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MRI System Helps Plan Prostate Cancer Radiation Treatment

By MedImaging International staff writers
Posted on 11 Apr 2016

Image: The Philips Ingenia MR-RT imaging platform (Photo courtesy of Royal Philips).

An innovative imaging system helps plan radiotherapy (RT) treatment of prostate cancer using magnetic resonance imaging (MRI) alone, without the need for computerized tomography (CT).

The Royal Philips (Amsterdam, The Netherlands) Magnetic Resonance for Calculating Attenuation (MRCAT) system, designed for the Ingenia MR-RT imaging platform, will support those who choose to use MRI as their single-modality imaging approach to prostate cancer RT treatment planning. The MRCAT system provides high-quality, soft-tissue contrast for target delineation, as well as density information for dose calculations via robust imaging protocols that allow the system to obtain CT-like workflow, and potentially reduced provider costs, as compared to MR-CT workflow.

“Where CT solutions have played a leading role in past radiotherapy treatments, MR takes an innovative approach by providing physicians with increased soft-tissue visualization and functional imaging capabilities to help improve treatment plans,” said Lizette Warner, PhD, manager of clinical science MR therapy at Philips North America. “MR-only simulation makes MR more accessible for hospitals and physicians, transforming the way care is delivered and supporting our customers in improving care for oncology patients who require radiotherapy.”

“Successful cancer treatment depends on the quality and accuracy of the radiation therapy plan, making imaging a critical piece in determining course of treatment. The real power of MR-only simulation is that it enables us to develop personal treatment plans,” said Rodney Ellis, MD, vice chairman of radiation oncology at the Seidman Cancer Center (Cleveland, OH, USA). “The new process will help streamline workflow that will, in turn, reduce the burden on patients and health care providers. Moreover, it can eliminate the systematic errors introduced by MR-CT registration.”

Prostate cancer is the most common cancer among American men, with approximately one million patients undergoing RT annually. Current clinical practice often uses a combined approach of both MR and CT images, but this can lead to image misalignment and registration uncertainties that could impact targeting and treatment. It also puts pressure on patient burden, workflows, and costs.

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61 (!!!!! 1302.95753479): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294763658 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294763658 AND published='1' LIMIT 1

62 (72.002410888672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294763658 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294763658 AND published='1' LIMIT 1

63 (159.02519226074): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294763658 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294763658 AND published='1' LIMIT 1

64 (74.148178100586): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294763658 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294763658 AND published='1' LIMIT 1

65 (102.04315185547): 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

66 (566.95938110352): SELECT fid FROM jos_deeppockets WHERE id=294763658 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294763658 AND published='1' LIMIT 1

67 (324.96452331543): 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=212 ORDER BY `ordering`

68 (46.014785766602): select jos_twitters.link from jos_twitters where cat=10

69 (28.848648071289): select jos_facebook.link from jos_facebook where cat=10

70 (30.040740966797): 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 (47.922134399414): SELECT fid FROM jos_deeppockets WHERE id=294763658 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294763658 AND published='1' LIMIT 1

73 (33.140182495117): 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=212 ORDER BY `ordering`

74 (334.02442932129): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294763658 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

75 (623.94142150879): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294763658 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

76 (61.03515625): 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 (74.863433837891): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (37.193298339844): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

90 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (65.803527832031): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294763658 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

92 (40.054321289062): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294763658 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

93 (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`

94 (66.041946411133): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (37.193298339844): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

107 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

108 (105.14259338379): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294763658 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294763658 AND published='1' LIMIT 1

109 (64.13459777832): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294763658 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294763658 AND published='1' LIMIT 1

110 (82.969665527344): 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=294763658 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (69.141387939453): 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=294763658 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (97.036361694336): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294763658 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294763658 AND published='1' LIMIT 1

113 (65.088272094727): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294763658 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294763658 AND published='1' LIMIT 1

114 (66.995620727539): 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=294763658 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

115 (725.98457336426): 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=294763658 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

116 (787.97340393066): 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 (588.17863464355): 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 (174.99923706055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294763658 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294763658 AND published='1' LIMIT 1

119 (72.002410888672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294763658 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294763658 AND published='1' LIMIT 1

120 (97.036361694336): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294763658 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294763658 AND published='1' LIMIT 1

121 (59.127807617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294763658 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294763658 AND published='1' LIMIT 1

122 (88.214874267578): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294763658 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294763658 AND published='1' LIMIT 1

123 (57.93571472168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294763658 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294763658 AND published='1' LIMIT 1

124 (83.208084106445): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294763658 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294763658 AND published='1' LIMIT 1

125 (57.93571472168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294763658 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294763658 AND published='1' LIMIT 1

126 (553.84635925293): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294763658 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294763658 AND type='deeppockets_item' AND published='1' LIMIT 1

127 (!!!!! 20427.942276001): ( 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

128 (171.89979553223): ( 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

129 (977.99301147461): 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

130 (287.05596923828): 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

131 (498.05641174316): 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

132 (211.00044250488): 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

133 (!!!!! 1465.0821685791): 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

134 (442.0280456543): 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

135 (!!!!! 6839.0369415283): 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

136 (411.9873046875): 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

137 (!!!!! 1130.8193206787): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294763658 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

138 (680.92346191406): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294763658 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

139 (665.90309143066): SELECT name FROM jos_deeppockets WHERE id=212

140 (47.922134399414): SELECT name FROM jos_deeppockets WHERE id=212

141 (864.02893066406): 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 '((;)|(^))212((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

142 (839.9486541748): 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 '((;)|(^))212((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

143 (962.97264099121): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294763658 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294763658 AND published='1' LIMIT 1

144 (434.87548828125): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294763658 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294763658 AND published='1' LIMIT 1

145 (!!!!! 1032.1140289307): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294763658 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

146 (87.976455688477): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294763658 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (530.95817565918): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294763658 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294763658 AND published='1' LIMIT 1

148 (239.84909057617): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294763658 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294763658 AND published='1' LIMIT 1

149 (!!!!! 2373.9337921143): 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

150 (565.0520324707): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294763658 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294763658 AND published='1' LIMIT 1

151 (93.936920166016): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294763658 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294763658 AND published='1' LIMIT 1

152 (351.90582275391): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294763658 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294763658 AND type='deeppockets_item' AND published='1' LIMIT 1

153 (46.968460083008): 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=212 or channel_id is null)

154 (41.007995605469): 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=212 or channel_id is null)

155 (476.83715820312): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

156 (864.02893066406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294763658 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294763658 AND published='1' LIMIT 1

157 (106.0962677002): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294763658 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294763658 AND published='1' LIMIT 1

158 (637.05444335938): select jos_twitters.link from jos_twitters where cat=10

159 (51.021575927734): select jos_facebook.link from jos_facebook where cat=10

160 (41.007995605469): select jos_google_plus.link from jos_google_plus where cat=10

161 (38.862228393555): select jos_linkedin.link from jos_linkedin where cat=10

162 (925.06408691406): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

163 (!!!!! 1697.0634460449): insert into jos_banners_delta values (14615,'2025-06-21 02:09:02','216.73.216.120','view'),(14202,'2025-06-21 02:09:02','216.73.216.120','view'),(14203,'2025-06-21 02:09:02','216.73.216.120','view')

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