Real-Time US-CT/MRI Image Fusion for Guidance of Thermal Ablation of Liver Tumors Undetectable with US: Results in 295 Cases
Purpose This study was designed to assess feasibility of US-CT/MRI fusion-guided ablation in liver tumors undetectable with US. Methods From 2002 to 2012, 295 tumors (162 HCCs and 133 metastases; mean diameter 1.3 ± 0.6 cm, range 0.5–2.5 cm) detectable on contrast-enhanced CT/MRI, but completely und...
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| Veröffentlicht in: | Cardiovascular and interventional radiology 2015-02, Vol.38 (1), p.143-151 |
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| creator | Mauri, Giovanni Cova, Luca De Beni, Stefano Ierace, Tiziana Tondolo, Tania Cerri, Anna Goldberg, S. Nahum Solbiati, Luigi |
| description | Purpose
This study was designed to assess feasibility of US-CT/MRI fusion-guided ablation in liver tumors undetectable with US.
Methods
From 2002 to 2012, 295 tumors (162 HCCs and 133 metastases; mean diameter 1.3 ± 0.6 cm, range 0.5–2.5 cm) detectable on contrast-enhanced CT/MRI, but completely undetectable with unenhanced US and either totally undetectable or incompletely conspicuous with contrast-enhanced US (CEUS), were treated in 215 sessions using either internally cooled radiofrequency or microwave with standard ablation protocols, guided by an image fusion system (Virtual Navigation System, Esaote S.p.A., Genova, Italy) that combines US with CT/ MRI images. Correct targeting and successful ablation of tumor were verified after 24 hours with CT or MRI.
Results
A total of 282 of 295 (95.6 %) tumors were correctly targeted with successful ablation achieved in 266 of 295 (90.2 %). Sixteen of 295 (5.4 %) tumors were correctly targeted, but unsuccessfully ablated, and 13 of 295 (4.4 %) tumors were unsuccessfully ablated due to inaccurate targeting. There were no perioperative deaths. Major complications were observed in 2 of the 215 treatments sessions (0.9 %).
Conclusions
Real-time virtual navigation system with US-CT/MRI fusion imaging is precise for targeting and achieving successful ablation of target tumors undetectable with US alone. Therefore, a larger population could benefit from ultrasound guided ablation procedures. |
| doi_str_mv | 10.1007/s00270-014-0897-y |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_osti_</sourceid><recordid>TN_cdi_osti_scitechconnect_22470103</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1652396535</sourcerecordid><originalsourceid>FETCH-LOGICAL-c470t-cfaa79fa74c3e73dcafea05eb06f3b72dfa6d6df9c94978510678dcddd9122203</originalsourceid><addsrcrecordid>eNp1kcFu1DAQhi0EotvCA3BBlrhwCbUdO064VSvarrQIaclK3CzHHnddJXGxE9BKPDxepRQunCx7vvlnrA-hN5R8oITIy0QIk6QglBekbmRxfIZWlJcs36pvz9GKUMkLKgQ9Q-cp3RNCRc3ES3TGeE2qRpQr9GsHui9aPwDefy3W7eXn3QZvBn0H-HpOPozYhYhvZm_1aAAHh9sDxEH3-Krr9XQC8tvW_4CI23kIMeH9aGECM-muB_zTT4ec_BHvIM39lLAfMWsEXusE6RV64XSf4PXjeYH215_a9W2x_XKzWV9tC8MlmQrjtJaN05KbEmRpjXagiYCOVK7sJLNOV7ayrjENb2QtKKlkbY21tqGMMVJeoHdLbkiTV8n4vN7BhHHMWyrG8hBKyky9X6iHGL7PkCY1-GSg7_UIYU6KVoKVTSVK8TfwCb0PcxzzHzLFBeFM8jpTdKFMDClFcOoh-kHHo6JEnQSqRaDKAtVJoDrmnrePyXM3gH3q-GMsA2wBUi6NdxD_Gf3f1N_GpqRk</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1645042748</pqid></control><display><type>article</type><title>Real-Time US-CT/MRI Image Fusion for Guidance of Thermal Ablation of Liver Tumors Undetectable with US: Results in 295 Cases</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Mauri, Giovanni ; Cova, Luca ; De Beni, Stefano ; Ierace, Tiziana ; Tondolo, Tania ; Cerri, Anna ; Goldberg, S. Nahum ; Solbiati, Luigi</creator><creatorcontrib>Mauri, Giovanni ; Cova, Luca ; De Beni, Stefano ; Ierace, Tiziana ; Tondolo, Tania ; Cerri, Anna ; Goldberg, S. Nahum ; Solbiati, Luigi</creatorcontrib><description>Purpose
This study was designed to assess feasibility of US-CT/MRI fusion-guided ablation in liver tumors undetectable with US.
Methods
From 2002 to 2012, 295 tumors (162 HCCs and 133 metastases; mean diameter 1.3 ± 0.6 cm, range 0.5–2.5 cm) detectable on contrast-enhanced CT/MRI, but completely undetectable with unenhanced US and either totally undetectable or incompletely conspicuous with contrast-enhanced US (CEUS), were treated in 215 sessions using either internally cooled radiofrequency or microwave with standard ablation protocols, guided by an image fusion system (Virtual Navigation System, Esaote S.p.A., Genova, Italy) that combines US with CT/ MRI images. Correct targeting and successful ablation of tumor were verified after 24 hours with CT or MRI.
Results
A total of 282 of 295 (95.6 %) tumors were correctly targeted with successful ablation achieved in 266 of 295 (90.2 %). Sixteen of 295 (5.4 %) tumors were correctly targeted, but unsuccessfully ablated, and 13 of 295 (4.4 %) tumors were unsuccessfully ablated due to inaccurate targeting. There were no perioperative deaths. Major complications were observed in 2 of the 215 treatments sessions (0.9 %).
Conclusions
Real-time virtual navigation system with US-CT/MRI fusion imaging is precise for targeting and achieving successful ablation of target tumors undetectable with US alone. Therefore, a larger population could benefit from ultrasound guided ablation procedures.</description><identifier>ISSN: 0174-1551</identifier><identifier>EISSN: 1432-086X</identifier><identifier>DOI: 10.1007/s00270-014-0897-y</identifier><identifier>PMID: 24806953</identifier><language>eng</language><publisher>Boston: Springer US</publisher><subject>ABLATION ; Aged ; BIOMEDICAL RADIOGRAPHY ; Carcinoma, Hepatocellular - diagnosis ; Carcinoma, Hepatocellular - surgery ; Cardiology ; Catheter Ablation ; Clinical Investigation ; COMPUTERIZED TOMOGRAPHY ; Contrast Media ; DEATH ; Feasibility Studies ; Female ; Gadolinium DTPA ; Humans ; Image Enhancement ; Imaging ; ITALY ; LIVER ; Liver Neoplasms - diagnosis ; Liver Neoplasms - surgery ; Magnetic Resonance Imaging, Interventional ; Male ; Medicine ; Medicine & Public Health ; METASTASES ; MICROWAVE RADIATION ; NEOPLASMS ; NMR IMAGING ; Nuclear Medicine ; POPULATIONS ; Radiography, Interventional ; Radiology ; RADIOLOGY AND NUCLEAR MEDICINE ; RADIOWAVE RADIATION ; Treatment Outcome ; Ultrasonography, Interventional ; Ultrasound</subject><ispartof>Cardiovascular and interventional radiology, 2015-02, Vol.38 (1), p.143-151</ispartof><rights>Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2014</rights><rights>Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c470t-cfaa79fa74c3e73dcafea05eb06f3b72dfa6d6df9c94978510678dcddd9122203</citedby><cites>FETCH-LOGICAL-c470t-cfaa79fa74c3e73dcafea05eb06f3b72dfa6d6df9c94978510678dcddd9122203</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00270-014-0897-y$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00270-014-0897-y$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,780,784,885,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24806953$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://www.osti.gov/biblio/22470103$$D View this record in Osti.gov$$Hfree_for_read</backlink></links><search><creatorcontrib>Mauri, Giovanni</creatorcontrib><creatorcontrib>Cova, Luca</creatorcontrib><creatorcontrib>De Beni, Stefano</creatorcontrib><creatorcontrib>Ierace, Tiziana</creatorcontrib><creatorcontrib>Tondolo, Tania</creatorcontrib><creatorcontrib>Cerri, Anna</creatorcontrib><creatorcontrib>Goldberg, S. Nahum</creatorcontrib><creatorcontrib>Solbiati, Luigi</creatorcontrib><title>Real-Time US-CT/MRI Image Fusion for Guidance of Thermal Ablation of Liver Tumors Undetectable with US: Results in 295 Cases</title><title>Cardiovascular and interventional radiology</title><addtitle>Cardiovasc Intervent Radiol</addtitle><addtitle>Cardiovasc Intervent Radiol</addtitle><description>Purpose
This study was designed to assess feasibility of US-CT/MRI fusion-guided ablation in liver tumors undetectable with US.
Methods
From 2002 to 2012, 295 tumors (162 HCCs and 133 metastases; mean diameter 1.3 ± 0.6 cm, range 0.5–2.5 cm) detectable on contrast-enhanced CT/MRI, but completely undetectable with unenhanced US and either totally undetectable or incompletely conspicuous with contrast-enhanced US (CEUS), were treated in 215 sessions using either internally cooled radiofrequency or microwave with standard ablation protocols, guided by an image fusion system (Virtual Navigation System, Esaote S.p.A., Genova, Italy) that combines US with CT/ MRI images. Correct targeting and successful ablation of tumor were verified after 24 hours with CT or MRI.
Results
A total of 282 of 295 (95.6 %) tumors were correctly targeted with successful ablation achieved in 266 of 295 (90.2 %). Sixteen of 295 (5.4 %) tumors were correctly targeted, but unsuccessfully ablated, and 13 of 295 (4.4 %) tumors were unsuccessfully ablated due to inaccurate targeting. There were no perioperative deaths. Major complications were observed in 2 of the 215 treatments sessions (0.9 %).
Conclusions
Real-time virtual navigation system with US-CT/MRI fusion imaging is precise for targeting and achieving successful ablation of target tumors undetectable with US alone. Therefore, a larger population could benefit from ultrasound guided ablation procedures.</description><subject>ABLATION</subject><subject>Aged</subject><subject>BIOMEDICAL RADIOGRAPHY</subject><subject>Carcinoma, Hepatocellular - diagnosis</subject><subject>Carcinoma, Hepatocellular - surgery</subject><subject>Cardiology</subject><subject>Catheter Ablation</subject><subject>Clinical Investigation</subject><subject>COMPUTERIZED TOMOGRAPHY</subject><subject>Contrast Media</subject><subject>DEATH</subject><subject>Feasibility Studies</subject><subject>Female</subject><subject>Gadolinium DTPA</subject><subject>Humans</subject><subject>Image Enhancement</subject><subject>Imaging</subject><subject>ITALY</subject><subject>LIVER</subject><subject>Liver Neoplasms - diagnosis</subject><subject>Liver Neoplasms - surgery</subject><subject>Magnetic Resonance Imaging, Interventional</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>METASTASES</subject><subject>MICROWAVE RADIATION</subject><subject>NEOPLASMS</subject><subject>NMR IMAGING</subject><subject>Nuclear Medicine</subject><subject>POPULATIONS</subject><subject>Radiography, Interventional</subject><subject>Radiology</subject><subject>RADIOLOGY AND NUCLEAR MEDICINE</subject><subject>RADIOWAVE RADIATION</subject><subject>Treatment Outcome</subject><subject>Ultrasonography, Interventional</subject><subject>Ultrasound</subject><issn>0174-1551</issn><issn>1432-086X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kcFu1DAQhi0EotvCA3BBlrhwCbUdO064VSvarrQIaclK3CzHHnddJXGxE9BKPDxepRQunCx7vvlnrA-hN5R8oITIy0QIk6QglBekbmRxfIZWlJcs36pvz9GKUMkLKgQ9Q-cp3RNCRc3ES3TGeE2qRpQr9GsHui9aPwDefy3W7eXn3QZvBn0H-HpOPozYhYhvZm_1aAAHh9sDxEH3-Krr9XQC8tvW_4CI23kIMeH9aGECM-muB_zTT4ec_BHvIM39lLAfMWsEXusE6RV64XSf4PXjeYH215_a9W2x_XKzWV9tC8MlmQrjtJaN05KbEmRpjXagiYCOVK7sJLNOV7ayrjENb2QtKKlkbY21tqGMMVJeoHdLbkiTV8n4vN7BhHHMWyrG8hBKyky9X6iHGL7PkCY1-GSg7_UIYU6KVoKVTSVK8TfwCb0PcxzzHzLFBeFM8jpTdKFMDClFcOoh-kHHo6JEnQSqRaDKAtVJoDrmnrePyXM3gH3q-GMsA2wBUi6NdxD_Gf3f1N_GpqRk</recordid><startdate>20150201</startdate><enddate>20150201</enddate><creator>Mauri, Giovanni</creator><creator>Cova, Luca</creator><creator>De Beni, Stefano</creator><creator>Ierace, Tiziana</creator><creator>Tondolo, Tania</creator><creator>Cerri, Anna</creator><creator>Goldberg, S. Nahum</creator><creator>Solbiati, Luigi</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>OTOTI</scope></search><sort><creationdate>20150201</creationdate><title>Real-Time US-CT/MRI Image Fusion for Guidance of Thermal Ablation of Liver Tumors Undetectable with US: Results in 295 Cases</title><author>Mauri, Giovanni ; Cova, Luca ; De Beni, Stefano ; Ierace, Tiziana ; Tondolo, Tania ; Cerri, Anna ; Goldberg, S. Nahum ; Solbiati, Luigi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c470t-cfaa79fa74c3e73dcafea05eb06f3b72dfa6d6df9c94978510678dcddd9122203</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>ABLATION</topic><topic>Aged</topic><topic>BIOMEDICAL RADIOGRAPHY</topic><topic>Carcinoma, Hepatocellular - diagnosis</topic><topic>Carcinoma, Hepatocellular - surgery</topic><topic>Cardiology</topic><topic>Catheter Ablation</topic><topic>Clinical Investigation</topic><topic>COMPUTERIZED TOMOGRAPHY</topic><topic>Contrast Media</topic><topic>DEATH</topic><topic>Feasibility Studies</topic><topic>Female</topic><topic>Gadolinium DTPA</topic><topic>Humans</topic><topic>Image Enhancement</topic><topic>Imaging</topic><topic>ITALY</topic><topic>LIVER</topic><topic>Liver Neoplasms - diagnosis</topic><topic>Liver Neoplasms - surgery</topic><topic>Magnetic Resonance Imaging, Interventional</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>METASTASES</topic><topic>MICROWAVE RADIATION</topic><topic>NEOPLASMS</topic><topic>NMR IMAGING</topic><topic>Nuclear Medicine</topic><topic>POPULATIONS</topic><topic>Radiography, Interventional</topic><topic>Radiology</topic><topic>RADIOLOGY AND NUCLEAR MEDICINE</topic><topic>RADIOWAVE RADIATION</topic><topic>Treatment Outcome</topic><topic>Ultrasonography, Interventional</topic><topic>Ultrasound</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mauri, Giovanni</creatorcontrib><creatorcontrib>Cova, Luca</creatorcontrib><creatorcontrib>De Beni, Stefano</creatorcontrib><creatorcontrib>Ierace, Tiziana</creatorcontrib><creatorcontrib>Tondolo, Tania</creatorcontrib><creatorcontrib>Cerri, Anna</creatorcontrib><creatorcontrib>Goldberg, S. Nahum</creatorcontrib><creatorcontrib>Solbiati, Luigi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>OSTI.GOV</collection><jtitle>Cardiovascular and interventional radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mauri, Giovanni</au><au>Cova, Luca</au><au>De Beni, Stefano</au><au>Ierace, Tiziana</au><au>Tondolo, Tania</au><au>Cerri, Anna</au><au>Goldberg, S. Nahum</au><au>Solbiati, Luigi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Real-Time US-CT/MRI Image Fusion for Guidance of Thermal Ablation of Liver Tumors Undetectable with US: Results in 295 Cases</atitle><jtitle>Cardiovascular and interventional radiology</jtitle><stitle>Cardiovasc Intervent Radiol</stitle><addtitle>Cardiovasc Intervent Radiol</addtitle><date>2015-02-01</date><risdate>2015</risdate><volume>38</volume><issue>1</issue><spage>143</spage><epage>151</epage><pages>143-151</pages><issn>0174-1551</issn><eissn>1432-086X</eissn><abstract>Purpose
This study was designed to assess feasibility of US-CT/MRI fusion-guided ablation in liver tumors undetectable with US.
Methods
From 2002 to 2012, 295 tumors (162 HCCs and 133 metastases; mean diameter 1.3 ± 0.6 cm, range 0.5–2.5 cm) detectable on contrast-enhanced CT/MRI, but completely undetectable with unenhanced US and either totally undetectable or incompletely conspicuous with contrast-enhanced US (CEUS), were treated in 215 sessions using either internally cooled radiofrequency or microwave with standard ablation protocols, guided by an image fusion system (Virtual Navigation System, Esaote S.p.A., Genova, Italy) that combines US with CT/ MRI images. Correct targeting and successful ablation of tumor were verified after 24 hours with CT or MRI.
Results
A total of 282 of 295 (95.6 %) tumors were correctly targeted with successful ablation achieved in 266 of 295 (90.2 %). Sixteen of 295 (5.4 %) tumors were correctly targeted, but unsuccessfully ablated, and 13 of 295 (4.4 %) tumors were unsuccessfully ablated due to inaccurate targeting. There were no perioperative deaths. Major complications were observed in 2 of the 215 treatments sessions (0.9 %).
Conclusions
Real-time virtual navigation system with US-CT/MRI fusion imaging is precise for targeting and achieving successful ablation of target tumors undetectable with US alone. Therefore, a larger population could benefit from ultrasound guided ablation procedures.</abstract><cop>Boston</cop><pub>Springer US</pub><pmid>24806953</pmid><doi>10.1007/s00270-014-0897-y</doi><tpages>9</tpages></addata></record> |
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| ispartof | Cardiovascular and interventional radiology, 2015-02, Vol.38 (1), p.143-151 |
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| recordid | cdi_osti_scitechconnect_22470103 |
| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | ABLATION Aged BIOMEDICAL RADIOGRAPHY Carcinoma, Hepatocellular - diagnosis Carcinoma, Hepatocellular - surgery Cardiology Catheter Ablation Clinical Investigation COMPUTERIZED TOMOGRAPHY Contrast Media DEATH Feasibility Studies Female Gadolinium DTPA Humans Image Enhancement Imaging ITALY LIVER Liver Neoplasms - diagnosis Liver Neoplasms - surgery Magnetic Resonance Imaging, Interventional Male Medicine Medicine & Public Health METASTASES MICROWAVE RADIATION NEOPLASMS NMR IMAGING Nuclear Medicine POPULATIONS Radiography, Interventional Radiology RADIOLOGY AND NUCLEAR MEDICINE RADIOWAVE RADIATION Treatment Outcome Ultrasonography, Interventional Ultrasound |
| title | Real-Time US-CT/MRI Image Fusion for Guidance of Thermal Ablation of Liver Tumors Undetectable with US: Results in 295 Cases |
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