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AAPM 2025 - 67th Annual Meeting & Exhibition of the American Association of Physicists in Medicine

Economics of Inadvertence in Brain MRI Research Could Save Lives

By MedImaging International staff writers
Posted on 02 Aug 2010

Canadian researchers have shown that strategies customized to the health characteristics of research participants are needed to manage cost-effectively and ethically unexpected clinical findings in imaging research studies of the human brain.

The problem of how abnormalities of potential clinical relevance that are discovered unexpectedly regarding research involving magnetic resonance imaging (MRI) should be handled in the framework of entirely experimental brain imaging has been a topic of ongoing debate. The researchers, investigators from the University of British Columbia (Vancouver, Canada), applied health economics modeling to the case of intracranial aneurysms, a potentially fatal brain disorder if left untreated, in human subjects presumed to be neurologically healthy.

In a different approach than existing recommendations that have focused on the needs of individual laboratories and institutions, the researchers' analysis revealed that the best management of incidental findings should vary depending on the characteristics of research volunteers. For instance, women with a family history of aneurysm should undergo full radiologic examination before enrollment, while no endeavor should be taken towards detection of brain aneurysms in men without family history. The study also additional changes the research setting by showing that prescreening of brain scans by students and professionals who have not been trained in neuroradiology, a standard of practice across many research laboratories, is not cost-effective use of resources in any group of research volunteers.

Incidental findings were reported in 2% - 8% of healthy research volunteers and with the widespread growth in brain imaging research on one hand, and qualitative improvements in the precision of brain imaging modalities on the other hand, increasing numbers of healthy individuals can expect to be faced with such unanticipated findings in the future.

"Incidental findings are a challenge for researchers who do neuroimaging,” said Dr. Judy Illes, director of the National Core for Neuroethics, University of British Columbia, who has been studying the issues from a neuroethics point of view for the past 10 years. She noted that this is the first time policy-making issues based on the principles of welfare economics are combined with theoretic analysis from biomedical ethics to bring solutions to a problem that has such magnitude for the brain sciences.

This topic will be discussed in a future issue of Value in Health, the official journal of the International Society for Pharmacoeconomics and outcomes Research.

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University of British Columbia

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65 (!!!!! 2744.9131011963): select jos_facebook.link from jos_facebook where cat=10

66 (97.036361694336): select jos_google_plus.link from jos_google_plus where cat=10

67 (252.00843811035): select jos_linkedin.link from jos_linkedin where cat=10

68 (!!!!! 1061.9163513184): SELECT fid FROM jos_deeppockets WHERE id=294730511 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294730511 AND published='1' LIMIT 1

69 (78.201293945312): 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=212 ORDER BY `ordering`

70 (567.91305541992): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294730511 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (!!!!! 1305.8185577393): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294730511 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (!!!!! 4360.9142303467): 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 (60.081481933594): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (!!!!! 4688.9781951904): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (123.02398681641): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (43.153762817383): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (405.07316589355): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (57.93571472168): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (161.17095947266): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (!!!!! 2545.8335876465): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (94.890594482422): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (720.97778320312): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294730511 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (66.995620727539): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294730511 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (44.107437133789): 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 (415.08674621582): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (!!!!! 3516.9124603271): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (879.04930114746): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (202.89421081543): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (112.05673217773): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (169.03877258301): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (184.05914306641): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (87.02278137207): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (!!!!! 1827.0015716553): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (43.869018554688): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (!!!!! 1020.9083557129): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730511 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730511 AND published='1' LIMIT 1

105 (69.856643676758): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730511 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730511 AND published='1' LIMIT 1

106 (910.04371643066): 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=294730511 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (489.95018005371): 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=294730511 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (699.99694824219): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730511 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730511 AND published='1' LIMIT 1

109 (67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730511 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730511 AND published='1' LIMIT 1

110 (914.09683227539): 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=294730511 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (315.90461730957): 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=294730511 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (537.15705871582): 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 (318.05038452148): 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 (84.877014160156): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730511 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730511 AND published='1' LIMIT 1

115 (43.869018554688): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730511 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730511 AND published='1' LIMIT 1

116 (118.01719665527): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730511 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730511 AND published='1' LIMIT 1

117 (77.009201049805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730511 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730511 AND published='1' LIMIT 1

118 (43.869018554688): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730511 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730511 AND published='1' LIMIT 1

119 (36.954879760742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730511 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730511 AND published='1' LIMIT 1

120 (41.961669921875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730511 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730511 AND published='1' LIMIT 1

121 (78.916549682617): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730511 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730511 AND published='1' LIMIT 1

122 (313.99726867676): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 81085.920333862): 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 (!!!!! 2458.8108062744): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294730511 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294730511 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (212.9077911377): ( 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 (40.054321289062): ( 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 (31.948089599609): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

128 (224.82872009277): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

129 (37.908554077148): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

130 (29.087066650391): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

131 (27.894973754883): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

132 (27.894973754883): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

133 (27.894973754883): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

134 (26.941299438477): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

135 (458.95576477051): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730511 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (328.06396484375): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730511 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (195.02639770508): SELECT name FROM jos_deeppockets WHERE id=212

138 (34.093856811523): SELECT name FROM jos_deeppockets WHERE id=212

139 (617.98095703125): 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 '((;)|(^))212((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

140 (448.94218444824): 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 '((;)|(^))212((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

141 (!!!!! 2887.0105743408): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730511 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730511 AND published='1' LIMIT 1

142 (88.930130004883): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730511 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730511 AND published='1' LIMIT 1

143 (!!!!! 9856.9393157959): TRUNCATE TABLE jos_trademed_module

144 (132.08389282227): 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=294730511 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (75.817108154297): 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=294730511 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (!!!!! 1082.8971862793): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730511 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (80.108642578125): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730511 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (82.015991210938): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730511 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730511 AND published='1' LIMIT 1

149 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730511 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730511 AND published='1' LIMIT 1

150 (!!!!! 1553.0586242676): 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 (99.897384643555): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730511 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730511 AND published='1' LIMIT 1

152 (68.187713623047): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730511 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730511 AND published='1' LIMIT 1

153 (51.975250244141): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294730511 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294730511 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (43.153762817383): 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=212 or channel_id is null)

155 (41.007995605469): 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=212 or channel_id is null)

156 (45.061111450195): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (86.069107055664): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730511 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730511 AND published='1' LIMIT 1

158 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730511 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730511 AND published='1' LIMIT 1

159 (49.829483032227): select jos_twitters.link from jos_twitters where cat=10

160 (37.193298339844): select jos_facebook.link from jos_facebook where cat=10

161 (36.001205444336): select jos_google_plus.link from jos_google_plus where cat=10

162 (36.001205444336): select jos_linkedin.link from jos_linkedin where cat=10

163 (342.84591674805): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

164 (!!!!! 1144.1707611084): insert into jos_banners_delta values (14615,'2025-06-28 01:52:05','216.73.216.249','view'),(14202,'2025-06-28 01:52:05','216.73.216.249','view'),(14203,'2025-06-28 01:52:05','216.73.216.249','view')

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