{"id":"https://openalex.org/W4389776602","doi":"https://doi.org/10.1109/jbhi.2023.3343518","title":"Embracing Large Natural Data: Enhancing Medical Image Analysis via Cross-Domain Fine-Tuning","display_name":"Embracing Large Natural Data: Enhancing Medical Image Analysis via Cross-Domain Fine-Tuning","publication_year":2023,"publication_date":"2023-12-15","ids":{"openalex":"https://openalex.org/W4389776602","doi":"https://doi.org/10.1109/jbhi.2023.3343518","pmid":"https://pubmed.ncbi.nlm.nih.gov/38100336"},"language":"en","primary_location":{"id":"doi:10.1109/jbhi.2023.3343518","is_oa":false,"landing_page_url":"https://doi.org/10.1109/jbhi.2023.3343518","pdf_url":null,"source":{"id":"https://openalex.org/S2495854775","display_name":"IEEE Journal of Biomedical and Health Informatics","issn_l":"2168-2194","issn":["2168-2194","2168-2208"],"is_oa":false,"is_in_doaj":false,"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":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"IEEE Journal of Biomedical and Health Informatics","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5101431986","display_name":"Qiankun Li","orcid":"https://orcid.org/0000-0001-5121-1682"},"institutions":[{"id":"https://openalex.org/I126520041","display_name":"University of Science and Technology of China","ror":"https://ror.org/04c4dkn09","country_code":"CN","type":"education","lineage":["https://openalex.org/I126520041","https://openalex.org/I19820366"]},{"id":"https://openalex.org/I19820366","display_name":"Chinese Academy of Sciences","ror":"https://ror.org/034t30j35","country_code":"CN","type":"funder","lineage":["https://openalex.org/I19820366"]},{"id":"https://openalex.org/I2802624667","display_name":"Hefei Institutes of Physical Science","ror":"https://ror.org/046n57345","country_code":"CN","type":"facility","lineage":["https://openalex.org/I19820366","https://openalex.org/I2802624667"]},{"id":"https://openalex.org/I4210099079","display_name":"Institute of Intelligent Machines","ror":"https://ror.org/00w0qep84","country_code":"CN","type":"facility","lineage":["https://openalex.org/I19820366","https://openalex.org/I2802624667","https://openalex.org/I4210099079"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Qiankun Li","raw_affiliation_strings":["Institute of Intelligent Machines, Hefei Institutes of Physical Science, Chinese Academy of Sciences, Hefei, China","Department of Automation, University of Science and Technology of China, Hefei, China"],"affiliations":[{"raw_affiliation_string":"Institute of Intelligent Machines, Hefei Institutes of Physical Science, Chinese Academy of Sciences, Hefei, China","institution_ids":["https://openalex.org/I2802624667","https://openalex.org/I4210099079","https://openalex.org/I19820366"]},{"raw_affiliation_string":"Department of Automation, University of Science and Technology of China, Hefei, China","institution_ids":["https://openalex.org/I126520041"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5008207535","display_name":"Xiaolong Huang","orcid":"https://orcid.org/0009-0005-5502-2535"},"institutions":[{"id":"https://openalex.org/I50632499","display_name":"Chongqing University of Technology","ror":"https://ror.org/04vgbd477","country_code":"CN","type":"education","lineage":["https://openalex.org/I50632499"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Xiaolong Huang","raw_affiliation_strings":["School of Artificial Intelligence, Chongqing University of Technology, Chongqing, China"],"affiliations":[{"raw_affiliation_string":"School of Artificial Intelligence, Chongqing University of Technology, Chongqing, China","institution_ids":["https://openalex.org/I50632499"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5101558676","display_name":"Bo Fang","orcid":"https://orcid.org/0009-0003-3847-5765"},"institutions":[{"id":"https://openalex.org/I9224756","display_name":"Northeastern University","ror":"https://ror.org/03awzbc87","country_code":"CN","type":"education","lineage":["https://openalex.org/I9224756"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Bo Fang","raw_affiliation_strings":["College of Medicine and Biological Information Engineering, Northeastern University, Shenyang, China"],"affiliations":[{"raw_affiliation_string":"College of Medicine and Biological Information Engineering, Northeastern University, Shenyang, China","institution_ids":["https://openalex.org/I9224756"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5103176737","display_name":"Huabao Chen","orcid":"https://orcid.org/0009-0003-4300-3017"},"institutions":[{"id":"https://openalex.org/I163340411","display_name":"Hohai University","ror":"https://ror.org/01wd4xt90","country_code":"CN","type":"education","lineage":["https://openalex.org/I163340411"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Huabao Chen","raw_affiliation_strings":["College of Energy and Electrical Engineering, Hohai University, Nanjing, China"],"affiliations":[{"raw_affiliation_string":"College of Energy and Electrical Engineering, Hohai University, Nanjing, China","institution_ids":["https://openalex.org/I163340411"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5106670735","display_name":"Siyuan Ding","orcid":"https://orcid.org/0009-0005-9496-5229"},"institutions":[{"id":"https://openalex.org/I4210129955","display_name":"General Hospital of Shenyang Military Region","ror":"https://ror.org/0340t0585","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210129955"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Siyuan Ding","raw_affiliation_strings":["Department of Gastroenterology, General Hospital of Northern Theater Command, Shenyang, China"],"affiliations":[{"raw_affiliation_string":"Department of Gastroenterology, General Hospital of Northern Theater Command, Shenyang, China","institution_ids":["https://openalex.org/I4210129955"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5020558731","display_name":"Xu Liu","orcid":"https://orcid.org/0009-0003-4701-1196"},"institutions":[{"id":"https://openalex.org/I4210129955","display_name":"General Hospital of Shenyang Military Region","ror":"https://ror.org/0340t0585","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210129955"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Xu Liu","raw_affiliation_strings":["Department of Gastroenterology, General Hospital of Northern Theater Command, Shenyang, China"],"affiliations":[{"raw_affiliation_string":"Department of Gastroenterology, General Hospital of Northern Theater Command, Shenyang, China","institution_ids":["https://openalex.org/I4210129955"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":6,"corresponding_author_ids":["https://openalex.org/A5101431986"],"corresponding_institution_ids":["https://openalex.org/I126520041","https://openalex.org/I19820366","https://openalex.org/I2802624667","https://openalex.org/I4210099079"],"apc_list":null,"apc_paid":null,"fwci":1.4064,"has_fulltext":false,"cited_by_count":8,"citation_normalized_percentile":{"value":0.85614688,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":95,"max":99},"biblio":{"volume":"28","issue":"8","first_page":"4512","last_page":"4521"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10862","display_name":"AI in cancer detection","score":0.9997000098228455,"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/T10862","display_name":"AI in cancer detection","score":0.9997000098228455,"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/T11775","display_name":"COVID-19 diagnosis using AI","score":0.9988999962806702,"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"}},{"id":"https://openalex.org/T10036","display_name":"Advanced Neural Network Applications","score":0.9983999729156494,"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"}}],"keywords":[{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.6503475308418274},{"id":"https://openalex.org/keywords/medical-imaging","display_name":"Medical imaging","score":0.5284457206726074},{"id":"https://openalex.org/keywords/image","display_name":"Image (mathematics)","score":0.5159674286842346},{"id":"https://openalex.org/keywords/domain","display_name":"Domain (mathematical analysis)","score":0.449476420879364},{"id":"https://openalex.org/keywords/natural","display_name":"Natural (archaeology)","score":0.44915029406547546},{"id":"https://openalex.org/keywords/artificial-intelligence","display_name":"Artificial intelligence","score":0.42456620931625366},{"id":"https://openalex.org/keywords/computer-vision","display_name":"Computer vision","score":0.41144824028015137},{"id":"https://openalex.org/keywords/data-mining","display_name":"Data mining","score":0.32115328311920166},{"id":"https://openalex.org/keywords/mathematics","display_name":"Mathematics","score":0.13524144887924194}],"concepts":[{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.6503475308418274},{"id":"https://openalex.org/C31601959","wikidata":"https://www.wikidata.org/wiki/Q931309","display_name":"Medical imaging","level":2,"score":0.5284457206726074},{"id":"https://openalex.org/C115961682","wikidata":"https://www.wikidata.org/wiki/Q860623","display_name":"Image (mathematics)","level":2,"score":0.5159674286842346},{"id":"https://openalex.org/C36503486","wikidata":"https://www.wikidata.org/wiki/Q11235244","display_name":"Domain (mathematical analysis)","level":2,"score":0.449476420879364},{"id":"https://openalex.org/C2776608160","wikidata":"https://www.wikidata.org/wiki/Q4785462","display_name":"Natural (archaeology)","level":2,"score":0.44915029406547546},{"id":"https://openalex.org/C154945302","wikidata":"https://www.wikidata.org/wiki/Q11660","display_name":"Artificial intelligence","level":1,"score":0.42456620931625366},{"id":"https://openalex.org/C31972630","wikidata":"https://www.wikidata.org/wiki/Q844240","display_name":"Computer vision","level":1,"score":0.41144824028015137},{"id":"https://openalex.org/C124101348","wikidata":"https://www.wikidata.org/wiki/Q172491","display_name":"Data mining","level":1,"score":0.32115328311920166},{"id":"https://openalex.org/C33923547","wikidata":"https://www.wikidata.org/wiki/Q395","display_name":"Mathematics","level":0,"score":0.13524144887924194},{"id":"https://openalex.org/C166957645","wikidata":"https://www.wikidata.org/wiki/Q23498","display_name":"Archaeology","level":1,"score":0.0},{"id":"https://openalex.org/C95457728","wikidata":"https://www.wikidata.org/wiki/Q309","display_name":"History","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}],"mesh":[{"descriptor_ui":"D000077558","descriptor_name":"Big Data","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000077558","descriptor_name":"Big Data","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000077558","descriptor_name":"Big Data","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000077558","descriptor_name":"Big Data","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000077558","descriptor_name":"Big Data","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000465","descriptor_name":"Algorithms","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000465","descriptor_name":"Algorithms","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000465","descriptor_name":"Algorithms","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000465","descriptor_name":"Algorithms","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000465","descriptor_name":"Algorithms","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003952","descriptor_name":"Diagnostic Imaging","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D003952","descriptor_name":"Diagnostic Imaging","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D003952","descriptor_name":"Diagnostic Imaging","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D003952","descriptor_name":"Diagnostic Imaging","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D003952","descriptor_name":"Diagnostic Imaging","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007090","descriptor_name":"Image Interpretation, Computer-Assisted","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D007090","descriptor_name":"Image Interpretation, Computer-Assisted","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D007090","descriptor_name":"Image Interpretation, Computer-Assisted","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D007090","descriptor_name":"Image Interpretation, Computer-Assisted","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D007090","descriptor_name":"Image Interpretation, Computer-Assisted","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D007091","descriptor_name":"Image Processing, Computer-Assisted","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D007091","descriptor_name":"Image Processing, Computer-Assisted","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D007091","descriptor_name":"Image Processing, Computer-Assisted","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D007091","descriptor_name":"Image Processing, Computer-Assisted","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D007091","descriptor_name":"Image Processing, Computer-Assisted","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D016208","descriptor_name":"Databases, Factual","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D016208","descriptor_name":"Databases, Factual","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D016208","descriptor_name":"Databases, Factual","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D016208","descriptor_name":"Databases, Factual","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D016208","descriptor_name":"Databases, Factual","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1109/jbhi.2023.3343518","is_oa":false,"landing_page_url":"https://doi.org/10.1109/jbhi.2023.3343518","pdf_url":null,"source":{"id":"https://openalex.org/S2495854775","display_name":"IEEE Journal of Biomedical and Health Informatics","issn_l":"2168-2194","issn":["2168-2194","2168-2208"],"is_oa":false,"is_in_doaj":false,"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":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"IEEE Journal of Biomedical and Health Informatics","raw_type":"journal-article"},{"id":"pmid:38100336","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/38100336","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":"IEEE journal of biomedical and health informatics","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":60,"referenced_works":["https://openalex.org/W1686810756","https://openalex.org/W2108598243","https://openalex.org/W2117539524","https://openalex.org/W2194775991","https://openalex.org/W2531409750","https://openalex.org/W2552383788","https://openalex.org/W2557738935","https://openalex.org/W2606101940","https://openalex.org/W2752782242","https://openalex.org/W2794825826","https://openalex.org/W2896457183","https://openalex.org/W2899663614","https://openalex.org/W2953303875","https://openalex.org/W2963466845","https://openalex.org/W2963946669","https://openalex.org/W2964416181","https://openalex.org/W2998175747","https://openalex.org/W3009312108","https://openalex.org/W3017243633","https://openalex.org/W3020687048","https://openalex.org/W3025011581","https://openalex.org/W3094502228","https://openalex.org/W3102640734","https://openalex.org/W3102785203","https://openalex.org/W3131151352","https://openalex.org/W3148908072","https://openalex.org/W3170049569","https://openalex.org/W3170863103","https://openalex.org/W3172509117","https://openalex.org/W3188404242","https://openalex.org/W3195997474","https://openalex.org/W3209532394","https://openalex.org/W4205953442","https://openalex.org/W4214588794","https://openalex.org/W4225973304","https://openalex.org/W4281721328","https://openalex.org/W4281853941","https://openalex.org/W4287811741","https://openalex.org/W4289752563","https://openalex.org/W4312443924","https://openalex.org/W4313156423","https://openalex.org/W4360836968","https://openalex.org/W4365479040","https://openalex.org/W4386280880","https://openalex.org/W6637373629","https://openalex.org/W6736534893","https://openalex.org/W6747683314","https://openalex.org/W6755207826","https://openalex.org/W6755977528","https://openalex.org/W6763301180","https://openalex.org/W6766394743","https://openalex.org/W6776057608","https://openalex.org/W6780226713","https://openalex.org/W6782436372","https://openalex.org/W6784333009","https://openalex.org/W6791353385","https://openalex.org/W6796761347","https://openalex.org/W6802987763","https://openalex.org/W6846007759","https://openalex.org/W6850936240"],"related_works":["https://openalex.org/W4283262748","https://openalex.org/W2502773048","https://openalex.org/W4252362398","https://openalex.org/W48866389","https://openalex.org/W2117651364","https://openalex.org/W3112533414","https://openalex.org/W2490481324","https://openalex.org/W1979668694","https://openalex.org/W2990774877","https://openalex.org/W3093339210"],"abstract_inverted_index":{"With":[0],"the":[1,28,35,40,92,121],"rapid":[2],"advancements":[3],"of":[4,32,42,99,141],"Big":[5],"Data":[6],"and":[7,21,30],"computer":[8],"vision,":[9],"many":[10],"large-scale":[11,24],"natural":[12,36,75,87,146],"visual":[13],"datasets":[14,25,137],"are":[15],"proposed,":[16],"such":[17],"as":[18],"ImageNet-21K,":[19],"LAION-400M,":[20],"LAION-2B.":[22],"These":[23],"significantly":[26],"improve":[27,120],"robustness":[29],"accuracy":[31],"models":[33,72,100,142],"in":[34,114],"vision":[37,88],"domain.":[38],"However,":[39],"field":[41],"medical":[43,64,93,135],"images":[44],"continues":[45],"to":[46,50,62,85,91,118],"face":[47],"limitations":[48],"due":[49],"relatively":[51],"small-scale":[52],"datasets.":[53,76,104,147],"In":[54,105],"this":[55],"article,":[56],"we":[57,107],"propose":[58],"a":[59,78,109],"novel":[60],"method":[61,129],"enhance":[63],"image":[65,94,136],"analysis":[66],"across":[67],"domains":[68],"by":[69],"leveraging":[70],"pre-trained":[71,101,143],"on":[73,102,133,144],"large":[74,103,145],"Specifically,":[77],"Cross-Domain":[79],"Transfer":[80],"Module":[81],"(CDTM)":[82],"is":[83],"proposed":[84],"transfer":[86],"domain":[89],"features":[90],"domain,":[95],"facilitating":[96],"efficient":[97,139],"fine-tuning":[98,140],"addition,":[106],"design":[108],"Staged":[110],"Fine-Tuning":[111],"(SFT)":[112],"strategy":[113],"conjunction":[115],"with":[116],"CDTM":[117],"further":[119],"model":[122],"performance.":[123],"Experimental":[124],"results":[125],"demonstrate":[126],"that":[127],"our":[128],"achieves":[130],"state-of-the-art":[131],"performance":[132],"multiple":[134],"through":[138]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":2},{"year":2024,"cited_by_count":5}],"updated_date":"2026-03-20T23:20:44.827607","created_date":"2025-10-10T00:00:00"}
