<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.3 20210610//EN" "JATS-journalpublishing1-3.dtd">
<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">ojrdrt</journal-id><journal-title-group><journal-title xml:lang="ru">Онкологический журнал: лучевая диагностика, лучевая терапия</journal-title><trans-title-group xml:lang="en"><trans-title>Journal of oncology: diagnostic radiology and radiotherapy</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2587-7593</issn><issn pub-type="epub">2713-167X</issn><publisher><publisher-name>НЕКОММЕРЧЕСКОЕ ПАРТНЕРСТВО «ОБЩЕСТВО ИНТЕРВЕНЦИОННЫХ ОНКОРАДИОЛОГОВ»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.37174/2587-7593-2024-7-2-9-14</article-id><article-id custom-type="elpub" pub-id-type="custom">ojrdrt-359</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ЯДЕРНАЯ МЕДИЦИНА</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>NUCLEAR MEDICINE</subject></subj-group></article-categories><title-group><article-title>ПЭТ/КТ с 68Ga-DOTA-TATE и 68Ga-FAPI в диагностике нейроэндокринных опухолей. Клинические наблюдения</article-title><trans-title-group xml:lang="en"><trans-title>PET/CT with 68Ga-DOTA-TATE and 68Ga-FAPI in the Diagnosis of Neuroendocrine Tumors. Clinical Cases</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Белкин</surname><given-names>Е. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Belkin</surname><given-names>E. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Белкин Егор Владимирович — ординатор отделения позитронной эмиссионной томографии НИИ КиЭР НМИЦ онкологии им. Н.Н. Блохина Минздрава России.</p><p>115478 Москва, Каширское шоссе, 24</p></bio><bio xml:lang="en"><p>Egor V. Belkin.</p><p>24 Kashirskoye Shosse, Moscow, 115478</p></bio><email xlink:type="simple">ega.belkin@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7226-5129</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Тулин</surname><given-names>П. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Tulin</surname><given-names>P. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Тулин Павел Евгеньевич — к.м.н., с.н.с. отделения позитронной эмиссионной томографии НИИ КиЭР НМИЦ онкологии им. Н.Н. Блохина Минздрава России.</p><p>115478 Москва, Каширское шоссе, 24</p><p>Тел.: +79168709913</p></bio><bio xml:lang="en"><p>Pavel E. Tulin.</p><p>24 Kashirskoye Shosse, Moscow, 115478</p></bio><email xlink:type="simple">480pol@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3576-6156</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Оджарова</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Odzharova</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Оджарова Акгуль Атаевна — к.м.н., с.н.с. отделения позитронной эмиссионной томографии НИИ КиЭР НМИЦ онкологии им. Н.Н. Блохина Минздрава России.</p><p>115478 Москва, Каширское шоссе, 24</p></bio><bio xml:lang="en"><p>Akgul A. Odzharova.</p><p>24 Kashirskoye Shosse, Moscow, 115478</p></bio><email xlink:type="simple">odzharova07@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Национальный медицинский исследовательский центр онкологии им. Н.Н. Блохина Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>N.N. Blokhin National Medical Research Center of Oncology</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2024</year></pub-date><pub-date pub-type="epub"><day>04</day><month>07</month><year>2024</year></pub-date><volume>7</volume><issue>2</issue><fpage>9</fpage><lpage>14</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Белкин Е.В., Тулин П.Е., Оджарова А.А., 2024</copyright-statement><copyright-year>2024</copyright-year><copyright-holder xml:lang="ru">Белкин Е.В., Тулин П.Е., Оджарова А.А.</copyright-holder><copyright-holder xml:lang="en">Belkin E.V., Tulin P.E., Odzharova A.A.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.oncoradjournal.ru/jour/article/view/359">https://www.oncoradjournal.ru/jour/article/view/359</self-uri><abstract><sec><title>Цель</title><p>Цель: Провести сравнительный анализ диагностической эффективности ПЭТ/КТ с 68Ga-DOTA-TATE и 68Ga-FAPI на примере клинических случаев НЭО (определение первичной опухоли и экстраорганных метастазов).</p></sec><sec><title>Материал и методы</title><p>Материал и методы: Двум пациентам с НЭО поджелудочной железы до лечения проведены ПЭТ/КТ-исследования с 68Ga-DOTA-TATE и 68Ga-FAPI. При ПЭТ/КТ с 68Ga-DOTA-TATE были успешно визуализированы первичные опухоли у обоих пациентов, получены данные о метастатическом процессе в печени у одного пациента. По данным ПЭТ/КТ с 68Ga-FAPI визуализация первичных опухолей была неоптимальна, метастазы в печени выявлены не были.</p></sec><sec><title>Заключение</title><p>Заключение: ПЭТ/КТ с 68Ga-DOTA-TATE является более эффективным методом радионуклидной диагностики НЭО, чем ПЭТ/КТ с 68Ga-FAPI.</p></sec></abstract><trans-abstract xml:lang="en"><sec><title>Purpose</title><p>Purpose: To perform a comparative analysis of diagnostic efficiency of PET/CT with 68Ga-DOTA-TATE and 68Ga-FAPI on the example of clinical cases of NEO (detection of primary tumor and extra-organ metastases).</p></sec><sec><title>Material and methods</title><p>Material and methods: Two patients with pancreatic NEO underwent PET/CT studies with 68Ga-DOTA-TATE and 68Ga-FAPI before treatment. PET/CT with 68Ga-DOTA-TATE successfully visualized primary tumors in both patients; evidence of a metastatic process in the liver was obtained in one patient. PET/CT with 68Ga-FAPI showed non-optimal visualization of primary tumors, no liver metastases were detected.</p></sec><sec><title>Conclusion</title><p>Conclusion: PET/CT with 68Ga-DOTA-TATE is a more effective method of radionuclide diagnostics of NEO than PET/CT with 68Ga-FAPI.</p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>НЭО</kwd><kwd>ПЭТ/КТ</kwd><kwd>68Ga-DOTA-TATE</kwd><kwd>68Ga-FAPI</kwd><kwd>поджелудочная железа</kwd></kwd-group><kwd-group xml:lang="en"><kwd>NET</kwd><kwd>PET/CT</kwd><kwd>68Ga-DOTA-TATE</kwd><kwd>68Ga-FAPI</kwd><kwd>pancreas</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Taal BG, Visser O. Epidemiology of neuroendocrine tumours. Neuroendocrinology. 2004 Aug; 1:3-7. https://doi.org/10.1159/000080731.</mixed-citation><mixed-citation xml:lang="en">Taal BG, Visser O. Epidemiology of neuroendocrine tumours. Neuroendocrinology. 2004 Aug; 1:3-7. https://doi.org/10.1159/000080731.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Modlin IM, Oberg K, Chung DC, et al. Gastroenteropancreatic neuroendocrine tumours. Lancet Oncol. 2008 Jan; 9(1):61- 72. https://doi.org/10.1016/s1470-2045(07)70410-2.</mixed-citation><mixed-citation xml:lang="en">Modlin IM, Oberg K, Chung DC, et al. Gastroenteropancreatic neuroendocrine tumours. Lancet Oncol. 2008 Jan; 9(1):61- 72. https://doi.org/10.1016/s1470-2045(07)70410-2.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Kloppel G, Perren A, Heitz PU. The gastroenteropancreatic neuroendocrine cell system and its tumors: the WHO classification. Ann NY Acad Sci. 2004 Apr; 1014:13-27. https://doi.org/10.1196/annals.1294.002.</mixed-citation><mixed-citation xml:lang="en">Kloppel G, Perren A, Heitz PU. The gastroenteropancreatic neuroendocrine cell system and its tumors: the WHO classification. Ann NY Acad Sci. 2004 Apr; 1014:13-27. https://doi.org/10.1196/annals.1294.002.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Yao JC, Hassan M, Phan A, et al. One hundred years after “carcinoid”: epidemiology of and prognostic factors for neuroendocrine tumors in 35,825 cases in the United States. J Clin Oncol. 2008 Jun; 26(18):3063-72. https://doi.org/10.1200/JCO.2007.15.4377.</mixed-citation><mixed-citation xml:lang="en">Yao JC, Hassan M, Phan A, et al. One hundred years after “carcinoid”: epidemiology of and prognostic factors for neuroendocrine tumors in 35,825 cases in the United States. J Clin Oncol. 2008 Jun; 26(18):3063-72. https://doi.org/10.1200/JCO.2007.15.4377.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Kulke MH. Somatostatin analogues in neuroendocrine tumors. J Natl Compr Canc Netw. 2016 Mar; 14(3):241-42. https://doi.org/10.6004/jnccn.2016.0029.</mixed-citation><mixed-citation xml:lang="en">Kulke MH. Somatostatin analogues in neuroendocrine tumors. J Natl Compr Canc Netw. 2016 Mar; 14(3):241-42. https://doi.org/10.6004/jnccn.2016.0029.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Landerholm K, Falkmer S, Jarhult J. Epidemiology of small bowel carcinoids in a defined population. World J Surg. 2010 Jul; 34(7):1500-5. https://doi.org/10.1007/s00268-010-0519-z.</mixed-citation><mixed-citation xml:lang="en">Landerholm K, Falkmer S, Jarhult J. Epidemiology of small bowel carcinoids in a defined population. World J Surg. 2010 Jul; 34(7):1500-5. https://doi.org/10.1007/s00268-010-0519-z.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Kerstrom G, Hellman P, Hessman O. Midgut carcinoid tumours: surgical treatment and prognosis. Best Pract Res Clin Gastroenterol. 2005 Oct; 19(5):717-28. https://doi.org/10.1016/j.bpg.2005.05.005.</mixed-citation><mixed-citation xml:lang="en">Kerstrom G, Hellman P, Hessman O. Midgut carcinoid tumours: surgical treatment and prognosis. Best Pract Res Clin Gastroenterol. 2005 Oct; 19(5):717-28. https://doi.org/10.1016/j.bpg.2005.05.005.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Егоров АВ, Кузин НМ, Ветшев ПС и др. Спорные и нерешенные вопросы диагностики и лечения гормонопродуцирующих нейроэндокринных опухолей поджелудочной железы. Хирургия (Москва). 2005 Nov; (9):19-24.</mixed-citation><mixed-citation xml:lang="en">Egorov AV, Kuzin NM, Vetshev PS, et al. Controversial and unresolved issues of diagnosis and treatment of hormone-producing neuroendocrine tumors of the pancreas. Khirurgiia (Mosk). 2005 Nov; (9):19-24. (In Russ.).</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Gibril F, Jensen RT Somatostatin receptor scintigraphy in the Zollinger - Ellison syndrome. Ann Int Med. 1999 Oct; 2:179-85.</mixed-citation><mixed-citation xml:lang="en">Gibril F, Jensen RT Somatostatin receptor scintigraphy in the Zollinger - Ellison syndrome. Ann Int Med. 1999 Oct; 2:179-85.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Thoeni RF, Mueller-Lisse UG, Chan R, et al. B Detection of small, functional islet tumors in the pancreas: selection of MR imaging sequences for optimal sensitivity. Radiology. 2000 Feb; 214(2):483-90. https://doi.org/10.1148/radiology.214.2.r00fe32483.</mixed-citation><mixed-citation xml:lang="en">Thoeni RF, Mueller-Lisse UG, Chan R, et al. B Detection of small, functional islet tumors in the pancreas: selection of MR imaging sequences for optimal sensitivity. Radiology. 2000 Feb; 214(2):483-90. https://doi.org/10.1148/radiology.214.2.r00fe32483.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Ichikawa T, Peterson MS, Federle MP, et al. Islet cell tumor of the pancreas: biphasic CT versus MR imaging in tumor detection. Radiology. 2000 Jul; 216(1):163-71. https://doi.org/10.1148/radiology.216.1.r00jl26163.</mixed-citation><mixed-citation xml:lang="en">Ichikawa T, Peterson MS, Federle MP, et al. Islet cell tumor of the pancreas: biphasic CT versus MR imaging in tumor detection. Radiology. 2000 Jul; 216(1):163-71. https://doi.org/10.1148/radiology.216.1.r00jl26163.</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Raderer M, Kurtaran A, Leimer M, et al. Value of peptide receptor scintigraphy using (123)I-vasoactive intestinal peptide and (111)In-DTPA-D-Phe1-octreotide in 194 carcinoid patients: Vienna University Experience, 1993 to 1998. J Clin Oncol. 2000 Mar; 18(6):1331-6. https://doi.org/10.1200/JCO.2000.18.6.1331.</mixed-citation><mixed-citation xml:lang="en">Raderer M, Kurtaran A, Leimer M, et al. Value of peptide receptor scintigraphy using (123)I-vasoactive intestinal peptide and (111)In-DTPA-D-Phe1-octreotide in 194 carcinoid patients: Vienna University Experience, 1993 to 1998. J Clin Oncol. 2000 Mar; 18(6):1331-6. https://doi.org/10.1200/JCO.2000.18.6.1331.</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Lu SJ, Gnanasegaran G, Buscombe J, Navalkissoor S. Single photon emission computed tomography/computed tomography in the evaluation of neuroendocrine tumours: a review of the literature. Nucl Med Commun. 2013 Feb; 34(2):98-107. https://doi.org/10.1097/MNM.0b013e32835bd59d.</mixed-citation><mixed-citation xml:lang="en">Lu SJ, Gnanasegaran G, Buscombe J, Navalkissoor S. Single photon emission computed tomography/computed tomography in the evaluation of neuroendocrine tumours: a review of the literature. Nucl Med Commun. 2013 Feb; 34(2):98-107. https://doi.org/10.1097/MNM.0b013e32835bd59d.</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Kunikowska J, Lewington V, Krolicki L. Optimizing Somatostatin Receptor Imaging in Patients with Neuroendocrine Tumors: The Impact of 99mTc-HYNICTOC SPECT/SPECT/CT Versus 68Ga-DOTA-TATE PET/CT Upon Clinical Management. Clin Nucl Med. 2017 Dec; 42(12):905-11. https://doi.org/10.1097/RLU.0000000000001877.</mixed-citation><mixed-citation xml:lang="en">Kunikowska J, Lewington V, Krolicki L. Optimizing Somatostatin Receptor Imaging in Patients with Neuroendocrine Tumors: The Impact of 99mTc-HYNICTOC SPECT/SPECT/CT Versus 68Ga-DOTA-TATE PET/CT Upon Clinical Management. Clin Nucl Med. 2017 Dec; 42(12):905-11. https://doi.org/10.1097/RLU.0000000000001877.</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Antunes P, Ginj M, Zhang H, et al. Are radiogallium-labelled DOTA-conjugated somatostatin analogues superior to those labelled with other radiometals? Eur J Nucl Med Mol Imaging. 2007 Jul; 34(7):982-93. https://doi.org/10.1007/s00259-006-0317-x.</mixed-citation><mixed-citation xml:lang="en">Antunes P, Ginj M, Zhang H, et al. Are radiogallium-labelled DOTA-conjugated somatostatin analogues superior to those labelled with other radiometals? Eur J Nucl Med Mol Imaging. 2007 Jul; 34(7):982-93. https://doi.org/10.1007/s00259-006-0317-x.</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Baranova OD, Roumiantsev PO, Slashchuk KY, et al Radionuclide imaging and therapy in patients with neuroendocrine tumors. Endocrine Surgery. 2017; 11(4):178-90. https://doi.org/https://doi.org/10.14341/serg9572.</mixed-citation><mixed-citation xml:lang="en">Baranova OD, Roumiantsev PO, Slashchuk KY, et al Radionuclide imaging and therapy in patients with neuroendocrine tumors. Endocrine Surgery. 2017; 11(4):178-90. https://doi.org/https://doi.org/10.14341/serg9572.</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Farulla LSA, Demirci E, Castellucci P, et al. Radiolabeled FAP inhibitors as new pantumoral radiopharmaceuticals for PET imaging: a pictorial essay. Clin Transl Imaging. 2022 Aug; 11:95-106. https://doi.org/doi.org/10.1007/s40336-022-00506-8.</mixed-citation><mixed-citation xml:lang="en">Farulla LSA, Demirci E, Castellucci P, et al. Radiolabeled FAP inhibitors as new pantumoral radiopharmaceuticals for PET imaging: a pictorial essay. Clin Transl Imaging. 2022 Aug; 11:95-106. https://doi.org/doi.org/10.1007/s40336-022-00506-8.</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Lindner T, Loktev A, Altmann A, et al. Development of Quinoline-Based Theranostic Ligands for the Targeting of Fibroblast Activation Protein. J Nucl Med. 2018 Sep; 59(9):1415-22. https://doi.org/doi.org/10.2967/jnumed.118.210443.</mixed-citation><mixed-citation xml:lang="en">Lindner T, Loktev A, Altmann A, et al. Development of Quinoline-Based Theranostic Ligands for the Targeting of Fibroblast Activation Protein. J Nucl Med. 2018 Sep; 59(9):1415-22. https://doi.org/doi.org/10.2967/jnumed.118.210443.</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Treglia G, Muoio B, Roustaei H, et al. Head-to-Head Comparison of Fibroblast Activation Protein Inhibitors (FAPI) Radiotracers versus [18F] F-FDG in Oncology: A Systematic Review. Int J Mol Sci. 2021 Oct; 22(20):1-13. https://doi.org/doi.org/10.3390/ijms222011192.</mixed-citation><mixed-citation xml:lang="en">Treglia G, Muoio B, Roustaei H, et al. Head-to-Head Comparison of Fibroblast Activation Protein Inhibitors (FAPI) Radiotracers versus [18F] F-FDG in Oncology: A Systematic Review. Int J Mol Sci. 2021 Oct; 22(20):1-13. https://doi.org/doi.org/10.3390/ijms222011192.</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">Ergul N, Yilmaz B, Cin M, et al. 68Ga-DOTA-FAPI-04 PET/ CT in Neuroendocrine Carcinoma of the Liver with Elevated AFP Level: Comparison with 18F-FDG PET/CT. Clin Nucl Med. 2022 Jan; 47(1):29-31. https://doi.org/10.1097/RLU.0000000000003811.</mixed-citation><mixed-citation xml:lang="en">Ergul N, Yilmaz B, Cin M, et al. 68Ga-DOTA-FAPI-04 PET/CT in Neuroendocrine Carcinoma of the Liver with Elevated AFP Level: Comparison with 18F-FDG PET/CT. Clin Nucl Med. 2022 Jan; 47(1):29-31. https://doi.org/10.1097/RLU.0000000000003811.</mixed-citation></citation-alternatives></ref><ref id="cit21"><label>21</label><citation-alternatives><mixed-citation xml:lang="ru">Komek H, Gundogan C, Can C. 68Ga-FAPI PET/CT versus 68Ga-DOTATATE PET/CT in the evaluation of a patient with neuroendocrine tumor. Clin Nucl Med. 2021 May; 46(5):290-2. https://doi.org/10.1097/RLU.0000000000003490.</mixed-citation><mixed-citation xml:lang="en">Komek H, Gundogan C, Can C. 68Ga-FAPI PET/CT versus 68Ga-DOTATATE PET/CT in the evaluation of a patient with neuroendocrine tumor. Clin Nucl Med. 2021 May; 46(5):290-2. https://doi.org/10.1097/RLU.0000000000003490.</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
