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Immobilization System Aids Head and Neck Radiotherapy

By MedImaging International staff writers
Posted on 24 Oct 2018

An innovative patient head restraining system offers unique corrective pitch capability and positioning flexibility during stereotactic radiosurgery (SRS).

The CIVCO Radiotherapy (Coralville, IA, USA) Solstice SRS Immobilization System is comprised of a carbon fiber head support, a customizable cushion, and a dedicated thermoplastic mask designed for secure and simple attachment. The combined components create a highly customizable and comfortable head and neck immobilization system, with a variable pitch capability that provides increased setup options during computerized tomography (CT) simulations, and corrective positioning flexibility during treatment setup.

The midline thermoplastic mask attachment provides increased rigidity and minimizes shrinkage, thanks to a variety of thermoplastic materials, including intensity-modulated radiation therapy (IMRT) Reinforced and ClearVision open-face variants that are compatible with the Vision RT (London, United Kingdom) AlignRT camera system. The system can also be adapted for use with the proprietary Precise Bite positioner to aid in effective and repeatable positioning.

“The Solstice SRS Immobilization System is the only midline thermoplastic mask system on the market with variable pitch capability, increasing setup options in CT simulation and allowing positioning flexibility during treatment,” said John Steffen, director of product management at CIVCO. “We are excited that clearance in the United States and European Union opens opportunities for us to provide this unique solution to radiotherapy clinics to help improve patient outcomes.”

Reproducible positioning of the patient over multiple rounds of RT demands reliable immobilization for an accurate and consistent treatment setup. The use of low-temperature thermoplastic materials molded over the patient’s head effectively restricts movement, reducing the amount of time that it may take to receive RT and minimizing unwanted side effects such as damage to the skin, the upper digestive tract, and rampant caries due to damage to saliva glands.

Related Links:
CIVCO Radiotherapy
Vision RT

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66 (133.99124145508): 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

67 (576.97296142578): SELECT fid FROM jos_deeppockets WHERE id=294775408 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294775408 AND published='1' LIMIT 1

68 (411.03363037109): 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`

69 (46.014785766602): select jos_twitters.link from jos_twitters where cat=10

70 (30.994415283203): select jos_facebook.link from jos_facebook where cat=10

71 (30.040740966797): select jos_google_plus.link from jos_google_plus where cat=10

72 (29.087066650391): select jos_linkedin.link from jos_linkedin where cat=10

73 (42.915344238281): SELECT fid FROM jos_deeppockets WHERE id=294775408 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294775408 AND published='1' LIMIT 1

74 (32.186508178711): 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`

75 (291.10908508301): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294775408 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

76 (237.94174194336): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294775408 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

77 (39.100646972656): 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`

78 (53.882598876953): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

90 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (74.148178100586): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294775408 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

93 (43.153762817383): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294775408 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

94 (45.061111450195): 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`

95 (49.829483032227): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (32.186508178711): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

107 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

108 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

109 (78.916549682617): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775408 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775408 AND published='1' LIMIT 1

110 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775408 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775408 AND published='1' LIMIT 1

111 (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 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=294775408 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (46.014785766602): 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=294775408 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (92.029571533203): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775408 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775408 AND published='1' LIMIT 1

114 (51.975250244141): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775408 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775408 AND published='1' LIMIT 1

115 (46.968460083008): 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=294775408 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

116 (465.15464782715): 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=294775408 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

117 (626.0871887207): 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 (432.96813964844): 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

119 (87.02278137207): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775408 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775408 AND published='1' LIMIT 1

120 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775408 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775408 AND published='1' LIMIT 1

121 (144.00482177734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775408 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775408 AND published='1' LIMIT 1

122 (53.882598876953): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775408 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775408 AND published='1' LIMIT 1

123 (136.8522644043): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775408 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775408 AND published='1' LIMIT 1

124 (54.121017456055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775408 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775408 AND published='1' LIMIT 1

125 (343.08433532715): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

126 (!!!!! 21471.977233887): 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

127 (138.0443572998): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775408 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775408 AND published='1' LIMIT 1

128 (77.009201049805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775408 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775408 AND published='1' LIMIT 1

129 (617.02728271484): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294775408 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294775408 AND type='deeppockets_item' AND published='1' LIMIT 1

130 (!!!!! 454604.14886475): ( 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

131 (154.01840209961): ( 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

132 (59.127807617188): 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

133 (37.908554077148): 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

134 (49.114227294922): 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

135 (41.961669921875): 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

136 (41.961669921875): 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

137 (40.054321289062): 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

138 (502.10952758789): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775408 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

139 (395.05958557129): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775408 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

140 (280.85708618164): SELECT name FROM jos_deeppockets WHERE id=213

141 (43.869018554688): SELECT name FROM jos_deeppockets WHERE id=213

142 (489.95018005371): 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

143 (363.11149597168): 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

144 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775408 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775408 AND published='1' LIMIT 1

145 (47.922134399414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775408 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775408 AND published='1' LIMIT 1

146 (!!!!! 9977.1022796631): TRUNCATE TABLE jos_trademed_module

147 (108.00361633301): 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=294775408 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

148 (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=294775408 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

149 (985.14556884766): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775408 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

150 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775408 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

151 (101.08947753906): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775408 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775408 AND published='1' LIMIT 1

152 (68.902969360352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775408 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775408 AND published='1' LIMIT 1

153 (!!!!! 1289.1292572021): 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

154 (63.896179199219): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775408 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775408 AND published='1' LIMIT 1

155 (54.836273193359): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775408 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775408 AND published='1' LIMIT 1

156 (38.862228393555): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294775408 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294775408 AND type='deeppockets_item' AND published='1' LIMIT 1

157 (30.040740966797): 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)

158 (28.133392333984): 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)

159 (30.040740966797): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

160 (68.902969360352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775408 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775408 AND published='1' LIMIT 1

161 (46.014785766602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775408 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775408 AND published='1' LIMIT 1

162 (36.954879760742): select jos_twitters.link from jos_twitters where cat=10

163 (32.186508178711): select jos_facebook.link from jos_facebook where cat=10

164 (30.994415283203): select jos_google_plus.link from jos_google_plus where cat=10

165 (32.186508178711): select jos_linkedin.link from jos_linkedin where cat=10

166 (266.07513427734): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

167 (!!!!! 1163.9595031738): insert into jos_banners_delta values (14615,'2025-04-29 22:04:22','18.223.172.149','view'),(14202,'2025-04-29 22:04:22','18.223.172.149','view'),(14203,'2025-04-29 22:04:22','18.223.172.149','view')

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