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technical factors

QuestionAnswer
15% rule A principle used in radiography to maintain image density by adjusting kilovoltage peak (kVp) by 15% to achieve a similar exposure.
body habitus The physical build or body type of a patient, which can affect imaging techniques and radiation exposure.
direct square law A formula used to calculate the necessary adjustments in exposure factors when the distance from the x-ray source to the image receptor changes.
exposure maintenance formula A formula used to maintain consistent exposure to the image receptor despite changes in distance or other factors.
inverse-square law A principle stating that the intensity of radiation is inversely proportional to the square of the distance from the source.
magnification factor (MF) A ratio that describes the enlargement of an image compared to the actual size of the object being imaged.
object-to-image-receptor distance (OID) The distance between the object being imaged and the image receptor, which affects image magnification and resolution.
source-to-image-receptor distance (SID) The distance from the x-ray source to the image receptor, which influences the intensity of radiation and image quality.
source-to-object distance (SOD) The distance from the x-ray source to the object being imaged, which is a factor in determining image magnification.
milliamperage (mA) A measure of the quantity of x-ray photons produced; higher mA results in more radiation and increased image density.
exposure time The duration for which the x-ray beam is active during imaging, affecting the amount of radiation reaching the image receptor.
kilovoltage peak (kVp) The maximum voltage applied across the x-ray tube, influencing both the quality and quantity of the x-ray beam.
radiographic image quality The overall clarity and detail of an image, determined by factors such as brightness, contrast, spatial resolution, distortion, and noise.
spatial resolution The ability of an imaging system to distinguish between small structures and detail within an image.
distortion The misrepresentation of the size or shape of an object in an image, often caused by improper alignment or distance.
noise Unwanted variations in the image that can obscure details and reduce overall image quality.
grids Devices used in radiography to reduce scatter radiation and improve image contrast.
beam restriction The process of limiting the size of the x-ray beam to reduce patient exposure and improve image quality.
tube filtration The use of materials to filter out low-energy x-rays from the beam, enhancing image quality and reducing patient dose.
compensating filters Filters used to even out the exposure across an image by compensating for varying tissue thickness.
patient factors Characteristics of the patient, such as body habitus and thickness, that can influence imaging techniques and radiation exposure.
exposure factors Variables such as mA, exposure time, and kVp that can be adjusted to optimize image quality and minimize patient dose.
body habitus considerations Adjustments made in imaging techniques based on the patient's physical build to ensure optimal image quality.
patient thickness considerations Adjustments in exposure techniques based on the thickness of the patient to maintain image quality and minimize radiation exposure.
mAs Milliamperage-seconds, a product of milliamperage (mA) and exposure time that determines the amount of radiation exposure to the image receptor (IR).
Exposure to the IR The amount of radiation that reaches the image receptor, which increases with higher quantities of x-rays.
Quantity of x-rays The total number of x-rays produced, which can be adjusted by changing the mAs.
Inverse proportional relationship A relationship where an increase in one variable results in a decrease in another, such as mA and exposure time when maintaining the same mAs.
Single-phase generators X-ray generators that produce less radiation compared to high-frequency generators for the same mAs.
High-frequency generators X-ray generators that produce more consistent and higher radiation output compared to single-phase generators.
Dynamic range The range of radiation intensities that a digital image receptor can detect.
Quantum noise Random variations in the image that can occur due to low mAs, resulting in decreased image quality.
Histogram automatic rescaling A computer processing technique that adjusts image brightness when the mAs is too low.
Exposure latitude The range of mAs values that can be used while still producing an acceptable image quality.
Radiographic image An image produced by x-rays that can be affected by the mAs level used during exposure.
Brightness in digital images The level of lightness or darkness in a digital image, which can be adjusted independently of mAs.
Radiation exposure The amount of radiation a patient receives during an x-ray procedure, which should be minimized.
Mathematical application of mAs The calculation of mAs using the formula: mAs = mA x exposure time.
Adjusting mA or exposure time Changing either the milliamperage or the time of exposure to achieve the desired mAs.
200 mA x 0.100 s An example calculation resulting in 20 mAs.
400 mA x 0.100 s An example calculation resulting in 40 mAs.
200 mA x 0.200 s Another example calculation resulting in 40 mAs.
High mAs A condition where the mAs is too high, leading to unnecessary radiation exposure to the patient.
Low mAs A condition where the mAs is too low, potentially resulting in increased quantum noise in the image.
Image receptor (IR) The device that captures the x-ray image, which can vary in sensitivity and response to radiation.
Patient factors affecting mAs Variables such as age, general condition, and thickness of the anatomic part that influence the required mAs for imaging.
Brightness alteration The brightness of a digital image can be altered during image processing.
Exposure indicator (EI) An exposure indicator (EI) is displayed on the processed image to indicate the level of x-ray exposure received on the digital IR.
Exposure errors Exposure errors affect the quality of the digital image and the radiation dose to the patient.
kVp The kVp affects the exposure to the IR because it alters the amount and penetrating ability of the x-ray beam.
Subject contrast The kVp affects subject contrast displayed in the image.
Radiographic procedure Most manufacturers of digital IRS suggest a range for the exposure indicator on the basis of the radiographic procedure.
Minimum change in mAs For repeat images necessitated by exposure errors, the mAs is adjusted by a factor of 2.
Diagnostic quality A radiographic image repeated because of insufficient or excessive exposure requires a change in mAs by a factor of at least 2 to produce an image of diagnostic quality.
Monitoring exposure indicator values The radiographer should be diligent in monitoring exposure indicator values to ensure that quality images are obtained with the lowest reasonable radiation dose to the patient.
Low-energy kVp beam Most x-ray photons are absorbed in a low-energy kVp beam.
Image processing During computer processing, image brightness is maintained when the mAs is too low or too high.
Adequate penetration The area of interest must be adequately penetrated before the mAs can be adjusted to produce a quality radiographic image.
Radiation reaching the IR Increasing the kVp further results in more radiation reaching the IR.
Exposure to the digital IR If the exposure indicator value falls outside the manufacturer's suggested range, exposure to the digital IR could be affected.
Image quality Exposure to the digital IR, image quality, and patient exposure could be affected if the exposure indicator value falls outside the suggested range.
Radiographic image repetition If a radiographic image must be repeated because of another error, the radiographer may use the opportunity to adjust the exposure to the IR.
Excessive mAs An excessive amount of mAs adversely affects image quality and patient radiation exposure.
Insufficient mAs An insufficient amount of mAs adversely affects image quality and patient radiation exposure.
X-ray exposure range Manufacturers specify the expected range of x-ray exposure sufficient to produce a quality image.
Low-energy (kVp) beam A beam where most x-ray photons are absorbed, resulting in few photons emerging to strike the image receptor.
High-energy (kVp) beam A beam where many photons have sufficient energy to penetrate the part being imaged.
Exposure to the image receptor (IR) The amount of radiation that reaches the digital image receptor, influencing image brightness and quality.
Diagnostic-quality image An image produced with appropriate kVp and mAs settings that meets the standards for medical imaging.
Exposure indicator value A numerical representation of the amount of radiation exposure received by the digital image receptor.
Radiation protection alert A warning regarding the risks of excessive radiation exposure to patients during imaging procedures.
Computer adjustment The process by which digital imaging systems modify image brightness to compensate for exposure errors.
Overexposure A condition where excessive radiation is used, leading to increased patient exposure and potential ethical concerns.
Underexposure A condition where insufficient radiation is used, resulting in poor image quality due to increased quantum noise.
Mobile x-ray equipment Portable imaging devices that may limit the choice of mAs settings, requiring adjustments to kVp.
Brightness adjustment The modification of image brightness during processing to achieve a desired visual quality.
Increased scatter radiation Additional radiation that may reach the image receptor, potentially degrading image quality.
Ethical practice in radiography The principle of minimizing patient exposure to radiation while ensuring adequate image quality.
Radiographic imaging The process of creating visual representations of the interior of a body for clinical analysis.
Brightness maintenance The ability of digital systems to keep image brightness consistent despite variations in exposure.
Radiation dose The amount of radiation energy absorbed by the patient during imaging procedures.
Increasing exposure to the IR To increase exposure to the IR, multiply the kVp by 1.15 (original kVp +15%).
Decreasing exposure to the IR To decrease exposure to the IR, multiply the kVp by 0.85 (original kVp - 15%).
Maintaining exposure to the IR When increasing the kVp by 15%, divide the original mAs by 2.
Doubling mAs When decreasing the kVp by 15%, multiply the mAs by 2.
Higher kVp effects Higher kVp increases the beam penetration, requiring less radiation to achieve a desired exposure to the IR.
Lower kVp effects Lower kVp decreases the x-ray beam penetration, resulting in more absorption and less transmission.
Penetrating power of x-ray beam Higher kVp increases the penetrating power of the x-ray beam, resulting in less absorption and more transmission.
Compton scattering An interaction where x-rays scatter off electrons, increasing with higher kVp.
Photoelectric absorption An interaction where x-rays are absorbed by tissues, decreasing with higher kVp.
Focal spot size The physical dimensions of the focal spot on the anode target in x-ray tubes, usually ranging from 0.5 to 1.2 mm.
Scatter Refers to the x-rays that are deflected from their original path, increasing with higher kVp.
Radiographic contrast The difference in density between the light and dark areas of an image, affected by kVp and mAs.
Anatomic tissues The various types of tissues in the body that x-rays interact with, affecting absorption and transmission.
X-ray intensities The amount of x-ray radiation that exits the patient, which varies based on kVp settings.
Small focal spot size Usually 0.5 or 0.6 mm.
Large focal spot size Usually 1 or 1.2 mm.
Lower mA settings Associated with the small filament.
Higher mA settings Energize the large filament.
Kilovoltage (kVp) At higher kVp, more x-rays are transmitted with fewer overall interactions.
mAs adjustment Must be adjusted by a factor of 2 when kVp is changed by 15%.
Exposure techniques Using higher kVp with lower mAs settings is recommended in digital imaging.
Computer processing Controls display contrast primarily during digital imaging.
Focal spot size and spatial resolution As focal spot size increases, unsharpness increases and spatial resolution decreases.
Small focal spot usage Generally, the smallest available focal spot size should be used for every exposure.
Heat concentration When a small focal spot is used, heat is concentrated into a smaller area, which could cause tube damage.
Radiation intensity Varies at different distances due to the divergence of the x-ray beam.
Safety circuits in x-ray generators Prevent exposure if it exceeds the tube-loading capacity for the selected focal spot size.
Repeated exposures Made just under the x-ray tube limit can jeopardize the life of the x-ray tube.
Unsharpness Increases with larger focal spot sizes.
Source-to-image receptor distance (SID) The distance between the x-ray source and the image receptor, which affects the intensity of radiation reaching the IR.
Intensity of radiation The amount of radiation reaching the image receptor, which varies with distance according to the inverse-square law.
Direct square law or exposure maintenance formula A mathematical formula used to adjust the mAs when changing the SID, expressed as mAs₁/mAs₂ = (SID₁)²/(SID₂)².
Optimal exposure The ideal amount of radiation exposure to the image receptor, which can be maintained by adjusting mAs according to SID changes.
Size distortion The magnification or reduction of the size of the object being radiographed, which is affected by the SID.
Radiographic quality The overall clarity and detail of an x-ray image, influenced by factors such as SID and mAs.
Mathematical application of inverse-square law If the intensity of radiation at an SID of 100 cm (40 inches) is equal to 4 mGy (400 mR), the intensity at 180 cm (72 inches) can be calculated using the inverse-square law.
Adjustment of mAs for increased SID When SID is increased, the mAs must be increased to maintain proper exposure to the IR.
Adjustment of mAs for decreased SID When SID is decreased, the mAs must be decreased to maintain proper exposure to the IR.
Standard distances in radiography Commonly used SID values in diagnostic radiography are 100, 120, or 180 cm (40, 48, or 72 inches).
Effect of SID on beam intensity As SID increases, the x-ray beam intensity becomes spread over a larger area, decreasing the overall intensity reaching the IR.
Effect of SID on size distortion As SID increases, size distortion (magnification) decreases.
Effect of SID on spatial resolution As SID increases, spatial resolution increases.
Quick method for calculating mAs changes When adjusting SID, specific rules can be applied, such as using half the mAs when decreasing to 140 cm from 180 cm.
Example calculation for mAs adjustment Optimal exposure at 40 inches (100 cm) using 25 mAs requires an adjustment to 81 mAs at 72 inches (180 cm).
Diverging x-rays X-rays that spread out from the source, affecting the intensity and quality of the image based on SID.
Impact of trauma on SID usage In trauma situations, standard SID may not be used, requiring adjustments in mAs to obtain quality radiographs.
Radiographer's role in SID adjustments The radiographer must determine the necessary changes in mAs when standard SID cannot be used.
Standard distances for SID Used in radiography to accommodate equipment limitations, typically 100 cm (40 inch) or 120 cm (48 inch) SID.
180 cm (72 inch) SID Used for chest imaging to decrease the magnification of the heart and record its size more accurately.
Increasing the SID Recommended for positions with increased OID, such as lateral and oblique positions, to improve spatial resolution.
Effect of OID on beam intensity A decrease in beam intensity may result as the exit radiation diverges, reducing the overall intensity reaching the IR.
mAs compensation Decreasing exposure to the IR due to increased OID may require an increase in milliampere-seconds (mAs) to compensate.
Air gap Created when sufficient distance exists between the object and IR, reducing scatter radiation from striking the IR.
Image contrast Increased when the amount of scatter radiation reaching the IR is reduced.
Percentage of scatter radiation Determines the amount of OID required to increase image contrast, with more OID needed for areas producing high scatter.
Optimal spatial resolution Achieved when the OID is zero, although this cannot realistically be achieved in radiographic imaging.
OID and size distortion relationship Increasing OID increases magnification and decreases spatial resolution, while decreasing OID has the opposite effect.
Radiographer's positioning The area of interest should be positioned as close to the IR as possible to minimize size distortion.
Standardization of OID The OID necessary to adversely affect image quality has not been standardized.
Minimizing OID Should be done whenever possible, although certain conditions may make this difficult.
Increasing SID Can still reduce size distortion in situations where OID cannot be minimized.
True object size The actual size of the object being radiographed, which cannot be perfectly achieved on an image due to inherent magnification.
Percentage of magnification An expression of how much larger the image size is compared to the true object size, calculated from MF values greater than 1.
Example of MF calculation For an SID of 100 cm and an OID of 7.5 cm, SOD is 92.5 cm, resulting in an MF of 1.081, indicating an image size 8.1% larger than the true object size.
Central ray (CR) alignment The proper direction and positioning of the x-ray beam to minimize distortion and ensure accurate imaging.
Shape distortion Alteration of the shape of the part recorded on the image due to misalignment of the CR, x-ray tube, or image receptor.
Right-angle (orthogonal) relationship An alignment where the IR, part, and CR are at 90 degrees to each other, preferred to minimize shape distortion.
Effect of CR angulation Angling the CR can increase the distance between the source of radiation and the IR, potentially affecting exposure.
Anatomy anterior to the posterior surface Structures that are located in front of the posterior surface of the knee, which may be magnified more due to OID.
Proper alignment Achieving correct positioning among the x-ray tube, part, and IR to produce a quality image with minimal distortion.
Improper alignment Misalignment among the x-ray tube, part, and IR that results in distorted images.
Elongation of the olecranon process A specific type of shape distortion that occurs when the central ray is not perpendicular to the part.
Mathematical Application for MF A calculation method used to determine the magnification factor based on SOD, SID, and OID.
Inherent magnification The unavoidable increase in size of the image compared to the true object size in radiographic imaging.
Quality image An image that has minimal distortion and accurately represents the anatomical structures being examined.
Distorted shape The result of misalignment between the part and the IR, leading to an inaccurate representation of the anatomy.
X-ray tube The device that generates x-rays for imaging by converting electrical energy into radiation.
Radiographic grid A device that is placed between the part of interest and the IR to absorb scatter radiation exiting the patient.
Scatter radiation Radiation that exits the patient and is absorbed by a grid, improving the quality of the displayed image.
Displayed image contrast The quality of the image that is improved by limiting the amount of scatter radiation that reaches the IR.
Grid usage criteria Grids are typically used only when the anatomic part is 10 cm (4 inches) or greater in thickness, and more than 60 kVp is needed for the exam.
Grid efficiency The more efficient a grid is in absorbing scatter, the greater its effect on radiographic contrast.
mAs adjustment with grids Adding, removing, or changing a grid requires an adjustment in mAs to maintain radiation exposure to the IR.
Grid conversion formula A mathematical formula for adjusting the mAs for changes in the type of grid.
Grid conversion factor (GCF) A factor used to multiply or divide the mAs when a grid is added or removed.
Grid ratios The ratios of grids, such as 5:1, 6:1, 8:1, 12:1, and 16:1, which correspond to different grid conversion factors.
Grid conversion chart A table that lists grid ratios and their corresponding grid conversion factors.
New mAs calculation If a quality radiographic image is obtained using 5 mAs at 70 kVp without using a grid, adding a 12:1 grid requires 25 mAs to maintain the same exposure.
Exposure conversions Situations where the radiographer changes several exposure factors simultaneously, such as during mobile imaging or in the operating room.
Image quality without grid A quality image created without a grid.
Image quality with grid An image created with a grid but no adjustment in mAs has higher contrast but increased quantum noise.
Proper mAs adjustment An image created with a grid and appropriate mAs adjustment has higher contrast and less quantum noise.
Grid construction and efficiency Discussed in greater detail in Chapter 8.
Adjustment in mAs The ability to make an adjustment in mAs correctly when changing multiple factors, such as SID, grid, and kVp.
Initial Exposure Technique The original settings used for exposure, including mAs and kVp.
New Exposure Technique The adjusted settings used for exposure after changes have been made.
Decrease from 80 to 68 kVp A 15% decrease calculated as (80 × 0.85).
Increase mAs Doubling the mAs value, calculated as 25 x 2 = 50 mAs.
New mAs for similar exposure The new mAs needed to maintain a similar exposure to the IR as the initial technique.
SID Source-to-Image Distance, the distance from the x-ray tube to the image receptor.
Effect of larger field size Increases the amount of tissue irradiated and scatter radiation produced, resulting in less radiographic contrast.
Effect of smaller field size Reduces the amount of tissue irradiated and scatter radiation produced, resulting in higher radiographic contrast.
Collimation The process of limiting the x-ray field size to just beyond the area of interest.
Generator output The efficiency of radiation output depending on the type of generator used.
Single-phase generator A type of generator that requires more mAs compared to three-phase generators for similar imaging.
Three-phase generator A more efficient type of generator that requires lower exposure technique settings.
High-frequency generator A generator that provides increased quantity and quality of x-ray production.
Calibration of x-ray generators The periodic process to ensure consistent radiation output from x-ray equipment.
X-ray energy (keV) The energy level of x-rays, which is affected by the type of generator used.
Tissue irradiated The amount of biological tissue exposed to radiation during an x-ray procedure.
Excessive filtration X-ray tubes with excessive filtration may affect image quality.
Insufficient filtration Insufficient tube filtration increases the quantity of radiation and decreases the ratio of higher-penetrating x-rays to lower-penetrating x-rays.
Average energy of the x-ray beam Increasing the amount of tube filtration increases the average energy of the x-ray beam.
Digital IRS preference With digital IRS, an x-ray beam with a higher average energy is preferred.
Copper as filter material Copper (Z# 29) is being employed as a filter material in combination with aluminum.
Entrance skin exposure (ESE) The addition of copper reduces entrance skin exposure (ESE) with no visible loss in contrast resolution.
mAs increase with compensating filters The use of compensating filters requires an increase in the mAs to maintain the overall exposure to the IR.
Types of body habitus There are generally four types of body habitus: sthenic, hyposthenic, hypersthenic, and asthenic.
Sthenic body habitus The sthenic body habitus is commonly called a normal or average build.
Hyposthenic body habitus The hyposthenic type refers to a more slender and taller build.
Hypersthenic body habitus The hypersthenic body habitus refers to a large, stocky build.
Asthenic body habitus Asthenic body habitus is characterized by a slender and tall build.
Radiation quantity Increasing tube filtration decreases radiation quantity.
Radiation quality Increasing tube filtration increases the average energy of the x-ray beam.
Asthenic Refers to a very slender body habitus, with exposure factors at the low end of technique charts.
Sthenic Individuals with average body habitus, having moderate exposure factors for radiographic examinations.
Hyposthenic Individuals with a body habitus that is between sthenic and asthenic, with moderate exposure factors.
Part thickness The thickness of the anatomic part being imaged, affecting x-ray beam attenuation.
X-ray beam attenuation The reduction in the intensity of the x-ray beam as it passes through matter.
Exponential attenuation The principle that x-rays are reduced by approximately 50% for each 4 to 5 cm (1.6-2 inches) of tissue thickness.
Effective atomic number A measure of how much radiation a tissue can absorb, affecting radiographic image quality.
Tissue density The compactness of tissue, influencing its absorption characteristics in radiography.
Scattered radiation Radiation that is deflected from its original path, increasing with tissue thickness.
Brightness levels The varying degrees of lightness or darkness in a radiographic image, determined by tissue absorption.
High subject contrast Results from great differences in radiation absorption between tissues that vary greatly in composition.
Low subject contrast Occurs when anatomic structures consist of a similar type of tissue, resulting in minimal differences in absorption.
Tissue composition The makeup of anatomic structures, affecting their absorption characteristics and the resulting image contrast.
Diagnostic image An image obtained for the purpose of diagnosing a medical condition.
Image adjustment Modifications made to exposure settings to achieve optimal image quality.
Radiographer A professional trained to perform radiographic examinations and produce diagnostic images.
Lower subject contrast Resulting from fewer differences in radiation absorption between tissues that are more similarly composed.
Contrast resolution The ability of a radiologist to inspect the contrast between fat and water-based connective tissues such as muscle and fascia.
Fat stripes and pads Anatomical collections of fat that are important for interpretation as they indicate underlying pathologies.
Tissue effusion Fluid collection indicating underlying pathologies.
Soft tissue injury Injury to the soft tissues that may be indicated by fat/water contrast.
Fractures Breaks in bone that may be indicated by the visualization of fat and connective tissues.
Effective atomic numbers Low values for fat and connective tissues that result in subtle contrast between them.
Photoelectric interactions Interactions that occur to create tissue contrast, particularly important at lower kVp values.
Anatomic details visibility Can be compromised if the kVp is too low to penetrate the anatomic area.
Best practice for imaging Routine use of a higher kVp and lower mAs within the recommended exposure latitude.
Patient thickness Every 4- to 5-cm change in thickness changes mAs by a factor of 2.
OID Object-to-image-receptor distance.
SOD Source-to-object distance.
High kVp for chest imaging Required (>100 when using a grid) to best visualize the range of tissue opacities in the chest cavity.
High kVp Produces an image with a wider range of gray shades and lower subject contrast, best for visualizing both radiopaque and radiolucent tissues.
Lower-contrast image Produces more shades of gray and fewer differences among them, providing better visualization of anatomic tissues that vary greatly in differential absorption.
Quality of a radiographic image Depends on a multitude of variables, and knowledge of these variables assists the radiographer in producing quality radiographs.
kVp: 15% rule Increasing kVp by 15% requires halving the mAs to maintain exposure to the image receptor.
CR Angle Increasing CR Angle decreases quantity, while decreasing CR Angle increases quantity.
Grid Increasing grid ratio has no effect, while decreasing grid ratio increases quantity and scatter.
Compensating Filter Adding a compensating filter decreases quantity, while increasing part thickness decreases quantity.
Excessive Tube Filtration Decreases quantity and has no effect on quality.
Insufficient Tube Filtration Increases quantity and has no effect on quality.
Central Ray Angle Increasing central ray angle decreases quantity and can cause shape distortion.
Grid Use Adding a grid increases quantity and average energy.
IR Exposure The quantity of x-rays produced and exposure to the image receptor (IR) is directly proportional to the product of mA and exposure time (mAs).
Exposure Indicator A numerical value displayed on the processed digital image indicating the level of x-ray exposure received on the IR.
Inverse Relationship The mA and exposure time have an inverse relationship to maintain exposure to the IR.
Exposure Factor Change Recommended to maintain radiation exposure to the IR when increasing patient thickness by 5 cm is to double the mAs.
Contrast Adjustment Brightness and contrast can be adjusted by the computer; increase is higher contrast, and decrease is lower contrast.
Direct Proportional Refers to the relationship between mA and exposure time to maintain exposure to the IR.
Inverse Proportional Refers to the relationship between SID and radiation intensity reaching the patient and IR.
Magnification Increasing OID increases magnification.
Exposure Technique Compensation Necessary to maintain image quality when factors like OID or SID are altered.
Quality Control Maintaining consistent exposure techniques is essential for producing quality diagnostic images.
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