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Its research protocol and the use of cervical spine and shoulder joint CT\/MRI data have been reviewed and formally approved by the Ethics Committee of Affiliated Hospital of Hebei University, Baoding, Hebei Province, China (Approval Number: [HDFY-LL-2021\u2013048]; Approval Date: 2021). All operations related to data collection, storage, and retrospective analysis during the study were strictly implemented in accordance with the approval requirements of this ethics committee, ensuring compliance with the ethical standards of medical research and the principles of protecting participants\u2019 privacy.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics Approval"}},{"value":"The cervical spine and shoulder joint CT\/MRI data used in this study were all obtained through a standardized clinical case collection process under the framework of the protocol approved by the Ethics Committee of Affiliated Hospital of Hebei University. During the data collection phase, the research team clearly informed all participants (legal guardians acted on behalf of minors or individuals unable to make independent decisions) of the following: the purpose of the study is the clinical technical analysis of cervical spine and shoulder joint CT\/MRI images; the scope of data collection is limited to images of the aforementioned body parts (excluding other body parts or irrelevant personal information); potential risks (no direct physical harm, and data will be anonymized in accordance with ethical requirements); and core rights of participants (the right to voluntarily withdraw at any time without affecting subsequent medical services). After fully understanding and confirming no doubts, all participants voluntarily signed a written informed consent form, clearly agreeing to the use of their data in this study. The relevant informed consent process has been included in the scope of ethical approval and complies with the approval requirements.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to Participate"}},{"value":"The cervical spine and shoulder joint CT\/MRI data intended for publication in this study have undergone thorough anonymization in accordance with the privacy protection requirements approved by the Ethics Committee of Affiliated Hospital of Hebei University: all personally identifiable information (including names, medical record numbers, hospital logos, examination dates, and equipment serial numbers) in the images and supporting materials has been completely removed through technical means; verification by designated personnel has confirmed that there are no features in the images (such as tattoos, rare surgical scars, or special body surface marks) that could indirectly link to an individual\u2019s identity, thus eliminating the risk of identity tracing. In accordance with the approval conclusion of this ethics committee and the ethical standards of medical research, this study does not require additional informed consent from participants (or their guardians) for the publication of the aforementioned anonymized data. The data publication process complies with the ethical approval requirements and does not infringe on the privacy rights of participants.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"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":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}]}}