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COVID-19 Findings Presented at RSNA 2020 Suggest AI Can Boost CT's Performance in Predicting Disease Severity

By MedImaging International staff writers
Posted on 01 Dec 2020

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Chest computed tomography (CT) when combined with artificial intelligence (AI) can become a valuable tool for diagnosing COVID-19, according to presentations on chest imaging made at a scientific session at the RSNA 2020.

In the first presentation, a team of scientists shared results from a study conducted by Nvidia (Santa Clara, CA, USA) that combined a deep-learning algorithm with chest CT to predict if COVID-19 patients needed to be admitted to the intensive care unit (ICU). The team analyzed 632 chest CT scans of COVID-19 patients confirmed by RT-PCR testing, out of which 69 patients were admitted to the ICU. The scientists developed a whole-lung segmentation algorithm and evaluated its effectiveness in terms of overall accuracy, sensitivity, and specificity when used along with CT. They found that the algorithm demonstrated high accuracy, specificity, and negative predictive value (NPV) in the identification of COVID-19 and predicting ICU admission by using chest CT. These findings indicate that AI can significantly improve the performance of CT in predicting COVID-19 severity.

"This deep-learning algorithm can alert the clinician to the enhanced potential of ICU admission, when combined with other clinical features," said Ziyue Xu, PhD, senior scientist at Nvidia. "Based upon chest CT alone, AI-based deep-learning algorithms can reasonably predict clinical outcomes such as ICU admission in patients with COVID-19 who underwent CT and PCR on the day of admission. The model is feasible with reasonable accuracy and specificity of prediction."

In another presentation, a team of researchers from the University of Pennsylvania (Philadelphia, PA, USA) highlighted their new approach for quantifying the percentage of lung volume involved in airspace disease on chest X-rays by using a convolutional neural network (CNN) algorithm based on 1,000 chest CT scans of COVID-19 patients. The study involved 86 patients with positive RT-PCR results who had chest CT and chest X-ray performed less than 48 hours apart. The algorithm used quantitative maps of lung tissue thickness and manifestations of airspace disease to project the CT exams' 3D lung and airspace disease segmentation on reconstructed X-rays. The researchers found that the CNN-reconstructed X-rays were as good as the human CT exam readers in quantifying airspace disease with CT recording a rate of 24.3% as against a rate of 24.4% by the CNN's digitally reconstructed X-rays.

"This approach may increase efficiency and consistency in chest x-ray interpretation of COVID-19 patients, especially when applied to longitudinal chest x-ray data to inform management," said Dr. Eduardo Jose Mortani Barbosa of the University of Pennsylvania.

Related Links:
Nvidia
University of Pennsylvania

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61 (132.08389282227): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294785846 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294785846 AND published='1' LIMIT 1

62 (64.13459777832): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294785846 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294785846 AND published='1' LIMIT 1

63 (169.99244689941): 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

64 (672.1019744873): SELECT fid FROM jos_deeppockets WHERE id=294785846 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294785846 AND published='1' LIMIT 1

65 (411.9873046875): 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`

66 (81.777572631836): select jos_twitters.link from jos_twitters where cat=10

67 (47.922134399414): select jos_facebook.link from jos_facebook where cat=10

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

69 (36.001205444336): select jos_linkedin.link from jos_linkedin where cat=10

70 (40.054321289062): SELECT fid FROM jos_deeppockets WHERE id=294785846 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294785846 AND published='1' LIMIT 1

71 (50.067901611328): 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`

72 (374.07875061035): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294785846 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

73 (379.80079650879): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294785846 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

74 (56.028366088867): 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`

75 (72.956085205078): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (27.179718017578): 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 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (49.114227294922): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294785846 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

90 (30.040740966797): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294785846 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

91 (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`

92 (57.93571472168): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (37.193298339844): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (78.916549682617): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (43.153762817383): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (132.08389282227): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294785846 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294785846 AND published='1' LIMIT 1

107 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294785846 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294785846 AND published='1' LIMIT 1

108 (65.803527832031): 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=294785846 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

109 (70.095062255859): 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=294785846 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

110 (87.02278137207): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294785846 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294785846 AND published='1' LIMIT 1

111 (48.87580871582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294785846 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294785846 AND published='1' LIMIT 1

112 (420.09353637695): 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=294785846 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (469.92301940918): 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=294785846 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

114 (72.002410888672): 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=294785845 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

115 (397.92060852051): 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=294785845 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

116 (646.82960510254): 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 (387.90702819824): 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 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294785846 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294785846 AND published='1' LIMIT 1

119 (48.87580871582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294785846 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294785846 AND published='1' LIMIT 1

120 (142.09747314453): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294785846 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294785846 AND published='1' LIMIT 1

121 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294785846 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294785846 AND published='1' LIMIT 1

122 (109.91096496582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294785846 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294785846 AND published='1' LIMIT 1

123 (60.081481933594): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294785846 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294785846 AND published='1' LIMIT 1

124 (477.07557678223): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

125 (!!!!! 78359.127044678): 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 (281.09550476074): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294785846 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294785846 AND published='1' LIMIT 1

127 (255.10787963867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294785846 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294785846 AND published='1' LIMIT 1

128 (!!!!! 1348.0186462402): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294785846 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294785846 AND type='deeppockets_item' AND published='1' LIMIT 1

129 (!!!!! 545850.03852844): ( 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 (103.95050048828): ( 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 (494.00329589844): 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 (103.95050048828): 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 (400.06637573242): 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 (90.122222900391): 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 (288.00964355469): 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 (70.095062255859): 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 (634.19342041016): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294785846 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

138 (510.93101501465): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294785846 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

139 (348.09112548828): SELECT name FROM jos_deeppockets WHERE id=215

140 (53.167343139648): SELECT name FROM jos_deeppockets WHERE id=215

141 (666.14151000977): 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 (553.13110351562): 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 (90.837478637695): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294785846 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294785846 AND published='1' LIMIT 1

144 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294785846 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294785846 AND published='1' LIMIT 1

145 (!!!!! 11417.865753174): TRUNCATE TABLE jos_trademed_module

146 (142.09747314453): 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=294785846 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

147 (77.962875366211): 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=294785846 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

148 (588.17863464355): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294785846 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

149 (85.830688476562): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294785846 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

150 (77.962875366211): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294785846 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294785846 AND published='1' LIMIT 1

151 (58.174133300781): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294785846 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294785846 AND published='1' LIMIT 1

152 (!!!!! 1575.9468078613): 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 (78.916549682617): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294785846 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294785846 AND published='1' LIMIT 1

154 (63.896179199219): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294785846 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294785846 AND published='1' LIMIT 1

155 (61.03515625): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294785846 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294785846 AND type='deeppockets_item' AND published='1' LIMIT 1

156 (47.206878662109): 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=0 or channel_id is null)

157 (42.915344238281): 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=0 or channel_id is null)

158 (46.968460083008): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

159 (149.96528625488): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294785846 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294785846 AND published='1' LIMIT 1

160 (70.095062255859): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294785846 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294785846 AND published='1' LIMIT 1

161 (185.96649169922): select jos_twitters.link from jos_twitters where cat=10

162 (41.007995605469): select jos_facebook.link from jos_facebook where cat=10

163 (36.001205444336): 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 (398.15902709961): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

166 (!!!!! 1483.9172363281): insert into jos_banners_delta values (14615,'2025-06-18 16:52:26','216.73.216.120','view'),(14202,'2025-06-18 16:52:26','216.73.216.120','view'),(14203,'2025-06-18 16:52:26','216.73.216.120','view')

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