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AI-Based Breast Cancer Risk Calculator Could Reduce Unnecessary Biopsies

By MedImaging International staff writers
Posted on 17 Aug 2023

Breast cancer is a significant health concern, affecting one in eight women during their lifetime and even some men. Mammograms have become a standard screening procedure, recommended annually for women starting at age 40 to detect breast cancer at its earliest stages. Although this leads to more biopsies, a surprisingly small proportion (less than two out of 10,000 women biopsied) comes out positive. The consequences are not only wasted time, resources, and money but also unnecessary anxiety for the patient. Now, scientists have devised a more intelligent model to assess breast cancer risk, aiming to reduce unnecessary biopsies.

Scientists at Houston Methodist Hospital (Houston, TX, USA) have developed an advanced clinical decision support tool, known as iBRISK (intelligent-augmented breast cancer risk calculator), which leverages deep learning to provide a more accurate assessment of a woman's risk of developing breast cancer. This tool was created by applying deep learning to clinical risk factors and mammographic descriptors from nearly 10,000 individuals, and its effectiveness was subsequently validated on more than 1,000 additional patients.

Currently, hospitals in the U.S. rely on the Breast Imaging Reporting and Database System (BI-RADS), devised by the American College of Radiology, to gauge breast cancer risk and determine whether a biopsy is needed. However, the scientists at Houston Methodist Hospital have gone beyond the standard BI-RADS data by utilizing AI technology and multiple patient data points to refine the assessment. The iBRISK system integrates natural language processing, medical image analysis, and deep learning with multi-modal BI-RADS patient data to generate one of three recommendations: a biopsy is not recommended, consideration for biopsy, or a biopsy is recommended. The researchers identified approximately 100 parameters for analysis, such as age, sex, socio-economic data, medical history, and insurance plans. Through the application of deep learning, the AI tool reduced these data points down to the 20 most essential risk indicators.

In a new study, the iBRISK model was applied to an independent set of breast images from over 4,200 patients, screened at three different institutions between 2006 and 2016. The model was developed particularly to evaluate the probability of malignancy of BI-RADS category 4 lesions. The model's accuracy rate was found to be approximately 89.5%, with an impressive specificity of 81%. Only two of the 1,228 individuals in the low Probability of Malignancy (POM) group had malignant lesions, while the high POM malignancy rate was 85.9%. The scientists also calculated the iBRISK score's effectiveness at predicting malignancy, resulting in an area under the receiver operating characteristic curve of 0.97. The potential impact of iBRISK is substantial. Not only could it lead to more accurate breast cancer risk assessments, but it may also save hundreds of millions of dollars each year at a single institution by eliminating unnecessary biopsies. By employing intelligent AI methodologies, the iBRISK tool represents a significant advancement in breast cancer screening and demonstrates the potential to improve medical decision-making, efficiency, and patient care.

“Our study demonstrates that iBRISK can effectively aid in risk stratification of BI-RADS 4 lesions and reduce overbiopsy of these lesions,” the authors concluded. “Ultimately, the iBRISK calculator will be published as an online interface and made open access, noncommercial, and accessible by health systems and centers worldwide. Future studies aim to improve the model further, particularly by including more granular data and other BI-RADS categories.”

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61 (982.04612731934): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798276 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798276 AND published='1' LIMIT 1

62 (!!!!! 1098.1559753418): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798276 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798276 AND published='1' LIMIT 1

63 (!!!!! 3612.9951477051): 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 (537.87231445312): SELECT fid FROM jos_deeppockets WHERE id=294798276 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294798276 AND published='1' LIMIT 1

65 (295.16220092773): 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 (76.055526733398): select jos_twitters.link from jos_twitters where cat=10

67 (40.054321289062): select jos_facebook.link from jos_facebook where cat=10

68 (37.908554077148): select jos_google_plus.link from jos_google_plus where cat=10

69 (34.093856811523): select jos_linkedin.link from jos_linkedin where cat=10

70 (56.028366088867): SELECT fid FROM jos_deeppockets WHERE id=294798276 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294798276 AND published='1' LIMIT 1

71 (106.8115234375): 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 (415.08674621582): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294798276 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

73 (!!!!! 6448.9841461182): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294798276 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

74 (!!!!! 7658.9584350586): 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 (!!!!! 2171.9932556152): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (289.9169921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (!!!!! 1983.8809967041): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (360.01205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (181.91337585449): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (49.114227294922): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (119.20928955078): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (37.193298339844): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (192.88063049316): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (!!!!! 2544.8799133301): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (102.99682617188): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294798276 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

90 (45.061111450195): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294798276 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

91 (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`

92 (79.154968261719): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (43.869018554688): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (26.226043701172): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (100.85105895996): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798276 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798276 AND published='1' LIMIT 1

107 (76.055526733398): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798276 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798276 AND published='1' LIMIT 1

108 (75.101852416992): 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=294798276 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

109 (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_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=294798276 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

110 (!!!!! 1006.8416595459): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798276 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798276 AND published='1' LIMIT 1

111 (125.88500976562): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798276 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798276 AND published='1' LIMIT 1

112 (133.99124145508): 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=294798276 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (623.94142150879): 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=294798276 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

114 (!!!!! 7688.045501709): 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

115 (!!!!! 7989.1681671143): 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

116 (!!!!! 7749.080657959): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798276 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798276 AND published='1' LIMIT 1

117 (!!!!! 7961.0347747803): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798276 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798276 AND published='1' LIMIT 1

118 (!!!!! 11498.928070068): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798276 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798276 AND published='1' LIMIT 1

119 (212.9077911377): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798276 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798276 AND published='1' LIMIT 1

120 (594.13909912109): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798276 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798276 AND published='1' LIMIT 1

121 (!!!!! 5029.9167633057): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798276 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798276 AND published='1' LIMIT 1

122 (!!!!! 7948.8754272461): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 100183.96377563): 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

124 (!!!!! 7677.0782470703): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798276 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798276 AND published='1' LIMIT 1

125 (!!!!! 7957.935333252): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798276 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798276 AND published='1' LIMIT 1

126 (!!!!! 1710.8917236328): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294798276 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294798276 AND type='deeppockets_item' AND published='1' LIMIT 1

127 (!!!!! 1148883.1043243): ( 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

128 (!!!!! 1128930.0918579): ( 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

129 (119.20928955078): 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

130 (37.908554077148): 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

131 (49.114227294922): 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

132 (29.087066650391): 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

133 (28.133392333984): 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

134 (28.133392333984): 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

135 (!!!!! 6131.8874359131): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798276 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (352.85949707031): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798276 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (241.99485778809): SELECT name FROM jos_deeppockets WHERE id=215

138 (38.862228393555): SELECT name FROM jos_deeppockets WHERE id=215

139 (470.87669372559): 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

140 (380.03921508789): 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

141 (!!!!! 2089.9772644043): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798276 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798276 AND published='1' LIMIT 1

142 (59.843063354492): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798276 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798276 AND published='1' LIMIT 1

143 (!!!!! 10499.954223633): TRUNCATE TABLE jos_trademed_module

144 (890.97023010254): 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=294798276 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (!!!!! 5475.0442504883): 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=294798276 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (!!!!! 1856.803894043): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798276 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (472.06878662109): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798276 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (!!!!! 1679.8973083496): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798276 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798276 AND published='1' LIMIT 1

149 (509.97734069824): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798276 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798276 AND published='1' LIMIT 1

150 (!!!!! 1962.9001617432): 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

151 (!!!!! 1036.1671447754): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798276 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798276 AND published='1' LIMIT 1

152 (535.01129150391): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798276 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798276 AND published='1' LIMIT 1

153 (!!!!! 3551.0063171387): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294798276 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294798276 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (!!!!! 1960.9928131104): 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)

155 (719.07043457031): 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)

156 (!!!!! 2717.9718017578): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (!!!!! 1387.8345489502): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798276 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798276 AND published='1' LIMIT 1

158 (419.13986206055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798276 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798276 AND published='1' LIMIT 1

159 (!!!!! 1260.9958648682): select jos_twitters.link from jos_twitters where cat=10

160 (639.91546630859): select jos_facebook.link from jos_facebook where cat=10

161 (216.00723266602): select jos_google_plus.link from jos_google_plus where cat=10

162 (892.87757873535): select jos_linkedin.link from jos_linkedin where cat=10

163 (779.86717224121): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

164 (!!!!! 2422.8096008301): insert into jos_banners_delta values (14615,'2025-04-30 02:41:50','3.144.149.217','view'),(14202,'2025-04-30 02:41:50','3.144.149.217','view'),(14203,'2025-04-30 02:41:50','3.144.149.217','view')

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