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New AI Tool Detects Possible Metastatic Breast Cancer by Improving MRI Sensitivity

By MedImaging International staff writers
Posted on 28 May 2024

Image: The new AI tool to detect possible metastatic breast cancer could eliminate unnecessary biopsies (Photo courtesy of Polat, et al.; doi.org/10.1148/rycan.230107)

Most breast cancer-related deaths are attributed to metastatic disease, with the initial site of metastasis often being an axillary lymph node. Accurately determining the nodal status is crucial for guiding treatment choices; however, traditional imaging methods alone lack the sensitivity required to definitively exclude axillary metastasis. Consequently, patients frequently need to undergo invasive procedures involving the injection of radioisotopes and dyes, followed by surgery to extract and examine the axillary nodes for the presence of cancer cells. Now, a pioneering artificial intelligence (AI) model that utilizes standard magnetic resonance imaging (MRI) along with machine learning, can identify axillary metastasis—the spread of cancer cells to the lymph nodes under the arms. This noninvasive approach has the potential to enhance the detection of breast cancer metastasis, potentially reducing the need for needle or surgical biopsies.

In a retrospective analysis, researchers at UT Southwestern Medical Center (Dallas, TX, USA) evaluated dynamic contrast-enhanced breast MRI scans from 350 breast cancer patients who had recently been diagnosed and whose nodal status was known. These images, combined with various clinical data, were employed to train the AI model to detect axillary metastasis using machine learning techniques. The results showed that the AI model was significantly more effective at identifying patients with axillary metastasis than either MRI or ultrasound. In practical application, this AI model could have prevented 51% of benign (noncancerous) or unnecessary surgical sentinel node biopsies while accurately identifying 95% of patients with axillary metastasis.

This model, being an adjunct to standard imaging techniques, also has the potential to alleviate the stress and financial burden of further tests for many patients. This study is part of ongoing efforts at UT Southwestern to enhance breast cancer imaging and develop predictive tools for detecting metastasis. The researchers are now focusing on further improving the image analysis process and aim to incorporate a broader array of data to confirm their results.

“That’s an important advancement because surgical biopsies have side effects and risks, despite having a low probability of a positive result confirming the presence of cancer cells,” said study leader Basak Dogan, M.D., at UT Southwestern “Improving our ability to rule out axillary metastasis during a routine MRI – using this model – can reduce that risk while enhancing clinical outcomes.” The findings of the study were published in the journal Radiology: Imaging Cancer on April 12, 2024.

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63 (54.121017456055): 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`

64 (!!!!! 2674.1027832031): select jos_twitters.link from jos_twitters where cat=10

65 (48.160552978516): select jos_facebook.link from jos_facebook where cat=10

66 (462.05520629883): select jos_google_plus.link from jos_google_plus where cat=10

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

68 (51.021575927734): SELECT fid FROM jos_deeppockets WHERE id=294801317 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294801317 AND published='1' LIMIT 1

69 (39.100646972656): 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 (912.90473937988): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294801317 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (315.90461730957): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294801317 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (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`

73 (470.87669372559): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (492.09594726562): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (34.809112548828): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (!!!!! 4114.1510009766): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (92.983245849609): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (133.99124145508): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (161.88621520996): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (82.015991210938): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (138.0443572998): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (92.983245849609): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (139.95170593262): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (409.84153747559): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294801317 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (482.08236694336): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294801317 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (49.114227294922): 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 (!!!!! 2526.9985198975): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (66.995620727539): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (174.99923706055): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (!!!!! 3503.7994384766): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (82.969665527344): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (252.00843811035): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (!!!!! 3298.0442047119): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (782.96661376953): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (308.99047851562): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801317 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801317 AND published='1' LIMIT 1

105 (201.94053649902): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801317 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801317 AND published='1' LIMIT 1

106 (203.84788513184): 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=294801317 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (!!!!! 1185.8940124512): 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=294801317 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (!!!!! 2990.0074005127): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801317 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801317 AND published='1' LIMIT 1

109 (92.983245849609): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801317 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801317 AND published='1' LIMIT 1

110 (432.96813964844): 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=294801317 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (591.99333190918): 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=294801317 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (!!!!! 7695.9133148193): 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 (!!!!! 7301.8074035645): 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 (!!!!! 8427.8583526611): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801317 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801317 AND published='1' LIMIT 1

115 (!!!!! 7931.9477081299): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801317 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801317 AND published='1' LIMIT 1

116 (!!!!! 7586.0023498535): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801317 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801317 AND published='1' LIMIT 1

117 (!!!!! 7997.989654541): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801317 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801317 AND published='1' LIMIT 1

118 (!!!!! 7678.0319213867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801317 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801317 AND published='1' LIMIT 1

119 (!!!!! 7964.1342163086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801317 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801317 AND published='1' LIMIT 1

120 (!!!!! 4266.0236358643): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801317 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801317 AND published='1' LIMIT 1

121 (!!!!! 3846.1685180664): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801317 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801317 AND published='1' LIMIT 1

122 (282.04917907715): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 54610.967636108): 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 (!!!!! 5361.0801696777): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294801317 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294801317 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 18457.174301147): ( 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 (!!!!! 13118.028640747): ( 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 (!!!!! 7380.0086975098): 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 (!!!!! 7973.9093780518): 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 (!!!!! 7593.8701629639): 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 (!!!!! 7934.0934753418): 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 (!!!!! 7915.9736633301): 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 (!!!!! 6490.94581604): 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 (!!!!! 5830.0495147705): 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 (234.12704467773): 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 (720.02410888672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801317 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (517.12989807129): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801317 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (207.90100097656): SELECT name FROM jos_deeppockets WHERE id=212

138 (37.193298339844): SELECT name FROM jos_deeppockets WHERE id=212

139 (!!!!! 3822.0882415771): 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 (!!!!! 1125.0972747803): 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 (!!!!! 2592.8020477295): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801317 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801317 AND published='1' LIMIT 1

142 (97.990036010742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801317 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801317 AND published='1' LIMIT 1

143 (!!!!! 17355.918884277): TRUNCATE TABLE jos_trademed_module

144 (!!!!! 2990.0074005127): 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=294801317 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (92.029571533203): 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=294801317 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (!!!!! 5461.9312286377): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801317 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (85.830688476562): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801317 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (!!!!! 4784.107208252): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801317 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801317 AND published='1' LIMIT 1

149 (!!!!! 1653.1944274902): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801317 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801317 AND published='1' LIMIT 1

150 (!!!!! 1516.1037445068): 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 (72.002410888672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801317 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801317 AND published='1' LIMIT 1

152 (257.01522827148): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801317 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801317 AND published='1' LIMIT 1

153 (880.95664978027): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294801317 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294801317 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (50.067901611328): 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 (37.908554077148): 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 (339.98489379883): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (!!!!! 6265.1634216309): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801317 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801317 AND published='1' LIMIT 1

158 (286.10229492188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801317 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801317 AND published='1' LIMIT 1

159 (832.08084106445): select jos_twitters.link from jos_twitters where cat=10

160 (46.968460083008): select jos_facebook.link from jos_facebook where cat=10

161 (37.908554077148): select jos_google_plus.link from jos_google_plus where cat=10

162 (36.954879760742): select jos_linkedin.link from jos_linkedin where cat=10

163 (573.87351989746): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

164 (!!!!! 1224.9946594238): insert into jos_banners_delta values (14615,'2025-08-02 03:18:48','216.73.216.210','view'),(14202,'2025-08-02 03:18:48','216.73.216.210','view'),(14203,'2025-08-02 03:18:48','216.73.216.210','view')

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