{"id":"https://openalex.org/W4366742724","doi":"https://doi.org/10.1186/s12911-023-02166-8","title":"The prediction of distant metastasis risk for male breast cancer patients based on an interpretable machine learning model","display_name":"The prediction of distant metastasis risk for male breast cancer patients based on an interpretable machine learning model","publication_year":2023,"publication_date":"2023-04-21","ids":{"openalex":"https://openalex.org/W4366742724","doi":"https://doi.org/10.1186/s12911-023-02166-8","pmid":"https://pubmed.ncbi.nlm.nih.gov/37085843"},"language":"en","primary_location":{"id":"doi:10.1186/s12911-023-02166-8","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12911-023-02166-8","pdf_url":"https://bmcmedinformdecismak.biomedcentral.com/counter/pdf/10.1186/s12911-023-02166-8","source":{"id":"https://openalex.org/S107516304","display_name":"BMC Medical Informatics and Decision Making","issn_l":"1472-6947","issn":["1472-6947"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Medical Informatics and Decision Making","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://bmcmedinformdecismak.biomedcentral.com/counter/pdf/10.1186/s12911-023-02166-8","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5102251313","display_name":"Xuhai Zhao","orcid":null},"institutions":[{"id":"https://openalex.org/I156144747","display_name":"Harbin Medical University","ror":"https://ror.org/05jscf583","country_code":"CN","type":"education","lineage":["https://openalex.org/I156144747"]},{"id":"https://openalex.org/I4210103956","display_name":"Third Affiliated Hospital of Harbin Medical University","ror":"https://ror.org/01f77gp95","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210103956"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Xuhai Zhao","raw_affiliation_strings":["Department of Breast Surgery, Harbin Medical University Cancer Hospital, Harbin, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Breast Surgery, Harbin Medical University Cancer Hospital, Harbin, China","institution_ids":["https://openalex.org/I156144747","https://openalex.org/I4210103956"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5039308933","display_name":"Cong Jiang","orcid":"https://orcid.org/0000-0002-6436-4386"},"institutions":[{"id":"https://openalex.org/I156144747","display_name":"Harbin Medical University","ror":"https://ror.org/05jscf583","country_code":"CN","type":"education","lineage":["https://openalex.org/I156144747"]},{"id":"https://openalex.org/I4210103956","display_name":"Third Affiliated Hospital of Harbin Medical University","ror":"https://ror.org/01f77gp95","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210103956"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Cong Jiang","raw_affiliation_strings":["Department of Breast Surgery, Harbin Medical University Cancer Hospital, Harbin, China. greenm00d@outlook.com","Department of Breast Surgery, Harbin Medical University Cancer Hospital, Harbin, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Breast Surgery, Harbin Medical University Cancer Hospital, Harbin, China. greenm00d@outlook.com","institution_ids":["https://openalex.org/I156144747","https://openalex.org/I4210103956"]},{"raw_affiliation_string":"Department of Breast Surgery, Harbin Medical University Cancer Hospital, Harbin, China","institution_ids":["https://openalex.org/I156144747","https://openalex.org/I4210103956"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5039308933"],"corresponding_institution_ids":["https://openalex.org/I156144747","https://openalex.org/I4210103956"],"apc_list":{"value":1570,"currency":"GBP","value_usd":1925},"apc_paid":{"value":1570,"currency":"GBP","value_usd":1925},"fwci":4.6484,"has_fulltext":true,"cited_by_count":18,"citation_normalized_percentile":{"value":0.95050064,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":97,"max":99},"biblio":{"volume":"23","issue":"1","first_page":"74","last_page":"74"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T13097","display_name":"Male Breast Health Studies","score":0.9908000230789185,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"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/T13097","display_name":"Male Breast Health Studies","score":0.9908000230789185,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"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/T10769","display_name":"BRCA gene mutations in cancer","score":0.0008999999845400453,"subfield":{"id":"https://openalex.org/subfields/1311","display_name":"Genetics"},"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"}},{"id":"https://openalex.org/T14078","display_name":"Multiple and Secondary Primary Cancers","score":0.0007999999797903001,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/breast-cancer","display_name":"Breast cancer","score":0.6734236478805542},{"id":"https://openalex.org/keywords/health-informatics","display_name":"Health informatics","score":0.6042883396148682},{"id":"https://openalex.org/keywords/artificial-intelligence","display_name":"Artificial intelligence","score":0.4764017164707184},{"id":"https://openalex.org/keywords/machine-learning","display_name":"Machine learning","score":0.47353169322013855},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.45476916432380676},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.4514065682888031},{"id":"https://openalex.org/keywords/metastasis","display_name":"Metastasis","score":0.43630629777908325},{"id":"https://openalex.org/keywords/oncology","display_name":"Oncology","score":0.3787969946861267},{"id":"https://openalex.org/keywords/cancer","display_name":"Cancer","score":0.377596914768219},{"id":"https://openalex.org/keywords/internal-medicine","display_name":"Internal medicine","score":0.3286176025867462},{"id":"https://openalex.org/keywords/public-health","display_name":"Public health","score":0.20450925827026367},{"id":"https://openalex.org/keywords/pathology","display_name":"Pathology","score":0.1857447624206543}],"concepts":[{"id":"https://openalex.org/C530470458","wikidata":"https://www.wikidata.org/wiki/Q128581","display_name":"Breast cancer","level":3,"score":0.6734236478805542},{"id":"https://openalex.org/C145642194","wikidata":"https://www.wikidata.org/wiki/Q870895","display_name":"Health informatics","level":3,"score":0.6042883396148682},{"id":"https://openalex.org/C154945302","wikidata":"https://www.wikidata.org/wiki/Q11660","display_name":"Artificial intelligence","level":1,"score":0.4764017164707184},{"id":"https://openalex.org/C119857082","wikidata":"https://www.wikidata.org/wiki/Q2539","display_name":"Machine learning","level":1,"score":0.47353169322013855},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.45476916432380676},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.4514065682888031},{"id":"https://openalex.org/C2779013556","wikidata":"https://www.wikidata.org/wiki/Q181876","display_name":"Metastasis","level":3,"score":0.43630629777908325},{"id":"https://openalex.org/C143998085","wikidata":"https://www.wikidata.org/wiki/Q162555","display_name":"Oncology","level":1,"score":0.3787969946861267},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.377596914768219},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.3286176025867462},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.20450925827026367},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.1857447624206543}],"mesh":[{"descriptor_ui":"D000069550","descriptor_name":"Machine Learning","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000069550","descriptor_name":"Machine Learning","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000069550","descriptor_name":"Machine Learning","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","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":"D008175","descriptor_name":"Lung Neoplasms","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D008175","descriptor_name":"Lung Neoplasms","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D008175","descriptor_name":"Lung Neoplasms","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","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},{"descriptor_ui":"D016208","descriptor_name":"Databases, Factual","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D018567","descriptor_name":"Breast Neoplasms, Male","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D018567","descriptor_name":"Breast Neoplasms, Male","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D018567","descriptor_name":"Breast Neoplasms, Male","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D019540","descriptor_name":"Area Under Curve","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019540","descriptor_name":"Area Under Curve","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019540","descriptor_name":"Area Under Curve","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":4,"locations":[{"id":"doi:10.1186/s12911-023-02166-8","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12911-023-02166-8","pdf_url":"https://bmcmedinformdecismak.biomedcentral.com/counter/pdf/10.1186/s12911-023-02166-8","source":{"id":"https://openalex.org/S107516304","display_name":"BMC Medical Informatics and Decision Making","issn_l":"1472-6947","issn":["1472-6947"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Medical Informatics and Decision Making","raw_type":"journal-article"},{"id":"pmid:37085843","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/37085843","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":"BMC medical informatics and decision making","raw_type":null},{"id":"pmh:oai:pubmedcentral.nih.gov:10120176","is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/10120176","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10120176/pdf/12911_2023_Article_2166.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"BMC Med Inform Decis Mak","raw_type":"Text"},{"id":"pmh:oai:doaj.org/article:3fbc75308a194a239b38e5890a1f1204","is_oa":true,"landing_page_url":"https://doaj.org/article/3fbc75308a194a239b38e5890a1f1204","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","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":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"BMC Medical Informatics and Decision Making, Vol 23, Iss 1, Pp 1-14 (2023)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1186/s12911-023-02166-8","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12911-023-02166-8","pdf_url":"https://bmcmedinformdecismak.biomedcentral.com/counter/pdf/10.1186/s12911-023-02166-8","source":{"id":"https://openalex.org/S107516304","display_name":"BMC Medical Informatics and Decision Making","issn_l":"1472-6947","issn":["1472-6947"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Medical Informatics and Decision Making","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.6899999976158142}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4366742724.pdf"},"referenced_works_count":38,"referenced_works":["https://openalex.org/W1915129189","https://openalex.org/W1997128704","https://openalex.org/W2064617550","https://openalex.org/W2100959335","https://openalex.org/W2141926802","https://openalex.org/W2148788003","https://openalex.org/W2165911789","https://openalex.org/W2421692008","https://openalex.org/W2592908133","https://openalex.org/W2599933730","https://openalex.org/W2604847258","https://openalex.org/W2766828098","https://openalex.org/W2767980025","https://openalex.org/W2811313942","https://openalex.org/W2898574163","https://openalex.org/W2957606078","https://openalex.org/W2972785004","https://openalex.org/W2974701444","https://openalex.org/W2979291688","https://openalex.org/W2985778866","https://openalex.org/W2991592623","https://openalex.org/W3006424097","https://openalex.org/W3012552438","https://openalex.org/W3046874697","https://openalex.org/W3081692890","https://openalex.org/W3093509534","https://openalex.org/W3093955131","https://openalex.org/W3121294822","https://openalex.org/W3155158672","https://openalex.org/W3164451191","https://openalex.org/W3165174637","https://openalex.org/W4206841660","https://openalex.org/W4286776307","https://openalex.org/W4287307772","https://openalex.org/W4293426625","https://openalex.org/W4296094913","https://openalex.org/W4298124953","https://openalex.org/W4309609209"],"related_works":["https://openalex.org/W2375584271","https://openalex.org/W1997105855","https://openalex.org/W4301030387","https://openalex.org/W2414286769","https://openalex.org/W2013223288","https://openalex.org/W2037827305","https://openalex.org/W3109514250","https://openalex.org/W1905072147","https://openalex.org/W2989121736","https://openalex.org/W2892677547"],"abstract_inverted_index":{"OBJECTIVES:":[0],"This":[1],"research":[2],"was":[3,93,158,275],"designed":[4],"to":[5,17,28,83,95],"compare":[6,96],"the":[7,30,56,85,97,100,159,171,176,206,217,225,234,255,264,272,282,315,338],"ability":[8,204],"of":[9,87,99,208,271,279,302,340],"different":[10,88],"machine":[11],"learning":[12],"(ML)":[13],"models":[14,44,311],"and":[15,27,61,63,71,78,103,128,192,238,287,312,325],"nomogram":[16,280],"predict":[18],"distant":[19,120,303],"metastasis":[20,121,210,240,304],"in":[21,55,166,175,205,216,224,233,246,254,263,281],"male":[22,50],"breast":[23,51],"cancer":[24,52],"(MBC)":[25,53],"patients":[26,54,65,114,144,307],"interpret":[29],"optimal":[31],"ML":[32,43,161,310],"model":[33,157,162,274,297,317,321],"by":[34],"SHapley":[35],"Additive":[36],"exPlanations":[37],"(SHAP)":[38],"framework.":[39],"METHODS:":[40],"Four":[41],"powerful":[42,203,320],"were":[45,81,106,115],"developed":[46],"using":[47,108],"data":[48],"from":[49,66],"SEER":[57],"database":[58],"between":[59,69],"2010":[60,70],"2015":[62],"MBC":[64,167,306],"our":[67],"hospital":[68],"2020.":[72],"The":[73,90,134,155,268,295],"area":[74],"under":[75],"curve":[76],"(AUC)":[77],"Brier":[79],"score":[80],"used":[82],"assess":[84],"capacity":[86],"models.":[89,101],"Delong":[91],"test":[92,226,256],"applied":[94],"performance":[98],"Univariable":[102],"multivariable":[104],"analysis":[105],"conducted":[107],"logistic":[109],"regression.":[110],"RESULTS:":[111],"Of":[112],"2351":[113],"analyzed;":[116],"168":[117],"(7.1%)":[118],"had":[119,125,131],"(M1);":[122],"117":[123],"(5.0%)":[124],"bone":[126,209,324],"metastasis,":[127],"71":[129],"(3.0%)":[130],"lung":[132,239,326],"metastasis.":[133,327],"median":[135],"age":[136],"at":[137],"diagnosis":[138],"is":[139,298,318],"68.0":[140],"years":[141],"old.":[142],"Most":[143],"did":[145],"not":[146],"receive":[147],"radiotherapy":[148],"(1723,":[149],"73.3%)":[150],"or":[151],"chemotherapy":[152],"(1447,":[153],"61.5%).":[154],"XGB":[156,273,296,316],"best":[160],"for":[163,322],"predicting":[164,323],"M1":[165],"patients.":[168],"It":[169,200],"showed":[170,202],"largest":[172],"AUC":[173,269],"value":[174,270],"tenfold":[177],"cross":[178],"validation":[179,194,236,266,289],"(AUC:0.884;":[180],"SD:0.02),":[181],"training":[182,218,247,283],"(AUC:0.907;":[183],"95%":[184,189,196,213,222,230,243,251,260],"CI:":[185,190,197,214,231,244,252,261],"0.899-0.917),":[186],"testing":[187],"(AUC:0.827;":[188],"0.802-0.857)":[191],"external":[193,235,265,288],"(AUC:0.754;":[195],"0.739-0.771)":[198],"sets.":[199,293],"also":[201],"prediction":[207],"(AUC:":[211,241],"0.880,":[212],"0.856-0.903":[215],"set;":[219,227,248,257],"AUC:":[220,228,249,258],"0.823,":[221],"CI:0.790-0.848":[223],"0.747,":[229],"0.727-0.764":[232],"set)":[237],"0.906,":[242],"0.877-0.928":[245],"0.859,":[250],"0.816-0.891":[253],"0.756,":[259],"0.732-0.777":[262],"set).":[267],"larger":[276],"than":[277,308],"that":[278],"(0.907":[284],"vs":[285,291],"0.802)":[286],"(0.754":[290],"0.706)":[292],"CONCLUSIONS:":[294],"a":[299,319],"better":[300],"predictor":[301],"among":[305],"other":[309],"nomogram;":[313],"furthermore,":[314],"Combining":[328],"with":[329],"SHAP":[330],"values,":[331],"it":[332],"could":[333],"help":[334],"doctors":[335],"intuitively":[336],"understand":[337],"impact":[339],"each":[341],"variable":[342],"on":[343],"outcome.":[344]},"counts_by_year":[{"year":2026,"cited_by_count":2},{"year":2025,"cited_by_count":4},{"year":2024,"cited_by_count":8},{"year":2023,"cited_by_count":4}],"updated_date":"2026-06-17T06:14:20.161405","created_date":"2025-10-10T00:00:00"}
