CINXE.COM
Just a moment...
<!DOCTYPE html><html lang="en-US"><head><title>Just a moment...</title><meta http-equiv="Content-Type" content="text/html; charset=UTF-8"><meta http-equiv="X-UA-Compatible" content="IE=Edge"><meta name="robots" content="noindex,nofollow"><meta name="viewport" content="width=device-width,initial-scale=1"><style>*{box-sizing:border-box;margin:0;padding:0}html{line-height:1.15;-webkit-text-size-adjust:100%;color:#313131;font-family:system-ui,-apple-system,BlinkMacSystemFont,Segoe UI,Roboto,Helvetica Neue,Arial,Noto Sans,sans-serif,Apple Color Emoji,Segoe UI Emoji,Segoe UI Symbol,Noto Color Emoji}body{display:flex;flex-direction:column;height:100vh;min-height:100vh}.main-content{margin:8rem auto;max-width:60rem;padding-left:1.5rem}@media (width <= 720px){.main-content{margin-top:4rem}}.h2{font-size:1.5rem;font-weight:500;line-height:2.25rem}@media (width <= 720px){.h2{font-size:1.25rem;line-height:1.5rem}}#challenge-error-text{background-image:url(data:image/svg+xml;base64,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);background-repeat:no-repeat;background-size:contain;padding-left:34px}@media (prefers-color-scheme:dark){body{background-color:#222;color:#d9d9d9}}</style><meta http-equiv="refresh" content="390"></head><body class="no-js"><div class="main-wrapper" role="main"><div class="main-content"><noscript><div class="h2"><span id="challenge-error-text">Enable JavaScript and cookies to continue</span></div></noscript></div></div><script>(function(){window._cf_chl_opt={cvId: '3',cZone: "jitc.bmj.com",cType: 'managed',cRay: '91351ca7c90c4993',cH: 'gxkN0pgkPtr1cI3K8NgX8R6RAexY4bfRyALo4u6aZUo-1739788330-1.2.1.1-NPhTmVJM6YoXgJdEzB_dVYEjMdjakZvDYOKK4opzFgvbmC5.Xkx4wqI1gh_UQp8Y',cUPMDTk: "\/lookup\/doi\/10.1136\/jitc-2024-SITC2024.0893?__cf_chl_tk=0vcdc7hbPsdO6fZp9TdYpInsH4nEoUDdyzn4nCg85VQ-1739788330-1.0.1.1-6eMvvPAbKbc.eMh7IJZXC4dnB442YnB25AYPK92YtY8",cFPWv: 'b',cITimeS: '1739788330',cTTimeMs: '1000',cMTimeMs: '390000',cTplC: 0,cTplV: 5,cTplB: 'cf',cK: "",fa: "\/lookup\/doi\/10.1136\/jitc-2024-SITC2024.0893?__cf_chl_f_tk=0vcdc7hbPsdO6fZp9TdYpInsH4nEoUDdyzn4nCg85VQ-1739788330-1.0.1.1-6eMvvPAbKbc.eMh7IJZXC4dnB442YnB25AYPK92YtY8",md: "nHkHdVCpIWYzoq4a4SGtvXyFClg4.GKB23__VW07xPc-1739788330-1.2.1.1-sc1AoISEDS6TP_bbxzkOtDDde.a9BHUziPQFzVXwClTGGA07rA8OsIW9vrDFeCwPW4bsqEHqdUOWWsaHvT7cGTuOhVcAJr9mnqDSJXUoU4_Er6spWAVbShPpgVN0Scwh_Xt2ivDiXoJJoVhj4B00u8aJs5kcGivwnFTG52JyGAjAyh1wVK3RBm.uGzaEtWigPf77Y1QOVh4PQ_Iwm9MX5K2xKHGf2XZzEoOAyZhG5yEs3Atix_iGjmStNYzw7JMRt2v_0OeCKAEYjz6c3ls3c3tepzgfYVS7Tv7AxwEzkkA5ZcTIuoe3693nO_glV7tB_ryerZF49dtImd7fAPmHF9gpQ3.VBcaiMDVFiav84BOwmvvUFCD4pgy7AYmOyrBP2avj47aZjBGE9LFjlXJEyp3.g0pv9p._R8dZFMKLrcs7aJDKoLDm8xG7_qtpmYe3unyl.3TOqiMGhG_.2z7WKuyQt0gf5jztHWmaL46S3XT95d_BxABFMvLr6Xp3kUPFKLqhaeFRznNEAughTfGvhau5ugBrtDFQLDpc4Vwoj_eoREGJgcn21UyYd_tNxWw250vaWG9NnXApWydu8DLf2OGGQm5yRV7hYemBOFF7rp5wz6D7JgjA7eRtPQCAzpUYL5yasVM7Dtjqgs2PcdhFRoj5WmegwmoZ0Y_zGni0_03FRxnfFpwanmE3MyXuWmumuKMT8NjRv1XZmQbaaZCFbeG6uAwPofhEx.tk00jd_QpGzA04deKJdSWLTFei9xDkiCllGRgdg1Lag0fw2NY53VbP961ss9BBXPldv1VTp2zNEYVAPKGR48eyeFjE4bFpfR1whCPYo9OZ.Us5SRq6EFkVoWDQOrtS5H8cps0tjwCnqk36b5a42Qz5k1oZr2LgoR6r_2uORh1CnC91toKxWtltlNJ88hQbQd4feiFcqwROrT7wJ9dv1g3guS1dTXil9h56hQbR.TgWz5M1GVYPFYfhcuqVqDnyhwTwugULCkmIZIO4QhPQrOCL5UUWi1Jd6wNCFfTnL2xZTOl.eZbiwes0UjznDwEqKZXIQ0koVm2Ofs8kh_BrvTXRYkDnQK6gPGTK624n3jwcg1C5rOtP1GriBRxYWhXVEDFI9MRmaxkRML5tLtqOdoLeblJqaq7xbEFtA9.FHwc1frWth2frDC1qKOGxchkvduD5tv3OkAoTHJRt0S_XkwfJAmXE7Qfyz8AiW9K4k0HwiJC2Y9.OYTc6H18OQGAAeGnEeGLrQFkC3xsVwq7hsiCIPccQierICi0TwmQUtWc1CH4QgQ5I5_OLP18ArCWt0JCgrxUJYD46Oq1KVeiHPnh3locU2oQoWeXLJ1fmagfSRXRdZfCrQoXQ3Gby9fVo6a8ToQ42R2DQQrlCJPe6GTXzynqwNLXH3NrhU.W66JwmUleDJ5b5Br3mkXehgYjgQ0sztGn7hX5n4y7xq0xBxO0KUGhObKDqtxNY9rJSSnr_1slEX5kqsUq.UxVRDyUUlAN8zwag2IwzfMyqSufy8DM9o3whd1D4pBqKOcdr_fiPeP1hFH_aMvNN32USdB0VnmS_JzPfFzxeV1DCOkOSXRcFRVJLHu4uopsQwcijT50bxu04HTMktpTToJ909UVhFOabmSxXVcF2weVVN0VdH1youD_jzIpBnmvEA1ws5dCyAlpm6vOTIiKINWRKhtbEiBeEVxfm93TjBuf93LV03eSSc7wTi9F0lXr3gbL2LgpsujrZh9Xi_ATTkh_v2obemxo4o267IsL.zZbIfj6HagDebvvZHxA7YtfagdowygqIqgBaJCDpedlLw7IuOJZ8pHL5ZT0m7fDlUbsKKlUzDZWG8upCjzeoYJN0OUy6I.b9NPS2szkkwrd.1AHEIUB5DHbxoo6IKCZZAltf0GgSQVNPBV8tS0Y8Low6JWTKUvSb77H20eLnDktvzFMT6TUpQZrJw0GKGZqrm3hpkQWe7YcWGQmzoN_Rmfr0G_5qJF8__B4Azf2nEFeKDKENypl.HgTOIF2xQKZYSEsvmECC9ROdHc7JfRs_jsV8C8fym95XlgBggSOQ_mR2XBLsaBDrxpT_SYNwRjlcitEDkgg5UOzZMw.0iKrEcIEFEi3mmjsk9nzHEzuV86Cv6rPkTFnun7w1_V2vWf_40Ddvk2EdspD2U1iGypE0p_YbJ_rCnOevSXGVg1bfgX0Q2ZJEtUZjPLombaOagaM1vaQnt_0Rn34hBAfUBX78rNcYG8AyT2HyYAoFqVOu7glySKliVQUMj330YUFm6A1bhGmhTcCMLnb4kT3r.YP.AZ97ydFBIfx_zyqvACFMDcAqZhMvfgewXZFB3mPnlXAuCky2kCEUDSjYNdgyXMTMT4RJKJxwrLanYmVYY.zR93Ki_cNe7Yj.WLLc163Z1avbGKkB8uwvI9d0krSn08qQbR5I4clMnd5Msw.sc77Cyniyxd57.nyGlERXMf.pwnbFfsWUwM.mmBLSYHHKN6jJq212fSlxz4HRayy42Md9Uj_ZlHFzgVnTnVhvW7ajGhYsocTFq2TWAdLcpFB180LqM46Njf6JWPjyqnA0rmppFQ",mdrd: "TI5qELXbX5LkO0GTXvq4CKRY.KP747viUynSBO8qJV4-1739788330-1.2.1.1-ONx..eT84bFGDvfL9UN9eaEqL05NyAJjQqvmIoizvItHXyFmeUxUoDaKFEmw_n7kaNGPXdiezJ2W1031TFdg7gO8mFAg6R5j.1nb7LuFoukkdVZzcaRLGvlJ7s7YUk9kKMLCD1WGeYvZeMs9dJFrzkSou63m6_l637ZkEPsbsbYJvwleD5VrfSNtJ4jLMNxu2BDmvoNbRFc1JGDfb.nVKzoqMvvtwS6F9SCm_TpiQ8feHhE9GMqCrHSHZEha.nu0hsNJdTGdCyXp4LHfeMHNmqjlSDECDMOfT94ZQM.bcd5.jp0UWiIHb7.SX1nzYKsCe7UgN1QkmVOtWJlfFTWtJKPMAR5C0TyoSMImQKUJEzQ__0zdVxwyi_BRyD0mlillisa64065t8AP6hiqFFp5F2Zw5e.CmFRvhoxF7IndATDy8o_j3PeIzoY_Zjn9yy.fABQzB3IYHKtS28YvV_XxHeMrwCIffiqu6TsLsk2jBdpqmQ0KgxJSbFCA6pfTr6FwAPeqNEF.dpTf2_u0lYMZ8CMohVAfax8kHrN4TRBj_9WI83JcuXVdEBJDDKUt.pDpVgUaCr.eZcmus178bLv8_lZJEuVI2UHBUxAkc502pbz3NFl9kCmCWoGijFtVnpYnHRGZODwf0eXJAvqdIT9iUZqkP7TwfAwX4OFvxfKRvFf0ShXXp2rw0tLsnUK7OIWcT32oBLKlg8ERolswD4gAAyQlJ1NmazFhCbXB1d_WWQ3tTp0O7AX_FVVV484Z_eGAmiNSDi3PRl1mLs62SVryFxSeVpv5j2gHhuUgazJm8GmhWf1VYpUTolm73wvqjt0iyk1OGpUlTRfkDw8sOcZalthc.NpH8Dc9OtO8Dn3KyweeY30wsqpIl1EKwPdCnzYoaLIqgcgyQNkThs46Zo19Azf3r8J8hEpMFirOaa7av_fvdNI0P6IWlTSdyFAcHI7YbdZIrmcG8R7imRmZQ3OfMnSPEnK0sej.o4G2iT2NsyzS4B3diLS4ZuJVPkRQqDq9yrmAlEz6pmrEiNYFn3qv8ZSQ9sUBwBF2jule8sCB.beviOvtOExhbHpDt0igEvLVG7lnxC4Z5sDc6GJ4yTx3MSIF.Mp0CMUc1.y_1urLYObsaLdW2D79jgxX_7pi.5yLszf8KDvpJwQ_Kd.f2aaPcuN3WkFQMEQzxqMx62.PJZk0NL1yaUqCV5b5K9Nf4SSQXoL32dkreW0b9tIxv59A1Zvu_8Nzvr718q65BaFs2Ze2maNcVM.g4ETuK0WkCg7f7unyhfPZdF9E0CRMnJtoMm38MWoBMpEPXsOMq2jjqIlEmwg0y0GXEI0lSfgEEXBqn_rwKIyKCRIGxb5CDB268jEJHrSTJkXdtqzH79JLDwz.y5LydnlpmA624e7xkLOX77uJiHqO7l5E_W2G.joZrWKAFZbsj1PALpnv5sK8sjSC7i5aU7b7ZmPDe.Z5zC_5DMJ1lgUVopnRvaKhlMgQglBUHKfPksPWu7RubYzUgcxEkmuRbrkb9ZOc93.UskbMH9LSiI5SNj.ShgUDudPFDyAqsfHoWQtSCucdxfuVG9WAfExeykACYd04lLLfrsXp1PDdSZWTow.JqwtNOK6Ei26aGtRHhRncN.u7w_JrG6bfBcOn7co3djGFN.I63NqHGnaU2gYJ89wFuT2zp2NMvMCbh_Rhk4lT_rSsr5m9BSHGdfgEHagSgQUb.cQ9TV4OMJgbFAUA34EFZlASrKlnopt4lFpd8XekMU4Z2dpeQpYEgRwMWnAzC0RaslU8a65.HTUV5EZVlVzsJBltj8YKpJ_5wshbCCbCFOBmWOHJ_PRQIpXkZuwWVAe2xA7Ul2DlZrfXTT4qKi0r.aBAomoz5vCqssJBqtNA3CXGk6KzI2V_39YdPbvCljsL5TMWXxaYbpkpP.GYcfZxTOLbZ7DXOncKZ1aJa9VNeoVy9uhMj72HSAyn2ijT.xSeePy1X3AV"};var cpo = document.createElement('script');cpo.src = '/cdn-cgi/challenge-platform/h/b/orchestrate/chl_page/v1?ray=91351ca7c90c4993';window._cf_chl_opt.cOgUHash = location.hash === '' && location.href.indexOf('#') !== -1 ? '#' : location.hash;window._cf_chl_opt.cOgUQuery = location.search === '' && location.href.slice(0, location.href.length - window._cf_chl_opt.cOgUHash.length).indexOf('?') !== -1 ? '?' : location.search;if (window.history && window.history.replaceState) {var ogU = location.pathname + window._cf_chl_opt.cOgUQuery + window._cf_chl_opt.cOgUHash;history.replaceState(null, null, "\/lookup\/doi\/10.1136\/jitc-2024-SITC2024.0893?__cf_chl_rt_tk=0vcdc7hbPsdO6fZp9TdYpInsH4nEoUDdyzn4nCg85VQ-1739788330-1.0.1.1-6eMvvPAbKbc.eMh7IJZXC4dnB442YnB25AYPK92YtY8" + window._cf_chl_opt.cOgUHash);cpo.onload = function() {history.replaceState(null, null, ogU);}}document.getElementsByTagName('head')[0].appendChild(cpo);}());</script></body></html>