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PET Scan Positive Results Next Steps: Powerful Guidance

Last Updated on October 22, 2025 by mcelik

Getting a positive PET scan result can change your life, often leaving many with more questions than answers. A PET scan, or Positron Emission Tomography, checks for health issues like cancer. If it shows a positive result, it means it found something not right in your body, leading to important considerations about PET scan positive results next steps.

PET Scan Positive Results Next Steps: Powerful Guidance
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Knowing what a positive PET scan result means and what to do next is key. In this article, we’ll explore what a positive PET scan is, its implications, and what to do after getting such a diagnosis.

Key Takeaways

  • A positive PET scan result indicates abnormal activity in the body.
  • Understanding the implications of a positive PET scan is key for diagnosis and treatment.
  • After a positive PET scan, you might need more tests and to talk to doctors.
  • A positive PET scan doesn’t always mean cancer; it could show other health problems too.
  • Talking to a healthcare provider is vital to figure out the best next steps.

Understanding Positive PET Scan Results

A positive PET scan means there are areas with more activity than usual. This could be due to many health issues, like cancer. Knowing what this means is key for figuring out what to do next.

What Constitutes a “Positive” Finding

A positive PET scan shows areas with more of the radioactive tracer than expected. These “hot spots” can mean different things, from inflammation to cancer.

Key Factors in Determining a Positive Result:

  • The intensity of tracer uptake
  • The size and location of areas with increased uptake
  • Comparison with previous scans, if available

Common Terminology in PET Scan Reports

PET scan reports use special terms that might confuse you. Words like “SUV” (Standardized Uptake Value), “hypermetabolic activity,” and “avid uptake” describe how much tracer is taken up in the body.

“The SUV is a measure that helps in quantifying the uptake of the tracer in a region of interest. It is a critical parameter in assessing the metabolic activity of tissues.”

Interpreting SUV Values and “Hot Spots”

The SUV value is very important in understanding PET scans. A high SUV value usually means more activity, which could be cancer. But, it’s also possible for benign conditions to show high values.

SUV Value RangeInterpretation
0-2.5Typically considered low and may be benign
2.6-4.0May indicate suspicious activity, requires further evaluation
>4.0Often associated with high metabolic activity, potentially malignant

Getting the most out of PET scan results needs a full understanding. This includes looking at SUV values, “hot spots,” and the patient’s overall health. It’s a detailed process that doctors use to guide treatment.

The Significance of Increased Uptake Areas

PET Scan Positive Results Next Steps: Powerful Guidance
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Increased uptake areas on PET scans are important. They can show hypermetabolic lesions, which means cells are more active than usual. This could mean there’s a disease present.

How Hypermetabolic Lesions Appear on Scans

Hypermetabolic lesions show up as “hot spots” on PET scans. This is because they take up more glucose than normal tissue. PET scans use a special glucose analog to see how active tissues are.

Lesions with high metabolic rates, like many cancers, absorb more of this tracer. This makes them stand out on the scan. The look of these lesions can vary. For example, cancerous tumors usually show a lot of uptake, while inflammation might show a different pattern.

Differentiating Between Malignant and Benign Uptake

Telling malignant from benign uptake is key when reading PET scans. Malignant lesions often have high uptake because they grow and metabolize quickly. But, benign conditions like infections or inflammation can also show increased uptake.

CharacteristicsMalignant UptakeBenign Uptake
Intensity of UptakeTypically highVariable, can be high in inflammatory processes
Pattern of UptakeOften focal or nodularCan be diffuse or focal
Clinical ContextCorrelates with known cancer or high-risk featuresMay be associated with infection, inflammation, or other benign conditions

False Positives and Their Causes

False positives on PET scans can happen for several reasons. Benign conditions like infections, inflammation, or benign tumors can cause increased metabolic activity. It’s important to know about these false positives to avoid unnecessary worry or treatments.

For instance, a lung infection might show up as high uptake on a PET scan, looking like lung cancer. Post-surgical inflammation or healing tissues can also cause false positives. Doctors need to look at the whole picture and might need more tests to confirm what the PET scan shows.

Immediate Next Steps After Receiving Positive Results

PET Scan Positive Results Next Steps: Powerful Guidance
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When you get positive PET scan results, it’s important to know what to do next. A positive result means you need to take further steps. It can be hard to know what to do without help.

Consultation with Ordering Physician

First, talk to the doctor who ordered the PET scan. They will explain what the results mean and what you should do next. Make sure to ask any questions you have.

Understanding the Radiologist’s Report

The radiologist’s report gives you detailed info about the scan. It helps you understand your condition and what to do next. Look for descriptions of any problems, SUV values, and the radiologist’s thoughts.

Key Components of a PET Scan Report:

  • Patient Information: Confirms who the patient is and the scan details.
  • Description of Findings: Tells you about any unusual findings.
  • SUV Values: Shows how much something is being taken up.
  • Radiologist’s Interpretation: Gives an expert’s view of what the findings mean.

Questions to Ask Your Doctor

Make a list of questions for your doctor. This helps you understand your condition and treatment plan. Ask about the findings, if more tests are needed, and what treatments are available.

Example Questions:

  1. What do the positive PET scan results mean for me?
  2. Do I need more tests or procedures?
  3. What treatments can I choose from, and what are their chances of success?
Next StepsDescriptionTimeline
Consultation with Ordering PhysicianDiscuss PET scan results and outline next stepsWithin a few days of receiving results
Understanding Radiologist’s ReportReview detailed PET scan findings and implicationsDuring the initial consultation
Preparing for Additional Testing or TreatmentSchedule and prepare for any recommended proceduresAs advised by your healthcare provider

PET Scan Positive Results Next Steps: The Clinical Pathway

A positive PET scan result starts a series of important steps. These steps help figure out the best care plan. Knowing these steps can help patients understand their diagnosis and treatment better.

Standard Protocols Following Positive Findings

When a PET scan shows positive results, doctors follow set protocols. These protocols ensure patients get the best care. They might include more tests, talking to specialists, and making a treatment plan just for them.

Key components of standard protocols include:

  • Further evaluation of the PET scan results to identify the extent and nature of the condition.
  • Coordination with specialists such as oncologists, surgeons, and radiologists.
  • Discussion of treatment options, including surgery, radiation therapy, and systemic treatments.

Coordinating Care Between Specialists

It’s important to coordinate care for patients with positive PET scan results. A team of healthcare professionals works together. They create and follow a treatment plan that makes sense for the patient.

SpecialistRole in Care Coordination
OncologistDevelops and oversees the overall treatment plan, including chemotherapy and other systemic treatments.
SurgeonEvaluates the need for surgical intervention and performs operations as necessary.
RadiologistInterprets imaging studies, including PET scans, to guide treatment decisions.

Patient Navigation Resources

Patient navigation resources are key in supporting patients. These include nurse navigators, patient educators, and support groups. They help patients through their care journey.

Benefits of patient navigation resources:

  • Guidance through the healthcare system.
  • Emotional support and counseling.
  • Access to educational materials and community resources.

Understanding the clinical pathway and using available resources helps patients. They can navigate their care better and make informed decisions about their treatment.

Confirmatory Testing and Procedures

After a positive PET scan, confirmatory testing is key. It aims to give a clear diagnosis through various medical steps. This stage is vital for figuring out what’s wrong.

Biopsy Procedures Explained

A biopsy is often the next step after a positive PET scan. It involves taking a small tissue sample for closer look. There are different biopsy types, like:

  • Needle biopsy, where a thin needle collects tissue or fluid.
  • Surgical biopsy, which removes a bigger tissue sample surgically.

Doctors say, “A biopsy is the best way to confirm cancer and its type.” The right biopsy depends on where and what the problem is.

Tissue Sampling Methods

How tissue is sampled changes based on where the problem is. For example, fine-needle aspiration biopsy is used for easy-to-reach spots like the thyroid or lymph nodes.

The right method is key for a correct diagnosis. A study found, “The accuracy of biopsy results greatly affects treatment and outcomes.”

Pathology Analysis Process

After getting a tissue sample, it goes to a lab for analysis. Pathologists look at it under a microscope for any odd cell patterns. This is key for spotting cancer.

The pathology report will tell what’s found, like cell types and if they’re cancerous. A top pathologist said, “The pathology report is essential for treatment plans.”

In summary, tests like biopsy and pathology are vital after a positive PET scan. They help diagnose and manage issues. Knowing about these steps can help patients better understand their diagnosis journey.

Additional Imaging After Positive PET Findings

A positive PET scan is just the start. More imaging is key for diagnosis and treatment. When a PET scan shows a problem, doctors use other scans to learn more.

Follow-up CT Scans

After a positive PET scan, a CT scan is often next. CT scans show detailed images of the body. They help find where and how big any problems are. This info is vital for planning treatments.

MRI for Further Clarification

An MRI (Magnetic Resonance Imaging) scan might be suggested next. MRI is great for soft tissues. It gives more details than a PET scan alone. This helps doctors understand what they’re dealing with.

Specialized Imaging Techniques

Based on the PET scan results, other specialized imaging techniques might be used. For example, bone scans check the bones, or PET/CT scans combine PET and CT. Each has its own strengths and weaknesses, chosen based on what’s needed.

Knowing about extra imaging after a PET scan is important. It helps both patients and doctors. With these scans, they can get a clear diagnosis and a treatment plan that fits the person’s needs.

Oncology Referrals and Specialist Consultations

When PET scan results show cancer, patients usually see oncologists for more tests and planning. This step is key. It’s about finding an oncologist who knows how to help the patient best.

Finding the Right Oncologist

Finding the right oncologist is very important. Look for one who knows a lot about your cancer type. Ask your doctor for suggestions or look for oncologists at well-known cancer centers.

“Choosing the right oncologist is very important,” says a medical oncologist. “It’s not just about treating the cancer. It’s about caring for the whole person.”

Multidisciplinary Team Approach

Cancer treatment now involves a multidisciplinary team. This team includes many specialists. They work together to plan the best treatment.

This team approach makes treatment plans better. The American Cancer Society says it can lead to better treatment and a better life for patients.

Tumor Board Reviews Explained

A big part of the team approach is the tumor board review. Tumor boards are groups of specialists who discuss patient cases. They make treatment recommendations.

Tumor board reviews help make sure treatment plans are right for each patient. They also help find clinical trials and new treatments.

Understanding oncology referrals and specialist consultations helps patients on their cancer journey. It’s important for patients to find the right specialists and learn about their treatment options.

Cancer Staging After Positive PET Scan

Cancer staging is key after a positive PET scan. It helps plan treatment and predict outcomes. Knowing the cancer stage is essential for choosing the right treatment.

How PET Results Influence Staging

PET scans show how active tumors are. They use Standardized Uptake Values (SUV) to measure this activity. This helps doctors understand how far cancer has spread.

PET scans are great for finding cancer in distant parts of the body. This can change the cancer’s stage and treatment plan. For example, they might find cancer in lymph nodes or organs far from the original site.

TNM Classification System

The TNM system is used to stage cancer. It looks at three main things:

  • T (Tumor): How big the main tumor is.
  • N (Node): How far cancer has spread to nearby lymph nodes.
  • M (Metastasis): If cancer has spread to distant parts of the body.

These factors help determine the cancer’s stage. Stages range from I (early) to IV (advanced).

Stage-Specific Considerations

After finding the stage, doctors look at treatment options. Early cancers might need surgery or radiation. Advanced cancers might require chemotherapy or targeted therapy.

Doctors also consider the patient’s health, preferences, and if they can join clinical trials. For example, Stage III cancer might get neoadjuvant therapy before surgery. Stage IV cancer might focus on managing symptoms and improving life quality.

Knowing the cancer stage after a positive PET scan helps patients make informed decisions. They can work with their healthcare team to choose the best care.

Treatment Planning Based on PET Findings

PET scan results are key in choosing the best treatment. They help doctors create a treatment plan that fits the patient’s needs.

Surgery Considerations

Surgery is often the first choice for many patients. The decision to have surgery depends on the PET scan results. Surgical planning looks at the tumor’s location, size, and activity from the PET scan.

Surgeons use this info to see if they can remove the tumor completely. They plan the surgery based on this. Sometimes, PET scans show surgery isn’t the first step, and other treatments are needed first.

Radiation Therapy Planning

Radiation therapy is another important treatment. PET scans help radiation oncologists target the tumor accurately. This reduces harm to healthy tissues.

The PET scan shows the tumor’s size and where it has spread. This info is key for planning the radiation dose and how to deliver it. It ensures the tumor gets the right dose without harming normal tissues.

Systemic Treatment Options

Systemic treatments like chemotherapy and targeted therapy are chosen based on PET scans. These treatments are vital for cancers that have spread.

The choice of treatment depends on the tumor’s metabolic traits and other factors. PET scans help track how well these treatments work. This allows for changes to the treatment plan if needed.

Creating an effective treatment plan needs a team effort. Doctors from different fields work together. They use PET scan data to make a treatment plan that meets each patient’s needs.

Clinical Trial Eligibility and Opportunities

Knowing how PET scan results affect clinical trial eligibility is key for patients looking for new treatments. A positive PET scan shows how active tumors are. This helps doctors decide the best treatment.

How PET Results May Qualify You for Trials

PET scan results are important for clinical trial eligibility. Trials look at cancer stage, past treatments, and more. A PET scan can spot active tumors, making you eligible for certain trials.

A study in the Journal of Clinical Oncology says PET scans help pick trial participants. This shows how vital PET scan results are for new treatments.

Finding Appropriate Clinical Studies

Finding the right clinical trial can be tough. But, there are many resources to help. Start by talking to your oncologist about trials you might fit into. Online databases like ClinicalTrials.gov also list studies and who can join.

  • Use online databases to search for trials related to your specific condition.
  • Consult with your oncologist to determine if a particular trial is a good fit.
  • Consider reaching out to patient advocacy groups for additional support and guidance.

Weighing Experimental vs. Standard Treatments

When thinking about clinical trials, weigh the pros and cons of new treatments. Experimental treatments might offer hope for those who’ve tried everything else. But, they can also have unknown risks.

“The decision to participate in a clinical trial should be made after careful consideration and consultation with your healthcare team,” advises a renowned oncologist. “It’s vital to understand the benefits and risks and how they compare to standard treatments.”

Talk to your healthcare team about your situation, goals, and worries. This will help you make a well-informed choice.

Seeking Second Opinions on PET Scan Interpretation

After a positive PET scan, patients might want to get another expert’s view. This can offer more insights and peace of mind about their diagnosis and treatment.

When to Consider Another Review

There are times when getting a second opinion on a PET scan is a good idea. This includes when the diagnosis is unclear, when scan results don’t match other tests, or when considering risky treatments. Also, if the first doctor isn’t a specialist, a second opinion from one might help.

Process for Obtaining Second Opinions

To get a second opinion, follow these steps:

  • Ask for your medical records, including PET scan images and reports, to be sent to the second-opinion specialist.
  • Talk to your primary care doctor or oncologist for recommendations on specialists for a second opinion.
  • Call the specialist’s office to learn about their second-opinion process, what documents you need, and any costs.

Some places and online services focus on second opinions, mainly for complex cases. They can connect you with experts in your area of need.

Resolving Conflicting Interpretations

If the second opinion doesn’t match the first, understanding why is key. This might involve:

  1. Comparing both interpretations to spot any differences in analysis or assumptions.
  2. Talking to both specialists together, if possible, to discuss their findings and agree on a conclusion.
  3. Getting a third specialist’s opinion if the disagreement can’t be settled.

It’s important to resolve any disagreements to ensure patients get the right diagnosis and treatment. By seeking a second opinion and understanding PET scan interpretations, patients can make better choices about their care.

Monitoring and Surveillance After Initial Treatment

Monitoring and surveillance are key after treatment. They help doctors see if the treatment worked and if cancer might come back.

Follow-up PET Scan Schedules

Follow-up PET scans are important for checking treatment success. How often you get these scans depends on your cancer type, its stage, and your treatment.

  • Typical Schedules: At first, scans are usually every 3 to 6 months. This time can get longer as you get better.
  • Adjustments: Your scan schedule might change if your treatment is working well or if your health changes.

Measuring Treatment Response

Doctors check how well cancer responds to treatment. PET scans are key here, showing what’s happening in the tumor.

  1. Complete Response: This means the cancer is gone.
  2. Partial Response: The cancer is smaller or less active.
  3. Stable Disease: The cancer hasn’t changed much.
  4. Progressive Disease: The cancer is getting bigger or spreading.

A top oncologist, says, “Knowing how well treatment works is very important for what to do next.”

“PET scans have changed how we watch treatment results and find cancer early.”

An Oncologist

Long-term Surveillance Protocols

Long-term watching is key for catching cancer that comes back late or spreads. It also helps manage treatment side effects.

Surveillance ComponentFrequencyPurpose
PET ScansEvery 6-12 monthsWatch for cancer coming back or spreading
Clinical VisitsEvery 3-6 monthsCheck your overall health and look for new symptoms
Imaging StudiesAs neededLook closer at any odd findings

Good long-term watching needs teamwork between oncologists, primary care doctors, and others. This ensures you get the best care.

Psychological Support and Coping Strategies

Dealing with a positive PET scan diagnosis is tough. It’s not just about medical care. It also needs psychological support. The news can deeply affect the patient and their family.

Dealing with Diagnosis Anxiety

A positive PET scan can make you feel anxious, scared, and unsure about the future. It’s important to face these feelings and seek help. Support groups offer a place to share and connect with others facing similar issues.

There are ways to handle anxiety, like mindfulness, meditation, and cognitive-behavioral therapy (CBT). Professional counseling can also help manage the emotional side of cancer treatment.

Support Resources Available

Many resources help with the emotional side of cancer. Support groups, both in-person and online, are very helpful. The American Cancer Society provides counseling and support groups among other services.

ResourceDescriptionAccessibility
American Cancer SocietyOffers support groups, counseling, and other resources for cancer patients.Online, Phone: 1-800-227-2345
CancerCareProvides free professional support services, including counseling and support groups.Online, Phone: 1-800-813-HOPE (4673)
Local Cancer Support GroupsIn-person support groups vary by location, providing a community for patients and families.Varies by location

Family Counseling Options

A cancer diagnosis affects not just the patient but also their family. Family counseling helps everyone deal with the diagnosis and treatment together. It can include individual or group therapy, based on the family’s needs.

Family counseling tackles issues like communication problems, emotional distress, and the practical challenges of caring for a loved one. It supports the whole family, making them stronger together.

Financial Considerations and Insurance Navigation

Getting a positive PET scan result can change your health and finances. It’s important to know how to handle the costs of cancer care. This includes understanding your insurance, looking for financial help, and learning about work and disability options.

Insurance Coverage for Follow-Up Care

It’s key to know what your insurance covers after a positive PET scan. Most plans help with tests, treatments, and follow-up care for cancer. But, the details can differ a lot between plans.

Key aspects to review with your insurance provider:

  • Coverage for PET scans and other tests
  • Coverage for treatments like chemo, radiation, and surgery
  • What you’ll pay out-of-pocket, like deductibles and copays
  • What providers are in-network and what’s covered out-of-network

Financial Assistance Programs

There are many programs to help with the costs of cancer treatment. They can help with medication, travel, and other care-related expenses.

ProgramDescriptionEligibility
Patient Access Network FoundationHelps with copays, deductibles, and other costsVaries by program
Cancer Financial Assistance CoalitionProvides resources and info on financial helpOpen to cancer patients
National Cancer Institute’s Cancer Information ServiceGuides on financial help and other resourcesAvailable to all

Disability and Work Accommodation Options

Cancer treatment can affect your job. It’s important to know about disability benefits and work accommodations.

Disability Benefits:

  • Social Security Disability Insurance (SSDI): For those who can’t work due to disability
  • Supplemental Security Income (SSI): For those with low income and resources

Workplace Accommodations:

  • Family and Medical Leave Act (FMLA): Up to 12 weeks of unpaid leave for eligible employees
  • Americans with Disabilities Act (ADA): Employers must provide reasonable accommodations

Understanding your insurance, looking for financial help, and knowing your rights can help you deal with the financial side of cancer treatment.

Lifestyle Modifications and Complementary Approaches

A good cancer treatment plan goes beyond just medicine. It also includes making lifestyle changes. Healthy habits can make treatment work better and improve your overall health.

Dietary Recommendations During Treatment

Eating well is key when you’re going through cancer treatment. Nutritional adjustments can help deal with side effects and help your body heal.

  • Drink lots of water to stay hydrated.
  • Eat a variety of fruits, veggies, and whole grains.
  • Try to avoid processed foods and sugars.

Here’s a quick guide to what you should eat:

Food GroupRecommended FoodsFoods to Avoid
Fruits and VegetablesBerries, leafy greens, citrus fruitsRaw or undercooked produce
ProteinsLean meats, fish, eggs, legumesRaw or undercooked meat, fish
GrainsWhole grains, oats, quinoaRefined grains

Exercise Guidelines

Exercise is important to help with treatment side effects and keep you healthy. Gentle exercises like yoga and walking are good choices.

  • Talk to your doctor before starting any new exercise.
  • Start with short, easy sessions and slowly get more intense.
  • Choose activities you like to keep you motivated.

Integrative Medicine Considerations

Integrative oncology mixes traditional medicine with complementary therapies. Acupuncture, meditation, and massage therapy can help with symptoms and improve life quality.

Always talk to your healthcare team about any complementary therapies. They can help make sure they’re safe and right for you.

Conclusion: Moving Forward After a Positive PET Scan

Getting a positive PET scan result can change your life. It’s important to know what it means and what to do next. We’ve talked about the importance of PET scans, what happens after a positive result, and the treatment choices you have.

After a positive PET scan, you need to take a few steps. This includes more tests, imaging, and talking to specialists. Working with your healthcare team is key to finding the right treatment for you.

Knowing what to do after a positive PET scan helps you manage your care better. You can look into treatment options and make smart health choices. Remember to stay informed, get support when you need it, and talk openly with your doctors.

FAQ

What does a positive PET scan result mean?

A positive PET scan result usually means there’s a hypermetabolic lesion. This could be cancer or another condition. Always talk to a doctor to understand what it means for you.

What is the difference between a “hot spot” and a benign uptake on a PET scan?

A “hot spot” on a PET scan means an area is taking up more glucose, which could be cancer. Benign uptake is when an area is taking up more glucose but it’s not cancer. A doctor can tell you why this is happening.

What are the next steps after receiving a positive PET scan result?

After a positive PET scan, you should talk to the doctor who ordered it. Understand the radiologist’s report and prepare questions. You might need more tests, like a biopsy, to confirm the diagnosis.

How is cancer staging determined after a positive PET scan?

Cancer staging looks at how big the tumor is, if it’s in lymph nodes, and if it has spread. PET scans help, along with other tests to figure out the cancer stage.

What are the treatment options for cancer diagnosed with a PET scan?

Cancer treatment depends on the type, stage, and your health. You might have surgery, radiation, chemotherapy, or a mix of these.

Can a PET scan be used to monitor treatment response?

Yes, PET scans can show how well treatment is working. They check if the tumor’s glucose uptake is changing. This helps doctors adjust your treatment plan.

How often should I have follow-up PET scans after initial treatment?

How often you need follow-up PET scans depends on your cancer type, stage, and treatment. Your doctor will decide the best schedule for you.

Are there any lifestyle modifications I can make to support my treatment?

Yes, eating well, exercising, and managing stress can help your treatment. These healthy choices support your overall health and well-being.

How can I cope with the psychological impact of a positive PET scan?

Dealing with the emotional side of a positive PET scan can be tough. Talking to loved ones, joining support groups, or seeing a mental health professional can help.

What financial resources are available to help with cancer treatment costs?

There are many ways to help with treatment costs, like insurance, financial aid programs, and disability benefits. It’s important to discuss these with your doctor or a financial advisor.

Can I seek a second opinion on my PET scan results?

Yes, getting a second opinion on your PET scan results is a good idea. Talking to a specialist or a tumor board can give you more insights and confirm your diagnosis.

How do I find a clinical trial that I’m eligible for?

To find a clinical trial, search online databases like the National Cancer Institute’s Clinical Trials Database. You can also ask your doctor for recommendations. Each trial has its own eligibility criteria.

What are the benefits of participating in a clinical trial?

Being in a clinical trial can give you access to new treatments and help cancer research. But, it’s important to talk to your doctor about the benefits and risks.

References  

  1. Kirienko, M., et al. (2024). Personalised PET imaging in oncology: an umbrella review. PMC. Retrieved from https://pmc.ncbi.nlm.nih.gov/articles/PMC11599298/

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