Neuron Specific Enolase (NSE)

Neuron Specific Enolase (NSE)
NSE atau Neuron Specific Enolase merupakan salah satu protein penting pada neuron dan sel neuroendokrin

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Definisi

NSE atau Neuron Specific Enolase merupakan salah satu protein penting pada neuron dan sel neuroendokrin. Pemeriksaan ini merupakan indikator sensitif yang digunakan dalam memeriksa keparahan dari kerusakan sel saraf dan perkiraan diagnosis. Pemeriksaan NSE merupakan marker untuk tumor seperti kanker paru paru jaringan kecil dan neuroblastoma (small cell lung cancer - SCLC). Pemeriksaan ini menggunakan sampel darah dimana juga digunakan dalam mengawasi atau monitoring pasien dengan karsinoma jaringan kecil paru-paru.

Pemeriksaan darah NSE umumnya digunakan juga sebagai pemeriksaan tambahan pada pasien dengan tumor yang mengeluarkan serta pemeriksaan selama terapi pengobatan kanker paru-paru SCLC. Bila perawatan berhasil, nilai NSE seharusnya akan menurun sedangkan bila nilai pemeriksaan NSE tetap atau terjadi peningkatan, hal ini dapat menandakan adanya kondisi lain yang dapat menyebabkan peningkatan nilai seperti tumor yang menetap, penyebaran tumor atau kekambuhan kembali.

Pemeriksaan darah NSE bukanlah pemeriksaan diagnosis sehingga hasil pemeriksaan perlu dipertimbangkan dengan pemeriksaan diagnosis lainnya untuk menegakkan diagnosis. Nilai NSE dapat berbeda dalam suatu periode waktu sehingga diperlukan pemeriksaan berkala.

 

Indikasi

Pemeriksaan ini dilakukan untuk memonitor respon tubuh terhadap pengobatan dari kanker paru-paru. Pemeriksaan NSE tidak digunakan untuk pemeriksaan awal atau pemeriksaan diagnosis untuk mengetahui dari kanker paru-paru melainkan merupakan pemeriksaan pendukung untuk terapi kanker paru-paru.

Beberapa kondisi lain juga dapat menyebabkan kondisi NSE positif seperti kejang epilepsi, ensefalitis, cedera otak, stroke dan demensia progresif cepat. Dokter akan menyarankan melakukan pemeriksaan ini bersama pemeriksaan lain bila Anda dirasa memiliki gejala dari kanker paru-paru atau dokter ingin mengetahui pengobatan yang telah dilakukan.

 

Kontraindikasi

Pemeriksaan NSE tidak memiliki kontraindikasi khusus. Pemeriksaan ini dapat dianggap aman dan risiko terkait sedang. Diskusikan dengan dokter terkait prosedur pemeriksaan yang akan dilakukan.

 

Persiapan sebelum Pemeriksaan

Tidak ada persiapan khusus sebelum melakukan pemeriksaan NSE. Pemeriksaan ini tidak mewajibkan Anda puasa sebelumnya. Informasikan pada dokter terkait kondisi medis dan obat-obatan yang rutin Anda konsumsi. Pastikan kondisi Anda tenang, terhidrasi dan tidak stres dalam melakukan pemeriksaan ini.

 

Prosedur Pemeriksaan

Pemeriksaan NSE menggunakan sampel darah karena menggunakan pemeriksaan dengan sampel darah. Petugas laboratorium akan membersihkan lengan Anda dengan alcohol swab dan mengambil sedikit darah dari pembuluh darah vena di lengan menggunakan spuit steril. Pada bayi, pengambilan darah dilakukan pada tumit.

Bila darah diambil melalui pembuluh darah, permukaan kulit akan dibersihkan dengan antiseptik dan diikat dengan alat khusus (tourniquet) pada area lengan untuk memberikan tekanan dan menyebabkan pembuluh darah membengkak dengan darah. Jarum mengambil sampel akan dimasukkan melalui pembuluh darah (biasanya pada bagian lengan dalam atau siku atau pada bagian punggung tangan) dan darah akan diambil masuk ke dalam vial atau syringe. Setelah prosedur, tourniquet dilepaskan dan bekas area pengambilan darah akan ditutup dengan perban untuk menghentikan pendarahan. Selanjutnya, darah akan dimasukan ke dalam tabung darah dan diperiksa oleh petugas laboratorium pada mesin khusus.

Risiko pemeriksaan dalam darah sangat kecil. Beberapa orang merasakan nyeri, pusing, dan memar saat pengambilan darah. Namun, hal ini biasanya hilang dengan cepat. Prosedur pemeriksaan ini cukup sederhana dan biasanya akan memakan waktu hingga 10 menit untuk mengambil darah dan merapikannya. Hasil pemeriksaan biasanya akan tersedia dalam waktu 2 hingga 3 hari.

 

Nilai Normal dan Abnormal

Nilai normal pemeriksaan NSE berkisar antara ≦16.3 սg/L atau kurang dari nilai tersebut.

Nilai abnormal pemeriksaan NSE bila lebih besar dari 16.3 սg/L atau terjadi peningkatan.

Adanya peningkatan nilai NSE dalam darah mungkin menandakan adanya kanker paru-paru atau kekambuhan dari kegagalan terapi.

 

Hasil dan Saran (Pemeriksaan Lanjutan)

Nilai Normal

Bila Anda menjalani terapi pengobatan kanker dan hasil pemeriksaan NSE mengalami penurunan hingga normal, hal ini menunjukan bahwa terapi pengobatan kanker yang dilakukan berhasil. Pertahankan kesehatan Anda dengan mengonsumsi gizi yang seimbang, aktivitas fisik yang cukup, dan pemeriksaan kesehatan yang rutin.

Nilai Abnormal (Nilai pemeriksaan di atas16.3 սg/L r)

Bila hasil pemeriksaan NSE Anda tinggi, hal ini  tidak langsung menandakan adanya kanker paru-paru. Dokter akan melakukan pemeriksaan lainnya untuk membantu diagnosis. Peningkatan nilai NSE dapat disebabkan oleh kondisi lainnya seperti adanya kejang epilepsi, ensefalitis, cedera otak, stroke dan demensia progresif cepat. Selain itu, hasil pemeriksaan pada terapi pengobatan kanker paru-paru menunjukkan adanya peningkatan dapat menandakan pengobatan yang kurang berhasil atau kekambuhan dari kanker paru-paru.

 

Konsultasikan ke Dokter yang Tepat

Bila hasil pemeriksaan NSE menunjukkan hasil tidak normal, Anda dapat berkonsultasi dengan dokter umum untuk mendapatkan diagnosis dan terapi yang sesuai. Bila diperlukan, Anda juga dapat berkonsultasi dengan dokter spesialis penyakit dalam sehingga didapatkan penanganan dan terapi yang tepat. Dokter mungkin akan menyarankan melakukan pemeriksaan tambahan untuk memastikan diagnosis.

 

Mau tahu informasi seputar hasil pemeriksaan laboratorium, radiologi, dan lainnya? Cek di sini, ya!

 

 

Writer : dr Kevin Luke
Editor :
  • dr. Monica Salim
Last Updated : Rabu, 11 Oktober 2023 | 04:49

NSESF. (2023). Retrieved 19 June 2023, from https://www.mayocliniclabs.com/api/sitecore/TestCatalog/DownloadTestCatalog?testId=81796#:~:text=Normal%3A%20%3C%20or%20%3D15%20ng,from%20a%20variety%20of%20causes. 

The Establishment of Neuron Specific Enolase Refrence Interval for Healthy Population in Southwest China. (2020). Retrieved 19 June 2023, from https://www.nature.com/articles/s41598-020-63331-x

Neuron - Specific Enolase, Serum. (2023). Retrieved 19 June 2023, from https://www.mayocliniclabs.com/test-catalog/Overview/80913 

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      • vendor/spatie/laravel-activitylog/src/Traits/LogsActivity.php:88
      • app/Http/Controllers/WebController.php:391
      • vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
      • vendor/laravel/framework/src/Illuminate/Routing/ControllerDispatcher.php:43
    • single-post-healthpedia.blade.php#37aicare_prod_new920μsselect * from `users` where `users`.`id` = 43 limit 1
      Bindings
      • 0: 43
      Hints
      • Use SELECT * only if you need all columns from table
      • LIMIT without ORDER BY causes non-deterministic results, depending on the query execution plan
      Backtrace
      • view::web.v2.single-post-healthpedia:37
      • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
      • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
      • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
      • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
    • article-popular.blade.php#8aicare_prod_new5.66msselect `categories`.*, `category_post`.`post_id` as `pivot_post_id`, `category_post`.`category_id` as `pivot_category_id`, `category_post`.`created_at` as `pivot_created_at`, `category_post`.`updated_at` as `pivot_updated_at` from `categories` inner join `category_post` on `categories`.`id` = `category_post`.`category_id` where `category_post`.`post_id` = 7989 and `categories`.`deleted_at` is null
      Bindings
      • 0: 7989
      Hints
      • Use SELECT * only if you need all columns from table
      Backtrace
      • view::web.v2.partials.article-popular:8
      • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
      • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
      • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
      • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
    • article-popular.blade.php#8aicare_prod_new6.01msselect `categories`.*, `category_post`.`post_id` as `pivot_post_id`, `category_post`.`category_id` as `pivot_category_id`, `category_post`.`created_at` as `pivot_created_at`, `category_post`.`updated_at` as `pivot_updated_at` from `categories` inner join `category_post` on `categories`.`id` = `category_post`.`category_id` where `category_post`.`post_id` = 2220 and `categories`.`deleted_at` is null
      Bindings
      • 0: 2220
      Hints
      • Use SELECT * only if you need all columns from table
      Backtrace
      • view::web.v2.partials.article-popular:8
      • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
      • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
      • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
      • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
    • article-popular.blade.php#8aicare_prod_new5.86msselect `categories`.*, `category_post`.`post_id` as `pivot_post_id`, `category_post`.`category_id` as `pivot_category_id`, `category_post`.`created_at` as `pivot_created_at`, `category_post`.`updated_at` as `pivot_updated_at` from `categories` inner join `category_post` on `categories`.`id` = `category_post`.`category_id` where `category_post`.`post_id` = 7575 and `categories`.`deleted_at` is null
      Bindings
      • 0: 7575
      Hints
      • Use SELECT * only if you need all columns from table
      Backtrace
      • view::web.v2.partials.article-popular:8
      • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
      • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
      • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
      • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
    • article-popular.blade.php#8aicare_prod_new5.76msselect `categories`.*, `category_post`.`post_id` as `pivot_post_id`, `category_post`.`category_id` as `pivot_category_id`, `category_post`.`created_at` as `pivot_created_at`, `category_post`.`updated_at` as `pivot_updated_at` from `categories` inner join `category_post` on `categories`.`id` = `category_post`.`category_id` where `category_post`.`post_id` = 1487 and `categories`.`deleted_at` is null
      Bindings
      • 0: 1487
      Hints
      • Use SELECT * only if you need all columns from table
      Backtrace
      • view::web.v2.partials.article-popular:8
      • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
      • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
      • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
      • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
    • article-popular.blade.php#8aicare_prod_new6msselect `categories`.*, `category_post`.`post_id` as `pivot_post_id`, `category_post`.`category_id` as `pivot_category_id`, `category_post`.`created_at` as `pivot_created_at`, `category_post`.`updated_at` as `pivot_updated_at` from `categories` inner join `category_post` on `categories`.`id` = `category_post`.`category_id` where `category_post`.`post_id` = 4307 and `categories`.`deleted_at` is null
      Bindings
      • 0: 4307
      Hints
      • Use SELECT * only if you need all columns from table
      Backtrace
      • view::web.v2.partials.article-popular:8
      • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
      • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
      • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
      • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
    • article-popular.blade.php#8aicare_prod_new5.67msselect `categories`.*, `category_post`.`post_id` as `pivot_post_id`, `category_post`.`category_id` as `pivot_category_id`, `category_post`.`created_at` as `pivot_created_at`, `category_post`.`updated_at` as `pivot_updated_at` from `categories` inner join `category_post` on `categories`.`id` = `category_post`.`category_id` where `category_post`.`post_id` = 1288 and `categories`.`deleted_at` is null
      Bindings
      • 0: 1288
      Hints
      • Use SELECT * only if you need all columns from table
      Backtrace
      • view::web.v2.partials.article-popular:8
      • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
      • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
      • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
      • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
    • article-popular.blade.php#11aicare_prod_new810μsselect * from `categories` where `categories`.`id` = 4 and `categories`.`deleted_at` is null limit 1
      Bindings
      • 0: 4
      Hints
      • Use SELECT * only if you need all columns from table
      • LIMIT without ORDER BY causes non-deterministic results, depending on the query execution plan
      Backtrace
      • view::web.v2.partials.article-popular:11
      • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
      • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
      • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
      • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
    • article-popular.blade.php#8aicare_prod_new6.23msselect `categories`.*, `category_post`.`post_id` as `pivot_post_id`, `category_post`.`category_id` as `pivot_category_id`, `category_post`.`created_at` as `pivot_created_at`, `category_post`.`updated_at` as `pivot_updated_at` from `categories` inner join `category_post` on `categories`.`id` = `category_post`.`category_id` where `category_post`.`post_id` = 9810 and `categories`.`deleted_at` is null
      Bindings
      • 0: 9810
      Hints
      • Use SELECT * only if you need all columns from table
      Backtrace
      • view::web.v2.partials.article-popular:8
      • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
      • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
      • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
      • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
    • related-article.blade.php#8aicare_prod_new5.65msselect `categories`.*, `category_post`.`post_id` as `pivot_post_id`, `category_post`.`category_id` as `pivot_category_id`, `category_post`.`created_at` as `pivot_created_at`, `category_post`.`updated_at` as `pivot_updated_at` from `categories` inner join `category_post` on `categories`.`id` = `category_post`.`category_id` where `category_post`.`post_id` = 2824 and `categories`.`deleted_at` is null
      Bindings
      • 0: 2824
      Hints
      • Use SELECT * only if you need all columns from table
      Backtrace
      • view::web.v2.partials.related-article:8
      • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
      • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
      • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
      • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
    • related-article.blade.php#8aicare_prod_new5.95msselect `categories`.*, `category_post`.`post_id` as `pivot_post_id`, `category_post`.`category_id` as `pivot_category_id`, `category_post`.`created_at` as `pivot_created_at`, `category_post`.`updated_at` as `pivot_updated_at` from `categories` inner join `category_post` on `categories`.`id` = `category_post`.`category_id` where `category_post`.`post_id` = 7747 and `categories`.`deleted_at` is null
      Bindings
      • 0: 7747
      Hints
      • Use SELECT * only if you need all columns from table
      Backtrace
      • view::web.v2.partials.related-article:8
      • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
      • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
      • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
      • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
    • related-article.blade.php#8aicare_prod_new6.28msselect `categories`.*, `category_post`.`post_id` as `pivot_post_id`, `category_post`.`category_id` as `pivot_category_id`, `category_post`.`created_at` as `pivot_created_at`, `category_post`.`updated_at` as `pivot_updated_at` from `categories` inner join `category_post` on `categories`.`id` = `category_post`.`category_id` where `category_post`.`post_id` = 7731 and `categories`.`deleted_at` is null
      Bindings
      • 0: 7731
      Hints
      • Use SELECT * only if you need all columns from table
      Backtrace
      • view::web.v2.partials.related-article:8
      • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
      • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
      • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
      • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
    • related-article.blade.php#8aicare_prod_new5.98msselect `categories`.*, `category_post`.`post_id` as `pivot_post_id`, `category_post`.`category_id` as `pivot_category_id`, `category_post`.`created_at` as `pivot_created_at`, `category_post`.`updated_at` as `pivot_updated_at` from `categories` inner join `category_post` on `categories`.`id` = `category_post`.`category_id` where `category_post`.`post_id` = 7639 and `categories`.`deleted_at` is null
      Bindings
      • 0: 7639
      Hints
      • Use SELECT * only if you need all columns from table
      Backtrace
      • view::web.v2.partials.related-article:8
      • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
      • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
      • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
      • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
    • related-article.blade.php#8aicare_prod_new6.12msselect `categories`.*, `category_post`.`post_id` as `pivot_post_id`, `category_post`.`category_id` as `pivot_category_id`, `category_post`.`created_at` as `pivot_created_at`, `category_post`.`updated_at` as `pivot_updated_at` from `categories` inner join `category_post` on `categories`.`id` = `category_post`.`category_id` where `category_post`.`post_id` = 6285 and `categories`.`deleted_at` is null
      Bindings
      • 0: 6285
      Hints
      • Use SELECT * only if you need all columns from table
      Backtrace
      • view::web.v2.partials.related-article:8
      • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
      • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
      • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
      • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
    • web_layout.blade.php#122aicare_prod_new890μsselect * from `pages` where `slug` = 'about-us' limit 1
      Bindings
      • 0: about-us
      Hints
      • Use SELECT * only if you need all columns from table
      • LIMIT without ORDER BY causes non-deterministic results, depending on the query execution plan
      Backtrace
      • view::layouts.v2.web_layout:122
      • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
      • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
      • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
      • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
    • web_layout.blade.php#547aicare_prod_new760μsselect * from `faqs` limit 1
      Hints
      • Use SELECT * only if you need all columns from table
      • The SELECT statement has no WHERE clause and could examine many more rows than intended
      • LIMIT without ORDER BY causes non-deterministic results, depending on the query execution plan
      Backtrace
      • view::layouts.v2.web_layout:547
      • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
      • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
      • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
      • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
    • web_layout.blade.php#551aicare_prod_new990μsselect * from `term_policies`
      Hints
      • Use SELECT * only if you need all columns from table
      • The SELECT statement has no WHERE clause and could examine many more rows than intended
      Backtrace
      • view::layouts.v2.web_layout:551
      • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
      • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
      • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
      • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:72
    App\Models\Admin\Post
    154Post.php#?
    App\Models\Admin\Category
    22Category.php#?
    App\Models\Admin\Tag
    4Tag.php#?
    App\User
    3User.php#?
    App\Models\TermPolicy
    3TermPolicy.php#?
    App\Models\Admin\Page
    1Page.php#?
    App\Models\Admin\Faq
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        0 of 0
        array:4 [ "XSRF-TOKEN" => "sC7RIpfBcbRYl7U4oKHDqrk56glRLO6YkmyTzqV6" "laravel_session" => "NioorYF0U9xSjOuefyDkNajTA6PCavm80CUZmMqm" "_ga" => null "_ga_8PF7N2844F" => null ]
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