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AAPM 2025 - 67th Annual Meeting & Exhibition of the American Association of Physicists in Medicine

Prospective Drawbacks Seen in Cost-Cuts for Medical Imaging Scans

By MedImaging International staff writers
Posted on 06 Nov 2012

A new report revealed that the timespan of the average hospital stay in the United States has risen at the same time as medical imaging use has dropped. It is not yet known if the trends are linked, but these new findings may be significant, because hospital admissions are among the fastest growing and largest healthcare costs.

More research is needed to evaluate the possible deleterious impact of government and private insurer imaging cutbacks on overall medical costs and patient safety. “Lawmakers, regulators, and medical professionals are making medical imaging policy decisions without fully understanding or examining their downstream effects, which may include an increase in hospital stays, associated costs, and other adverse events. We need to examine imaging, as it relates to a patient’s overall continuum of care, to ensure that decision makers don’t create imaging cost reduction policies which paradoxically raise overall costs, create barriers to care, and ultimately harm patients,” said Richard Duszak, MD, chief executive officer and senior research fellow of the Harvey L. Neiman Health Policy Institute (Reston, VA, USA), established by the American College of Radiology (Reston, VA, USA).

Much of the research regarding medical imaging focuses on decreasing costs and utilization of imaging. There is comparatively little study concentrated on imaging as a factor in overall patient care. For many serious indications, imaging scans have been shown to reduce the number of invasive surgeries, needless hospital admissions and length of hospital stays. Scarcer nevertheless are data on the effect of USD 6 billion in funding cutbacks for imaging diagnosis and treatment planning since 2006. The data available are not necessarily positive in terms of patient safety and access to care.

This is the first policy brief published by the Neiman Institute, which performs and backs research on medical imaging use, quality, and safety metrics, and human resources as medicine moves toward non-traditional, value-based payment and delivery. The information gathered from these efforts will serve as the basis for real life, evidence-based medical imaging policy.

“We need to take a hard look at the cost, access, and quality and safety issues related to present government and private insurer medical imaging policies and find ways to maximize the value, role and efficiency of radiology as health care systems evolve. The Neiman Institute will provide much needed information to ensure that future imaging policies benefit patients and make efficient, effective use of healthcare resources,” concluded Dr. Duszak.

Related Links:
Harvey L. Neiman Health Policy Institute
American College of Radiology

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66 (32.186508178711): select jos_google_plus.link from jos_google_plus where cat=10

67 (28.848648071289): select jos_linkedin.link from jos_linkedin where cat=10

68 (31.948089599609): SELECT fid FROM jos_deeppockets WHERE id=294743258 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294743258 AND published='1' LIMIT 1

69 (30.994415283203): 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=215 ORDER BY `ordering`

70 (239.84909057617): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294743258 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (304.9373626709): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294743258 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (40.054321289062): 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`

73 (70.095062255859): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (43.153762817383): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (39.815902709961): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (42.915344238281): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (43.869018554688): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (43.869018554688): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (65.088272094727): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294743258 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (72.002410888672): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294743258 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (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`

90 (50.067901611328): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (72.956085205078): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743258 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743258 AND published='1' LIMIT 1

105 (44.107437133789): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743258 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743258 AND published='1' LIMIT 1

106 (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=294743258 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (45.7763671875): 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=294743258 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (77.009201049805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743258 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743258 AND published='1' LIMIT 1

109 (51.021575927734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743258 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743258 AND published='1' LIMIT 1

110 (46.968460083008): 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=294743258 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (463.96255493164): 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=294743258 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (515.93780517578): 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

113 (324.96452331543): 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

114 (124.93133544922): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743258 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743258 AND published='1' LIMIT 1

115 (71.048736572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743258 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743258 AND published='1' LIMIT 1

116 (48.160552978516): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743258 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743258 AND published='1' LIMIT 1

117 (38.862228393555): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743258 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743258 AND published='1' LIMIT 1

118 (41.961669921875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743258 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743258 AND published='1' LIMIT 1

119 (35.04753112793): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743258 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743258 AND published='1' LIMIT 1

120 (43.153762817383): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743258 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743258 AND published='1' LIMIT 1

121 (36.954879760742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743258 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743258 AND published='1' LIMIT 1

122 (245.09429931641): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 19308.090209961): 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

124 (498.05641174316): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294743258 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294743258 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 7304.9068450928): ( 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

126 (87.02278137207): ( 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

127 (35.04753112793): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

128 (29.802322387695): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

129 (38.862228393555): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

130 (29.087066650391): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

131 (277.99606323242): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

132 (46.968460083008): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

133 (31.948089599609): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

134 (28.848648071289): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

135 (588.89389038086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743258 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (535.96496582031): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743258 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (340.93856811523): SELECT name FROM jos_deeppockets WHERE id=215

138 (51.975250244141): SELECT name FROM jos_deeppockets WHERE id=215

139 (746.01173400879): 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 '((;)|(^))215((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

140 (685.9302520752): 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 '((;)|(^))215((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

141 (101.08947753906): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743258 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743258 AND published='1' LIMIT 1

142 (77.962875366211): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743258 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743258 AND published='1' LIMIT 1

143 (!!!!! 28014.898300171): TRUNCATE TABLE jos_trademed_module

144 (206.94732666016): 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=294743258 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (143.05114746094): 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=294743258 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (643.01490783691): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743258 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (135.89859008789): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743258 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (154.97207641602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743258 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743258 AND published='1' LIMIT 1

149 (156.87942504883): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743258 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743258 AND published='1' LIMIT 1

150 (!!!!! 1626.9683837891): 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

151 (134.94491577148): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743258 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743258 AND published='1' LIMIT 1

152 (130.17654418945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743258 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743258 AND published='1' LIMIT 1

153 (153.0647277832): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294743258 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294743258 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (260.82992553711): 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=215 or channel_id is null)

155 (139.95170593262): 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=215 or channel_id is null)

156 (60.796737670898): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (101.80473327637): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743258 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743258 AND published='1' LIMIT 1

158 (70.810317993164): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743258 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743258 AND published='1' LIMIT 1

159 (59.843063354492): select jos_twitters.link from jos_twitters where cat=10

160 (44.107437133789): select jos_facebook.link from jos_facebook where cat=10

161 (42.915344238281): select jos_google_plus.link from jos_google_plus where cat=10

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

163 (439.88227844238): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14202,14203)

164 (!!!!! 6906.9862365723): insert into jos_banners_delta values (14202,'2025-06-23 16:40:01','216.73.216.120','view'),(14203,'2025-06-23 16:40:01','216.73.216.120','view')

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