The present application relates generally to radiation detectors, and more specifically to radiation detectors having increased quantum efficiency (QE) and methods of operating thereof with depth-of-interaction effect correction.
In Single Photon Emission Computed Tomography (SPECT) imaging systems, gamma rays emitted from a source, such as a radiopharmaceutical or radiotracer, are detected by a detector array, such as a cadmium zinc telluride (“CZT”) detector. Other direct conversion detectors employing cadmium telluride (CdTe), gallium arsenide (GaAs), or silicon (Si), or any indirect director based on a scintillator material, may also be used in SPECT imaging systems. Images taken at different angles are joined together to reconstruct 3-dimensional images of the object under examination.
The electrical signal generated by solid state radiation detectors, such as CZT detectors, results from gamma rays exciting electrons in the atoms of the detector material that ejects electrons from their orbits and into a conduction band of the bulk material. Each electron ejected into the conduction band leaves behind a net positive charge that behaves like a positively charged particle known as a “hole” that migrates through the material in response to an electric field applied between a cathode and an anode. Electrons in the conduction band are attracted by the resulting internal electric field and migrate to the anode where they are collected creating a small current that is detected by circuitry, while the holes migrate towards the cathode.
Each gamma-ray will generate many electron-hole pairs, depending on the energy of the photon. For example, the ionization energy of CZT is 4.64 eV, so absorbing the energy of a 140 keV gamma ray from technetium will generate about 30,000 electron-hole pairs.
An important parameter for solid-state ionizing radiation detector arrays, such as CZT detector arrays, is the Detector Quantum Efficiency (DQE), or in short, the “detector efficiency.” The detector efficiency represents the ratio of the number of photons properly registered (e.g., detected with the correct energy) with respect to number of photons emitted by the radiation source that impinge on the detector. The higher the efficiency, the shorter the scan needs to be (for the given photon source), and the smaller the radiation dose is, which is beneficial for the patient. This is particularly true in Nuclear Medicine applications, such as SPECT imaging, which are generally relatively higher radiation dose procedures (e.g., typically in a 1-12 mSv range), in which concerns about radiation damage are significant.
In an ideal detector array, the detector efficiency would be 100%. In practice, the measured efficiencies of detector arrays are less than 100%, and are typically in a range between 10% and 90%, depending on the particular detector array the and energy of interest. This may be due to a variety of factors, such as absorption losses, detector noise, as well as other effects.
Various embodiments are directed to a method for detecting ionizing radiation using a radiation detector having of an array of pixels, where the method includes detecting an amplitude of a primary charge signal in a first pixel of the array of pixels in response to a photon interaction event in the radiation detector, detecting an amplitude of a secondary charge signal in a second pixel of the array of pixels in response to the photon interaction event, wherein the amplitude of the secondary charge signal is less than the amplitude of the primary charge signal and a polarity of the secondary charge signal is opposite the polarity of the primary charge signal, and generating a corrected photon energy measurement of the photon interaction event by applying a correction to the detected amplitude of the primary charge signal based on the detected amplitude of the secondary charge signal.
Additional embodiments are directed to a method for detecting ionizing radiation using a radiation detector having of an array of pixels, where the method includes detecting an amplitude of a primary charge signal in a first pixel of the array of pixels in response to a photon interaction event in the radiation detector, detecting amplitudes of a plurality of secondary charge signals in a plurality of neighboring pixels of the first pixel, where a first set of one or more secondary charge signals has a polarity that is the same as the polarity of the primary charge signal, and a second set of one or more secondary charge signals has a polarity that is opposite the polarity of the primary charge signal, and generating a corrected photon energy measurement of the photon interaction event by adding the amplitude of each secondary charge signal of the first set of secondary charge signals to the amplitude of the primary charge signal, and subtracting the amplitude of each secondary charge signal of the second set of secondary charge signals from the amplitude of the primary charge signal.
Further embodiments are directed to an imaging radiation detector including an array of pixels, and detector processing circuitry coupled to each pixel and configured to detect the amplitude and polarity of charge signals within each pixel, the detector processing circuitry further configured to detect the amplitude of a primary charge signal in a first pixel of the array of pixels in response to a photon interaction event in the radiation detector, detect the amplitude of a secondary charge signal in a second pixel of the array of pixels in response to the photon interaction event, wherein the amplitude of the secondary charge signal is less than the amplitude of the primary charge signal and a polarity of the secondary charge signal is opposite the polarity of the primary charge signal, and generate a corrected photon energy measurement of the photon interaction event by applying a correction to the detected amplitude of the primary charge signal based on the detected amplitude of the secondary charge signal.
The accompanying drawings are presented to aid in the description of embodiments of the disclosure and are provided solely for illustration of the embodiments and not limitation thereof.
The various embodiments will be described in detail with reference to the accompanying drawings. Wherever possible, the same reference numbers will be used throughout the drawings to refer to the same or like parts. References made to particular examples and implementations are for illustrative purposes, and are not intended to limit the scope of the claims. Any reference to claim elements in the singular, for example, using the articles “a,” “an,” or “the” is not to be construed as limiting the element to the singular. The terms “example,” “exemplary,” or any term of the like are used herein to mean serving as an example, instance, or illustration. Any implementation described herein as an “example” is not necessarily to be construed as preferred or advantageous over another implementation. The drawings are not drawn to scale. Multiple instances of an element may be duplicated where a single instance of the element is illustrated, unless absence of duplication of elements is expressly described or clearly indicated otherwise.
Various embodiments of the present disclosure include detector arrays, such as pixilated CZT radiation detector arrays, used in gamma imaging systems having improved Detector Quantum Efficiency (DQE) and methods of operating thereof with DOI effect correction.
The SPECT imaging system 100 may also include additional structures, such as a collimator 120 within the gamma camera 110 and a robotic mechanism (not shown) that is configured to position the gamma camera 110 over the subject 102 at a variety of orientations (as illustrated as positions 130 and 140). Positioning the gamma camera 110 at various orientations with respect to the subject 102 enables gamma ray count and energy data to be acquired by the multi-pixel detector 108 from several different angles. Data collected in this manner can then be processed by the digital image system computer 114 to construct a 3D image of the organ or tumor 104 where the radiopharmaceutical has accumulated.
Various alternatives to the design of the SPECT imaging system 100 of
The detector 108 of a SPECT imaging system 100 may include an array of radiation detector elements, referred to as pixel sensors. The signals from the pixel sensors may be processed by a pixel detector circuit, such as an analyzer unit 112, which may sort detected photons into energy bins based on the energy of each photon or the voltage generated by the received photon. When a gamma photon is detected, its energy is determined and the photon count for its associated energy bin is incremented. For example, if the detected energy of a photon is 64 kilo-electron-volts (keV), the photon count for the energy bin of 60-80 keV may be incremented. The number of energy bins may range from one to several, such as two to six. The greater the total number of energy bins, the better the energy spectrum discrimination. Thus, the detector 108 of a gamma ray camera 110 provides information regarding both the location (within pixels) of gamma photon detections and the energy of the detected gamma photons.
While the radiation detector 108 of one embodiment described above is located in a gamma ray camera 110 of a gamma ray detection system, such as a SPECT system 100, in other embodiments the radiation detector 108 may be located in other radiation detection systems. For example, the radiation detector 108 may comprise an X-ray radiation detector which is located in an X-ray radiation detection system. Any suitable X-ray radiation detection system may be used, such a medical, industrial or baggage inspection system.
When a photon of radiation (e.g., a gamma ray) 106 is absorbed at location 222 by an atom within the CZT semiconductor crystal 208, a cloud of electrons 224 is ejected into the conduction band of the semiconductor. Each ejected electron 224 creates a corresponding hole 225 of positive charge. The voltage is applied between the cathode 204 and anodes 206a, 206b causes the electrons 224 to drift to the anode 206a where they are collected as a signal as described above. Diffusion and charge repulsion forces cause the electron cloud to expand (as shown at 226) by the time the electrons reach the anode 206a. Holes 225 similarly migrate towards the cathode 204.
Various embodiments of the present disclosure may provide an increase in Detector Quantum Efficiency (DQE) of an ionizing radiation detector array, such as a CZT radiation detector array 108 as described above with reference to
For example, the radioisotope Iodine I131 is used to treat thyroid cancer, and has a gamma emission peak at 364 keV. Many of the radioisotopes used as theranostic agents, such as Iodine I131, have very short half-lives, such as on the order of hours. Accordingly, many of the simulations described herein may use a more stable isotope, such as Barium which has a gamma emission peak at 356 keV, as representative of the types of theranostic agents that are used in clinical practice.
The DQE of a detector array is typically measured using a spectroscopic gamma source, such Am241 or Co57, having a defined emission energy (e.g., 60 keV and 122 keV, respectively, in the cases of Am241 and Co57). The DQE may be calculated by measuring the radiation spectrum of the spectroscopic gamma source using the detector array and identifying the peak energy of the measured spectrum. A window around the peak energy, such as +/−5% of the peak energy, may be defined, and the number of detected photons (A) within the defined energy window may be counted. The total number of photons that are emitted by the radiation source and impinge on the detector surface (B) may be calculated based on the source activity strength and the detector geometry. The DQE may be calculated as the ratio of A/B, and may be expressed as a percentage between 0-100%. Detectors used today for SPECT imaging typically have a DQE between 10-90%, depending on the particular detector and radiation source.
In practice, radioisotopes used as gamma sources may emit radiation at multiple peak energies, so the calculations of the DQE have to be adjusted accordingly. For example, for Co57 efficiency is defined as the ratio of counts in peak area of ±5% Ep energy window (around the peak energy Ep), relative to the total number of gamma photons crossing the plane of the crystal face. To avoid ambiguity, this definition should clearly refer to 122 keV photons only. It is important since Co57 emits some photons at other energies, and the photons emitted at 122 keV constitute only 85.6% of the total.
As mentioned above, the DQE of real-world radiation detectors is always less than 100%. This is due to a variety of factors. For example, not all photons which pass through the detector get absorbed. Some number of photons will pass straight through the detector without interacting with any atoms of the detector semiconductor crystal, and thus will not register as a photon count. The number of photons that are not absorbed by the detector may be reduced by making the detector thicker, although this may not be economical due to the relatively high cost of semiconductor crystal detector materials. In many cases, up to 5% of the total photon count may be lost due to non-absorption by the detector.
Another factor that results in a reduction in DQE is charge-sharing effects. As discussed above with reference to
Another factor that can reduce the DQE of the detector array is charge trapping effects. In particular, some electrons 224 may temporarily become trapped due to defects and/or imperfections (e.g., lattice defects) in the detector semiconductor crystal 208, and then may later become de-trapped and drift to the anode electrode 206a. However, in some cases, at least a portion of the trapped electrons 224 may not reach the anode electrode 206a until a subsequent read-out cycle of the detector circuitry to register photon counts has commenced. Thus, the energy information that is registered for the initial photon count may not be accurate, which may result in a reduction of the DQE, although in CZT detectors this effect is typically small.
A more significant factor in the reduction of DQE is the Depth of Interaction (DOI) effect. The Depth of Interaction (DOI) effect results from the imperfect drift of the charge carriers (i.e., electrons and holes), and is highly dependent on the location 222 (i.e., depth of location) within a given pixel 202a, 202b in which the photon interaction event occurs. In particular, for each photon interaction event, both electrons and holes contribute to the signal that is detected by the detector read-out circuitry, which may include charge-sensitive amplifiers (CSAs) electrically coupled to the anodes of the pixels of the detector array. The proportion of the contributions of electrons and holes to the detected signal varies as a function of the depth within the pixel in which the photon interaction event occurs. This is because the typical trapping length of the holes is much shorter than the trapping length of the electrons. This means that the majority of the electrons are able to quickly reach the anode electrode of the pixel regardless of where the photon interaction occurs within the pixel. However, for photon interactions that occur relatively deeper within the pixel (e.g., closer to the anode electrode), the holes have to travel further to reach the cathode, and there is a higher probability that the holes will become trapped. Thus, it may take significantly longer for all the holes to be collected at the cathode, including longer than the read-out (e.g., charge integration) cycle of the detector circuitry. This may lead to significant errors in the photon energy measurement. In particular, a low energy tail resulting from holes which do not reach the cathode during the same read-out cycle as the photon interaction event which produced them, may be generated in the measured energy spectrum.
Accordingly, the amplitude of the detected signal is higher when the photon interaction occurs close to the cathode since the holes are more likely to reach the cathode electrodes without becoming trapped. However, the amplitude of the detected signal is lower when the photon interaction occurs close to the anode since the holes have to travel a greater distance and are more likely to be trapped than the electrons.
This effect is illustrated in
The DOI effect may also be demonstrated using weighting potential, w. The weighting potential is not a real electrostatic potential, but rather an abstract construct that allows one to calculate the amount of induced charge on the electrode of interest. The weighting potential, w, may be considered the effective potential that the charge carriers “see” as they drift toward the anode and cathode electrodes within a detector pixel.
Referring to
Weighting potential simulations may be performed in two dimensions to provide insight into the behavior of a detector pixel and its neighbor(s).
As shown in
The present inventors realized that in both of the cases illustrated in
Various embodiments of the present disclosure include pixelated detectors and methods of detecting radiation using a pixelated detector that provide improved efficiency by including a DOI correction. In accordance with various embodiments of the present disclosure, the primary charge signal and at least one secondary charge signal from a neighboring pixel may be measured in response to a photon interaction event. When the at least one measured secondary charge signal from the neighboring pixel has the opposite polarity of the primary charge signal, a corrected charge signal for the photon interaction event may be generated by applying a correction to the primary charge signal based on the magnitude of the at least one secondary charge signal. In some embodiments, applying the correction to the primary charge signal may include subtracting the secondary charge signal from the primary charge signal (or equivalently, summing the absolute values of the primary charge signal and the secondary charge signal). Thus, in the example of
Referring again to
The above case represents the situation in which the photon interaction event occurs close to the cathode 803 of the first pixel 805-1, such as illustrated in
As described above, this effect causes low energy tail in the measured spectra as the signal is not fully developed. The low energy tail is strongly influenced by the value of Mu*Tau holes. Thus, the secondary signal 703 on the neighboring pixel 805-2 sees an initial transient rise and then goes below 0. Further, the magnitude of this negative charge induced on the neighboring pixel 805-2 increases with the corresponding change in the amplitude of the charge detected on the first pixel 805-1, as is illustrated in
The balance between primary signal 701 induced in the first pixel 805-1 and one or more secondary signals 703 induced in neighboring pixels (e.g., pixel 805-2) is dependent on the location of the photon interaction event within the first pixel 805-1. For example, in a situation in which the photon interaction event occurs near the boundary of the first pixel 805-1, such as illustrated in
An exemplary implementation of a method for providing corrected photon energy measurements that may compensate for both charge sharing and depth-of-interaction effects may include determining the pixel that received the incident photon (which may also be referred to as the “center pixel” or the “first pixel”) and detecting the amplitude of the primary charge signal induced in this pixel. This may be triggered, for example, when the primary charge signal on the center pixel is detected with the primary polarity (e.g., a negative voltage) above a threshold amplitude and/or rate of increase indicating that a photon has landed within the pixel. The amplitudes of secondary charge signals induced on a set of neighboring pixels of the center pixel may also be detected (e.g., during the same read-out cycle of the detector circuitry). The set of neighboring pixels may include, for example, pixels that are immediately adjacent to the center pixel, such as the pixels to located the left and right and/or above and below the center pixel when the detector array is viewed from below (i.e., facing the anode electrodes). In some embodiments, the set of neighboring pixels may also include pixels that are diagonally adjacent to the center pixel. In general, the set of neighboring pixels may include at least 2 pixels, such as 4-8 pixels, that are located near or adjacent to the pixel that received the incident photon.
The secondary charge signals that are induced the neighboring pixels may have the same polarity as the primary charge signal induced in the center pixel, or may have the opposite polarity as the primary charge signal induced in the center pixel. Thus, in various embodiments, the read-out circuitry of the detector array may be configured to detect both positive and negative charge signals for each pixel of the array. This may be implemented, for example, by utilizing a CMOS circuit design that includes proper definition of common-mode voltage of the input state of the Application Specific Integrated Circuit (ASIC) used to read-out the generated charge signals.
A corrected photon energy measurement may be calculated, for example, by adding the amplitudes of each secondary charge signal having the same polarity as the primary charge signal to the amplitude of the primary charge signal (e.g., to account for the charge sharing effect), and subtracting the amplitudes of each secondary charge signal having the opposite polarity as the primary charge signal from the amplitude of the primary charge signal (to account for the DOI effect). Equivalently, this may be expressed as summing the absolute value of the amplitude of the primary charge signal with the absolute values of the amplitudes of each of the secondary charge signals. Thus, for example, if the primary charge signal detected at the center pixel has a normalized amplitude of 0.7, and secondary charge signals having normalized amplitudes of 0.2 and −0.1 are detected on respective neighboring pixels, then the corrected photon energy measurement may be equal to 0.7+0.2−(−0.1), or 1.0.
In some embodiments, the amplitudes of at least some of the secondary charge signals detected by the neighboring pixels may be multiplied by a correction factor, k, prior to being summed. The correction factor, k, may be determined experimentally. In some embodiments, the correction factor, k, may only be applied to secondary charge signals having an opposite polarity than the primary charge signal. A separate correction factor may optionally be applied for secondary charge signals having the same polarity as the primary charge signal.
In some embodiments, a calibration process may be performed. The calibration process may include exposing the detector to a radioisotope source having a well-defined energy peak, such as 133Ba or 57Co. Photon interaction events which induce a secondary charge signal on a neighboring pixel having the opposite polarity than the polarity of primary charge signal detected on the center pixel may be identified. The amplitudes of the primary charge signals measured at the center pixel may plotted as a function of the amplitudes of the corresponding secondary charge signals measured at the neighboring pixels.
A detector readout method as described above may also be used to extract depth information of photon interaction events in accordance with various embodiments. This may be important for certain applications, such as Compton cameras, which are gamma cameras used for astronomy, radiation therapy and other purposes. In such cameras, the depth of interaction is used to compute the direction of the incoming photon using angular resolution cones.
Various embodiments of the present disclosure may provide substantial benefits in detector efficiency over the photon energy ranges typically used in Nuclear Medicine applications, including applications utilizing Technetium Tc99m isotope (140 keV) that is injected into the patient. These benefits may be even more significant for higher energy isotopes that are currently being introduced into Nuclear Medicine due to trends in personalized medicine and corresponding theranostic applications in which alpha particles are used to kill cancer cells and gamma photons are used for quantification and localization purposes.
In addition to CZT detectors, the methods and systems described herein may be applicable to other types of detector systems, such as detector systems utilizing High-Z materials, such as Cadmium Telluride (CdTe), Thallium Bromide (TlBr), and Gallium Arsenide (GaAs). In addition, although the methods and systems of the present disclosure have been described in connection with relatively low-flux applications, such as gamma cameras, SPECT imaging and/or other Nuclear Medicine applications, the methods and systems may be used in other applications requiring detection of ionizing radiation, such as X-ray detectors, including X-ray Computed Tomography (CT) imaging applications.
In step 1301 of embodiment method 1300, the amplitude of a primary charge signal may be detected at a first pixel of a detector array in response to a photon interaction event. The first pixel may be the pixel in which the photon interaction event occurs, and may be identified as the pixel having the highest amplitude charge signal within a given region of the detector array.
In step 1303 of embodiment method 1300, the amplitude of a secondary charge signal may be detected at a second pixel of the detector array in response to the photon interaction event, where the amplitude of the secondary charge signal is less than the amplitude of the primary charge signal and a polarity of the secondary charge signal is opposite the polarity of the primary charge signal. The second pixel may be a pixel that is proximate to the first pixel in the detector array (i.e., a neighboring pixel), such as a pixel that is laterally or diagonally adjacent to the first pixel. In various embodiments, the method 1300 may be implemented using a detector array having read-out circuitry that is configured to measure and distinguish between charge signals having positive and negative polarity. Thus, in embodiments in which the primary charge signal detected at the first pixel is negative, the secondary charge signal detected at the second pixel is positive, and vice versa.
In some embodiments, the amplitudes of secondary charge signals may be detected at multiple neighboring pixels of the first pixel. Each of the secondary charge signals may have a polarity that is opposite the polarity of the primary charge signal.
In step 1305 of embodiment method 1300, a corrected photon energy measurement may be generated by applying a correction to the detected amplitude of the primary charge signal based on the detected amplitude of the secondary charge signal. The correction applied to the detected amplitude of the primary charge signal may compensate for charge loss in the primary charge signal due to the depth-of-interaction (DOI) of the photon interaction event. In some embodiments, applying the correction may include subtracting the amplitude of the secondary charge signal from the amplitude of the primary charge signal (or equivalently, adding the absolute value of the secondary charge signal to the amplitude of the primary charge signal). In some embodiments, the amplitude of the secondary charge signal may be multiplied by an experimentally-derived correction factor prior to being subtracted from the amplitude of the primary charge signal. In some embodiments, the correction may be based on a function relating the amplitude of the secondary charge signal to charge loss in the primary charge signal due to depth-of-interaction (DOI) effects. The function may be derived using a prior calibration process.
In embodiments in which multiple secondary charge signals having the opposite polarity to the primary charge signal are detected in plural neighboring pixels, the correction to the detected amplitude of the primary charge signal may be based on the detected amplitudes of each of the secondary signals. For example, the amplitudes of each of the secondary charge signals may be subtracted from the amplitude of the primary charge signal.
In some embodiments, at least one secondary charge signal having the opposite polarity as the primary charge signal may be detected in one or more neighboring pixels, and at least one secondary charge signal having the same polarity as the primary charge signal may be detected in one or more neighboring pixels. The at least one secondary charge signal having the same polarity as the primary charge signal may be the result of a charge sharing event (CSE) between the first pixel and one or more neighboring pixels. In some embodiments, the correction applied to the detected amplitude may compensate for charge loss in the primary charge signal due to charge sharing between the first pixel and one or more neighboring pixels. In some embodiments, applying the correction may include subtracting the amplitude of each secondary charge signal having the opposite polarity as the primary charge signal from the amplitude of the primary charge signal (or equivalently, adding the absolute value of the secondary charge signal to the amplitude of the primary charge signal), and adding the amplitude of each secondary charge signal having the same polarity as the primary charge signal to the amplitude of the primary charge signal.
In step 1401 of embodiment method 1400, the amplitude of a primary charge signal may be detected at a first pixel of a detector array in response to a photon interaction event. The first pixel may be the pixel in which the photon interaction event occurs, and may be identified as the pixel having the highest amplitude charge signal within a given region of the detector array.
In step 1403 of embodiment method 1400, the amplitudes of a plurality of secondary charge signals may be detected at neighboring pixels of the first pixel. The neighboring pixels may include a group of pixels that are proximate to the first pixel in the detector array, such as pixels that are laterally or diagonally adjacent to the first pixel. A first set of one or more secondary charge signals may have the same polarity as the polarity of the primary charge signal. A second set of one or more secondary charge signals may have the opposite polarity of the polarity of the primary charge signal. In various embodiments, the method 1400 may be implemented using a detector array having read-out circuitry that is configured to measure and distinguish between charge signals having positive and negative polarity. Thus, in embodiments in which the primary charge signal detected at the first pixel is negative, the first set of one or more secondary charge signals may be negative and the second set of one or more secondary charge signals may be positive.
In step 1405 of embodiment method 1400, a corrected photon energy measurement may be generated by adding the amplitude of each secondary charge signal of the first set of secondary charge signals to the amplitude of the primary charge signal, and subtracting the amplitude of each secondary charge signal of the second set of secondary charge signals from the amplitude of the primary charge signal. In various embodiments, the correction applied to amplitude of the primary charge signal may compensate for charge losses due to both the depth-of-interaction (DOI) of the photon interaction event as well as charge sharing between the first pixel and one or more neighboring pixels.
The various embodiments (including, but not limited to, embodiments described above with reference to
Computer program code or “program code” for execution on a programmable processor for carrying out operations of the various embodiments may be written in a high level programming language such as C, C++, C #, Smalltalk, Java, JavaScript, Visual Basic, a Structured Query Language (e.g., Transact-SQL), Perl, or in various other programming languages. Program code or programs stored on a computer readable storage medium as used in this application may refer to machine language code (such as object code) whose format is understandable by a processor.
The present embodiments may be implemented in systems used for medical imaging, Single Photon Emission Computed Tomography (SPECT) for medical applications, and for non-medical imaging applications, such as in baggage security scanning and industrial inspection applications.
While the disclosure has been described in terms of specific embodiments, it is evident in view of the foregoing description that numerous alternatives, modifications and variations will be apparent to those skilled in the art. Each of the embodiments described herein may be implemented individually or in combination with any other embodiment unless expressly stated otherwise or clearly incompatible. Accordingly, the disclosure is intended to encompass all such alternatives, modifications and variations which fall within the scope and spirit of the disclosure and the following claims.
Number | Date | Country | |
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63316588 | Mar 2022 | US |