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AI Detects LVO from CT Angiograms to Improve Endovascular Thrombectomy Treatment Times for Stroke Patients

By MedImaging International staff writers
Posted on 19 Sep 2023

Large vessel occlusion (LVO) happens when a key artery in the brain gets blocked, and it's considered a particularly serious form of stroke. LVOs make up an estimated 24% to 46% of acute ischemic strokes. Quick intervention with endovascular thrombectomy—a less invasive surgery that removes the blood clot from the obstructed artery—can make a big difference in the patient's recovery. However, the success of this treatment is closely tied to how quickly it's administered. Now, an artificial intelligence (AI)--powered LVO detection software for acute stroke triage has been found to improve endovascular thrombectomy treatment times.

In order to explore ways of enhancing hospital-based endovascular treatments, a team of researchers at UTHealth Houston (Houston, TX, USA) conducted a specific kind of clinical trial called a cluster-randomized, stepped-wedge trial. They analyzed 243 patients who had LVO strokes who presented at four comprehensive stroke centers. These centers used Viz LVO, an AI-powered system that identifies LVO from computed tomography (CT) angiogram images and then sends secure, real-time alerts to the mobile phones of healthcare providers, including clinicians and radiologists. This alert is sent within minutes after the CT imaging is done, allowing the patient’s care team to share updates about the case in real time.

Importantly, the use of this automated LVO detection technology led to a statistically significant average reduction of 11 minutes in the time it took to start thrombectomy. The time from the beginning of the CT scan to the initiation of the endovascular therapy was also reduced by almost 10 minutes. These results were released not long after another UTHealth Houston-led study, which found that women with LVO acute ischemic stroke were less likely to be directed to comprehensive stroke centers compared to men, despite having similar stroke symptoms and living at similar distances from these centers. Both pieces of research are part of a wider initiative to find better ways to improve the outcomes for stroke patients.

“The benefit of endovascular thrombectomy on functional recovery is time-sensitive, so early identification of patients with strokes with large vessel occlusions, and process improvements to accelerate in-hospital care, are critical,” said study author, Youngran Kim, PhD. “Our study has shown that the implementation of AI software has improved workflows within the comprehensive stroke centers.”

“Nearly 2 million brain cells die every minute the blockage remains, so speeding up treatments by 10 to 15 minutes can result in substantial improvements,” said study author Sunil A. Sheth, MD. “Our study is the most rigorous of its kind to address the question of whether machine-learning software can result in a clinically meaningful improvement for patients with acute stroke, and here, we see that the answer is ‘yes.’”

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64 (396.0132598877): 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`

65 (72.002410888672): select jos_twitters.link from jos_twitters where cat=10

66 (39.100646972656): select jos_facebook.link from jos_facebook where cat=10

67 (37.908554077148): select jos_google_plus.link from jos_google_plus where cat=10

68 (34.809112548828): select jos_linkedin.link from jos_linkedin where cat=10

69 (44.107437133789): SELECT fid FROM jos_deeppockets WHERE id=294798669 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294798669 AND published='1' LIMIT 1

70 (45.061111450195): 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`

71 (401.02005004883): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294798669 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (300.88424682617): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294798669 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

73 (51.021575927734): 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`

74 (77.962875366211): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (43.869018554688): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (198.1258392334): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (51.975250244141): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (117.06352233887): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294798669 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (219.10667419434): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294798669 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

90 (95.129013061523): 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`

91 (80.108642578125): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (34.809112548828): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (39.815902709961): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (97.990036010742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798669 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798669 AND published='1' LIMIT 1

106 (59.843063354492): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798669 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798669 AND published='1' LIMIT 1

107 (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 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=294798669 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (61.988830566406): 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=294798669 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

109 (100.13580322266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798669 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798669 AND published='1' LIMIT 1

110 (77.962875366211): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798669 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798669 AND published='1' LIMIT 1

111 (74.148178100586): 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=294798669 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (671.8635559082): 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=294798669 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (805.85479736328): 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

114 (657.08160400391): 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 (162.12463378906): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798669 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798669 AND published='1' LIMIT 1

116 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798669 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798669 AND published='1' LIMIT 1

117 (83.92333984375): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798669 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798669 AND published='1' LIMIT 1

118 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798669 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798669 AND published='1' LIMIT 1

119 (253.91578674316): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798669 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798669 AND published='1' LIMIT 1

120 (65.088272094727): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798669 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798669 AND published='1' LIMIT 1

121 (373.84033203125): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

122 (!!!!! 28694.152832031): 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

123 (132.79914855957): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798669 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798669 AND published='1' LIMIT 1

124 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798669 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798669 AND published='1' LIMIT 1

125 (503.0632019043): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294798669 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294798669 AND type='deeppockets_item' AND published='1' LIMIT 1

126 (!!!!! 421350.95596313): ( 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

127 (106.0962677002): ( 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 (76.055526733398): 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

129 (46.014785766602): 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 (67.949295043945): 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

131 (44.107437133789): 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 (45.7763671875): 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

133 (39.100646972656): 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 (578.16505432129): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798669 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

135 (486.13548278809): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798669 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (329.97131347656): SELECT name FROM jos_deeppockets WHERE id=215

137 (51.021575927734): SELECT name FROM jos_deeppockets WHERE id=215

138 (442.9817199707): 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

139 (349.04479980469): 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 (58.174133300781): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798669 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798669 AND published='1' LIMIT 1

141 (43.869018554688): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798669 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798669 AND published='1' LIMIT 1

142 (!!!!! 10291.09954834): TRUNCATE TABLE jos_trademed_module

143 (87.02278137207): 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=294798669 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

144 (57.93571472168): 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=294798669 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (887.87078857422): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798669 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

146 (54.121017456055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798669 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (57.93571472168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798669 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798669 AND published='1' LIMIT 1

148 (41.007995605469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798669 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798669 AND published='1' LIMIT 1

149 (!!!!! 1115.083694458): 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

150 (58.889389038086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798669 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798669 AND published='1' LIMIT 1

151 (41.961669921875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798669 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798669 AND published='1' LIMIT 1

152 (48.160552978516): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294798669 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294798669 AND type='deeppockets_item' AND published='1' LIMIT 1

153 (36.954879760742): 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)

154 (35.04753112793): 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 (46.014785766602): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

156 (88.930130004883): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798669 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798669 AND published='1' LIMIT 1

157 (49.829483032227): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798669 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798669 AND published='1' LIMIT 1

158 (36.001205444336): select jos_twitters.link from jos_twitters where cat=10

159 (36.954879760742): select jos_facebook.link from jos_facebook where cat=10

160 (31.948089599609): select jos_google_plus.link from jos_google_plus where cat=10

161 (34.093856811523): select jos_linkedin.link from jos_linkedin where cat=10

162 (268.93615722656): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

163 (!!!!! 1235.9619140625): insert into jos_banners_delta values (14615,'2025-04-30 03:09:12','18.119.172.175','view'),(14202,'2025-04-30 03:09:12','18.119.172.175','view'),(14203,'2025-04-30 03:09:12','18.119.172.175','view')

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