion":[363],"assessment":[365],"process":[370],"detection/characterization":[372],"aberrant":[374],"anatomy":[375],"risk":[377],"stratification,":[378],"definition":[379],"therapeutic":[381],"strategies":[382],"and,":[383],"together":[384,413],"ECG":[388],"findings,":[389],"propose/decide":[391],"restriction/suspension":[392],"activity":[395],"permission":[397],"return":[399],"after":[402],"surgical":[403],"correction,":[404],"supporting":[405],"as":[407],"mandatory":[408]},"counts_by_year":[],"updated_date":"2026-10-27T15:51:10.671819","created_date":"2024-06-28T00:00:00"}
