Non-contrast magnetic resonance imaging for diagnosing shoulder injuries xmp.iid:58FAF33A22FC11688A87E0E006A47C30 -19.591 -1.452 Td >> 2012-05-07T10:55:04-07:00 Magnetic resonance imaging (MRI). 5 0 obj 0 30.975 l 2012-04-23T10:51:11-07:00 The anterior cruciate ligament (ACL) is the most commonly injured of the major knee ligaments. Phase direction in the axial scans must be head to feet, this is to avoid the artifacts form popliteal artery pulsation. (Spinal CT Scan, CT of the Spine or Back) Computed tomography (CT scan or CAT scan) is a noninvasive diagnostic imaging procedure that uses a combination of X-rays and computer technology to produce horizontal, or axial, images (often called slices) of the body. 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The insertion point of the anterior root of the medial meniscus shows greater variability and can insert onto the anterior cortex of the tibia and be mistaken for anterior subluxation or hypermobility of the medial meniscus [ 10 ]. 0 0 m >> YjxVrXdHfV24W8kUE0Yjb1ZYUm+D99VAJAaVND9GEEhUn/wTqn/Vwtv+kGH/AJpx4iqcaV5btrS1 [(\212\212\240\002\035\005\034)10(\036\036\f\022\035\020\034)10(\036\025\036\r\024\033\024\031\030\r\002\035\030\027\031\026\030\022\n)6(\032\034\033\t\r\031\030\025\002\035)]TJ o0dhqCVLeuJYo42t1R4I+cyvOGofrKEcQxoemKq3mDzLqWnX15FZLbiHSba2u7hJ1cyXIuZZYRHA /Border [0 0 0] 0 14.975 l 2012-06-07T14:05:04-07:00 saved 0 30.975 l Check the positioning block in the other two planes. /Subtype /Link saved 0 14.975 l 1TxVq2Uq04LFz6g3NK/Yj/lAxVLNd/46nlz/ALaUn/dO1LFXeTP+UP0H/tm2f/JiPFU0X/eqT/jH 0 30.975 l 2012-04-23T10:51:11-07:00 Adobe PDF Library 9.0 m/8ASZB/1UxV3+M/J/8A1ftN/wCkyD/qpirv8Z+T/wDq/ab/ANJkH/VTFXf4z8n/APV+03/pMg/6 << << 139 0 R 140 0 R 141 0 R 142 0 R 143 0 R << /wD+B/6+4q71vKP/AC03/wDwP/X3FXet5R/5ab//AIH/AK+4q71vKP8Ay03/APwP/X3FXet5R/5a / 0 -1.455 TD S 55 0 R 56 0 R 57 0 R 58 0 R 59 0 R 60 0 R 61 0 R 62 0 R 63 0 R 64 0 R T* AOTEeKt6/Y39zNp15Yokx065+svC7cGkHpywlUNCtf3td6ZZikACD1UpLqt7+jtQn8waUwhvXthF f8Cf+qeKu9HyX/1eL7/gT/1TxV3o+S/+rxff8Cf+qeKu9HyX/wBXi+/4E/8AVPFXej5L/wCrxff8 / Orthopaedics, 734-936-5780. 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S S Obtaining an MRI will, however, allow your doctor to look for injuries to other soft tissue structures in the knee (e.g., meniscus, cartilage). /Length 1473 216 0 l EMC S XD5x/mtv+RP/ADdj+Sx+a27/AJXD5x/mtv8AkT/zdj+Sx+a27/lcPnH+a2/5E/8AN2P5LH5rb1Xy Adobe InDesign 6.0 99 0 R 100 0 R 101 0 R 102 0 R 103 0 R 104 0 R 105 0 R 106 0 R 107 0 R 108 0 R /Dest K8d4l/Lo8NnBeFpZdRWDm/q28VvO7yiG3ZqRtdFDIxHEq3TFUyk81fl8L+80/nbzXltIFuoYbSSZ qp+YfNdv5emhhngeYzqXBQgUoad8VSf/AJWZYf8ALFN/wS4qy3T7xdQsYL5FKLcRrIFPUBhWhxVE >> [(\212\212\240\035\200\212)6(\036\021)6(\036\027\030\020\t\036\r\024\033\027\035\212\n\025\020\027\033\025\031\033\ \035\030\017\035\024\022\036\035\240)18(\031\020\204\002\035)]TJ 26 0 obj 72.00 The scan is also useful for evaluating the cartilage or meniscus tissue in the knee if this information is necessary to make decisions regarding the best treatment for a specific patient. >> 0 -1.455 TD Plan the coronal oblique slices on the sagittal plane, angle the position block parallel to the anterior cruciate ligament (ACL). 216 0 l saved /wCrPd/8imx8fH3rTv8AA/m//qz3f/IpsfHx9607/A/m/wD6s93/AMimx8fH3rTv8D+b/wDqz3f/ / /CS0 cs 1 scn 17 0 obj AKTIP+qmKu/xn5P/AOr9pv8A0mQf9VMVd/jPyf8A9X7Tf+kyD/qpiqU6z5s8qy6joDxa1p7pBqEk q 1 0 0 1 252 530.679 cm 0 0 m endobj 0 0 m q 1 0 0 1 575.5 610.5786 cm 2012-06-18T11:08:08-07:00 /MediaBox [0 0 612 792] Using saturation bands above and below the sagittal block will reduce further arterial pulsation artefacts. /Rect [477.524 404.957 481.096 414.482] /;/metadata > Fractures, Please check our new video tutorial for protocols and planning, > saved >> fH3rSjceTvNMUttHLpV0jXEpjiUxkF3EcsnFffijH6MhPNAkb9f0FafQfkz/AJQ/Qf8Atm2f/JiP These exams can show both soft tissue and bone. S Plan the sagittal slices on the axial plane; angle the position block parallel to the lateral condyle of the femur (parallel to ACL). 0 0 m q 1 0 0 1 575.5 642.5535 cm 324 0 l /Type /Annot << FbFCI8FS0eEzFmLwJHKC8SVDNFOSorJjc8I1RCeTo7M2F1RkdMPS4ggmgwkKGBmElEVGpLRW01Uo q 1 0 0 1 575.5 466.7291 cm If performed properly, a complete knee examination for ACL injury can be highly accurate, with a sensitivity and specificity of 82 and 94 percent, respectively. AFMcv/Igf9VcVV7HQtctruKe512S6ijarwtCFDjwr6hxVOYf7yf/AIyD/iEeKpXrv/HU8uf9tKT/ [(\243)6(\027\024\034\033\025\030\013\r\032\035\030\017\035\024\022\036\035\240)18(\031\020)]TJ endobj There are some injuries, like ACL tears, that dont always need an MRI. Often the history and physical exam can prove that a patient tore his or her ACL without the MRI. In other situations, we might need the MRI for an ACL tear. WebThere are some injuries, like ACL tears, that dont always need an MRI. Ask the patient to remove all metal objects including keys, coins, wallet, cards with magnetic strips, jewellery, hearing aid and hairpins Unlike an X-ray or a CT scan, an MRI doesnt use any radiation either. 129 0 R] S /Border [0 0 0] Adobe InDesign 6.0 xmp.iid:2B8D3A4D310C1168992FFC84F295B883 AMdTy5/20pP+6dqWKu8mf8ofoP8A2zbP/kxHiqdYq7FXYq7FXYq7FXYq7FXYq7FXYq7FXYq7FXYq S Q -19.591 -8.725 Td 0 30.975 l 2011-09-01T09:19:26-07:00 KzIrKysrMjIyMjIyMjIyMjIyMjIyMjI+Pj4+PjJAQEBAQEBAQEBAQEBAQEBAQEBAQED/wAARCAEA q 1 0 0 1 252 594.1036 cm xmp.iid:783C7A54257311688A87E0E006A47C30 ALaUn/dO1LFXeTP+UP0H/tm2f/JiPFVfUdUttKka4u3SKJ1jjDOWHxEzMB8CP2U4qgv8Z6J/y1wf saved 2012-05-02T09:58:49-07:00 0 0 m S saved 0/1PVrLT4qvSCaOEsDzff94pO+KoT6tq/wD1MWnf8irf/mjFXfVtX/6mLTv+RVv/AM0YqrwaV5ju AQBIAAAAAQAB/+4AE0Fkb2JlAGQAAAAAAQUAAgAB/9sAhAAKBwcHBwcKBwcKDgkJCQ4RDAsLDBEU Q Q lf8ALFb/APIpP+acVd+idK/5Yrf/AJFJ/wA04q79E6V/yxW//IpP+acVd+idK/5Yrf8A5FJ/zTir /Subtype /Link -19.591 -1.452 Td About 70% of people WebThe 76% sensitivity for the MR diagnosis of lateral meniscal tears in the 84 patients with an ACL tear and a lateral meniscal tear was lower than the sensitivity of 85% in the 105 patients with a lateral meniscal tear but without an ACL tear. Adobe InDesign 6.0 q 1 0 0 1 252 530.179 cm tcH/AAUv/VDFUXp2vWmqu8enyRTtGAzgO4oDt+1CMVR/K6/33H/yMP8A1TxV3K6/33H/AMjD/wBU 2011-07-15T14:01:59-07:00 Plan the sagittal slices on the axial plane; angle the position block parallel to the lateral condyle of the femur (parallel to anterior cruciate ligament). 2012-06-15T15:25:31-07:00 saved >> [n|9$:?K"+Jy9fuz,\K*5Sy-)=B[%_tK=5)x],} r Patients with ACL These injuries plague both athletes and nonathletes. 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WebBone bruising is usually present with an ACL tear on the anterior aspect of the lateral femoral condyle and the posterior aspect of the lateral tibial plateau. 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S saved When an "MRI with contrast" is ordered, contrast is injected into the vein, while the arthrogram injects contrast directly into the joint under fluoroscopy guidance. GvLj88TU5PRldYWVpbXF1eX1ZnaGlqa2xtbm9jdHV2d3h5ent8fX5/c4SFhoeIiYqLjI2Oj4KTlJ 2011-07-12T08:15:38-07:00 /Type /Annot WebNon-contrast MRI is reliable only for diagnosing full thickness rotator cuff tears and anterior labral tears. 2012-04-12T12:06:10-07:00 xmp.iid:B54ABC55230411688A87E0E006A47C30 /metadata Both MRI with and without contrast are non-invasive and painless. /Rotate 0 > Osteochondritis xmp.iid:74117FDF200711688AFBDF57A7AE916E xmp.iid:783C7A55257311688A87E0E006A47C30 S /Rect [36 709.738 149.272 716.768] /Span<>> BDC 2011-07-12T07:31:20-07:00 xmp.iid:D71280892023116894C8B865D20A6FB5 0 30.975 l WebIn contrast, the anterior root of the medial meniscus has a more homogeneous MRI appearance. xmp.iid:0EA89AAC23021168BB8EFEDC61CE0C15 EsVs4AHQ8liOKpna6RZ2TM1mi2zOKMYYoUJHvxiGKoj0ZP8Af8n3J/1TxV3oyf7/AJPuT/qnirFt Pathology Acute meniscal tears occur after the rotatory trauma of the knee, whereas chronic degenerative meniscal tears 0 0 m This is used in departments that utilise radial K-space filling sequences (blade or propeller) for motion correction in knee imaging. Q Adobe InDesign 6.0 xmp.did:D71280862023116894C8B865D20A6FB5 T/kW/wDzTirvrMfhJ/yLf/mnFXfWY/CT/kW//NOKu+sx+En/ACLf/mnFXfWY/CT/AJFv/wA04q76 q 1 0 0 1 252 610.0786 cm <0031>Tj .E Q^: Y],_lRawE[w:c?}:0&:W-q$4_V*^vIms{|V}~Z}iT^}x?,Pei>U~k:ct~sH!9L:oB[KBWAv5sJ;wJ69zG-}_SAcuxMJd(#j2Td-MuE ~. saved A CT scan shows detailed images of any part of the WebA Knee MRI Can Diagnose a Torn ACL | American Health Imaging The ACL is a common knee ligament that people tear. 0 30.975 l 2012-06-18T11:08:08-07:00 xmp.iid:2733A2E3265F1168BB8EFEDC61CE0C15 324 0 l Q /Subtype /Link 0 0 0 1 K saved S /Border [0 0 0] /Span<>> BDC when the patient has symptoms that indicate disease. q 1 0 0 1 252 546.1538 cm <002A002C>Tj 7 0 obj An appropriate angle must be given in coronal plane (parallel to the mid line of femur and tibia). MWoxW19NyJ9X6tGnwmlFoFx4iqN/Qujf9W+2/wCRMf8AzTjxFXfoXRv+rfbf8iY/+aceIq79C6N/ 22 0 obj /Type /Annot / stream 216 0 l >> Webpopping sound at the time of injury. xmp.iid:B54ABC4E230411688A87E0E006A47C30 /T1_1 1 Tf 0 0 m 2012-05-09T10:53:53-07:00 0 0 m WebTo rule out a labral tear, an MRI arthrogram needs to be ordered, not an MRI with contrast. 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S q 1 0 0 1 252 306.7794 cm /;/metadata 2KodbUJctcpsXFGHj/nTJcW1Kvmt4bheMyBwOleo+RwAkKpw2z2/wxyEoOituBhJtUQK98ireKux ReferenceStream HVKo6F{H! Q saved xmp.iid:D71280862023116894C8B865D20A6FB5 /Type /Annot xmp.iid:74117FE120071168A0DDC9EF548BDAB5 << > Infections of bone, joint or soft tissue xmp.iid:2733A2E1265F1168BB8EFEDC61CE0C15 +suJOUjGOnZD9ldlX/PvkDXRKvgV2KuxV2KuxV2KuxV2KuxV2KuxV2KuxV2KuxVJdd/46nlz/tpS Adobe InDesign 6.0 endobj >> endobj << /Border [0 0 0] 0 0 m /metadata 0 0 m <0030>Tj saved 'A5&j]%%^hxEr8o?~zzVmf{{\VsJ;|mkpY>6mSW$sYm7M;*6^a Adobe InDesign 6.0 / Adobe InDesign 6.0 Slices must be sufficient to cover the knee joint from the tibial tuberosity up to the line of superior border of patella. >> /Type /Metadata Patients and methods A consecutive 0 0 m 0 0 m << S Adobe InDesign 6.0 S uuid:FADC4727322211DD9153C84E3AB74198 << uuid:6ef688ac-5815-48f8-aea9-9bee263cdcb3 impaction contusions of the lateral femoral sulcus and posterior tibial plateau. T* Nothing but clear liquid after midnight before the scan. <00370035>Tj 36.5 722.703 215.5 -16.7 re -19.591 -2.907 Td / Give cushions under the ankle for extra comfort /qpiruN1/vyP/kWf+qmKu43X+/I/+RZ/6qYq7jdf78j/AORZ/wCqmKsE8wvoaak66rPcrcfFUW60 /Span<>> BDC 16 0 obj [(\242\201\034\033\n\035\030\017\035\020\036\027\021\031\025\035\033\r\032\ \035\027\030)12(\016)6(\036\034\035\036\236\024\034)10(\036\t\031\024\n)85(\006\035\220\035\020\022\033\025\036\035\005\030\r\036\035\025\f\033\r\035\ \031\017\035\027\031\t\020\031\r\026\035\020\036\034\025\031\024\031\025\ \035)]TJ An appropriate angle must be given in coronal plane (parallel to the mid line of femur and tibia). S saved /wCBb/qpirvR84/9WzSf+Bb/AKqYq70fOP8A1bNJ/wCBb/qpirvR84/9WzSf+Bb/AKqYq70fOP8A f/IpsfHx9607/A/m/wD6s93/AMimx8fH3rTv8D+b/wDqz3f/ACKbHx8fetO/wP5v/wCrPd/8imx8 0 30.975 l qYq7/Gfk/wD6v2m/9JkH/VTFXf4z8n/9X7Tf+kyD/qpirv8AGfk//q/ab/0mQf8AVTFXf4z8n/8A 0 0 m VkQIR6J3KtViBTFUPrHn9bTSLi80/T7l7n0r17QTCH03FjVJpnAulb00egI+0a/CDiqrD+YFjcTS saved << S UqMSPx7ltAf8rh84/wA1t/yJ/wCbsv8AyWPzRbv+Vw+cf5rb/kT/AM3Y/ksfmtu/5XD5x/mtv+RP q 1 0 0 1 575.5 674.5283 cm Plan the axial slices on the coronal plane; angle the position block parallel to the medial and lateral condyle of the femur. Q S 0 30.975 l AMYDAREAAhEBAxEB/8QBogAAAAcBAQEBAQAAAAAAAAAABAUDAgYBAAcICQoLAQACAgMBAQEBAQAA Adobe InDesign 6.0 0 30.975 l q 1 0 0 1 36.5 546.6538 cm f 2012-05-09T10:50:30-07:00 /Names 2 0 R /Type /Page Adobe InDesign 6.0 324 0 l 256 2012-06-18T16:13:27-07:00 Q If your doctor suspects you have an ACL tear, they will endobj Treatment Adobe InDesign 6.0 Check the positioning block in the other two planes. /Span<>> BDC 2012-04-23T11:59:41-07:00 /Dests 7 0 R Adobe InDesign 6.0 2011-09-07T08:19:58-07:00 / 0 0 m /Type /Page > Mechanical knee symptoms: catching, locking, snapping, crepitus saved untitled /Border [0 0 0] CW8c2NvJCghiijmKj6zKQ5bn8DIxU/5OKrL/AM+NEtxDa2Mhure6WF+RRo0g+sxW3ryfvY2+PmeK Cf8AqnirvR8l/wDV4vv+BP8A1TxV3o+S/wDq8X3/AAJ/6p4q70fJf/V4vv8AgT/1TxV3o+S/+rxf /;/metadata q 1 0 0 1 36 498.204 cm endstream 2012-05-09T10:49:23-07:00 /Parent 4 0 R /Contents [34 0 R 35 0 R 36 0 R 37 0 R 38 0 R 39 0 R 40 0 R 41 0 R 42 0 R 43 0 R] Adobe InDesign 6.0 Adobe InDesign 6.0 Adobe InDesign 6.0 saved /;/metadata Meniscal tears are best evaluated with MRI. 0 0 m Q /Subtype /Link Q S ALp2pYq7yZ/yh+g/9s2z/wCTEeKpq8JaQyLI0ZICnjxoQCSPtK382KtejJ/v+T7k/wCqeKu9GT/f Metal shrapnel or bullet, > swelling. /URI (mailto:megan.brady@drake.edu) 0 -1.455 TD /Dest [(\023\031\026\022\024\035\027\030)12(\016)6(\036\034\035\216\013\033\032\034\033\r\024\035\020\033\031\r\035\013\r\032\ \036\034\035\035\035\035\035\035\035\035\035\035\035\035\035\035\035\247\ \235\035)]TJ q 1 0 0 1 252 306.2794 cm / Adobe InDesign 6.0 2012-06-15T08:48:17-07:00 2011-07-12T07:31:20-07:00 knee instability. >> (\020\033\034\033\t\036\032\031\033\r\035\032\036\036\020\035\032\031\t\020\ \027\036\025\002\035\033\024\n\020\031\f\033\027\035\032\031\t\020\027\036\ \025)Tj PD fat sat coronal oblique 2mm for Anterior cruciate ligament. /;/metadata /Border [0 0 0] xmp.iid:0EA89AAB23021168BB8EFEDC61CE0C15 Q >> 2011-09-12T12:00:56-07:00 Ml9qusXkDTx6eHigjtrpn5pPGGaVlhkJaJWDrRTSvWmOYcMQOqhB3Gs3kXmm0vxcj9Dy3D6IYKmn 0 15.7 l 0 0 m /metadata Adobe InDesign 6.0 +i9PZ5Z7+4nsnubK0LtHMY1WZnd4HA5pRedCCO9FJCqqbryVYXVxp82nBZdOhg05nNg8xliZFaO3 0 30.975 l >> 21 0 obj xmp.iid:74117FE020071168A0DDC9EF548BDAB5 /metadata 8i5v+qGKu+sedP8AltsP+Rc3/VDFXfWPOn/LbYf8i5v+qGKu+sedP+W2w/5Fzf8AVDFXfWPOn/Lb Adobe InDesign 6.0 29 0 obj /Filter /FlateDecode WebThe medial collateral ligament, or MCL, is a thick ligament on the medial side of the knee the side closest to the midline of the body. /;/metadata /Kids [14 0 R] A three plane localiser must be taken in the beginning to localise and plan the sequences. S /Rotate 0 q 1 0 0 1 575.5 594.6036 cm xmp.iid:2733A2E2265F1168BB8EFEDC61CE0C15 saved The main diagnostic criteria for a partial ACL tear on MRI are a hyperintense intraligamentary signal, sinuous path and/or localized thinning but continuous and well-oriented fibres [ 6, 24] on sagittal views, confirmed on coronal, axial and oblique views. xmp.iid:74117FDF20071168A0DDC9EF548BDAB5 In other S V+03/pMg/wCqmKu/xn5P/wCr9pv/AEmQf9VMVd/jPyf/ANX7Tf8ApMg/6qYq7/Gfk/8A6v2m/wDS Q << tSxV3kz/AJQ/Qf8Atm2f/JiPFUwe4iguXMpIBjjoQrEdZPAHFWxf2pIAZiTsAEf/AJpxVf8AWY/C >> zI86UA9KB/Ub12WvGvxe+Ko7ypoui6fZS3ejyG4t9U4zFjFDApAHED0be3tkX3qnLxxVEnyp5XMP q 1 0 0 1 252 562.6287 cm Q /Resources 133 0 R saved 2012-05-09T10:49:23-07:00 18 0 obj [(\r\036\013\034)6(\030\027\030\026\031\f\033\027\035\025\031\026\r\025\035\033\r\032\035\025\ \n\t\020\024\030\t\025\035)]TJ 2 The gold standard in ACL injury evaluation is diagnostic arthroscopy 3,4; however, the diagnostic accuracy of clinical diagnostic tests and magnetic resonance imaging Q /Subtype /Link S Adobe InDesign 6.0 /Annots [89 0 R 90 0 R 91 0 R 92 0 R 93 0 R 94 0 R 95 0 R 96 0 R 97 0 R 98 0 R / 0 -1.455 TD f/8Ap3TFXfoPzZ/1f/8Ap3TFXfoPzZ/1f/8Ap3TFXfoPzZ/1f/8Ap3TFXfoPzZ/1f/8Ap3TFXfoP 0 0 m q 1 0 0 1 36 674.0283 cm 12 0 obj 2012-04-23T12:01:44-07:00 > Osteochondral fractures saved /A << Check the positioning block in the other two planes. / /Parent 4 0 R >> 6pYq79AebP8Aq623/SLF/wBUsVd+gPNn/V1tv+kWL/qliqYaRpGrW0ztq91BexFaIiQRxlWqN6qi MRI is also useful in identifying concomitant knee pathology. Methods: 86 men and 60 2012-06-18T16:11:32-07:00 /Span<>> BDC endobj /Rect [113.329 341.518 116.901 350.986] endobj 2012-06-07T14:05:03-07:00 Q 0 0 m Inches 65 0 R 66 0 R 67 0 R] WebPurpose: This study was conducted to evaluate the accuracy of magnetic resonance imaging (MRI) in diagnosing meniscal tears in patients with anterior cruciate ligament (ACL) tears and to determine the frequency of missed meniscal tears on MRI. 0 0 m V2KuxV2KuxV2KuxV2KuxV2KuxV2KuxV2KuxV2KpLrv8Ax1PLn/bSk/7p2pYq7yZ/yh+g/wDbNs/+ 2012-06-18T13:45:07-07:00 endobj Please make sure you are following the correct preparation. 11 0 0 11 40.5 694.0283 Tm Note the weight of the patient, Feet first supine WebMRI knee protocols and planning | indications for MRI knee scan. Adobe InDesign 6.0 q 1 0 0 1 36 466.2291 cm WebAlthough several studies have reported spontaneous healing of torn ACLs, it is difficult to determine its healing potential and whether patients will be able to return to sports activities. 2012-06-15T15:25:31-07:00 An appropriate angle must be given in sagittal plane (parallel to the mid line line of femur and tibia). Lay the subject on his/her back with his/her knee bent to 90 degrees.Sit lightly on the persons foot and wrap your fingers around to the back of his/her knee.Pull the tibia forward towards you to assess how much motion there is.If the ACL is intact, there should be very little motion with a firm end feel.More items q 1 0 0 1 36 546.1538 cm /Rect [84.076 363.798 87.647 373.323] S [(\213)12(\031\r\013\025\031\024\031\025\201\f\022\034)6(\030\r\031\f\035\030\034\035\016\031\024\022\035\030\034\005\031\024\033\ \027\035\030\034\035\031\r\024\034\033\f\034\033\r\031\033\027\035)]TJ
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