{"id":"https://openalex.org/W4407153981","doi":"https://doi.org/10.1002/aisy.202400840","title":"A Proactive Agent Collaborative Framework for Zero\u2010Shot Multimodal Medical Reasoning","display_name":"A Proactive Agent Collaborative Framework for Zero\u2010Shot Multimodal Medical Reasoning","publication_year":2025,"publication_date":"2025-02-05","ids":{"openalex":"https://openalex.org/W4407153981","doi":"https://doi.org/10.1002/aisy.202400840","pmid":"https://pubmed.ncbi.nlm.nih.gov/40852092"},"language":"en","primary_location":{"id":"doi:10.1002/aisy.202400840","is_oa":true,"landing_page_url":"https://doi.org/10.1002/aisy.202400840","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/aisy.202400840","source":{"id":"https://openalex.org/S4210212817","display_name":"Advanced Intelligent Systems","issn_l":"2640-4567","issn":["2640-4567"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Advanced Intelligent Systems","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/aisy.202400840","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5114188117","display_name":"Zishan Gu","orcid":"https://orcid.org/0000-0002-0168-8658"},"institutions":[{"id":"https://openalex.org/I52357470","display_name":"The Ohio State University","ror":"https://ror.org/00rs6vg23","country_code":"US","type":"education","lineage":["https://openalex.org/I52357470"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Zishan Gu","raw_affiliation_strings":["Department of Biomedical Informatics The Ohio State University  Columbus OH USA","Department of Computer Science and Engineering The Ohio State University  Columbus OH USA","Department of Biomedical Informatics, The Ohio State University, Columbus, OH, USA","Department of Computer Science and Engineering, The Ohio State University, Columbus, OH, USA"],"raw_orcid":"https://orcid.org/0000-0002-0168-8658","affiliations":[{"raw_affiliation_string":"Department of Biomedical Informatics The Ohio State University  Columbus OH USA","institution_ids":["https://openalex.org/I52357470"]},{"raw_affiliation_string":"Department of Computer Science and Engineering The Ohio State University  Columbus OH USA","institution_ids":["https://openalex.org/I52357470"]},{"raw_affiliation_string":"Department of Biomedical Informatics, The Ohio State University, Columbus, OH, USA","institution_ids":["https://openalex.org/I52357470"]},{"raw_affiliation_string":"Department of Computer Science and Engineering, The Ohio State University, Columbus, OH, USA","institution_ids":["https://openalex.org/I52357470"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5100632775","display_name":"Fenglin Liu","orcid":"https://orcid.org/0000-0002-8952-311X"},"institutions":[{"id":"https://openalex.org/I40120149","display_name":"University of Oxford","ror":"https://ror.org/052gg0110","country_code":"GB","type":"education","lineage":["https://openalex.org/I40120149"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Fenglin Liu","raw_affiliation_strings":["Department of Engineering Science, Institute of Biomedical Engineering University of Oxford  Oxford UK","Department of Engineering Science, Institute of Biomedical Engineering, University of Oxford, Oxford, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Engineering Science, Institute of Biomedical Engineering University of Oxford  Oxford UK","institution_ids":["https://openalex.org/I40120149"]},{"raw_affiliation_string":"Department of Engineering Science, Institute of Biomedical Engineering, University of Oxford, Oxford, UK","institution_ids":["https://openalex.org/I40120149"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5031618552","display_name":"Jiayuan Chen","orcid":"https://orcid.org/0000-0002-2581-951X"},"institutions":[{"id":"https://openalex.org/I52357470","display_name":"The Ohio State University","ror":"https://ror.org/00rs6vg23","country_code":"US","type":"education","lineage":["https://openalex.org/I52357470"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jiayuan Chen","raw_affiliation_strings":["Department of Biomedical Informatics The Ohio State University  Columbus OH USA","Department of Computer Science and Engineering The Ohio State University  Columbus OH USA","Department of Biomedical Informatics, The Ohio State University, Columbus, OH, USA","Department of Computer Science and Engineering, The Ohio State University, Columbus, OH, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Biomedical Informatics The Ohio State University  Columbus OH USA","institution_ids":["https://openalex.org/I52357470"]},{"raw_affiliation_string":"Department of Computer Science and Engineering The Ohio State University  Columbus OH USA","institution_ids":["https://openalex.org/I52357470"]},{"raw_affiliation_string":"Department of Biomedical Informatics, The Ohio State University, Columbus, OH, USA","institution_ids":["https://openalex.org/I52357470"]},{"raw_affiliation_string":"Department of Computer Science and Engineering, The Ohio State University, Columbus, OH, USA","institution_ids":["https://openalex.org/I52357470"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5036160994","display_name":"Changchang Yin","orcid":"https://orcid.org/0000-0002-6540-6365"},"institutions":[{"id":"https://openalex.org/I52357470","display_name":"The Ohio State University","ror":"https://ror.org/00rs6vg23","country_code":"US","type":"education","lineage":["https://openalex.org/I52357470"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Changchang Yin","raw_affiliation_strings":["Department of Biomedical Informatics The Ohio State University  Columbus OH USA","Department of Computer Science and Engineering The Ohio State University  Columbus OH USA","Department of Computer Science and Engineering, The Ohio State University, Columbus, OH, USA","Department of Biomedical Informatics, The Ohio State University, Columbus, OH, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Biomedical Informatics The Ohio State University  Columbus OH USA","institution_ids":["https://openalex.org/I52357470"]},{"raw_affiliation_string":"Department of Computer Science and Engineering The Ohio State University  Columbus OH USA","institution_ids":["https://openalex.org/I52357470"]},{"raw_affiliation_string":"Department of Computer Science and Engineering, The Ohio State University, Columbus, OH, USA","institution_ids":["https://openalex.org/I52357470"]},{"raw_affiliation_string":"Department of Biomedical Informatics, The Ohio State University, Columbus, OH, USA","institution_ids":["https://openalex.org/I52357470"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5050360222","display_name":"Ping Zhang","orcid":"https://orcid.org/0000-0002-4601-0779"},"institutions":[{"id":"https://openalex.org/I52357470","display_name":"The Ohio State University","ror":"https://ror.org/00rs6vg23","country_code":"US","type":"education","lineage":["https://openalex.org/I52357470"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Ping Zhang","raw_affiliation_strings":["Department of Biomedical Informatics The Ohio State University  Columbus OH USA","Department of Computer Science and Engineering The Ohio State University  Columbus OH USA","Translational Data Analytics Institute The Ohio State University  Columbus OH USA","Department of Computer Science and Engineering, The Ohio State University, Columbus, OH, USA","Translational Data Analytics Institute, The Ohio State University, Columbus, OH, USA","Department of Biomedical Informatics, The Ohio State University, Columbus, OH, USA"],"raw_orcid":"https://orcid.org/0000-0002-4601-0779","affiliations":[{"raw_affiliation_string":"Department of Biomedical Informatics The Ohio State University  Columbus OH USA","institution_ids":["https://openalex.org/I52357470"]},{"raw_affiliation_string":"Department of Computer Science and Engineering The Ohio State University  Columbus OH USA","institution_ids":["https://openalex.org/I52357470"]},{"raw_affiliation_string":"Translational Data Analytics Institute The Ohio State University  Columbus OH USA","institution_ids":["https://openalex.org/I52357470"]},{"raw_affiliation_string":"Department of Computer Science and Engineering, The Ohio State University, Columbus, OH, USA","institution_ids":["https://openalex.org/I52357470"]},{"raw_affiliation_string":"Translational Data Analytics Institute, The Ohio State University, Columbus, OH, USA","institution_ids":["https://openalex.org/I52357470"]},{"raw_affiliation_string":"Department of Biomedical Informatics, The Ohio State University, Columbus, OH, USA","institution_ids":["https://openalex.org/I52357470"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":5,"corresponding_author_ids":["https://openalex.org/A5050360222"],"corresponding_institution_ids":["https://openalex.org/I52357470"],"apc_list":{"value":2750,"currency":"USD","value_usd":2750},"apc_paid":{"value":2750,"currency":"USD","value_usd":2750},"fwci":13.0395,"has_fulltext":true,"cited_by_count":6,"citation_normalized_percentile":{"value":0.98243389,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":96,"max":98},"biblio":{"volume":"7","issue":"8","first_page":"2400840","last_page":"2400840"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10028","display_name":"Topic Modeling","score":0.9993000030517578,"subfield":{"id":"https://openalex.org/subfields/1702","display_name":"Artificial Intelligence"},"field":{"id":"https://openalex.org/fields/17","display_name":"Computer Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},"topics":[{"id":"https://openalex.org/T10028","display_name":"Topic Modeling","score":0.9993000030517578,"subfield":{"id":"https://openalex.org/subfields/1702","display_name":"Artificial Intelligence"},"field":{"id":"https://openalex.org/fields/17","display_name":"Computer Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},{"id":"https://openalex.org/T11714","display_name":"Multimodal Machine Learning Applications","score":0.9991999864578247,"subfield":{"id":"https://openalex.org/subfields/1707","display_name":"Computer Vision and Pattern Recognition"},"field":{"id":"https://openalex.org/fields/17","display_name":"Computer Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},{"id":"https://openalex.org/T13702","display_name":"Machine Learning in Healthcare","score":0.9958999752998352,"subfield":{"id":"https://openalex.org/subfields/1702","display_name":"Artificial Intelligence"},"field":{"id":"https://openalex.org/fields/17","display_name":"Computer Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.6971248388290405},{"id":"https://openalex.org/keywords/domain","display_name":"Domain (mathematical analysis)","score":0.6422916054725647},{"id":"https://openalex.org/keywords/task","display_name":"Task (project management)","score":0.5906678438186646},{"id":"https://openalex.org/keywords/artificial-intelligence","display_name":"Artificial intelligence","score":0.5171113014221191},{"id":"https://openalex.org/keywords/domain-knowledge","display_name":"Domain knowledge","score":0.4310899078845978},{"id":"https://openalex.org/keywords/human\u2013computer-interaction","display_name":"Human\u2013computer interaction","score":0.37826329469680786},{"id":"https://openalex.org/keywords/machine-learning","display_name":"Machine learning","score":0.33868885040283203}],"concepts":[{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.6971248388290405},{"id":"https://openalex.org/C36503486","wikidata":"https://www.wikidata.org/wiki/Q11235244","display_name":"Domain (mathematical analysis)","level":2,"score":0.6422916054725647},{"id":"https://openalex.org/C2780451532","wikidata":"https://www.wikidata.org/wiki/Q759676","display_name":"Task (project management)","level":2,"score":0.5906678438186646},{"id":"https://openalex.org/C154945302","wikidata":"https://www.wikidata.org/wiki/Q11660","display_name":"Artificial intelligence","level":1,"score":0.5171113014221191},{"id":"https://openalex.org/C207685749","wikidata":"https://www.wikidata.org/wiki/Q2088941","display_name":"Domain knowledge","level":2,"score":0.4310899078845978},{"id":"https://openalex.org/C107457646","wikidata":"https://www.wikidata.org/wiki/Q207434","display_name":"Human\u2013computer interaction","level":1,"score":0.37826329469680786},{"id":"https://openalex.org/C119857082","wikidata":"https://www.wikidata.org/wiki/Q2539","display_name":"Machine learning","level":1,"score":0.33868885040283203},{"id":"https://openalex.org/C33923547","wikidata":"https://www.wikidata.org/wiki/Q395","display_name":"Mathematics","level":0,"score":0.0},{"id":"https://openalex.org/C134306372","wikidata":"https://www.wikidata.org/wiki/Q7754","display_name":"Mathematical analysis","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C187736073","wikidata":"https://www.wikidata.org/wiki/Q2920921","display_name":"Management","level":1,"score":0.0}],"mesh":[],"locations_count":5,"locations":[{"id":"doi:10.1002/aisy.202400840","is_oa":true,"landing_page_url":"https://doi.org/10.1002/aisy.202400840","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/aisy.202400840","source":{"id":"https://openalex.org/S4210212817","display_name":"Advanced Intelligent Systems","issn_l":"2640-4567","issn":["2640-4567"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Advanced Intelligent Systems","raw_type":"journal-article"},{"id":"pmid:40852092","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/40852092","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Advanced intelligent systems (Weinheim an der Bergstrasse, Germany)","raw_type":null},{"id":"pmh:oai:pubmedcentral.nih.gov:12370165","is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/12370165","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12370165/pdf/AISY-7-0.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Adv Intell Syst","raw_type":"Text"},{"id":"pmh:oai:doaj.org/article:31689f4520fe4b98b307e1987eb5f454","is_oa":true,"landing_page_url":"https://doaj.org/article/31689f4520fe4b98b307e1987eb5f454","pdf_url":null,"source":{"id":"https://openalex.org/S112646816","display_name":"SHILAP Revista de lepidopterolog\u00eda","issn_l":"0300-5267","issn":["0300-5267","2340-4078"],"is_oa":true,"is_in_doaj":true,"is_core":false,"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Advanced Intelligent Systems, Vol 7, Iss 8, Pp n/a-n/a (2025)","raw_type":"article"},{"id":"pmh:oai:ora.ox.ac.uk:uuid:e284ef2e-938f-4a2d-910f-df9e6fda5a38","is_oa":false,"landing_page_url":null,"pdf_url":null,"source":{"id":"https://openalex.org/S4306402636","display_name":"Oxford University Research Archive (ORA) (University of Oxford)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I40120149","host_organization_name":"University of Oxford","host_organization_lineage":["https://openalex.org/I40120149"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Jisc Publications Router","raw_type":"http://purl.org/coar/resource_type/c_dcae04bc"}],"best_oa_location":{"id":"doi:10.1002/aisy.202400840","is_oa":true,"landing_page_url":"https://doi.org/10.1002/aisy.202400840","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/aisy.202400840","source":{"id":"https://openalex.org/S4210212817","display_name":"Advanced Intelligent Systems","issn_l":"2640-4567","issn":["2640-4567"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Advanced Intelligent Systems","raw_type":"journal-article"},"sustainable_development_goals":[],"awards":[{"id":"https://openalex.org/G1640847642","display_name":null,"funder_award_id":"R01AI188576","funder_id":"https://openalex.org/F4320332161","funder_display_name":"National Institutes of Health"},{"id":"https://openalex.org/G1919798649","display_name":null,"funder_award_id":"IIS\u20102145625","funder_id":"https://openalex.org/F4320306076","funder_display_name":"National Science Foundation"},{"id":"https://openalex.org/G2913086881","display_name":null,"funder_award_id":"R01AI188576","funder_id":"https://openalex.org/F4320306080","funder_display_name":"Foundation for the National Institutes of Health"},{"id":"https://openalex.org/G7620595296","display_name":null,"funder_award_id":"2145625","funder_id":"https://openalex.org/F4320306076","funder_display_name":"National Science Foundation"},{"id":"https://openalex.org/G7816937986","display_name":null,"funder_award_id":"IIS-2145625","funder_id":"https://openalex.org/F4320306076","funder_display_name":"National Science Foundation"}],"funders":[{"id":"https://openalex.org/F4320306076","display_name":"National Science Foundation","ror":"https://ror.org/021nxhr62"},{"id":"https://openalex.org/F4320306080","display_name":"Foundation for the National Institutes of Health","ror":"https://ror.org/00k86s890"},{"id":"https://openalex.org/F4320309374","display_name":"Ohio State University","ror":"https://ror.org/00rs6vg23"},{"id":"https://openalex.org/F4320332161","display_name":"National Institutes of Health","ror":"https://ror.org/01cwqze88"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4407153981.pdf","grobid_xml":"https://content.openalex.org/works/W4407153981.grobid-xml"},"referenced_works_count":2,"referenced_works":["https://openalex.org/W14244905","https://openalex.org/W2995225687"],"related_works":["https://openalex.org/W2961085424","https://openalex.org/W4224009465","https://openalex.org/W4306674287","https://openalex.org/W4286629047","https://openalex.org/W3196817267","https://openalex.org/W1976600725","https://openalex.org/W1583422155","https://openalex.org/W1649619740","https://openalex.org/W3213252596","https://openalex.org/W2165071883"],"abstract_inverted_index":{"The":[0,81,95,112,157],"adoption":[1],"of":[2,23,130,143,149,188],"large":[3],"language":[4],"models":[5,104],"(LLMs)":[6],"in":[7,98,183],"healthcare":[8],"has":[9],"garnered":[10],"significant":[11],"research":[12],"interest,":[13],"yet":[14],"their":[15,30],"performance":[16],"remains":[17],"limited":[18],"due":[19],"to":[20,36,62,105,120,181],"a":[21,46,59],"lack":[22],"domain-specific":[24,67,91,107,118],"knowledge,":[25],"medical":[26,48,72,86,123,137],"reasoning":[27,50,74,87,124],"skills,":[28],"and":[29,109,133,178,197],"unimodal":[31],"nature,":[32],"which":[33,171],"restricts":[34],"them":[35],"text-only":[37],"inputs.":[38],"To":[39],"address":[40,121],"these":[41],"limitations,":[42],"we":[43],"propose":[44],"MultiMedRes,":[45],"multimodal":[47,73],"collaborative":[49],"framework":[51],"that":[52,160,173],"simulates":[53],"human":[54],"physicians'":[55],"communication":[56],"by":[57],"incorporating":[58],"learner":[60,82],"agent":[61,83,96,113],"proactively":[63],"acquire":[64],"information":[65],"from":[66],"expert":[68,103],"models.":[69],"MultiMedRes":[70,174],"addresses":[71],"problems":[75,88,125],"through":[76],"three":[77],"steps":[78],"i)":[79],"Inquire:":[80],"decomposes":[84],"complex":[85],"into":[89],"multiple":[90],"sub-problems;":[92],"ii)":[93],"Interact:":[94],"engages":[97],"iterative":[99],"\"ask-answer\"":[100],"interactions":[101],"with":[102],"obtain":[106],"knowledge;":[108],"iii)":[110],"Integrate:":[111],"integrates":[114],"all":[115],"the":[116,122,128,141,147,185,191],"acquired":[117],"knowledge":[119],"(e.g.,":[126],"identifying":[127],"difference":[129,150],"disease":[131],"levels":[132],"abnormality":[134],"sizes":[135],"between":[136],"images).":[138],"We":[139],"validate":[140],"effectiveness":[142],"our":[144,161],"method":[145],"on":[146],"task":[148],"visual":[151],"question":[152],"answering":[153],"for":[154,193],"X-ray":[155],"images.":[156],"experiments":[158],"show":[159],"zero-shot":[162],"prediction":[163],"achieves":[164],"state-of-the-art":[165],"performance,":[166],"surpassing":[167],"fully":[168],"supervised":[169],"methods,":[170],"demonstrates":[172],"could":[175],"offer":[176],"trustworthy":[177],"interpretable":[179],"assistance":[180],"physicians":[182],"monitoring":[184],"treatment":[186],"progression":[187],"patients,":[189],"paving":[190],"way":[192],"effective":[194],"human-AI":[195],"interaction":[196],"collaboration.":[198]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":5}],"updated_date":"2026-03-13T14:20:09.374765","created_date":"2025-10-10T00:00:00"}