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Erschienen in: Current Oral Health Reports 4/2020

11.11.2020 | Dental Restorative Materials (M Özcan & P Cesar, Section Editor)

Digital Intraoral Impression Methods: an Update on Accuracy

verfasst von: Mercedes Robles-Medina, Marta Romeo-Rubio, Maria Paz Salido, Guillermo Pradíes

Erschienen in: Current Oral Health Reports | Ausgabe 4/2020

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Abstract

Purpose of Review

The increased implementation of intraoral scanners (IOSs) in different dental fields has created the need for IOS’s accuracy assessment by the scientific community. Hence, the aim of this literature review is to provide the current ``state of the art´´ regarding the accuracy of optical impression systems.

Recent Findings

The reported IOS’s accuracy in dentistry is highly variable and controversial among studies. Researches performed either in vitro or in vivo considering digital intraoral impressions a valuable alternative to conventional impression techniques; however, the clinical situation has to be taken into consideration. Most studies coincide that IOSs show highly accurate results when partial-arch scans are performed, whereas in cross-arch scans especially in implant dentistry, the choice of a complete digital workflow sometimes has to be avoided if the clinical situation is highly challenging.

Summary

New versions of IOSs guarantee scan accuracy in most clinical situations. However, blood and saliva in prepared teeth impressions continue affecting the reading of the surfaces. On the other hand, multiple implant scenarios in edentulous mandibular arches still result in accuracy limitations.
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Zurück zum Zitat •• Schmidt A, Klussmann L, Wöstmann B, Schlenz MA. Accuracy of digital and conventional full-arch impressions in patients: an update. J Clin Med. 2020;9(3). - Current IOS equipped with the latest software versions demonstrated less deviation for short-span distances compared with the conventional impression technique. - For long-span distances, the conventional impression technique provided the lowest deviation. - Currently available IOS systems demonstrated improvement regarding transfer accuracy of full-arch scans in patients. •• Schmidt A, Klussmann L, Wöstmann B, Schlenz MA. Accuracy of digital and conventional full-arch impressions in patients: an update. J Clin Med. 2020;9(3). - Current IOS equipped with the latest software versions demonstrated less deviation for short-span distances compared with the conventional impression technique. - For long-span distances, the conventional impression technique provided the lowest deviation. - Currently available IOS systems demonstrated improvement regarding transfer accuracy of full-arch scans in patients.
39.
Zurück zum Zitat •• Ahlholm P, Sipilä K, Vallittu P, Jakonen M, Kotiranta U. Digital versus conventional impressions in fixed prosthodontics: a review. J Prosthodont. 2018;27(1):35–41. - Digital impression accuracy is at the same level as conventional impression methods in fabrication of crowns and short fixed dental prostheses (FDPs). - For fabrication of implant-supported crowns and FDPs, digital impression accuracy is clinically acceptable. - In full-arch impressions, conventional impression methods resulted in better accuracy compared to digital impressions. - Digital impression techniques are faster and can shorten the operation time. - The conventional impression technique is still recommended for full-arch impressions. •• Ahlholm P, Sipilä K, Vallittu P, Jakonen M, Kotiranta U. Digital versus conventional impressions in fixed prosthodontics: a review. J Prosthodont. 2018;27(1):35–41. - Digital impression accuracy is at the same level as conventional impression methods in fabrication of crowns and short fixed dental prostheses (FDPs). - For fabrication of implant-supported crowns and FDPs, digital impression accuracy is clinically acceptable. - In full-arch impressions, conventional impression methods resulted in better accuracy compared to digital impressions. - Digital impression techniques are faster and can shorten the operation time. - The conventional impression technique is still recommended for full-arch impressions.
40.
Zurück zum Zitat • Ender A, Attin T, Mehl A. In vivo precision of conventional and digital methods of obtaining complete-arch dental impressions. J Prosthet Dent. 2016;115(3):313–20. - Conventional and digital impression methods differ significantly in the complete-arch accuracy. - Digital impression systems had higher local deviations within the complete arch cast. - Digital impression achieve equal and higher precision than some conventional impression materials. • Ender A, Attin T, Mehl A. In vivo precision of conventional and digital methods of obtaining complete-arch dental impressions. J Prosthet Dent. 2016;115(3):313–20. - Conventional and digital impression methods differ significantly in the complete-arch accuracy. - Digital impression systems had higher local deviations within the complete arch cast. - Digital impression achieve equal and higher precision than some conventional impression materials.
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Zurück zum Zitat Aswani K, Wankhade S, Khalikar A, Deogade S. Accuracy of an intraoral digital impression: a review. J Indian Prosthodont Soc. 2020;20(1):27–37.PubMedPubMedCentralCrossRef Aswani K, Wankhade S, Khalikar A, Deogade S. Accuracy of an intraoral digital impression: a review. J Indian Prosthodont Soc. 2020;20(1):27–37.PubMedPubMedCentralCrossRef
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Zurück zum Zitat Camardella LT, Breuning H, de Vasconcellos Vilella O. Accuracy and reproducibility of measurements on plaster models and digital models created using an intraoral scanner. J Orofac Orthop. 2017;78(3):211–20.PubMedCrossRef Camardella LT, Breuning H, de Vasconcellos Vilella O. Accuracy and reproducibility of measurements on plaster models and digital models created using an intraoral scanner. J Orofac Orthop. 2017;78(3):211–20.PubMedCrossRef
44.
Zurück zum Zitat • Berrendero S, Salido MP, Ferreiroa A, Valverde A, Pradies G. Comparative study of all-ceramic crowns obtained from conventional and digital impressions: clinical findings. Clin Oral Investig. 2019;23(4):1745–51. - The digital crowns had better clinical conditions according to both evaluators. - The digital crowns were statistically superior for the interproximal contact points and marginal fit. - Occlusal contacts and primary retention, no difference between the two groups was observed. - Clinical significance: Digital intraoral impressions can be used for manufacturing ceramic crowns, with the same or better clinical results as conventional impressions. • Berrendero S, Salido MP, Ferreiroa A, Valverde A, Pradies G. Comparative study of all-ceramic crowns obtained from conventional and digital impressions: clinical findings. Clin Oral Investig. 2019;23(4):1745–51. - The digital crowns had better clinical conditions according to both evaluators. - The digital crowns were statistically superior for the interproximal contact points and marginal fit. - Occlusal contacts and primary retention, no difference between the two groups was observed. - Clinical significance: Digital intraoral impressions can be used for manufacturing ceramic crowns, with the same or better clinical results as conventional impressions.
45.
Zurück zum Zitat Takeuchi Y, Koizumi H, Furuchi M, Sato Y, Ohkubo C, Matsumura H. Use of digital impression systems with intraoral scanners for fabricating restorations and fixed dental prostheses. J Oral Sci. 2018;60(1):1–7.PubMedCrossRef Takeuchi Y, Koizumi H, Furuchi M, Sato Y, Ohkubo C, Matsumura H. Use of digital impression systems with intraoral scanners for fabricating restorations and fixed dental prostheses. J Oral Sci. 2018;60(1):1–7.PubMedCrossRef
46.
Zurück zum Zitat Arcuri L, Lorenzi C, Bianchi N, Marchetti E, Barlattani A. Fit evaluation of cad/cam fabricated all-ceramic restorations based on direct and indirect digitalization in vivo: a systematic review. J Biol Regul Homeost Agents. 2019;33(3 Suppl. 1):103–11.PubMed Arcuri L, Lorenzi C, Bianchi N, Marchetti E, Barlattani A. Fit evaluation of cad/cam fabricated all-ceramic restorations based on direct and indirect digitalization in vivo: a systematic review. J Biol Regul Homeost Agents. 2019;33(3 Suppl. 1):103–11.PubMed
47.
Zurück zum Zitat •• Hasanzade M, Shirani M, Afrashtehfar KI, Naseri P, Alikhasi M. In vivo and in vitro comparison of internal and marginal fit of digital and conventional impressions for full-coverage fixed restorations: a systematic review and meta-analysis. J Evid Based Dent Pract. 2019;19(3):236–54. - Marginal or internal gap of full-coverage restorations. - Differences in marginal adaptation between the digital and conventional groups are not significant for in vivo studies. - In vitro studies, the digital impression resulted in better marginal adaptation. •• Hasanzade M, Shirani M, Afrashtehfar KI, Naseri P, Alikhasi M. In vivo and in vitro comparison of internal and marginal fit of digital and conventional impressions for full-coverage fixed restorations: a systematic review and meta-analysis. J Evid Based Dent Pract. 2019;19(3):236–54. - Marginal or internal gap of full-coverage restorations. - Differences in marginal adaptation between the digital and conventional groups are not significant for in vivo studies. - In vitro studies, the digital impression resulted in better marginal adaptation.
48.
Zurück zum Zitat Arezoobakhsh A, Shayegh SS, Jamali Ghomi A, Hakimaneh SMR. Comparison of marginal and internal fit of 3-unit zirconia frameworks fabricated with CAD-CAM technology using direct and indirect digital scans. J Prosthet Dent. 2020;123(1):105–12.PubMedCrossRef Arezoobakhsh A, Shayegh SS, Jamali Ghomi A, Hakimaneh SMR. Comparison of marginal and internal fit of 3-unit zirconia frameworks fabricated with CAD-CAM technology using direct and indirect digital scans. J Prosthet Dent. 2020;123(1):105–12.PubMedCrossRef
49.
Zurück zum Zitat • Nedelcu R, Olsson P, Nyström I, Thor A. Finish line distinctness and accuracy in 7 intraoral scanners versus conventional impression: an in vitro descriptive comparison. BMC Oral Health. 2018;18(1):27. - Analyze the level of finish line distinctness (FLD), and finish line accuracy (FLA), in 7 intraoral scanners (IOS) and one conventional impression (IMPR). - There were sizeable variations between IOS with both higher and lower FLD and FLA than IMPR. - High FLD was more related to high localized finish line resolution and nonuniform tessellation, than to high overall resolution. - Topography variations were low. - Color improved finish line identification in some IOS. - It is imperative that clinicians critically evaluate the digital impression, being aware of varying technical limitations among IOS, in particular when challenging subgingival conditions apply. • Nedelcu R, Olsson P, Nyström I, Thor A. Finish line distinctness and accuracy in 7 intraoral scanners versus conventional impression: an in vitro descriptive comparison. BMC Oral Health. 2018;18(1):27. - Analyze the level of finish line distinctness (FLD), and finish line accuracy (FLA), in 7 intraoral scanners (IOS) and one conventional impression (IMPR). - There were sizeable variations between IOS with both higher and lower FLD and FLA than IMPR. - High FLD was more related to high localized finish line resolution and nonuniform tessellation, than to high overall resolution. - Topography variations were low. - Color improved finish line identification in some IOS. - It is imperative that clinicians critically evaluate the digital impression, being aware of varying technical limitations among IOS, in particular when challenging subgingival conditions apply.
50.
Zurück zum Zitat Nedelcu R, Olsson P, Nyström I, Rydén J, Thor A. Accuracy and precision of 3 intraoral scanners and accuracy of conventional impressions: a novel in vivo analysis method. J Dent. 2018;69:110–8.PubMedCrossRef Nedelcu R, Olsson P, Nyström I, Rydén J, Thor A. Accuracy and precision of 3 intraoral scanners and accuracy of conventional impressions: a novel in vivo analysis method. J Dent. 2018;69:110–8.PubMedCrossRef
51.
Zurück zum Zitat •• Mühlemann S, Kraus RD, Hämmerle CHF, Thoma DS. Is the use of digital technologies for the fabrication of implant-supported reconstructions more efficient and/or more effective than conventional techniques: a systematic review. Clin Oral Implants Res. 2018;29(Suppl 18):184–95. - The implementation of the studied digital technologies increased time efficiency for the laboratory fabrication of implant-supported reconstructions. - For posterior SIC (single implant crowns), the model-free fabrication, the use of prefabricated abutments, and the monolithic design was most time efficient and most effective. •• Mühlemann S, Kraus RD, Hämmerle CHF, Thoma DS. Is the use of digital technologies for the fabrication of implant-supported reconstructions more efficient and/or more effective than conventional techniques: a systematic review. Clin Oral Implants Res. 2018;29(Suppl 18):184–95. - The implementation of the studied digital technologies increased time efficiency for the laboratory fabrication of implant-supported reconstructions. - For posterior SIC (single implant crowns), the model-free fabrication, the use of prefabricated abutments, and the monolithic design was most time efficient and most effective.
52.
Zurück zum Zitat Rutkūnas V, Gečiauskaitė A, Jegelevičius D, Vaitiekūnas M. Accuracy of digital implant impressions with intraoral scanners. A systematic review. Eur J Oral Implantol. 2017;10(Suppl 1):101–20.PubMed Rutkūnas V, Gečiauskaitė A, Jegelevičius D, Vaitiekūnas M. Accuracy of digital implant impressions with intraoral scanners. A systematic review. Eur J Oral Implantol. 2017;10(Suppl 1):101–20.PubMed
53.
Zurück zum Zitat Ferrini F, Sannino G, Chiola C, Capparé P, Gastaldi G, Gherlone EF. Influence of intra-oral scanner (I.O.S.) on the marginal accuracy of cad/cam single crowns. Int J Environ Res Public Health. 2019;16(4). Ferrini F, Sannino G, Chiola C, Capparé P, Gastaldi G, Gherlone EF. Influence of intra-oral scanner (I.O.S.) on the marginal accuracy of cad/cam single crowns. Int J Environ Res Public Health. 2019;16(4).
54.
Zurück zum Zitat Rutkunas V, Larsson C. Vult von Steyern P, Mangano F, Gedrimiene A. Clinical and laboratory passive fit assessment of implant-supported zirconia restorations fabricated using conventional and digital workflow. Clin Implant Dent Relat Res. 2020;22(2):237–45.PubMedCrossRef Rutkunas V, Larsson C. Vult von Steyern P, Mangano F, Gedrimiene A. Clinical and laboratory passive fit assessment of implant-supported zirconia restorations fabricated using conventional and digital workflow. Clin Implant Dent Relat Res. 2020;22(2):237–45.PubMedCrossRef
55.
Zurück zum Zitat Sawase T, Kuroshima S. The current clinical relevancy of intraoral scanners in implant dentistry. Dent Mater J. 2020;39(1):57–61.PubMedCrossRef Sawase T, Kuroshima S. The current clinical relevancy of intraoral scanners in implant dentistry. Dent Mater J. 2020;39(1):57–61.PubMedCrossRef
56.
Zurück zum Zitat Basaki K, Alkumru H, De Souza G, Finer Y. Accuracy of digital vs conventional implant impression approach: a three-dimensional comparative in vitro analysis. Int J Oral Maxillofac Implants. 2017;32(4):792–9.PubMedCrossRef Basaki K, Alkumru H, De Souza G, Finer Y. Accuracy of digital vs conventional implant impression approach: a three-dimensional comparative in vitro analysis. Int J Oral Maxillofac Implants. 2017;32(4):792–9.PubMedCrossRef
57.
Zurück zum Zitat Kim JE, Amelya A, Shin Y, Shim JS. Accuracy of intraoral digital impressions using an artificial landmark. J Prosthet Dent. 2017;117(6):755–61.PubMedCrossRef Kim JE, Amelya A, Shin Y, Shim JS. Accuracy of intraoral digital impressions using an artificial landmark. J Prosthet Dent. 2017;117(6):755–61.PubMedCrossRef
58.
Zurück zum Zitat •• Iturrate M, Eguiraun H, Etxaniz O, Solaberrieta E. Accuracy analysis of complete-arch digital scans in edentulous arches when using an auxiliary geometric device. J Prosthet Dent. 2019;121(3):447–54. - Complete-arch digital scans of edentulous jaws are more accurate when an AGD (auxiliary geometric device) is used to resolve the lack of anatomic landmarks. •• Iturrate M, Eguiraun H, Etxaniz O, Solaberrieta E. Accuracy analysis of complete-arch digital scans in edentulous arches when using an auxiliary geometric device. J Prosthet Dent. 2019;121(3):447–54. - Complete-arch digital scans of edentulous jaws are more accurate when an AGD (auxiliary geometric device) is used to resolve the lack of anatomic landmarks.
59.
Zurück zum Zitat Cappare P, Sannino G, Minoli M, Montemezzi P, Ferrini F. Conventional versus digital impressions for full arch screw-retained maxillary rehabilitations: a randomized clinical trial. Int J Environ Res Public Health. 2019;16(5). Cappare P, Sannino G, Minoli M, Montemezzi P, Ferrini F. Conventional versus digital impressions for full arch screw-retained maxillary rehabilitations: a randomized clinical trial. Int J Environ Res Public Health. 2019;16(5).
60.
Zurück zum Zitat •• Tan MY, Yee SHX, Wong KM, Tan YH, Tan KBC. Comparison of three-dimensional accuracy of digital and conventional implant impressions: effect of interimplant distance in an edentulous arch. Int J Oral Maxillofac Implants. 2019;34(2):366–80. - Reducing interimplant distance may decrease global linear distortions (dR) for intraoral scanner systems, but had no effect on Impregum and the dental laboratory scanner systems. - Impregum consistently exhibited the best or second-best accuracy at all implant locations, while True Definition exhibited the poorest accuracy for all linear distortions in both Models A and B. - Impression systems could not be consistently ranked for absolute angular distortions. •• Tan MY, Yee SHX, Wong KM, Tan YH, Tan KBC. Comparison of three-dimensional accuracy of digital and conventional implant impressions: effect of interimplant distance in an edentulous arch. Int J Oral Maxillofac Implants. 2019;34(2):366–80. - Reducing interimplant distance may decrease global linear distortions (dR) for intraoral scanner systems, but had no effect on Impregum and the dental laboratory scanner systems. - Impregum consistently exhibited the best or second-best accuracy at all implant locations, while True Definition exhibited the poorest accuracy for all linear distortions in both Models A and B. - Impression systems could not be consistently ranked for absolute angular distortions.
61.
Zurück zum Zitat Gimenez-Gonzalez B, Hassan B, Özcan M, Pradíes G. An in vitro study of factors influencing the performance of digital intraoral impressions operating on active wavefront sampling technology with multiple implants in the edentulous maxilla. J Prosthodont. 2017;26(8):650–5.PubMedCrossRef Gimenez-Gonzalez B, Hassan B, Özcan M, Pradíes G. An in vitro study of factors influencing the performance of digital intraoral impressions operating on active wavefront sampling technology with multiple implants in the edentulous maxilla. J Prosthodont. 2017;26(8):650–5.PubMedCrossRef
62.
Zurück zum Zitat Alikhasi M, Siadat H, Nasirpour A, Hasanzade M. Three-dimensional accuracy of digital impression versus conventional method: effect of implant angulation and connection type. Int J Dent. 2018;2018:3761750.PubMedPubMedCentralCrossRef Alikhasi M, Siadat H, Nasirpour A, Hasanzade M. Three-dimensional accuracy of digital impression versus conventional method: effect of implant angulation and connection type. Int J Dent. 2018;2018:3761750.PubMedPubMedCentralCrossRef
63.
Zurück zum Zitat Flügge TV, Att W, Metzger MC, Nelson K. Precision of dental implant digitization using intraoral scanners. Int J Prosthodont. 2016;29(3):277–83.PubMedCrossRef Flügge TV, Att W, Metzger MC, Nelson K. Precision of dental implant digitization using intraoral scanners. Int J Prosthodont. 2016;29(3):277–83.PubMedCrossRef
64.
Zurück zum Zitat •• Mizumoto RM, Yilmaz B, McGlumphy EA Jr, Seidt J, Johnston WM. Accuracy of different digital scanning techniques and scan bodies for complete-arch implant-supported prostheses. J Prosthet Dent. 2020;123(1):96–104. - The accuracy (trueness and precision) of complete-arch digital implant scans using ISBs was affected by both the scan body and scan technique when using an intraoral scanning system. - The scan techniques with different surface modifications were not found to improve the scan accuracy. - The use of different ISBs led to significant differences in the scan time. •• Mizumoto RM, Yilmaz B, McGlumphy EA Jr, Seidt J, Johnston WM. Accuracy of different digital scanning techniques and scan bodies for complete-arch implant-supported prostheses. J Prosthet Dent. 2020;123(1):96–104. - The accuracy (trueness and precision) of complete-arch digital implant scans using ISBs was affected by both the scan body and scan technique when using an intraoral scanning system. - The scan techniques with different surface modifications were not found to improve the scan accuracy. - The use of different ISBs led to significant differences in the scan time.
65.
Zurück zum Zitat • Di Fiore A, Meneghello R, Graiff L, Savio G, Vigolo P, Monaco C, et al. Full arch digital scanning systems performances for implant-supported fixed dental prostheses: a comparative study of 8 intraoral scanners. J Prosthodont Res. 2019;63(4):396–403. Not all scanners are suitable for digital impression in full-arch implant-supported fixed dental prosthesis and the weight of the output files is independent from the accuracy of the IOSs • Di Fiore A, Meneghello R, Graiff L, Savio G, Vigolo P, Monaco C, et al. Full arch digital scanning systems performances for implant-supported fixed dental prostheses: a comparative study of 8 intraoral scanners. J Prosthodont Res. 2019;63(4):396–403. Not all scanners are suitable for digital impression in full-arch implant-supported fixed dental prosthesis and the weight of the output files is independent from the accuracy of the IOSs
66.
Zurück zum Zitat Rech-Ortega C, Fernández-Estevan L, Solá-Ruíz MF, Agustín-Panadero R, Labaig-Rueda C. Comparative in vitro study of the accuracy of impression techniques for dental implants: direct technique with an elastomeric impression material versus intraoral scanner. Med Oral Patol Oral Cir Bucal. 2019;24(1):e89–95.PubMed Rech-Ortega C, Fernández-Estevan L, Solá-Ruíz MF, Agustín-Panadero R, Labaig-Rueda C. Comparative in vitro study of the accuracy of impression techniques for dental implants: direct technique with an elastomeric impression material versus intraoral scanner. Med Oral Patol Oral Cir Bucal. 2019;24(1):e89–95.PubMed
67.
Zurück zum Zitat Zimmermann M, Koller C, Rumetsch M, Ender A, Mehl A. Precision of guided scanning procedures for full-arch digital impressions in vivo. J Orofac Orthop. 2017;78(6):466–71.PubMedCrossRef Zimmermann M, Koller C, Rumetsch M, Ender A, Mehl A. Precision of guided scanning procedures for full-arch digital impressions in vivo. J Orofac Orthop. 2017;78(6):466–71.PubMedCrossRef
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Zurück zum Zitat Yun D, Choi DS, Jang I, Cha BK. Clinical application of an intraoral scanner for serial evaluation of orthodontic tooth movement: a preliminary study. Korean J Orthod. 2018;48(4):262–7.PubMedPubMedCentralCrossRef Yun D, Choi DS, Jang I, Cha BK. Clinical application of an intraoral scanner for serial evaluation of orthodontic tooth movement: a preliminary study. Korean J Orthod. 2018;48(4):262–7.PubMedPubMedCentralCrossRef
69.
Zurück zum Zitat Anh JW, Park JM, Chun YS, Kim M, Kim M. A comparison of the precision of three-dimensional images acquired by 2 digital intraoral scanners: effects of tooth irregularity and scanning direction. Korean J Orthod. 2016;46(1):3–12.PubMedPubMedCentralCrossRef Anh JW, Park JM, Chun YS, Kim M, Kim M. A comparison of the precision of three-dimensional images acquired by 2 digital intraoral scanners: effects of tooth irregularity and scanning direction. Korean J Orthod. 2016;46(1):3–12.PubMedPubMedCentralCrossRef
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Zurück zum Zitat Lecocq G. Digital impression-taking: fundamentals and benefits in orthodontics. Int Orthod. 2016;14(2):184–94.PubMed Lecocq G. Digital impression-taking: fundamentals and benefits in orthodontics. Int Orthod. 2016;14(2):184–94.PubMed
Metadaten
Titel
Digital Intraoral Impression Methods: an Update on Accuracy
verfasst von
Mercedes Robles-Medina
Marta Romeo-Rubio
Maria Paz Salido
Guillermo Pradíes
Publikationsdatum
11.11.2020
Verlag
Springer International Publishing
Erschienen in
Current Oral Health Reports / Ausgabe 4/2020
Elektronische ISSN: 2196-3002
DOI
https://doi.org/10.1007/s40496-020-00285-z

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