{"id":"https://openalex.org/W4411639897","doi":"https://doi.org/10.1109/jbhi.2025.3583389","title":"Refocal Loss in Transformer for Long-Tailed Multi-Granularity Cataract Classification","display_name":"Refocal Loss in Transformer for Long-Tailed Multi-Granularity Cataract Classification","publication_year":2025,"publication_date":"2025-06-25","ids":{"openalex":"https://openalex.org/W4411639897","doi":"https://doi.org/10.1109/jbhi.2025.3583389","pmid":"https://pubmed.ncbi.nlm.nih.gov/40560707"},"language":"en","primary_location":{"id":"doi:10.1109/jbhi.2025.3583389","is_oa":false,"landing_page_url":"https://doi.org/10.1109/jbhi.2025.3583389","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":null,"display_name":"Qiong Wang","orcid":"https://orcid.org/0000-0002-3921-0043"},"institutions":[{"id":"https://openalex.org/I55712492","display_name":"Zhejiang University of Technology","ror":"https://ror.org/02djqfd08","country_code":"CN","type":"education","lineage":["https://openalex.org/I55712492"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Qiong Wang","raw_affiliation_strings":["College of Computer Science and Technology, Zhejiang University of Technology, Hangzhou, China","College of Computer Science and Technology, Zhejiang University of Technology, China"],"raw_orcid":"https://orcid.org/0000-0002-3921-0043","affiliations":[{"raw_affiliation_string":"College of Computer Science and Technology, Zhejiang University of Technology, Hangzhou, China","institution_ids":["https://openalex.org/I55712492"]},{"raw_affiliation_string":"College of Computer Science and Technology, Zhejiang University of Technology, China","institution_ids":["https://openalex.org/I55712492"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Yan Wang","orcid":"https://orcid.org/0009-0003-2037-7198"},"institutions":[{"id":"https://openalex.org/I55712492","display_name":"Zhejiang University of Technology","ror":"https://ror.org/02djqfd08","country_code":"CN","type":"education","lineage":["https://openalex.org/I55712492"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Yan Wang","raw_affiliation_strings":["College of Computer Science and Technology, Zhejiang University of Technology, Hangzhou, China","College of Computer Science and Technology, Zhejiang University of Technology, China"],"raw_orcid":"https://orcid.org/0009-0003-2037-7198","affiliations":[{"raw_affiliation_string":"College of Computer Science and Technology, Zhejiang University of Technology, Hangzhou, China","institution_ids":["https://openalex.org/I55712492"]},{"raw_affiliation_string":"College of Computer Science and Technology, Zhejiang University of Technology, China","institution_ids":["https://openalex.org/I55712492"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Hongdi Sun","orcid":null},"institutions":[{"id":"https://openalex.org/I55712492","display_name":"Zhejiang University of Technology","ror":"https://ror.org/02djqfd08","country_code":"CN","type":"education","lineage":["https://openalex.org/I55712492"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Hongdi Sun","raw_affiliation_strings":["College of Computer Science and Technology, Zhejiang University of Technology, Hangzhou, China","College of Computer Science and Technology, Zhejiang University of Technology, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"College of Computer Science and Technology, Zhejiang University of Technology, Hangzhou, China","institution_ids":["https://openalex.org/I55712492"]},{"raw_affiliation_string":"College of Computer Science and Technology, Zhejiang University of Technology, China","institution_ids":["https://openalex.org/I55712492"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5071856444","display_name":"Yu Feng","orcid":"https://orcid.org/0000-0001-9068-3746"},"institutions":[{"id":"https://openalex.org/I1294606314","display_name":"Beijing Tongren Hospital","ror":"https://ror.org/013e4n276","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I1294606314"]},{"id":"https://openalex.org/I183519381","display_name":"Capital Medical University","ror":"https://ror.org/013xs5b60","country_code":"CN","type":"education","lineage":["https://openalex.org/I183519381"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Yu Feng","raw_affiliation_strings":["Cataract Center of Affiliated Beijing Tongren Hospital, Capital Medical University, Beijing, China","Cataract Center of Affiliated Beijing Tongren Hospital of Capital Medical University, Beijing, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Cataract Center of Affiliated Beijing Tongren Hospital, Capital Medical University, Beijing, China","institution_ids":["https://openalex.org/I1294606314"]},{"raw_affiliation_string":"Cataract Center of Affiliated Beijing Tongren Hospital of Capital Medical University, Beijing, China","institution_ids":["https://openalex.org/I1294606314","https://openalex.org/I183519381"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Zhe Dong","orcid":"https://orcid.org/0009-0000-0258-1660"},"institutions":[{"id":"https://openalex.org/I1294606314","display_name":"Beijing Tongren Hospital","ror":"https://ror.org/013e4n276","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I1294606314"]},{"id":"https://openalex.org/I183519381","display_name":"Capital Medical University","ror":"https://ror.org/013xs5b60","country_code":"CN","type":"education","lineage":["https://openalex.org/I183519381"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Zhe Dong","raw_affiliation_strings":["Cataract Center of Affiliated Beijing Tongren Hospital, Capital Medical University, Beijing, China","Cataract Center of Affiliated Beijing Tongren Hospital of Capital Medical University, Beijing, China"],"raw_orcid":"https://orcid.org/0009-0000-0258-1660","affiliations":[{"raw_affiliation_string":"Cataract Center of Affiliated Beijing Tongren Hospital, Capital Medical University, Beijing, China","institution_ids":["https://openalex.org/I1294606314"]},{"raw_affiliation_string":"Cataract Center of Affiliated Beijing Tongren Hospital of Capital Medical University, Beijing, China","institution_ids":["https://openalex.org/I1294606314","https://openalex.org/I183519381"]}]},{"author_position":"last","author":{"id":null,"display_name":"Cong Bai","orcid":"https://orcid.org/0000-0002-6177-3862"},"institutions":[{"id":"https://openalex.org/I55712492","display_name":"Zhejiang University of Technology","ror":"https://ror.org/02djqfd08","country_code":"CN","type":"education","lineage":["https://openalex.org/I55712492"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Cong Bai","raw_affiliation_strings":["College of Computer Science and Technology, Zhejiang University of Technology, Hangzhou, China","College of Computer Science and Technology, Zhejiang University of Technology, China"],"raw_orcid":"https://orcid.org/0000-0002-6177-3862","affiliations":[{"raw_affiliation_string":"College of Computer Science and Technology, Zhejiang University of Technology, Hangzhou, China","institution_ids":["https://openalex.org/I55712492"]},{"raw_affiliation_string":"College of Computer Science and Technology, Zhejiang University of Technology, China","institution_ids":["https://openalex.org/I55712492"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":6,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I55712492"],"apc_list":null,"apc_paid":null,"fwci":1.5232,"has_fulltext":false,"cited_by_count":1,"citation_normalized_percentile":{"value":0.81285988,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":91,"max":95},"biblio":{"volume":"30","issue":"1","first_page":"617","last_page":"630"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T13869","display_name":"Ocular and Laser Science Research","score":0.9700999855995178,"subfield":{"id":"https://openalex.org/subfields/2731","display_name":"Ophthalmology"},"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/T13869","display_name":"Ocular and Laser Science Research","score":0.9700999855995178,"subfield":{"id":"https://openalex.org/subfields/2731","display_name":"Ophthalmology"},"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/T11324","display_name":"Spectroscopy Techniques in Biomedical and Chemical Research","score":0.967199981212616,"subfield":{"id":"https://openalex.org/subfields/1304","display_name":"Biophysics"},"field":{"id":"https://openalex.org/fields/13","display_name":"Biochemistry, Genetics and Molecular Biology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/granularity","display_name":"Granularity","score":0.6566047072410583},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.5528935790061951},{"id":"https://openalex.org/keywords/transformer","display_name":"Transformer","score":0.47836798429489136},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.4053972363471985},{"id":"https://openalex.org/keywords/artificial-intelligence","display_name":"Artificial intelligence","score":0.3910491168498993},{"id":"https://openalex.org/keywords/data-mining","display_name":"Data mining","score":0.3300672471523285},{"id":"https://openalex.org/keywords/electrical-engineering","display_name":"Electrical engineering","score":0.12090763449668884},{"id":"https://openalex.org/keywords/engineering","display_name":"Engineering","score":0.101727694272995},{"id":"https://openalex.org/keywords/voltage","display_name":"Voltage","score":0.08049541711807251}],"concepts":[{"id":"https://openalex.org/C177774035","wikidata":"https://www.wikidata.org/wiki/Q1246948","display_name":"Granularity","level":2,"score":0.6566047072410583},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.5528935790061951},{"id":"https://openalex.org/C66322947","wikidata":"https://www.wikidata.org/wiki/Q11658","display_name":"Transformer","level":3,"score":0.47836798429489136},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.4053972363471985},{"id":"https://openalex.org/C154945302","wikidata":"https://www.wikidata.org/wiki/Q11660","display_name":"Artificial intelligence","level":1,"score":0.3910491168498993},{"id":"https://openalex.org/C124101348","wikidata":"https://www.wikidata.org/wiki/Q172491","display_name":"Data mining","level":1,"score":0.3300672471523285},{"id":"https://openalex.org/C119599485","wikidata":"https://www.wikidata.org/wiki/Q43035","display_name":"Electrical engineering","level":1,"score":0.12090763449668884},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.101727694272995},{"id":"https://openalex.org/C165801399","wikidata":"https://www.wikidata.org/wiki/Q25428","display_name":"Voltage","level":2,"score":0.08049541711807251},{"id":"https://openalex.org/C111919701","wikidata":"https://www.wikidata.org/wiki/Q9135","display_name":"Operating system","level":1,"score":0.0}],"mesh":[{"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":"D002386","descriptor_name":"Cataract","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":true},{"descriptor_ui":"D002386","descriptor_name":"Cataract","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":true},{"descriptor_ui":"D002386","descriptor_name":"Cataract","qualifier_ui":"Q000000981","qualifier_name":"diagnostic imaging","is_major_topic":true},{"descriptor_ui":"D002386","descriptor_name":"Cataract","qualifier_ui":"Q000145","qualifier_name":"classification","is_major_topic":true},{"descriptor_ui":"D002386","descriptor_name":"Cataract","qualifier_ui":"Q000145","qualifier_name":"classification","is_major_topic":true},{"descriptor_ui":"D002386","descriptor_name":"Cataract","qualifier_ui":"Q000145","qualifier_name":"classification","is_major_topic":true},{"descriptor_ui":"D002386","descriptor_name":"Cataract","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D002386","descriptor_name":"Cataract","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D002386","descriptor_name":"Cataract","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"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":true},{"descriptor_ui":"D007090","descriptor_name":"Image Interpretation, Computer-Assisted","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D007090","descriptor_name":"Image Interpretation, Computer-Assisted","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D016208","descriptor_name":"Databases, Factual","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016208","descriptor_name":"Databases, Factual","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016208","descriptor_name":"Databases, Factual","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1109/jbhi.2025.3583389","is_oa":false,"landing_page_url":"https://doi.org/10.1109/jbhi.2025.3583389","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:40560707","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/40560707","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":[{"id":"https://metadata.un.org/sdg/13","score":0.5099999904632568,"display_name":"Climate action"}],"awards":[{"id":"https://openalex.org/G2098762469","display_name":null,"funder_award_id":"U1908210","funder_id":"https://openalex.org/F4320321001","funder_display_name":"National Natural Science Foundation of China"},{"id":"https://openalex.org/G7555114670","display_name":null,"funder_award_id":"U20A20196","funder_id":"https://openalex.org/F4320321001","funder_display_name":"National Natural Science Foundation of China"}],"funders":[{"id":"https://openalex.org/F4320321001","display_name":"National Natural Science Foundation of China","ror":"https://ror.org/01h0zpd94"}],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":75,"referenced_works":["https://openalex.org/W1996551919","https://openalex.org/W2006424076","https://openalex.org/W2099838434","https://openalex.org/W2344251399","https://openalex.org/W2611254939","https://openalex.org/W2884561390","https://openalex.org/W2942843251","https://openalex.org/W2945267140","https://openalex.org/W2958184188","https://openalex.org/W2962933664","https://openalex.org/W2963691377","https://openalex.org/W2966096374","https://openalex.org/W2979652659","https://openalex.org/W2980209210","https://openalex.org/W3033845331","https://openalex.org/W3034988872","https://openalex.org/W3035682985","https://openalex.org/W3085574514","https://openalex.org/W3091187282","https://openalex.org/W3103629894","https://openalex.org/W3111803106","https://openalex.org/W3118687271","https://openalex.org/W3128797821","https://openalex.org/W3138516171","https://openalex.org/W3144084233","https://openalex.org/W3150663394","https://openalex.org/W3162949769","https://openalex.org/W3166521196","https://openalex.org/W3172509117","https://openalex.org/W3199011563","https://openalex.org/W3199511636","https://openalex.org/W3213172284","https://openalex.org/W4206015584","https://openalex.org/W4206077228","https://openalex.org/W4213360153","https://openalex.org/W4214550372","https://openalex.org/W4220652865","https://openalex.org/W4220663326","https://openalex.org/W4220774840","https://openalex.org/W4240786947","https://openalex.org/W4281630456","https://openalex.org/W4289829944","https://openalex.org/W4291021291","https://openalex.org/W4293197791","https://openalex.org/W4300074695","https://openalex.org/W4304758328","https://openalex.org/W4309611244","https://openalex.org/W4312302264","https://openalex.org/W4312577413","https://openalex.org/W4312658277","https://openalex.org/W4312726773","https://openalex.org/W4312776869","https://openalex.org/W4321608155","https://openalex.org/W4323519394","https://openalex.org/W4324291205","https://openalex.org/W4378619666","https://openalex.org/W4382203402","https://openalex.org/W4383428645","https://openalex.org/W4387068110","https://openalex.org/W4387225879","https://openalex.org/W4387415295","https://openalex.org/W4387623803","https://openalex.org/W4387917955","https://openalex.org/W4388145679","https://openalex.org/W4388642403","https://openalex.org/W4389169481","https://openalex.org/W4389169663","https://openalex.org/W4391661544","https://openalex.org/W4393154986","https://openalex.org/W4394595599","https://openalex.org/W4399666105","https://openalex.org/W4399666116","https://openalex.org/W4400033425","https://openalex.org/W4400350920","https://openalex.org/W4401806725"],"related_works":["https://openalex.org/W2899084033","https://openalex.org/W2748952813","https://openalex.org/W3031052312","https://openalex.org/W4389568370","https://openalex.org/W3032375762","https://openalex.org/W1995515455","https://openalex.org/W2080531066","https://openalex.org/W3108674512","https://openalex.org/W1506200166","https://openalex.org/W2354431794"],"abstract_inverted_index":{"Different":[0],"cataract":[1,12,15,35,69,91,121,129,169,208],"types":[2,50,59,70],"and":[3,29,189],"various":[4,58,68],"severities":[5],"usually":[6],"require":[7],"different":[8,72,146],"countermeasures.":[9],"For":[10],"automatic":[11],"diagnosis,":[13],"existing":[14,34],"classification":[16,170],"methods":[17],"group":[18],"cataracts":[19,220],"into":[20],"common":[21,49],"types,":[22],"such":[23],"as":[24],"nuclear":[25],"cataract,":[26,28,32],"cortical":[27],"posterior":[30],"subcapsular":[31],"while":[33],"grading":[36],"works":[37],"aim":[38],"to":[39,77,140],"achieve":[40],"fine-grained":[41],"evaluation":[42],"of":[43,46,51,60,89,119,145,153,157,181,184,187,191],"the":[44,47,87,112,117,127,132,135,142,150,154,163,167,174,178,195,218],"severity":[45,54],"most":[48],"cataract.":[52],"The":[53],"assessment":[55],"differs":[56],"among":[57],"cataracts.":[61],"Existing":[62],"work":[63],"is":[64,101,108,114,124,138,198],"limited":[65],"in":[66,86,110,200],"predicting":[67],"at":[71],"granularity":[73],"levels.":[74],"In":[75],"order":[76],"improve":[78],"diagnostic":[79],"efficiency,":[80],"our":[81],"study":[82],"explores":[83],"this":[84],"matter":[85],"context":[88],"multi-granularity":[90,120,168,207],"classification.":[92],"Firstly,":[93],"a":[94],"large-scale":[95],"dataset":[96,171],"called":[97],"Multi-Granularity":[98],"Long-Tailed":[99],"Cataract":[100],"collected.":[102],"Secondly,":[103],"an":[104],"end-to-end":[105],"training":[106],"network":[107],"proposed,":[109],"which":[111,210],"Transformer":[113],"investigated":[115],"for":[116,206],"extraction":[118],"features.":[122],"What":[123],"more,":[125],"considering":[126],"imbalanced":[128],"data":[130],"with":[131,160],"long-tailed":[133],"distribution,":[134],"Refocal":[136],"loss":[137,143],"proposed":[139,175,196],"rebalance":[141],"contribution":[144],"classes":[147],"by":[148],"enhancing":[149],"reciprocal":[151],"value":[152],"effective":[155],"number":[156],"samples.":[158],"Compared":[159],"state-of-the-art":[161],"methods,":[162],"experiments":[164],"conducted":[165],"on":[166],"demonstrate":[172],"that":[173,194],"model":[176],"achieves":[177],"highest":[179],"Precision":[180],"78.22%,":[182],"F1-score":[183],"68.35%,":[185],"Kappa":[186],"64.38%":[188],"MCC":[190],"64.49%,":[192],"indicating":[193],"framework":[197],"promising":[199],"offering":[201],"physicians":[202],"reliable":[203],"quantitative":[204],"evaluations":[205],"classification,":[209],"can":[211],"help":[212],"guide":[213],"appropriate":[214],"treatment":[215],"decisions":[216],"before":[217],"patient's":[219],"worsen.":[221]},"counts_by_year":[{"year":2025,"cited_by_count":1}],"updated_date":"2026-01-10T23:39:48.068659","created_date":"2025-10-10T00:00:00"}
