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Real-Time VR Enhances View and Treatment Options in IR

By MedImaging International staff writers
Posted on 05 Apr 2019

New research presented at the Society of Interventional Radiology’s 2019 Annual Scientific Meeting shows that immersive virtual reality (VR) could enable interventional radiologists to improve treatments using real-time 3D images from inside a patient’s blood vessels. The interactive technology could provide faster, more efficient treatment, with less radiation exposure and greater precision, ease and confidence.

The researchers conducted a study to demonstrate the feasibility of using a catheter with electromagnetic sensors projected onto a VR headset to see and steer the catheter through the anatomy to certain blood vessels. Using a CT angiography scan, they created a 3D printed model and a holographic image of blood vessels in a patient’s abdomen and pelvis. A team of radiologists guided hi-tech catheters through the 3D printed model while the tracking system showed the image from the catheter through the VR headset. They compared the time taken to steer the catheter from the entry point of the femoral artery to three different targeted vessels versus the time the process took using conventional fluoroscopic guidance, as well as the time taken in similar real-life clinical angiographic procedures.

In 18 simulated procedures, the researchers found the mean time to reach the three targeted vessels using VR was much lower than in fluoroscopy, the standard practice that uses an x-ray image. In the first vessel, VR took 17.6 seconds versus 70.3 seconds using the standard practice on the model and 171.2 seconds in the real-life procedure. With the improved efficiency, the researchers believe that VR technology will create safer treatments by reducing the amount of radiation exposure to both patient and physician, as well as increase access to IR treatments. The researchers also surveyed the practitioners who had tried the technology who reported that VR improved the ease, precision and efficiency of the treatment. Additionally, the users said they felt more confident in their abilities.

“Virtual reality will change how we look at a patient’s anatomy during an IR treatment. This technology will allow physicians to travel inside a patient’s body instead of relying solely on 2D, black and white images,” said Wayne Monsky, M.D, PhD, a professor of radiology at the University of Washington and lead author of the study. “Currently, the life-saving potential of IR is limited to hospitals and areas with the resources to invest in image-guided technology. There are three billion people worldwide in rural areas who don't have this access. This technology could allow for portability and accessibility so that these procedures are brought to rural areas using nothing more than a suitcase.”

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66 (359.05838012695): SELECT fid FROM jos_deeppockets WHERE id=294777521 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294777521 AND published='1' LIMIT 1

67 (198.1258392334): 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=217 ORDER BY `ordering`

68 (77.009201049805): select jos_twitters.link from jos_twitters where cat=10

69 (!!!!! 3487.8253936768): select jos_facebook.link from jos_facebook where cat=10

70 (57.93571472168): select jos_google_plus.link from jos_google_plus where cat=10

71 (41.961669921875): select jos_linkedin.link from jos_linkedin where cat=10

72 (43.869018554688): SELECT fid FROM jos_deeppockets WHERE id=294777521 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294777521 AND published='1' LIMIT 1

73 (38.14697265625): 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=217 ORDER BY `ordering`

74 (248.90899658203): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294777521 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

75 (186.92016601562): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294777521 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

76 (65.088272094727): 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 (236.03439331055): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (!!!!! 2063.0359649658): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (!!!!! 1865.8638000488): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (23.841857910156): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

90 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (49.114227294922): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294777521 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

92 (26.941299438477): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294777521 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

93 (30.994415283203): 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 (61.03515625): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

107 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

108 (159.02519226074): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777521 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777521 AND published='1' LIMIT 1

109 (87.02278137207): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777521 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777521 AND published='1' LIMIT 1

110 (!!!!! 6854.0573120117): 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=294777521 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (679.96978759766): 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=294777521 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (523.80561828613): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777521 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777521 AND published='1' LIMIT 1

113 (!!!!! 1339.9124145508): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777521 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777521 AND published='1' LIMIT 1

114 (113.96408081055): 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=294777521 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

115 (!!!!! 3972.053527832): 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=294777521 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

116 (562.90626525879): 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 (!!!!! 2614.9749755859): 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 (!!!!! 2318.8591003418): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777521 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777521 AND published='1' LIMIT 1

119 (573.87351989746): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777521 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777521 AND published='1' LIMIT 1

120 (175.95291137695): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777521 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777521 AND published='1' LIMIT 1

121 (71.048736572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777521 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777521 AND published='1' LIMIT 1

122 (102.04315185547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777521 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777521 AND published='1' LIMIT 1

123 (108.00361633301): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777521 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777521 AND published='1' LIMIT 1

124 (290.1554107666): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

125 (!!!!! 41481.018066406): 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 (203.13262939453): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777521 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777521 AND published='1' LIMIT 1

127 (45.061111450195): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777521 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777521 AND published='1' LIMIT 1

128 (344.03800964355): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294777521 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294777521 AND type='deeppockets_item' AND published='1' LIMIT 1

129 (!!!!! 1041489.1242981): ( 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 (115.15617370605): ( 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 (73.909759521484): 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 (42.915344238281): 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 (56.028366088867): 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 (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

135 (36.954879760742): 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 (34.809112548828): 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 (442.9817199707): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777521 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

138 (378.13186645508): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777521 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

139 (144.95849609375): SELECT name FROM jos_deeppockets WHERE id=217

140 (37.908554077148): SELECT name FROM jos_deeppockets WHERE id=217

141 (579.833984375): 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 '((;)|(^))217((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

142 (572.91984558105): 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 '((;)|(^))217((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

143 (71.048736572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777521 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777521 AND published='1' LIMIT 1

144 (50.067901611328): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777521 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777521 AND published='1' LIMIT 1

145 (!!!!! 7626.0566711426): TRUNCATE TABLE jos_trademed_module

146 (688.07601928711): 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=294777521 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

147 (615.11993408203): 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=294777521 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

148 (425.10032653809): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777521 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

149 (72.956085205078): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777521 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

150 (77.962875366211): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777521 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777521 AND published='1' LIMIT 1

151 (54.121017456055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777521 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777521 AND published='1' LIMIT 1

152 (!!!!! 1304.8648834229): 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 (73.909759521484): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777521 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777521 AND published='1' LIMIT 1

154 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777521 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777521 AND published='1' LIMIT 1

155 (48.87580871582): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294777521 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294777521 AND type='deeppockets_item' AND published='1' LIMIT 1

156 (520.94459533691): 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=217 or channel_id is null)

157 (693.79806518555): 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=217 or channel_id is null)

158 (97.990036010742): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

159 (133.03756713867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777521 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777521 AND published='1' LIMIT 1

160 (110.14938354492): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777521 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777521 AND published='1' LIMIT 1

161 (53.167343139648): select jos_twitters.link from jos_twitters where cat=10

162 (36.001205444336): select jos_facebook.link from jos_facebook where cat=10

163 (36.001205444336): select jos_google_plus.link from jos_google_plus where cat=10

164 (36.001205444336): select jos_linkedin.link from jos_linkedin where cat=10

165 (406.02684020996): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

166 (!!!!! 4229.0687561035): insert into jos_banners_delta values (14615,'2025-04-29 21:35:37','3.145.109.97','view'),(14202,'2025-04-29 21:35:37','3.145.109.97','view'),(14203,'2025-04-29 21:35:37','3.145.109.97','view')

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