{"id":"https://openalex.org/W4296908429","doi":"https://doi.org/10.1109/access.2022.3208903","title":"A Fuzzy-Based Clinical Decision Support System for Coeliac Disease","display_name":"A Fuzzy-Based Clinical Decision Support System for Coeliac Disease","publication_year":2022,"publication_date":"2022-01-01","ids":{"openalex":"https://openalex.org/W4296908429","doi":"https://doi.org/10.1109/access.2022.3208903"},"language":"en","primary_location":{"id":"doi:10.1109/access.2022.3208903","is_oa":true,"landing_page_url":"https://doi.org/10.1109/access.2022.3208903","pdf_url":"https://ieeexplore.ieee.org/ielx7/6287639/6514899/09900343.pdf","source":{"id":"https://openalex.org/S2485537415","display_name":"IEEE Access","issn_l":"2169-3536","issn":["2169-3536"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310319808","host_organization_name":"Institute of Electrical and Electronics Engineers","host_organization_lineage":["https://openalex.org/P4310319808"],"host_organization_lineage_names":["Institute of Electrical and Electronics Engineers"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"IEEE Access","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://ieeexplore.ieee.org/ielx7/6287639/6514899/09900343.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5090006996","display_name":"Marco Elio Tabacchi","orcid":"https://orcid.org/0000-0001-7230-8192"},"institutions":[{"id":"https://openalex.org/I900890020","display_name":"University of Palermo","ror":"https://ror.org/044k9ta02","country_code":"IT","type":"education","lineage":["https://openalex.org/I900890020"]}],"countries":["IT"],"is_corresponding":true,"raw_author_name":"M. E. Tabacchi","raw_affiliation_strings":["Dipartimento di Matematica e Informatica, Universit&#x00E0; degli Studi di Palermo, Palermo, Italy"],"raw_orcid":"https://orcid.org/0000-0001-7230-8192","affiliations":[{"raw_affiliation_string":"Dipartimento di Matematica e Informatica, Universit&#x00E0; degli Studi di Palermo, Palermo, Italy","institution_ids":["https://openalex.org/I900890020"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5015382861","display_name":"Domenico Tegolo","orcid":"https://orcid.org/0000-0001-5417-5584"},"institutions":[{"id":"https://openalex.org/I900890020","display_name":"University of Palermo","ror":"https://ror.org/044k9ta02","country_code":"IT","type":"education","lineage":["https://openalex.org/I900890020"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"D. Tegolo","raw_affiliation_strings":["Dipartimento di Matematica e Informatica, Universit&#x00E0; degli Studi di Palermo, Palermo, Italy"],"raw_orcid":"https://orcid.org/0000-0001-5417-5584","affiliations":[{"raw_affiliation_string":"Dipartimento di Matematica e Informatica, Universit&#x00E0; degli Studi di Palermo, Palermo, Italy","institution_ids":["https://openalex.org/I900890020"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5004146628","display_name":"Donato Cascio","orcid":"https://orcid.org/0000-0001-6522-1259"},"institutions":[{"id":"https://openalex.org/I900890020","display_name":"University of Palermo","ror":"https://ror.org/044k9ta02","country_code":"IT","type":"education","lineage":["https://openalex.org/I900890020"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"D. Cascio","raw_affiliation_strings":["Dipartimento di Fisica e Chimica, Universit&#x00E0; degli Studi di Palermo, Palermo, Italy"],"raw_orcid":"https://orcid.org/0000-0001-6522-1259","affiliations":[{"raw_affiliation_string":"Dipartimento di Fisica e Chimica, Universit&#x00E0; degli Studi di Palermo, Palermo, Italy","institution_ids":["https://openalex.org/I900890020"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5062128624","display_name":"Cesare Valenti","orcid":"https://orcid.org/0000-0002-4961-2054"},"institutions":[{"id":"https://openalex.org/I900890020","display_name":"University of Palermo","ror":"https://ror.org/044k9ta02","country_code":"IT","type":"education","lineage":["https://openalex.org/I900890020"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"C. Valenti","raw_affiliation_strings":["Dipartimento di Matematica e Informatica, Universit&#x00E0; degli Studi di Palermo, Palermo, Italy"],"raw_orcid":"https://orcid.org/0000-0002-4961-2054","affiliations":[{"raw_affiliation_string":"Dipartimento di Matematica e Informatica, Universit&#x00E0; degli Studi di Palermo, Palermo, Italy","institution_ids":["https://openalex.org/I900890020"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5047780365","display_name":"Salvatore Sorce","orcid":"https://orcid.org/0000-0003-1976-031X"},"institutions":[{"id":"https://openalex.org/I246010334","display_name":"Universit\u00e0 degli Studi di Enna Kore","ror":"https://ror.org/04vd28p53","country_code":"IT","type":"education","lineage":["https://openalex.org/I246010334"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"S. Sorce","raw_affiliation_strings":["Facolt&#x00E0; di Ingegneria e Architettura, Universit&#x00E0; degli Studi di Enna &#x2018;&#x2018;Kore,&#x2019;&#x2019;, Enna, Italy"],"raw_orcid":"https://orcid.org/0000-0003-1976-031X","affiliations":[{"raw_affiliation_string":"Facolt&#x00E0; di Ingegneria e Architettura, Universit&#x00E0; degli Studi di Enna &#x2018;&#x2018;Kore,&#x2019;&#x2019;, Enna, Italy","institution_ids":["https://openalex.org/I246010334"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5005439684","display_name":"Vito Gentile","orcid":"https://orcid.org/0000-0002-3844-3136"},"institutions":[{"id":"https://openalex.org/I900890020","display_name":"University of Palermo","ror":"https://ror.org/044k9ta02","country_code":"IT","type":"education","lineage":["https://openalex.org/I900890020"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"V. Gentile","raw_affiliation_strings":["Dipartimento di Fisica e Chimica, Universit&#x00E0; degli Studi di Palermo, Palermo, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Dipartimento di Fisica e Chimica, Universit&#x00E0; degli Studi di Palermo, Palermo, Italy","institution_ids":["https://openalex.org/I900890020"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5055767853","display_name":"Vincenzo Taormina","orcid":"https://orcid.org/0000-0002-8313-2556"},"institutions":[{"id":"https://openalex.org/I900890020","display_name":"University of Palermo","ror":"https://ror.org/044k9ta02","country_code":"IT","type":"education","lineage":["https://openalex.org/I900890020"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"V. Taormina","raw_affiliation_strings":["Dipartimento di Matematica e Informatica, Universit&#x00E0; degli Studi di Palermo, Palermo, Italy"],"raw_orcid":"https://orcid.org/0000-0002-8313-2556","affiliations":[{"raw_affiliation_string":"Dipartimento di Matematica e Informatica, Universit&#x00E0; degli Studi di Palermo, Palermo, Italy","institution_ids":["https://openalex.org/I900890020"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5087658514","display_name":"Ignazio Brusca","orcid":"https://orcid.org/0000-0001-6243-7732"},"institutions":[{"id":"https://openalex.org/I4210161864","display_name":"Ospedale Buccheri la Ferla Fatebenefratelli","ror":"https://ror.org/051fpt583","country_code":"IT","type":"healthcare","lineage":["https://openalex.org/I4210161864"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"I. Brusca","raw_affiliation_strings":["Ospedale Fatebenefratelli, Buccheri La Ferla, Palermo, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Ospedale Fatebenefratelli, Buccheri La Ferla, Palermo, Italy","institution_ids":["https://openalex.org/I4210161864"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5027769276","display_name":"Giuseppe Magazz\u00f9","orcid":"https://orcid.org/0000-0003-2622-4013"},"institutions":[{"id":"https://openalex.org/I112862951","display_name":"University of Messina","ror":"https://ror.org/05ctdxz19","country_code":"IT","type":"education","lineage":["https://openalex.org/I112862951"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"G. Magazzu","raw_affiliation_strings":["Dipartimento di Patologia Umana dell&#x2019;adulto e dell&#x2019;et&#x00E0; evolutiva, Universit&#x00E0; di Messina, Messina, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Dipartimento di Patologia Umana dell&#x2019;adulto e dell&#x2019;et&#x00E0; evolutiva, Universit&#x00E0; di Messina, Messina, Italy","institution_ids":["https://openalex.org/I112862951"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5073092022","display_name":"Angele Giuliano","orcid":"https://orcid.org/0000-0002-2281-6970"},"institutions":[{"id":"https://openalex.org/I4210117749","display_name":"AcrossLimits","ror":"https://ror.org/023ccd616","country_code":"MT","type":"company","lineage":["https://openalex.org/I4210117749"]}],"countries":["MT"],"is_corresponding":false,"raw_author_name":"A. Giuliano","raw_affiliation_strings":["AcrossLimits Ltd., Valletta, Malta"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"AcrossLimits Ltd., Valletta, Malta","institution_ids":["https://openalex.org/I4210117749"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5085510904","display_name":"G. Raso","orcid":"https://orcid.org/0000-0002-5660-3711"},"institutions":[{"id":"https://openalex.org/I900890020","display_name":"University of Palermo","ror":"https://ror.org/044k9ta02","country_code":"IT","type":"education","lineage":["https://openalex.org/I900890020"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"G. Raso","raw_affiliation_strings":["Dipartimento di Fisica e Chimica, Universit&#x00E0; degli Studi di Palermo, Palermo, Italy"],"raw_orcid":"https://orcid.org/0000-0002-5660-3711","affiliations":[{"raw_affiliation_string":"Dipartimento di Fisica e Chimica, Universit&#x00E0; degli Studi di Palermo, Palermo, Italy","institution_ids":["https://openalex.org/I900890020"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":11,"corresponding_author_ids":["https://openalex.org/A5090006996"],"corresponding_institution_ids":["https://openalex.org/I900890020"],"apc_list":{"value":1850,"currency":"USD","value_usd":1850},"apc_paid":{"value":1850,"currency":"USD","value_usd":1850},"fwci":1.9851,"has_fulltext":true,"cited_by_count":12,"citation_normalized_percentile":{"value":0.86207296,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":90,"max":98},"biblio":{"volume":"10","issue":null,"first_page":"102223","last_page":"102236"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11348","display_name":"Celiac Disease Research and Management","score":0.9993000030517578,"subfield":{"id":"https://openalex.org/subfields/2715","display_name":"Gastroenterology"},"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/T11348","display_name":"Celiac Disease Research and Management","score":0.9993000030517578,"subfield":{"id":"https://openalex.org/subfields/2715","display_name":"Gastroenterology"},"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/T12489","display_name":"Microbial Metabolites in Food Biotechnology","score":0.9800000190734863,"subfield":{"id":"https://openalex.org/subfields/2916","display_name":"Nutrition and Dietetics"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/coeliac-disease","display_name":"Coeliac disease","score":0.6895814538002014},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.5704367160797119},{"id":"https://openalex.org/keywords/biopsy","display_name":"Biopsy","score":0.5237966775894165},{"id":"https://openalex.org/keywords/context","display_name":"Context (archaeology)","score":0.47599518299102783},{"id":"https://openalex.org/keywords/disease","display_name":"Disease","score":0.4739634692668915},{"id":"https://openalex.org/keywords/population","display_name":"Population","score":0.4482814371585846},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.3563779592514038},{"id":"https://openalex.org/keywords/internal-medicine","display_name":"Internal medicine","score":0.31111857295036316}],"concepts":[{"id":"https://openalex.org/C2780349322","wikidata":"https://www.wikidata.org/wiki/Q11088","display_name":"Coeliac disease","level":3,"score":0.6895814538002014},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5704367160797119},{"id":"https://openalex.org/C2775934546","wikidata":"https://www.wikidata.org/wiki/Q179991","display_name":"Biopsy","level":2,"score":0.5237966775894165},{"id":"https://openalex.org/C2779343474","wikidata":"https://www.wikidata.org/wiki/Q3109175","display_name":"Context (archaeology)","level":2,"score":0.47599518299102783},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.4739634692668915},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.4482814371585846},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.3563779592514038},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.31111857295036316},{"id":"https://openalex.org/C151730666","wikidata":"https://www.wikidata.org/wiki/Q7205","display_name":"Paleontology","level":1,"score":0.0},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.0}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.1109/access.2022.3208903","is_oa":true,"landing_page_url":"https://doi.org/10.1109/access.2022.3208903","pdf_url":"https://ieeexplore.ieee.org/ielx7/6287639/6514899/09900343.pdf","source":{"id":"https://openalex.org/S2485537415","display_name":"IEEE Access","issn_l":"2169-3536","issn":["2169-3536"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310319808","host_organization_name":"Institute of Electrical and Electronics Engineers","host_organization_lineage":["https://openalex.org/P4310319808"],"host_organization_lineage_names":["Institute of Electrical and Electronics Engineers"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"IEEE Access","raw_type":"journal-article"},{"id":"pmh:oai:doaj.org/article:2e4fdccfc1eb4a389c4b77f840057724","is_oa":true,"landing_page_url":"https://doaj.org/article/2e4fdccfc1eb4a389c4b77f840057724","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":"IEEE Access, Vol 10, Pp 102223-102236 (2022)","raw_type":"article"},{"id":"pmh:oai:iris.unipa.it:10447/571185","is_oa":true,"landing_page_url":"https://hdl.handle.net/10447/571185","pdf_url":null,"source":{"id":"https://openalex.org/S4306401065","display_name":"Nova Science Publishers (Nova Science Publishers, Inc.)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"info:eu-repo/semantics/article"}],"best_oa_location":{"id":"doi:10.1109/access.2022.3208903","is_oa":true,"landing_page_url":"https://doi.org/10.1109/access.2022.3208903","pdf_url":"https://ieeexplore.ieee.org/ielx7/6287639/6514899/09900343.pdf","source":{"id":"https://openalex.org/S2485537415","display_name":"IEEE Access","issn_l":"2169-3536","issn":["2169-3536"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310319808","host_organization_name":"Institute of Electrical and Electronics Engineers","host_organization_lineage":["https://openalex.org/P4310319808"],"host_organization_lineage_names":["Institute of Electrical and Electronics Engineers"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"IEEE Access","raw_type":"journal-article"},"sustainable_development_goals":[],"awards":[{"id":"https://openalex.org/G6768655656","display_name":null,"funder_award_id":"C1-1.1-18","funder_id":"https://openalex.org/F4320337753","funder_display_name":"Interreg"}],"funders":[{"id":"https://openalex.org/F4320337753","display_name":"Interreg","ror":null}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4296908429.pdf","grobid_xml":"https://content.openalex.org/works/W4296908429.grobid-xml"},"referenced_works_count":28,"referenced_works":["https://openalex.org/W14481880","https://openalex.org/W1592644639","https://openalex.org/W1987811453","https://openalex.org/W2010871295","https://openalex.org/W2066932270","https://openalex.org/W2100548379","https://openalex.org/W2108724273","https://openalex.org/W2167459366","https://openalex.org/W2278740241","https://openalex.org/W2345010043","https://openalex.org/W2493108192","https://openalex.org/W2565276794","https://openalex.org/W2577050586","https://openalex.org/W2593813523","https://openalex.org/W2604895074","https://openalex.org/W2754231183","https://openalex.org/W2761728107","https://openalex.org/W2801570955","https://openalex.org/W2802413364","https://openalex.org/W2892836571","https://openalex.org/W2937781457","https://openalex.org/W2990045262","https://openalex.org/W3004612364","https://openalex.org/W3017237296","https://openalex.org/W3044859020","https://openalex.org/W4200520853","https://openalex.org/W4282582795","https://openalex.org/W6600596236"],"related_works":["https://openalex.org/W2073269240","https://openalex.org/W2110438573","https://openalex.org/W2416202286","https://openalex.org/W2014832572","https://openalex.org/W2075040702","https://openalex.org/W2079720756","https://openalex.org/W2028715494","https://openalex.org/W2197774694","https://openalex.org/W4226067997","https://openalex.org/W2092707355"],"abstract_inverted_index":{"Coeliac":[0,24],"disease":[1,7,25,88],"(CD)":[2],"is":[3,41],"a":[4,110,137,148,152,175,187],"permanent":[5],"inflammatory":[6],"of":[8,16,20,36,83,86,92,124,172,177,183,190,220],"the":[9,14,17,27,37,81,87,90,122,125,157,167,193,209,218,221,225],"small":[10],"intestine":[11],"characterized":[12],"by":[13,223],"destruction":[15],"mucous":[18],"membrane":[19],"this":[21,106],"intestinal":[22],"tract.":[23],"represents":[26],"most":[28],"frequent":[29],"food":[30],"intolerance":[31],"and":[32,50,145,151,174,202],"affects":[33],"about":[34],"1%":[35],"population,":[38],"but":[39,65],"it":[40],"severely":[42],"underdiagnosed.":[43],"Currently":[44],"available":[45],"guidelines":[46],"require":[47],"CD-specific":[48],"serology":[49],"atrophic":[51],"histology":[52],"in":[53,60,67,121],"duodenal":[54],"biopsy":[55],"samples":[56],"to":[57,79,216,227],"diagnose":[58],"CD":[59,118,222],"adults.":[61],"In":[62,77,105],"paediatric":[63],"CD,":[64],"recently":[66,96],"adults":[68],"also,":[69],"non-invasive":[70],"diagnostic":[71],"strategies":[72],"have":[73,95],"become":[74],"increasingly":[75],"popular.":[76],"order":[78],"increase":[80],"rates":[82],"correct":[84],"diagnosis":[85,189,219],"without":[89],"use":[91],"biopsy,":[93],"researchers":[94],"been":[97,134],"using":[98,147],"approaches":[99],"based":[100,135],"on":[101,136,161],"artificial":[102],"intelligence":[103],"techniques.":[104],"work,":[107],"we":[108],"present":[109],"Clinical":[111],"Decision":[112],"Support":[113],"System":[114],"(CDSS)system":[115],"for":[116],"supporting":[117],"diagnosis,":[119],"developed":[120,144,210],"context":[123],"Italy-Malta":[126],"cross-border":[127],"project":[128],"ITAMA.":[129],"The":[130,141],"implemented":[131],"CDSS":[132],"has":[133],"neural-network-based":[138],"fuzzy":[139],"classifier.":[140],"system":[142,168,194,211],"was":[143],"tested":[146],"Virtual":[149],"Database":[150,154],"Real":[153],"acquired":[155],"during":[156],"ITAMA":[158],"project.":[159],"Analysis":[160],"10,000":[162],"virtual":[163],"patients":[164],"shows":[165],"that":[166,208],"achieved":[169,195],"an":[170],"accuracy":[171],"99%":[173],"sensitivity":[176],"99%.":[178],"On":[179],"19,415":[180],"real":[181],"patients,":[182],"which":[184],"109":[185],"with":[186],"confirmed":[188],"coeliac":[191],"disease,":[192],"99.6%":[196,200],"accuracy,":[197],"85.7%":[198],"sensitivity,":[199],"specificity":[201],"96%":[203],"precision.":[204],"Such":[205],"results":[206],"show":[207],"can":[212],"be":[213],"used":[214],"effectively":[215],"support":[217],"reducing":[224],"appeal":[226],"invasive":[228],"techniques":[229],"such":[230],"as":[231],"biopsy.":[232]},"counts_by_year":[{"year":2025,"cited_by_count":3},{"year":2024,"cited_by_count":6},{"year":2023,"cited_by_count":2},{"year":2022,"cited_by_count":1}],"updated_date":"2026-03-27T05:58:40.876381","created_date":"2022-09-24T00:00:00"}
