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Algorithm Uses Raw MRI Images to Predict If and When Someone Will Have Cardiac Arrest

By MedImaging International staff writers
Posted on 08 Apr 2022

An algorithm built to assess scar patterns in patient heart tissue can predict potentially life-threatening arrhythmias more accurately than doctors can. The new artificial intelligence-based approach can predict if and when a patient could die of cardiac arrest.

The technology, built by scientists at Johns Hopkins University (Baltimore, MD, USA) on raw images of patient's diseased hearts and patient backgrounds, significantly improves on doctor's predictions and stands to revolutionize clinical decision making and increase survival from sudden and lethal cardiac arrhythmias, one of medicine's deadliest and most puzzling conditions. The team is the first to use neural networks to build a personalized survival assessment for each patient with heart disease. These risk measures provide with high accuracy the chance for a sudden cardiac death over 10 years, and when it's most likely to happen.

The deep learning technology is called Survival Study of Cardiac Arrhythmia Risk, or SSCAR. The name alludes to cardiac scarring caused by heart disease that often results in lethal arrhythmias, and the key to the algorithm's predictions. The team used contrast-enhanced cardiac images that visualize scar distribution from hundreds of real patients with cardiac scarring to train an algorithm to detect patterns and relationships not visible to the naked eye. Current clinical cardiac image analysis extracts only simple scar features like volume and mass, severely underutilizing what's demonstrated in this work to be critical data.

The team trained a second neural network to learn from 10 years of standard clinical patient data, 22 factors such as patients' age, weight, race, and prescription drug use.The algorithms' predictions were not only significantly more accurate on every measure than doctors, they were validated in tests with an independent patient cohort from 60 health centers across the US, with different cardiac histories and different imaging data, suggesting the platform could be adopted anywhere. The team is now working to build algorithms to detect other cardiac diseases. According to the researchers, the deep-learning concept could be developed for other fields of medicine that rely on visual diagnosis.

"Sudden cardiac death caused by arrhythmia accounts for as many as 20% of all deaths worldwide and we know little about why it's happening or how to tell who's at risk," said senior author Natalia Trayanova, a professor of biomedical engineering and medicine. "There are patients who may be at low risk of sudden cardiac death getting defibrillators that they might not need and then there are high-risk patients that aren't getting the treatment they need and could die in the prime of their life. What our algorithm can do is determine who is at risk for cardiac death and when it will occur, allowing doctors to decide exactly what needs to be done."

"This has the potential to significantly shape clinical decision-making regarding arrhythmia risk and represents an essential step towards bringing patient trajectory prognostication into the age of artificial intelligence," added Trayanova, co-director of the Alliance for Cardiovascular Diagnostic and Treatment Innovation. "It epitomizes the trend of merging artificial intelligence, engineering, and medicine as the future of healthcare."

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64 (52.928924560547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792339 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792339 AND published='1' LIMIT 1

65 (71.048736572266): select cover from jos_number where journalid in (5) and cover is not null order by left(issue,2)+right(issue,2)*12 desc limit 1

66 (458.0020904541): SELECT fid FROM jos_deeppockets WHERE id=294792339 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294792339 AND published='1' LIMIT 1

67 (277.04238891602): 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=212 ORDER BY `ordering`

68 (42.915344238281): select jos_twitters.link from jos_twitters where cat=10

69 (27.894973754883): select jos_facebook.link from jos_facebook where cat=10

70 (29.087066650391): select jos_google_plus.link from jos_google_plus where cat=10

71 (29.087066650391): select jos_linkedin.link from jos_linkedin where cat=10

72 (35.04753112793): SELECT fid FROM jos_deeppockets WHERE id=294792339 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294792339 AND published='1' LIMIT 1

73 (30.040740966797): 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=212 ORDER BY `ordering`

74 (231.98127746582): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294792339 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

75 (208.13941955566): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294792339 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

76 (36.954879760742): 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 (53.167343139648): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (58.174133300781): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (24.795532226562): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

90 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (41.007995605469): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294792339 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

92 (27.179718017578): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294792339 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

93 (31.948089599609): 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 (50.067901611328): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

107 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

108 (65.803527832031): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792339 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792339 AND published='1' LIMIT 1

109 (40.769577026367): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792339 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792339 AND published='1' LIMIT 1

110 (56.982040405273): 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=294792339 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (49.114227294922): 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=294792339 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (63.896179199219): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792339 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792339 AND published='1' LIMIT 1

113 (44.107437133789): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792339 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792339 AND published='1' LIMIT 1

114 (49.114227294922): 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=294792339 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

115 (431.77604675293): 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=294792339 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

116 (555.99212646484): 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 (360.01205444336): 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 (141.85905456543): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792339 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792339 AND published='1' LIMIT 1

119 (69.141387939453): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792339 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792339 AND published='1' LIMIT 1

120 (58.889389038086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792339 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792339 AND published='1' LIMIT 1

121 (87.02278137207): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792339 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792339 AND published='1' LIMIT 1

122 (49.829483032227): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792339 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792339 AND published='1' LIMIT 1

123 (39.100646972656): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792339 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792339 AND published='1' LIMIT 1

124 (236.98806762695): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

125 (!!!!! 21986.961364746): 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 (157.83309936523): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792339 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792339 AND published='1' LIMIT 1

127 (70.095062255859): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792339 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792339 AND published='1' LIMIT 1

128 (557.18421936035): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294792339 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294792339 AND type='deeppockets_item' AND published='1' LIMIT 1

129 (!!!!! 516546.96464539): ( 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 (81.062316894531): ( 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 (319.9577331543): 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 (49.114227294922): 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 (340.93856811523): 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 (45.061111450195): 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 (307.08312988281): 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 (53.882598876953): 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 (447.98851013184): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792339 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

138 (522.13668823242): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792339 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

139 (303.03001403809): SELECT name FROM jos_deeppockets WHERE id=212

140 (35.04753112793): SELECT name FROM jos_deeppockets WHERE id=212

141 (458.0020904541): 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 '((;)|(^))212((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

142 (392.91381835938): 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 '((;)|(^))212((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

143 (70.095062255859): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792339 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792339 AND published='1' LIMIT 1

144 (50.067901611328): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792339 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792339 AND published='1' LIMIT 1

145 (!!!!! 10706.901550293): TRUNCATE TABLE jos_trademed_module

146 (86.069107055664): 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=294792339 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

147 (55.074691772461): 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=294792339 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

148 (804.90112304688): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792339 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

149 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792339 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

150 (72.956085205078): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792339 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792339 AND published='1' LIMIT 1

151 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792339 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792339 AND published='1' LIMIT 1

152 (!!!!! 1209.9742889404): 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 (92.983245849609): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792339 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792339 AND published='1' LIMIT 1

154 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792339 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792339 AND published='1' LIMIT 1

155 (52.928924560547): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294792339 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294792339 AND type='deeppockets_item' AND published='1' LIMIT 1

156 (508.06999206543): 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=212 or channel_id is null)

157 (49.829483032227): 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=212 or channel_id is null)

158 (48.87580871582): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

159 (138.99803161621): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792339 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792339 AND published='1' LIMIT 1

160 (49.114227294922): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792339 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792339 AND published='1' LIMIT 1

161 (111.81831359863): select jos_twitters.link from jos_twitters where cat=10

162 (30.040740966797): select jos_facebook.link from jos_facebook where cat=10

163 (26.941299438477): select jos_google_plus.link from jos_google_plus where cat=10

164 (35.04753112793): select jos_linkedin.link from jos_linkedin where cat=10

165 (326.15661621094): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

166 (!!!!! 1719.9516296387): insert into jos_banners_delta values (14615,'2025-05-02 03:28:50','18.116.170.100','view'),(14202,'2025-05-02 03:28:50','18.116.170.100','view'),(14203,'2025-05-02 03:28:50','18.116.170.100','view')

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