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AI-Enhanced Technology Predicts Fatal and Non-Fatal Cardiac Events from Routine CCTA

By MedImaging International staff writers
Posted on 20 Nov 2023

Annually, over 8 million people in the United States seek emergency medical attention due to chest pain. Typically, these patients undergo coronary computed tomography angiography (CCTA) to check for coronary artery disease (CAD), which is caused by the narrowing or obstruction of the arteries supplying blood to the heart. However, significant narrowing is not always detected during CCTA in many of these cases. Despite this, a considerable number of these individuals suffer fatal heart attacks in subsequent years due to minor, yet inflamed plaques that burst. Now, an innovative artificial intelligence (AI) technology has been developed that can predict both fatal and non-fatal cardiac events. This prediction is independent of standard clinical risk assessments and CCTA results, and it has the potential to revolutionize the way CAD is treated by transforming the risk evaluation and management of patients who undergo routine CCTA.

The CaRi-Heart technology from Caristo Diagnostics (Oxford, UK) is an AI-powered imaging tool that assesses coronary inflammation and characterizes plaque, aiding clinicians in better decision-making for patient care. This cloud-based software as a service (SaaS) medical device utilizes AI to process standard CCTA images. It introduces a unique imaging biomarker, the Fat Attenuation Index (FAI), to measure the extent of coronary inflammation and provides detailed analysis of plaque characteristics that are often linked with heart attacks.

The ORFAN study, the largest of its kind aimed at evaluating the effectiveness of CT imaging biomarkers in predicting long-term cardiovascular outcomes, demonstrated that coronary inflammation measured by Caristo's CaRi-Heart FAI-Score could foresee fatal and non-fatal cardiac events. These predictions were made independently of routine risk factors and standard CCTA interpretations. In this study, CaRi-Heart Risk functioned as the "AI-Risk" model, which reclassified about 30% of patients into higher risk categories and around 10% into lower risk categories. When these results were reviewed by clinicians, it led to changes in patient management in nearly half of the cases, primarily targeting previously unrecognized coronary inflammation.

"We are excited to see these exceptional clinical results enabled by our CaRi-Heart technology," said Frank Cheng, CEO of Caristo Diagnostics. "To eradicate heart disease as the number one cause of death globally, it is important for us to realize that people may have heart attack soon after a 'normal' CCTA test showing zero calcium score, no plaque, and no stenosis. The CaRi-Heart technology has the potential to save millions of lives worldwide by improving risk stratification based on CCTA-based coronary inflammation measurement. We look forward to introducing our technology across geographies to transform cardiac care and make heart attacks a preventable reality worldwide."

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66 (483.03604125977): SELECT fid FROM jos_deeppockets WHERE id=294799342 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294799342 AND published='1' LIMIT 1

67 (360.96572875977): 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=215 ORDER BY `ordering`

68 (44.822692871094): select jos_twitters.link from jos_twitters where cat=10

69 (35.04753112793): select jos_facebook.link from jos_facebook where cat=10

70 (30.040740966797): select jos_google_plus.link from jos_google_plus where cat=10

71 (30.040740966797): select jos_linkedin.link from jos_linkedin where cat=10

72 (43.869018554688): SELECT fid FROM jos_deeppockets WHERE id=294799342 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294799342 AND published='1' LIMIT 1

73 (32.901763916016): 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=215 ORDER BY `ordering`

74 (266.07513427734): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294799342 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

75 (203.84788513184): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294799342 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

76 (36.001205444336): 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 (55.074691772461): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (24.795532226562): 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 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (24.080276489258): SELECT show_live FROM jos_com_show_setting LIMIT 1

90 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (39.100646972656): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294799342 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=294799342 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

93 (30.994415283203): 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 (44.822692871094): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

107 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

108 (67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799342 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799342 AND published='1' LIMIT 1

109 (42.915344238281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799342 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799342 AND published='1' LIMIT 1

110 (52.928924560547): 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=294799342 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (46.014785766602): 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=294799342 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (71.048736572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799342 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799342 AND published='1' LIMIT 1

113 (54.121017456055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799342 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799342 AND published='1' LIMIT 1

114 (46.014785766602): 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=294799342 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

115 (417.94776916504): 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=294799342 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

116 (560.04524230957): 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 (312.08992004395): 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 (76.055526733398): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799342 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799342 AND published='1' LIMIT 1

119 (52.928924560547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799342 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799342 AND published='1' LIMIT 1

120 (55.074691772461): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799342 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799342 AND published='1' LIMIT 1

121 (40.054321289062): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799342 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799342 AND published='1' LIMIT 1

122 (132.08389282227): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799342 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799342 AND published='1' LIMIT 1

123 (41.007995605469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799342 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799342 AND published='1' LIMIT 1

124 (237.94174194336): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

125 (!!!!! 17945.051193237): 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 (123.97766113281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799342 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799342 AND published='1' LIMIT 1

127 (48.160552978516): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799342 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799342 AND published='1' LIMIT 1

128 (403.88107299805): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294799342 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294799342 AND type='deeppockets_item' AND published='1' LIMIT 1

129 (!!!!! 497923.85101318): ( 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 (66.995620727539): ( 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 (341.89224243164): 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 (91.075897216797): 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 (271.08192443848): 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 (36.001205444336): 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 (194.07272338867): 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 (32.901763916016): 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 (551.93901062012): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799342 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

138 (356.91261291504): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799342 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

139 (252.00843811035): SELECT name FROM jos_deeppockets WHERE id=215

140 (34.809112548828): SELECT name FROM jos_deeppockets WHERE id=215

141 (437.97492980957): 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 '((;)|(^))215((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

142 (343.08433532715): 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 '((;)|(^))215((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

143 (57.93571472168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799342 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799342 AND published='1' LIMIT 1

144 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799342 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799342 AND published='1' LIMIT 1

145 (!!!!! 8768.7969207764): TRUNCATE TABLE jos_trademed_module

146 (84.161758422852): 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=294799342 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

147 (52.928924560547): 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=294799342 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

148 (907.89794921875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799342 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

149 (70.095062255859): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799342 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

150 (82.015991210938): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799342 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799342 AND published='1' LIMIT 1

151 (57.93571472168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799342 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799342 AND published='1' LIMIT 1

152 (!!!!! 1486.06300354): 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 (71.048736572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799342 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799342 AND published='1' LIMIT 1

154 (57.93571472168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799342 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799342 AND published='1' LIMIT 1

155 (51.975250244141): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294799342 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294799342 AND type='deeppockets_item' AND published='1' LIMIT 1

156 (541.92543029785): 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=215 or channel_id is null)

157 (53.882598876953): 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=215 or channel_id is null)

158 (47.922134399414): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

159 (!!!!! 2223.014831543): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799342 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799342 AND published='1' LIMIT 1

160 (69.141387939453): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799342 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799342 AND published='1' LIMIT 1

161 (128.98445129395): select jos_twitters.link from jos_twitters where cat=10

162 (28.848648071289): 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 (26.941299438477): select jos_linkedin.link from jos_linkedin where cat=10

165 (247.00164794922): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

166 (!!!!! 1152.9922485352): insert into jos_banners_delta values (14615,'2025-05-02 10:25:20','3.143.111.52','view'),(14202,'2025-05-02 10:25:20','3.143.111.52','view'),(14203,'2025-05-02 10:25:20','3.143.111.52','view')

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