{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T13:44:27Z","timestamp":1790603067961,"version":"4.1.0"},"reference-count":50,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2023,4,1]],"date-time":"2023-04-01T00:00:00Z","timestamp":1680307200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,4,1]],"date-time":"2023-04-01T00:00:00Z","timestamp":1680307200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"vor","delay-in-days":731,"URL":"http:\/\/www.elsevier.com\/open-access\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,4,1]],"date-time":"2023-04-01T00:00:00Z","timestamp":1680307200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2023,4,1]],"date-time":"2023-04-01T00:00:00Z","timestamp":1680307200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2023,4,1]],"date-time":"2023-04-01T00:00:00Z","timestamp":1680307200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2023,4,1]],"date-time":"2023-04-01T00:00:00Z","timestamp":1680307200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2023,4,1]],"date-time":"2023-04-01T00:00:00Z","timestamp":1680307200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"funder":[{"DOI":"10.13039\/501100003196","name":"Ministero della Salute","doi-asserted-by":"publisher","award":["PNRR-MAD-2022-12376796"],"award-info":[{"award-number":["PNRR-MAD-2022-12376796"]}],"id":[{"id":"10.13039\/501100003196","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000780","name":"European Commission","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000780","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.fr","clinicalkey.jp","clinicalkey.es","clinicalkey.com.au","clinicalkey.com","resmedjournal.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Respiratory Medicine"],"published-print":{"date-parts":[[2023,4]]},"DOI":"10.1016\/j.rmed.2023.107178","type":"journal-article","created":{"date-parts":[[2023,2,28]],"date-time":"2023-02-28T16:29:00Z","timestamp":1677601740000},"page":"107178","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":21,"special_numbering":"C","title":["Clinical use of Macklin-like radiological sign (Macklin effect): A systematic review"],"prefix":"10.1016","volume":"210","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3131-0565","authenticated-orcid":false,"given":"Alessandro","family":"Belletti","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ottavia","family":"Pallanch","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2007-7665","authenticated-orcid":false,"given":"Matteo Aldo","family":"Bonizzoni","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leonardo","family":"Guidi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"De Cobelli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovanni","family":"Landoni","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7687-7648","authenticated-orcid":false,"given":"Alberto","family":"Zangrillo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michele","family":"De Bonis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7906-540X","authenticated-orcid":false,"given":"Diego","family":"Palumbo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"11","key":"10.1016\/j.rmed.2023.107178_bib1","doi-asserted-by":"crossref","first-page":"850","DOI":"10.4329\/wjr.v6.i11.850","article-title":"Spontaneous pneumomediastinum and Macklin effect: overview and appearance on computed tomography","volume":"6","author":"Murayama","year":"2014","journal-title":"World J. Radiol."},{"issue":"4","key":"10.1016\/j.rmed.2023.107178_bib2","first-page":"414","article-title":"Pneumothorax with massive collapse from experimental local over-inflation of the lung substance","volume":"36","author":"Macklin","year":"1937","journal-title":"Can. Med. Assoc. J."},{"issue":"5","key":"10.1016\/j.rmed.2023.107178_bib3","doi-asserted-by":"crossref","first-page":"913","DOI":"10.1001\/archinte.1939.00190050019003","article-title":"Transport of air along sheaths of pulmonic blood vessels from alveoli to mediastinum: clinical implications","volume":"64","author":"Macklin","year":"1939","journal-title":"Arch. Intern. Med."},{"issue":"4","key":"10.1016\/j.rmed.2023.107178_bib4","first-page":"281","article-title":"Malignant interstitial emphysema of the lungs and mediastinum as an important occult complication in many respiratory diseases and other conditions: an interpretation of the clinical literature in the light of laboratory experiment","volume":"23","author":"Macklin","year":"1944","journal-title":"Med (United States)."},{"key":"10.1016\/j.rmed.2023.107178_bib5","article-title":"Pneumomediastinum in blunt chest trauma: a case report and review of the literature","volume":"2014","author":"Mansella","year":"2014","journal-title":"Case Rep Emerg Med"},{"issue":"2","key":"10.1016\/j.rmed.2023.107178_bib6","doi-asserted-by":"crossref","first-page":"543","DOI":"10.1378\/chest.120.2.543","article-title":"The Macklin effect: a frequent etiology for pneumomediastinum in severe blunt chest trauma","volume":"120","author":"Wintermark","year":"2001","journal-title":"Chest"},{"issue":"4","key":"10.1016\/j.rmed.2023.107178_bib7","doi-asserted-by":"crossref","first-page":"612","DOI":"10.1007\/s00134-004-2187-7","article-title":"Incidence, risk factors and outcome of barotrauma in mechanically ventilated patients","volume":"30","author":"Anzueto","year":"2004","journal-title":"Intensive Care Med."},{"issue":"3","key":"10.1016\/j.rmed.2023.107178_bib8","doi-asserted-by":"crossref","first-page":"491","DOI":"10.1097\/CCM.0000000000005283","article-title":"Barotrauma in coronavirus disease 2019 patients undergoing invasive mechanical ventilation: a systematic literature review","volume":"50","author":"Belletti","year":"2022","journal-title":"Crit. Care Med."},{"issue":"5","key":"10.1016\/j.rmed.2023.107178_bib9","doi-asserted-by":"crossref","first-page":"444","DOI":"10.1016\/j.hrtlng.2009.10.001","article-title":"Spontaneous pneumomediastinum and subcutaneous emphysema in asthma exacerbation: the Macklin effect","volume":"39","author":"Romero","year":"2010","journal-title":"Heart Lung"},{"issue":"5","key":"10.1016\/j.rmed.2023.107178_bib10","article-title":"Spontaneous pneumomediastinum revealing asthma: the Macklin effect","volume":"14","author":"Rachid","year":"2022","journal-title":"Cureus"},{"issue":"4","key":"10.1016\/j.rmed.2023.107178_bib11","doi-asserted-by":"crossref","first-page":"451","DOI":"10.1002\/eat.22674","article-title":"Anorexia nervosa with massive pulmonary air leak and extraordinary propagation","volume":"50","author":"Jensen","year":"2017","journal-title":"Int. J. Eat. Disord."},{"issue":"4","key":"10.1016\/j.rmed.2023.107178_bib12","doi-asserted-by":"crossref","first-page":"1043","DOI":"10.1148\/radiographics.20.4.g00jl131043","article-title":"Pneumomediastinum revisited","volume":"20","author":"Zylak","year":"2000","journal-title":"Radiographics"},{"issue":"12","key":"10.1016\/j.rmed.2023.107178_bib13","doi-asserted-by":"crossref","first-page":"2577","DOI":"10.1016\/j.radcr.2020.09.052","article-title":"Spontaneous pneumomediastinum as a complication of a COVID-19 related pneumonia: case report and review of literature","volume":"15","author":"Urigo","year":"2020","journal-title":"Radiol Case Reports"},{"key":"10.1016\/j.rmed.2023.107178_bib14","article-title":"Coronavirus disease 2019 with spontaneous pneumothorax, pneumomediastinum and subcutaneous emphysema","volume":"38","author":"Zayet","year":"2020","journal-title":"France. New Microbes New Infect."},{"issue":"4","key":"10.1016\/j.rmed.2023.107178_bib15","doi-asserted-by":"crossref","first-page":"510","DOI":"10.1016\/S1473-3099(20)30156-0","article-title":"COVID-19 with spontaneous pneumomediastinum","volume":"20","author":"Zhou","year":"2020","journal-title":"Lancet Infect. Dis."},{"key":"10.1016\/j.rmed.2023.107178_bib16","doi-asserted-by":"crossref","DOI":"10.1016\/j.rmed.2021.106552","article-title":"Pneumothorax and barotrauma in invasively ventilated patients with COVID-19","volume":"187","author":"Belletti","year":"2021","journal-title":"Respir. Med."},{"issue":"2","key":"10.1016\/j.rmed.2023.107178_bib17","first-page":"95","article-title":"Microvascular COVID-19 lung vessels obstructive thromboinflammatory syndrome (MicroCLOTS): an atypical acute respiratory distress syndrome working hypothesis","volume":"22","author":"Ciceri","year":"2020","journal-title":"Crit Care Resusc"},{"issue":"2","key":"10.1016\/j.rmed.2023.107178_bib18","doi-asserted-by":"crossref","first-page":"E252","DOI":"10.1148\/radiol.2020202352","article-title":"Increased incidence of barotrauma in patients with COVID-19 on invasive mechanical ventilation","volume":"297","author":"McGuinness","year":"2020","journal-title":"Radiology"},{"issue":"12","key":"10.1016\/j.rmed.2023.107178_bib19","doi-asserted-by":"crossref","first-page":"3642","DOI":"10.1053\/j.jvca.2021.02.008","article-title":"Predictors of pneumothorax\/pneumomediastinum in mechanically ventilated COVID-19 patients","volume":"35","author":"Belletti","year":"2021","journal-title":"J. Cardiothorac. Vasc. Anesth."},{"key":"10.1016\/j.rmed.2023.107178_bib20","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1016\/j.jcrc.2021.07.022","article-title":"A radiological predictor for pneumomediastinum\/pneumothorax in COVID-19 ARDS patients","volume":"66","author":"Palumbo","year":"2021","journal-title":"J. Crit. Care"},{"key":"10.1016\/j.rmed.2023.107178_bib21","doi-asserted-by":"crossref","DOI":"10.1016\/j.rmed.2022.106853","article-title":"Macklin effect on baseline chest CT scan accurately predicts barotrauma in COVID-19 patients","volume":"197","author":"Paternoster","year":"2022","journal-title":"Respir. Med."},{"key":"10.1016\/j.rmed.2023.107178_bib22","doi-asserted-by":"crossref","first-page":"n160","DOI":"10.1136\/bmj.n160","article-title":"PRISMA 2020 explanation and elaboration: updated guidance and exemplars for reporting systematic reviews","volume":"372","author":"Page","year":"2021","journal-title":"BMJ"},{"key":"10.1016\/j.rmed.2023.107178_bib23","doi-asserted-by":"crossref","first-page":"n71","DOI":"10.1136\/bmj.n71","article-title":"The PRISMA 2020 statement: an updated guideline for reporting systematic reviews","volume":"372","author":"Page","year":"2021","journal-title":"BMJ"},{"issue":"1","key":"10.1016\/j.rmed.2023.107178_bib24","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1097\/01.rct.0000187416.07698.8d","article-title":"Frequent cause of the Macklin effect in spontaneous pneumomediastinum: demonstration by multidetector-row computed tomography","volume":"30","author":"Sakai","year":"2006","journal-title":"J. Comput. Assist. Tomogr."},{"issue":"6","key":"10.1016\/j.rmed.2023.107178_bib25","doi-asserted-by":"crossref","first-page":"541","DOI":"10.1177\/02184923211010089","article-title":"Pneumomediastinum in COVID-19 disease: outcomes and relation to the Macklin effect","volume":"29","author":"Brito","year":"2021","journal-title":"Asian Cardiovasc. Thorac. Ann."},{"issue":"8 Pt B","key":"10.1016\/j.rmed.2023.107178_bib26","doi-asserted-by":"crossref","first-page":"2975","DOI":"10.1053\/j.jvca.2022.03.011","article-title":"Venovenous extracorporeal membrane oxygenation in awake non-intubated patients with COVID-19 ARDS at high risk for barotrauma","volume":"36","author":"Paternoster","year":"2022","journal-title":"J. Cardiothorac. Vasc. Anesth."},{"issue":"1","key":"10.1016\/j.rmed.2023.107178_bib27","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1016\/j.resinv.2013.06.001","article-title":"Diagnosis and treatment of patients with spontaneous pneumomediastinum","volume":"52","author":"Okada","year":"2014","journal-title":"Respir Investig"},{"issue":"1","key":"10.1016\/j.rmed.2023.107178_bib28","doi-asserted-by":"crossref","first-page":"rjab634","DOI":"10.1093\/jscr\/rjab634","article-title":"Spontaneous pneumomediastinum diagnosed by the Macklin effect","volume":"2022","author":"Kumeda","year":"2022","journal-title":"J. Surg. Case Rep."},{"issue":"3","key":"10.1016\/j.rmed.2023.107178_bib29","doi-asserted-by":"crossref","first-page":"169","DOI":"10.4046\/trd.2012.73.3.169","article-title":"Clinical analysis of spontaneous pneumomediastinum","volume":"73","author":"Ryoo","year":"2012","journal-title":"Tuberc. Respir. Dis."},{"issue":"8","key":"10.1016\/j.rmed.2023.107178_bib30","doi-asserted-by":"crossref","first-page":"460","DOI":"10.4103\/1947-2714.117296","article-title":"Spontaneous pneumomediastinum: time for consensus","volume":"5","author":"Sahni","year":"2013","journal-title":"N. Am. J. Med. Sci."},{"issue":"2","key":"10.1016\/j.rmed.2023.107178_bib31","doi-asserted-by":"crossref","first-page":"711","DOI":"10.1016\/j.athoracsur.2003.09.021","article-title":"Spontaneous pneumomediastinum","volume":"78","author":"Langwieler","year":"2004","journal-title":"Ann. Thorac. Surg."},{"issue":"8","key":"10.1016\/j.rmed.2023.107178_bib32","doi-asserted-by":"crossref","first-page":"989","DOI":"10.1164\/rccm.202105-1179IM","article-title":"Spontaneous pneumomediastinum in COVID-19: the Macklin effect?","volume":"204","author":"Sekhon","year":"2021","journal-title":"Am. J. Respir. Crit. Care Med."},{"issue":"9","key":"10.1016\/j.rmed.2023.107178_bib33","doi-asserted-by":"crossref","first-page":"2586","DOI":"10.1016\/j.radcr.2021.06.040","article-title":"Spontaneous pneumomediastinum and COVID-19 pneumonia: report of three cases with emphasis on CT imaging","volume":"16","author":"Kalpaxi","year":"2021","journal-title":"Radiol Case Reports"},{"issue":"1","key":"10.1016\/j.rmed.2023.107178_bib34","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1111\/j.1556-4029.2011.01911.x","article-title":"Cervical soft tissue emphysema in hanging--a prospective autopsy study","volume":"57","author":"Nikoli\u0107","year":"2012","journal-title":"J. Forensic Sci."},{"issue":"2","key":"10.1016\/j.rmed.2023.107178_bib35","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1097\/PAF.0000000000000374","article-title":"A fire extinguisher death: the Macklin effect","volume":"39","author":"Blumenthal","year":"2018","journal-title":"Am. J. Forensic Med. Pathol"},{"key":"10.1016\/j.rmed.2023.107178_bib36","doi-asserted-by":"crossref","DOI":"10.1016\/j.amsu.2021.103221","article-title":"Pulmonary barotrauma in COVID-19: a systematic review and meta-analysis","volume":"73","author":"Shrestha","year":"2022","journal-title":"Ann Med Surg"},{"issue":"5","key":"10.1016\/j.rmed.2023.107178_bib37","doi-asserted-by":"crossref","first-page":"599","DOI":"10.1016\/j.hrtlng.2021.04.005","article-title":"The incidence, clinical characteristics, and outcomes of pneumothorax in hospitalized COVID-19 patients: a systematic review","volume":"50","author":"Chong","year":"2021","journal-title":"Heart Lung"},{"issue":"11","key":"10.1016\/j.rmed.2023.107178_bib38","doi-asserted-by":"crossref","first-page":"1614","DOI":"10.1007\/s00134-022-06866-z","article-title":"Pulmonary air leak in COVID-19: time to learn from our mistakes","volume":"48","author":"Boussarsar","year":"2022","journal-title":"Intensive Care Med."},{"key":"10.1016\/j.rmed.2023.107178_bib39","article-title":"Efecto Macklin como predictor radiol\u00f3gico precoz de barotrauma en pacientes COVID-19 con SDRA en ventilaci\u00f3n mec\u00e1nica invasiva","volume":"6","author":"Monachello","year":"2022","journal-title":"Med Intensiva. Published online September"},{"issue":"12","key":"10.1016\/j.rmed.2023.107178_bib40","doi-asserted-by":"crossref","first-page":"1837","DOI":"10.1007\/s00134-022-06902-y","article-title":"Air leak, barotrauma susceptibility, and imaging in acute respiratory distress syndrome: novel application of an old tool","volume":"48","author":"Belletti","year":"2022","journal-title":"Intensive Care Med."},{"issue":"6","key":"10.1016\/j.rmed.2023.107178_bib41","doi-asserted-by":"crossref","first-page":"865","DOI":"10.1016\/j.resinv.2022.06.012","article-title":"An increasing rate of pneumomediastinum in non-intubated COVID-19 patients: the role of steroids and a possible radiological predictor","volume":"60","author":"Guidi","year":"2022","journal-title":"Respir Investig"},{"issue":"12","key":"10.1016\/j.rmed.2023.107178_bib42","doi-asserted-by":"crossref","first-page":"2738","DOI":"10.3390\/jcm10122738","article-title":"Patient-self inflicted lung injury: a practical review","volume":"10","author":"Carteaux","year":"2021","journal-title":"J. Clin. Med."},{"issue":"9","key":"10.1016\/j.rmed.2023.107178_bib43","doi-asserted-by":"crossref","first-page":"1360","DOI":"10.1007\/s00134-016-4400-x","article-title":"Esophageal and transpulmonary pressure in the clinical setting: meaning, usefulness and perspectives","volume":"42","author":"Mauri","year":"2016","journal-title":"Intensive Care Med."},{"issue":"1","key":"10.1016\/j.rmed.2023.107178_bib44","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1186\/s13054-023-04313-z","article-title":"P-SILI in critically ill COVID-19 patients: Macklin effect and the choice of noninvasive ventilatory support type","volume":"27","author":"Belletti","year":"2023","journal-title":"Crit. Care"},{"issue":"6","key":"10.1016\/j.rmed.2023.107178_bib45","doi-asserted-by":"crossref","first-page":"573","DOI":"10.1016\/S2213-2600(22)00043-1","article-title":"Awake prone positioning for non-intubated patients with COVID-19-related acute hypoxaemic respiratory failure: a systematic review and meta-analysis","volume":"10","author":"Li","year":"2022","journal-title":"Lancet Respir. Med."},{"issue":"5","key":"10.1016\/j.rmed.2023.107178_bib46","doi-asserted-by":"crossref","first-page":"1676","DOI":"10.4269\/ajtmh.20-1445","article-title":"Awake proning as an adjunctive therapy for refractory hypoxemia in non-intubated patients with COVID-19 acute respiratory failure: guidance from an international group of healthcare workers","volume":"104","author":"Stilma","year":"2021","journal-title":"Am. J. Trop. Med. Hyg."},{"issue":"22","key":"10.1016\/j.rmed.2023.107178_bib47","doi-asserted-by":"crossref","first-page":"2338","DOI":"10.1001\/jama.2020.7861","article-title":"Respiratory parameters in patients with COVID-19 after using noninvasive ventilation in the prone position outside the intensive care unit","volume":"323","author":"Sartini","year":"2020","journal-title":"JAMA"},{"issue":"11","key":"10.1016\/j.rmed.2023.107178_bib48","doi-asserted-by":"crossref","first-page":"1013","DOI":"10.1001\/jama.2021.13374","article-title":"Effect of lower tidal volume ventilation facilitated by extracorporeal carbon dioxide removal vs standard care ventilation on 90-day mortality in patients with acute hypoxemic respiratory failure: the REST randomized clinical trial","volume":"326","author":"McNamee","year":"2021","journal-title":"JAMA"},{"issue":"14","key":"10.1016\/j.rmed.2023.107178_bib49","doi-asserted-by":"crossref","first-page":"1335","DOI":"10.1001\/jama.2017.14171","article-title":"Effect of lung recruitment and titrated Positive End-Expiratory Pressure (PEEP) vs low PEEP on mortality in patients with acute respiratory distress syndrome - a randomized clinical trial","volume":"318","author":"Cavalcanti","year":"2017","journal-title":"JAMA"},{"key":"10.1016\/j.rmed.2023.107178_bib50","article-title":"Ventilatory-associated barotrauma in COVID-19 patients: a multicenter observational case control study (COVI-mix study)","author":"Vetrugno","year":"2022","journal-title":"Pulmonology. Published online November"}],"container-title":["Respiratory Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0954611123000665?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0954611123000665?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,4,10]],"date-time":"2025-04-10T22:43:57Z","timestamp":1744325037000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0954611123000665"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,4]]},"references-count":50,"alternative-id":["S0954611123000665"],"URL":"https:\/\/doi.org\/10.1016\/j.rmed.2023.107178","relation":{},"ISSN":["0954-6111"],"issn-type":[{"value":"0954-6111","type":"print"}],"subject":[],"published":{"date-parts":[[2023,4]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Clinical use of Macklin-like radiological sign (Macklin effect): A systematic review","name":"articletitle","label":"Article Title"},{"value":"Respiratory Medicine","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.rmed.2023.107178","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2023 Elsevier Ltd.","name":"copyright","label":"Copyright"}],"article-number":"107178"}}