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Article History

Received: 10 January 2025

Accepted: 7 April 2025

First Online: 12 April 2025

Declarations

:

: This study was conducted in accordance with the ethical principles outlined in the Declaration of Helsinki and was approved by the University of Tokyo Faculty of Medicine Research Ethics Committee (approval date: March 22, 2024, approval number: 2406-(9)). The authors declare that this study did not involve the collection or use of organs or tissues from human participants. Furthermore, no organs or tissues were procured from prisoners or other vulnerable populations, in full compliance with international ethical standards, including the Declaration of Helsinki. Informed consent for participation in this study was obtained using an opt-out method. Study information, including its purpose and procedures, was disclosed publicly on the institutional website, allowing participants to decline participation if desired. Since no opt-out requests were received, consent was considered obtained from all individuals included in the study.

: Not applicable.

: The authors declare no competing interests.