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AI Tool Improves Diagnosis of Joint Cartilage Defects

By MedImaging International staff writers
Posted on 03 Aug 2021

New artificial intelligence (AI) software provides fully automated precise segmentation and robust assessment of chondral lesions, including location, diameter, shape, and boundaries.

The RSIP Vision (Jerusalem, Israel) articular cartilage segmentation tool is an AI algorithm designed to deliver accurate, non-invasive and automatic assessment of chondral lesions in magnetic resonance imaging (MRI) scans of the hips, knees, and ankles. The algorithm provides an accurate measurement of the location, geometry, and boundaries of osteochondral lesions, enabling physicians to evaluate the extent of the damage, select the appropriate treatment approach, and assess its efficacy.

The segmentation is carried out by classifying image pixels (or voxels, in 3D cases) using random forest classifiers, which delineate the boundaries between points in feature space belonging to different classes. The random forest is composed of an ensemble of decision trees, trained to assign membership value to either the lesion or the background group. To construct each tree, a different bootstrap subset of the training data is chosen at random. Since trees are uncorrelated, the overall decision in random forest is consistent by using a majority vote of trees with different structure.

“Our new segmentation tool makes it easier to pinpoint specific points and boundaries in images, which in turn leads to greater accuracy during surgeries without being dependent on the capability and experience of a specific individual,” said Ron Soferman, founder & CEO of RSIP Vision. “RSIP Vision will continue to drive innovation in image analysis across the medical verticals through custom software, advanced algorithm development and custom technologies.”

“Analyzing the parameters of the lesion and its boundaries allows the surgeon, along with the patient, to choose the ideal cartilage repair technique,” said orthopedic surgeon Shai Factor, MD, of Tel Aviv Sourasky Medical Center (Israel). “Additionally, in cases where cartilage transfer is the chosen option, this technology will make it possible to map the donor cartilage area as well and plan the surgery in the best way that will lead to better outcomes.”

Chondral lesions are prevalent among young and active patients, and due to the avascular nature of articular cartilage, healing potential is limited. In many cases, chondral lesions limit the athlete’s ability to participate in sports and even affect their daily activities. Cartilage segmentation is a crucial tool that aids the physician in choosing optimal treatment for the patient, including mosaicplasty, micro-fracture, osteochondral autograft transfer system (OATS), or autologous chondrocyte implantation.

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65 (41.007995605469): select jos_twitters.link from jos_twitters where cat=10

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

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

68 (27.894973754883): select jos_linkedin.link from jos_linkedin where cat=10

69 (37.193298339844): SELECT fid FROM jos_deeppockets WHERE id=294789147 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294789147 AND published='1' LIMIT 1

70 (36.001205444336): 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`

71 (!!!!! 3694.0574645996): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294789147 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (342.84591674805): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294789147 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

73 (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`

74 (51.021575927734): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (47.922134399414): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294789147 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (30.994415283203): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294789147 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

90 (34.093856811523): 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`

91 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (34.809112548828): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (28.133392333984): 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 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (72.002410888672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789147 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789147 AND published='1' LIMIT 1

106 (50.067901611328): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789147 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789147 AND published='1' LIMIT 1

107 (54.121017456055): 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=294789147 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (524.99771118164): 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=294789147 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

109 (71.048736572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789147 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789147 AND published='1' LIMIT 1

110 (41.961669921875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789147 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789147 AND published='1' LIMIT 1

111 (43.869018554688): 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=294789147 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (468.01567077637): 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=294789147 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (905.99060058594): 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 (!!!!! 1236.9155883789): 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

115 (68.902969360352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789147 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789147 AND published='1' LIMIT 1

116 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789147 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789147 AND published='1' LIMIT 1

117 (372.88665771484): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789147 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789147 AND published='1' LIMIT 1

118 (57.93571472168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789147 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789147 AND published='1' LIMIT 1

119 (491.14227294922): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789147 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789147 AND published='1' LIMIT 1

120 (44.107437133789): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789147 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789147 AND published='1' LIMIT 1

121 (!!!!! 2333.1642150879): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

122 (!!!!! 44867.992401123): 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

123 (659.94262695312): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789147 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789147 AND published='1' LIMIT 1

124 (233.17337036133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789147 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789147 AND published='1' LIMIT 1

125 (755.07164001465): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294789147 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294789147 AND type='deeppockets_item' AND published='1' LIMIT 1

126 (!!!!! 885437.96539307): ( 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 (71.048736572266): ( 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 (41.007995605469): 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 (27.894973754883): 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

130 (51.975250244141): 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 (29.087066650391): 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

132 (28.848648071289): 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 (30.994415283203): 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

134 (375.98609924316): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789147 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

135 (308.99047851562): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789147 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (46.014785766602): SELECT name FROM jos_deeppockets WHERE id=212

137 (36.001205444336): SELECT name FROM jos_deeppockets WHERE id=212

138 (694.99015808105): 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

139 (494.95697021484): 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

140 (87.976455688477): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789147 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789147 AND published='1' LIMIT 1

141 (59.127807617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789147 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789147 AND published='1' LIMIT 1

142 (!!!!! 8412.8379821777): TRUNCATE TABLE jos_trademed_module

143 (442.9817199707): 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=294789147 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

144 (108.95729064941): 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=294789147 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (339.03121948242): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789147 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

146 (85.830688476562): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789147 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (177.86026000977): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789147 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789147 AND published='1' LIMIT 1

148 (70.095062255859): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789147 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789147 AND published='1' LIMIT 1

149 (!!!!! 1132.0114135742): 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 (52.928924560547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789147 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789147 AND published='1' LIMIT 1

151 (38.14697265625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789147 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789147 AND published='1' LIMIT 1

152 (31.948089599609): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294789147 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294789147 AND type='deeppockets_item' AND published='1' LIMIT 1

153 (28.848648071289): 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 (25.98762512207): 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 (28.848648071289): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

156 (84.877014160156): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789147 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789147 AND published='1' LIMIT 1

157 (58.889389038086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789147 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789147 AND published='1' LIMIT 1

158 (!!!!! 1863.0027770996): select jos_twitters.link from jos_twitters where cat=10

159 (61.03515625): select jos_facebook.link from jos_facebook where cat=10

160 (30.040740966797): select jos_google_plus.link from jos_google_plus where cat=10

161 (25.98762512207): select jos_linkedin.link from jos_linkedin where cat=10

162 (277.99606323242): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

163 (!!!!! 1155.1380157471): insert into jos_banners_delta values (14615,'2025-04-29 21:24:45','3.144.134.101','view'),(14202,'2025-04-29 21:24:45','3.144.134.101','view'),(14203,'2025-04-29 21:24:45','3.144.134.101','view')

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