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Software Tools Designed to Augments Quality Assurance Processes in Radiation Oncology Procedures

By MedImaging International staff writers
Posted on 04 Aug 2014

Image: The Varian TrueBeam system (Photo courtesy of Varian).

New tools that facilitate knowledge sharing, as well as recent enhancements to an advanced cancer treatment system for image-guided radiotherapy and radiosurgery have recently been developed.

Varian Medical Systems (Palo Alto, CA, USA) presented tools designed to augment essential quality assurance processes in radiation oncology at the 2014 annual meeting of the American Association of Physicists in Medicine (AAPM). During the meeting, which took place July 20–24, 2014, in Austin (TX, USA), Varian also highlighted applications for knowledge sharing, as well as recent enhancements to the TrueBeam system for image-guided radiotherapy and radiosurgery.

Machine performance check (MPC), a new service tool for use with Varian’s TrueBeam system, is among the tools that will be showcased. A fully automated test sequence that acquires 40 images and completes 18 tests in about five minutes, MPC helps medical physicists determine that the TrueBeam system is operating within specified parameters prior to treatment.

“The TrueBeam system incorporates several tightly integrated subsystems, including the gantry, which rotates around the patient; the multileaf collimator, which shapes the treatment beam; the treatment couch, which is used to position the patient for treatment; and two imagers for fine-tuning tumor targeting and verifying the dose delivered,” said Todd Holmes, product manager. “MPC enables a user to quickly establish that each of these components is performing accurately, so that clinicians can deliver highly precise treatments like stereotactic radiosurgery with confidence. It also conducts a constancy check of the treatment beam to verify that it is stable over time. The test can be completed quickly, in a way that is easily integrated into daily clinical processes.”

Varian also presented Qumulate QA, a cloud-based quality assurance (QA) data management and analysis tool. A works-in-progress that is not yet available for sale, Qumulate is designed to allow medical physicists to maintain linear accelerator (linac) QA data through a simple and intuitive web interface. Using this web-based tool, users will be able to create QA templates reflecting their own clinic-specific testing procedures, identify trends in a linac’s historical test performance, and see how their own machine compares to the QA performance of other linacs. All the data will be analyzed in the cloud.

“Not only will Qumulate help alleviate the QA paperwork burden, it may also help standardize the QA process with the ultimate goal of delivering the highest quality of care to the patient,” said Sukhveer Singh, vice president of Varian’s oncology continuum solutions group. “We’re excited to share this latest innovation designed to facilitate greater knowledge sharing among users.”

Other knowledge-sharing tools exhibited included: (1) RapidPlan knowledge-based treatment planning software, which enables clinicians to leverage knowledge and data from earlier treatment plans to quickly develop high-quality personalized plans for patients. (2) Velocity software for accessing and aggregating treatment and imaging data from diverse systems to show a comprehensive view of a patient’s diagnostic history, regardless of where they were treated or what technology was used.

“The ongoing development of these software products is part of an important initiative we launched last year, to focus on solutions that promote evidence-based care and help to enhance quality, consistency, and efficiency in clinical processes related to radiotherapy and radiosurgery,” said Kolleen Kennedy, president of Varian’s oncology systems business. “We are pleased to share some of these tools, plus other refinements of our major cancer treatment delivery systems, with clinicians attending this year’s AAPM meeting.”

“We’re delighted to see this level of knowledge sharing about Varian technology going on at the 2014 AAPM meeting,” Ms. Kennedy added. “The level of activity helps bring us a step closer to our vision of a world without fear of cancer.”

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60 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753787 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753787 AND published='1' LIMIT 1

61 (72.956085205078): 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

62 (496.86431884766): SELECT fid FROM jos_deeppockets WHERE id=294753787 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294753787 AND published='1' LIMIT 1

63 (428.91502380371): 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=216 ORDER BY `ordering`

64 (46.014785766602): select jos_twitters.link from jos_twitters where cat=10

65 (30.040740966797): select jos_facebook.link from jos_facebook where cat=10

66 (33.140182495117): select jos_google_plus.link from jos_google_plus where cat=10

67 (30.040740966797): select jos_linkedin.link from jos_linkedin where cat=10

68 (30.994415283203): SELECT fid FROM jos_deeppockets WHERE id=294753787 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294753787 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=216 ORDER BY `ordering`

70 (236.98806762695): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294753787 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (229.1202545166): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294753787 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (44.822692871094): 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 (61.988830566406): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (32.186508178711): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (24.795532226562): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (54.836273193359): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294753787 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (28.133392333984): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294753787 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (30.994415283203): 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 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (26.941299438477): 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 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753787 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753787 AND published='1' LIMIT 1

105 (42.915344238281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753787 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753787 AND published='1' LIMIT 1

106 (58.889389038086): 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=294753787 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (51.975250244141): 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=294753787 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753787 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753787 AND published='1' LIMIT 1

109 (41.007995605469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753787 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753787 AND published='1' LIMIT 1

110 (47.922134399414): 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=294753787 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (396.9669342041): 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=294753787 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (556.94580078125): 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 (315.90461730957): 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 (72.002410888672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753787 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753787 AND published='1' LIMIT 1

115 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753787 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753787 AND published='1' LIMIT 1

116 (52.928924560547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753787 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753787 AND published='1' LIMIT 1

117 (36.954879760742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753787 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753787 AND published='1' LIMIT 1

118 (133.03756713867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753787 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753787 AND published='1' LIMIT 1

119 (41.007995605469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753787 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753787 AND published='1' LIMIT 1

120 (45.061111450195): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753787 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753787 AND published='1' LIMIT 1

121 (37.908554077148): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753787 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753787 AND published='1' LIMIT 1

122 (367.87986755371): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294753787 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294753787 AND type='deeppockets_item' AND published='1' LIMIT 1

123 (!!!!! 496294.97528076): ( 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

124 (69.856643676758): ( 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

125 (386.95335388184): 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

126 (101.08947753906): 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

127 (242.94853210449): 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

128 (35.04753112793): 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

129 (180.00602722168): 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

130 (35.04753112793): 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

131 (419.85511779785): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753787 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

132 (410.07995605469): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753787 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

133 (214.81513977051): SELECT name FROM jos_deeppockets WHERE id=216

134 (32.901763916016): SELECT name FROM jos_deeppockets WHERE id=216

135 (417.23251342773): 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 '((;)|(^))216((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

136 (377.17819213867): 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 '((;)|(^))216((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

137 (58.174133300781): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753787 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753787 AND published='1' LIMIT 1

138 (44.822692871094): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753787 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753787 AND published='1' LIMIT 1

139 (283.95652770996): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753787 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

140 (51.021575927734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753787 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

141 (51.021575927734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753787 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753787 AND published='1' LIMIT 1

142 (38.862228393555): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753787 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753787 AND published='1' LIMIT 1

143 (987.05291748047): 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

144 (53.167343139648): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753787 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753787 AND published='1' LIMIT 1

145 (41.961669921875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753787 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753787 AND published='1' LIMIT 1

146 (40.054321289062): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294753787 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294753787 AND type='deeppockets_item' AND published='1' LIMIT 1

147 (31.948089599609): 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=216 or channel_id is null)

148 (59.843063354492): 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=216 or channel_id is null)

149 (40.054321289062): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

150 (104.90417480469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753787 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753787 AND published='1' LIMIT 1

151 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753787 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753787 AND published='1' LIMIT 1

152 (142.09747314453): select jos_twitters.link from jos_twitters where cat=10

153 (29.087066650391): select jos_facebook.link from jos_facebook where cat=10

154 (28.133392333984): select jos_google_plus.link from jos_google_plus where cat=10

155 (25.98762512207): select jos_linkedin.link from jos_linkedin where cat=10

156 (252.00843811035): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

157 (!!!!! 1185.8940124512): insert into jos_banners_delta values (14615,'2025-06-18 00:24:57','216.73.216.120','view'),(14202,'2025-06-18 00:24:57','216.73.216.120','view'),(14203,'2025-06-18 00:24:57','216.73.216.120','view')

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