medsci-skills 4.1.0

package/skills/manage-project/templates/SSOT.yaml.template

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+# SSOT.yaml — Single Source of Truth for medsci research project (schema v1).
+# Generated by `/manage-project init --ssot`. See docs/ssot_schema_v1.md for spec.
+# Edit `truth.*` paths only; `derived.*` is auto-written by pipeline.
+
+schema_version: 1
+project_id: {{PROJECT_ID}}
+project_type: {{PROJECT_TYPE}}
+
+truth:
+  manuscript: manuscript/index.qmd
+  refs_bib: manuscript/_src/refs.bib
+  numbers_yaml: manuscript/_src/numbers.yaml
+  tables_yaml: manuscript/_src/tables.yaml
+  figures_dir: manuscript/figures/
+  metadata: manuscript/_metadata.yml
+
+reference_manager:
+  type: zotero
+  required_for: project_owner
+  library_type: user
+  library_id: null
+  collection_key: null
+  sync_method: better_bibtex_auto_export
+  fallback_for_collaborator: snapshot_only
+  citekey_policy: pinned_or_stable
+  refs_bib_snapshot: manuscript/_src/refs.bib
+
+renders: {}
+
+derived:
+  artifact_manifest: artifact_manifest.json
+  status_file: qc/status.json
+
+policy:
+  ssot_only_editable: true
+  submission_readonly: true
+  back_merge_required_before: render
+  manuscript_citations: citekey_only
+  allow_new_reference_from_llm: false
+  missing_citekey: block
+  unverified_reference: block_before_submission

package/skills/manage-refs/LICENSE.zotero-mcp

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+MIT License
+
+Copyright (c) 2026 Ali Soroush
+
+Permission is hereby granted, free of charge, to any person obtaining a copy
+of this software and associated documentation files (the "Software"), to deal
+in the Software without restriction, including without limitation the rights
+to use, copy, modify, merge, publish, distribute, sublicense, and/or sell
+copies of the Software, and to permit persons to whom the Software is
+furnished to do so, subject to the following conditions:
+
+The above copyright notice and this permission notice shall be included in all
+copies or substantial portions of the Software.
+
+THE SOFTWARE IS PROVIDED "AS IS", WITHOUT WARRANTY OF ANY KIND, EXPRESS OR
+IMPLIED, INCLUDING BUT NOT LIMITED TO THE WARRANTIES OF MERCHANTABILITY,
+FITNESS FOR A PARTICULAR PURPOSE AND NONINFRINGEMENT. IN NO EVENT SHALL THE
+AUTHORS OR COPYRIGHT HOLDERS BE LIABLE FOR ANY CLAIM, DAMAGES OR OTHER
+LIABILITY, WHETHER IN AN ACTION OF CONTRACT, TORT OR OTHERWISE, ARISING FROM,
+OUT OF OR IN CONNECTION WITH THE SOFTWARE OR THE USE OR OTHER DEALINGS IN THE
+SOFTWARE.

package/skills/manage-refs/NOTICE.md

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+# NOTICE — Third-party components
+
+## scripts/_vendor_citation_writer.py
+
+- **Source**: alisoroushmd/zotero-mcp (https://github.com/alisoroushmd/zotero-mcp)
+- **File**: `src/zotero_mcp/citation_writer.py`
+- **Upstream SHA**: `ed5dfb718b78f355f300545eb375aec7a543e027` (fetched 2026-05-01)
+- **License**: MIT, © 2026 Ali Soroush — full text in [`LICENSE.zotero-mcp`](./LICENSE.zotero-mcp)
+- **Modifications**: None to the function bodies. The header comment was
+  rewritten to point at this skill's NOTICE / LICENSE files.
+- **Why vendored, not depended on**: the upstream module has no PyPI release
+  and its repository ships an MCP server we do not need. The single file is
+  self-contained (only `python-docx` required) and was validated against a
+  21-reference an active meta-analysis project manuscript before being relocated here.
+
+## CSL files (`citation_styles/*.csl`)
+
+CSL files are author-licensed under CC BY-SA 3.0 (see individual file headers
+or the README at the upstream Zotero / citation-style-language project).
+
+## How `inject_zotero_cwyw.py` differs from upstream
+
+The vendored `zotero_to_csl_json` walks an `_ITEM_TYPE_MAP` that does not
+include `webpage`, `report`, `presentation`, etc. — those item types fall
+back to `"article"` and silently lose `URL` / `accessDate` / `publisher`. The
+wrapper in `inject_zotero_cwyw.py` monkey-patches that function at import
+time so it instead fetches each item's CSL-JSON from Zotero's connector API
+(`http://localhost:23119/api/users/<USER_ID>/items/<KEY>?format=csljson`),
+which is Zotero's own serialization and handles every item type correctly.

package/skills/manage-refs/SKILL.md

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+---
+name: manage-refs
+description: >
+  Cross-cutting reference manager for medical manuscripts. Single entry point
+  for citation-key validation, journal-CSL pandoc rendering, manuscript ↔ DOCX
+  cross-reference QC, marker conversion (``[N]`` ↔ ``[@key]``), and native
+  Zotero CWYW field-code injection. Replaces the inline reference-handling
+  that previously lived in ``/write-paper`` Phase 7.6 and is reused by
+  ``/revise``, ``/peer-review``, ``/sync-submission``, and any skill that
+  produces a journal submission. Audit-only verification stays in
+  ``/verify-refs`` — this skill writes (renders, injects, converts); that
+  skill only reads.
+triggers: manage-refs, references, citation, citation keys, pandoc citeproc, journal CSL, CSL swap, cascade rejection re-render, cross-reference QC, [@bibkey], Zotero CWYW, ADDIN ZOTERO_ITEM, marker conversion, [N] to [@key], reference manager, render manuscript, check_citation_keys, check_xref
+tools: Read, Write, Edit, Bash, Grep, Glob
+model: inherit
+---
+
+# Manage-Refs Skill
+
+You are routing reference-handling work for a medical manuscript. The user is
+somewhere in the lifecycle — drafting, building a circulation DOCX, swapping
+CSL after a journal rejection, fixing a cross-reference defect surfaced by
+QC, or wiring up live Zotero field codes for a co-author Word workflow. Pick
+the right tool from the decision table; do not invent a parallel pipeline.
+
+## Why This Skill Exists
+
+Reference handling spans every late-stage skill: `/write-paper` builds the
+first DOCX, `/revise` rebuilds it after each reviewer round, `/peer-review`
+emits a critique that quotes references back, `/sync-submission` packages the
+final tarball, `/find-journal` informs CSL swaps on rejection cascade, and
+`/verify-refs` audits the bibliography. Until 2026-05-01 these scripts lived
+under `skills/write-paper/scripts/`, which made `/revise` and `/sync-submission`
+silently depend on a sibling skill — a layering inversion that broke when
+`/write-paper` was loaded into a non-research project. Moving the
+lifecycle tools here turns reference handling into a first-class concern
+with one decision tree, one set of CSL files, and one provenance file
+(`NOTICE.md`) for the vendored Zotero CWYW writer.
+
+Validated 2026-05-01 against a 21-reference meta-analysis manuscript
+(a meta-analysis project's submission) for both pandoc-citeproc and Zotero-CWYW paths.
+
+## Anti-Hallucination Guarantees
+
+1. **Citekey discipline (Phase 0)**: every in-text citation must be
+   `[@bibkey]` resolvable in `refs.bib`. `scripts/check_citation_keys.py` is
+   a hard gate — UNDEFINED keys exit non-zero and block the build.
+
+   **`[@NEW:topic]` placeholder convention**: while drafting, `/write-paper`
+   may emit `[@NEW:topic_slug]` markers for citations the author still needs
+   to source. `check_citation_keys.py` classifies these as `NEW_PLACEHOLDER`
+   (not UNDEFINED) and exits 0 — the build is allowed to proceed during
+   drafting. Phase 7.6 (DOCX render) is a hard gate: zero NEW_PLACEHOLDER
+   entries must remain. Resolve each by adding the citation to Zotero (then
+   `/lit-sync` refreshes refs.bib) and replacing the placeholder with the
+   real `[@bibkey]`. Never let a `[@NEW:...]` reach a rendered DOCX.
+2. **No hand-typed References list** — references are always rendered by
+   pandoc citeproc + journal CSL or by the Zotero Word plugin (CWYW). See
+   `~/.claude/rules/manuscript-references.md`.
+3. **Zotero metadata is never invented** — `inject_zotero_cwyw.py` fetches
+   item data live from `http://localhost:23119`. Any HTTP failure aborts
+   with a non-zero exit so partial bibliographies never reach the user.
+4. **Marker conversion is mapping-driven** — `md_marker_convert.py` will
+   never guess a Zotero key for a number; unmapped markers stay as `[N]`
+   and are reported on stderr.
+5. **Cross-reference QC is a submission gate** — `scripts/check_xref.py`
+   `--strict` exits 1 on any `MISSING_DOCX` / `MISSING_BODY` / `MISMATCH`,
+   blocking pipelines that try to ship a DOCX whose Table/Figure citations
+   don't match captions.
+6. **Audit boundary**: this skill writes; bibliographic correctness against
+   PubMed/CrossRef stays in `/verify-refs`. Always invoke `/verify-refs`
+   after a render before signing off — one read-only audit, one writer.
+
+## Decision Tree
+
+| Situation | Tool | Why |
+|---|---|---|
+| Validate `[@bibkey]` ↔ `refs.bib` (UNDEFINED / UNUSED keys) | `scripts/check_citation_keys.py` | Hard build gate, runs in seconds |
+| Single-author submission lockdown, frozen output | `scripts/render_pandoc.sh -j <journal>` | Reproducible, CI-friendly |
+| Cascade rejection (e.g., ER → JVIR → CVIR) | `render_pandoc.sh` with new `-j` | CSL swap reformats references in seconds |
+| Reviewer revision: add 1–2 refs to a Word doc with co-authors live | Zotero Word plugin (user GUI) | Minimal disruption to track-changes flow |
+| Reviewer revision: bulk reference change | Edit markdown SSOT, re-run `render_pandoc.sh` | Consistency, no cherry-pick risk |
+| Migrate `[N]` numeric markers → `[@key]` for pandoc | `scripts/md_marker_convert.py --to-keys` | Mapping-driven, partial conversion safe |
+| Convert `[@key]` → `[N]` for round-trip / debug | `scripts/md_marker_convert.py --to-numbers` | Same map, opposite direction |
+| Wire native Zotero CWYW field codes into a .docx (live Refresh in Word) | `scripts/inject_zotero_cwyw.py` | Co-author Word workflow, post-circulation editability |
+| Manuscript ↔ rendered DOCX cross-reference QC | `scripts/check_xref.py --strict` | Submission gate (P0 blocker on mismatch) |
+| Figures/tables submitted as separate attachments (radiology, most medical journals) | `check_xref.py --strict --allow-separate-attachments` | Downgrades `MISSING_DOCX` to WARN; `MISSING_BODY`/`MISMATCH` remain P0 |
+| **v_(N+1) docx build-time regeneration check** | `check_xref.py --vN-docx-md5 <prev>.docx [--vN-md <prev>.md]` | Defense-in-depth: identity = unmodified seed copy; missing diff lines = body not regenerated |
+| **Master pre-submission gate** (recommended before any submission) | `scripts/pre_submission_gate.sh` | Chains `check_citation_keys` → `verify_refs --strict` → `render_pandoc` (optional) → `check_xref --strict`; single artifact `qc/pre_submission_gate.json` |
+| Bibliographic audit against PubMed / CrossRef | **delegate** to `/verify-refs` | Audit-only — keep writer/auditor separation |
+
+## Workflows
+
+### A. Pandoc citeproc (default for solo authors and final submissions)
+
+User provides `manuscript.md` with `[@bibkey]` citations + `refs.bib`.
+1. **Gate**: `python "${CLAUDE_SKILL_DIR}/scripts/check_citation_keys.py" manuscript.md refs.bib`
+   — exits non-zero on UNDEFINED keys. Fix and re-run.
+2. **Render**:
+   ```bash
+   "${CLAUDE_SKILL_DIR}/scripts/render_pandoc.sh" \
+     -j european-radiology \
+     -i manuscript.md \
+     -b refs.bib \
+     -o manuscript_final.docx
+   ```
+   Bundled CSLs (in `citation_styles/`): `european-radiology`, `radiology`,
+   `american-journal-of-roentgenology`, `cardiovascular-and-interventional-radiology`,
+   `korean-journal-of-radiology`, `vancouver`, `vancouver-superscript`,
+   `springer-basic-brackets`, `springer-vancouver-brackets`. Use
+   `radiology` for RYAI; use `vancouver` for JVIR (no dedicated CSL).
+3. **QC**:
+   ```bash
+   python3 "${CLAUDE_SKILL_DIR}/scripts/check_xref.py" \
+     --md manuscript.md --docx manuscript_final.docx \
+     --out qc/xref_audit.json --strict
+   ```
+   Treat `submission_safe: false` as a halt. Route fixes by symptom — see
+   the table in `references/check_xref_symptoms.md`.
+4. **Audit hand-off**: invoke `/verify-refs` for the PubMed/CrossRef audit
+   before sign-off.
+
+### B. Zotero CWYW (co-author Word workflow)
+
+User has a markdown SSOT and wants reviewers to edit citations directly in
+Word. Each reference must already exist as a Zotero item; the user supplies
+a `[N] → ZoteroKey` mapping.
+1. **Convert markers**:
+   ```bash
+   python3 "${CLAUDE_SKILL_DIR}/scripts/md_marker_convert.py" \
+     --input manuscript.md --output manuscript_keys.md \
+     --map ref_map.json --to-keys
+   ```
+   Optionally stage with `--active-ns 1,2,3,4,19` for a sample build first
+   (validated on an active meta-analysis project: 5-ref sample reduces Word Refresh blast radius
+   when debugging).
+2. **Render to .docx** with pandoc (workflow A) so the body has plain text
+   `[@key]` markers, OR pre-build a .docx some other way that still contains
+   plain `[@key]` text.
+3. **Inject CWYW**:
+   ```bash
+   python3 "${CLAUDE_SKILL_DIR}/scripts/inject_zotero_cwyw.py" \
+     --input manuscript_keys.docx --output manuscript_cwyw.docx \
+     --user-id 16613550 --keys-from keys.txt
+   ```
+   The script fetches Zotero metadata via the local connector (port 23119);
+   any HTTP failure aborts with non-zero exit.
+4. **First-build instruction** (REQUIRED — see Known Limitation #1): open
+   the output in Word → Zotero tab → **Add/Edit Bibliography** once. After
+   that, **Refresh** keeps citations and bibliography in sync as authors
+   edit.
+5. **Surgical patches are unsafe**: for ref additions in later rounds, edit
+   the markdown SSOT and rebuild the whole .docx instead of regex-patching
+   the post-CWYW file. Zotero's rendered `[N]` superscripts can collide
+   with plain `[N]` markers and corrupt the field codes.
+
+### C. Cascade rejection re-render (find-journal hand-off)
+
+User got rejected from journal A and `/find-journal` recommended journal B.
+1. Confirm the new CSL exists in `citation_styles/` (or fetch from
+   https://citationstyles.org/styles and drop in).
+2. Re-run `render_pandoc.sh -j <new-csl>` against the same `manuscript.md` +
+   `refs.bib`.
+3. Re-run `check_xref.py --strict`.
+4. Re-run `/verify-refs` if any new references were added during the
+   inter-journal revision.
+
+### D. Cross-reference QC only
+
+User shipped a manuscript and a reviewer flagged a Table/Figure mismatch.
+1. Run `check_xref.py --strict` on the current `manuscript.md` + `.docx`.
+2. Inspect `qc/xref_audit.json`. Body caption is the SSOT — fix `manuscript.md`
+   and rebuild, never patch the .docx by hand.
+3. See `references/check_xref_symptoms.md` for the
+   `MISSING_BODY` / `MISSING_DOCX` / `MISMATCH` triage table.
+4. For journals that accept figures and tables as **separate attachment files**
+   (the default in European Radiology, Radiology, AJR, JVIR, KJR, and most
+   medical journals), pass `--allow-separate-attachments`. `MISSING_DOCX` rows
+   are then recorded as WARN rather than FAIL; `MISSING_BODY` and `MISMATCH`
+   remain P0 because they indicate SSOT drift, not attachment policy.
+
+### D'. v_(N+1) docx regeneration check (build-time companion)
+
+When building v_(N+1) from a frozen v_N, the v_(N+1) docx MUST differ
+from v_N docx by content — a byte-identical copy is a silent seed-copy
+that will revert markdown edits at peer review. `check_xref.py` carries
+two flags for the build-time companion to the submission-time gate
+in `scripts/verify_package_integrity.py --assert-vN-docx-changed`:
+
+```bash
+python3 "${CLAUDE_SKILL_DIR}/scripts/check_xref.py" \
+    --md manuscript_v2.md \
+    --docx manuscript_v2.docx \
+    --vN-docx-md5 manuscript_v1.docx \
+    --vN-md manuscript_v1.md \
+    --strict
+```
+
+- `--vN-docx-md5` alone: MD5 identity check. Identical bytes = FAIL.
+- `--vN-docx-md5 + --vN-md`: additionally extracts the markdown-only diff
+  between v_N and v_(N+1) and verifies each ≥40-char diff line appears
+  verbatim (whitespace-normalized, case-insensitive) in the new docx
+  body XML. Missing diff lines = body did not pick up the markdown edits.
+
+Output records the result under `vN_docx_check` in `qc/xref_audit.json`.
+Either failure mode causes a non-zero exit even without `--strict`.
+
+### E. Master pre-submission gate (recommended end-to-end chain)
+
+The single entry point that combines workflows A and D plus `/verify-refs`
+into one aborting chain. Use this immediately before submission or before
+circulating a v_N package to senior co-authors.
+
+```bash
+bash "${CLAUDE_SKILL_DIR}/scripts/pre_submission_gate.sh" \
+    --md manuscript/manuscript.md \
+    --bib manuscript/_src/refs.bib \
+    --docx submission/<journal>/manuscript.docx \
+    --allow-separate-attachments    # omit if the journal accepts inline figures/tables
+```
+
+Stage order (first failure aborts):
+1. `check_citation_keys.py manuscript.md refs.bib` — UNDEFINED / UNUSED keys
+2. `verify_refs.py refs.bib --strict` — PubMed / CrossRef per-entry verification
+3. `render_pandoc.sh -j <csl> -i ... -b ... -o ...` — invoked only when `--docx` is omitted
+4. `check_xref.py --md ... --docx ... --strict [--allow-separate-attachments]`
+
+On success the chain writes `qc/pre_submission_gate.json` (plus the
+per-stage artifacts `qc/reference_audit.json` and `qc/xref_audit.json`)
+with `submission_safe: true`. On any failure the JSON records the failing
+stage and exit code, and the script exits non-zero — do not submit until
+the failing stage passes.
+
+Critical: the gate does **not** reimplement any check. It calls the existing
+scripts as subprocesses. If you find yourself wanting to add a check, add it
+to the underlying script (the gate then picks it up automatically).
+
+## Quality Gates
+
+This skill defines **three submission gates** and **one user approval gate**:
+
+- **Gate 1 (citekey integrity)**: `check_citation_keys.py` exits non-zero on
+  UNDEFINED keys. The pipeline halts; the user reviews and fixes.
+- **Gate 2 (cross-reference integrity)**: `check_xref.py --strict` exits 1 on
+  any `MISSING_DOCX` / `MISSING_BODY` / `MISMATCH` row. The user reviews
+  `qc/xref_audit.json` and resolves before proceeding.
+- **Gate 3 (audit hand-off)**: before sign-off, the user must run
+  `/verify-refs` and confirm `submission_safe: true` in
+  `qc/reference_audit.json`. This skill never marks the bibliography
+  audited on its own.
+- **User approval gate (CWYW first build)**: the user must perform Word →
+  Zotero → Add/Edit Bibliography manually after the first
+  `inject_zotero_cwyw.py` build. The skill cannot automate this and warns
+  on stderr that it is required.
+
+## Provenance
+
+`scripts/_vendor_citation_writer.py` is vendored from
+`alisoroushmd/zotero-mcp` @ `ed5dfb71`, MIT licensed. See
+[`NOTICE.md`](./NOTICE.md) and [`LICENSE.zotero-mcp`](./LICENSE.zotero-mcp).
+
+## Related
+
+- `~/.claude/rules/manuscript-references.md` — global rule (decision tree
+  this skill implements)
+- `~/.claude/rules/agent-skill-routing.md` — skill router (this skill is the
+  reference-handling row)
+- `~/.claude/rules/zotero-workflow.md` — BBT auto-export, MCP setup
+- `/verify-refs` — read-only audit (PubMed / CrossRef + first-author
+  cross-check)
+- `/lit-sync` — Zotero ↔ Obsidian sync, `refs.bib` provider
+- `/write-paper` Phase 7.6 — calls this skill (one-line delegation)
+- `/revise`, `/sync-submission`, `/find-journal` — call this skill on
+  rebuild / re-render / cascade
+
+## Known Limitations
+
+1. **First-build empty BIBL field (CWYW)**: `inject_zotero_cwyw.py` writes a
+   stub `ADDIN ZOTERO_BIBL` field; Word's Zotero Refresh treats an empty
+   stub as user-customized and refuses to populate it. User must run
+   Add/Edit Bibliography once. Subsequent Refresh works as expected.
+   Validated on Word for Mac, an active meta-analysis project.
+2. **Webpage / non-journal item types**: handled by the patched
+   `zotero_to_csl_json` that fetches Zotero's native CSL-JSON; do not bypass
+   this patch.
+3. **Surgical post-build regex patches are unsafe** — see Workflow B step 5.
+4. **Local Zotero required for CWYW** — port 23119 must be reachable; no
+   web-API fallback yet (would need `ZOTERO_API_KEY`). On failure the script
+   aborts with non-zero exit so partial builds never ship.

package/skills/manage-refs/citation_styles/README.md

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+# Citation Styles (CSL)
+
+Journal-specific Citation Style Language files for pandoc citeproc rendering.
+Source: https://github.com/citation-style-language/styles (zotero/styles).
+
+## Bundled CSLs
+
+| File | Use for | Notes |
+|------|---------|-------|
+| `european-radiology.csl` | European Radiology, EURE | Dependent on `springer-basic-brackets.csl` (must be in same dir) |
+| `cardiovascular-and-interventional-radiology.csl` | CVIR | Dependent on `springer-vancouver-brackets.csl` |
+| `radiology.csl` | Radiology (RSNA) | Independent. Also acceptable fallback for Radiology: AI when no dedicated CSL exists |
+| `american-journal-of-roentgenology.csl` | AJR | Independent |
+| `korean-journal-of-radiology.csl` | KJR | Vancouver-superscript variant |
+| `vancouver.csl` | Generic Vancouver (brackets) | Fallback when journal CSL unavailable (e.g., JVIR, Radiology: AI) |
+| `vancouver-superscript.csl` | Generic Vancouver (superscript) | Alternative fallback |
+| `springer-basic-brackets.csl` | Parent of European Radiology | Do not use directly — keep co-located |
+| `springer-vancouver-brackets.csl` | Parent of CVIR | Do not use directly — keep co-located |
+
+## Missing — use fallback
+
+- **Radiology: Artificial Intelligence (RYAI)**: no dedicated CSL on zotero/styles as of 2026-04. Use `radiology.csl` (parent journal, identical RSNA house style).
+- **Journal of Vascular and Interventional Radiology (JVIR)**: no dedicated CSL. Use `vancouver.csl` and verify against latest author guidelines before submission.
+
+## Updating
+
+```bash
+cd "$(dirname "$0")"
+for s in european-radiology radiology american-journal-of-roentgenology \
+         cardiovascular-and-interventional-radiology korean-journal-of-radiology \
+         vancouver vancouver-superscript \
+         springer-basic-brackets springer-vancouver-brackets; do
+  curl -fsSL -o "${s}.csl" "https://www.zotero.org/styles/${s}"
+done
+```
+
+Verify dependent-parent links if Springer reorganizes:
+```bash
+grep -H independent-parent *.csl
+```

package/skills/manage-refs/citation_styles/american-journal-of-roentgenology.csl

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+<?xml version="1.0" encoding="utf-8"?>
+<style xmlns="http://purl.org/net/xbiblio/csl" class="in-text" version="1.0" demote-non-dropping-particle="sort-only" default-locale="en-US">
+  <info>
+    <title>American Journal of Roentgenology</title>
+    <title-short>AJR</title-short>
+    <id>http://www.zotero.org/styles/american-journal-of-roentgenology</id>
+    <link href="http://www.zotero.org/styles/american-journal-of-roentgenology" rel="self"/>
+    <link href="http://www.zotero.org/styles/nlm-citation-sequence-brackets" rel="template"/>
+    <link href="https://www.ajronline.org/authorguidelines" rel="documentation"/>
+    <author>
+      <name>Francis Deng</name>
+      <email>francis.deng@gmail.com</email>
+    </author>
+    <contributor>
+      <name>Patrick O'Brien</name>
+    </contributor>
+    <category citation-format="numeric"/>
+    <category field="medicine"/>
+    <issn>0361-803X</issn>
+    <eissn>1546-3141</eissn>
+    <summary>AJR style based on Vancouver but with brackets</summary>
+    <updated>2026-01-25T22:16:24+00:00</updated>
+    <rights license="http://creativecommons.org/licenses/by-sa/3.0/">This work is licensed under a Creative Commons Attribution-ShareAlike 3.0 License</rights>
+  </info>
+  <locale xml:lang="en">
+    <terms>
+      <term name="printing">published</term>
+    </terms>
+  </locale>
+  <macro name="author">
+    <names variable="author" suffix=". ">
+      <name delimiter-precedes-last="always" et-al-min="7" et-al-use-first="3" initialize-with="" name-as-sort-order="all" sort-separator=" "/>
+      <label form="short" strip-periods="true" prefix=", "/>
+      <substitute>
+        <names variable="editor"/>
+      </substitute>
+    </names>
+  </macro>
+  <macro name="editor">
+    <names variable="editor">
+      <name sort-separator=" " initialize-with="" name-as-sort-order="all" delimiter=", " delimiter-precedes-last="always"/>
+      <label form="short" strip-periods="true" prefix=", "/>
+    </names>
+  </macro>
+  <macro name="date">
+    <choose>
+      <if type="article-newspaper report webpage post post-weblog" match="any">
+        <date variable="issued" form="text"/>
+      </if>
+      <else>
+        <date variable="issued" form="text" date-parts="year"/>
+      </else>
+    </choose>
+  </macro>
+  <macro name="publisher">
+    <group delimiter=", ">
+      <group delimiter=" ">
+        <text variable="genre" text-case="title"/>
+        <text variable="number"/>
+      </group>
+      <group delimiter=": ">
+        <choose>
+          <if type="thesis" match="none">
+            <text variable="publisher-place"/>
+          </if>
+        </choose>
+        <text variable="publisher"/>
+      </group>
+      <choose>
+        <if variable="URL" match="none">
+          <text macro="date"/>
+        </if>
+      </choose>
+    </group>
+  </macro>
+  <macro name="access">
+    <choose>
+      <if variable="page" match="none">
+        <choose>
+          <if variable="DOI" match="any">
+            <group prefix=". " delimiter=". ">
+              <date variable="issued" form="text" prefix="Epub ahead of print "/>
+              <text variable="DOI" prefix="DOI: "/>
+            </group>
+          </if>
+          <else>
+            <group delimiter=". " prefix=". ">
+              <text variable="URL"/>
+              <text macro="accessed-date"/>
+            </group>
+          </else>
+        </choose>
+      </if>
+    </choose>
+  </macro>
+  <macro name="accessed-date">
+    <choose>
+      <if variable="URL">
+        <group delimiter=". ">
+          <group delimiter=" ">
+            <text term="printing" text-case="capitalize-first"/>
+            <text macro="date"/>
+          </group>
+          <group delimiter=" ">
+            <text term="accessed" text-case="capitalize-first"/>
+            <date variable="accessed" form="text"/>
+          </group>
+        </group>
+      </if>
+    </choose>
+  </macro>
+  <macro name="container-title">
+    <choose>
+      <if type="article-journal" match="any">
+        <text variable="container-title" form="short" strip-periods="true" font-style="italic"/>
+      </if>
+      <else>
+        <text variable="container-title" font-style="italic"/>
+      </else>
+    </choose>
+  </macro>
+  <macro name="title">
+    <choose>
+      <if type="book patent report thesis" match="any">
+        <text variable="title" font-style="italic"/>
+      </if>
+      <else>
+        <text variable="title"/>
+      </else>
+    </choose>
+  </macro>
+  <macro name="page">
+    <group delimiter=" ">
+      <label variable="page" form="short"/>
+      <text variable="page"/>
+    </group>
+  </macro>
+  <macro name="edition">
+    <choose>
+      <if is-numeric="edition">
+        <group delimiter=" ">
+          <number variable="edition" form="ordinal"/>
+          <text term="edition" form="short"/>
+        </group>
+      </if>
+      <else>
+        <text variable="edition" suffix="."/>
+      </else>
+    </choose>
+  </macro>
+  <citation collapse="citation-number">
+    <sort>
+      <key variable="citation-number"/>
+    </sort>
+    <layout delimiter=", " prefix="[" suffix="]">
+      <text variable="citation-number"/>
+    </layout>
+  </citation>
+  <bibliography et-al-min="7" et-al-use-first="3" second-field-align="flush">
+    <layout>
+      <text variable="citation-number" suffix="."/>
+      <text macro="author"/>
+      <text macro="title"/>
+      <choose>
+        <if type="bill book graphic legal_case legislation motion_picture patent report song thesis" match="any">
+          <group delimiter=". " prefix=". ">
+            <text macro="edition"/>
+            <text macro="publisher"/>
+          </group>
+        </if>
+        <else-if type="chapter paper-conference" match="any">
+          <group delimiter=", " prefix=". ">
+            <group delimiter=". ">
+              <group delimiter=" ">
+                <text term="in" suffix=":" text-case="capitalize-first"/>
+                <text macro="editor"/>
+                <text variable="container-title" font-style="italic"/>
+              </group>
+              <text macro="publisher"/>
+            </group>
+            <text macro="page"/>
+          </group>
+        </else-if>
+        <else-if type="article-newspaper article-magazine" match="any">
+          <group delimiter=", " prefix=". ">
+            <text macro="container-title"/>
+            <text macro="date"/>
+            <text macro="page"/>
+          </group>
+        </else-if>
+        <else>
+          <group delimiter="; " prefix=". ">
+            <group delimiter=" ">
+              <text macro="container-title"/>
+              <choose>
+                <if variable="page" match="any">
+                  <text macro="date"/>
+                </if>
+              </choose>
+            </group>
+            <group delimiter=":">
+              <text variable="volume"/>
+              <text variable="page"/>
+            </group>
+          </group>
+        </else>
+      </choose>
+      <text macro="access"/>
+    </layout>
+  </bibliography>
+</style>

package/skills/manage-refs/citation_styles/cardiovascular-and-interventional-radiology.csl

@@ -0,0 +1,19 @@
+<?xml version="1.0" encoding="utf-8"?>
+<style xmlns="http://purl.org/net/xbiblio/csl" version="1.0" default-locale="en-US">
+  <!-- Generated with https://github.com/citation-style-language/utilities/tree/master/generate_dependent_styles/data/springer -->
+  <info>
+    <title>CardioVascular and Interventional Radiology</title>
+    <title-short>Cardiovasc Intervent Radiol</title-short>
+    <id>http://www.zotero.org/styles/cardiovascular-and-interventional-radiology</id>
+    <link href="http://www.zotero.org/styles/cardiovascular-and-interventional-radiology" rel="self"/>
+    <link href="http://www.zotero.org/styles/springer-vancouver-brackets" rel="independent-parent"/>
+    <link href="http://www.springer.com/cda/content/document/cda_downloaddocument/Key_Style_Points_1.0.pdf" rel="documentation"/>
+    <link href="http://www.springer.com/cda/content/document/cda_downloaddocument/manuscript-guidelines-1.0.pdf" rel="documentation"/>
+    <category citation-format="numeric"/>
+    <category field="science"/>
+    <issn>0174-1551</issn>
+    <eissn>1432-086X</eissn>
+    <updated>2016-02-14T10:21:15+00:00</updated>
+    <rights license="http://creativecommons.org/licenses/by-sa/3.0/">This work is licensed under a Creative Commons Attribution-ShareAlike 3.0 License</rights>
+  </info>
+</style>