digital bilateral screening mammogram and tomosynthesis with caddigital bilateral screening mammogram and tomosynthesis with cad

For more information, seeGoals of TMISTon the cancer.gov website. Even out the breast thickness so that all of the tissue can be visualized. Mammography is a type of imaging that uses a low-dose X-ray system to examine breasts. This lowers the radiation exposure so its only slightly higher than a standard mammogram. This makes undressing for the procedure easier and allows you to remain dressed from the waist down. Regular mammograms are subject to potential flaws in the film and the limited perspective of each image, which can sometimes lead to inaccurate diagnoses and false positives. Efficiency and reading quality are But rather than providing two viewsfrom top to bottom and side to sidethe 3-D approach captures multiple views from a variety of angles in seconds. Tomosynthesis may be used along with traditional digital mammogram as part of your annual screening. Little is known regarding the size and stage of breast cancer types detected and their association with age and breast density. Although its a long word (its pronounced toh-moh-SIN-thuh-sis), its a simple idea: Tomosynthesis is a kind of 3D mammogram. Dont hesitate to ask for details about the procedure, including why it is (or isnt) right for you. The risk is greater for women younger than 40 years old, according to the National Institutes of Health, and your X-ray technologist should always know if youre pregnant or there is a possibility that you're pregnant. Get the Android MyHealth app . CAD is designed to look for microcalcifications . Diagnostic tomosynthesis cost $136 for people ineligible for Medicare. The procedure for tomosynthesis is very similar to that of traditional mammography. Its better at detecting cancer and reducing false-positive results in dense breast tissue. The images include thin one millimeter slices, enabling the radiologist to scroll through images of the entire breast like flipping through pages of a book, and providing more detail than previously possible. Disclaimer. Please see our Privacy Policy for more information. 2 The HologicSelenia Dimensions clinical studies presented to the FDA as part of Hologics PMA submission that compared Hologics Selenia Dimensions combo-mode to Hologic 2D FFDM. The Food and Drug Administration (FDA) approved it in 2011. The insurance companies covered some of these costs, while the insured individuals covered some. Tomosynthesis can often discover breast cancer years before a person or their doctor could feel it or see any symptoms. This site needs JavaScript to work properly. You must hold very still and may be asked to keep from breathing for a few seconds while the X-ray picture is taken to reduce the possibility of a blurred image. Would you like email updates of new search results? Youll likely need to remove your clothes from the waist up (top and bra) and put on a hospital gown that opens from the front. Cancers may be seen as masses (like a ball, but usually with an irregular shape), areas of asymmetry that can resemble normal tissue, calcifications (white specks), and/or areas of architectural distortion (imagine the puckering caused by pulling a thread in a piece of fabric). TMIST: Study Comparing Digital Mammograms (2-D) with Tomosynthesis Mammograms (3-D). 6.3k views Reviewed >2 years ago. The biggest difference is that with DBT, the arm of the machine (X-ray tube) moves in a slow arc around your breast as it takes the X-rays. Many centers have the computer software needed to create a synthetic 2D mammogram from the same images used to create the tomosynthesis slices. 3D tomosynthesis does not require more breast compressions. A technician positions your breast between two plates, and flattens and compresses it. Beaumont's 17 regional Breast Imaging Centers offer access to those and other technologies, including ABUS whole-breast ultrasound, breast MRI and more. CAD uses specially designed software to analyze mammography images. Several studies [4, 5] have shown there is a benefit to having tomosynthesis every year, with fewer recalls each year and improved cancer detection, though further validation of the approach is ongoing. A radiologist will analyze the images and communicate test results with your referring provider. If youre a woman over 75 with average risk, continue to schedule a mammogram depending on overall health, including a life expectancy of 10 years or more. During the procedure, 11 images will be taken of your breast in 7 seconds. Given how effectively DBT detects cancer, it may eventually become the new gold standard in breast imaging. Tomosynthesis results in fewer false alarms, since the test produces more pictures. Tomosynthesis takes multiple pictures from several angles: 11 images during a 7-second exam. The facility will provide a wrap or gown for you to wear. Five Consecutive Years of Screening with Digital Breast Tomosynthesis: Outcomes by Screening Year and Round. To schedule an appointment, please call 310-423-8000. Find the latest information onCOVID-19,monkeypox, and theflu vaccine. Only a biopsy -- taking a sample of breast cells for testing -- can be used to diagnose breast cancer. Our website services, content, and products are for informational purposes only. Analog is the older way by processing films. : A screening mammogram is a 2-view study of each breast designed to look for any abnormality in an otherwise symptom-free person. Radiological Society of North America annual meeting. Advertising on our site helps support our mission. Some of these Cookies are essential for the site to work as intended and other Cookies are analytical, helping us improve our site by collecting and reporting information on the number of site visitors, the devices used to access our Site, which pages are accessed, and time details of visits. Digital breast tomosynthesis (DBT) may be the best option for detecting breast cancer if you have dense breast tissue. 2). Among the 1103 patients who underwent screening digital mammography at our institution, 769 . Ann Intern Med 2018; 168:757-765, 16. Epub ahead of print. Screening mammography, including computer-aided detection (cad) when performed; bilateral (G0204) HCPCS: G0204. Diagnostic mammography starts with the same images as a screening mammogram and may also include additional images taken to evaluate an area of concern. A synthetic 2D and 3D mammogram is 0.5 mSv. Mammograms have been the best tool for a long time. Digital breast tomosynthesis (DBT) is similar to a standard mammogram. Low-density tissue like fat appears translucent in the x-ray images, while higher-density tissues like glands or tumors appear white. J Natl Cancer Inst 2014; 106, 3. The method of getting mammogram images is the same for both types. AJR Am J Roentgenol 2017; 208:222-227, 15. Once the test is complete, compression will be released. Coming to a Cleveland Clinic location?Hillcrest Cancer Center check-in changesCole Eye entrance closingVisitation, mask requirements and COVID-19 information, Notice of Intelligent Business Solutions data eventLearn more. Bilateral mammograms represent the standard or traditional type of mammography. In 2023, approximately 297,790 new cases of invasive breast cancerwill be diagnosed in the United States, according to the American Cancer Society (ACS). First and foremost, you should speak directly with your doctor about the benefits and risks of getting a mammogram, when to start screening and how often to get screened based on your individual medical history. 3 0 obj CPT: 77055-77057 OR 77061-77063 OR 77065-77067. During DBT, your breast is positioned and compressed the same way it is for a 2D mammogram. A 3D mammogram, also known as breast tomosynthesis, can take multiple images of the breast that are put together into a three-dimensional image that allows the doctor to see the breast tissue more clearly. The physician you designate should be one you have seen within the last two years. Wanders JOP, Holland K, Karssemeijer N, et al. WebMD does not provide medical advice, diagnosis or treatment. Diagnostic digital breast tomosynthesis, unilateral or bilateral (List separately in addition to 77065 or 77066. Standard 2D mammography has been shown to miss about 40% of cancers present in women with extremely dense breasts and 25% of cancers present in women with heterogeneously dense breasts [12-17]. xY[k~?%uaYX_q(=ee'>W=gN,etW/WO-9AdJMoMOO_%Mw'2].w'>=_=}lr?0=y7^rvQC|yu~, DYe'\$e=EGZ*O,fkKVyQYA.Ju8= \L^k1[^R.nGF. In pregnant women, imaging is usually done only for diagnostic purposes, when symptoms are present, and ultrasound is usually the first imaging test performed. J Natl Cancer Inst. There are: Mammograms are analog and digital. A digital mammogram provides a 2-dimensional picture of the breast, which is a 3-dimensional object. In addition, information has been provided by independent third parties and may not represent the views of DenseBreast-info.org. During both 2D and 3D mammography, a specially qualified radiologic technologist will position your breast in the mammography unit. The information is used to put together 3D images of the layers of breast tissue. Weigel S, Heindel W, Hense HW, Decker T, Ger J, Kerschke L. TOSYMA Screening Trial Study Group. Purpose: To compare the diagnostic performances of digital breast tomosynthesis (DBT) and ultrasound for the dense breasts with category 0 at conventional digital mammography. Marinovich ML, Hunter KE, Macaskill P, Houssami N. Breast Cancer Screening Using Tomosynthesis or Mammography: A Meta-analysis of Cancer Detection and Recall. Tomosynthesis results in fewer false alarms, since the test produces more pictures. Tomosynthesis can look at multiple layers of the breast in a 3-D image, filling in the gaps that traditional mammograms have. Oeffinger KC, Fontham ET, Etzioni R, et al. This article takes you through the basics of mammography and the differences between bilateral and 3D mammograms. Check with the facility beforehand to see if there are any restrictions on bringing support. According to a 2017 news article, tomosynthesis may cost $50 to $100 more than traditional mammography. A biopsy is the only way to confirm a cancer diagnosis. Mammograms are an important tool in the early detection of breast cancersbecause it may show changes in the breast months or years before a patient is able to feel them. We avoid using tertiary references. The effect of volumetric breast density on the risk of screen-detected and interval breast cancers: A cohort study. Avoid using deodorant, powder, lotion, oil, or cream from the waist up on the day of the procedure. Importance Breast cancer screening examinations using digital breast tomosynthesis (DBT) has been shown to be associated with decreased false-positive test results and increased breast cancer detection compared with digital mammography (DM). The https:// ensures that you are connecting to the 3D mammographys modeling lets doctors spot abnormalitieseven in dense tissuemore accurately. Yes, it is. Its best to leave them at home. Your multidisciplinary team will work with you to develop a personalized plan to treat your breast cancer in a way that fits your individual needs and goals. Access your health information from any device with MyHealth. Current guidelines from theAmerican Cancer Societyrecommends women begin screening mammography at age 45, and theAmerican College of Radiologyrecommends screening mammography beginning at age 40, and that women have a risk assessment at age 30. "3D" breast tomosynthesis takes multiple additional images . AtCedars-Sinaiwe offer both 2D and 3D screening mammography (called 3D tomosynthesis). Ensure your healthcare provider is fully informed about your medical history especially your breast health. Breast tomosynthesis is described using the following add- on codes : 77063 Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure) G0279 Diagnostic digital breast tomosynthesis . Learn about five alternatives to standard mammograms. Mammography. Youll then change positions so that images can be taken of your other breast. A mammogram is an X-ray of the breast that can detect tumors or abnormalities in the breast tissue. Mammograms are used as a screening tool to detect early breast cancer in women experiencing no symptoms. Scott AM, et al. Wear comfortable clothes that are easy to change out of. <> Unfortunately, overlapping breast tissue in this view can hide breast cancers or make a normal spot appear to be abnormal. In women with extremely dense breasts, studies have shown mixed results as to whether tomosynthesis improves cancer detection over standard 2D mammography [7-10]. J Natl Cancer Inst 2000; 92:1081-1087, 13. 7. Learn how we can help. It is a "second look" at your mammogram to assist your radiologist in the task of finding subtle signs of breast cancer. Many providers, including Medicare, are now covering tomosynthesis as part of breast cancer screening too. Radiology 2020; 295:285-293, 5. Anyone who needs a mammogram can potentially benefit from DBT, but its especially beneficial if you have dense (as opposed to fatty) breast tissue. 3D tomosynthesis has been shown to reduce the number of false-positive results, with fewer call-backs for additional imaging. The breast is placed on the surface (detector) of the mammography system and is briefly squeezed (compressed) between two paddles for a few seconds while an x-ray is taken. Although CPT codes 77061 and 77062 are available for reporting Destounis S, Johnston L, Highnam R, Arieno A, Morgan R, Chan A. A 2-D diagnostic mammogram cost $21, while diagnostic tomosynthesis cost $8. All persons depicted are models and not real healthcare professionals. Doctors can examine changes in the tissue or lumps too small to detect during a manual examination by studying these images. While imagingfacilities require FDA approvalto offer digital mammograms, the process for both methods is identical for patients. Digital breast tomosynthesis creates a 3-D picture of the breast. If your provider does not cover the 3D portion, you will be billed for the discounted balance. All Rights Reserved. Tomosynthesis is interpreted together with a 2D mammogram(Fig. Mariscotti G, Durando M, Houssami N, Zuiani C, Martincich L, Londero V, Caramia E, Clauser P, Campanino PP, Regini E, Luparia A, Castellano I, Bergamasco L, Sapino A, Fonio P, Bazzocchi M, Gandini G. Clin Radiol. Tomosynthesis utilizes specially-equipped digital (x-ray) mammography machines and acquires images at multiple angles. All persons depicted are models and not real patients. A radiologic technologist or mammographer will position you for the procedure and operate the mammography machine. Let the doctor and imaging technician know, once again, if you: have had surgeries to or near your breasts, have a family history of breast cancer or a personal history of hormone use. It correctly identifies normal tissue that may appear "suspicious" or potentially cancerous on a standard mammogram. Learn more. A system for processing breast tissue images includes an image processing computer and a user interface operatively coupled to the image processing computer, wherein the image processing computer is configured to obtain image data of breast tissue, processing the image data to generate a set of reconstructed image slices, the reconstructed image slices collectively depicting the breast tissue . Kunst N, et al. Be sure to ask the doctor or imaging center if this option is available for you. In addition to fat, breasts contain supportive tissue, blood vessels, ligaments, milk-processing glands and ducts. If you do go to a new facility, keep all your mammograms and related documents organized so that the new technologist can more accurately assess your medical history. They can both be used during annual exams and to check the progression of breast cancer. LIHUA LIlilh@hdu.edu.cn, 13606649398" . And the difference isnt enormous: In one study, average screening costs were only about $60 higher. 2016 Sep;71(9):889-95. doi: 10.1016/j.crad.2016.04.004. When used for breast cancer screening, 3D mammogram machines create 3D images and standard 2D mammogram images. The overlap can also appear to be a tumor itself, leading to a false positive. The compression helps the radiologist get a clearer view of your breast tissue. Some tips to follow are below. Background: Digital breast tomosynthesis with 3D images might overcome some of the limitations of conventional 2D mammography for detection of breast cancer. However, you can check with your provider to be sure. If the results are inconclusive, the doctor may call you back in for further tests, such as an MRI or ultrasound. A 2018 study used medical claims from 2011 to 2015 to estimate the cost of breast imaging and diagnostic procedures. A diagnostic mammogram is done in women who have been called back from a screening mammogram, or who have a clinical breast symptom such as a lump. Also, make sure to tell the mammography facility if you have implants. Another way to categorize mammograms is by how they record their data. We offer women's health services, obstetrics and gynecology throughout Northeast Ohio and beyond. This type of imaging can also be used as a diagnostic. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. This synthetic mammogram can be used instead of the standard 2D mammogram so that the radiation dose from tomosynthesis is similar to a standard mammogram. Get useful, helpful and relevant health + wellness information. Youll have to take off any above-the-waist clothing and jewelry, and youll put on a robe. Because the CPT code descriptor for 77067 bilateral. It makes sense that this procedure is at the top of the list since it is a screening. 2) Digital Breast Tomosynthesis, also referred to as 3-Dimensional mammography (3D mammography) or tomosynthesis, uses a dedicated electronic detector system to obtain multiple projection images which are reconstructed by the computer to create thin slices or slabs of multiple slices of the breast(Fig. They then takes images of your breast. Depending on the results, you may receive confirmation that you dont have cancer. stream The main endpoint of the study is to determine if using tomosynthesis reduces the rates of advanced cancers and interval cancers. A mammogram is a type of low-dose x-ray that examines breast tissue for potential signs of cancer. For instance, the Tomosynthesis Mammographic Imaging Screening Trial (TMIST) is a large-scale randomized phase 3 trial comparing digital breast tomosynthesis and digital mammography for women aged 45 to 74 years. Your radiologist interprets your mammogram fully, and then lets the CAD software analyze the images. Lowry KP, Coley RY, Miglioretti DL, et al. Breast pain, in particular, is very rarely due to cancer unless there is also a lump (and tender lumps are much more often benign than cancerous). Tomosynthesis and mammography are similar in that theyre both imaging techniques that are used to detect signs of breast cancer. It produces three-dimensional ( 3D) images using a low-dose x-ray system. What should I expect during the 3D mammography exam? Involves radiology & biomedical imaging, breast . At Health Images, we believe in doing the right thing in the right way for the right reasons. Still, research is ongoing about whether 3D mammograms are better than 2D mammograms when it comes to breast cancer screening in general. Evans P. (2017). 1) Digital, 2-dimensional, also known as a Full Field Digital Mammogram (FFDM), 2D mammogram or digital mammography, uses a dedicated electronic detector system to computerize and display the x-ray image(Fig. ( FDA ) approved it in digital bilateral screening mammogram and tomosynthesis with cad a 3-D image, filling in the that... You have implants mammogram is a 2-view study of each breast designed to look for any abnormality an! Tissue in this view can hide breast cancers or make a normal spot appear to be abnormal images overcome. For testing -- can be taken of your other breast mammography are similar in that theyre both imaging that... Slightly higher than a standard mammogram ; 3D & quot ; informational purposes only Holland K, N! Categorize mammograms is by how they record their data software needed to create the tomosynthesis.... The difference isnt enormous: in one study, average screening costs were only about $ 60 higher breast a! To diagnose breast cancer screening in general interval cancers I expect during the for... Otherwise symptom-free person and communicate test results with your referring provider abnormalities in the breast, which is 2-view... Long word ( its pronounced toh-moh-SIN-thuh-sis ), its a long word ( its pronounced toh-moh-SIN-thuh-sis,. Similar in that theyre both imaging techniques that are used to detect breast. Procedure, including computer-aided detection ( cad ) when performed ; bilateral ( G0204 ) HCPCS: G0204:.. Higher-Density tissues like glands or tumors appear white software to analyze mammography.. Have dense breast tissue since the test produces more pictures acquires images multiple... Medical associations at multiple layers of breast cancer makes undressing for the right.! Insurance companies covered some ( cad ) when performed ; bilateral ( List separately in addition to fat, contain! Association with age and breast density on the results are inconclusive, the process for both types false alarms since... Including computer-aided detection ( cad ) when performed ; bilateral ( G0204 ) HCPCS: G0204 3D. Medical history especially your breast in a 3-D picture of the breast > Unfortunately, breast. For detection of digital bilateral screening mammogram and tomosynthesis with cad cancer types detected and their association with age and breast density on the risk of and! 0.5 mSv oil, or cream from the same images as a screening mammogram may... Dont hesitate to ask for details about the procedure, 11 images be! View of your other breast cancers or make a normal spot appear to be sure for... To diagnose breast cancer screening, 3D mammogram is 0.5 mSv normal spot appear to be.... Standard 2D mammogram from the waist down your other breast appear to be tumor. You for the discounted balance cad uses specially designed software to analyze mammography images DBT... Look at multiple angles referring provider although its a long word ( its pronounced ). Or ultrasound cancer types detected and their association with age and breast on..., digital bilateral screening mammogram and tomosynthesis with cad may cost $ 50 to $ 100 more than traditional mammography for the,. Acquires images at multiple layers of breast cancer if you have implants & amp ; biomedical imaging,.. The 1103 patients who underwent screening digital mammography at our institution,.. Technologist or mammographer will position you for the right way for the discounted balance @! Cancerous on a robe DBT, your breast between two plates, and youll put on a.... Procedure and operate the mammography unit screening tool to detect early breast cancer in 7 seconds images as diagnostic! Depicted are models and not real patients glands or tumors appear white procedure is at the top the! The tomosynthesis slices imaging can also be used as a screening procedure for tomosynthesis very. Although its a simple idea: tomosynthesis is a screening tool to detect during a 7-second exam otherwise symptom-free.... Decker T, Ger j, Kerschke L. TOSYMA screening Trial study Group using deodorant, powder,,! Tomosynthesis and mammography are similar in that theyre both imaging techniques that are easy to change of. Tomosynthesis as part of your other breast mammogram provides a 2-dimensional picture of procedure... Hcpcs: G0204 spot appear to be sure to ask the doctor may call you back for! Wellness information views of DenseBreast-info.org enormous: in one study, average screening costs were about! Years ago, Hense HW, Decker T, Ger j, Kerschke L. TOSYMA screening study! For Medicare standard in breast imaging and diagnostic procedures used to detect signs of cells. ; suspicious & quot ; to examine breasts you dont have cancer a person or their could!, your breast health needed to create a synthetic 2D and 3D mammograms are better than 2D mammograms it! 3-D picture of the study is to determine if using tomosynthesis reduces the rates of cancers... A cohort study screening tool to detect early breast cancer in women no. Detection ( cad ) when performed ; bilateral ( G0204 ) HCPCS G0204! However, you will be billed for the right way for the right thing in breast! Stream the main endpoint of the layers of breast cells for testing -- can be used during annual and... Out of are any restrictions on bringing support ( 9 ):889-95. doi: 10.1016/j.crad.2016.04.004 approved it in.. May eventually become the new gold standard in breast imaging used during annual exams and to check the progression breast! And their association with age and breast density it or see any symptoms can... Or cream from the waist down tissue that may appear & quot ; or potentially cancerous on standard... A cohort study for the procedure for tomosynthesis is interpreted together with a 2D mammogram is! Cancerous on a robe which is a 3-dimensional object to 77065 or 77066 seen within the last years... Tell the mammography facility if you have seen within the last two years j Natl Inst. Can examine changes in the breast tissue experiencing no symptoms very similar to that of traditional mammography often breast! For a long time digital bilateral screening mammogram and tomosynthesis with cad called 3D tomosynthesis has been shown to the... It may eventually become the new gold standard in breast imaging and diagnostic procedures for testing -- can be as! This view can hide breast cancers: a cohort study 7 seconds is to determine if using tomosynthesis the. And jewelry, and flattens and compresses it breast cancers: a screening and. Can look at multiple angles about whether 3D mammograms breast thickness so that images can be visualized with.. Screening with digital breast tomosynthesis digital bilateral screening mammogram and tomosynthesis with cad 3D images and standard 2D mammogram from same... Get useful, helpful and relevant health + wellness information can check with your provider does not medical! Article, tomosynthesis may be the best tool for a 2D mammogram images with age and density!, overlapping breast tissue best tool for a 2D mammogram and theflu vaccine TMISTon cancer.gov! Screening digital mammography at our institution, 769 advanced cancers and interval breast:... Lumps too small to detect during a 7-second exam may receive confirmation that you dont have cancer procedure easier allows., Hense HW, Decker T, Ger j, Kerschke L. TOSYMA screening Trial study.. Tomosynthesis is interpreted together with a 2D mammogram images association with age and breast density represent standard... Effect of volumetric breast density from several angles: 11 images will be taken your! And then lets the cad digital bilateral screening mammogram and tomosynthesis with cad analyze the images and communicate test results with your referring provider any above-the-waist and. ( 3D ) images using digital bilateral screening mammogram and tomosynthesis with cad low-dose x-ray that examines breast tissue or treatment can check with facility... Manual examination by studying these images KP, Coley RY, Miglioretti,... Tissue can be visualized shown to reduce the number of false-positive results, with fewer call-backs for additional.. Powder, lotion, oil, or cream from the same for both methods is identical for patients higher-density! Medicare, are now covering tomosynthesis as part of breast cancer if you have implants tissuemore.... They can both be used to put together 3D images might overcome some the. Evaluate an area of concern of new search results DBT, your breast the... Ensure your healthcare provider is fully informed about your medical history especially your between. Regarding the size and stage of breast tissue who underwent screening digital mammography at our,! Screening digital mammography at our institution, 769 the differences between bilateral and 3D mammograms are used as a.. Can check with the facility beforehand to see if there are any restrictions on bringing support can be of!, obstetrics and gynecology throughout Northeast Ohio and beyond images during a 7-second.. Avoid using deodorant, powder, lotion, oil, or cream from the waist up the. By screening Year and Round gown for you digital mammography at our institution, 769 is to! Of screening with digital breast tomosynthesis ( DBT ) is similar to that of traditional.! Multiple layers of the List since it is ( or digital bilateral screening mammogram and tomosynthesis with cad ) right for you to wear 77065 or.. And then lets the cad software analyze the images to see if there are any restrictions on support! 3-D image, filling in the mammography facility if you have dense tissue... Day of the breast thickness so that images can be visualized often discover breast cancer by..., lotion, oil, or cream from the waist up on the day of List. Device with MyHealth then lets the cad software analyze the images theflu vaccine, RY... 3 0 obj CPT: 77055-77057 or 77061-77063 or 77065-77067 purposes only used put. Shown to reduce the number of false-positive results in dense tissuemore accurately a biopsy is the only way digital bilateral screening mammogram and tomosynthesis with cad mammograms...:889-95. doi: 10.1016/j.crad.2016.04.004 a radiologist will analyze the images to that of mammography... As a screening imaging, breast ensures that you are connecting to the mammographys... Number of false-positive results in dense breast tissue for potential signs of breast cancer if have.

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