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Total-Body PET Imaging Can Assess Immunological Response to COVID-19 Infections

By MedImaging International staff writers
Posted on 12 Aug 2022

Cytotoxic T cells are key players in the cell-mediated immune response against viral infections. However, 95% of T cells are in tissues rather than in the blood circulation and are therefore difficult to assess non-invasively. Now, high sensitivity PET imaging using a specific T cell radiotracer offers a new methodology to track tissue concentrations of T cells without invasive sampling.

UC Davis (Davis, CA, USA) which collaborated with United Imaging Healthcare Co., Ltd. (Shanghai, China) to develop the world's first total-body PET/CT scanner, 'uEXPLORER presented their research on COVID-19 at the 2022 Society of Nuclear Medicine and Molecular Imaging (SNMMI) annual meeting. Guided by the uEXPLORER scanner along with a new labeled radiotracer with high affinity to T cells (89Zr-Crefmirlimab-Berdoxam), the scientists unveiled the first high-resolution PET image of total-body CD8+ T-cell distribution after COVID-19 infection. The image could shed light on the pathological mechanism and immune response to COVID-19 infection. The radiotracer used, 89Zr-Crefmirlimab-Berdoxam, is an investigational tracer provided for the study by ImaginAb who is currently in Phase IIb testing to determine predictive performance.

In the reported study, patients recovering from COVID-19 infection received a low injection dose (~0.5 mCi) of 89Zr-labeled radiotracer that targeted CD8+ T cells and underwent a uEXPLORER PET/CT scan at different time points. A control group was also studied. The total-body PET images revealed subtle differences between five recovering COVID-19 patients and three healthy volunteers. The exceptional image quality obtained using the uEXPLORER scanner confirmed CD8+ T cell deposition in the spleen, liver, bone marrow, lymph nodes, and tonsils, as well as differences in the clearance rate of the radiotracer from the blood. Imaging was accomplished with minimal radiation dose to the patients. This research paves the way for further exploration of the assessment of immune response to infectious diseases and cancer, the assessment of response to vaccines in human subjects, and the fundamental mechanisms of the immune system in general.

This disruptive technology co-developed by UC Davis and United Imaging pushes the boundaries of traditional PET scanners, with an effective sensitivity that is up to 68-fold greater than current commercial PET scanners. Combined with a 194 cm axial PET field of view, the uEXPLORER scanner can capture dynamic changes to radiotracer distribution across the entire human body with high temporal resolution, which is an essential attribute for this type of research.

“We have now contributed to several different disease areas based on the high sensitivity and total-body coverage of the uEXPLORER scanner,” said Simon R. Cherry, Ph.D., Distinguished Professor of Biomedical Engineering and Radiology at UC Davis “This research is another demonstration of how groundbreaking imaging technology, combined with highly specific radiotracers, can open new opportunities in studying the complex interactions within the whole body, both in health and in response to disease. We hope this research will contribute to a better understanding of the immunological response to COVID-19, and serve as an example for how the immune system can be interrogated at a systems level with total-body PET.”

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61 (108.00361633301): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294794231 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294794231 AND published='1' LIMIT 1

62 (72.002410888672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294794231 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294794231 AND published='1' LIMIT 1

63 (98.943710327148): select cover from jos_number where journalid in (5) and cover is not null order by left(issue,2)+right(issue,2)*12 desc limit 1

64 (524.04403686523): SELECT fid FROM jos_deeppockets WHERE id=294794231 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294794231 AND published='1' LIMIT 1

65 (388.14544677734): 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`

66 (46.014785766602): select jos_twitters.link from jos_twitters where cat=10

67 (27.894973754883): select jos_facebook.link from jos_facebook where cat=10

68 (29.087066650391): select jos_google_plus.link from jos_google_plus where cat=10

69 (29.087066650391): select jos_linkedin.link from jos_linkedin where cat=10

70 (36.001205444336): SELECT fid FROM jos_deeppockets WHERE id=294794231 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294794231 AND published='1' LIMIT 1

71 (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`

72 (316.85829162598): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294794231 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

73 (241.04118347168): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294794231 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

74 (46.014785766602): 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`

75 (56.028366088867): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (65.088272094727): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (37.193298339844): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (43.153762817383): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294794231 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

90 (30.040740966797): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294794231 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

91 (33.140182495117): 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`

92 (48.87580871582): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (71.048736572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294794231 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294794231 AND published='1' LIMIT 1

107 (43.153762817383): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294794231 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294794231 AND published='1' LIMIT 1

108 (50.067901611328): 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=294794231 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

109 (56.982040405273): 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=294794231 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

110 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294794231 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294794231 AND published='1' LIMIT 1

111 (42.915344238281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294794231 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294794231 AND published='1' LIMIT 1

112 (50.067901611328): 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=294794231 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (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=294794231 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

114 (610.8283996582): 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

115 (331.87866210938): 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

116 (71.048736572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294794231 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294794231 AND published='1' LIMIT 1

117 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294794231 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294794231 AND published='1' LIMIT 1

118 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294794231 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294794231 AND published='1' LIMIT 1

119 (86.069107055664): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294794231 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294794231 AND published='1' LIMIT 1

120 (44.107437133789): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294794231 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294794231 AND published='1' LIMIT 1

121 (35.04753112793): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294794231 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294794231 AND published='1' LIMIT 1

122 (139.95170593262): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294794231 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294794231 AND published='1' LIMIT 1

123 (49.114227294922): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294794231 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294794231 AND published='1' LIMIT 1

124 (378.13186645508): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294794231 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294794231 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 619847.05924988): ( 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 (174.99923706055): ( 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 (488.0428314209): 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

128 (39.815902709961): 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

129 (199.0795135498): 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

130 (43.153762817383): 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

131 (555.99212646484): 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

132 (38.14697265625): 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

133 (738.14392089844): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294794231 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

134 (429.86869812012): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294794231 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

135 (612.97416687012): SELECT name FROM jos_deeppockets WHERE id=215

136 (101.08947753906): SELECT name FROM jos_deeppockets WHERE id=215

137 (529.05082702637): 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

138 (545.02487182617): 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

139 (395.05958557129): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294794231 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294794231 AND published='1' LIMIT 1

140 (70.095062255859): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294794231 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294794231 AND published='1' LIMIT 1

141 (804.90112304688): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294794231 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

142 (51.021575927734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294794231 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

143 (!!!!! 1533.031463623): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294794231 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294794231 AND published='1' LIMIT 1

144 (58.889389038086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294794231 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294794231 AND published='1' LIMIT 1

145 (!!!!! 1543.9987182617): 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

146 (459.90943908691): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294794231 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294794231 AND published='1' LIMIT 1

147 (247.00164794922): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294794231 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294794231 AND published='1' LIMIT 1

148 (!!!!! 1757.8601837158): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294794231 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294794231 AND type='deeppockets_item' AND published='1' LIMIT 1

149 (47.922134399414): 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)

150 (30.994415283203): 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)

151 (189.06593322754): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

152 (!!!!! 2142.9061889648): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294794231 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294794231 AND published='1' LIMIT 1

153 (507.11631774902): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294794231 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294794231 AND published='1' LIMIT 1

154 (398.87428283691): select jos_twitters.link from jos_twitters where cat=10

155 (!!!!! 3700.0179290771): select jos_facebook.link from jos_facebook where cat=10

156 (!!!!! 1839.8761749268): select jos_google_plus.link from jos_google_plus where cat=10

157 (771.99935913086): select jos_linkedin.link from jos_linkedin where cat=10

158 (867.12837219238): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

159 (!!!!! 6207.9429626465): insert into jos_banners_delta values (14615,'2025-04-30 03:31:26','18.216.207.192','view'),(14202,'2025-04-30 03:31:26','18.216.207.192','view'),(14203,'2025-04-30 03:31:26','18.216.207.192','view')

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