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Article History

Received: 10 November 2025

Accepted: 27 January 2026

First Online: 11 February 2026

Declarations

:

: This study was conducted in accordance with the ethical standards laid down in the Declaration of Helsinki. Ethical approval for this research was obtained from the Research Ethics Committee of the Faculty of Medicine , The University of Tokyo (Approval No. 10994). All participants received written and verbal information about the study aims and procedures and provided written informed consent prior to participation.

: All participants appearing in Fig. 1 and in any identifying images provided written informed consent for publication of these images and associated quotes. Written consent to publish anonymized data and photographs was obtained from all individuals prior to participation. No personal or clinical information that could compromise anonymity is disclosed in this manuscript.

: The authors declare no competing interests.