{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T12:42:57Z","timestamp":1791981777388,"version":"4.4.0"},"reference-count":10,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T00:00:00Z","timestamp":1756252800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T00:00:00Z","timestamp":1756252800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int J Emerg Med"],"DOI":"10.1186\/s12245-025-00971-8","type":"journal-article","created":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T07:47:41Z","timestamp":1756280861000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Delayed diagnosis of aortic dissection: the overlooked clues on chest X-ray"],"prefix":"10.1186","volume":"18","author":[{"given":"Yao","family":"Chen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenjin","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lian","family":"Lin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhankai","family":"Tang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,8,27]]},"reference":[{"issue":"13","key":"971_CR1","doi-asserted-by":"publisher","first-page":"e266","DOI":"10.1161\/CIR.0b013e3181d47d48","volume":"121","author":"LF Hiratzka","year":"2010","unstructured":"Hiratzka LF, Bakris GL, Beckman JA, et al. 2010 ACCF\/AHA\/AATS\/ACR\/ASA\/SCA\/SCAI\/SIR\/STS\/SVM guidelines for the diagnosis and management of patients with thoracic aortic disease. Circulation. 2010;121(13):e266\u2013369.","journal-title":"Circulation"},{"issue":"24","key":"971_CR2","first-page":"e334","volume":"146","author":"EM Isselbacher","year":"2022","unstructured":"Isselbacher EM, Preventza O, Hamilton Black J 3, et al. 2022 ACC\/AHA guideline for the diagnosis and management of. Aortic Disease Circulation. 2022;146(24):e334\u2013482.","journal-title":"Aortic Disease Circulation"},{"key":"971_CR3","doi-asserted-by":"crossref","unstructured":"Howard DP, Banerjee A, Fairhead JF, et al. Population-based study of incidence and outcome of acute aortic dissection and premorbid risk factor control: 10-year results from the Oxford vascular study. Circulation. 2013;127(20):2031\u20137.","DOI":"10.1161\/CIRCULATIONAHA.112.000483"},{"key":"971_CR4","doi-asserted-by":"crossref","unstructured":"Wang W, Duan W, Xue Y, et al. Clinical features of acute aortic dissection from the registry of aortic dissection in China. J Thorac Cardiovasc Surg. 2014;148(6):2995\u20133000.","DOI":"10.1016\/j.jtcvs.2014.07.068"},{"key":"971_CR5","doi-asserted-by":"crossref","unstructured":"Evangelista A, Isselbacher EM, Bossone E, et al. Insights from the international registry of acute aortic dissection: a 20-year experience of collaborative clinical research. Circulation. 2018;137(17):1846\u201360.","DOI":"10.1161\/CIRCULATIONAHA.117.031264"},{"issue":"7","key":"971_CR6","doi-asserted-by":"publisher","first-page":"897","DOI":"10.1001\/jama.283.7.897","volume":"283","author":"PG Hagan","year":"2000","unstructured":"Hagan PG, Nienaber CA, Isselbacher EM, et al. The international registry of acute aortic dissection (IRAD): new insights into an old disease. JAMA. 2000;283(7):897\u2013903.","journal-title":"JAMA"},{"issue":"5\u20136","key":"971_CR7","doi-asserted-by":"publisher","first-page":"329","DOI":"10.1080\/14017431.2016.1240829","volume":"50","author":"T Myrmel","year":"2016","unstructured":"Myrmel T, Larsen M, Bartnes K. The International Registry of Acute Aortic Dissections (IRAD) - experiences from the first 20 years. Scand Cardiovasc J. 2016;50(5\u20136):329\u201333.","journal-title":"Scand Cardiovasc J"},{"issue":"18","key":"971_CR8","doi-asserted-by":"publisher","first-page":"1911","DOI":"10.1161\/CIRCULATIONAHA.110.006320","volume":"124","author":"KM Harris","year":"2011","unstructured":"Harris KM, Strauss CE, Eagle KA, et al. Correlates of delayed recognition and treatment of acute type A aortic dissection: the international registry of acute aortic dissection (IRAD). Circulation. 2011;124(18):1911\u20138.","journal-title":"Circulation"},{"issue":"9","key":"971_CR9","doi-asserted-by":"crossref","first-page":"1237","DOI":"10.1016\/j.jacr.2019.06.002","volume":"16","author":"TS Desser","year":"2019","unstructured":"Desser TS, Sommer FG, Jeffrey RB, et al. Using artificial intelligence to improve radiology quality and safety. J Am Coll Radiol. 2019;16(9):1237\u201342.","journal-title":"J Am Coll Radiol"},{"issue":"1","key":"971_CR10","first-page":"12","volume":"46","author":"W Wang","year":"2022","unstructured":"Wang W, Liu J, Zhang Y, et al. A Multi-modal deep learning framework for cardiovascular disease risk prediction. J Med Syst. 2022;46(1):12.","journal-title":"J Med Syst"}],"container-title":["International Journal of Emergency Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12245-025-00971-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12245-025-00971-8\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12245-025-00971-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,9]],"date-time":"2025-09-09T18:29:36Z","timestamp":1757442576000},"score":1,"resource":{"primary":{"URL":"https:\/\/intjem.biomedcentral.com\/articles\/10.1186\/s12245-025-00971-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,27]]},"references-count":10,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["971"],"URL":"https:\/\/doi.org\/10.1186\/s12245-025-00971-8","relation":{"has-preprint":[{"id-type":"doi","id":"10.21203\/rs.3.rs-6966962\/v1","asserted-by":"object"}]},"ISSN":["1865-1380"],"issn-type":[{"value":"1865-1380","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8,27]]},"assertion":[{"value":"24 June 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"6 August 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"27 August 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study was approved by the Ethics Committee of The First Hospital of Lanzhou University.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"All the authors agreed to the publication of the manuscript.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"158"}}