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Newer Generation, Dual-Source CT Scanners Cut Radiation Exposure to Patients

By MedImaging International staff writers
Posted on 03 Jul 2014

Image: “Newer technology makes a difference in terms of radiation exposure and the difference is quite large,” says study author Kavitha Chinnaiyan, MD, director of Advanced Cardiac Imaging Research at Beaumont Hospital, Royal Oak (Photo courtesy of Beaumont Health System).

Computed tomography (CT) scans are a recognized standard of care for identifying heart and lung disorders. However, clinicians have concerns that the growing use of CT scans could be putting patients at a higher lifetime risk of cancer from radiation exposure. New research has revealed that the use of the latest advances in CT scanning technology is helping to tackle this important concern.

The new findings, published in the June 20, 2014, online issue of the Journal of Cardiovascular Computed Tomography, consisted of 2,085 patients at nine centers in the United States and the Middle East, and revealed that using newer generation, dual-source CT scanners substantially reduced radiation exposure for patients when compared with first generation, 64-slice, single-source scanners or first generation, dual-source CT scanners.

Patient radiation exposure was reduced by 61% with the newer scanners, with no significant difference in image quality for patients having CT scans for coronary artery disease, pulmonary embolism or aortic disease. “Newer technology makes a difference in terms of radiation exposure and the difference is quite large,” stated study author Kavitha Chinnaiyan, MD, director of advanced cardiac imaging research at Beaumont Hospital, Royal Oak (MI, USA). “It is important for patients to ask questions when referred for a radiation-based test to understand what the procedure involves and what the risks are of the particular technique and if there are alternative imaging choices.”

In addition, the study has significant implications for referring physicians. “Clinicians must understand that imaging studies not only have a major impact on the care of an individual patient, but also on trends in radiation exposure, as well as overall healthcare costs,” noted Dr. Chinnaiyan. “Incidental findings may require further imaging studies with other radiation-based tests. In addition to choosing patients appropriately, it is important to discuss the risks and benefits of testing with patients, and to refer them to centers that offer newer technologies.”

The findings, according to the researchers, provide vital information that will help in setting standards for radiation safety quality control in cardiovascular imaging.

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65 (113.01040649414): select jos_facebook.link from jos_facebook where cat=10

66 (57.93571472168): select jos_google_plus.link from jos_google_plus where cat=10

67 (40.054321289062): select jos_linkedin.link from jos_linkedin where cat=10

68 (!!!!! 3874.0634918213): SELECT fid FROM jos_deeppockets WHERE id=294753361 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294753361 AND published='1' LIMIT 1

69 (59.127807617188): 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=211 ORDER BY `ordering`

70 (!!!!! 3286.1232757568): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294753361 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (591.99333190918): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294753361 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (78.916549682617): 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 (396.0132598877): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (168.80035400391): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (341.89224243164): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (68.902969360352): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (550.0316619873): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (174.04556274414): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (!!!!! 3317.8329467773): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294753361 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (102.04315185547): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294753361 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (41.961669921875): 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 (477.07557678223): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (627.04086303711): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (959.87319946289): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (216.96090698242): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (!!!!! 6007.9097747803): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (!!!!! 2068.042755127): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (!!!!! 4457.950592041): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (51.021575927734): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (221.01402282715): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (37.193298339844): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (32.186508178711): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (427.0076751709): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (495.19538879395): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753361 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753361 AND published='1' LIMIT 1

105 (55.789947509766): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753361 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753361 AND published='1' LIMIT 1

106 (70.095062255859): 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=294753361 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (420.09353637695): 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=294753361 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (!!!!! 15299.081802368): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753361 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753361 AND published='1' LIMIT 1

109 (!!!!! 4485.8455657959): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753361 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753361 AND published='1' LIMIT 1

110 (506.16264343262): 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=294753361 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (!!!!! 2203.9413452148): 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=294753361 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (!!!!! 1869.2016601562): 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 (!!!!! 1687.0498657227): 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 (!!!!! 2696.0372924805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753361 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753361 AND published='1' LIMIT 1

115 (478.98292541504): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753361 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753361 AND published='1' LIMIT 1

116 (!!!!! 1441.9555664062): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753361 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753361 AND published='1' LIMIT 1

117 (92.029571533203): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753361 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753361 AND published='1' LIMIT 1

118 (!!!!! 2537.9657745361): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753361 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753361 AND published='1' LIMIT 1

119 (436.06758117676): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753361 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753361 AND published='1' LIMIT 1

120 (!!!!! 2285.9573364258): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753361 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753361 AND published='1' LIMIT 1

121 (!!!!! 3222.2270965576): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753361 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753361 AND published='1' LIMIT 1

122 (710.01052856445): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 51487.922668457): 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 (946.044921875): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294753361 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294753361 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (365.9725189209): ( 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 (348.09112548828): ( 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 (!!!!! 1141.0713195801): 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 (236.03439331055): 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 (!!!!! 1018.0473327637): 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 (154.01840209961): 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 (130.17654418945): 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 (82.969665527344): 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 (447.03483581543): 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 (280.14183044434): 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 (!!!!! 5813.8370513916): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753361 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (697.85118103027): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753361 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (!!!!! 5033.9698791504): SELECT name FROM jos_deeppockets WHERE id=211

138 (!!!!! 5714.1780853271): SELECT name FROM jos_deeppockets WHERE id=211

139 (938.89236450195): 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 '((;)|(^))211((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

140 (!!!!! 4231.9297790527): 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 '((;)|(^))211((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

141 (!!!!! 2371.7880249023): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753361 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753361 AND published='1' LIMIT 1

142 (!!!!! 4009.9620819092): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753361 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753361 AND published='1' LIMIT 1

143 (!!!!! 9769.9165344238): TRUNCATE TABLE jos_trademed_module

144 (190.97328186035): 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=294753361 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (134.22966003418): 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=294753361 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (712.87155151367): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753361 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (71.048736572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753361 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (64.849853515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753361 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753361 AND published='1' LIMIT 1

149 (65.088272094727): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753361 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753361 AND published='1' LIMIT 1

150 (!!!!! 1183.9866638184): 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 (102.04315185547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753361 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753361 AND published='1' LIMIT 1

152 (77.962875366211): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753361 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753361 AND published='1' LIMIT 1

153 (61.03515625): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294753361 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294753361 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (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=211 or channel_id is null)

155 (27.894973754883): 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=211 or channel_id is null)

156 (30.994415283203): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (183.10546875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753361 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753361 AND published='1' LIMIT 1

158 (72.002410888672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753361 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753361 AND published='1' LIMIT 1

159 (38.862228393555): select jos_twitters.link from jos_twitters where cat=10

160 (86.069107055664): select jos_facebook.link from jos_facebook where cat=10

161 (51.021575927734): select jos_google_plus.link from jos_google_plus where cat=10

162 (46.014785766602): select jos_linkedin.link from jos_linkedin where cat=10

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