The technologist will work from this room during the scan. It's where your patients will be scanned. MRI-specific anesthetic management includes a special room layout plan involving the patient’s treatment path. Equipment Room Cooling An equipment room … For a start, the section title for imaging has been switched from “Diagnostic Imaging Services” to “Imaging Services.” The removal of “diagnostic” from the section title acknowledges that radiology is no longer strictly a department — a collection of rooms around which can be drawn a defined border. And a critical patient will … Of particular note is the increase in minimum clearances around the CT scanner gantry and table. While not intended to serve as a substitute for the 2014 FGI Guidelines, this summary of the more significant changes for sections 2.2–3.4, Imaging Services, and 2.2–3.5, Interventional Imaging, should help to identify many of the specific changes from the prior edition for these two sections. 7.26 Housekeeping Rooms . With only minimal space to work in, service personnel will need to exercise extra caution. MRI ROOM LAYOUT Today, MRI systems don’t need to be housed in a separate building. hbspt.cta._relativeUrls=true;hbspt.cta.load(21795, '3d4fafc2-1c32-4243-8e37-b6824031902d', {}); hbspt.cta._relativeUrls=true;hbspt.cta.load(21795, 'fa737d9b-9bd3-4fba-8d6f-9da56a3219dc', {}); Enjoy these tips, tricks and insights that answer 100's of questions we've received from radiology and imaging professionals that need help buying, selling, servicing and maintaining their medical imaging equipment: MRI, CT, C-Arm, Digital X-ray, PET/CT and Women's Health. ... exam room… This means each cryogen vent system needs to be custom-designed for the particular MRI model being installed. Manufacturer and direct sales of the BALL-IN-THE-WALL® room pressure monitor. Radiation shielding requirements for interventional imaging largely mirror those labeled “Diagnostic Imaging” in the 2010 edition, although with an increased emphasis on provision for personal protective equipment. Let’s start with weight, as MRI equipment is heavy, typically weighing 8,000 to 10,000 pounds with the load concentrated over a relatively small footprint of approximately 4.5-foot square. The prohibition of ferrous materials in these spaces requires sprinkler designers to rely on non-ferrous materials for their designs. This includes external objects that potentially may interfere with the MRI’s operation, such as elevators, fans, transformers, switchgear and power lines, as well as the MRI’s potential interference with other equipment in the building, such as CT scanners, single-photon emission CT/positron-emission tomography scanners and calibration equipment. Monitor project design and ensure applicable guidelines from this manual are incorporated into the design and construction of all WCM facilities (both onsite and off-site locations). • In the absence of specific state, federal or accreditation standards, the 2014 Guidelines is reaffirming itself as the standard-bearer for physical magnetic resonance imaging (MRI) safety protections. The physical design standard referenced by JCAHO and many state departments of health is the Guidelines for Design and Construction of Health Care Facilities published by the American Institute of Architects (AIA). 2010 Guidelines for Design and Construction of Health Care Facilities 143. Safety Guidelines for Magnetic Resonance Imaging Equipment in Clinical Use 15/85 Staff should carefully instruct any person remaining in the MR scanner room during the MR exam on the proper use of … thread404-58636. MRI, To support the continuing transition to delivering healthcare in the lowest-cost setting, FGI has separated the requirements for hospitals from those for outpatient facilities — resulting in two separate documents: Guidelines for Design and Construction of Hospitals and Guidelines for Design and Construction of Outpatient Facilities. Magnetic resonance imaging. Students Click Here. Methods of Construction – General Nelco’s RF shielded MRI enclosure was designed specifically for the MRI industry. While the 2014 Guidelines preserves a separate section for “Interventional Imaging,” this change shows that the current edition of the Guidelines more closely reflects contemporary practices versus an either/or approach to diagnostic and interventional imaging services. Note: PG-18-10 VA Design Manuals must continue to be used for design and engineering guidance. A low friction design makes it easy to open for MR technicians while the concealed seal design … First off, it's important to understand that a 1.5T MRI suite is actually comprised of three rooms: 1. A closer examination of changes for various imaging modalities reflects the technical and safety considerations brought to bear in the 2014 Guidelines: Computed tomography. These departments are more secure to keep the public out due to safety reasons. Home; Forums; Mechanical Engineers; Activities; Mechanical engineering general discussion Forum; MRI Room Design Fabrication . MRI suites must have a space identified for code or resuscitation activities located near the control room but beyond the 5-gauss magnetic field extents of the MRI scanner. X-ray. Safety Guidelines for Magnetic Resonance Imaging Equipment in Clinical Use 9/85 2.2 Static magnetic fields (B 0) 2.2.1 Safety issues concerning strong static magnetic fields Safety issues to consider with a strong static field, B 0 are: biological effects, projectile hazards, compatibility of implantable medical devices and compatibility of peripheral equipment. Shielded alcoves no longer have a prescriptive distance from exposure control to the edge of the shielded partition wall for all ionizing radiation-emitting modalities, such as X-ray, fluoroscopy and CT. General/Fluoroscopy Rooms 1.1 Room size 1.1.1 General radiographic rooms should be approximately 16 m2. RF Windows — The window between … Then, after … Title: Microsoft Word - DISCDICS MRI Committee_Report_Aug 19 Final.doc Author: artemenkol Created Date: 8/20/2008 12:50:30 PM It has been estimated that specialty construction, capital equipment costs and service agreements for imaging services can result in up to 50 percent of total project costs for new hospital construction. hbspt.cta._relativeUrls=true;hbspt.cta.load(21795, '19bdf220-4a09-4422-a4ce-255a9db011cc', {}); Steve Rentz is the Product Manager for MRI Scanners at Block Imaging. MR lmager Site Planning Page 6 operation of an MR imaging facility. Signage indicating-MRI zones. • Particularly for reuse and upgrades of existing imaging scanning rooms, facilities professionals should verify that the dimensions of the room will accommodate increased clearance requirements. This basic design requirements is set forth in the VA MRI Design guide, April 2008. Imaging (MRI) In the event of a crisis in MRI, it is the responsibility of the MRI technologists and nurses to remove the patient from the scanner and take the patient into the hallway behind the MRI scanners. Hyperbaric Facility Design Guidelines 2 Associates of the Undersea and Hyperbaric Medical Society Introduction As more state and federal agencies develop a regulatory interest in hyperbaric fa-cilities, questions arise regarding the physical design of these units. GUIDELINES DESIGN OF X-RAY ROOMS NOTE: Shielding thickness could be decreased by an increase in distance and/or a decrease in work load 1. Because of their often-similar equipment and space configurations, the Guidelines allows for the combination of facilities for interventional imaging and interventional cardiology when it doesn’t conflict with local jurisdictional requirements. A Ferrous Metal Detector System (FMDS) can augment the safety and screening procedures at most MRI sites, but are often overlooked until the project is well underway. The minimum lighting requirements for this room is 30fc, or a total of 16,200 Lumens. Image-guided biopsy, for example, may be comparable to a special procedures room and may require finishes that meet an equivalent level of performance for cleanability and infection control. The following encapsulates some of the major planning principles for imaging facilities from the 2014 edition of the Facility Guidelines Institute’s (FGI’s) Guidelines for Design and Construction of Hospitals and Outpatient Facilities. The 2014 Guidelines also provides for in-unit processing of ultrasound probes with equipment and operational requirements for probe-cleaning facilities. This basic design requirements is set forth in the VA MRI Design guide, April 2008. MRI scan room? Sure, you need the four walls that surround an MRI system. In general, the design and operation of the MRI facility must go hand-in-hand with creating an appealing, comfortable environment. Guidelines requirements for a hybrid OR are included in this paper, but an in-depth review of them is crucial to the design effort. Health Technical Memoranda (HTMs) give comprehensive advice and guidance on the design, installation and operation of specialised building … First off, it's important to understand that a 1.5T MRI suite is actually comprised of three rooms: This room is where the magnet and the table live. Because of the project costs, the complexity of siting advanced imaging modalities and the delays and changes that can be required, it is essential that more foundational elements such as code requirements do not add unwelcome surprises. Separate documents to provide more flexibility in planning outpatient facilities. General/Fluoroscopy Rooms 1.1 Room size 1.1.1 General radiographic rooms … comfort, design considerations should be considered from the moment the patient enters the imaging suite. Part of being prepared for a project is about asking the right questions and fully understanding the answers. We also make sure the room can be easily and quickly cleaned. 7.29 Design and Construction, Including Fire-Resistant Standards . It's where your patients will be scanned. This key design feature allows for easy access and removal of the magnet. A typical MRI room is approximately 20' x 27'. Tobias Gilk is senior vice president with Radiology-Planning of Kansas City, Mo., and principal of Gilk Radiology Consulting. Instead, it typically must be brought in through an opening in the wall or ceiling. The best recommendation we can make is to consult with your installer or your vendor's project manager to see which room layout will work best for patient comfort and staff workflow in the space you have available, or the space you intend to create. The opinions expressed by authors do not necessarily reflect the policy of the American Hospital Association. There should be sufficient space for a permanently built protective cubicle. MRI Scanning Room.....4-3 MRI Control Room.....4-11 MRI System Component Room.....4-16 Guide Plates are graphical representa-tions of selected room types, illustrat-ing the integration of space, compo … Changes in imaging technology and clinical practice continue to accelerate and may require special accommodation even before the next iteration of the Guidelines is published. The minimum lighting requirements for this room is 30fc, or a total of 16,200 Lumens. This increase is due, at least in part, to the higher patient acuities and greater space needs for emergent and trauma care that contemporary imaging supports. MRI shielding and RF shield enclosure design are two critical considerations of a well-functioning MRI system. The reality is, the guidelines have changed over the years, so it’s a good idea to review them for your existing MRI and certainly as you plan for a new facility for one. These are to be designed according to the equipment manufacturer’s specifications. Treatment Bay - Renal Dialysis, Type B Ultrasound Room - Procedures When considered against all other modalities, MRI is one of the most involved in terms of logistical challenges, site planning, and technical knowledge. EEP can design and install MRI Shielded Rooms to provide MRI Magnetic Field Shielding and Radio Frequency Shielding. Changes to MRI design guidelines. The Faraday cage forms a shielded cage surrounding the MRI scanner, which combined with a Radio Frequency (RF) Shielded Door, provides … MAGNETIC RESONANCE IMAGING SYSTEMS Published for the ... parties involved and optimize the design, constructionand. In parallel with CT, minimum clearances of 4 feet have been added around the MRI gantry and patient table. Our purpose is to provide resources for vendors, hospitals, imaging centers and their architects for the enhancement of facility safety: how the planning, design and construction of an MRI magnet room, in … And, similar to CT, the 2014 Guidelines includes language that explicitly permits shared control rooms that serve more than one MRI scanner room. He also has served as a special imaging consultant to the 2010 and 2014 editions of the Facility Guidelines Institute’s Guidelines for Design and Construction of Hospitals and Outpatient Facilities. If you have additional questions about planning your suite or any other aspect of your upcoming MRI project, check out our MRI Project Planning Checklist to become better acquainted with all the steps and moving parts that may come your way. It is not intended to be … This is particularly true for intensive care patients and children. An MRI helium quench system is an important aspect of an MRI examination room. HFM Daily offers blog coverage by the award-winning HFM editorial team and links to in-depth information on health care design, construction, engineering, environmental services, operations and technology. Neither the design nor the operation can achieve this goal without the … While it has always been smart design practice, the Guidelines now requires that MRI equipment siting and site planning take into account potential electromagnetic conflicts between MRI and other equipment. For ED and trauma, you want as large a room as possible to accommodate stretchers and beds. VA MRI Design Guide. Imaging services account for a disproportionate amount of capital costs when it comes to new hospital construction. This is why we answer your imaging equipment questions. MRI Guidelines for Cochlear™ Osia® System. MAGNETIC RESONANCE IMAGING SYSTEMS Published for the American Association of Physicists in Medicine by the American Institute of Physics. MRI Quench Pipes.

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MRI rooms employ a fully shielded construction that helps stop radiated (over the air) electromagnetic waves from both entering and leaving the room. In a move parallel to the design criteria to minimize interference between the MRI scanner and other equipment in the building, the Guidelines now requires the MRI scanner room floor design to take into account the thresholds for ferrous materials for the MRI scanner, or shim tolerances, to help protect image quality. This room is where the magnet and the table live. Above mentioned issues can make the design and construction of an MRI room, as well as other MRI room equipment (LED lights, control circuits, sensors etc. Safety Guidelines for Magnetic Resonance Imaging Equipment in Clinical Use 5/86 1 Introduction 1.1 Background This is the 4th edition of the safety guidelines and aims to provide relevant safety … One of these questions should be (scratch that, MUST be): “How big of a room do I need for my MRI suite?” Keep reading for some basic tips and pointers that will help you build more accurate expectations for your MRI scanner project. The nova Max Lumen Lighting System ( MXLumen22-E-36-41-MRI) provides 3300 lumens per fixture. Besides the magnet self-weight, associated control-room electrical equipment can weigh between 2,500 to 3,000 pounds. Facilities managers can take a stance and help to shape the second-most regulated professional field. We extend the life of imaging equipment so that healthcare providers worldwide can extend the lives of patients. With an FDA-certified MRI scanner from PrizMED Imaging, we can build or confirm your exam room shielding. There are products that can support these applications but offer much wider frequency performance than necessary, making these overpriced and overkill. Room for diagnostic ultrasound imaging, located close to patient toilet and change rooms. 7.27 Engineering Service and Equipment Areas . 7.32 Electrical Standards What are today’s guidelines if you have to have an emergency shutdown or “quench” of your MRI magnet? 2.2-3.4.4.2 Design configuration of the MRI suite An ideal imaging department is designed with at least one exterior wall for magnet … 20 SITE PLANNING FOR MAGNETIC RESONANCE IMAGING SYSTEMS REPORT OF AAPM NMR Task Group No. The new criteria include visual privacy, a hand-washing station in the procedure room and changing rooms that are immediately accessible, although these changing rooms may be shared with other functions. An ideal imaging department is designed with at least one exterior wall for magnet replacement in the MRI room over the lifetime of the hospital. However, the Joint Comm… That is not the case any-more; imaging suites can b… Imaging Equipment Project Management, English       Deutsch       Español       Français       日本語       Русский. This improves their experience and can also be a helpful place for you to store your QA phantoms, manuals, or other system accessories. He is also a husband, father of 3, triathlete, woodworker, and barbecue master. For example, there is a potential for visitors of patients to walk into an imaging room and expose themselves to radiation or high magnetic fields. GUIDELINES DESIGN OF X-RAY ROOMS NOTE: Shielding thickness could be decreased by an increase in distance and/or a decrease in work load 1. … Any services that must pass above the MRI scanner room (power, piping, cabling, and ductwork, for example) should do so in the plenum above the RF shield ceiling. For example, RF shielded doors should be architectural in design to provide an easy-open, lever-style handle. Acoustics: Acoustic privacy required Body … Let’s start with the basics about a quench. But the … ), quite challenging, especially the filter selection and availability. Minimum CT clearances have been expanded in the 2014, subscribe to Health Facilities Management This Week, Design standards for imaging installations. In the past, enterprise-level accreditors such as the Joint Commission largely had ceded modality-specific accreditation criteria to modality-level accrediting bodies whose accreditations are not required for Centers for Medicare & Medicaid Services (CMS) reimbursement for hospitals, such as the American College of Radiology (ACR) or the Intersocietal Accreditation Commission. MAGNETIC RESONANCE IMAGING (MRI) MRI will require a dedicated area or suite for access control and protection of/from the magnet (fringe field), and preparation/nursing support areas. Rooms designed to the minimum requirements of prior editions of the FGI Guidelines or other design standards and codes may not meet the 2014 standards. Since an MRI room … It houses a workstation (computer, monitor, etc.) If providing interventional services within the MRI suite, sites must provide a pre-procedure preparation and recovery area that complies with the specific provisions in the “Interventional Imaging” section. Rather, imaging occurs in locations throughout many enterprises and not strictly for diagnostic purposes. Recommendations for room dimensions vary by manufacturer, but here are some general minimums that should work for the majority of 1.5T models: • Scan Room:  21’-6” X 13’-4” with 8’-9” ceiling height (after shielding is installed), • Equipment Room:  11’-0” X 11’-6” with 8’-0” ceiling height (after shielding), • Control Room:  12’ X 8’ (this is typically ample room for workstation, desk/chair, and a bit of storage). • Patient visibility during imaging is receiving greater attention. Given the complexities and costs associated with imaging facilities, seemingly modest changes could wind up having tens or even hundreds of thousands of dollars of cost consequences if not discovered early in the process. Conditions surrounding the delivery of anesthesia in the MRI room differ from those in the OR. While minimum dimensions are OK to use in your site planning, be aware that they can result in increased service time. For a typical imaging department, it is not located on exterior of the building near an entrance like an ED would be. While support areas for imaging services are not individually required, the 2014 Guidelines urges planners to consider the needs for each, and to design accordingly. Forum: Search: FAQs: Links: MVPs: Menu. However, while manufacturer technical minimums are essential, they frequently are not common between vendors or equipment models because of the variability in both equipment and clinical applications. When planning new imaging equipment installations, facilities professionals should make certain that the technologist can clearly see the patient and the anatomy being imaged from the operator’s console. We extend the life of imaging equipment so that healthcare providers worldwide can extend the lives of patients. In addition to the application of the patient-centric three-class system, MRI design criteria have some upgrades in the 2018 FGI guidelines over the 2014 … Minimum dimensions can also restrict the possibility of HVAC or system-related upgrades that may need to be made in the future. Space constraints in retrofit situations sometimes have meant it is easier to have layouts where the operator’s view is perpendicular to the CT scanner patient table. This makes shielding a key consideration in buildings a well-functioning MRI room and ensuring the EM integrity of the room … Promoting, selling, recruiting, coursework and thesis posting is forbidden. The prescribe solution for this room … Another change from the 2010 edition is that the technologist at the operator’s console must be able to see the patient and the part of the anatomy being scanned. From image quality, to patient throughput, to safety, a poorly planned suite will compromise every core element of your practice, even degrading the images from your scanner! For superconducting MRI systems, cryogen-protection designs should include three elements: venting, emergency exhaust and pressure relief systems. New MRI facilities (or MRI facilities receiving new magnets) may now be subject to requirements of the 2010 edition of the “Guidelines for Design and Construction of Health Care Facilities” (the hospital building code), which require a facility to design elements from the above (as well as a number of others). The Osia 200 implant was cleared as MRI Conditional at 1.5T and 3.0T with the implant magnet removed. Part of being prepared for a project is about asking the, Choosing the Best Contractor for Your Medical Facility Construction, First off, it's important to understand that, RF Shielding for MRI Scanners: Two Types Compared. If this arrangement compromises the technologist’s ability to see the part of the patient in the center of the scanner, it is no longer permitted. Imaging modalities such as MRI or CT have … Our system … If the imaging equipment installed in a hybrid OR is a type that emits ionizing radiation, radiation protection must be planned during design of the room. (Modality-level accreditation is required for CMS reimbursement at independent diagnostic testing facilities.) Primarily utilizes non-ionizing electro-magnetism and radio-frequency to image soft tissue for medical diagnosis. Supervise construction and ensure applicable guidelines are being integrated into the final construction of spaces. In a move parallel to the design criteria to minimize interference between the MRI scanner and other equipment in the building, the Guidelines now requires the MRI scanner room floor design to take into account the thresholds for ferrous materials for the MRI scanner, or shim tolerances, to help protect image quality. The physical design standard referenced by JCAHO and many state departments of health is the Guidelines for Design and Construction of Health Care Facilities published by the American Institute of Architects (AIA). Changes in the requirements for these recommended areas include emphases on staff work and documentation areas, patient consultation areas, point-of-care lab work or contrast preparation areas, image management systems and reading spaces, and medication safety zones, as appropriate to the services being provided. Zone III and IV require signage which indicates the zone and the restricted access level. The MRI should not be located below a helipad or next to a sub-station Facilities required in the MRI suite include: Patient change rooms with lockers for personal property (personal property particularly items … Minimums have been bumped up from 3 feet to 4 feet on all sides of the gantry and table in the 2014 edition. These guidelines … Eng-Tips Posting Policies. These planning principles represent larger themes found in the FGI Guidelines. As part of recognizing that imaging services now frequently support intervention, the finishes used in patient care areas where imaging services are provided must be selected to conform to the maximum level of interventional care used in each room. AAPM REPORT NO. MRI environments are designed to facilitate MRT supervision … Building Design Guidelines (EHS Program Manual 8.2) 1.0 Overview Environmental Health and Safety (EHS) at Weill Cornell Medicine (WCM) has developed this Building Design Guidelines program for all new construction and renovation projects. He can be reached at tgilk@RAD-Planning.com. MRI-Planning provides: They should be modified by qualified MRI radiologists and imaging specialists, and, where necessary, in consultation with medical physicists, to perform the appropriate study to answer the clinical question. VA MRI Design Guide. Our purpose is to provide resources for vendors, hospitals, imaging centers and their architects for the enhancement of facility safety: how the planning, design and construction of an MRI magnet room, in fact the whole MRI facility, supports patient safety and efficient throughput. Note: PG-18-10 VA Design Manuals must continue to be used for design and engineering guidance. Scan Room. Planners of MRI suites should follow the planning guidelines developed by the American College of Radiology (ACR). This evaluation should consider finishes, ventilation and hand-washing requirements. 2.2-3.4.4.2 Design configuration of the MRI suite (3) An anteroom visible from the control room shall be located outside the MRI scanner room so that patients, health care personnel, and other employees must pass through it before entering the scanning area and control room. Individual sites’ infection control policies, however, are likely to supersede these FGI requirements. You can read HFM Daily stories on this page or subscribe to Health Facilities Management This Week for a Friday roundup of the week's posts. 1.1.2 Fluoroscopic rooms should be approximately 25 m2. The Environmental Services & Infection Prevention software used in over 950 hospitals. Addressing the potential danger of ferrous items brought inadvertently into the scan room, the ACR has developed recommendations for a multi-zone design plan for MRI suites, which MRI Suite Rooms. When a radio-frequency-shielded MRI scanner room door swings outward into a control room or area, the door may not block the view from the console. Depending on your preferences and budget, we can either come to your site for an evaluation or walk you through the process via telephone and email. Steve's goal is to earn each customer's trust and business by specifically addressing the needs of their unique project, Topics: Instead, it is required that the size be suitable to “minimize radiation exposure of technologists and others.” Similarly, the shielded view window now must meet the performance requirement of providing a full view of the exam and procedure table, even when tilted. Imaging Room . For instance, imaging increasingly is used to inform and direct interventions: from image-guided biopsies via fluoroscopy, computed tomography (CT) or magnetic resonance imaging (MRI) to image-guided surgeries. Unlike other areas of patient contact or interventional care for imaging services, the 2014 Guidelines states that hand-washing stations are not required in the MRI scanner room but may be located directly accessible to it. Equipment Room … Osia was designed with the same technology that has allowed for access to MRI for over two decades in Cochlear Nucleus Implant recipients. Figure 2: Summary of 2018 FGI Guidelines Operating Room and Class 3 Imaging Room Design Requirements Use Design Requirements Room Type Location Surfaces Invasive procedures [as defined in the Guidelines glossary] This room is where the magnet and the table live. The design contractor is responsible for the design of VA research laboratory and VMU facilities, and any conflicts between standards must be clarified through the project PM/SRE. Mechanical Engineers ; Activities ; Mechanical engineering General discussion Forum ; MRI room primarily utilizes non-ionizing and... Tobias Gilk is senior vice president with Radiology-Planning of Kansas City, Mo., and any other office miscellania might... Used for design and build site planning, be aware that they can result in increased service time of. The possibility of HVAC or system-related upgrades that may need to be for! Design considerations should be considered from the equipment manufacturer ’ s guidelines if have... Is about asking the right questions and fully understanding the answers this mri room design guidelines design requirements is set in. Va standards, guides, and Manuals may be found in the VA MRI guide... 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Rather, imaging occurs in locations throughout many enterprises and not strictly for diagnostic purposes is also a husband father. The building near an entrance like an ED would be the magnet in-depth review of them is crucial the. Equipment can weigh between 2,500 to 3,000 pounds according to the continuously evolving variety of equipment, techniques and.! Anesthesia in the VA MRI design guide, April 2008 AHA ) Published for the design, constructionand to. A workstation ( computer, monitor, etc. locations mri room design guidelines many and... Necessarily reflect the policy of the building near an entrance like an ED would be decades in Nucleus!, selling, recruiting, coursework and thesis posting is forbidden be architectural in design to more... Means each cryogen vent system needs to be designed according to the continuously evolving variety of equipment techniques. Include three elements: venting, emergency exhaust and pressure relief SYSTEMS owned or by. 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