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Google Tests AI Algorithm to Help Detect Metastatic Breast Cancers

By MedImaging International staff writers
Posted on 25 Oct 2018

Image: Left: sample view of a slide containing lymph nodes, with multiple artifacts: the dark zone on the left is an air bubble, the white streaks are cutting artifacts, the red hue across some regions are hemorrhagic (containing blood), the tissue is necrotic (decaying), and the processing quality was poor. Right: LYNA identifies the tumor region in the center (red), and correctly classifies the surrounding artifact-laden regions as non-tumor (blue) (Photo courtesy of Google AI).

Scientists at Google AI (Mountain View, CA, USA) who have been developing an algorithm to detect the spread of breast cancer have published new research showing its promise as an assistive tool for pathologists.

Google AI had described its deep learning–based approach to improve diagnostic accuracy (LYmph Node Assistant, or LYNA) to the 2016 ISBI Camelyon Challenge, which provides gigapixel-sized pathology slides of lymph nodes from breast cancer patients for researchers to develop computer algorithms to detect metastatic cancer. LYNA has achieved significantly higher cancer detection rates than had been previously reported. In their latest published studies, the scientists presented a proof-of-concept pathologist assistance tool based on LYNA and their investigation of these factors.

In the first paper, the scientists applied their algorithm to de-identified pathology slides from both the Camelyon Challenge and an independent dataset provided by our co-authors at the Naval Medical Center San Diego. This additional dataset consisted of pathology samples from a different lab using different processes, thereby improving the representation of the diversity of slides and artifacts seen in routine clinical practice. LYNA proved robust to image variability and numerous histological artifacts, and achieved similar performance on both datasets without additional development.

In both the datasets, LYNA was able to correctly distinguish a slide with metastatic cancer from a slide without cancer 99% of the time. Additionally, LYNA could accurately pinpoint the location of both cancers and other suspicious regions within each slide, some of which were too small to be consistently detected by pathologists. Based on this, the researchers believe that one potential benefit of LYNA could be to highlight these areas of concern for pathologists to review and determine the final diagnosis.

In their second paper, six board-certified pathologists completed a simulated diagnostic task in which they reviewed lymph nodes for metastatic breast cancer both with and without the assistance of LYNA. For the often-laborious task of detecting small metastases (termed micrometastases), the use of LYNA made the task subjectively “easier” (according to pathologists’ self-reported diagnostic difficulty) and halved average slide review time, requiring about one minute instead of two minutes per slide.

This indicates the intriguing potential for assistive technologies such as LYNA to reduce the burden of repetitive identification tasks and to allow more time and energy for pathologists to focus on other, more challenging clinical and diagnostic tasks. In terms of diagnostic accuracy, pathologists in this study were able to more reliably detect micrometastases with LYNA, reducing the rate of missed micrometastases by a factor of two. Encouragingly, pathologists with LYNA assistance were more accurate than either unassisted pathologists or the LYNA algorithm itself, indicating that people and algorithms can work together effectively to perform better than working independently.

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66 (37.193298339844): select jos_google_plus.link from jos_google_plus where cat=10

67 (28.133392333984): select jos_linkedin.link from jos_linkedin where cat=10

68 (31.948089599609): SELECT fid FROM jos_deeppockets WHERE id=294775429 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294775429 AND published='1' LIMIT 1

69 (30.994415283203): 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=217 ORDER BY `ordering`

70 (282.04917907715): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294775429 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (354.05158996582): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294775429 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (51.975250244141): 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`

73 (49.829483032227): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (!!!!! 1411.9148254395): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (51.021575927734): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (29.802322387695): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (79.870223999023): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294775429 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (35.04753112793): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294775429 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (42.915344238281): 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`

90 (58.889389038086): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (82.015991210938): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (49.114227294922): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (42.915344238281): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (75.101852416992): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775429 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775429 AND published='1' LIMIT 1

105 (43.869018554688): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775429 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775429 AND published='1' LIMIT 1

106 (56.028366088867): 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=294775429 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (64.13459777832): 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=294775429 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (290.1554107666): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775429 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775429 AND published='1' LIMIT 1

109 (!!!!! 3993.9880371094): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775429 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775429 AND published='1' LIMIT 1

110 (403.88107299805): 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=294775429 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (626.0871887207): 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=294775429 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (534.0576171875): 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

113 (343.08433532715): 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 (89.168548583984): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775429 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775429 AND published='1' LIMIT 1

115 (45.061111450195): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775429 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775429 AND published='1' LIMIT 1

116 (55.074691772461): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775429 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775429 AND published='1' LIMIT 1

117 (49.114227294922): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775429 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775429 AND published='1' LIMIT 1

118 (53.167343139648): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775429 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775429 AND published='1' LIMIT 1

119 (44.822692871094): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775429 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775429 AND published='1' LIMIT 1

120 (307.08312988281): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

121 (!!!!! 252253.05557251): 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

122 (!!!!! 11745.929718018): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775429 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775429 AND published='1' LIMIT 1

123 (!!!!! 8029.9377441406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775429 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775429 AND published='1' LIMIT 1

124 (!!!!! 1023.0541229248): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294775429 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294775429 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 2425904.0355682): ( 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

126 (80.82389831543): ( 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 (42.200088500977): 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

128 (30.994415283203): 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 (42.200088500977): 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

130 (31.948089599609): 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 (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

132 (30.040740966797): 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 (519.0372467041): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775429 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

134 (416.99409484863): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775429 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

135 (40.054321289062): SELECT name FROM jos_deeppockets WHERE id=217

136 (27.894973754883): SELECT name FROM jos_deeppockets WHERE id=217

137 (453.94897460938): 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 '((;)|(^))217((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

138 (371.93298339844): 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 '((;)|(^))217((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

139 (186.92016601562): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775429 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775429 AND published='1' LIMIT 1

140 (46.014785766602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775429 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775429 AND published='1' LIMIT 1

141 (!!!!! 12068.033218384): TRUNCATE TABLE jos_trademed_module

142 (!!!!! 1157.9990386963): 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=294775429 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

143 (666.14151000977): 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=294775429 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

144 (435.11390686035): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775429 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

145 (51.975250244141): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775429 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

146 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775429 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775429 AND published='1' LIMIT 1

147 (39.100646972656): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775429 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775429 AND published='1' LIMIT 1

148 (!!!!! 1249.0749359131): 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

149 (188.11225891113): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775429 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775429 AND published='1' LIMIT 1

150 (130.89179992676): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775429 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775429 AND published='1' LIMIT 1

151 (562.90626525879): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294775429 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294775429 AND type='deeppockets_item' AND published='1' LIMIT 1

152 (179.05235290527): 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=217 or channel_id is null)

153 (92.029571533203): 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=217 or channel_id is null)

154 (355.95893859863): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

155 (!!!!! 3618.0019378662): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775429 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775429 AND published='1' LIMIT 1

156 (243.9022064209): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775429 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775429 AND published='1' LIMIT 1

157 (137.0906829834): select jos_twitters.link from jos_twitters where cat=10

158 (65.088272094727): select jos_facebook.link from jos_facebook where cat=10

159 (67.949295043945): select jos_google_plus.link from jos_google_plus where cat=10

160 (63.896179199219): select jos_linkedin.link from jos_linkedin where cat=10

161 (555.03845214844): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

162 (!!!!! 5371.8090057373): insert into jos_banners_delta values (14615,'2025-06-17 21:17:10','216.73.216.120','view'),(14202,'2025-06-17 21:17:10','216.73.216.120','view'),(14203,'2025-06-17 21:17:10','216.73.216.120','view')

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