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Early PET Response to Chemo Predicts Survival in Sarcoma Patients

By MedImaging International staff writers
Posted on 18 Apr 2012

An early positron emission tomography (PET) response after the initial cycle of neoadjuvant chemotherapy can be used to predict increased survival in patients with soft tissue sarcomas.

Earlier research by a multidisciplinary team of physician scientists from the University of California, Los Angeles (UCLA) Jonsson Cancer Center (USA) had demonstrated that use of fluorodeoxyglucose (FDG) PET/computed tomography (CT) could determine pathologic response after the first dose of chemotherapy drugs. The researchers then wondered if the patients showing a significant PET response after the first round of chemotherapy also were surviving longer, according to Dr. Fritz Eilber, an associate professor of surgical oncology, director of the sarcoma program at UCLA’s Jonsson Cancer Center and senior author of the study.

“We did find that patients who experienced an early PET response to treatment had significantly increased survival,” Dr. Eilber said. “This is vital because patients want to know if the drugs are working and what that says about their ultimate outcome.”

The study was published April 1, 2012, in Clinical Cancer Research, a journal of the American Association of Cancer Research. In the study, 39 patients with soft tissue sarcoma underwent a PET scan to measure glucose uptake prior to getting chemotherapy. The patients underwent another PET scan after the first round of chemotherapy. Those whose tumors demonstrated a 25% or more decrease in metabolic activity--a response considered significant--were determined later to have significant increased survival rates compared to those patients who had less than a 25% decrease, according to Dr. Eilber. “It’s an important finding because we can now identify whether patients are getting the right chemotherapy very quickly,” he said. “Patients don’t want to have to wait until the cancer recurs or they die to find out whether their chemotherapy worked or not.”

Next, Dr. Eilber and his team are working to design new molecular imaging tools that may tell them even more about a patient’s cancer beyond the conventional FDG probe. “Just looking at the size of the tumor is not good enough anymore,” Dr. Eilber said. “We want to image what’s happening within the tumor in real time.”

The study was funded by the In vivo Cellular and Molecular Imaging Center at UCLA’s Jonsson Comprehensive Cancer Center and the US Department of Energy. “This study suggests that PET allows survival predictions after the initial cycle of neoadjuvant chemotherapy and might therefore potentially serve as an early endpoint biomarker,” the authors wrote in their article. “Such information cannot be derived from CT scanning based on serial tumor size measurements. The ability to assess treatment response early during the course of therapy can potentially guide management decisions. Treatment could be switched from neoadjuvant chemotherapy to immediate surgery in nonresponding patients, while it would be continued in responders. Such risk adapted therapy could reduce treatment associated morbidity and costs.”

Related Links:
University of California, Los Angeles’ Jonsson Cancer Center

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68 (32.901763916016): SELECT fid FROM jos_deeppockets WHERE id=294740254 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294740254 AND published='1' LIMIT 1

69 (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=213 ORDER BY `ordering`

70 (349.04479980469): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294740254 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (253.91578674316): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294740254 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (41.007995605469): 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 (55.789947509766): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (51.021575927734): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294740254 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (30.994415283203): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294740254 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (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`

90 (60.081481933594): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (43.153762817383): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (53.882598876953): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (143.05114746094): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740254 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740254 AND published='1' LIMIT 1

105 (109.91096496582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740254 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740254 AND published='1' LIMIT 1

106 (57.93571472168): 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=294740254 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (62.942504882812): 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=294740254 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (85.115432739258): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740254 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740254 AND published='1' LIMIT 1

109 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740254 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740254 AND published='1' LIMIT 1

110 (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 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=294740254 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (478.98292541504): 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=294740254 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (915.0505065918): 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 (503.0632019043): 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 (141.85905456543): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740254 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740254 AND published='1' LIMIT 1

115 (57.93571472168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740254 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740254 AND published='1' LIMIT 1

116 (93.936920166016): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740254 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740254 AND published='1' LIMIT 1

117 (58.174133300781): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740254 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740254 AND published='1' LIMIT 1

118 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740254 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740254 AND published='1' LIMIT 1

119 (41.961669921875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740254 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740254 AND published='1' LIMIT 1

120 (274.8966217041): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

121 (!!!!! 20373.106002808): 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

122 (152.1110534668): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740254 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740254 AND published='1' LIMIT 1

123 (51.975250244141): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740254 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740254 AND published='1' LIMIT 1

124 (534.0576171875): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294740254 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294740254 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 1007658.0047607): ( 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 (!!!!! 1244962.2154236): ( 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 (624.17984008789): 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 (154.01840209961): 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 (671.8635559082): 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 (128.03077697754): 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 (531.19659423828): 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 (161.17095947266): 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 (393.86749267578): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740254 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

134 (356.91261291504): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740254 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

135 (171.18453979492): SELECT name FROM jos_deeppockets WHERE id=213

136 (33.140182495117): SELECT name FROM jos_deeppockets WHERE id=213

137 (554.08477783203): 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 '((;)|(^))213((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

138 (984.19189453125): 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 '((;)|(^))213((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

139 (!!!!! 1271.9631195068): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740254 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740254 AND published='1' LIMIT 1

140 (131.84547424316): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740254 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740254 AND published='1' LIMIT 1

141 (!!!!! 4419.0883636475): TRUNCATE TABLE jos_trademed_module

142 (!!!!! 3544.0921783447): 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=294740254 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

143 (721.93145751953): 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=294740254 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

144 (440.12069702148): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740254 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

145 (76.055526733398): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740254 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

146 (92.029571533203): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740254 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740254 AND published='1' LIMIT 1

147 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740254 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740254 AND published='1' LIMIT 1

148 (!!!!! 1404.0470123291): 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

149 (82.969665527344): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740254 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740254 AND published='1' LIMIT 1

150 (44.822692871094): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740254 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740254 AND published='1' LIMIT 1

151 (393.86749267578): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294740254 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294740254 AND type='deeppockets_item' AND published='1' LIMIT 1

152 (41.961669921875): 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=213 or channel_id is null)

153 (29.087066650391): 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=213 or channel_id is null)

154 (30.040740966797): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

155 (946.044921875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740254 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740254 AND published='1' LIMIT 1

156 (50.067901611328): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740254 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740254 AND published='1' LIMIT 1

157 (109.19570922852): select jos_twitters.link from jos_twitters where cat=10

158 (28.848648071289): select jos_facebook.link from jos_facebook where cat=10

159 (28.133392333984): select jos_google_plus.link from jos_google_plus where cat=10

160 (26.941299438477): select jos_linkedin.link from jos_linkedin where cat=10

161 (270.12825012207): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

162 (!!!!! 1177.7877807617): insert into jos_banners_delta values (14615,'2025-06-20 19:21:05','216.73.216.120','view'),(14202,'2025-06-20 19:21:05','216.73.216.120','view'),(14203,'2025-06-20 19:21:05','216.73.216.120','view')

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