arXiv subjects

Reza Azad

Publications and source records attributed to Reza Azad.

At least 37 records · Page 2Linked to original sources

arXiv2023

Laplacian-Former: Overcoming the Limitations of Vision Transformers in Local Texture Detection

Vision Transformer (ViT) models have demonstrated a breakthrough in a wide range of computer vision tasks. However, compared to the Convolutional Neural Network (CNN) models, it has been observed that the ViT models struggle to capture high-frequency components of images, which can limit their ability to detect local textures and edge information. As abnormalities in human tissue, such as tumors and lesions, may greatly vary in structure, texture, and shape, high-frequency information such as texture is crucial for effective semantic segmentation tasks. To address this limitation in ViT models, we propose a new technique, Laplacian-Former, that enhances the self-attention map by adaptively re-calibrating the frequency information in a Laplacian pyramid. More specifically, our proposed method utilizes a dual attention mechanism via efficient attention and frequency attention while the efficient attention mechanism reduces the complexity of self-attention to linear while producing the same output, selectively intensifying the contribution of shape and texture features. Furthermore, we introduce a novel efficient enhancement multi-scale bridge that effectively transfers spatial information from the encoder to the decoder while preserving the fundamental features. We demonstrate the efficacy of Laplacian-former on multi-organ and skin lesion segmentation tasks with +1.87\% and +0.76\% dice scores compared to SOTA approaches, respectively. Our implementation is publically available at https://github.com/mindflow-institue/Laplacian-Former

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arXiv2023

Beyond Self-Attention: Deformable Large Kernel Attention for Medical Image Segmentation

Medical image segmentation has seen significant improvements with transformer models, which excel in grasping far-reaching contexts and global contextual information. However, the increasing computational demands of these models, proportional to the squared token count, limit their depth and resolution capabilities. Most current methods process D volumetric image data slice-by-slice (called pseudo 3D), missing crucial inter-slice information and thus reducing the model's overall performance. To address these challenges, we introduce the concept of \textbf{Deformable Large Kernel Attention (D-LKA Attention)}, a streamlined attention mechanism employing large convolution kernels to fully appreciate volumetric context. This mechanism operates within a receptive field akin to self-attention while sidestepping the computational overhead. Additionally, our proposed attention mechanism benefits from deformable convolutions to flexibly warp the sampling grid, enabling the model to adapt appropriately to diverse data patterns. We designed both 2D and 3D adaptations of the D-LKA Attention, with the latter excelling in cross-depth data understanding. Together, these components shape our novel hierarchical Vision Transformer architecture, the \textit{D-LKA Net}. Evaluations of our model against leading methods on popular medical segmentation datasets (Synapse, NIH Pancreas, and Skin lesion) demonstrate its superior performance. Our code implementation is publicly available at the: https://github.com/mindflow-institue/deformableLKA

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arXiv2023

Self-supervised Semantic Segmentation: Consistency over Transformation

Accurate medical image segmentation is of utmost importance for enabling automated clinical decision procedures. However, prevailing supervised deep learning approaches for medical image segmentation encounter significant challenges due to their heavy dependence on extensive labeled training data. To tackle this issue, we propose a novel self-supervised algorithm, \textbf{S$^3$-Net}, which integrates a robust framework based on the proposed Inception Large Kernel Attention (I-LKA) modules. This architectural enhancement makes it possible to comprehensively capture contextual information while preserving local intricacies, thereby enabling precise semantic segmentation. Furthermore, considering that lesions in medical images often exhibit deformations, we leverage deformable convolution as an integral component to effectively capture and delineate lesion deformations for superior object boundary definition. Additionally, our self-supervised strategy emphasizes the acquisition of invariance to affine transformations, which is commonly encountered in medical scenarios. This emphasis on robustness with respect to geometric distortions significantly enhances the model's ability to accurately model and handle such distortions. To enforce spatial consistency and promote the grouping of spatially connected image pixels with similar feature representations, we introduce a spatial consistency loss term. This aids the network in effectively capturing the relationships among neighboring pixels and enhancing the overall segmentation quality. The S$^3$-Net approach iteratively learns pixel-level feature representations for image content clustering in an end-to-end manner. Our experimental results on skin lesion and lung organ segmentation tasks show the superior performance of our method compared to the SOTA approaches. https://github.com/mindflow-institue/SSCT

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arXiv2023

DermoSegDiff: A Boundary-aware Segmentation Diffusion Model for Skin Lesion Delineation

Skin lesion segmentation plays a critical role in the early detection and accurate diagnosis of dermatological conditions. Denoising Diffusion Probabilistic Models (DDPMs) have recently gained attention for their exceptional image-generation capabilities. Building on these advancements, we propose DermoSegDiff, a novel framework for skin lesion segmentation that incorporates boundary information during the learning process. Our approach introduces a novel loss function that prioritizes the boundaries during training, gradually reducing the significance of other regions. We also introduce a novel U-Net-based denoising network that proficiently integrates noise and semantic information inside the network. Experimental results on multiple skin segmentation datasets demonstrate the superiority of DermoSegDiff over existing CNN, transformer, and diffusion-based approaches, showcasing its effectiveness and generalization in various scenarios. The implementation is publicly accessible on \href{https://github.com/mindflow-institue/dermosegdiff}{GitHub}

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arXiv2023

Implicit Neural Representation in Medical Imaging: A Comparative Survey

Implicit neural representations (INRs) have gained prominence as a powerful paradigm in scene reconstruction and computer graphics, demonstrating remarkable results. By utilizing neural networks to parameterize data through implicit continuous functions, INRs offer several benefits. Recognizing the potential of INRs beyond these domains, this survey aims to provide a comprehensive overview of INR models in the field of medical imaging. In medical settings, numerous challenging and ill-posed problems exist, making INRs an attractive solution. The survey explores the application of INRs in various medical imaging tasks, such as image reconstruction, segmentation, registration, novel view synthesis, and compression. It discusses the advantages and limitations of INRs, highlighting their resolution-agnostic nature, memory efficiency, ability to avoid locality biases, and differentiability, enabling adaptation to different tasks. Furthermore, the survey addresses the challenges and considerations specific to medical imaging data, such as data availability, computational complexity, and dynamic clinical scene analysis. It also identifies future research directions and opportunities, including integration with multi-modal imaging, real-time and interactive systems, and domain adaptation for clinical decision support. To facilitate further exploration and implementation of INRs in medical image analysis, we have provided a compilation of cited studies along with their available open-source implementations on \href{https://github.com/mindflow-institue/Awesome-Implicit-Neural-Representations-in-Medical-imaging}. Finally, we aim to consistently incorporate the most recent and relevant papers regularly.

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arXiv2023

DAE-Former: Dual Attention-guided Efficient Transformer for Medical Image Segmentation

Transformers have recently gained attention in the computer vision domain due to their ability to model long-range dependencies. However, the self-attention mechanism, which is the core part of the Transformer model, usually suffers from quadratic computational complexity with respect to the number of tokens. Many architectures attempt to reduce model complexity by limiting the self-attention mechanism to local regions or by redesigning the tokenization process. In this paper, we propose DAE-Former, a novel method that seeks to provide an alternative perspective by efficiently designing the self-attention mechanism. More specifically, we reformulate the self-attention mechanism to capture both spatial and channel relations across the whole feature dimension while staying computationally efficient. Furthermore, we redesign the skip connection path by including the cross-attention module to ensure the feature reusability and enhance the localization power. Our method outperforms state-of-the-art methods on multi-organ cardiac and skin lesion segmentation datasets without requiring pre-training weights. The code is publicly available at https://github.com/mindflow-institue/DAEFormer.

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arXiv2023

Self-supervised Few-shot Learning for Semantic Segmentation: An Annotation-free Approach

Few-shot semantic segmentation (FSS) offers immense potential in the field of medical image analysis, enabling accurate object segmentation with limited training data. However, existing FSS techniques heavily rely on annotated semantic classes, rendering them unsuitable for medical images due to the scarcity of annotations. To address this challenge, multiple contributions are proposed: First, inspired by spectral decomposition methods, the problem of image decomposition is reframed as a graph partitioning task. The eigenvectors of the Laplacian matrix, derived from the feature affinity matrix of self-supervised networks, are analyzed to estimate the distribution of the objects of interest from the support images. Secondly, we propose a novel self-supervised FSS framework that does not rely on any annotation. Instead, it adaptively estimates the query mask by leveraging the eigenvectors obtained from the support images. This approach eliminates the need for manual annotation, making it particularly suitable for medical images with limited annotated data. Thirdly, to further enhance the decoding of the query image based on the information provided by the support image, we introduce a multi-scale large kernel attention module. By selectively emphasizing relevant features and details, this module improves the segmentation process and contributes to better object delineation. Evaluations on both natural and medical image datasets demonstrate the efficiency and effectiveness of our method. Moreover, the proposed approach is characterized by its generality and model-agnostic nature, allowing for seamless integration with various deep architectures. The code is publicly available at \href{https://github.com/mindflow-institue/annotation_free_fewshot}{\textcolor{magenta}{GitHub}}.

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arXiv2023

Diffusion Models for Medical Image Analysis: A Comprehensive Survey

Denoising diffusion models, a class of generative models, have garnered immense interest lately in various deep-learning problems. A diffusion probabilistic model defines a forward diffusion stage where the input data is gradually perturbed over several steps by adding Gaussian noise and then learns to reverse the diffusion process to retrieve the desired noise-free data from noisy data samples. Diffusion models are widely appreciated for their strong mode coverage and quality of the generated samples despite their known computational burdens. Capitalizing on the advances in computer vision, the field of medical imaging has also observed a growing interest in diffusion models. To help the researcher navigate this profusion, this survey intends to provide a comprehensive overview of diffusion models in the discipline of medical image analysis. Specifically, we introduce the solid theoretical foundation and fundamental concepts behind diffusion models and the three generic diffusion modelling frameworks: diffusion probabilistic models, noise-conditioned score networks, and stochastic differential equations. Then, we provide a systematic taxonomy of diffusion models in the medical domain and propose a multi-perspective categorization based on their application, imaging modality, organ of interest, and algorithms. To this end, we cover extensive applications of diffusion models in the medical domain. Furthermore, we emphasize the practical use case of some selected approaches, and then we discuss the limitations of the diffusion models in the medical domain and propose several directions to fulfill the demands of this field. Finally, we gather the overviewed studies with their available open-source implementations at https://github.com/amirhossein-kz/Awesome-Diffusion-Models-in-Medical-Imaging.

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arXiv2023

Enhancing Medical Image Segmentation with TransCeption: A Multi-Scale Feature Fusion Approach

While CNN-based methods have been the cornerstone of medical image segmentation due to their promising performance and robustness, they suffer from limitations in capturing long-range dependencies. Transformer-based approaches are currently prevailing since they enlarge the reception field to model global contextual correlation. To further extract rich representations, some extensions of the U-Net employ multi-scale feature extraction and fusion modules and obtain improved performance. Inspired by this idea, we propose TransCeption for medical image segmentation, a pure transformer-based U-shape network featured by incorporating the inception-like module into the encoder and adopting a contextual bridge for better feature fusion. The design proposed in this work is based on three core principles: (1) The patch merging module in the encoder is redesigned with ResInception Patch Merging (RIPM). Multi-branch transformer (MB transformer) adopts the same number of branches as the outputs of RIPM. Combining the two modules enables the model to capture a multi-scale representation within a single stage. (2) We construct an Intra-stage Feature Fusion (IFF) module following the MB transformer to enhance the aggregation of feature maps from all the branches and particularly focus on the interaction between the different channels of all the scales. (3) In contrast to a bridge that only contains token-wise self-attention, we propose a Dual Transformer Bridge that also includes channel-wise self-attention to exploit correlations between scales at different stages from a dual perspective. Extensive experiments on multi-organ and skin lesion segmentation tasks present the superior performance of TransCeption compared to previous work. The code is publicly available at \url{https://github.com/mindflow-institue/TransCeption}.

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arXiv2023

HiFormer: Hierarchical Multi-scale Representations Using Transformers for Medical Image Segmentation

Convolutional neural networks (CNNs) have been the consensus for medical image segmentation tasks. However, they suffer from the limitation in modeling long-range dependencies and spatial correlations due to the nature of convolution operation. Although transformers were first developed to address this issue, they fail to capture low-level features. In contrast, it is demonstrated that both local and global features are crucial for dense prediction, such as segmenting in challenging contexts. In this paper, we propose HiFormer, a novel method that efficiently bridges a CNN and a transformer for medical image segmentation. Specifically, we design two multi-scale feature representations using the seminal Swin Transformer module and a CNN-based encoder. To secure a fine fusion of global and local features obtained from the two aforementioned representations, we propose a Double-Level Fusion (DLF) module in the skip connection of the encoder-decoder structure. Extensive experiments on various medical image segmentation datasets demonstrate the effectiveness of HiFormer over other CNN-based, transformer-based, and hybrid methods in terms of computational complexity, and quantitative and qualitative results. Our code is publicly available at: https://github.com/amirhossein-kz/HiFormer

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arXiv2022

Medical Image Segmentation Review: The success of U-Net

Automatic medical image segmentation is a crucial topic in the medical domain and successively a critical counterpart in the computer-aided diagnosis paradigm. U-Net is the most widespread image segmentation architecture due to its flexibility, optimized modular design, and success in all medical image modalities. Over the years, the U-Net model achieved tremendous attention from academic and industrial researchers. Several extensions of this network have been proposed to address the scale and complexity created by medical tasks. Addressing the deficiency of the naive U-Net model is the foremost step for vendors to utilize the proper U-Net variant model for their business. Having a compendium of different variants in one place makes it easier for builders to identify the relevant research. Also, for ML researchers it will help them understand the challenges of the biological tasks that challenge the model. To address this, we discuss the practical aspects of the U-Net model and suggest a taxonomy to categorize each network variant. Moreover, to measure the performance of these strategies in a clinical application, we propose fair evaluations of some unique and famous designs on well-known datasets. We provide a comprehensive implementation library with trained models for future research. In addition, for ease of future studies, we created an online list of U-Net papers with their possible official implementation. All information is gathered in https://github.com/NITR098/Awesome-U-Net repository.

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arXiv2022

Attention Swin U-Net: Cross-Contextual Attention Mechanism for Skin Lesion Segmentation

Melanoma is caused by the abnormal growth of melanocytes in human skin. Like other cancers, this life-threatening skin cancer can be treated with early diagnosis. To support a diagnosis by automatic skin lesion segmentation, several Fully Convolutional Network (FCN) approaches, specifically the U-Net architecture, have been proposed. The U-Net model with a symmetrical architecture has exhibited superior performance in the segmentation task. However, the locality restriction of the convolutional operation incorporated in the U-Net architecture limits its performance in capturing long-range dependency, which is crucial for the segmentation task in medical images. To address this limitation, recently a Transformer based U-Net architecture that replaces the CNN blocks with the Swin Transformer module has been proposed to capture both local and global representation. In this paper, we propose Att-SwinU-Net, an attention-based Swin U-Net extension, for medical image segmentation. In our design, we seek to enhance the feature re-usability of the network by carefully designing the skip connection path. We argue that the classical concatenation operation utilized in the skip connection path can be further improved by incorporating an attention mechanism. By performing a comprehensive ablation study on several skin lesion segmentation datasets, we demonstrate the effectiveness of our proposed attention mechanism.

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arXiv2022

TransDeepLab: Convolution-Free Transformer-based DeepLab v3+ for Medical Image Segmentation

Convolutional neural networks (CNNs) have been the de facto standard in a diverse set of computer vision tasks for many years. Especially, deep neural networks based on seminal architectures such as U-shaped models with skip-connections or atrous convolution with pyramid pooling have been tailored to a wide range of medical image analysis tasks. The main advantage of such architectures is that they are prone to detaining versatile local features. However, as a general consensus, CNNs fail to capture long-range dependencies and spatial correlations due to the intrinsic property of confined receptive field size of convolution operations. Alternatively, Transformer, profiting from global information modelling that stems from the self-attention mechanism, has recently attained remarkable performance in natural language processing and computer vision. Nevertheless, previous studies prove that both local and global features are critical for a deep model in dense prediction, such as segmenting complicated structures with disparate shapes and configurations. To this end, this paper proposes TransDeepLab, a novel DeepLab-like pure Transformer for medical image segmentation. Specifically, we exploit hierarchical Swin-Transformer with shifted windows to extend the DeepLabv3 and model the Atrous Spatial Pyramid Pooling (ASPP) module. A thorough search of the relevant literature yielded that we are the first to model the seminal DeepLab model with a pure Transformer-based model. Extensive experiments on various medical image segmentation tasks verify that our approach performs superior or on par with most contemporary works on an amalgamation of Vision Transformer and CNN-based methods, along with a significant reduction of model complexity. The codes and trained models are publicly available at https://github.com/rezazad68/transdeeplab

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arXiv2022

TransNorm: Transformer Provides a Strong Spatial Normalization Mechanism for a Deep Segmentation Model

In the past few years, convolutional neural networks (CNNs), particularly U-Net, have been the prevailing technique in the medical image processing era. Specifically, the seminal U-Net, as well as its alternatives, have successfully managed to address a wide variety of medical image segmentation tasks. However, these architectures are intrinsically imperfect as they fail to exhibit long-range interactions and spatial dependencies leading to a severe performance drop in the segmentation of medical images with variable shapes and structures. Transformers, preliminary proposed for sequence-to-sequence prediction, have arisen as surrogate architectures to precisely model global information assisted by the self-attention mechanism. Despite being feasibly designed, utilizing a pure Transformer for image segmentation purposes can result in limited localization capacity stemming from inadequate low-level features. Thus, a line of research strives to design robust variants of Transformer-based U-Net. In this paper, we propose Trans-Norm, a novel deep segmentation framework which concomitantly consolidates a Transformer module into both encoder and skip-connections of the standard U-Net. We argue that the expedient design of skip-connections can be crucial for accurate segmentation as it can assist in feature fusion between the expanding and contracting paths. In this respect, we derive a Spatial Normalization mechanism from the Transformer module to adaptively recalibrate the skip connection path. Extensive experiments across three typical tasks for medical image segmentation demonstrate the effectiveness of TransNorm. The codes and trained models are publicly available at https://github.com/rezazad68/transnorm.

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arXiv2022

Intervertebral Disc Labeling With Learning Shape Information, A Look Once Approach

Accurate and automatic segmentation of intervertebral discs from medical images is a critical task for the assessment of spine-related diseases such as osteoporosis, vertebral fractures, and intervertebral disc herniation. To date, various approaches have been developed in the literature which routinely relies on detecting the discs as the primary step. A disadvantage of many cohort studies is that the localization algorithm also yields false-positive detections. In this study, we aim to alleviate this problem by proposing a novel U-Net-based structure to predict a set of candidates for intervertebral disc locations. In our design, we integrate the image shape information (image gradients) to encourage the model to learn rich and generic geometrical information. This additional signal guides the model to selectively emphasize the contextual representation and suppress the less discriminative features. On the post-processing side, to further decrease the false positive rate, we propose a permutation invariant 'look once' model, which accelerates the candidate recovery procedure. In comparison with previous studies, our proposed approach does not need to perform the selection in an iterative fashion. The proposed method was evaluated on the spine generic public multi-center dataset and demonstrated superior performance compared to previous work. We have provided the implementation code in https://github.com/rezazad68/intervertebral-lookonce

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arXiv2022

SMU-Net: Style matching U-Net for brain tumor segmentation with missing modalities

Gliomas are one of the most prevalent types of primary brain tumours, accounting for more than 30\% of all cases and they develop from the glial stem or progenitor cells. In theory, the majority of brain tumours could well be identified exclusively by the use of Magnetic Resonance Imaging (MRI). Each MRI modality delivers distinct information on the soft tissue of the human brain and integrating all of them would provide comprehensive data for the accurate segmentation of the glioma, which is crucial for the patient's prognosis, diagnosis, and determining the best follow-up treatment. Unfortunately, MRI is prone to artifacts for a variety of reasons, which might result in missing one or more MRI modalities. Various strategies have been proposed over the years to synthesize the missing modality or compensate for the influence it has on automated segmentation models. However, these methods usually fail to model the underlying missing information. In this paper, we propose a style matching U-Net (SMU-Net) for brain tumour segmentation on MRI images. Our co-training approach utilizes a content and style-matching mechanism to distill the informative features from the full-modality network into a missing modality network. To do so, we encode both full-modality and missing-modality data into a latent space, then we decompose the representation space into a style and content representation. Our style matching module adaptively recalibrates the representation space by learning a matching function to transfer the informative and textural features from a full-modality path into a missing-modality path. Moreover, by modelling the mutual information, our content module surpasses the less informative features and re-calibrates the representation space based on discriminative semantic features. The evaluation process on the BraTS 2018 dataset shows a significant results.

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arXiv2022

Contextual Attention Network: Transformer Meets U-Net

Currently, convolutional neural networks (CNN) (e.g., U-Net) have become the de facto standard and attained immense success in medical image segmentation. However, as a downside, CNN based methods are a double-edged sword as they fail to build long-range dependencies and global context connections due to the limited receptive field that stems from the intrinsic characteristics of the convolution operation. Hence, recent articles have exploited Transformer variants for medical image segmentation tasks which open up great opportunities due to their innate capability of capturing long-range correlations through the attention mechanism. Although being feasibly designed, most of the cohort studies incur prohibitive performance in capturing local information, thereby resulting in less lucidness of boundary areas. In this paper, we propose a contextual attention network to tackle the aforementioned limitations. The proposed method uses the strength of the Transformer module to model the long-range contextual dependency. Simultaneously, it utilizes the CNN encoder to capture local semantic information. In addition, an object-level representation is included to model the regional interaction map. The extracted hierarchical features are then fed to the contextual attention module to adaptively recalibrate the representation space using the local information. Then, they emphasize the informative regions while taking into account the long-range contextual dependency derived by the Transformer module. We validate our method on several large-scale public medical image segmentation datasets and achieve state-of-the-art performance. We have provided the implementation code in https://github.com/rezazad68/TMUnet.

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arXiv2022

Medical Image Segmentation on MRI Images with Missing Modalities: A Review

Dealing with missing modalities in Magnetic Resonance Imaging (MRI) and overcoming their negative repercussions is considered a hurdle in biomedical imaging. The combination of a specified set of modalities, which is selected depending on the scenario and anatomical part being scanned, will provide medical practitioners with full information about the region of interest in the human body, hence the missing MRI sequences should be reimbursed. The compensation of the adverse impact of losing useful information owing to the lack of one or more modalities is a well-known challenge in the field of computer vision, particularly for medical image processing tasks including tumour segmentation, tissue classification, and image generation. Various approaches have been developed over time to mitigate this problem's negative implications and this literature review goes through a significant number of the networks that seek to do so. The approaches reviewed in this work are reviewed in detail, including earlier techniques such as synthesis methods as well as later approaches that deploy deep learning, such as common latent space models, knowledge distillation networks, mutual information maximization, and generative adversarial networks (GANs). This work discusses the most important approaches that have been offered at the time of this writing, examining the novelty, strength, and weakness of each one. Furthermore, the most commonly used MRI datasets are highlighted and described. The main goal of this research is to offer a performance evaluation of missing modality compensating networks, as well as to outline future strategies for dealing with this issue.

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