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Molecular examinations using Liat, cobas, NIID, and Xpert Xpress were performed with financial support from Roche Diagnostics K.K. H iromichi Suzuki was awarded lecture fee from Roche Diagnostics K.K.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of Interest"}},{"value":"The study was performed in accordance with the principles of the Declaration of Helsinki and with the STROBE guidelines and was approved by the ethics committee of the Uni versity of Tsukuba (approval number: R03 41).","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics Approval"}},{"value":"Verbal informed consent was obtained from all participants.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to Participate"}},{"value":"Not applicable.","order":6,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for Publication"}},{"value":"The dataset is appended as a supplementary file (Supplementary file 2)","order":7,"name":"Ethics","group":{"name":"EthicsHeading","label":"Availability of Data and Material"}},{"value":"All code used for the analysis is provided as a supplementary file (Supplementary file 1)","order":8,"name":"Ethics","group":{"name":"EthicsHeading","label":"Code Availability"}},{"value":"All authors meet the authorship criteria set by the International Committee of Medical Journal Editors. Yusaku Akashi was the principal investigator, wrote the first draft of the manuscript, and performed the statistical analyses. Michiko Horie, Kenichi To gashi, and Hiromichi Suzuki designed this study. Yuki Adachi and Junichi Kiyotaki performed the molecular testing. Shigeyuki Notake, Atsuo Ueda, and Koji Nakamura collected the samples and performed the diagnostic testing. Hiromichi Suzuki supervised the project. All authors contributed to writing the final draft of the manuscript.","order":9,"name":"Ethics","group":{"name":"EthicsHeading","label":"Author Contributions"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}