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AI Tool Ensures Follow-Ups of Radiographic Findings to Prevent Diagnostic Delays

By MedImaging International staff writers
Posted on 30 Mar 2022

Image: Using AI and machine learning can improve patient outcomes (Photo courtesy of Pexels)

Medical diagnostic imaging from modalities such as X-rays, CTs and MRIs are reviewed, and findings are summarized in a radiology report which can contain recommendations for follow-up actions, such as further tests and evaluations. Due to the length and intricacy of these types of reports, up to 33% of follow-up recommendations are delayed or unintentionally overlooked, which can lead to poor patient outcomes. To solve this problem, researchers have developed a custom AI workflow to accelerate the processing of radiology reports and provide crucial patient follow-up.

The team of researchers from the Feinberg School of Medicine at Northwestern University (Evanston, IL, USA) developed an initiative to ensure reliable follow-ups of radiographic findings to prevent diagnostic and treatment delays and improve outcomes. The team developed an AI workflow based on recurrent neural networks and natural language processing (NLP) to examine and identify radiology reports with findings that require additional medical follow-up.

In a study conducted by the researchers, their custom AI workflow screened over 570,000 imaging studies in 13 months and found 29,000 - 5.1% of the total - to contain lung-related follow-up recommendations, at an average rate of 70 findings flagged per day. Results demonstrated 77.1% sensitivity, 99.5% specificity, and 90.3% accuracy for follow-up on lung findings. Nearly 5,000 interactions with physicians were generated, and over 2,400 follow-ups were completed. The researchers concluded that AI and machine learning processes improve reliability of medical imaging findings, which can lead to effective reduction and prevention of high-risk diseases.

“We built our own custom AI workflow that reads nearly every single radiology report and, through deep integration with our medical record system, provides alerts and notifications to the primary care doctor, patient, and dedicated follow-up team, to ensure that important details do not fall through the cracks,” said Mozziyar Etemadi, MD, PhD, at Northwestern University. We’re excited for the future of healthcare, artificial intelligence, and all the ways that we can continue to help our patients.”

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Feinberg School of Medicine at Northwestern University

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67 (36.954879760742): select jos_linkedin.link from jos_linkedin where cat=10

68 (!!!!! 2356.0523986816): SELECT fid FROM jos_deeppockets WHERE id=294792210 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294792210 AND published='1' LIMIT 1

69 (60.081481933594): 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 (549.0779876709): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294792210 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (537.15705871582): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294792210 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (451.08795166016): 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 (948.19068908691): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (42.915344238281): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (129.93812561035): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (275.85029602051): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (32.186508178711): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (437.02125549316): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294792210 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (375.98609924316): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294792210 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (103.95050048828): 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 (!!!!! 2117.8722381592): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (61.03515625): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (133.99124145508): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (52.928924560547): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (292.06275939941): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (44.107437133789): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (391.96014404297): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (42.200088500977): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (39.815902709961): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (132.79914855957): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (206.94732666016): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (!!!!! 7591.9628143311): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792210 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792210 AND published='1' LIMIT 1

105 (488.9965057373): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792210 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792210 AND published='1' LIMIT 1

106 (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 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=294792210 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (975.13198852539): 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=294792210 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (!!!!! 7276.0581970215): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792210 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792210 AND published='1' LIMIT 1

109 (!!!!! 8006.0958862305): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792210 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792210 AND published='1' LIMIT 1

110 (!!!!! 6695.032119751): 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=294792210 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (!!!!! 4872.0836639404): 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=294792210 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (!!!!! 1684.9040985107): 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 (606.06002807617): 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 (!!!!! 1384.973526001): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792210 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792210 AND published='1' LIMIT 1

115 (160.93254089355): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792210 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792210 AND published='1' LIMIT 1

116 (544.07119750977): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792210 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792210 AND published='1' LIMIT 1

117 (469.92301940918): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792210 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792210 AND published='1' LIMIT 1

118 (494.95697021484): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792210 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792210 AND published='1' LIMIT 1

119 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792210 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792210 AND published='1' LIMIT 1

120 (!!!!! 1201.868057251): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792210 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792210 AND published='1' LIMIT 1

121 (771.99935913086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792210 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792210 AND published='1' LIMIT 1

122 (523.09036254883): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 42243.003845215): 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 (839.9486541748): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294792210 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294792210 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 15686.988830566): ( 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 (54.121017456055): ( 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 (223.87504577637): 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 (36.001205444336): 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 (261.06834411621): 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 (344.03800964355): 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 (37.193298339844): 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 (30.994415283203): 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 (228.8818359375): 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 (34.093856811523): 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 (!!!!! 1342.0581817627): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792210 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (496.86431884766): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792210 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (!!!!! 4198.0743408203): SELECT name FROM jos_deeppockets WHERE id=211

138 (!!!!! 2177.9537200928): SELECT name FROM jos_deeppockets WHERE id=211

139 (761.03210449219): 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 (720.02410888672): 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 (!!!!! 3059.1487884521): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792210 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792210 AND published='1' LIMIT 1

142 (86.069107055664): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792210 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792210 AND published='1' LIMIT 1

143 (!!!!! 4244.0891265869): TRUNCATE TABLE jos_trademed_module

144 (!!!!! 3950.1190185547): 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=294792210 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (!!!!! 4399.7764587402): 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=294792210 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (!!!!! 5362.0338439941): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792210 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (282.04917907715): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792210 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (!!!!! 1013.0405426025): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792210 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792210 AND published='1' LIMIT 1

149 (85.830688476562): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792210 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792210 AND published='1' LIMIT 1

150 (!!!!! 2861.0229492188): 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 (!!!!! 4414.0815734863): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792210 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792210 AND published='1' LIMIT 1

152 (74.863433837891): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792210 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792210 AND published='1' LIMIT 1

153 (!!!!! 1510.1432800293): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294792210 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294792210 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (515.93780517578): 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 (233.17337036133): 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 (719.07043457031): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (!!!!! 3901.0047912598): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792210 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792210 AND published='1' LIMIT 1

158 (156.87942504883): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792210 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792210 AND published='1' LIMIT 1

159 (!!!!! 3797.0542907715): select jos_twitters.link from jos_twitters where cat=10

160 (!!!!! 3959.8941802979): select jos_facebook.link from jos_facebook where cat=10

161 (104.90417480469): select jos_google_plus.link from jos_google_plus where cat=10

162 (41.961669921875): select jos_linkedin.link from jos_linkedin where cat=10

163 (!!!!! 3670.9308624268): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

164 (!!!!! 2266.8838500977): insert into jos_banners_delta values (14615,'2025-08-04 02:16:11','216.73.216.210','view'),(14202,'2025-08-04 02:16:11','216.73.216.210','view'),(14203,'2025-08-04 02:16:11','216.73.216.210','view')

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