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Molecular Imaging Predicts Risk for Abdominal Aortic Aneurysms

By MedImaging International staff writers
Posted on 17 Oct 2013

Several newly identified markers could provide valuable insight to predict the risk of rupture abdominal aortic aneurysms (AAA), according to new research out of Europe.

The study’s findings were published in the October 2013 issue of the Journal of Nuclear Medicine. Positron emission tomography/computed tomography (PET/CT) imaging sans revealed that dense white blood cells in the outermost connective tissue in the vascular wall, increased C-reactive protein and a loss of smooth muscle cells in the middle layer of the vascular wall are all factors that may indicate future AAA rupture.

An abdominal aneurysm causes stress on the wall of the aorta, which can rupture it. Rupture of AAA is the 13th leading cause of death in western society and leads to substantial morbidity and mortality in the aging population. AAA is typically asymptomatic; therefore, it is an effective prediction of a rupture is crucial.

To determine potential markers that could be predictive of AAA rupture, researchers conducted ¹⁸F-FDG PET/CT scans on 18 patients with AAA diagnosed by ultrasound. Ten of the patients had no uptake of the ¹⁸F-FDG, while eight had positive uptake of the imaging agent. Biopsy specimens were then retrieved from each of the patients; patients with positive ¹⁸F-FDG uptake had tissue taken from both the site of the positive uptake and a distant negative site of the aortic wall.

“Our approach allows us—for the first time to our knowledge—to analyze spots of high ¹⁸F-FDG uptake and compare them to a distant inactive zone of the same aneurysm. We further compared these biopsies to fragments collected in patients with negative ¹⁸F-FDG uptake. This strategy allowed for the discrimination of biologic alterations associated with ¹⁸F-FDG uptake that would help identify relevant biologic markers predictive of rupture,” said Audrey Courtois, PhD, from the laboratory of connective tissues biology, GIGA-R, University of Liège (Belgium), and lead author of the study.

The tissue from the area of positive ¹⁸F-FDG uptake were characterized by an increased number of inflammatory cells in the outermost connective tissue, a high level of C-reactive protein and an extreme decrease in smooth muscle cells, as compared to the biopsies from areas of no uptake. Furthermore, an increase in several matrix metalloproteinase enzymes was seen in the tissue with positive ¹⁸F-FDG uptake.

“These data suggest that a PET scan with positive ¹⁸F-FDG uptake provide diagnostic support to proceed without delay to aneurysm surgery, despite a person’s age or operative risk. However, the absence of FDG uptake at the level of the aneurismal aortic wall can help us make a safe decision to avoid unnecessary surgery and decrease the burden of healthcare costs,” concluded Dr. Courtois. “This ¹⁸F-FDG PET/CT study, with an arterial phase CT, allows us to fully characterize the disease, including the conventional risk factors such as the size of the aneurysm. Although much of the current research is being conducted in the field of oncology, the current study further strengthens ¹⁸F-FDG PET/CT as a decisive tool in the management of inflammatory disorders.”

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66 (46.014785766602): select jos_google_plus.link from jos_google_plus where cat=10

67 (46.968460083008): select jos_linkedin.link from jos_linkedin where cat=10

68 (51.975250244141): SELECT fid FROM jos_deeppockets WHERE id=294748697 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294748697 AND published='1' LIMIT 1

69 (46.014785766602): 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=213 ORDER BY `ordering`

70 (401.97372436523): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294748697 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (325.91819763184): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294748697 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 (50.067901611328): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (34.809112548828): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (29.802322387695): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (74.148178100586): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294748697 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (50.067901611328): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294748697 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (51.021575927734): 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 (62.942504882812): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (44.107437133789): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (56.982040405273): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (51.021575927734): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (39.815902709961): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (32.186508178711): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (118.01719665527): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294748697 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294748697 AND published='1' LIMIT 1

105 (72.956085205078): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294748697 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294748697 AND published='1' LIMIT 1

106 (78.916549682617): 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=294748697 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (71.048736572266): 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=294748697 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (115.15617370605): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294748697 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294748697 AND published='1' LIMIT 1

109 (80.82389831543): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294748697 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294748697 AND published='1' LIMIT 1

110 (54.121017456055): 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=294748697 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (576.01928710938): 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=294748697 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (683.06922912598): 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 (369.07196044922): 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 (92.029571533203): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294748697 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294748697 AND published='1' LIMIT 1

115 (47.922134399414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294748697 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294748697 AND published='1' LIMIT 1

116 (174.99923706055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294748697 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294748697 AND published='1' LIMIT 1

117 (47.922134399414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294748697 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294748697 AND published='1' LIMIT 1

118 (98.943710327148): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294748697 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294748697 AND published='1' LIMIT 1

119 (41.961669921875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294748697 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294748697 AND published='1' LIMIT 1

120 (339.03121948242): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

121 (!!!!! 22100.925445557): 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

122 (102.04315185547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294748697 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294748697 AND published='1' LIMIT 1

123 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294748697 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294748697 AND published='1' LIMIT 1

124 (487.08915710449): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294748697 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294748697 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 433923.00605774): ( 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 (101.08947753906): ( 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 (80.82389831543): 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

128 (46.014785766602): 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

129 (69.141387939453): 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

130 (44.822692871094): 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

131 (46.014785766602): 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

132 (41.007995605469): 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

133 (633.00132751465): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294748697 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

134 (566.00570678711): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294748697 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

135 (365.9725189209): SELECT name FROM jos_deeppockets WHERE id=213

136 (39.100646972656): SELECT name FROM jos_deeppockets WHERE id=213

137 (459.90943908691): 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 '((;)|(^))213((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

138 (361.20414733887): 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 '((;)|(^))213((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

139 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294748697 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294748697 AND published='1' LIMIT 1

140 (43.869018554688): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294748697 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294748697 AND published='1' LIMIT 1

141 (!!!!! 12418.985366821): TRUNCATE TABLE jos_trademed_module

142 (154.97207641602): 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=294748697 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

143 (89.168548583984): 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=294748697 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

144 (!!!!! 2362.9665374756): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294748697 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

145 (109.91096496582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294748697 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

146 (115.87142944336): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294748697 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294748697 AND published='1' LIMIT 1

147 (68.902969360352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294748697 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294748697 AND published='1' LIMIT 1

148 (!!!!! 1631.9751739502): 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

149 (93.936920166016): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294748697 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294748697 AND published='1' LIMIT 1

150 (78.916549682617): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294748697 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294748697 AND published='1' LIMIT 1

151 (110.86463928223): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294748697 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294748697 AND type='deeppockets_item' AND published='1' LIMIT 1

152 (55.074691772461): 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=213 or channel_id is null)

153 (45.061111450195): 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=213 or channel_id is null)

154 (64.849853515625): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

155 (105.85784912109): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294748697 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294748697 AND published='1' LIMIT 1

156 (72.956085205078): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294748697 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294748697 AND published='1' LIMIT 1

157 (55.074691772461): select jos_twitters.link from jos_twitters where cat=10

158 (42.200088500977): select jos_facebook.link from jos_facebook where cat=10

159 (41.007995605469): select jos_google_plus.link from jos_google_plus where cat=10

160 (41.007995605469): select jos_linkedin.link from jos_linkedin where cat=10

161 (416.99409484863): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

162 (!!!!! 1906.156539917): insert into jos_banners_delta values (14615,'2025-06-19 19:09:50','216.73.216.120','view'),(14202,'2025-06-19 19:09:50','216.73.216.120','view'),(14203,'2025-06-19 19:09:50','216.73.216.120','view')

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