{"id":"https://openalex.org/W4385836342","doi":"https://doi.org/10.1186/s12911-023-02257-6","title":"Building a trustworthy AI differential diagnosis application for Crohn\u2019s disease and intestinal tuberculosis","display_name":"Building a trustworthy AI differential diagnosis application for Crohn\u2019s disease and intestinal tuberculosis","publication_year":2023,"publication_date":"2023-08-15","ids":{"openalex":"https://openalex.org/W4385836342","doi":"https://doi.org/10.1186/s12911-023-02257-6","pmid":"https://pubmed.ncbi.nlm.nih.gov/37582768"},"language":"en","primary_location":{"is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12911-023-02257-6","pdf_url":"https://bmcmedinformdecismak.biomedcentral.com/counter/pdf/10.1186/s12911-023-02257-6","source":{"id":"https://openalex.org/S107516304","display_name":"BMC Medical Informatics and Decision Making","issn_l":"1472-6947","issn":["1472-6947"],"is_oa":true,"is_in_doaj":true,"is_indexed_in_scopus":true,"is_core":true,"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310319965","https://openalex.org/P4310320256"],"host_organization_lineage_names":["Springer Nature","BioMed Central"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true},"type":"article","type_crossref":"journal-article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://bmcmedinformdecismak.biomedcentral.com/counter/pdf/10.1186/s12911-023-02257-6","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5110849478","display_name":"Keming Lu","orcid":null},"institutions":[{"id":"https://openalex.org/I99065089","display_name":"Tsinghua University","ror":"https://ror.org/03cve4549","country_code":"CN","type":"funder","lineage":["https://openalex.org/I99065089"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Keming Lu","raw_affiliation_strings":["Department of Automation, Tsinghua University, Beijing, 100084, China"],"affiliations":[{"raw_affiliation_string":"Department of Automation, Tsinghua University, Beijing, 100084, China","institution_ids":["https://openalex.org/I99065089"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5102847739","display_name":"Yuanren Tong","orcid":"https://orcid.org/0000-0003-3022-1464"},"institutions":[{"id":"https://openalex.org/I2801228662","display_name":"Peking Union Medical College Hospital","ror":"https://ror.org/04jztag35","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I2801228662"]},{"id":"https://openalex.org/I200296433","display_name":"Chinese Academy of Medical Sciences & Peking Union Medical College","ror":"https://ror.org/02drdmm93","country_code":"CN","type":"education","lineage":["https://openalex.org/I200296433"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Yuanren Tong","raw_affiliation_strings":["Department of Gastroenterology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100730, China"],"affiliations":[{"raw_affiliation_string":"Department of Gastroenterology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100730, China","institution_ids":["https://openalex.org/I2801228662","https://openalex.org/I200296433"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5057421349","display_name":"Si Yu","orcid":"https://orcid.org/0000-0002-8032-224X"},"institutions":[{"id":"https://openalex.org/I2801228662","display_name":"Peking Union Medical College Hospital","ror":"https://ror.org/04jztag35","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I2801228662"]},{"id":"https://openalex.org/I200296433","display_name":"Chinese Academy of Medical Sciences & Peking Union Medical College","ror":"https://ror.org/02drdmm93","country_code":"CN","type":"education","lineage":["https://openalex.org/I200296433"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Si Yu","raw_affiliation_strings":["Department of Gastroenterology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100730, China"],"affiliations":[{"raw_affiliation_string":"Department of Gastroenterology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100730, China","institution_ids":["https://openalex.org/I2801228662","https://openalex.org/I200296433"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5066874145","display_name":"Yucong Lin","orcid":"https://orcid.org/0000-0002-9039-0318"},"institutions":[{"id":"https://openalex.org/I99065089","display_name":"Tsinghua University","ror":"https://ror.org/03cve4549","country_code":"CN","type":"funder","lineage":["https://openalex.org/I99065089"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Yucong Lin","raw_affiliation_strings":["Center for Statistical Science, Tsinghua University, Beijing, 100084, China"],"affiliations":[{"raw_affiliation_string":"Center for Statistical Science, Tsinghua University, Beijing, 100084, China","institution_ids":["https://openalex.org/I99065089"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5024581193","display_name":"Yingyun Yang","orcid":"https://orcid.org/0000-0001-8552-496X"},"institutions":[{"id":"https://openalex.org/I2801228662","display_name":"Peking Union Medical College Hospital","ror":"https://ror.org/04jztag35","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I2801228662"]},{"id":"https://openalex.org/I200296433","display_name":"Chinese Academy of Medical Sciences & Peking Union Medical College","ror":"https://ror.org/02drdmm93","country_code":"CN","type":"education","lineage":["https://openalex.org/I200296433"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Yingyun Yang","raw_affiliation_strings":["Department of Gastroenterology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100730, China"],"affiliations":[{"raw_affiliation_string":"Department of Gastroenterology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100730, China","institution_ids":["https://openalex.org/I2801228662","https://openalex.org/I200296433"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5101414584","display_name":"Hui Xu","orcid":null},"institutions":[{"id":"https://openalex.org/I200296433","display_name":"Chinese Academy of Medical Sciences & Peking Union Medical College","ror":"https://ror.org/02drdmm93","country_code":"CN","type":"education","lineage":["https://openalex.org/I200296433"]},{"id":"https://openalex.org/I2801228662","display_name":"Peking Union Medical College Hospital","ror":"https://ror.org/04jztag35","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I2801228662"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Hui Xu","raw_affiliation_strings":["Department of Gastroenterology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100730, China"],"affiliations":[{"raw_affiliation_string":"Department of Gastroenterology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100730, China","institution_ids":["https://openalex.org/I200296433","https://openalex.org/I2801228662"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5101597932","display_name":"Yue Li","orcid":"https://orcid.org/0000-0001-6799-1812"},"institutions":[{"id":"https://openalex.org/I2801228662","display_name":"Peking Union Medical College Hospital","ror":"https://ror.org/04jztag35","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I2801228662"]},{"id":"https://openalex.org/I200296433","display_name":"Chinese Academy of Medical Sciences & Peking Union Medical College","ror":"https://ror.org/02drdmm93","country_code":"CN","type":"education","lineage":["https://openalex.org/I200296433"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Yue Li","raw_affiliation_strings":["Department of Gastroenterology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100730, China"],"affiliations":[{"raw_affiliation_string":"Department of Gastroenterology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100730, China","institution_ids":["https://openalex.org/I2801228662","https://openalex.org/I200296433"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5040501126","display_name":"Sheng Yu","orcid":"https://orcid.org/0000-0002-6347-0507"},"institutions":[{"id":"https://openalex.org/I99065089","display_name":"Tsinghua University","ror":"https://ror.org/03cve4549","country_code":"CN","type":"funder","lineage":["https://openalex.org/I99065089"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Sheng Yu","raw_affiliation_strings":["Center for Statistical Science, Tsinghua University, Beijing, 100084, China"],"affiliations":[{"raw_affiliation_string":"Center for Statistical Science, Tsinghua University, Beijing, 100084, China","institution_ids":["https://openalex.org/I99065089"]}]}],"institution_assertions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":1570,"currency":"GBP","value_usd":1925},"apc_paid":{"value":1570,"currency":"GBP","value_usd":1925},"fwci":5.837,"has_fulltext":true,"fulltext_origin":"pdf","cited_by_count":10,"citation_normalized_percentile":{"value":0.999982,"is_in_top_1_percent":true,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":94,"max":95},"biblio":{"volume":"23","issue":"1","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"primary_topic":{"id":"https://openalex.org/T12578","display_name":"Diagnosis and treatment of tuberculosis","score":0.9959,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12578","display_name":"Diagnosis and treatment of tuberculosis","score":0.9959,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12422","display_name":"Radiomics and Machine Learning in Medical Imaging","score":0.9872,"subfield":{"id":"https://openalex.org/subfields/2741","display_name":"Radiology, Nuclear Medicine and Imaging"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11636","display_name":"Artificial Intelligence in Healthcare and Education","score":0.9329,"subfield":{"id":"https://openalex.org/subfields/2718","display_name":"Health Informatics"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/intestinal-tuberculosis","display_name":"INTESTINAL TUBERCULOSIS","score":0.65538275},{"id":"https://openalex.org/keywords/trustworthiness","display_name":"Trustworthiness","score":0.4684254},{"id":"https://openalex.org/keywords/crohn-disease","display_name":"Crohn disease","score":0.45874035}],"concepts":[{"id":"https://openalex.org/C2909262708","wikidata":"https://www.wikidata.org/wiki/Q18553330","display_name":"INTESTINAL TUBERCULOSIS","level":3,"score":0.65538275},{"id":"https://openalex.org/C145642194","wikidata":"https://www.wikidata.org/wiki/Q870895","display_name":"Health informatics","level":3,"score":0.62992895},{"id":"https://openalex.org/C2779280984","wikidata":"https://www.wikidata.org/wiki/Q1472","display_name":"Crohn's disease","level":3,"score":0.58283216},{"id":"https://openalex.org/C2780801072","wikidata":"https://www.wikidata.org/wiki/Q837512","display_name":"Differential diagnosis","level":2,"score":0.54275084},{"id":"https://openalex.org/C2781069245","wikidata":"https://www.wikidata.org/wiki/Q12204","display_name":"Tuberculosis","level":2,"score":0.52840173},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.51980746},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.5080681},{"id":"https://openalex.org/C153701036","wikidata":"https://www.wikidata.org/wiki/Q659974","display_name":"Trustworthiness","level":2,"score":0.4684254},{"id":"https://openalex.org/C2992200296","wikidata":"https://www.wikidata.org/wiki/Q1472","display_name":"Crohn disease","level":4,"score":0.45874035},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.4421674},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.28567314},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.22196701},{"id":"https://openalex.org/C38652104","wikidata":"https://www.wikidata.org/wiki/Q3510521","display_name":"Computer security","level":1,"score":0.11956814}],"mesh":[{"descriptor_ui":"D003424","descriptor_name":"Crohn Disease","qualifier_ui":"","qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D014385","descriptor_name":"Tuberculosis, Gastrointestinal","qualifier_ui":"","qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D003113","descriptor_name":"Colonoscopy","qualifier_ui":"","qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003424","descriptor_name":"Crohn Disease","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false},{"descriptor_ui":"D003937","descriptor_name":"Diagnosis, Differential","qualifier_ui":"","qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":"","qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014385","descriptor_name":"Tuberculosis, Gastrointestinal","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false}],"locations_count":4,"locations":[{"is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12911-023-02257-6","pdf_url":"https://bmcmedinformdecismak.biomedcentral.com/counter/pdf/10.1186/s12911-023-02257-6","source":{"id":"https://openalex.org/S107516304","display_name":"BMC Medical Informatics and Decision Making","issn_l":"1472-6947","issn":["1472-6947"],"is_oa":true,"is_in_doaj":true,"is_indexed_in_scopus":true,"is_core":true,"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310319965","https://openalex.org/P4310320256"],"host_organization_lineage_names":["Springer Nature","BioMed Central"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true},{"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10426047","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_indexed_in_scopus":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":["National Institutes of Health"],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true},{"is_oa":true,"landing_page_url":"https://doi.org/10.21203/rs.3.rs-1625845/v1","pdf_url":"https://www.researchsquare.com/article/rs-1625845/latest.pdf","source":{"id":"https://openalex.org/S4306402450","display_name":"Research Square (Research Square)","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_indexed_in_scopus":false,"is_core":false,"host_organization":"https://openalex.org/I4210096694","host_organization_name":"Research Square (United States)","host_organization_lineage":["https://openalex.org/I4210096694"],"host_organization_lineage_names":["Research Square (United States)"],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false},{"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/37582768","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_indexed_in_scopus":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":["National Institutes of Health"],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false}],"best_oa_location":{"is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12911-023-02257-6","pdf_url":"https://bmcmedinformdecismak.biomedcentral.com/counter/pdf/10.1186/s12911-023-02257-6","source":{"id":"https://openalex.org/S107516304","display_name":"BMC Medical Informatics and Decision Making","issn_l":"1472-6947","issn":["1472-6947"],"is_oa":true,"is_in_doaj":true,"is_indexed_in_scopus":true,"is_core":true,"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310319965","https://openalex.org/P4310320256"],"host_organization_lineage_names":["Springer Nature","BioMed Central"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.68,"display_name":"Good health and well-being"}],"grants":[{"funder":"https://openalex.org/F4320321001","funder_display_name":"National Natural Science Foundation of China","award_id":"11801301"},{"funder":"https://openalex.org/F4320322919","funder_display_name":"Natural Science Foundation of Beijing Municipality","award_id":"Z190024"}],"datasets":[],"versions":[],"referenced_works_count":16,"referenced_works":["https://openalex.org/W1821462560","https://openalex.org/W2051968877","https://openalex.org/W2808315098","https://openalex.org/W2810578980","https://openalex.org/W2896457183","https://openalex.org/W2903896358","https://openalex.org/W2913953786","https://openalex.org/W2951576127","https://openalex.org/W2977595407","https://openalex.org/W3034350582","https://openalex.org/W3035855269","https://openalex.org/W3038744550","https://openalex.org/W3046761449","https://openalex.org/W3090221777","https://openalex.org/W3210120707","https://openalex.org/W4301409532"],"related_works":["https://openalex.org/W4403189695","https://openalex.org/W3214521508","https://openalex.org/W2792198785","https://openalex.org/W2473567508","https://openalex.org/W2436073988","https://openalex.org/W2085446880","https://openalex.org/W2066293742","https://openalex.org/W2042266066","https://openalex.org/W1991906533","https://openalex.org/W1987189293"],"abstract_inverted_index":{"Differentiating":[0],"between":[1,21,128,217],"Crohn's":[2],"disease":[3],"(CD)":[4],"and":[5,23,52,80,97,105,110,116,130,219,225,231],"intestinal":[6],"tuberculosis":[7],"(ITB)":[8],"with":[9,56,78,241],"endoscopy":[10],"is":[11,132,141],"challenging.":[12],"We":[13,71,171],"aim":[14],"to":[15,75],"perform":[16,229],"more":[17,178],"accurate":[18],"endoscopic":[19],"diagnosis":[20,31,83,127,213],"CD":[22,57,129,218],"ITB":[24,62,131,137,220],"by":[25,205],"building":[26],"a":[27,73,95,209],"trustworthy":[28,210],"AI":[29,211],"differential":[30,82,107,126,212],"application.A":[32],"total":[33],"of":[34,122,167,195,198],"1271":[35],"electronic":[36],"health":[37],"record":[38],"(EHR)":[39],"patients":[40],"who":[41],"had":[42,235],"undergone":[43],"colonoscopies":[44],"at":[45],"Peking":[46],"Union":[47],"Medical":[48],"College":[49],"Hospital":[50],"(PUMCH)":[51],"were":[53,66,200,238],"clinically":[54],"diagnosed":[55],"(n":[58,63],"=":[59,64],"875)":[60],"or":[61],"396)":[65],"used":[67],"in":[68,192,239],"this":[69,85],"study.":[70],"build":[72,208],"workflow":[74],"make":[76],"diagnoses":[77],"EHRs":[79],"mine":[81],"features;":[84],"involves":[86],"finetuning":[87],"the":[88,102,142,145,148,175,181,193,206,232],"pretrained":[89],"language":[90],"models,":[91],"distilling":[92],"them":[93],"into":[94],"light":[96],"efficient":[98],"TextCNN":[99,124,187],"model,":[100],"interpreting":[101],"neural":[103],"network":[104],"selecting":[106],"attribution":[108],"features,":[109],"then":[111],"adopting":[112],"manual":[113],"feature":[114],"checking":[115],"carrying":[117],"out":[118],"debias":[119],"training.The":[120],"accuracy":[121,153],"debiased":[123,176,186],"on":[125,222],"0.83":[133],"(CR":[134,156],"F1:":[135,138,157],"0.87,":[136,158],"0.77),":[139],"which":[140,161,199,234],"best":[143],"among":[144],"baselines.":[146],"On":[147],"noisy":[149],"validation":[150],"set,":[151],"its":[152],"was":[154,162],"0.70":[155],"ITB:":[159],"0.69),":[160],"significantly":[163],"higher":[164],"than":[165],"that":[166,174],"models":[168],"without":[169],"debias.":[170],"also":[172],"find":[173],"model":[177],"easily":[179],"mines":[180],"diagnostically":[182],"significant":[183],"features.":[184],"The":[185,227],"unearthed":[188],"39":[189],"diagnostic":[190,202],"features":[191,203,233],"form":[194],"phrases,":[196],"17":[197],"key":[201],"recognized":[204],"guidelines.We":[207],"application":[214],"for":[215],"differentiating":[216],"focusing":[221],"accuracy,":[223],"interpretability":[224],"robustness.":[226],"classifiers":[228],"well,":[230],"statistical":[236],"significance":[237],"agreement":[240],"clinical":[242],"guidelines.":[243]},"abstract_inverted_index_v3":null,"cited_by_api_url":"https://api.openalex.org/works?filter=cites:W4385836342","counts_by_year":[{"year":2024,"cited_by_count":8},{"year":2023,"cited_by_count":1}],"updated_date":"2025-04-22T21:14:43.717737","created_date":"2023-08-16"}