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AI Tool Combined with Radiologists Identifies Breast Cancer with 90% Accuracy

By MedImaging International staff writers
Posted on 04 Nov 2019

An artificial intelligence (AI) tool trained by researchers on approximately one million screening mammography images has identified breast cancer with approximately 90% accuracy when combined with analysis by radiologists in a new study. Researchers from the NYU School of Medicine (New York City, NY, USA) and the NYU Center for Data Science examined the ability of a type of AI to add value to the diagnoses reached by a group of 14 radiologists as they reviewed 720 mammogram images.

The researchers designed statistical techniques that let their program “learn” how to get better at a task without being told exactly how. They trained the AI tool on several images matched with the results of biopsies performed in the past with the aim of enabling it to help radiologists reduce the number biopsies needed. For training the AI tool, the researchers used an extraordinarily large dataset consisting of 229,426 digital screening mammography exams and 1,001,093 images. The neural network was trained by programming it to analyze images from the database for which cancer diagnoses had already been determined.

Additionally, the researchers designed the study AI model to first consider very small patches of the full resolution image separately in order to create a heat map, a statistical picture of the disease likelihood. Then the program was taught to consider the entire breast for structural features linked to cancer, paying closer attention to the areas flagged in the pixel-level heat map. Instead of the researchers identifying the image features for their AI to search for, the tool is discovering which image features increase prediction accuracy all by itself. Going forward, the team plans to further increase the tool’s accuracy by training the AI program on more data, even identify changes in breast tissue that are not yet cancerous but have the potential to be.

“Our study found that AI identified cancer-related patterns in the data that radiologists could not, and vice versa,” said senior study author Krzysztof Geras, assistant professor in the Department of Radiology at NYU Langone. “AI detected pixel-level changes in tissue invisible to the human eye, while humans used forms of reasoning not available to AI. The ultimate goal of our work is to augment, not replace, human radiologists.”

“The transition to AI support in diagnostic radiology should proceed like the adoption of self-driving cars—slowly and carefully, building trust, and improving systems along the way with a focus on safety,” said first author Nan Wu, a doctoral candidate at the NYU Center for Data Science.

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67 (308.03680419922): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=217 ORDER BY `ordering`

68 (56.982040405273): select jos_twitters.link from jos_twitters where cat=10

69 (35.04753112793): select jos_facebook.link from jos_facebook where cat=10

70 (30.994415283203): select jos_google_plus.link from jos_google_plus where cat=10

71 (29.087066650391): select jos_linkedin.link from jos_linkedin where cat=10

72 (32.901763916016): SELECT fid FROM jos_deeppockets WHERE id=294779857 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294779857 AND published='1' LIMIT 1

73 (32.186508178711): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=217 ORDER BY `ordering`

74 (267.02880859375): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294779857 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

75 (222.92137145996): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294779857 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

76 (42.915344238281): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

77 (61.03515625): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (29.802322387695): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (24.795532226562): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (24.795532226562): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

90 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (64.13459777832): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294779857 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

92 (36.954879760742): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294779857 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

93 (41.961669921875): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

94 (69.141387939453): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (34.809112548828): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (53.167343139648): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

107 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

108 (81.062316894531): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294779857 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294779857 AND published='1' LIMIT 1

109 (55.074691772461): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294779857 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294779857 AND published='1' LIMIT 1

110 (52.928924560547): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294779857 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (49.829483032227): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294779857 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (107.0499420166): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294779857 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294779857 AND published='1' LIMIT 1

113 (63.896179199219): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294779857 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294779857 AND published='1' LIMIT 1

114 (51.021575927734): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294779857 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

115 (499.96376037598): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294779857 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

116 (725.98457336426): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

117 (468.96934509277): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

118 (138.99803161621): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294779857 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294779857 AND published='1' LIMIT 1

119 (70.810317993164): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294779857 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294779857 AND published='1' LIMIT 1

120 (134.94491577148): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294779857 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294779857 AND published='1' LIMIT 1

121 (63.896179199219): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294779857 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294779857 AND published='1' LIMIT 1

122 (67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294779857 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294779857 AND published='1' LIMIT 1

123 (49.114227294922): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294779857 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294779857 AND published='1' LIMIT 1

124 (350.9521484375): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

125 (!!!!! 39242.029190063): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7

126 (545.02487182617): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294779857 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294779857 AND published='1' LIMIT 1

127 (555.03845214844): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294779857 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294779857 AND published='1' LIMIT 1

128 (!!!!! 3975.8682250977): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294779857 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294779857 AND type='deeppockets_item' AND published='1' LIMIT 1

129 (!!!!! 1066312.0746613): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

130 (!!!!! 482074.02229309): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

131 (323.05717468262): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

132 (41.007995605469): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

133 (272.98927307129): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

134 (151.8726348877): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

135 (486.13548278809): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

136 (159.02519226074): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

137 (782.96661376953): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294779857 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

138 (530.00450134277): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294779857 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

139 (402.92739868164): SELECT name FROM jos_deeppockets WHERE id=217

140 (55.074691772461): SELECT name FROM jos_deeppockets WHERE id=217

141 (566.00570678711): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))217((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

142 (405.07316589355): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))217((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

143 (!!!!! 1286.9834899902): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294779857 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294779857 AND published='1' LIMIT 1

144 (48.87580871582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294779857 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294779857 AND published='1' LIMIT 1

145 (!!!!! 16816.854476929): TRUNCATE TABLE jos_trademed_module

146 (642.06123352051): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294779857 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

147 (550.98533630371): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294779857 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

148 (!!!!! 2853.1551361084): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294779857 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

149 (87.976455688477): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294779857 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

150 (82.015991210938): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294779857 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294779857 AND published='1' LIMIT 1

151 (63.180923461914): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294779857 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294779857 AND published='1' LIMIT 1

152 (!!!!! 1483.9172363281): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

153 (113.01040649414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294779857 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294779857 AND published='1' LIMIT 1

154 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294779857 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294779857 AND published='1' LIMIT 1

155 (578.88031005859): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294779857 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294779857 AND type='deeppockets_item' AND published='1' LIMIT 1

156 (51.975250244141): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=217 or channel_id is null)

157 (39.100646972656): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=217 or channel_id is null)

158 (45.061111450195): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

159 (!!!!! 3618.0019378662): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294779857 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294779857 AND published='1' LIMIT 1

160 (!!!!! 5911.111831665): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294779857 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294779857 AND published='1' LIMIT 1

161 (51.975250244141): select jos_twitters.link from jos_twitters where cat=10

162 (41.961669921875): select jos_facebook.link from jos_facebook where cat=10

163 (41.007995605469): select jos_google_plus.link from jos_google_plus where cat=10

164 (40.054321289062): select jos_linkedin.link from jos_linkedin where cat=10

165 (324.01084899902): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

166 (!!!!! 1407.1464538574): insert into jos_banners_delta values (14615,'2025-05-01 15:39:20','18.227.49.56','view'),(14202,'2025-05-01 15:39:20','18.227.49.56','view'),(14203,'2025-05-01 15:39:20','18.227.49.56','view')

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