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Artificial Intelligence Helps Radiologists Improve Chest X-Ray Interpretation, Finds New Study

By MedImaging International staff writers
Posted on 05 Jul 2021

A new diagnostic accuracy study has shown that radiologists can better interpret chest X-rays when assisted by a comprehensive deep-learning model that had a similar or better accuracy than the radiologists for most findings when compared with high-quality, gold standard assessment techniques.

Chest X-rays are widely used in clinical practice; however, interpretation can be hindered by human error and a lack of experienced thoracic radiologists. Deep learning has the potential to improve the accuracy of chest X-ray interpretation. Therefore, the researchers aimed to assess the accuracy of radiologists with and without the assistance of a deep-learning model.

In the retrospective study, a deep-learning model was trained on 821,681 images (284,649 patients) from five data sets from Australia, Europe, and the US. 2,568 enriched chest X-ray cases from adult patients who had at least one frontal chest X-ray were included in the test dataset; cases were representative of inpatient, outpatient, and emergency settings. 20 radiologists reviewed cases with and without the assistance of the deep-learning model with a three-month washout period. The researchers assessed the change in accuracy of chest X-ray interpretation across 127 clinical findings when the deep-learning model was used as a decision support by calculating area under the receiver operating characteristic curve (AUC) for each radiologist with and without the deep-learning model. The team also compared AUCs for the model alone with those of unassisted radiologists. If the lower bound of the adjusted 95% CI of the difference in AUC between the model and the unassisted radiologists was more than −0·05, the model was considered to be non-inferior for that finding. If the lower bound exceeded 0, the model was considered to be superior.

The researchers found that unassisted radiologists had a macroaveraged AUC of 0·713 (95% CI 0·645–0·785) across the 127 clinical findings, compared with 0·808 (0·763–0·839) when assisted by the model. The deep-learning model statistically significantly improved the classification accuracy of radiologists for 102 (80%) of 127 clinical findings, was statistically non-inferior for 19 (15%) findings, and no findings showed a decrease in accuracy when radiologists used the deep-learning model. Unassisted radiologists had a macroaveraged mean AUC of 0·713 (0·645–0·785) across all findings, compared with 0·957 (0·954–0·959) for the model alone. Model classification alone was significantly more accurate than unassisted radiologists for 117 (94%) of 124 clinical findings predicted by the model and was non-inferior to unassisted radiologists for all other clinical findings. Thus, the study demonstrated the potential of a comprehensive deep-learning model to improve chest X-ray interpretation across a large breadth of clinical practice.

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66 (822.06726074219): SELECT fid FROM jos_deeppockets WHERE id=294788861 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294788861 AND published='1' LIMIT 1

67 (488.9965057373): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=211 ORDER BY `ordering`

68 (77.009201049805): select jos_twitters.link from jos_twitters where cat=10

69 (45.061111450195): select jos_facebook.link from jos_facebook where cat=10

70 (42.200088500977): select jos_google_plus.link from jos_google_plus where cat=10

71 (37.908554077148): select jos_linkedin.link from jos_linkedin where cat=10

72 (60.081481933594): SELECT fid FROM jos_deeppockets WHERE id=294788861 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294788861 AND published='1' LIMIT 1

73 (53.882598876953): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=211 ORDER BY `ordering`

74 (533.10394287109): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294788861 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

75 (398.15902709961): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294788861 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

76 (!!!!! 12143.135070801): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

77 (92.983245849609): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (56.028366088867): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (49.829483032227): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (58.174133300781): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

90 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (71.048736572266): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294788861 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

92 (56.028366088867): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294788861 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

93 (45.061111450195): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

94 (85.115432739258): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (49.829483032227): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (43.153762817383): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (60.081481933594): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (47.206878662109): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (53.882598876953): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

107 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

108 (109.91096496582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294788861 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294788861 AND published='1' LIMIT 1

109 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294788861 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294788861 AND published='1' LIMIT 1

110 (79.154968261719): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294788861 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (71.048736572266): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294788861 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (108.00361633301): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294788861 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294788861 AND published='1' LIMIT 1

113 (77.962875366211): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294788861 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294788861 AND published='1' LIMIT 1

114 (72.956085205078): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294788861 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

115 (730.03768920898): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294788861 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

116 (842.09442138672): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

117 (592.94700622559): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

118 (200.03318786621): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294788861 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294788861 AND published='1' LIMIT 1

119 (86.069107055664): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294788861 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294788861 AND published='1' LIMIT 1

120 (96.08268737793): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294788861 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294788861 AND published='1' LIMIT 1

121 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294788861 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294788861 AND published='1' LIMIT 1

122 (92.029571533203): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294788861 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294788861 AND published='1' LIMIT 1

123 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294788861 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294788861 AND published='1' LIMIT 1

124 (435.11390686035): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

125 (!!!!! 31322.956085205): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7

126 (136.8522644043): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294788861 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294788861 AND published='1' LIMIT 1

127 (72.956085205078): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294788861 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294788861 AND published='1' LIMIT 1

128 (699.99694824219): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294788861 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294788861 AND type='deeppockets_item' AND published='1' LIMIT 1

129 (!!!!! 575474.97749329): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

130 (88.930130004883): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

131 (524.04403686523): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

132 (85.115432739258): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

133 (342.84591674805): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

134 (64.13459777832): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

135 (261.06834411621): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

136 (51.975250244141): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

137 (577.21138000488): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294788861 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

138 (592.94700622559): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294788861 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

139 (319.00405883789): SELECT name FROM jos_deeppockets WHERE id=211

140 (49.829483032227): SELECT name FROM jos_deeppockets WHERE id=211

141 (663.99574279785): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))211((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

142 (597.95379638672): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))211((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

143 (102.99682617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294788861 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294788861 AND published='1' LIMIT 1

144 (75.101852416992): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294788861 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294788861 AND published='1' LIMIT 1

145 (!!!!! 11561.155319214): TRUNCATE TABLE jos_trademed_module

146 (117.06352233887): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294788861 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

147 (78.916549682617): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294788861 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

148 (582.21817016602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294788861 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

149 (72.956085205078): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294788861 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

150 (85.115432739258): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294788861 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294788861 AND published='1' LIMIT 1

151 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294788861 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294788861 AND published='1' LIMIT 1

152 (!!!!! 1517.7726745605): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

153 (108.00361633301): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294788861 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294788861 AND published='1' LIMIT 1

154 (71.048736572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294788861 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294788861 AND published='1' LIMIT 1

155 (65.088272094727): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294788861 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294788861 AND type='deeppockets_item' AND published='1' LIMIT 1

156 (47.922134399414): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=211 or channel_id is null)

157 (41.961669921875): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=211 or channel_id is null)

158 (43.869018554688): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

159 (164.03198242188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294788861 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294788861 AND published='1' LIMIT 1

160 (84.161758422852): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294788861 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294788861 AND published='1' LIMIT 1

161 (159.02519226074): select jos_twitters.link from jos_twitters where cat=10

162 (36.954879760742): select jos_facebook.link from jos_facebook where cat=10

163 (36.954879760742): select jos_google_plus.link from jos_google_plus where cat=10

164 (36.001205444336): select jos_linkedin.link from jos_linkedin where cat=10

165 (420.80879211426): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

166 (!!!!! 2480.0300598145): insert into jos_banners_delta values (14615,'2025-05-01 15:24:07','3.143.7.73','view'),(14202,'2025-05-01 15:24:07','3.143.7.73','view'),(14203,'2025-05-01 15:24:07','3.143.7.73','view')

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