Akiyama, Yoshiyuki https://orcid.org/0000-0003-1439-5640
Malde, Sachin
Lako, Kostika
Iwaya, Mai
Uehara, Takeshi
Niimi, Aya
Horie, Masafumi
Ushiku, Tetsuo
Goto, Akiteru
Kume, Haruki
Homma, Yukio
Cervigni, Mauro
Maeda, Daichi https://orcid.org/0000-0001-5438-3500
Funding for this research was provided by:
Shinshu University
Article History
Received: 27 March 2026
Accepted: 7 July 2026
First Online: 17 July 2026
Declarations
Conflict of interest: The authors declare no competing interests.
Ethical approval: This study received ethical approval from the Institutional Review Board of The University of Tokyo (approval no. G10046) and Shinshu University (approval no. 6462), and conformed with the provisions of the Declaration of Helsinki.
Informed consent: The participants were informed of study aims and methods prior to enrollment. All patients provided written informed consent to participate in the study. All procedures followed the appropriate guidelines.
Consent for publication: All authors have read the entire manuscript and agreed on publication.