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New Cardiac MRI Technique Improves Diagnosis of Coronary Artery Disease

By MedImaging International staff writers
Posted on 28 Nov 2024

Image: Adding a blood-flow measurement to established testing vastly improved doctors’ ability spot CAD (Photo courtesy of Alexandra Angelich, University Communications)

Heart disease remains the leading cause of death globally, claiming hundreds of thousands of lives annually, with coronary artery disease (CAD) being the most prevalent form. CAD occurs when fatty plaques, made up of cholesterol and other substances, accumulate in the arteries that supply blood to the heart. This buildup restricts blood flow, potentially leading to heart attacks and strokes. Cardiac magnetic resonance imaging (CMR) stress testing provides a noninvasive way for doctors to assess heart function and detect harmful blood flow blockages. CMR works similarly to an MRI for other body parts, allowing experts to gain a detailed, noninvasive view of the heart. To diagnose CAD, doctors often combine CMR with a stress test, where the patient is given medication to make the heart work harder. New research, however, suggests that combining CMR with blood-flow data could offer a more effective method for identifying CAD patients and also outperform human experts analyzing the images.

To assess whether "quantitative" CMR with blood-flow data could be more effective than traditional CMR stress testing in detecting CAD, researchers at the University of Virginia (Charlottesville, VA, USA) conducted a clinical trial across 10 global sites. The study involved 127 patients, with a mean age of 62. The team aimed to determine if quantitative CMR could differentiate between two types of CAD: “obstructive” and “nonobstructive.” Obstructive CAD, though less common, often requires treatments such as coronary artery bypass or heart stent surgery. On the other hand, nonobstructive CAD is considered less severe and typically treated with medications, though it can still cause heart attacks. The researchers found that incorporating blood-flow data significantly improved CMR’s ability to identify obstructive CAD.

According to the findings published in the journal Cardiovascular Imaging, 44% of participants (56 patients) had obstructive CAD, while 71 had nonobstructive CAD. The enhanced CMR technique was more effective in detecting obstructive CAD than both traditional CMR and the interpretation of scans by human doctors. As a result, this new approach outperformed human experts in analyzing the images. These findings could help reduce the need for invasive heart catheterization procedures. While this study focused on diagnosing obstructive CAD, further research is needed to explore how blood-flow measurements could benefit patients with other heart conditions, such as heart failure.

“These findings are important because it means that a non-invasive test like CMR can be used to help diagnose CAD even at medical centers that may not have highly experienced physicians available to interpret the test,” said researcher Amit Patel, MD, a cardiologist and imaging expert at UVA Health. “By including these novel blood flow measurements into the interpretation of the CMR test, we will be able to more accurately identify patients most likely to benefit from getting an invasive heart catheterization procedure.”

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63 (52.928924560547): 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 (61.988830566406): select jos_twitters.link from jos_twitters where cat=10

65 (33.140182495117): select jos_facebook.link from jos_facebook where cat=10

66 (32.186508178711): select jos_google_plus.link from jos_google_plus where cat=10

67 (30.040740966797): select jos_linkedin.link from jos_linkedin where cat=10

68 (32.901763916016): SELECT fid FROM jos_deeppockets WHERE id=294803269 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294803269 AND published='1' LIMIT 1

69 (37.193298339844): 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 (403.16581726074): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294803269 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (242.94853210449): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294803269 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (48.87580871582): 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 (87.976455688477): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (43.153762817383): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (87.976455688477): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (50.783157348633): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (80.82389831543): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294803269 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (41.961669921875): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294803269 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (46.014785766602): 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 (49.114227294922): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (32.186508178711): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (62.942504882812): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (32.186508178711): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (48.87580871582): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (74.148178100586): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294803269 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294803269 AND published='1' LIMIT 1

105 (44.822692871094): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294803269 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294803269 AND published='1' LIMIT 1

106 (68.902969360352): 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=294803269 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (61.03515625): 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=294803269 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (77.962875366211): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294803269 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294803269 AND published='1' LIMIT 1

109 (43.153762817383): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294803269 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294803269 AND published='1' LIMIT 1

110 (46.968460083008): 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=294803269 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (532.86552429199): 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=294803269 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (!!!!! 1137.9718780518): 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 (910.04371643066): 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 (141.85905456543): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294803269 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294803269 AND published='1' LIMIT 1

115 (78.916549682617): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294803269 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294803269 AND published='1' LIMIT 1

116 (92.029571533203): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294803269 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294803269 AND published='1' LIMIT 1

117 (70.095062255859): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294803269 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294803269 AND published='1' LIMIT 1

118 (86.069107055664): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294803269 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294803269 AND published='1' LIMIT 1

119 (60.081481933594): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294803269 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294803269 AND published='1' LIMIT 1

120 (98.943710327148): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294803269 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294803269 AND published='1' LIMIT 1

121 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294803269 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294803269 AND published='1' LIMIT 1

122 (473.97613525391): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 32741.069793701): 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 (973.93989562988): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294803269 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294803269 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 11188.03024292): ( 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 (159.02519226074): ( 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 (79.870223999023): 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 (49.114227294922): 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 (87.976455688477): 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 (49.114227294922): 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 (456.09474182129): 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 (82.015991210938): 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 (57.93571472168): 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 (42.200088500977): 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 (584.12551879883): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294803269 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (445.84274291992): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294803269 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (52.928924560547): SELECT name FROM jos_deeppockets WHERE id=212

138 (73.909759521484): SELECT name FROM jos_deeppockets WHERE id=212

139 (774.86038208008): 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 (657.08160400391): 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 (88.930130004883): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294803269 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294803269 AND published='1' LIMIT 1

142 (68.187713623047): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294803269 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294803269 AND published='1' LIMIT 1

143 (!!!!! 10295.152664185): TRUNCATE TABLE jos_trademed_module

144 (134.94491577148): 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=294803269 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (87.02278137207): 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=294803269 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (600.09956359863): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294803269 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (77.009201049805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294803269 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (87.02278137207): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294803269 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294803269 AND published='1' LIMIT 1

149 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294803269 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294803269 AND published='1' LIMIT 1

150 (!!!!! 1533.031463623): 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 (99.18212890625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294803269 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294803269 AND published='1' LIMIT 1

152 (73.19450378418): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294803269 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294803269 AND published='1' LIMIT 1

153 (65.088272094727): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294803269 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294803269 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (47.922134399414): 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 (41.961669921875): 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 (51.021575927734): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (87.02278137207): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294803269 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294803269 AND published='1' LIMIT 1

158 (97.990036010742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294803269 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294803269 AND published='1' LIMIT 1

159 (50.783157348633): select jos_twitters.link from jos_twitters where cat=10

160 (36.954879760742): select jos_facebook.link from jos_facebook where cat=10

161 (39.100646972656): select jos_google_plus.link from jos_google_plus where cat=10

162 (39.100646972656): select jos_linkedin.link from jos_linkedin where cat=10

163 (384.09233093262): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

164 (!!!!! 1272.9167938232): insert into jos_banners_delta values (14615,'2025-08-01 09:43:13','216.73.216.8','view'),(14202,'2025-08-01 09:43:13','216.73.216.8','view'),(14203,'2025-08-01 09:43:13','216.73.216.8','view')

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