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AI-Powered Medical Device Helps Radiologists Detect Lung Nodules in Chest X-Rays

By MedImaging International staff writers
Posted on 21 Aug 2023

The key to improving cancer outcomes for a patient lies in its early detection and this is particularly crucial for lung cancer. Unfortunately, as of now, 49% of lung cancer diagnoses occur at Stage IV, a critical stage where cancer has already spread to other organs, making the prognosis bleak. The 5-year survival rate at this stage is a mere 10%. Lung cancer's generally asymptomatic nature in its early stages often leads to late detection, usually when a chest X-ray or CT is performed for an unrelated reason owing to their visual subtlety and rarity in routine care, coupled with the increasingly intense workloads of radiologists. Now, a groundbreaking AI-powered medical device employs sophisticated computer vision technology to identify these lung nodules and masses in chest X-rays, aiding clinicians in early lung cancer detection and enabling hospitals to treat cancer patients sooner.

IMIDEX’s (Denver, CO, USA) flagship product, VisiRad XR, utilizes AI to analyze chest X-rays and highlight potential lung nodules and masses. The software which uses cutting-edge machine learning techniques was developed using curated global training data. It allows clinicians to focus on lung lesions that are commonly overlooked and might facilitate the early identification of lung cancer in outpatient and emergency department settings. Moreover, VisiRad XR seamlessly integrates into existing radiology workflows by routing images with AI-identified lesions back to the radiologists, who can then interpret the results right behind the primary image. VisiRad XR aims to increase the detection of lung nodules and masses in patients undergoing routine care without the need for additional testing orders.

IMIDEX put VisiRad XR through two large-scale studies: a standalone performance study and a multi-center clinical validation study. The standalone study included over 11,000 patient images, where VisiRad XR demonstrated 83% sensitivity in detecting lung nodules and masses. This could translate to identifying an additional 750 lung nodules or masses annually for an average U.S. hospital performing 50,000 chest X-rays. The multi-reader, multi-case clinical validation study, which involved 600 images and 24 radiologists from various backgrounds, showed that VisiRad XR significantly enhanced the ability to detect pulmonary nodules and masses. This was evidenced by a notable improvement in the area under the curve of the receiver operating curve (AUC) and increased sensitivity for all participating radiologists, irrespective of experience level, specialty, or training. Following the submission of these two comprehensive studies, the US FDA has granted 510(k) clearance for VisiRad XR.

“Radiologists are looking for solutions to help elevate their performance and reduce burnout,” said Dr. Raj Chopra, Chief Medical Officer of IMIDEX. “With volumes increasing and staffing decreasing, tools like VisiRad XR are beneficial not only for patient care, but for helping radiologists continue to practice to their full potential.”

“Achieving this clearance enables us to provide a tool to radiologists that can have a tangible benefit in getting more patients the care they need,” added Richard Vlasimsky, CEO of IMIDEX, “Chest X-rays are the most common radiological procedure in the world, which means that the opportunity for VisiRad XR’s impact is enormous. We’re thrilled to take the next step forward in our mission to save lives lost to lung cancer.”

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64 (51.021575927734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798321 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798321 AND published='1' LIMIT 1

65 (69.141387939453): select cover from jos_number where journalid in (5) and cover is not null order by left(issue,2)+right(issue,2)*12 desc limit 1

66 (422.00088500977): SELECT fid FROM jos_deeppockets WHERE id=294798321 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294798321 AND published='1' LIMIT 1

67 (317.09671020508): 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`

68 (43.153762817383): select jos_twitters.link from jos_twitters where cat=10

69 (34.093856811523): select jos_facebook.link from jos_facebook where cat=10

70 (30.040740966797): select jos_google_plus.link from jos_google_plus where cat=10

71 (27.894973754883): select jos_linkedin.link from jos_linkedin where cat=10

72 (30.040740966797): SELECT fid FROM jos_deeppockets WHERE id=294798321 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294798321 AND published='1' LIMIT 1

73 (36.001205444336): 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`

74 (239.84909057617): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294798321 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

75 (196.93374633789): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294798321 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

76 (36.001205444336): 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`

77 (47.922134399414): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (37.193298339844): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

90 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (42.200088500977): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294798321 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

92 (29.087066650391): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294798321 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

93 (31.948089599609): 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`

94 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (29.802322387695): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

107 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

108 (68.187713623047): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798321 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798321 AND published='1' LIMIT 1

109 (41.007995605469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798321 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798321 AND published='1' LIMIT 1

110 (51.021575927734): 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=294798321 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (46.014785766602): 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=294798321 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (62.942504882812): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798321 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798321 AND published='1' LIMIT 1

113 (41.961669921875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798321 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798321 AND published='1' LIMIT 1

114 (45.061111450195): 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=294798321 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

115 (501.87110900879): 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=294798321 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

116 (533.8191986084): 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

117 (321.1498260498): 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

118 (75.817108154297): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798321 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798321 AND published='1' LIMIT 1

119 (53.167343139648): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798321 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798321 AND published='1' LIMIT 1

120 (53.882598876953): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798321 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798321 AND published='1' LIMIT 1

121 (39.100646972656): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798321 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798321 AND published='1' LIMIT 1

122 (87.976455688477): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798321 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798321 AND published='1' LIMIT 1

123 (39.100646972656): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798321 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798321 AND published='1' LIMIT 1

124 (227.92816162109): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

125 (!!!!! 17891.883850098): 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

126 (128.98445129395): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798321 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798321 AND published='1' LIMIT 1

127 (58.889389038086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798321 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798321 AND published='1' LIMIT 1

128 (403.88107299805): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294798321 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294798321 AND type='deeppockets_item' AND published='1' LIMIT 1

129 (!!!!! 1011094.0933228): ( 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

130 (!!!!! 1578014.1353607): ( 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

131 (233.88862609863): 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

132 (123.02398681641): 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

133 (89.168548583984): 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

134 (97.990036010742): 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

135 (70.095062255859): 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

136 (64.13459777832): 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

137 (476.12190246582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798321 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

138 (315.90461730957): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798321 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

139 (219.10667419434): SELECT name FROM jos_deeppockets WHERE id=211

140 (53.882598876953): SELECT name FROM jos_deeppockets WHERE id=211

141 (417.94776916504): 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

142 (330.92498779297): 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

143 (!!!!! 2150.0587463379): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798321 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798321 AND published='1' LIMIT 1

144 (55.074691772461): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798321 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798321 AND published='1' LIMIT 1

145 (!!!!! 6461.8587493896): TRUNCATE TABLE jos_trademed_module

146 (494.00329589844): 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=294798321 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

147 (564.0983581543): 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=294798321 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

148 (329.97131347656): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798321 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

149 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798321 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

150 (51.021575927734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798321 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798321 AND published='1' LIMIT 1

151 (36.954879760742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798321 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798321 AND published='1' LIMIT 1

152 (!!!!! 1113.8916015625): 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

153 (101.80473327637): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798321 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798321 AND published='1' LIMIT 1

154 (67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798321 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798321 AND published='1' LIMIT 1

155 (912.90473937988): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294798321 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294798321 AND type='deeppockets_item' AND published='1' LIMIT 1

156 (86.784362792969): 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)

157 (120.16296386719): 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)

158 (66.995620727539): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

159 (177.14500427246): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798321 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798321 AND published='1' LIMIT 1

160 (80.108642578125): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798321 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798321 AND published='1' LIMIT 1

161 (77.962875366211): select jos_twitters.link from jos_twitters where cat=10

162 (270.12825012207): select jos_facebook.link from jos_facebook where cat=10

163 (29.087066650391): select jos_google_plus.link from jos_google_plus where cat=10

164 (25.98762512207): select jos_linkedin.link from jos_linkedin where cat=10

165 (255.10787963867): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

166 (!!!!! 3674.0303039551): insert into jos_banners_delta values (14615,'2025-04-30 04:48:31','18.119.0.68','view'),(14202,'2025-04-30 04:48:31','18.119.0.68','view'),(14203,'2025-04-30 04:48:31','18.119.0.68','view')

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