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AI Algorithm Detects 30% Of Breast Cancers Missed on MRI Scans

By MedImaging International staff writers
Posted on 07 Nov 2024

Image: Each of the four panels shows the healthy breast in the current MRI (left) and the cancer in the subsequent MRI (right), with the cancer highlighted in yellow (Photo courtesy of Academic Radiology; doi.org/10.1016/j.acra.2024.10.014)

In the United States, more than 500,000 women participate in supplemental breast magnetic resonance imaging (MRI) screenings each year. These women are considered to be at an elevated risk for breast cancer. Following a negative screening mammogram, supplemental MRI can uncover an additional 15 to 18 cancers per 1,000 high-risk women. Thanks to the higher sensitivity of MRI compared to mammography, it may be feasible to estimate an individual's risk of developing cancer within the upcoming year based on their most recent negative screening MRI. Researchers have proposed that current MRI examinations contain valuable information regarding the outcome of the next annual screening. Based on this hypothesis, they have developed and assessed an artificial intelligence (AI) algorithm to identify breast cancer in MRI scans up to one year earlier than when radiologists typically detect it, potentially improving early detection among high-risk women.

A research team from The City College of New York (New York, NY, USA) fine-tuned a convolutional neural network (CNN) AI model, which was pre-trained on breast MRI data, utilizing a retrospective dataset that included 3,029 MRI scans from 910 patients. This dataset contained 115 cancers diagnosed within a year of a negative MRI result. The model aimed to identify these cancers to predict the development of cancer as much as one year in advance. The network was fine-tuned and validated using a 10-fold cross-validation method. The mean age of the patients involved was 52 years, ranging from 18 to 88 years, with an average follow-up duration of 4.3 years, spanning from 1 to 12 years.

The AI was able to detect cancers a year earlier, achieving an area under the ROC curve of 0.72. A retrospective review by a radiologist of the top 10% highest risk MRIs, as ranked by the AI, could have boosted early detection by up to 30%. The radiologist identified a visual marker for biopsy-proven cancers in 83 MRI scans from the previous year. The AI algorithm pinpointed the anatomical regions where cancer would be detected in 66 cases, with agreement between the two methods in 54 instances. Based on the findings published in Academic Radiology, the researchers concluded that their innovative AI-assisted re-evaluation of "benign" breast scans holds promise for enhancing early breast cancer detection through MRI. As datasets expand and image quality continues to improve, they anticipate that this method will become increasingly influential.

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64 (131.13021850586): 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

65 (566.95938110352): SELECT fid FROM jos_deeppockets WHERE id=294803015 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294803015 AND published='1' LIMIT 1

66 (82.015991210938): 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`

67 (56.982040405273): select jos_twitters.link from jos_twitters where cat=10

68 (28.848648071289): select jos_facebook.link from jos_facebook where cat=10

69 (31.948089599609): select jos_google_plus.link from jos_google_plus where cat=10

70 (27.894973754883): select jos_linkedin.link from jos_linkedin where cat=10

71 (36.954879760742): SELECT fid FROM jos_deeppockets WHERE id=294803015 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294803015 AND published='1' LIMIT 1

72 (33.140182495117): 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`

73 (344.03800964355): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294803015 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

74 (227.92816162109): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294803015 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

75 (37.908554077148): 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`

76 (72.956085205078): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (62.942504882812): SELECT show_live FROM jos_com_show_setting LIMIT 1

90 (56.982040405273): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294803015 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

91 (30.994415283203): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294803015 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

92 (33.855438232422): 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`

93 (51.021575927734): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (34.809112548828): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

107 (130.89179992676): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294803015 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294803015 AND published='1' LIMIT 1

108 (72.002410888672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294803015 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294803015 AND published='1' LIMIT 1

109 (77.962875366211): 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=294803015 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

110 (65.088272094727): 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=294803015 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (69.856643676758): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294803015 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294803015 AND published='1' LIMIT 1

112 (46.014785766602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294803015 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294803015 AND published='1' LIMIT 1

113 (49.829483032227): 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=294803015 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

114 (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=294803015 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

115 (543.83277893066): 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

116 (320.1961517334): 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 (93.936920166016): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294803015 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294803015 AND published='1' LIMIT 1

118 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294803015 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294803015 AND published='1' LIMIT 1

119 (49.829483032227): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294803015 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294803015 AND published='1' LIMIT 1

120 (38.14697265625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294803015 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294803015 AND published='1' LIMIT 1

121 (41.007995605469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294803015 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294803015 AND published='1' LIMIT 1

122 (36.954879760742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294803015 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294803015 AND published='1' LIMIT 1

123 (41.961669921875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294803015 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294803015 AND published='1' LIMIT 1

124 (35.04753112793): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294803015 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294803015 AND published='1' LIMIT 1

125 (340.93856811523): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

126 (!!!!! 19892.930984497): 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

127 (583.17184448242): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294803015 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294803015 AND type='deeppockets_item' AND published='1' LIMIT 1

128 (!!!!! 9290.9336090088): ( 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

129 (80.108642578125): ( 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 (53.882598876953): 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

131 (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

132 (43.869018554688): 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

133 (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

134 (326.87187194824): 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

135 (41.007995605469): 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

136 (32.901763916016): 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

137 (29.087066650391): 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

138 (555.03845214844): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294803015 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

139 (335.2165222168): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294803015 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

140 (43.869018554688): SELECT name FROM jos_deeppockets WHERE id=212

141 (36.954879760742): SELECT name FROM jos_deeppockets WHERE id=212

142 (573.87351989746): 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 (497.81799316406): 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

144 (68.902969360352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294803015 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294803015 AND published='1' LIMIT 1

145 (41.961669921875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294803015 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294803015 AND published='1' LIMIT 1

146 (!!!!! 9969.94972229): TRUNCATE TABLE jos_trademed_module

147 (128.03077697754): 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=294803015 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

148 (91.075897216797): 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=294803015 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

149 (902.89115905762): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294803015 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

150 (72.002410888672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294803015 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

151 (72.956085205078): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294803015 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294803015 AND published='1' LIMIT 1

152 (62.942504882812): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294803015 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294803015 AND published='1' LIMIT 1

153 (!!!!! 1360.8932495117): 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

154 (60.081481933594): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294803015 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294803015 AND published='1' LIMIT 1

155 (44.107437133789): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294803015 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294803015 AND published='1' LIMIT 1

156 (34.093856811523): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294803015 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294803015 AND type='deeppockets_item' AND published='1' LIMIT 1

157 (30.040740966797): 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)

158 (30.040740966797): 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)

159 (61.988830566406): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

160 (108.95729064941): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294803015 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294803015 AND published='1' LIMIT 1

161 (81.062316894531): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294803015 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294803015 AND published='1' LIMIT 1

162 (41.007995605469): select jos_twitters.link from jos_twitters where cat=10

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

164 (32.901763916016): select jos_google_plus.link from jos_google_plus where cat=10

165 (31.948089599609): select jos_linkedin.link from jos_linkedin where cat=10

166 (371.93298339844): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

167 (!!!!! 1115.083694458): insert into jos_banners_delta values (14615,'2025-08-01 09:51:59','216.73.216.8','view'),(14202,'2025-08-01 09:51:59','216.73.216.8','view'),(14203,'2025-08-01 09:51:59','216.73.216.8','view')

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