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In accordance with the spirit of the Helsinki Declaration and relevant domestic laws and regulations, the study was approved by the Tri-Service General Hospital Institutional Review Board (TSGH IRB) (IRB NO. C202305019). Written informed consent was waived by the TSGH IRB due to the retrospective design, minimal risk, and analysis of de-identified data. Generative AI tools (ChatGPT, OpenAI) were used to assist in improving language clarity and organization under direct author supervision. All content, data interpretation, and conclusions were conceived and verified by the authors.","order":1,"name":"Ethics","label":"Ethics approval and consent to participate","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Written informed consent was obtained from all participants at the time of clinical care, which included explicit notification that de-identified clinical data and images may be used for research and publication purposes. All data used in this study were fully de-identified, and no information enabling individual identification is included in the manuscript.","order":2,"name":"Ethics","label":"Consent for publication","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","label":"Competing interests","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"74"}}