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Intraoperative Radiation Therapy in United States Trends and Forecast

The future of the intraoperative radiation therapy market in United States looks promising with opportunities in the breast cancer, brain tumor, head and neck cancer, soft tissue sarcoma, pediatric tumors, gynecological cancer, genitourinary cancers, and upper gastro-intestinal tumors markets. The global intraoperative radiation therapy market is expected to reach an estimated $0.08 billion by 2031 with a CAGR of 6.5% from 2025 to 2031. The intraoperative radiation therapy market in United States is also forecasted to witness strong growth over the forecast period. The major drivers for this market are the growing adoption of IORT system technology, the increasing demand for targeted cancer treatments, and the ongoing technological advancements aimed at improving precision and effectiveness during surgery.

• Lucintel forecasts that, within the product type category, accelerators will remain the largest segment over the forecast period due to growing demand for IORT and the development of new and more advanced accelerators.
• Within the application category, breast cancer is expected to remain the largest segment due to the increasing prevalence of breast cancer and growing awareness of the effectiveness of IORT for breast cancer.

Intraoperative Radiation Therapy Market in United States Trends and Forecast

Emerging Trends in the Intraoperative Radiation Therapy Market in United States

The intraoperative radiation therapy (IORT) market in the United States is experiencing a surge in demand, driven by advancements in technology, growing cancer cases, and the increasing focus on precision medicine. IORT enables real-time radiation delivery during surgery, minimizing side effects and improving treatment effectiveness. As the healthcare system moves towards more personalized, minimally invasive treatments, several emerging trends are shaping the future of IORT in the United States. These trends reflect a shift toward innovation and greater accessibility, ensuring that IORT plays a central role in modern cancer care.

• Technological Advancements in IORT Equipment: The development of advanced IORT systems with higher imaging resolution and more precise radiation delivery is one of the key trends. New technologies allow for real-time tumor tracking, ensuring radiation is directed accurately during surgery. This minimizes damage to surrounding healthy tissues, improving patient outcomes. The advent of mobile and compact IORT systems also increases accessibility, allowing smaller hospitals and regional centers to implement this treatment. These innovations are making IORT more effective, efficient, and affordable, significantly enhancing its role in cancer care across the United States.
• Increased Integration into Multidisciplinary Cancer Care: A growing trend in the United States is the integration of IORT into multidisciplinary cancer treatment teams. Oncologists, surgeons, radiologists, and medical physicists are working together to create personalized treatment plans that include IORT as part of a broader therapeutic strategy. This approach enables more targeted and efficient treatment, reducing overall treatment times and improving patient recovery. By collaborating and utilizing IORT as a tool within comprehensive treatment regimens, cancer care teams in the United States can improve the overall effectiveness of cancer therapies, enhancing both short-term and long-term outcomes.
• Expansion in Breast Cancer Treatment: Breast cancer treatment has been a primary area for IORT growth in the United States. As breast cancer remains one of the most common cancers, IORT offers significant benefits in reducing the duration of radiation therapy by delivering radiation directly to the tumor site during surgery. This reduces the need for additional postoperative radiation, improving convenience and quality of life for patients. With increasing awareness of IORT’s benefits, its integration into breast cancer care is becoming more common, positioning it as a preferred treatment option for many patients in the United States.
• Adoption of Mobile and Portable IORT Systems: The adoption of mobile and portable IORT systems is another emerging trend in the United States. These systems offer hospitals and surgical centers greater flexibility in providing intraoperative radiation treatments. Smaller hospitals, which may not have had access to permanent IORT units, can now offer this advanced therapy to their patients. Mobile IORT units make it easier for healthcare providers to perform IORT in a variety of settings, helping to increase the treatment’s accessibility, expand its application, and ensure more patients benefit from this effective and minimally invasive procedure.
• Government Support and Healthcare Policy Initiatives: In the United States, government initiatives and healthcare policies are increasingly supporting the adoption of advanced cancer therapies like IORT. Funding programs, such as those from the National Cancer Institute (NCI), are promoting research into IORT and its integration into treatment protocols. Additionally, reimbursement policies are evolving to cover IORT procedures, making it financially accessible to more patients. This policy support is crucial for encouraging the widespread use of IORT in hospitals and clinics across the country, ensuring that patients have access to the latest cancer treatment options without financial barriers.

These emerging trends, technological advancements, integration into multidisciplinary care, expansion in breast cancer treatment, adoption of mobile IORT systems, and government support are significantly reshaping the IORT market in the United States. As IORT becomes more accessible, efficient, and integrated into cancer care, it is positioned to play an increasingly vital role in improving cancer treatment outcomes. The combination of these trends will help ensure that IORT remains a central part of the evolving landscape of personalized, minimally invasive cancer therapies in the United States.

Recent Developments in the Intraoperative Radiation Therapy Market in United States

The intraoperative radiation therapy (IORT) market in the United States is experiencing significant advancements, driven by technological innovations, increased demand for precision treatments, and a growing focus on improving patient outcomes. IORT, which allows for targeted radiation delivery during surgery, is becoming an essential component of cancer care. These recent developments reflect the growing adoption of IORT, making it more accessible and effective in the treatment of various cancers. As the healthcare system evolves, these developments are reshaping the landscape of cancer treatment in the United States.

• Integration of IORT into Multidisciplinary Care Teams: Recent developments in the integration of IORT into multidisciplinary oncology teams have enhanced treatment outcomes in the United States. Oncologists, surgeons, and radiologists are now collaborating more closely to design personalized treatment plans that incorporate IORT. This collaborative approach allows for real-time radiation delivery during surgery, improving precision and minimizing side effects. The integration of IORT into comprehensive cancer care pathways is streamlining treatment and ensuring that patients receive the most effective therapies, significantly improving the overall effectiveness of cancer treatment in the country.
• Expansion of IORT Use in Breast Cancer Treatment: IORT has seen expanded use in breast cancer treatment across the United States, particularly in early-stage breast cancer. By delivering radiation directly to the tumor site during surgery, IORT eliminates the need for lengthy postoperative radiation sessions. This reduction in treatment time is a key benefit for patients, who experience fewer side effects and faster recovery. As awareness of IORT’s effectiveness grows, its adoption in breast cancer care is increasing, helping to streamline treatment protocols and improve patient outcomes in this large patient population.
• Technological Advancements in IORT Systems: Technological advancements in IORT systems, particularly in real-time imaging and radiation delivery precision, have significantly enhanced the effectiveness of the treatment. New systems now offer better tumor targeting, minimizing radiation exposure to healthy tissues and improving patient safety. Enhanced imaging capabilities allow for more accurate tumor localization during surgery, further boosting the success rate of IORT procedures. These innovations make IORT more reliable, effective, and safer for patients, encouraging its widespread adoption in the United States as a preferred cancer treatment option.
• Government and Reimbursement Support for IORT: The United States has seen increased government support for IORT through funding initiatives and changes in reimbursement policies. Public health programs, particularly those under the National Cancer Institute (NCI), have supported research and clinical trials focused on IORT’s effectiveness. Additionally, changes in Medicare and private insurance reimbursement policies are making IORT more financially accessible to patients. With more hospitals and healthcare centers able to cover the cost of IORT treatment, this development is ensuring that a larger segment of the population benefits from this advanced therapy.
• Development of Mobile and Portable IORT Systems: The development of mobile and portable IORT systems is significant in the United States, allowing more hospitals to adopt this technology. Smaller or rural healthcare facilities that previously could not afford permanent IORT systems now can offer this advanced treatment. Portable systems enable healthcare providers to deliver precise, targeted radiation during surgery without the need for expensive infrastructure. This development helps increase the accessibility of IORT, ensuring that more patients across the country can receive high-quality cancer care, regardless of their location.

These recent developments in the IORT market in the United States, ranging from its integration into multidisciplinary care teams to advancements in technology and government support, are reshaping cancer treatment. The expansion of IORT use in breast cancer, the development of mobile systems, and the increasing availability of reimbursement options are making this advanced therapy more accessible and effective. As these trends continue to evolve, IORT will play a pivotal role in enhancing precision cancer care and improving patient outcomes across the United States.

Strategic Growth Opportunities for Intraoperative Radiation Therapy Market in United States

The intraoperative radiation therapy (IORT) market in the United States is experiencing rapid growth, driven by innovations in technology, increased patient demand for precision medicine, and expanded applications across various cancer types. IORT provides targeted radiation during surgery, minimizing side effects and improving treatment outcomes. With advances in healthcare and growing recognition of the benefits of this approach, several key applications are creating strategic growth opportunities. These developments are reshaping how cancer is treated, enhancing both the effectiveness and accessibility of IORT as a mainstream therapy in oncology.

• Breast Cancer Treatment: IORT has revolutionized breast cancer treatment, particularly for patients with early-stage tumors. The ability to deliver radiation directly to the tumor site during surgery eliminates the need for extended postoperative radiation sessions. This results in a shorter treatment course, fewer side effects, and faster recovery times. As more patients and oncologists recognize the benefits, the integration of IORT into breast cancer treatment protocols is expected to expand. This application is expected to grow further as technology becomes more affordable and accessible, improving patient outcomes across the United States.
• Gastrointestinal Cancer Treatment: The adoption of IORT in gastrointestinal cancer, particularly in colorectal and pancreatic cancers, represents a significant growth opportunity. IORT can be used to treat tumors located in the abdominal cavity, providing targeted radiation during surgery. This localized approach helps to minimize damage to surrounding healthy tissues, reducing the risk of postoperative complications. As the prevalence of gastrointestinal cancers continues to rise, the demand for effective treatments like IORT will increase. The ability to deliver precise radiation during surgery makes IORT a promising option for improving survival rates and reducing treatment times for these patients.
• Head and Neck Cancer Management: Head and neck cancers, which often involve complex surgical procedures due to their proximity to critical structures, benefit significantly from IORT. The precision of intraoperative radiation reduces the risk of damage to surrounding tissues such as the salivary glands, vocal cords, and spinal cord. By delivering radiation directly to the tumor site during surgery, IORT minimizes the side effects of traditional radiation therapy. As the awareness of its benefits grows, IORT is expected to become an integral part of treatment plans for head and neck cancer, offering a highly targeted approach to cancer care.
• Pediatric Oncology: In pediatric oncology, where minimizing long-term side effects is crucial, IORT presents a significant growth opportunity. Children diagnosed with cancer often require highly targeted treatments to limit radiation exposure to surrounding healthy tissues. IORT can deliver high doses of radiation directly to the tumor during surgery, reducing the need for extended postoperative radiation therapies. As more hospitals adopt IORT in pediatric cancer care, this approach will improve survival rates and quality of life for young patients, making IORT a key growth area in the pediatric oncology space in the United States.
• Recurrent Tumor Treatment: IORT plays a critical role in the treatment of recurrent tumors, especially in patients who have already undergone surgery and radiation. By targeting the tumor site with precision during follow-up surgery, IORT can effectively treat recurring tumors, minimizing the need for additional systemic therapies. The ability to deliver radiation directly to localized recurrence sites increases the likelihood of controlling cancer growth while minimizing side effects. As more patients face recurrent cancers, the demand for IORT as a treatment option will grow, positioning it as a valuable tool in long-term cancer management.

The strategic growth opportunities in the IORT market across breast cancer, gastrointestinal cancer, head and neck cancer, pediatric oncology, and recurrent tumor treatment are reshaping the landscape of cancer care in the United States. IORT’s ability to deliver precise, localized radiation during surgery offers numerous advantages, including reduced treatment times, fewer side effects, and better patient outcomes. As these applications continue to expand, IORT will play an increasingly vital role in personalized, effective cancer treatment, driving further adoption and innovation in the U.S. healthcare system.

Intraoperative Radiation Therapy Market in United States Driver and Challenges

The intraoperative radiation therapy (IORT) market in the United States is influenced by a combination of technological, economic, and regulatory factors. As the healthcare system moves toward more precise and personalized treatment options, IORT has emerged as a promising therapy for various types of cancer. However, despite its potential, there are challenges such as high costs, regulatory approval delays, and the need for specialized expertise. Understanding the major drivers and challenges in this market is essential to gauge its future growth and impact on cancer treatment in the United States.

The factors responsible for driving the intraoperative radiation therapy market in United States include:
• Technological Advancements in IORT Systems: Technological improvements in IORT systems, such as better imaging, more precise targeting, and smaller, mobile units, are major drivers of the market. The latest systems provide real-time imaging, which allows for more accurate radiation delivery during surgery, minimizing damage to healthy tissues. Additionally, portable units make IORT accessible to hospitals that may not have had the resources for large, fixed systems. These advancements improve patient outcomes and streamline cancer treatment protocols, fostering wider adoption across the United States.
• Government Support and Healthcare Funding: Government funding plays a critical role in the adoption of IORT. Public health initiatives, such as those from the National Cancer Institute (NCI), provide grants for clinical research and infrastructure development, making it easier for hospitals to acquire advanced IORT systems. Additionally, reimbursement policies from Medicare and private insurers have expanded to cover IORT treatments. Government support helps lower financial barriers for healthcare providers and ensures more patients have access to advanced cancer treatments, thus accelerating the growth of the IORT market in the United States.
• Rising Cancer Prevalence: The increasing incidence of various types of cancer, particularly breast, gastrointestinal, and head and neck cancers, is driving the demand for effective treatment options like IORT. With more patients being diagnosed each year, healthcare providers are seeking therapies that can improve survival rates while minimizing the side effects of traditional treatments. IORT offers an innovative solution by delivering high doses of radiation directly to the tumor site during surgery, which shortens treatment times and reduces radiation exposure to surrounding healthy tissues.
• Minimally Invasive Treatment Preferences: As patients increasingly demand less invasive treatment options with quicker recovery times, IORT fits perfectly within this trend. Traditional radiation therapy requires multiple sessions over several weeks, which can be physically and mentally taxing for patients. IORT, on the other hand, delivers radiation in a single session during surgery, allowing for a faster recovery and fewer side effects. This preference for minimally invasive treatments is accelerating the adoption of IORT in various oncology specialties, especially in breast and gastrointestinal cancers.
• Growing Demand for Personalized Medicine: The rising focus on personalized medicine is a key driver in the adoption of IORT. As cancer treatments become more tailored to individual patients, IORT provides a highly targeted approach to radiation therapy. By focusing radiation directly on the tumor site during surgery, IORT minimizes damage to healthy tissues and reduces side effects. This personalized approach improves treatment efficacy, particularly in complex cases or for patients with recurrent cancers, further contributing to the growth of the IORT market in the United States.

Challenges in the intraoperative radiation therapy market in United States are:
• High Equipment and Maintenance Costs: The high initial cost of IORT systems and their ongoing maintenance are significant challenges in the United States market. Hospitals and cancer centers must invest substantial capital to purchase and maintain these sophisticated systems, which can be a barrier for smaller or underfunded institutions. Additionally, the costs associated with staff training and ongoing operational expenses can limit the ability of healthcare facilities to implement IORT widely. These financial barriers restrict access to IORT, particularly in regions with fewer resources, thereby slowing the overall adoption of the technology.
• Lack of Skilled Workforce: IORT requires specialized expertise, including radiologists, surgeons, and medical physicists, who must be trained to operate advanced systems and integrate them into cancer treatment protocols. There is a shortage of professionals with the necessary skills, which can delay the adoption of IORT in some hospitals. Ensuring an adequately trained workforce is crucial for successful implementation, but the lack of specialized training programs in certain areas of the United States may hinder market growth and limit the accessibility of IORT to patients.
• Regulatory Hurdles and Approval Delays: The process for obtaining regulatory approval for IORT systems in the United States is time-consuming and complex. The U.S. Food and Drug Administration (FDA) requires rigorous clinical trials and data before a new IORT device can be approved for widespread use. Regulatory delays can slow down the introduction of the latest technologies and prevent hospitals from adopting the most effective and efficient systems. These delays can hinder market growth by limiting access to cutting-edge treatments and reducing the overall pace of innovation in the IORT field.

The IORT market in the United States is driven by technological advancements, government support, the rising prevalence of cancer, patient demand for minimally invasive treatments, and the growing focus on personalized medicine. However, challenges such as high equipment costs, a lack of skilled professionals, and regulatory hurdles are limiting its widespread adoption. Addressing these issues will be essential for maximizing the potential of IORT and ensuring it becomes a core component of cancer treatment across the United States.

List of Intraoperative Radiation Therapy Market in United States Companies

Companies in the market compete on the basis of product quality offered. Major players in this market focus on expanding their manufacturing facilities, R&D investments, infrastructural development, and leverage integration opportunities across the value chain. Through these strategies, intraoperative radiation therapy companies cater to increasing demand, ensure competitive effectiveness, develop innovative products & technologies, reduce production costs, and expand their customer base. Some of the intraoperative radiation therapy companies profiled in this report include:
• Company 1
• Company 2
• Company 3
• Company 4
• Company 5
• Company 6
• Company 7



Intraoperative Radiation Therapy Market in United States by Segment

The study includes a forecast for the intraoperative radiation therapy market in United States by product type, technology, and application.

Intraoperative Radiation Therapy Market in United States by Product Type [Analysis by Value from 2019 to 2031]:


• Accelerators
• Treatment Planning System
• Applicators
• Afterloaders
• Accessories

Intraoperative Radiation Therapy Market in United States by Technology [Analysis by Value from 2019 to 2031]:


• Electron IORT
• Intraoperative Brachytherapy

Intraoperative Radiation Therapy Market in United States by Application [Analysis by Value from 2019 to 2031]:


• Breast Cancer
• Brain Tumor
• Head And Neck Cancer
• Soft Tissue Sarcoma
• Pediatric Tumors
• Gynecological Cancer
• Genitourinary Cancers
• Upper Gastro-Intestinal Tumors
• Others

Lucintel Analytics Dashboard

Features of the Intraoperative Radiation Therapy Market in United States

Market Size Estimates: Intraoperative radiation therapy in United States market size estimation in terms of value ($B).
Trend and Forecast Analysis: Market trends and forecasts by various segments.
Segmentation Analysis: Intraoperative radiation therapy in United States market size by product type, technology, and application in terms of value ($B).
Growth Opportunities: Analysis of growth opportunities in different product type, technology, and application for the intraoperative radiation therapy in United States.
Strategic Analysis: This includes M&A, new product development, and competitive landscape of the intraoperative radiation therapy in United States.
Analysis of competitive intensity of the industry based on Porter’s Five Forces model.

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FAQ

Q.1 What are the major drivers influencing the growth of the intraoperative radiation therapy market in United States?
Answer: The major drivers for this market are the growing adoption of IORT system technology, the increasing demand for targeted cancer treatments, and the ongoing technological advancements aimed at improving precision and effectiveness during surgery.
Q2. What are the major segments for intraoperative radiation therapy market in United States?
Answer: The future of the intraoperative radiation therapy market in United States looks promising with opportunities in the breast cancer, brain tumor, head and neck cancer, soft tissue sarcoma, pediatric tumors, gynecological cancer, genitourinary cancers, and upper gastro-intestinal tumors markets.
Q3. Which intraoperative radiation therapy market segment in United States will be the largest in future?
Answer: Lucintel forecasts that accelerators will remain the largest segment over the forecast period due to growing demand for IORT and the development of new and more advanced accelerators.
Q4. Do we receive customization in this report?
Answer: Yes, Lucintel provides 10% customization without any additional cost.

This report answers following 10 key questions:

Q.1. What are some of the most promising, high-growth opportunities for the intraoperative radiation therapy market in United States by product type (accelerators, treatment planning system, applicators, after loaders, and accessories), technology (electron IORT and intraoperative brachytherapy), and application (breast cancer, brain tumor, head and neck cancer, soft tissue sarcoma, pediatric tumors, gynecological cancer, genitourinary cancers, upper gastro-intestinal tumors, and others)?
Q.2. Which segments will grow at a faster pace and why?
Q.3. What are the key factors affecting market dynamics? What are the key challenges and business risks in this market?
Q.4. What are the business risks and competitive threats in this market?
Q.5. What are the emerging trends in this market and the reasons behind them?
Q.6. What are some of the changing demands of customers in the market?
Q.7. What are the new developments in the market? Which companies are leading these developments?
Q.8. Who are the major players in this market? What strategic initiatives are key players pursuing for business growth?
Q.9. What are some of the competing products in this market and how big of a threat do they pose for loss of market share by material or product substitution?
Q.10. What M&A activity has occurred in the last 5 years and what has its impact been on the industry?
For any questions related to Intraoperative Radiation Therapy Market in United States, Intraoperative Radiation Therapy Market in United States Size, Intraoperative Radiation Therapy Market in United States Growth, Intraoperative Radiation Therapy Market in United States Analysis, Intraoperative Radiation Therapy Market in United States Report, Intraoperative Radiation Therapy Market in United States Share, Intraoperative Radiation Therapy Market in United States Trends, Intraoperative Radiation Therapy Market in United States Forecast, Intraoperative Radiation Therapy Companies, write Lucintel analyst at email: helpdesk@lucintel.com. We will be glad to get back to you soon.

                                                            Table of Contents

            1. Executive Summary

            2. Intraoperative Radiation Therapy Market in United States: Market Dynamics
                        2.1: Introduction, Background, and Classifications
                        2.2: Supply Chain
                        2.3: Industry Drivers and Challenges

            3. Market Trends and Forecast Analysis from 2019 to 2031
                        3.1. Macroeconomic Trends (2019-2024) and Forecast (2025-2031)
                        3.2. Intraoperative Radiation Therapy Market in United States Trends (2019-2024) and Forecast (2025-2031)
                        3.3: Intraoperative Radiation Therapy Market in United States by Product Type
                                    3.3.1: Accelerators
                                    3.3.2: Treatment Planning system
                                    3.3.3: Applicators
                                    3.3.4: Afterloaders
                                    3.3.5: Accessories
                        3.4: Intraoperative Radiation Therapy Market in United States by Technology
                                    3.4.1: Electron IORT
                                    3.4.2: Intraoperative Brachytherapy
                        3.5: Intraoperative Radiation Therapy Market in United States by Application
                                    3.5.1: Breast Cancer
                                    3.5.2: Brain Tumor
                                    3.5.3: Head and Neck Cancer
                                    3.5.4: Soft Tissue Sarcoma
                                    3.5.5: Pediatric Tumors
                                    3.5.6: Gynecological Cancer
                                    3.5.7: Genitourinary Cancers
                                    3.5.8: Upper Gastro-Intestinal Tumors
                                    3.5.9: Others

            4. Competitor Analysis
                        4.1: Product Portfolio Analysis
                        4.2: Operational Integration
                        4.3: Porter’s Five Forces Analysis

            5. Growth Opportunities and Strategic Analysis
                        5.1: Growth Opportunity Analysis
                                    5.1.1: Growth Opportunities for the Intraoperative Radiation Therapy Market in United States by Product Type
                                    5.1.2: Growth Opportunities for the Intraoperative Radiation Therapy Market in United States by Technology
                                    5.1.3: Growth Opportunities for the Intraoperative Radiation Therapy Market in United States by Application
                        5.2: Emerging Trends in the Intraoperative Radiation Therapy Market in United States
                        5.3: Strategic Analysis
                                    5.3.1: New Product Development
                                    5.3.2: Capacity Expansion of the Intraoperative Radiation Therapy Market in United States
                                    5.3.3: Mergers, Acquisitions, and Joint Ventures in the Intraoperative Radiation Therapy Market in United States
                                    5.3.4: Certification and Licensing

            6. Company Profiles of Leading Players
                        6.1: Company 1
                        6.2: Company 2
                        6.3: Company 3
                        6.4: Company 4
                        6.5: Company 5
                        6.6: Company 6
                        6.7: Company 7
.

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Lucintel has been in the business of market research and management consulting since 2000 and has published over 1000 market intelligence reports in various markets / applications and served over 1,000 clients worldwide. This study is a culmination of four months of full-time effort performed by Lucintel's analyst team. The analysts used the following sources for the creation and completion of this valuable report:
  • In-depth interviews of the major players in this market
  • Detailed secondary research from competitors’ financial statements and published data 
  • Extensive searches of published works, market, and database information pertaining to industry news, company press releases, and customer intentions
  • A compilation of the experiences, judgments, and insights of Lucintel’s professionals, who have analyzed and tracked this market over the years.
Extensive research and interviews are conducted across the supply chain of this market to estimate market share, market size, trends, drivers, challenges, and forecasts. Below is a brief summary of the primary interviews that were conducted by job function for this report.
 
Thus, Lucintel compiles vast amounts of data from numerous sources, validates the integrity of that data, and performs a comprehensive analysis. Lucintel then organizes the data, its findings, and insights into a concise report designed to support the strategic decision-making process. The figure below is a graphical representation of Lucintel’s research process. 
 

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