{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T04:50:50Z","timestamp":1787028650019,"version":"build-2736575974"},"reference-count":52,"publisher":"MDPI AG","issue":"19","license":[{"start":{"date-parts":[[2024,9,29]],"date-time":"2024-09-29T00:00:00Z","timestamp":1727568000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background\/Objectives: Adenomyosis is a debilitating gynecologic condition that affects both multiparous older women and nulliparous younger women, inducing a variety of symptoms such as dysmenorrhea, menorrhagia, and infertility. Thermal ablation techniques are new procedures that have been proposed for the treatment of adenomyosis. They include high-intensity focused ultrasound (HIFU), percutaneous microwave ablation (PMWA), and radiofrequency ablation (RFA). Because thermal ablation techniques are minimally invasive or noninvasive, fertility is not impaired while symptoms improve. In addition, hospital stays and financial costs are generally reduced, increasing the interest in these alternative management options. Methods: In this narrative review, we conducted a thorough literature search of PubMed\/Medline from the database inception to September 2022. In our search, we focused on noninvasive treatment methods such as HIFU ablation, RFA ablation, and PMWA as well as adenomyosis-specific terms and noninvasive techniques (ultrasonography, ultrasound, or magnetic resonance imaging). The queries were a combination of MeSH terms and keywords. The search was limited to the English language. Abstracts were screened according to their content, and relevant articles were selected. Results: Overall, the results showed that the above-mentioned ablation techniques are effective and safe in providing adenomyosis treatment. Lesion size and uterus volume are reduced, leading to considerable symptom alleviation with all three methods. Positive results concerning safety and fertility preservation have been described as well. Conclusions: Nonetheless, more research is required in this field to compare the efficacy and safety of different ablation techniques with traditional therapies. Such research will help improve these procedures and their associated decision-making processes.<\/jats:p>","DOI":"10.3390\/jcm13195828","type":"journal-article","created":{"date-parts":[[2024,9,30]],"date-time":"2024-09-30T07:19:37Z","timestamp":1727680777000},"page":"5828","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Advances in Adenomyosis Treatment: High-Intensity Focused Ultrasound, Percutaneous Microwave Therapy, and Radiofrequency Ablation"],"prefix":"10.3390","volume":"13","author":[{"given":"Adamantios","family":"Athanasiou","sequence":"first","affiliation":[{"name":"Department of Gynecologic Oncology, Agios Savvas General Anti-Cancer Hospital of Athens, 11522 Athens, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8958-6049","authenticated-orcid":false,"given":"Arrigo","family":"Fruscalzo","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University Hospital of Fribourg, 1708 Fribourg, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7265-4765","authenticated-orcid":false,"given":"Ioannis","family":"Dedes","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University Hospital of Bern, 3010 Bern, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1947-1315","authenticated-orcid":false,"given":"Michael D.","family":"Mueller","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University Hospital of Bern, 3010 Bern, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ambrogio P.","family":"Londero","sequence":"additional","affiliation":[{"name":"Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Infant Health, University of Genoa, 16132 Genoa, Italy"},{"name":"Obstetrics and Gynecology Unit, IRCCS Istituto Giannina Gaslini, 16147 Genova, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8904-9967","authenticated-orcid":false,"given":"Carolin","family":"Marti","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University Hospital of Fribourg, 1708 Fribourg, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4498-3734","authenticated-orcid":false,"given":"Benedetta","family":"Guani","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University Hospital of Fribourg, 1708 Fribourg, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9817-9445","authenticated-orcid":false,"given":"Anis","family":"Feki","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University Hospital of Fribourg, 1708 Fribourg, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,9,29]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"2087","DOI":"10.1007\/s43032-020-00361-w","article-title":"Origin and pathogenic mechanisms of uterine adenomyosis: What is known so far","volume":"28","author":"Stratopoulou","year":"2021","journal-title":"Reprod. Sci."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"583","DOI":"10.1016\/0002-9378(72)90781-8","article-title":"The elusive adenomyosis of the uterus\u2013revisited","volume":"112","author":"Bird","year":"1972","journal-title":"Am. J. Obstet. Gynecol."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"371","DOI":"10.1016\/j.fertnstert.2017.12.030","article-title":"Pathogenesis of uterine adenomyosis: Invagination or metaplasia?","volume":"109","author":"Donnez","year":"2018","journal-title":"Fertil. Steril."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"621","DOI":"10.1093\/humrep\/dead014","article-title":"Relation between adenomyosis and elastographic characteristics of the cervix","volume":"38","author":"Xholli","year":"2023","journal-title":"Hum. Reprod."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"527","DOI":"10.1093\/humrep\/dead046","article-title":"Adenomyosis and uterine stiffness: What is the chicken? Which is the egg?","volume":"38","author":"Munro","year":"2023","journal-title":"Hum. Reprod."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1016\/j.fertnstert.2018.01.035","article-title":"Introduction: Uterine adenomyosis, another enigmatic disease of our time","volume":"109","author":"Donnez","year":"2018","journal-title":"Fertil. Steril."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"392","DOI":"10.1093\/humupd\/dmz049","article-title":"Diagnosing adenomyosis: An integrated clinical and imaging approach","volume":"26","author":"Chapron","year":"2020","journal-title":"Hum. Reprod. Update"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1016\/j.ejogrb.2023.01.006","article-title":"Gynaecological pathologies leading to emergency department admissions: A cross-sectional study","volume":"282","author":"Xholli","year":"2023","journal-title":"Eur. J. Obstet. Gynecol. Reprod. Biol."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"284","DOI":"10.1002\/uog.14806","article-title":"Terms, definitions and measurements to describe sonographic features of myometrium and uterine masses: A consensus opinion from the Morphological Uterus Sonographic Assessment (MUSA) group","volume":"46","author":"Dueholm","year":"2015","journal-title":"Ultrasound Obstet. Gynecol."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1002\/uog.24786","article-title":"Consensus on revised definitions of Morphological Uterus Sonographic Assessment (MUSA) features of adenomyosis: Results of modified Delphi procedure","volume":"60","author":"Harmsen","year":"2022","journal-title":"Ultrasound Obstet. Gynecol."},{"key":"ref_11","doi-asserted-by":"crossref","unstructured":"Moawad, G., Fruscalzo, A., Youssef, Y., Kheil, M., Tawil, T., Nehme, J., Pirtea, P., Guani, B., Afaneh, H., and Ayoubi, J.M. (2023). Adenomyosis: An updated review on diagnosis and classification. J. Clin. Med., 12.","DOI":"10.3390\/jcm12144828"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"420","DOI":"10.1016\/j.jpag.2014.05.008","article-title":"Uterine cystic adenomyosis: A disease of younger women","volume":"28","author":"Brosens","year":"2015","journal-title":"J. Pediatr. Adolesc. Gynecol."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"858","DOI":"10.1016\/j.fertnstert.2018.07.005","article-title":"A new era in diagnosing adenomyosis is coming","volume":"110","author":"Exacoustos","year":"2018","journal-title":"Fertil. Steril."},{"key":"ref_14","doi-asserted-by":"crossref","unstructured":"Moawad, G., Youssef, Y., Fruscalzo, A., Faysal, H., Kheil, M., Pirtea, P., Guani, B., Ayoubi, J.M., and Feki, A. (2023). The present and the future of medical therapies for adenomyosis: A narrative review. J. Clin. Med., 12.","DOI":"10.3390\/jcm12196130"},{"key":"ref_15","doi-asserted-by":"crossref","unstructured":"Moawad, G., Youssef, Y., Fruscalzo, A., Faysal, H., Merida, M., Pirtea, P., Guani, B., Ayoubi, J.M., and Feki, A. (2024). The impact of conservative surgical treatment of adenomyosis on fertility and perinatal outcomes. J. Clin. Med., 13.","DOI":"10.3390\/jcm13092531"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1186\/s41073-019-0064-8","article-title":"SANRA\u2014A scale for the quality assessment of narrative review articles","volume":"4","author":"Baethge","year":"2019","journal-title":"Res. Intergrity Peer Rev."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"3624","DOI":"10.1016\/j.ejrad.2011.05.036","article-title":"Feasibility of MRI-guided high intensity focused ultrasound treatment for adenomyosis","volume":"81","author":"Fan","year":"2012","journal-title":"Eur. J. Radiol."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"W245","DOI":"10.2214\/AJR.09.3321","article-title":"High-intensity focused ultrasound ablation: Effective and safe therapy for solid tumors in difficult locations","volume":"195","author":"Orsi","year":"2010","journal-title":"AJR Am. J. Roentgenol."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"707","DOI":"10.1111\/aogs.13159","article-title":"High intensity focused ultrasound for the treatment of adenomyosis: Selection criteria, efficacy, safety and fertility","volume":"96","author":"Zhang","year":"2017","journal-title":"Acta Obstet. Gynecol. Scand."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1080\/02656736.2019.1708481","article-title":"Comparison between microwave ablation and radiofrequency ablation for treating symptomatic uterine adenomyosis","volume":"37","author":"Lin","year":"2020","journal-title":"Int. J. Hyperth."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"e2015.00071","DOI":"10.4293\/JSLS.2015.00071","article-title":"Laparoscopic radiofrequency thermal ablation for uterine adenomyosis","volume":"19","author":"Scarperi","year":"2015","journal-title":"JSLS"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"12003","DOI":"10.21037\/apm-21-3133","article-title":"Ultrasound-guided percutaneous microwave ablation of adenomyosis: A narrative review","volume":"10","author":"Zhang","year":"2021","journal-title":"Ann. Palliat. Med."},{"key":"ref_23","doi-asserted-by":"crossref","unstructured":"Yang, Y., Zhang, J., Han, Z.Y., Ma, X., Hao, Y.L., Xu, C.T., Xu, R.F., and Zhang, B.S. (2015). Ultrasound-guided percutaneous microwave ablation for adenomyosis: Efficacy of treatment and effect on ovarian function. Sci. Rep., 5.","DOI":"10.1038\/srep10034"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"300060520976492","DOI":"10.1177\/0300060520976492","article-title":"Clinical effectiveness and potential long-term benefits of high-intensity focused ultrasound therapy for patients with adenomyosis","volume":"48","author":"Li","year":"2020","journal-title":"J. Int. Med. Res."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"e2443","DOI":"10.1097\/MD.0000000000002443","article-title":"Clinical predictors of long-term success in ultrasound-guided high-intensity focused ultrasound ablation treatment for adenomyosis: A retrospective study","volume":"95","author":"Liu","year":"2016","journal-title":"Medicine"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"496","DOI":"10.3109\/02656736.2016.1149232","article-title":"Factors influencing the ablative efficiency of high intensity focused ultrasound (HIFU) treatment for adenomyosis: A retrospective study","volume":"32","author":"Gong","year":"2016","journal-title":"Int. J. Hyperth."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1111\/1471-0528.14739","article-title":"Changes in anti-M\u00fcllerian hormone levels as a biomarker for ovarian reserve after ultrasound-guided high-intensity focused ultrasound treatment of adenomyosis and uterine fibroid","volume":"124","author":"Lee","year":"2017","journal-title":"BJOG"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"1179","DOI":"10.1080\/02656736.2019.1679892","article-title":"High-intensity focused ultrasound (HIFU) combined with gonadotropin-releasing hormone analogs (GnRHa) and levonorgestrel-releasing intrauterine system (LNG-IUS) for adenomyosis: A case series with long-term follow up","volume":"36","author":"Haiyan","year":"2019","journal-title":"Int. J. Hyperth."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1080\/02656736.2021.1886347","article-title":"High-intensity focused ultrasound in the management of adenomyosis: Long-term results from a single center","volume":"38","author":"Li","year":"2021","journal-title":"Int. J. Hyperth."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"1289","DOI":"10.1080\/02656736.2018.1440014","article-title":"Effect of pre-treatment with gonadotropin-releasing hormone analogue GnRH-\u03b1 on high-intensity focused ultrasound ablation for diffuse adenomyosis: A preliminary study","volume":"34","author":"Zhang","year":"2018","journal-title":"Int. J. Hyperth."},{"key":"ref_31","doi-asserted-by":"crossref","unstructured":"Pang, L.L., Mei, J., Fan, L.X., Zhao, T.T., Li, R.N., and Wen, Y. (2021). Efficacy of high-intensity focused ultrasound combined with GnRH-a for adenomyosis: A systematic review and meta-analysis. Front. Public Health, 9.","DOI":"10.3389\/fpubh.2021.688264"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1002\/ijgo.13587","article-title":"Magnetic resonance imaging T2WI hyperintense foci number and the prognosis of adenomyosis after high-intensity focused ultrasound treatment","volume":"154","author":"Du","year":"2021","journal-title":"Int. J. Gynaecol. Obstet."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"332","DOI":"10.1016\/j.jmig.2019.07.029","article-title":"Is high-intensity focused ultrasound effective for the treatment of adenomyosis? A systematic review and meta-analysis","volume":"27","author":"Marques","year":"2020","journal-title":"J. Minim. Invasive Gynecol."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"530","DOI":"10.1080\/02656736.2022.2052366","article-title":"Evaluation of high intensity focused ultrasound treatment for different types of adenomyosis based on magnetic resonance imaging classification","volume":"39","author":"Gong","year":"2022","journal-title":"Int. J. Hyperth."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"301","DOI":"10.1080\/02656736.2020.1742390","article-title":"A comparison of reproductive outcomes of patients with adenomyosis and infertility treated with high-intensity focused ultrasound and laparoscopic excision","volume":"37","author":"Huang","year":"2020","journal-title":"Int. J. Hyperth."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"1601","DOI":"10.1080\/02656736.2021.1993357","article-title":"Microbubble contrast agent SonoVue combined with oxytocin improves the efficiency of high-intensity focused ultrasound ablation for adenomyosis","volume":"38","author":"Yao","year":"2021","journal-title":"Int. J. Hyperth."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1111\/1471-0528.14736","article-title":"Gonadotrophin-releasing hormone agonist combined with high-intensity focused ultrasound ablation for adenomyosis: A clinical study","volume":"124","author":"Guo","year":"2017","journal-title":"BJOG"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"579","DOI":"10.3348\/jksr.2019.80.3.579","article-title":"Compilation following Ultrasound-guided-High-Intensity Focused Ultrasound for the treatment of Uterine Adenomyosis: Case Report of CT Imaging Features","volume":"80","author":"Hong","year":"2019","journal-title":"J. Korean Soc. Radiol."},{"key":"ref_39","doi-asserted-by":"crossref","unstructured":"Dedes, I., Kolovos, G., Fruscalzo, A., Toub, D., Vaineau, C., Lanz, S., Imboden, S., Feki, A., and Mueller, M.D. (2023). Radiofrequency ablation for adenomyosis. J. Clin. Med., 12.","DOI":"10.3390\/jcm12093069"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1080\/02656736.2021.1874063","article-title":"Ultrasound-guided transvaginal radiofrequency ablation combined with levonorgestrel-releasing intrauterine system for symptomatic uterine adenomyosis treatment","volume":"38","author":"Hai","year":"2021","journal-title":"Int. J. Hyperth."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"20160119","DOI":"10.1259\/bjr.20160119","article-title":"Ultrasound-guided transcervical radiofrequency ablation for symptomatic uterine adenomyosis","volume":"90","author":"Hai","year":"2017","journal-title":"Br. J. Radiol."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"2081","DOI":"10.1007\/s00464-007-9307-8","article-title":"Midterm outcome of radiofrequency thermal ablation for symptomatic uterine myomas","volume":"21","author":"Ghezzi","year":"2007","journal-title":"Surg. Endosc."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1186\/s13048-023-01320-0","article-title":"Effects of different treatment methods on clinical efficacy and fertility outcomes of patients with adenomyosis","volume":"17","author":"Chu","year":"2024","journal-title":"J. Ovarian Res."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"5803","DOI":"10.1007\/s00464-021-08984-z","article-title":"Heat can treat: Long-term follow-up results after uterine-sparing treatment of adenomyosis with radiofrequency thermal ablation in 60 hysterectomy candidate patients","volume":"36","author":"Stepniewska","year":"2022","journal-title":"Surg. Endosc."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1111\/jog.14145","article-title":"Pregnancy and symptomatic relief following ultrasound-guided transvaginal radiofrequency ablation in patients with adenomyosis","volume":"46","author":"Nam","year":"2020","journal-title":"J. Obstet. Gynaecol. Res."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"749","DOI":"10.1080\/02656736.2020.1781267","article-title":"Considerations for performing microwave endometrial ablation (MEA)\u2014Three cases with abnormal test results of endometrial tissue discovered by chance when performing MEA","volume":"37","author":"Kakinuma","year":"2020","journal-title":"Int. J. Hyperth."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"646","DOI":"10.1080\/02656736.2017.1285444","article-title":"Percutaneous microwave ablation with artificial ascites for symptomatic uterine adenomyosis: Initial experience","volume":"33","author":"Hai","year":"2017","journal-title":"Int. J. Hyperth."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"1769","DOI":"10.1111\/jog.12787","article-title":"Efficacy of multiple microwave endometrial ablation technique for menorrhagia resulting from adenomyosis","volume":"41","author":"Nakamura","year":"2015","journal-title":"J. Obstet. Gynaecol. Res."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"365","DOI":"10.4103\/jcrt.JCRT_769_18","article-title":"Use of contrast-enhanced ultrasound in evaluating the efficacy and application value of microwave ablation for adenomyosis","volume":"16","author":"Xu","year":"2020","journal-title":"J. Cancer Res. Ther."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"232","DOI":"10.1016\/0002-9378(91)90258-S","article-title":"Animal model of uterine adenomyosis: Is prolactin a potent inducer of adenomyosis in mice?","volume":"165","author":"Mori","year":"1991","journal-title":"Am. J. Obstet. Gynecol."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"840","DOI":"10.4236\/ojog.2014.414118","article-title":"Transcervical interstitial microwave ablation therapy for the treatment of adenomyosis: A novel alternative to hysterectomy","volume":"4","author":"Kanaoka","year":"2014","journal-title":"Open J. Obstet. Gynecol."},{"key":"ref_52","doi-asserted-by":"crossref","unstructured":"Cai, Y., Sun, Y., Xu, F., Wu, Y., Ren, C., Hao, X., Gao, B., and Cao, Q. (2023). Effects of high-intensity focused ultrasound combined with levonorgestrel-releasing intrauterine system on patients with adenomyosis. Sci. Rep., 13.","DOI":"10.1038\/s41598-023-37096-y"}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/13\/19\/5828\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T16:06:55Z","timestamp":1760112415000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/13\/19\/5828"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9,29]]},"references-count":52,"journal-issue":{"issue":"19","published-online":{"date-parts":[[2024,10]]}},"alternative-id":["jcm13195828"],"URL":"https:\/\/doi.org\/10.3390\/jcm13195828","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,9,29]]}}}