{"id":"https://openalex.org/W3012112151","doi":"https://doi.org/10.1117/12.2548758","title":"Breast density in Saudi Arabia: intra and inter reader variability in screening mammograms assessed visually using BI-RADS and visual analogue scales","display_name":"Breast density in Saudi Arabia: intra and inter reader variability in screening mammograms assessed visually using BI-RADS and visual analogue scales","publication_year":2020,"publication_date":"2020-03-16","ids":{"openalex":"https://openalex.org/W3012112151","doi":"https://doi.org/10.1117/12.2548758","mag":"3012112151"},"language":"en","primary_location":{"id":"doi:10.1117/12.2548758","is_oa":false,"landing_page_url":"https://doi.org/10.1117/12.2548758","pdf_url":null,"source":null,"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Medical Imaging 2020: Image Perception, Observer Performance, and Technology Assessment","raw_type":"proceedings-article"},"type":"article","indexed_in":["crossref"],"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/A5064033976","display_name":"Areej S. Aloufi","orcid":"https://orcid.org/0000-0002-6646-6378"},"institutions":[{"id":"https://openalex.org/I28022161","display_name":"King Saud University","ror":"https://ror.org/02f81g417","country_code":"SA","type":"education","lineage":["https://openalex.org/I28022161"]},{"id":"https://openalex.org/I28407311","display_name":"University of Manchester","ror":"https://ror.org/027m9bs27","country_code":"GB","type":"education","lineage":["https://openalex.org/I28407311"]}],"countries":["GB","SA"],"is_corresponding":true,"raw_author_name":"Areej S. Aloufi","raw_affiliation_strings":["King Saud Univ. (Saudi Arabia)","Univ. of Manchester (United Kingdom)"],"affiliations":[{"raw_affiliation_string":"King Saud Univ. (Saudi Arabia)","institution_ids":["https://openalex.org/I28022161"]},{"raw_affiliation_string":"Univ. of Manchester (United Kingdom)","institution_ids":["https://openalex.org/I28407311"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5029446537","display_name":"Abdulrahman AlNaeem","orcid":null},"institutions":[{"id":"https://openalex.org/I2801911633","display_name":"King Fahd Medical City","ror":"https://ror.org/01jgj2p89","country_code":"SA","type":"funder","lineage":["https://openalex.org/I2801911633"]}],"countries":["SA"],"is_corresponding":false,"raw_author_name":"Abdulrahman AlNaeem","raw_affiliation_strings":["King Fahad Medical City (Saudi Arabia)"],"affiliations":[{"raw_affiliation_string":"King Fahad Medical City (Saudi Arabia)","institution_ids":["https://openalex.org/I2801911633"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Abeer Almousa","orcid":null},"institutions":[{"id":"https://openalex.org/I2801911633","display_name":"King Fahd Medical City","ror":"https://ror.org/01jgj2p89","country_code":"SA","type":"funder","lineage":["https://openalex.org/I2801911633"]}],"countries":["SA"],"is_corresponding":false,"raw_author_name":"Abeer Almousa","raw_affiliation_strings":["King Fahad Medical City (Saudi Arabia)"],"affiliations":[{"raw_affiliation_string":"King Fahad Medical City (Saudi Arabia)","institution_ids":["https://openalex.org/I2801911633"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5071995671","display_name":"Khaled Alzimami","orcid":null},"institutions":[{"id":"https://openalex.org/I28407311","display_name":"University of Manchester","ror":"https://ror.org/027m9bs27","country_code":"GB","type":"education","lineage":["https://openalex.org/I28407311"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Khaled Alzimami","raw_affiliation_strings":["Univ. of Manchester (United Kingdom)"],"affiliations":[{"raw_affiliation_string":"Univ. of Manchester (United Kingdom)","institution_ids":["https://openalex.org/I28407311"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5007509882","display_name":"Abdulrahman Alfuraih","orcid":"https://orcid.org/0000-0003-3010-0136"},"institutions":[{"id":"https://openalex.org/I28407311","display_name":"University of Manchester","ror":"https://ror.org/027m9bs27","country_code":"GB","type":"education","lineage":["https://openalex.org/I28407311"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Abdulrahman Alfuraih","raw_affiliation_strings":["Univ. of Manchester (United Kingdom)"],"affiliations":[{"raw_affiliation_string":"Univ. of Manchester (United Kingdom)","institution_ids":["https://openalex.org/I28407311"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5078106266","display_name":"Bader Alshahrani","orcid":null},"institutions":[{"id":"https://openalex.org/I4210138988","display_name":"King Khalid University Hospital","ror":"https://ror.org/046gga527","country_code":"SA","type":"healthcare","lineage":["https://openalex.org/I4210138988"]}],"countries":["SA"],"is_corresponding":false,"raw_author_name":"Bader Alshahrani","raw_affiliation_strings":["King Khalid Univ. Hospital (Saudi Arabia)"],"affiliations":[{"raw_affiliation_string":"King Khalid Univ. Hospital (Saudi Arabia)","institution_ids":["https://openalex.org/I4210138988"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5072467265","display_name":"Mohammed Ayesh Zayed","orcid":null},"institutions":[{"id":"https://openalex.org/I4210138988","display_name":"King Khalid University Hospital","ror":"https://ror.org/046gga527","country_code":"SA","type":"healthcare","lineage":["https://openalex.org/I4210138988"]}],"countries":["SA"],"is_corresponding":false,"raw_author_name":"Mohammed Zayed","raw_affiliation_strings":["King Khalid Univ. Hospital (Saudi Arabia)"],"affiliations":[{"raw_affiliation_string":"King Khalid Univ. Hospital (Saudi Arabia)","institution_ids":["https://openalex.org/I4210138988"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5003531369","display_name":"Taghrid AlMashouq","orcid":null},"institutions":[{"id":"https://openalex.org/I2801911633","display_name":"King Fahd Medical City","ror":"https://ror.org/01jgj2p89","country_code":"SA","type":"funder","lineage":["https://openalex.org/I2801911633"]}],"countries":["SA"],"is_corresponding":false,"raw_author_name":"Taghrid AlMashouq","raw_affiliation_strings":["King Fahad Medical City (Saudi Arabia)"],"affiliations":[{"raw_affiliation_string":"King Fahad Medical City (Saudi Arabia)","institution_ids":["https://openalex.org/I2801911633"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5040334230","display_name":"Saud Alnasser","orcid":null},"institutions":[{"id":"https://openalex.org/I4210138988","display_name":"King Khalid University Hospital","ror":"https://ror.org/046gga527","country_code":"SA","type":"healthcare","lineage":["https://openalex.org/I4210138988"]}],"countries":["SA"],"is_corresponding":false,"raw_author_name":"Saud Alnasser","raw_affiliation_strings":["King Khalid Univ. Hospital (Saudi Arabia)"],"affiliations":[{"raw_affiliation_string":"King Khalid Univ. Hospital (Saudi Arabia)","institution_ids":["https://openalex.org/I4210138988"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5004324141","display_name":"Khera Aldossari","orcid":null},"institutions":[{"id":"https://openalex.org/I4210138988","display_name":"King Khalid University Hospital","ror":"https://ror.org/046gga527","country_code":"SA","type":"healthcare","lineage":["https://openalex.org/I4210138988"]}],"countries":["SA"],"is_corresponding":false,"raw_author_name":"Khera Aldossari","raw_affiliation_strings":["King Khalid Univ. Hospital (Saudi Arabia)"],"affiliations":[{"raw_affiliation_string":"King Khalid Univ. Hospital (Saudi Arabia)","institution_ids":["https://openalex.org/I4210138988"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5061421041","display_name":"Mona Alomrani","orcid":null},"institutions":[{"id":"https://openalex.org/I4210138988","display_name":"King Khalid University Hospital","ror":"https://ror.org/046gga527","country_code":"SA","type":"healthcare","lineage":["https://openalex.org/I4210138988"]}],"countries":["SA"],"is_corresponding":false,"raw_author_name":"Mona Alomrani","raw_affiliation_strings":["King Khalid Univ. Hospital (Saudi Arabia)"],"affiliations":[{"raw_affiliation_string":"King Khalid Univ. Hospital (Saudi Arabia)","institution_ids":["https://openalex.org/I4210138988"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5040086321","display_name":"Iman Alzahrani","orcid":null},"institutions":[{"id":"https://openalex.org/I2801911633","display_name":"King Fahd Medical City","ror":"https://ror.org/01jgj2p89","country_code":"SA","type":"funder","lineage":["https://openalex.org/I2801911633"]}],"countries":["SA"],"is_corresponding":false,"raw_author_name":"Iman Alzahrani","raw_affiliation_strings":["King Fahad Medical City (Saudi Arabia)"],"affiliations":[{"raw_affiliation_string":"King Fahad Medical City (Saudi Arabia)","institution_ids":["https://openalex.org/I2801911633"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5050686707","display_name":"Elaine F. Harkness","orcid":"https://orcid.org/0000-0001-6625-7739"},"institutions":[{"id":"https://openalex.org/I28407311","display_name":"University of Manchester","ror":"https://ror.org/027m9bs27","country_code":"GB","type":"education","lineage":["https://openalex.org/I28407311"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Elaine Harkness","raw_affiliation_strings":["Univ. of Manchester (United Kingdom)"],"affiliations":[{"raw_affiliation_string":"Univ. of Manchester (United Kingdom)","institution_ids":["https://openalex.org/I28407311"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5113042086","display_name":"Susan Astley","orcid":"https://orcid.org/0000-0002-2989-2765"},"institutions":[{"id":"https://openalex.org/I28407311","display_name":"University of Manchester","ror":"https://ror.org/027m9bs27","country_code":"GB","type":"education","lineage":["https://openalex.org/I28407311"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Susan Astley","raw_affiliation_strings":["Univ. of Manchester (United Kingdom)"],"affiliations":[{"raw_affiliation_string":"Univ. of Manchester (United Kingdom)","institution_ids":["https://openalex.org/I28407311"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":14,"corresponding_author_ids":["https://openalex.org/A5064033976"],"corresponding_institution_ids":["https://openalex.org/I28022161","https://openalex.org/I28407311"],"apc_list":null,"apc_paid":null,"fwci":0.1675,"has_fulltext":false,"cited_by_count":2,"citation_normalized_percentile":{"value":0.5058228,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":94,"max":96},"biblio":{"volume":null,"issue":null,"first_page":"15","last_page":"15"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10556","display_name":"Global Cancer Incidence and Screening","score":0.9994000196456909,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"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/T10556","display_name":"Global Cancer Incidence and Screening","score":0.9994000196456909,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"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/T11361","display_name":"Digital Radiography and Breast Imaging","score":0.9973000288009644,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10862","display_name":"AI in cancer detection","score":0.9970999956130981,"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/mammography","display_name":"Mammography","score":0.8825516104698181},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.7872681617736816},{"id":"https://openalex.org/keywords/intraclass-correlation","display_name":"Intraclass correlation","score":0.7534533739089966},{"id":"https://openalex.org/keywords/breast-cancer","display_name":"Breast cancer","score":0.7300940752029419},{"id":"https://openalex.org/keywords/bi-rads","display_name":"BI-RADS","score":0.7181392312049866},{"id":"https://openalex.org/keywords/breast-imaging","display_name":"Breast imaging","score":0.6644773483276367},{"id":"https://openalex.org/keywords/breast-density","display_name":"Breast density","score":0.6352566480636597},{"id":"https://openalex.org/keywords/mammographic-density","display_name":"MAMMOGRAPHIC DENSITY","score":0.6308057308197021},{"id":"https://openalex.org/keywords/kappa","display_name":"Kappa","score":0.5936017036437988},{"id":"https://openalex.org/keywords/radiology","display_name":"Radiology","score":0.5092481374740601},{"id":"https://openalex.org/keywords/breast-cancer-screening","display_name":"Breast cancer screening","score":0.47082406282424927},{"id":"https://openalex.org/keywords/cohens-kappa","display_name":"Cohen's kappa","score":0.4284594655036926},{"id":"https://openalex.org/keywords/medical-physics","display_name":"Medical physics","score":0.3273085355758667},{"id":"https://openalex.org/keywords/cancer","display_name":"Cancer","score":0.23454409837722778},{"id":"https://openalex.org/keywords/internal-medicine","display_name":"Internal medicine","score":0.11078572273254395},{"id":"https://openalex.org/keywords/mathematics","display_name":"Mathematics","score":0.062451690435409546},{"id":"https://openalex.org/keywords/statistics","display_name":"Statistics","score":0.06004291772842407}],"concepts":[{"id":"https://openalex.org/C2780472235","wikidata":"https://www.wikidata.org/wiki/Q324634","display_name":"Mammography","level":4,"score":0.8825516104698181},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7872681617736816},{"id":"https://openalex.org/C104709138","wikidata":"https://www.wikidata.org/wiki/Q1671540","display_name":"Intraclass correlation","level":3,"score":0.7534533739089966},{"id":"https://openalex.org/C530470458","wikidata":"https://www.wikidata.org/wiki/Q128581","display_name":"Breast cancer","level":3,"score":0.7300940752029419},{"id":"https://openalex.org/C2779098232","wikidata":"https://www.wikidata.org/wiki/Q903975","display_name":"BI-RADS","level":5,"score":0.7181392312049866},{"id":"https://openalex.org/C2777432617","wikidata":"https://www.wikidata.org/wiki/Q22905905","display_name":"Breast imaging","level":5,"score":0.6644773483276367},{"id":"https://openalex.org/C3018951153","wikidata":"https://www.wikidata.org/wiki/Q17011492","display_name":"Breast density","level":5,"score":0.6352566480636597},{"id":"https://openalex.org/C2909213482","wikidata":"https://www.wikidata.org/wiki/Q17011492","display_name":"MAMMOGRAPHIC DENSITY","level":5,"score":0.6308057308197021},{"id":"https://openalex.org/C2778724333","wikidata":"https://www.wikidata.org/wiki/Q14401","display_name":"Kappa","level":2,"score":0.5936017036437988},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.5092481374740601},{"id":"https://openalex.org/C2778491387","wikidata":"https://www.wikidata.org/wiki/Q17011492","display_name":"Breast cancer screening","level":5,"score":0.47082406282424927},{"id":"https://openalex.org/C163864269","wikidata":"https://www.wikidata.org/wiki/Q1107106","display_name":"Cohen's kappa","level":2,"score":0.4284594655036926},{"id":"https://openalex.org/C19527891","wikidata":"https://www.wikidata.org/wiki/Q1120908","display_name":"Medical physics","level":1,"score":0.3273085355758667},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.23454409837722778},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.11078572273254395},{"id":"https://openalex.org/C33923547","wikidata":"https://www.wikidata.org/wiki/Q395","display_name":"Mathematics","level":0,"score":0.062451690435409546},{"id":"https://openalex.org/C105795698","wikidata":"https://www.wikidata.org/wiki/Q12483","display_name":"Statistics","level":1,"score":0.06004291772842407},{"id":"https://openalex.org/C171606756","wikidata":"https://www.wikidata.org/wiki/Q506132","display_name":"Psychometrics","level":2,"score":0.0},{"id":"https://openalex.org/C2524010","wikidata":"https://www.wikidata.org/wiki/Q8087","display_name":"Geometry","level":1,"score":0.0},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.0}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1117/12.2548758","is_oa":false,"landing_page_url":"https://doi.org/10.1117/12.2548758","pdf_url":null,"source":null,"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Medical Imaging 2020: Image Perception, Observer Performance, and Technology Assessment","raw_type":"proceedings-article"},{"id":"pmh:oai:pure.atira.dk:openaire_cris_publications/40bfd8a8-7f22-441e-9039-7c2247e2686b","is_oa":false,"landing_page_url":"https://research.manchester.ac.uk/en/publications/40bfd8a8-7f22-441e-9039-7c2247e2686b","pdf_url":null,"source":{"id":"https://openalex.org/S4306400662","display_name":"Research Explorer (The University of Manchester)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I28407311","host_organization_name":"University of Manchester","host_organization_lineage":["https://openalex.org/I28407311"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Aloufi, A S, Alnaeem, A, Almousa, A, Alzimami, K, Alfuraih, A, Alshahrani, B, Zayed, M, Almashouq, T, Alnasser, S, Aldossari, K, Alomrani, M, Alzahrani, I, Harkness, E F & Astley, S 2020, Breast density in Saudi Arabia : Intra and inter reader variability in screening mammograms assessed visually using BI-RADS and visual analogue scales. in F W Samuelson & S Taylor-Phillips (eds), Medical Imaging 2020 : Image Perception, Observer Performance, and Technology Assessment., 113160H, Progress in Biomedical Optics and Imaging - Proceedings of SPIE, vol. 11316, SPIE, Bellingham, WA, pp. 1-8, Medical Imaging 2020: Image Perception, Observer Performance, and Technology Assessment, Houston, United States, 19/02/20. https://doi.org/10.1117/12.2548758","raw_type":"info:eu-repo/semantics/publishedVersion"}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.47999998927116394,"id":"https://metadata.un.org/sdg/4","display_name":"Quality Education"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2050777812","https://openalex.org/W2154027915","https://openalex.org/W2927354646","https://openalex.org/W2908177804","https://openalex.org/W2075097563","https://openalex.org/W2888017560","https://openalex.org/W3093479359","https://openalex.org/W2111863209","https://openalex.org/W2322522942","https://openalex.org/W4362522338"],"abstract_inverted_index":{"Breast":[0,46,74],"density":[1,34,54,220],"is":[2,129,230,241,249],"an":[3],"important":[4,251],"risk":[5],"factor":[6],"for":[7,88,119,141,164,171,185,237],"breast":[8,33,53,84,219,227,256],"cancer":[9,257],"and":[10,27,49,58,149,168,210],"has":[11],"a":[12,111,124],"substantial":[13,169],"effect":[14],"on":[15],"the":[16,40,71,225],"sensitivity":[17],"of":[18,31,43,66,113,126,196],"mammography":[19,121,202],"screening.":[20],"This":[21],"study":[22],"aimed":[23],"to":[24,243],"evaluate":[25],"intra":[26,89],"inter":[28,197],"reader":[29,90,93,117,133,177,198,245],"variability":[30,94,118,134,178],"visual":[32],"assessment":[35,221],"in":[36,218,224,252],"Saudi":[37,72,226],"Arabia,":[38],"using":[39,97,123,206,212],"American":[41],"College":[42],"Radiology":[44],"(ACR)":[45],"Imaging":[47],"Reporting":[48],"Data":[50],"System":[51],"(BI-RADS)":[52],"categories":[55],"(5th":[56],"edition)":[57],"Visual":[59],"Analogue":[60],"Scales":[61],"(VAS).":[62],"A":[63,137],"random":[64],"sample":[65,125],"102":[67],"screening":[68,85,98,228,258],"mammograms":[69,99,128],"from":[70,100,110],"National":[73],"Cancer":[75],"Screening":[76],"Programme":[77],"(SNBCSP)":[78],"was":[79,95,105,204],"assessed":[80,96,106],"twice":[81],"by":[82,107,222],"two":[83,108,120,201],"consultant":[86],"radiologists":[87,180,223],"variability.":[91],"Inter":[92,116,176],"1132":[101],"women.":[102],"Each":[103],"mammogram":[104],"readers":[109],"pool":[112],"11":[114],"radiologists.":[115],"technologists":[122,203,233],"75":[127],"also":[130,250],"reported.":[131],"Intra":[132],"showed":[135,181,234],"radiologist":[136,156],"had":[138,158,191],"excellent":[139,162,192],"agreement":[140,163,170,184,193,199,217,236],"VAS":[142,165,190,213],"[Intraclass":[143],"Correlation":[144],"Coefficient":[145],"(ICC)":[146],"=":[147,154,174],"0.95]":[148],"BI-RADS":[150,172,186,207],"[weighted":[151],"kappa":[152],"(\u03ba)":[153],"0.88],":[155],"B":[157],"lower":[159,235],"but":[160],"still":[161],"[ICC=":[166],"0.88]":[167],"[\u03ba":[173,187],"0.71].":[175],"between":[179,200],"overall":[182],"moderate":[183,211],"=0.61]":[188],"while":[189],"[ICC=0.89].":[194],"Results":[195],"fair":[205],"[\u03ba=":[208],"0.35]":[209],"[ICC=0.41].":[214],"In":[215],"conclusion,":[216],"programme":[229],"acceptable.":[231],"Mammography":[232],"both":[238],"methods.":[239],"Training":[240],"essential":[242],"increase":[244],"agreement,":[246],"double":[247],"reading":[248],"such":[253],"population":[254],"based":[255],"programmes.":[259]},"counts_by_year":[{"year":2022,"cited_by_count":2}],"updated_date":"2026-04-17T18:11:37.981687","created_date":"2025-10-10T00:00:00"}