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CT Scans Deemed To Be Effective for Detecting Coronary Artery Disease

By MedImaging staff writers
Posted on 04 Feb 2008

Computed tomography (CT) angiography is as accurate as an invasive angiogram in detecting coronary artery disease (CAD), according to the findings of the first two prospective multicenter 64-slice scanner trials.

The trials were presented in November 2007 at the annual meeting of the Radiological Society of North America (RSNA), held in Chicago, IL, USA. The Coronary Artery Evaluation Using 64-Row Multidetector Computed Tomography Angiography (CORE-64) Trial, conducted by researchers at nine international centers, including Beth Israel Deaconess Medical Center (BIDMC; Boston, MA, USA), evaluated 291 patients who were scheduled to undergo invasive coronary angiography for suspected or unknown coronary artery disease. The study found that 64-slice multidetector CT angiography was highly accurate in detecting blockages of greater than 50%, with a sensitivity of 85% and a specificity of 90%. The noninvasive exam was equal in accuracy to invasive angiography in its ability to identify patients to be referred for angioplasty or bypass surgery.

"This study shows that patients with low to intermediate risk of coronary blockages are likely to benefit from a non-invasive scan,” said Melvin Clouse, M.D., a radiologist from BIDMC and one of two lead trial investigators. "The study suggests that that CT angiography may eventually replace other non-invasive tests that rely on reduction of blood flow to the heart to diagnose arterial blockage.”

"CT angiography may indeed replace cardiac catheterization and guide further interventions including risk factor modification/medical therapy, catheter-based, or surgical revascularization,” said Roger Laham, M.D., a BIDMC cardiologist and co-principal investigator. "This heralds a new and promising era in diagnostic cardiac imaging with cardiologists and radiologists working together to provide best care to our patients.”

A second trial, called the Assessment by Coronary Computed Tomographic Angiography of Individuals UndeRgoing InvAsive Coronary AngiographY (ACCURACY) Trial, compared 64-row coronary computed tomographic angiography (CCTA) to quantitative coronary angiography (QCA). The trial's findings demonstrated that CCTA is very accurate in detecting coronary blockages in chest pain patients referred for invasive coronary angiography and an effective noninvasive method to exclude obstructive coronary blockages. Sixteen institutions performed CCTA on 232 patients with typical or atypical chest pain prior to invasive coronary angiography. Results were then compared to those of QCA, the reference standard used to quantify the results of the invasive coronary angiography.

A total of 82 blockages greater than 50% in 49 patients, and 31 blockages greater than 70% were detected in 28 patients by QCA. Per-patient sensitivity and specificity of CCTA were 93% and 82%, respectively, for blockages greater than 50%, and 91% and 84% for blockages greater than 70%. In addition, its negative predictive value was 97-99%.

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67 (37.908554077148): select jos_linkedin.link from jos_linkedin where cat=10

68 (42.915344238281): SELECT fid FROM jos_deeppockets WHERE id=270080000 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=270080000 AND published='1' LIMIT 1

69 (41.007995605469): 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=211 ORDER BY `ordering`

70 (378.13186645508): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=270080000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (303.03001403809): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=270080000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (!!!!! 1673.2215881348): 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 (78.201293945312): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (78.201293945312): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=270080000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (37.908554077148): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=270080000 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 (73.909759521484): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (49.829483032227): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (47.922134399414): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (43.153762817383): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (49.829483032227): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (56.028366088867): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (40.769577026367): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (43.153762817383): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (100.13580322266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=270080000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=270080000 AND published='1' LIMIT 1

105 (62.942504882812): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=270080000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=270080000 AND published='1' LIMIT 1

106 (87.976455688477): 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=270080000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (79.870223999023): 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=270080000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (103.95050048828): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=270080000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=270080000 AND published='1' LIMIT 1

109 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=270080000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=270080000 AND published='1' LIMIT 1

110 (63.896179199219): 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=270080000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (630.14030456543): 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=270080000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (811.10000610352): 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 (555.99212646484): 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 (191.92695617676): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=270080000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=270080000 AND published='1' LIMIT 1

115 (74.148178100586): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=270080000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=270080000 AND published='1' LIMIT 1

116 (177.86026000977): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=270080000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=270080000 AND published='1' LIMIT 1

117 (62.942504882812): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=270080000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=270080000 AND published='1' LIMIT 1

118 (96.08268737793): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=270080000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=270080000 AND published='1' LIMIT 1

119 (54.121017456055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=270080000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=270080000 AND published='1' LIMIT 1

120 (80.82389831543): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=270080000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=270080000 AND published='1' LIMIT 1

121 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=270080000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=270080000 AND published='1' LIMIT 1

122 (411.03363037109): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 30282.020568848): 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 (743.15071105957): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=270080000 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=270080000 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 10550.975799561): ( 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 (121.11663818359): ( 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 (509.97734069824): 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 (86.069107055664): 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 (413.17939758301): 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 (67.949295043945): 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 (324.01084899902): 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 (58.889389038086): 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 (324.01084899902): 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 (51.975250244141): 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 (593.90068054199): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=270080000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (475.88348388672): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=270080000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (287.05596923828): SELECT name FROM jos_deeppockets WHERE id=211

138 (51.975250244141): SELECT name FROM jos_deeppockets WHERE id=211

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 '((;)|(^))211((;)|($))' 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 '((;)|(^))211((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

141 (84.877014160156): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=270080000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=270080000 AND published='1' LIMIT 1

142 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=270080000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=270080000 AND published='1' LIMIT 1

143 (!!!!! 9926.0807037354): TRUNCATE TABLE jos_trademed_module

144 (152.1110534668): 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=270080000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (84.877014160156): 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=270080000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (569.10514831543): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=270080000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (75.101852416992): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=270080000 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=270080000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=270080000 AND published='1' LIMIT 1

149 (58.889389038086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=270080000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=270080000 AND published='1' LIMIT 1

150 (!!!!! 1499.8912811279): 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 (92.983245849609): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=270080000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=270080000 AND published='1' LIMIT 1

152 (62.942504882812): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=270080000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=270080000 AND published='1' LIMIT 1

153 (59.843063354492): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=270080000 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=270080000 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (565.0520324707): 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=211 or channel_id is null)

155 (56.028366088867): 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=211 or channel_id is null)

156 (50.067901611328): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (85.115432739258): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=270080000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=270080000 AND published='1' LIMIT 1

158 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=270080000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=270080000 AND published='1' LIMIT 1

159 (106.0962677002): select jos_twitters.link from jos_twitters where cat=10

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

161 (38.862228393555): select jos_google_plus.link from jos_google_plus where cat=10

162 (40.054321289062): select jos_linkedin.link from jos_linkedin where cat=10

163 (307.08312988281): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

164 (!!!!! 1043.0812835693): insert into jos_banners_delta values (14615,'2025-08-25 01:45:37','216.73.216.171','view'),(14202,'2025-08-25 01:45:37','216.73.216.171','view'),(14203,'2025-08-25 01:45:37','216.73.216.171','view')

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