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AI Predicts Heart Disease Risk Using Single X-Ray

By MedImaging International staff writers
Posted on 30 Nov 2022

Image: Deep learning model screens for CVD risk using chest X-ray images (Photo courtesy of Massachusetts General Hospital)

Current guidelines recommend estimating 10-year risk of major adverse cardiovascular disease events to establish who should get a statin for primary prevention. This risk is calculated using the atherosclerotic cardiovascular disease (ASCVD) risk score, a statistical model that considers a host of variables, including age, sex, race, systolic blood pressure, hypertension treatment, smoking, Type 2 diabetes and blood tests. Statin medication is recommended for patients with a 10-year risk of 7.5% or higher. Now, researchers have developed a deep learning model that uses a single chest X-ray to predict the 10-year risk of death from a heart attack or stroke, stemming from atherosclerotic cardiovascular disease.

Deep learning is an advanced type of artificial intelligence (AI) that can be trained to search X-ray images to find patterns associated with disease. A team of researchers at Massachusetts General Hospital (Boston, MA, USA) trained a deep learning model using a single chest X-ray (CXR) input. They developed the model, known as CXR-CVD risk, to predict the risk of death from cardiovascular disease using 147,497 chest X-rays from 40,643 participants. The researchers tested the model using a second independent cohort of 11,430 outpatients (mean age 60.1 years; 42.9% male) who had a routine outpatient chest X-ray and were potentially eligible for statin therapy.

Of 11,430 patients, 1,096, or 9.6%, suffered a major adverse cardiac event over the median follow-up of 10.3 years. There was a significant association between the risk predicted by the CXR-CVD risk deep learning model and observed major cardiac events. The researchers also compared the prognostic value of the model to the established clinical standard for deciding statin eligibility. This could be calculated in only 2,401 patients (21%) due to missing data (e.g., blood pressure, cholesterol) in the electronic record. For this subset of patients, the CXR-CVD risk model performed similarly to the established clinical standard and even provided incremental value. Additional research, including a controlled, randomized trial, is necessary to validate the deep learning model, which could ultimately serve as a decision-support tool for treating physicians.

"Our deep learning model offers a potential solution for population-based opportunistic screening of cardiovascular disease risk using existing chest X-ray images," said the study's lead author, Jakob Weiss, M.D., a radiologist affiliated with the Cardiovascular Imaging Research Center at Massachusetts General Hospital and the AI in Medicine program at the Brigham and Women's Hospital in Boston. "This type of screening could be used to identify individuals who would benefit from statin medication but are currently untreated."

"The beauty of this approach is you only need an X-ray, which is acquired millions of times a day across the world," Dr. Weiss said. "Based on a single existing chest X-ray image, our deep learning model predicts future major adverse cardiovascular events with similar performance and incremental value to the established clinical standard."

"We've long recognized that X-rays capture information beyond traditional diagnostic findings, but we haven't used this data because we haven't had robust, reliable methods," Dr. Weiss added. "Advances in AI are making it possible now."

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68 (52.213668823242): SELECT fid FROM jos_deeppockets WHERE id=294795517 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294795517 AND published='1' LIMIT 1

69 (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=211 ORDER BY `ordering`

70 (277.04238891602): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294795517 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (448.94218444824): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294795517 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (66.995620727539): 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 (!!!!! 3363.8477325439): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (468.01567077637): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (181.91337585449): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (797.03330993652): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (257.96890258789): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (59.127807617188): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (227.92816162109): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (107.76519775391): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (600.09956359863): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (!!!!! 5227.0889282227): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (906.94427490234): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (53.882598876953): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (64.13459777832): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (244.8558807373): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (308.99047851562): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294795517 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (43.153762817383): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294795517 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (361.91940307617): 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 (!!!!! 2036.8099212646): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (!!!!! 7570.0283050537): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (!!!!! 1219.0341949463): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (542.16384887695): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (106.0962677002): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (!!!!! 1178.9798736572): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (546.93222045898): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (!!!!! 3401.0410308838): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (!!!!! 1031.8756103516): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (!!!!! 10746.002197266): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (!!!!! 3808.9752197266): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (254.15420532227): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (!!!!! 3558.874130249): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (!!!!! 1561.164855957): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (!!!!! 1800.0602722168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294795517 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294795517 AND published='1' LIMIT 1

105 (!!!!! 2228.9752960205): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294795517 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294795517 AND published='1' LIMIT 1

106 (499.96376037598): 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=294795517 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (876.90353393555): 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=294795517 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (675.91667175293): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294795517 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294795517 AND published='1' LIMIT 1

109 (!!!!! 1025.915145874): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294795517 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294795517 AND published='1' LIMIT 1

110 (468.01567077637): 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=294795517 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (!!!!! 2017.0211791992): 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=294795517 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (865.93627929688): 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 (684.02290344238): 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 (133.03756713867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294795517 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294795517 AND published='1' LIMIT 1

115 (87.976455688477): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294795517 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294795517 AND published='1' LIMIT 1

116 (101.80473327637): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294795517 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294795517 AND published='1' LIMIT 1

117 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294795517 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294795517 AND published='1' LIMIT 1

118 (136.13700866699): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294795517 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294795517 AND published='1' LIMIT 1

119 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294795517 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294795517 AND published='1' LIMIT 1

120 (441.07437133789): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

121 (!!!!! 68068.981170654): 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 (160.93254089355): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294795517 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294795517 AND published='1' LIMIT 1

123 (72.956085205078): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294795517 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294795517 AND published='1' LIMIT 1

124 (625.8487701416): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294795517 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294795517 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 1674291.1338806): ( 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 (105.14259338379): ( 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 (53.882598876953): 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 (36.954879760742): 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 (60.081481933594): 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 (37.908554077148): 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 (44.822692871094): 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 (38.14697265625): 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 (379.80079650879): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294795517 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

134 (878.09562683105): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294795517 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

135 (!!!!! 1297.9507446289): SELECT name FROM jos_deeppockets WHERE id=211

136 (428.91502380371): SELECT name FROM jos_deeppockets WHERE id=211

137 (832.08084106445): 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

138 (!!!!! 1271.0094451904): 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

139 (!!!!! 3190.9942626953): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294795517 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294795517 AND published='1' LIMIT 1

140 (!!!!! 4307.0316314697): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294795517 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294795517 AND published='1' LIMIT 1

141 (!!!!! 40377.855300903): TRUNCATE TABLE jos_trademed_module

142 (223.87504577637): 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=294795517 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

143 (93.936920166016): 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=294795517 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

144 (787.01972961426): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294795517 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

145 (82.969665527344): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294795517 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

146 (172.13821411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294795517 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294795517 AND published='1' LIMIT 1

147 (83.208084106445): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294795517 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294795517 AND published='1' LIMIT 1

148 (!!!!! 1679.1820526123): 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 (185.01281738281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294795517 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294795517 AND published='1' LIMIT 1

150 (57.93571472168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294795517 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294795517 AND published='1' LIMIT 1

151 (!!!!! 2679.1095733643): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294795517 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294795517 AND type='deeppockets_item' AND published='1' LIMIT 1

152 (61.03515625): 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)

153 (36.954879760742): 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)

154 (36.001205444336): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

155 (!!!!! 3364.086151123): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294795517 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294795517 AND published='1' LIMIT 1

156 (204.08630371094): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294795517 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294795517 AND published='1' LIMIT 1

157 (45.7763671875): select jos_twitters.link from jos_twitters where cat=10

158 (27.894973754883): select jos_facebook.link from jos_facebook where cat=10

159 (26.941299438477): select jos_google_plus.link from jos_google_plus where cat=10

160 (27.894973754883): select jos_linkedin.link from jos_linkedin where cat=10

161 (304.9373626709): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

162 (!!!!! 17609.834671021): insert into jos_banners_delta values (14615,'2025-04-30 14:30:06','18.223.33.204','view'),(14202,'2025-04-30 14:30:06','18.223.33.204','view'),(14203,'2025-04-30 14:30:06','18.223.33.204','view')

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