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AI Automatically Segments Kidneys and Measures Total Kidney Volumes Using Only 3D Ultrasound Images

By MedImaging International staff writers
Posted on 02 May 2022

Image: A first-ever study has applied deep learning to 3D US in ADPKD (Photo courtesy of Pexels)

Total kidney volume (TKV) is the most important imaging biomarker for quantifying the severity of autosomal-dominant polycystic kidney disease (ADPKD). 3D ultrasound (US) can accurately measure kidney volume compared to 2D US; however, manual segmentation is tedious and requires expert annotators. Now, the first study applying deep learning to 3D US in ADPKD has shown promising performance for auto-segmentation of kidneys using 3D US to measure TKV, close to human tracing and MRI measurement.

The imaging and analysis method developed by researchers at the Mayo Clinic (Rochester, MN, USA) could be useful in a number of settings, including pediatric imaging, clinical studies, and longitudinal tracking of patient disease progression. ADPKD is a genetic disorder in which cysts develop within the kidneys, causing kidneys to enlarge and lose function over time. Over time, kidney and liver volumes steadily increase, resulting in renal function decline. There is no cure for PKD, but dialysis, kidney transplant, blood pressure medication, and surgical removal of cysts are treatment options. If diagnosed and monitored at an early stage, better treatment options are possible.

Measuring kidney and liver volumes are some of the most important biomarkers in quantifying the severity of ADPKD and are used in clinical decision making. Apart from MRI and CT imaging, ultrasound (US) imaging is popular and widely used to diagnose acute and chronic kidney diseases. Imaging features computed from US data using deep CNNs improved the classification of children with congenital abnormalities of the kidney and urinary tract and controls. However, the computation of these anatomic measures typically involves manual or semi-automatic segmentation of kidneys in US images, requiring multiple human annotators, increasing inter-operator variability, reducing reliability, and limiting utility in clinical medicine. Automatic kidney segmentation in US images with AI has not progressed recently. Thus, there is a need for further development of US-based kidney imaging and segmentation to understand the problems and improve the performance of the AI models in segmentation.

In the first study to measure total kidney volume from 3D US images using deep learning, the researchers used axially acquired 3D US-kidney images in 22 ADPKD patients where each patient and each kidney were scanned three times, resulting in 132 scans that were manually segmented. The researchers trained a convolutional neural network to segment the whole kidney and measure TKV. All patients were subsequently imaged with MRI for measurement comparison. The researchers found that the method showed promising segmentation performance for auto-segmentation of kidneys and calculating total kidney volume, close to human tracing, and measurement. The researchers also compared its performance with MRI, and found that it achieved good performance, suggesting it may be useful in populations where MRI is more challenging, such as children.

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63 (!!!!! 3371.000289917): 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

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65 (!!!!! 7056.9515228271): 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`

66 (!!!!! 1348.0186462402): select jos_twitters.link from jos_twitters where cat=10

67 (507.11631774902): select jos_facebook.link from jos_facebook where cat=10

68 (!!!!! 3266.0961151123): select jos_google_plus.link from jos_google_plus where cat=10

69 (!!!!! 1066.9231414795): select jos_linkedin.link from jos_linkedin where cat=10

70 (!!!!! 1008.9874267578): SELECT fid FROM jos_deeppockets WHERE id=294792717 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294792717 AND published='1' LIMIT 1

71 (739.09759521484): 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`

72 (903.84483337402): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294792717 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

73 (366.9261932373): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294792717 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

74 (!!!!! 1385.9272003174): 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 (!!!!! 2144.0982818604): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (!!!!! 1426.2199401855): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (!!!!! 1471.996307373): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (!!!!! 2445.9362030029): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (!!!!! 1691.8182373047): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (!!!!! 3912.9257202148): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (!!!!! 1055.0022125244): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (713.10997009277): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (404.83474731445): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (276.08871459961): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (969.17152404785): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (!!!!! 2534.8663330078): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (!!!!! 3666.877746582): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (494.95697021484): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (78.916549682617): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294792717 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

90 (126.12342834473): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294792717 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

91 (622.98774719238): 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 (988.00659179688): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (!!!!! 2105.9513092041): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (77.962875366211): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (168.80035400391): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (56.028366088867): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (109.19570922852): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (505.20896911621): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (175.95291137695): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (982.99980163574): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (!!!!! 2863.1687164307): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792717 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792717 AND published='1' LIMIT 1

107 (218.15299987793): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792717 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792717 AND published='1' LIMIT 1

108 (87.976455688477): 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=294792717 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

109 (954.15115356445): 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=294792717 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

110 (736.95182800293): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792717 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792717 AND published='1' LIMIT 1

111 (910.99739074707): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792717 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792717 AND published='1' LIMIT 1

112 (729.08401489258): 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=294792717 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (600.09956359863): 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=294792717 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

114 (735.04447937012): 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=294792702 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

115 (507.11631774902): 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=294792702 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

116 (828.02772521973): 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 (679.01611328125): 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 (159.97886657715): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792717 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792717 AND published='1' LIMIT 1

119 (77.009201049805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792717 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792717 AND published='1' LIMIT 1

120 (74.148178100586): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792717 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792717 AND published='1' LIMIT 1

121 (51.021575927734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792717 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792717 AND published='1' LIMIT 1

122 (149.96528625488): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792717 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792717 AND published='1' LIMIT 1

123 (62.227249145508): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792717 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792717 AND published='1' LIMIT 1

124 (395.05958557129): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

125 (!!!!! 95227.956771851): 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 (111.81831359863): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792717 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792717 AND published='1' LIMIT 1

127 (67.234039306641): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792717 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792717 AND published='1' LIMIT 1

128 (452.99530029297): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294792717 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294792717 AND type='deeppockets_item' AND published='1' LIMIT 1

129 (!!!!! 1120553.0166626): ( 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 (82.015991210938): ( 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 (56.982040405273): 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 (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

133 (54.121017456055): 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 (30.040740966797): 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 (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

136 (27.894973754883): 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 (637.76969909668): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792717 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

138 (541.92543029785): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792717 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

139 (61.988830566406): SELECT name FROM jos_deeppockets WHERE id=212

140 (44.107437133789): SELECT name FROM jos_deeppockets WHERE id=212

141 (634.19342041016): 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

142 (520.94459533691): 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

143 (74.148178100586): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792717 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792717 AND published='1' LIMIT 1

144 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792717 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792717 AND published='1' LIMIT 1

145 (!!!!! 10298.96736145): TRUNCATE TABLE jos_trademed_module

146 (128.98445129395): 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=294792717 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

147 (60.081481933594): 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=294792717 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

148 (521.18301391602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792717 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

149 (52.928924560547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792717 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

150 (128.03077697754): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792717 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792717 AND published='1' LIMIT 1

151 (51.021575927734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792717 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792717 AND published='1' LIMIT 1

152 (!!!!! 1517.0574188232): 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 (82.015991210938): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792717 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792717 AND published='1' LIMIT 1

154 (63.180923461914): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792717 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792717 AND published='1' LIMIT 1

155 (53.167343139648): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294792717 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294792717 AND type='deeppockets_item' AND published='1' LIMIT 1

156 (780.10559082031): 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 (56.982040405273): 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 (56.982040405273): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

159 (859.97581481934): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792717 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792717 AND published='1' LIMIT 1

160 (75.101852416992): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792717 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792717 AND published='1' LIMIT 1

161 (53.167343139648): select jos_twitters.link from jos_twitters where cat=10

162 (33.855438232422): select jos_facebook.link from jos_facebook where cat=10

163 (34.093856811523): select jos_google_plus.link from jos_google_plus where cat=10

164 (31.948089599609): select jos_linkedin.link from jos_linkedin where cat=10

165 (272.03559875488): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

166 (!!!!! 1754.0454864502): insert into jos_banners_delta values (14615,'2025-05-01 04:04:07','18.190.176.26','view'),(14202,'2025-05-01 04:04:07','18.190.176.26','view'),(14203,'2025-05-01 04:04:07','18.190.176.26','view')

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