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AI Model Diagnoses Traumatic Brain Injury from MRI Scans With 99% Accuracy

By MedImaging International staff writers
Posted on 12 Jul 2024

Image: The pathways in the brain highlighted are those most affected by concussion (Photo courtesy of Benjamin Hacker et al)

A concussion is a type of traumatic brain injury that may lead to temporary disruptions in brain function. Occurring from incidents such as sports injuries, whiplash, or a simple bump to the head, many individuals with a mild concussion may not recognize that such a minor injury could potentially lead to serious, long-term health issues if left untreated. Typically, concussion diagnosis in clinical settings relies on basic cognitive assessments like the Glasgow Coma Scale, which evaluates a patient's consciousness level, responsiveness, and memory retention. Despite these measures, it’s estimated that 50% to 90% of concussion cases are not formally diagnosed when patients visit the emergency room, increasing the risk of critical complications like brain bleeds and cognitive impairments. Now, scientists have developed a sophisticated machine learning model that can more accurately predict the concussion status in patients.

The model was built in a research collaboration between the USC Viterbi School of Engineering (Los Angeles, CA, USA) and the USC Leonard Davis School of Gerontology (Los Angeles, CA, USA) by harnessing MRI brain scan data from both healthy individuals and patients with concussions. The imaging that the classifier is based on is known as diffusion-weighted imaging, which measures how fluid travels through the brain on different connection paths.

The classifier was built using Bayesian machine learning, a probabilistic system that assigns classifications based on the features least likely to be incorrect or misclassified according to knowledge of prior conditions. The research team found that their classifier model was exceptionally accurate, demonstrating a 99% accuracy rate in identifying concussions in both the training and testing phases. This classifier holds promise as the foundation for a diagnostic tool that could be integrated into clinical practice. These findings and the development of this tool have been documented in a recent publication in the Journal of Neurotrauma.

“This is a much higher accuracy than we’ve ever seen with a method like this,” said Benjamin Hacker, who led the research team. “I think it’s because nobody had previously devised our exact pipeline of using diffusion-weighted imaging, turning it into a connectivity matrix, and then leveraging machine learning in a tailored way to discover what pathways are most affected by head trauma. It is certainly novel in that we haven’t had an imaging-based classifier for concussion that has been accurate enough to rely upon until now.”

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63 (460.14785766602): 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 (!!!!! 1626.0147094727): select jos_twitters.link from jos_twitters where cat=10

65 (199.0795135498): select jos_facebook.link from jos_facebook where cat=10

66 (159.97886657715): select jos_google_plus.link from jos_google_plus where cat=10

67 (256.06155395508): select jos_linkedin.link from jos_linkedin where cat=10

68 (982.99980163574): SELECT fid FROM jos_deeppockets WHERE id=294801803 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294801803 AND published='1' LIMIT 1

69 (162.83988952637): 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 (959.87319946289): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294801803 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (616.07360839844): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294801803 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (380.03921508789): 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 (696.89750671387): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (65.803527832031): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (462.77046203613): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (47.206878662109): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (431.06079101562): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (50.067901611328): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (150.91896057129): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (231.98127746582): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (228.8818359375): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (43.153762817383): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (233.88862609863): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (206.94732666016): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (236.98806762695): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (205.03997802734): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (922.20306396484): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294801803 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (198.1258392334): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294801803 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (232.93495178223): 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 (!!!!! 1091.9570922852): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (322.10350036621): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (285.14862060547): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (240.80276489258): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (272.03559875488): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (275.85029602051): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (212.9077911377): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (404.83474731445): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (401.97372436523): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (52.928924560547): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (420.09353637695): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (!!!!! 1726.1505126953): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (291.82434082031): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (!!!!! 3636.1217498779): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801803 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801803 AND published='1' LIMIT 1

105 (297.06954956055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801803 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801803 AND published='1' LIMIT 1

106 (337.83912658691): 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=294801803 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (!!!!! 1743.0782318115): 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=294801803 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (!!!!! 3036.9758605957): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801803 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801803 AND published='1' LIMIT 1

109 (86.069107055664): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801803 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801803 AND published='1' LIMIT 1

110 (581.02607727051): 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=294801803 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (688.07601928711): 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=294801803 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (851.15432739258): 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 (!!!!! 3453.9699554443): 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 (761.98577880859): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801803 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801803 AND published='1' LIMIT 1

115 (131.84547424316): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801803 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801803 AND published='1' LIMIT 1

116 (!!!!! 1776.9336700439): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801803 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801803 AND published='1' LIMIT 1

117 (72.002410888672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801803 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801803 AND published='1' LIMIT 1

118 (603.91426086426): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801803 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801803 AND published='1' LIMIT 1

119 (230.07392883301): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801803 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801803 AND published='1' LIMIT 1

120 (!!!!! 1121.997833252): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801803 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801803 AND published='1' LIMIT 1

121 (!!!!! 2887.0105743408): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801803 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801803 AND published='1' LIMIT 1

122 (!!!!! 1276.0162353516): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 63741.92237854): 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 (!!!!! 6798.9826202393): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294801803 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294801803 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 55879.831314087): ( 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 (!!!!! 8012.7716064453): ( 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 (!!!!! 8196.1154937744): 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 (!!!!! 7619.1425323486): 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 (!!!!! 7963.8957977295): 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 (!!!!! 7644.1764831543): 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 (!!!!! 5661.0107421875): 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 (!!!!! 4167.0799255371): 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 (710.01052856445): 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 (!!!!! 2226.1142730713): 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 (!!!!! 1060.0090026855): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801803 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (732.1834564209): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801803 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (218.86825561523): SELECT name FROM jos_deeppockets WHERE id=212

138 (44.822692871094): SELECT name FROM jos_deeppockets WHERE id=212

139 (!!!!! 1112.9379272461): 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 (!!!!! 2027.0347595215): 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 (617.98095703125): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801803 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801803 AND published='1' LIMIT 1

142 (89.883804321289): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801803 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801803 AND published='1' LIMIT 1

143 (!!!!! 22009.84954834): TRUNCATE TABLE jos_trademed_module

144 (!!!!! 4714.9658203125): 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=294801803 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (781.05926513672): 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=294801803 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (!!!!! 1625.0610351562): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801803 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (!!!!! 1785.9935760498): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801803 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (149.96528625488): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801803 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801803 AND published='1' LIMIT 1

149 (!!!!! 1345.157623291): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801803 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801803 AND published='1' LIMIT 1

150 (!!!!! 7275.1045227051): 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 (!!!!! 1083.1356048584): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801803 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801803 AND published='1' LIMIT 1

152 (152.8263092041): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801803 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801803 AND published='1' LIMIT 1

153 (!!!!! 1420.9747314453): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294801803 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294801803 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (556.94580078125): 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 (66.041946411133): 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 (56.028366088867): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (116.10984802246): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801803 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801803 AND published='1' LIMIT 1

158 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801803 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801803 AND published='1' LIMIT 1

159 (419.85511779785): select jos_twitters.link from jos_twitters where cat=10

160 (576.01928710938): select jos_facebook.link from jos_facebook where cat=10

161 (56.982040405273): select jos_google_plus.link from jos_google_plus where cat=10

162 (936.03134155273): select jos_linkedin.link from jos_linkedin where cat=10

163 (393.15223693848): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

164 (!!!!! 1234.0545654297): insert into jos_banners_delta values (14615,'2025-08-02 02:59:11','216.73.216.210','view'),(14202,'2025-08-02 02:59:11','216.73.216.210','view'),(14203,'2025-08-02 02:59:11','216.73.216.210','view')

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