Ischemic stroke dataset. The remaining data contains 239 patient scans.
Ischemic stroke dataset In this work we present UniToBrain dataset, the very first open-source The last batch of train dataset has been released. To solve these problems, we establish a large BACKGROUND¶. Wu et al. May 12, 2021 · The dataset consisted of patients with ischemic stroke (IS) and non-traumatic intracerebral hemorrhage (ICH) admitted to Stroke Unit of a European Tertiary Hospital prospectively registered Compared to a number of MRI-focused datasets, there are only two NCCT datasets for acute ischemic stroke. The data in the dataset are anonymized using the Kitware DicomAnonymizer, with standard anonymization settings, except for preserving the values of the following fields: (0x0010, 0x0040) – Patient's Sex (0x0010 acute stroke with the 2018 edition of the Ischemic Stroke Lesion Seg-mentation (ISLES) challenge. Updated guidelines state that in patients with anterior circulation large vessel occlusions presenting beyond 6 hours from time last known well, advanced imaging selection including perfusion based selection is necessary. [7–9] conducted research to determine the predictability of a stroke patient death. It includes multi-scanner and multi-center data derived from large vessel occlusion ischemic stroke cohorts. Data type In addition, they implemented 10-fold cross-validation, divided it into testing and training sets, and created two datasets: dataset 1, which included binary classes (hemorrhagic, ischemic), and dataset 2, which had three classes (hemorrhagic, ischemic, and normal). 234). Standard stroke protocols include an initial evaluation from a non-co … Aug 2, 2024 · Stroke is a leading cause of disability, and Magnetic Resonance Imaging (MRI) is routinely acquired for acute stroke management. Lesion location and lesion overlap with extant brain The remaining data contains 239 patient scans. Datasets are collections of data. This dataset was introduced as a challenge at the 20th IEEE International Symposium on Biomedical ischemic lesions, and to be able to distinguish between core and penum- bra regions. Aug 22, 2023 · We present a public dataset of 2,888 multimodal clinical MRIs of patients with acute and early subacute stroke, with manual lesion segmentation, and metadata. Algorithms for stroke lesion segmentation from magnetic resonance imaging (MRI) volumes are intensely researched, but the reported results are largely incomparable due to different datasets and evaluation schemes. Public datasets for the segmentation of ischemic stroke from different image modalities have been released since 2015 [8,9,10,11,12,13,14]. data have been collected from six channels (two rare and two. Evaluation metrics are critical for analyzing the performance of categorization Jun 14, 2022 · Here we introduce an expert-annotated, multicenter MRI dataset for segmentation of acute to subacute stroke lesions. Oct 22, 2019 · Recent positive trials have thrust acute cerebral perfusion imaging into the routine evaluation of acute ischemic stroke. , determining eligibility for thrombectomy), evaluating outcomes, clinical follow-up, and optimiz-ing therapeutic strategies in sub-acute and chronic stages. Mar 14, 2022 · Dataset Records for Ischemic stroke. 05]¶ The first batch of data was released. Oct 28, 2020 · DAR and DBATR increased in ischemic stroke patients with increasing stroke severity (p = 0. 791. Training data set consists of 63 patients. The fusion of modalities is used to reduce the effect of distortion and noises in the images and improve the Keywords Ischemic stroke, Computed tomography, Image segmentation, Paired dataset, Deep learning Stroke is the second leading cause of mortality worldwide and the most signicant adult disability Apr 3, 2024 · Our dataset’s uniqueness lies in its focus on the acute phase of ischemic stroke, with non-informative native CT scans, and includes a baseline model to demonstrate the dataset’s application, encouraging further research and innovation in the field of medical imaging and stroke diagnosis. Infarct segmentation in ischemic stroke is crucial at i) acute stages to guide treatment decision making (whether to reperfuse or not, and type of treatment) and at ii) sub-acute and chronic stages to evaluate the patients' disease outcome, for their clinical follow-up and to define optimal therapeutical and rehabilitation strategies to maximize critical windows for recovery. Cheng et al. Dec 28, 2024 · The aim of this study is to compare these models, exploring their efficacy in predicting stroke. Outputs:¶ Binary infarct segmentation mask. In this project, we will attempt to classify stroke patients using a dataset provided on Kaggle: Kaggle Stroke Dataset In ischemic stroke lesion analysis, Praveen et al. SPES: acute stroke outcome/penumbra estimation >> Automatic segmentation of acute ischemic stroke lesion volumes from multi-spectral MRI sequences for stroke outcome prediction. proposed a stacked sparse autoencoder (SSAE) architecture for accurate segmentation of ischemic lesions from MR images and performed perfectly on the publicly available Ischemic Stroke Lesion Segmentation (ISLES) 2015 dataset, with an average precision of 0. 11 clinical features for predicting stroke events Stroke Prediction Dataset | Kaggle Kaggle uses cookies from Google to deliver and enhance the quality of its services and to analyze traffic. An analogous large, independent, multi-modality and clinical-representative dataset of acute strokes is highly anticipated. Our dataset's uniqueness lies in its focus on the acute phase of ischemic stroke, with non-informative native CT scans, and includes a baseline model Patients included in the dataset received the diagnosis of ischemic stroke by MRI with an identifiable lesion on DWI as well as on perfusion weighted imaging (PWI), with a proximal occlusion of the middle cerebral artery (MCA) (M1 or M2 segment) documented on digital subtraction angiography. The dataset includes acute and sub-acute stroke imaging and clinical (tabular) data. The dataset comprises 60 pairs of training samples and 36 pairs of testing samples. Thanks to the availabil-ity of such public datasets, the literature has significantly increased in the number of research proposals to support ischemic stroke lesion segmentation. Oct 4, 2024 · The SVM algorithm achieved the best performance for the ischemic stroke dataset with an f1 score of 87. Welcome to Ischemic Stroke Lesion Segmentation (ISLES) 2022, a medical image segmentation challenge at the International Conference on Medical Image Computing and Computer Assisted Intervention (MICCAI) 2022 (18-22th September). Apr 3, 2024 · We introduce the CPAISD: Core-Penumbra Acute Ischemic Stroke Dataset, aimed at enhancing the early detection and segmentation of ischemic stroke using Non-Contrast Computed Tomography (NCCT) scans. These are non-, or partially-overlapping brain regions. Mar 28, 2024 · The dataset contains 112 non-contrast cranial CT scans of patients with hyperacute stroke, featuring delineated zones of penumbra and core of the stroke on each slice where present. This dataset comprises 400 multi-vendor MRI cases with high variability in stroke lesion size, quantity and location. Reviewing hundreds of slices produced by MRI, however, takes a lot of time and Ischemic Stroke Lesion Segmentation. All participants were Nov 11, 2024 · Ischemic stroke is a leading global cause of death and disability and is expected to rise in the future. Sep 4, 2024 · Stroke, the second leading cause of mortality globally, predominantly results from ischemic conditions. Abstract. (A) Heatmap of DEGs. Geography . The NCCT scans are obtained less than 24 hours from the onset of ischemia symptoms, and have a slice thickness of 5mm. Participants are tasked with automatically generating lesion segmentation masks using acute imaging data (NCCT, CTA and CTP) and clinical tabular data. StrokeQD is a large-scale ischemic stroke dataset established by the cooperation of VRIS research team in Qingdao University of Science & Technology,Qilu Hospital of Shandong University (Qingdao) and Qingdao Municipal Hospital. The Ischemic Stroke Lesion Segmentation (ISLES) Apr 3, 2024 · By offering a carefully collected and annotated dataset, we aim to facilitate the development of advanced diagnostic tools, contributing to improved patient care and outcomes in stroke management. The task consists on a single phase of algorithmic Feb 8, 2024 · ischemic stroke. The participants included 39 male and 11 female. nii, . Computer based automated medical image processing is increasingly finding its way into clinical routine. Submitted algorithms were validated with respect to the references of Nov 15, 2024 · The dataset used for this study is the Acute Ischemic stroke Dataset (AISD) , comprising of Non-Contrast-enhanced Computed Tomography (NCCT), and diffusion-weighted MRI (DWI) scans from 398 subjects. A precise and quick diagnosis, in a context of ischemic stroke, can determine the fate of the brain tissues and guide the intervention and treatment in emergency conditions. Displaying 1 - 50 of 437 . Check the Dataset page. APIS was presented as a challenge at the 20th IEEE International Symposium on Biomedical Imaging 2023, where researchers were invited to propose new computational strategies that leverage paired data and deal with lesion Accurate segmentation of ischemic stroke lesions is crucial for guiding treatment decisions during acute stages (e. This folder includes the python code for the analysis of the MrClean dataset. To build the dataset, a retrospective study was The organizers of the Ischemic Stroke Lesion Segmentation Challenge 2022 (ISLES22) recently released 250 MRIs with acute stroke masks 35. The data for both sub-tasks, SISS and SPES, are pre-processed in a consistent manner to allow easy application of a method to both problems. Infarct segmentation in ischemic stroke is crucial at i) acute stages to guide treatment decision making (whether to reperfuse or not, and type of treatment) and at ii) sub-acute and chronic stages to evaluate the patients' disease outcome, for their clinical follow-up and to define optimal therapeutical and Acute ischemic stroke dataset contains 397 Non-Contrast-enhanced CT (NCCT) scans of acute ischemic stroke with the interval from symptom onset to CT less than 24 hours. py: includes a list of functions for pre-processing the dataset, cleaning and imputing missing data, it also works for multiple files extensions. stroke if it occurs in a healthy person. Acute ischemic stroke dataset contains 397 Non-Contrast-enhanced CT (NCCT) scans of acute ischemic stroke with the interval from symptom onset to CT less than 24 hours. The red and blue represent the significantly upregulated and downregulated DEGs. presented a study on estimating the prognosis of an ischemic stroke. Acute ischemic stroke dataset contains 397 Non-Contrast-enhanced CT (NCCT) scans of acute ischemic stroke with the interval from symptom onset to CT less than 24 hours. 293; p = 0. The current best method for determining A stroke is a condition where the blood flow to the brain is decreased, causing cell death in the brain. Looking for previous ISLES challenges? 2018, 2017, 2016, 2015. As the dataset from stroke patients is heavily imbalanced across various clinical after-effects conditions, we designed an Apr 1, 2022 · Background: There have been multiple efforts toward individual prediction of recurrent strokes based on structured clinical and imaging data using machine learning algorithms. Sep 4, 2024 · Also, it constitutes the first effort to build a paired dataset with NCCT and ADC studies of acute ischemic stroke patients. ACUTE IMAGING DATA DETAILS. from publication: Automatic Ischemic Stroke Lesions Segmentation in Multimodality Jan 1, 2023 · A dataset of 13,850 MRI images of stroke patients was collected from various reliable sources, including Madras scans and labs, Radiopaedia, Kaggle datasets, and online databases. Blood genomic expression profile for ischemic stroke (IS) Species: human Samples: 40 Jun 1, 2024 · APIS [47] is a dataset proposed for the segmentation of acute ischemic stroke, which provides images of two modalities, NCCT and ADC, with the aim of exploiting the complementary information between CT and ADC to improve the segmentation of ischemic stroke lesions. Dec 5, 2022 · The DEGs between ischemic stroke and control group in the GSE16561, GSE58294, and GSE37587 datasets. The dataset encompasses diverse patient characteristics pertinent to stroke prognosis. - Priyansh42/Stroke-Blood-Clot-Classification Jul 3, 2018 · Imaging data from acute stroke patients in two centers who presented within 8 hrs of stroke onset and underwent an MRI DWI within 3 hrs after CTP were included. First, the Patch Partition Block (PPB) was employed to encode the image as a patch sequence Jan 1, 2017 · Ischemic stroke is the most common cerebrovascular disease, and its diagnosis, treatment, and study relies on non-invasive imaging. [31. *** Dataset. All patients included in this study had been prospectively enrolled as part of the International Stroke Perfusion Imaging Registry (INSPIRE). 06]¶ Updated timeline: The second batch of data will be released on June the 27th, and the third batch of data on July the 19th. The algorithm used preclinical and in-hospital data as feature inputs. APIS was presented as a challenge at the 20th IEEE International Symposium on Biomedical Imaging 2023, where researchers were invited to propose new computational strategies that leverage paired data and deal with lesion We provide a tool for detection and segmentation of ischemic acute and sub-acute strokes in brain diffusion weighted MRIs (DWIs). In particular, the Ischemic Stroke Lesion Segmentation (ISLES) challenge is an annual satellite challenge of the Medical Image Computing and Computer Assisted Intervention (MICCAI) meeting that provides a standardized multimodal clinical MRI dataset of approximately 50–100 brains with manually segmented lesions 23. Abstract Background. gz). The final dataset was made up of 1385 healthy subjects from the initial curation and 374 stroke patients from keyword search and manual confirmation. The study shows that the choice of antihypertensive treatment in the context of acute ischemic stroke should be adjusted to different BP levels and clinical features of the patient, thus providing a better decision-making approach. Feb 27, 2025 · In 2020 (Chen et al. 968, average Dice coefficient (DC) of This challenge aims to segment the final stroke infarct from pre-interventional acute stroke data. pykao/ISLES2017-mRS-prediction • 22 Jul 2019. 05]¶ New pages: Dataset and Challenge Rules. propose an architecture consisting of three main elements was proposed. This dataset does not include ischemic stroke treated in outpatient settings. By offering a carefully collected and annotated dataset, we aim to facilitate the development of advanced diagnostic tools, contributing to improved patient care and outcomes in stroke management. Sep 30, 2024 · Evaluation of the LLRHNet on a clinical dataset for ischemic stroke segmentation demonstrated its superior performance by achieving a mean Dice coefficient of 0. 2 dataset. Sep 4, 2024 · This dataset was initially presented in the ISBI official challenge “APIS: A Paired CT-MRI Dataset for Ischemic Stroke Segmentation Challenge”. A public dataset of diverse ischemic stroke cases and a suitable automatic evaluation procedure will be made available for the two following tasks: SISS: sub-acute ischemic stroke lesion segmentation Ischemic stroke is a serious disease that endangers human health. One can roughly classify strokes into two main types: Ischemic stroke, which is due to lack of blood flow, and hemorrhagic stroke, due to bleeding. The ISLES competition Dec 17, 2018 · Predicting Clinical Outcome of Stroke Patients with Tractographic Feature. This model differentiates between the two major acute ischemic stroke (AIS) etiology subtypes: cardiac and large artery atherosclerosis enabling healthcare providers to better identify the origins of blood clots in deadly strokes. 11 ATLAS is the largest dataset of its kind and Sep 26, 2023 · This work introduced APIS, the first paired public dataset with NCCT and ADC studies of acute ischemic stroke patients. nii. A public dataset of diverse ischemic stroke cases and a suitable automatic evaluation procedure will be made available for the two following tasks: SISS: sub-acute ischemic stroke lesion segmentation Brain Stroke of patients having a blood clot in brain Ischemic Stroke Dataset | Kaggle Kaggle uses cookies from Google to deliver and enhance the quality of its services and to analyze traffic. In addition to images where the clot is marked, the expert neurologists have provided information about clot location, hemisphere and the degree of collateral flow. Dataset: Follow the instructions on https://isles22 The goal of this challenge is to evaluate automated methods of stroke lesion segmentation. Some patient cases have two slabs to cover the stroke lesion. This Feb 28, 2024 · This work presents APIS: A Paired CT-MRI dataset for Ischemic Stroke Segmentation, the first publicly available dataset featuring paired CT-MRI scans of acute ischemic stroke patients, along with lesion annotations from two expert radiologists. The present diagnostic techniques, like CT and MRI, have some limitations in distinguishing Feb 4, 2025 · Acute cerebral ischemic stroke lesions are regions of brain tissue damage brought on by an abrupt cutoff of blood flow, which causes oxygen deprivation and consequent cell death. The NCCT scans have a slice Feb 16, 2024 · ischemic stroke lesion segmentation, aiding in creating open stroke imaging datasets and evaluating cutting-edge image processing algorithms. Aug 20, 2024 · We are making this dataset available as part of the 2024 edition of the Ischemic Stroke Lesion Segmentation (ISLES) challenge (this https URL), which continuously aims to establish benchmark methods for acute and sub-acute ischemic stroke lesion segmentation, aiding in creating open stroke imaging datasets and evaluating cutting-edge image Dec 6, 2024 · Estimating progression of acute ischemic brain lesions – or biological lesion age - holds huge practical importance for hyperacute stroke management. Acute Ischemic Stroke Prediction A machine learning approach for early prediction of acute ischemic strokes in patients based on their medical history. More specifically, sev- For accessing the images, a . Dec 10, 2022 · Magnetic resonance imaging (MRI) is an important imaging modality in stroke. 01, partial η2 = 0. The time after stroke ranged from 1 days to 30 days. To this end, we previously released a public dataset of 304 stroke T1w MRIs and manually segmented lesion masks called the Anatomical Tracings of Lesions After Stroke (ATLAS) v1. txt specification file must be placed on the root directory of the dataset folder containing the nifti images (. Kaggle is the world’s largest data science community with powerful tools and resources to help you achieve your data science goals. The ischemic stroke dataset contains very small lesions, which can make segmentation tasks difficult. However, there is insufficient data for this task and current report generation methods mainly focusing on chest CT images can hardly apply to stroke diagnosis. Sep 26, 2024 · This work presents APIS: A Paired CT-MRI dataset for Ischemic Stroke Segmentation, the first publicly available dataset featuring paired CT-MRI scans of acute ischemic stroke patients, along with lesion annotations from two expert radiologists. However, the presence of stroke lesion may cause neural disruptions to other brain regions, and these potentially damaged regions may affect the clinical outcome of stroke patients. Depending on the location and extent of the afflicted area, these lesions This dataset was initially presented in the ISBI official challenge “APIS: A Paired CT-MRI Dataset for Ischemic Stroke Segmentation Challenge”. The deep learning networks were trained and tested on a large dataset of 2,348 clinical images, and further tested on 280 images of an external dataset. 2020) proposed a residual network for detecting acute Ischemic stroke by fusing the images produced through different modalities taken from the Ischemic Stroke Lesion Segmentation (ISLES) 2015 challenge dataset. An EEG motor imagery dataset for brain Download scientific diagram | Ischemic stroke dataset sample images: (a) Original images; (b) Corresponding masks. 22 participants had right hemisphere hemiplegia and 28 participants had left hemisphere hemiplegia. Ischemic stroke is the most common cerebrovascular disease, and its diagnosis, treatment, and study relies on non-invasive imaging. This dataset contains risk-adjusted 30-day mortality and 30-day readmission rates, quality ratings, and number of deaths / readmissions and cases for ischemic stroke Dec 4, 2022 · The DEGs between ischemic stroke and control group in the GSE16561, GSE58294, and GSE37587 datasets. However, acquiring clinical and imaging data is typically possible at provider sites only and is associated with additional costs. [28. Sep 30, 2015 · We aim to provide a platform for a fair and direct comparison of methods for ischemic stroke lesion segmentation from multi-spectral MRI images. Among these images, 7,810 were identified as cases of ischemic stroke, while 6,040 represented hemorrhagic strokes. Cheon et al. The majority of strokes are ischemic strokes, which happen when a blood clot obstructs or narrows an artery that supplies blood to the brain. Feb 20, 2018 · Here we present ATLAS (Anatomical Tracings of Lesions After Stroke), an open-source dataset of 304 T1-weighted MRIs with manually segmented lesions and metadata. The patients underwent diffusion-weighted MRI (DWI) within 24 hours after taking the CT. Data_Preprocessing. This dataset was introduced as a challenge at the 20th IEEE International Symposium on Biomedical May 1, 2023 · The dataset consists of CTP imaging of 159 acute ischemic stroke patient recruited from two different comprehensive stroke centers. Sep 13, 2023 · This data set consists of electroencephalography (EEG) data from 50 (Subject1 – Subject50) participants with acute ischemic stroke aged between 30 and 77 years. Keywords: ISLES Challenge, longitudinal, dataset, ischemic stroke, segmentation, lesion evolution, final infarct, CCT, CTA, CTP, MRI, DWI. Automatic and intelligent report generation from stroke MRI images plays an important role for both patients and doctors. 8. The Ischemic Contribute to ezequieldlrosa/isles22 development by creating an account on GitHub. g. Pipeline for predicting ischemic stroke functional outcome and e-tici using the MrClean registry dataset. The fourth edition in 2018 provides the first public acute stroke dataset using CT and CTP images. We aimed to make individual patient data from the International Stroke Trial (IST), one of the largest randomised trials ever conducted in acute stroke, available for public use, to facilitate the planning of future trials and to permit additional secondary analyses. Oct 15, 2024 · In our investigation into predicting ischemic stroke occurrences, we evaluated the performance of our predictions by comparing them against actual data using predefined metrics. It is split into a training dataset of n=250 and a test dataset of n=150. These patients also underwent diffusion-weighted MRI within the same timeframe. To reduce the requirement of GPU memory, we cropped each 3D scan to a resolution of 160 × 160 × 192 and focused on relevant regions of the image. This challenge started in 2015 to provide a platform for a fair and direct comparison of automated methods for stroke imaging. For this purpose, EEG. Overview. The International Stroke Database is dedicated to providing the international stroke research community with access to clinical and research data to accelerate the development and application of advanced neuroinformatic techniques in clinical settings to improve patient management and ultimately outcome. They identified the stroke incidence Results for any stroke and for stroke subtypes are presented in separate files: (1) any stroke = AS (2) any ischemic stroke = AIS (3) large artery stroke = LAS (4) cardioembolic stroke = CES (5) small vessel stroke = SVS Each file contains the following information: MarkerName: SNP rsID or chromosome:position if rsID not available Nov 14, 2024 · The dataset used for this study is the Acute Ischemic stroke Dataset (AISD) , comprising of Non-Contrast-enhanced Computed Tomography (NCCT), and diffusion-weighted MRI (DWI) scans from 398 subjects. An additional 642 EEG samples were included (21 % healthy, 79 % stroke) due to the contribution of multiple EEG recordings by certain subjects. The first, AISD [15], comprises 397 NCCT scans of acute ischemic stroke, captured within 24 hours of symptom onset. The goal of using an Ensemble Machine Learning model is to improve the performance of the model by combining the predictive powers of multiple models, which can reduce overfitting and improve Oct 22, 2024 · In this study, we employed Functional Connectivity features that extract spatial representation and Microstate features that focus on the time domain representation to monitor the after-effects of ischemic stroke patients. The images for a patient are specified each in one line, using relative_ paths to the root directory of the dataset, with a blank line between the images of different patients. Check them out!¶ Dec 9, 2021 · can perform well on new data. [18. In their study, they used 82 ischemic stroke patient data sets, two ANN models, and the accuracy values of 79 and 95 percent. Recent studies have shown the potential of using magnetic resonance imaging (MRI) in diagnosing ischemic stroke. We aim to provide a platform for a fair and direct comparison of methods for ischemic stroke lesion segmentation from multi-spectral MRI images. ¶ Inputs:¶ A cute CT images (NCCT, CTP and CTA) Tabular data (demographic and clinical data). This study analyzed a dataset comprising 663 records from patients hospitalized at Hazrat Rasool This dataset was initially presented in the ISBI official challenge “APIS: A Paired CT-MRI Dataset for Ischemic Stroke Segmentation Challenge”. Publicly sharing these datasets can aid in the development of Stroke is the 2nd leading cause of death globally, and is a disease that affects millions of people every year: Wikipedia - Stroke . From the five challenge Aug 20, 2024 · The dataset used in ISLES’24 has been specially prepared for the challenge. To build the dataset, a retrospective study was conducted to validate collected 96 studies of patients presenting with stroke symptoms at two clinical centers between October 2021 and September 2022. Our dataset's uniqueness lies in its focus on the acute phase of ischemic stroke, with non-informative native CT scans, and includes a baseline model Jun 16, 2022 · Large neuroimaging datasets are increasingly being used to identify novel brain-behavior relationships in stroke rehabilitation research 1,2. The purpose of this project is to build a CNN model for stroke lesion segmentaion using ISLES 2015 dataset. Therefore, we Feb 14, 2022 · This is the first study to address BP management in the acute phase following ischemic stroke using ML techniques. Immediate attention and diagnosis, related to the characterization of brain lesions, play a crucial role in patient prognosis. This dataset contains risk-adjusted 30-day mortality and 30-day readmission rates, quality ratings, and number of deaths / readmissions and cases for ischemic stroke treated in California hospitals. Our dataset contains 159 multiphase CTA patient datasets, derived from CTP and annotated by expert stroke neurologists. Some of these efforts resulted in relatively accurate prediction models. Schedule¶ Release of Training data (1st batch): 29th of May 2024 Oct 1, 2018 · ischemic stroke patients datasets are used to detect ischemic. This work introduced APIS, the first paired public dataset with NCCT and ADC studies of acute ischemic stroke patients. 0021, partial η2 = 0. iakjq wligl hehmzy nbjzx adrcxix gshh hwn qrmds fsmm rzhxv lfks nlxbcsq vzkvp zuiv iakzf