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It doesn\u2019t involve direct patient or volunteer intervention, original data collection or personal information acquisition. We analyzed published literature from public databases and sources that already met ethical requirements. No extra ethical approval or consent is needed. We strictly protect patient privacy, avoiding using identifiable info and images without explicit permission.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"During the creation of the manuscript and the presentation of figures, no AI tools were used.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Use of artificial intelligence tools"}},{"value":"The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}