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AI Technique Automatically Traces Tumors in Large MRI Datasets to Guide Real-time Glioblastoma Treatment

By MedImaging International staff writers
Posted on 16 Nov 2023

Image: The researchers are using MRI-guided radiation therapy that pairs daily MRIs with radiation treatment (Photo courtesy of Sylvester)

Treating glioblastoma, a prevalent and aggressive brain cancer, involves the use of radiation therapy guided by CT imaging. While this method is effective in targeting radiation, it doesn't provide real-time information about the tumor's response to the treatment. This gap means that clinicians are unable to determine whether a patient's cancer is responding to the treatment or progressing until follow-up images are taken, sometimes months later. Given the rapid progression of glioblastoma, such delays can have critical consequences.

To address this challenge, a team of researchers at Sylvester Comprehensive Cancer Center, part of the University of Miami Miller School of Medicine, (Coral Gables, FL, USA) is utilizing a technique called MRI-guided radiation therapy. This method integrates daily MRI scans with radiation treatments. MRI technology illuminates the brain tumor, assisting in guiding the radiation beams. Importantly, the detailed images produced by MRIs also offer the possibility of near real-time monitoring of the tumor's response or progression. However, this advanced approach generates a substantial volume of data. For the 36 patients with glioblastoma in their study, each of the 31 time points included between four and six distinct images. To efficiently analyze this wealth of information, the team has employed artificial intelligence.

The AI-based solution developed by the researchers automatically delineates glioblastoma tumors and the resection cavities—spaces remaining after surgical removal of tumors—within these extensive MRI datasets. This automated tracing of tumors and cavities allows for tracking of tumor growth or reduction throughout the treatment. The algorithm, an adaptation from previous work in cervical cancer, can swiftly calculate the precise volume of the tumor and track changes over time. This AI method also offers a significant reduction in time compared to manual analysis, which can take over 20 hours per patient. The AI can process the same data in approximately 90 minutes.

Looking forward, the team plans to enhance the machine learning approach to include additional data from the MRI images. A key focus is identifying pseudo-progression, a condition where the tumor appears to grow due to treatment-induced swelling but ultimately recedes. This distinction between actual tumor growth and pseudo-progression is a crucial but challenging aspect of the research. The researchers are designing a study to evaluate tumor progression in glioblastoma patients undergoing MRI-guided radiation therapy on a weekly basis. They aim to adjust treatments in real-time based on the response of the tumors or changes in their size, utilizing the new machine learning method to facilitate swift treatment modifications.

“You can monitor so many different qualities of the tumor with MRI. That’s an untapped frontier,” said Adrian Breto, a doctoral student and programmer. “We haven’t gone yet to the center of the earth as far as what MRI can tell us about the patient’s disease and quality of life. That’s what we’re trying to do, squeeze as much information as we can out of these images for the benefit of the patient.”

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67 (607.01370239258): select jos_linkedin.link from jos_linkedin where cat=10

68 (713.82522583008): SELECT fid FROM jos_deeppockets WHERE id=294799325 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294799325 AND published='1' LIMIT 1

69 (!!!!! 2668.8575744629): 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=212 ORDER BY `ordering`

70 (!!!!! 3703.8326263428): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294799325 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (831.12716674805): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294799325 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (360.96572875977): 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 (!!!!! 1260.9958648682): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (953.19747924805): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (!!!!! 1615.047454834): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (!!!!! 1617.9084777832): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (803.94744873047): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (476.83715820312): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (529.05082702637): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (805.13954162598): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (852.10800170898): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (416.99409484863): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (863.07525634766): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (264.88304138184): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (205.99365234375): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (653.02848815918): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (334.9781036377): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294799325 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (382.90023803711): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294799325 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (394.10591125488): 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 (49.114227294922): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (32.186508178711): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (24.795532226562): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (98.943710327148): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799325 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799325 AND published='1' LIMIT 1

105 (68.902969360352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799325 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799325 AND published='1' LIMIT 1

106 (52.928924560547): 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=294799325 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (79.154968261719): 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=294799325 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (152.1110534668): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799325 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799325 AND published='1' LIMIT 1

109 (58.174133300781): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799325 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799325 AND published='1' LIMIT 1

110 (54.121017456055): 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=294799325 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (579.1187286377): 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=294799325 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (530.00450134277): 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 (300.16899108887): 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 (77.009201049805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799325 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799325 AND published='1' LIMIT 1

115 (83.92333984375): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799325 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799325 AND published='1' LIMIT 1

116 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799325 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799325 AND published='1' LIMIT 1

117 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799325 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799325 AND published='1' LIMIT 1

118 (63.180923461914): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799325 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799325 AND published='1' LIMIT 1

119 (198.1258392334): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799325 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799325 AND published='1' LIMIT 1

120 (314.95094299316): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

121 (!!!!! 154835.22415161): 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 (181.91337585449): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799325 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799325 AND published='1' LIMIT 1

123 (92.029571533203): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799325 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799325 AND published='1' LIMIT 1

124 (784.15870666504): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294799325 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294799325 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 1683047.0561981): ( 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 (!!!!! 1197222.9480743): ( 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 (57.93571472168): 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 (309.94415283203): 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 (102.04315185547): 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 (114.91775512695): 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 (68.902969360352): 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 (!!!!! 2210.1402282715): 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 (!!!!! 3730.0586700439): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799325 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

134 (!!!!! 1264.0953063965): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799325 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

135 (475.88348388672): SELECT name FROM jos_deeppockets WHERE id=212

136 (347.13745117188): SELECT name FROM jos_deeppockets WHERE id=212

137 (594.8543548584): 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 '((;)|(^))212((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

138 (642.06123352051): 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 '((;)|(^))212((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

139 (!!!!! 3327.8465270996): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799325 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799325 AND published='1' LIMIT 1

140 (342.84591674805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799325 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799325 AND published='1' LIMIT 1

141 (!!!!! 26694.059371948): TRUNCATE TABLE jos_trademed_module

142 (!!!!! 10270.833969116): 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=294799325 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

143 (!!!!! 1456.0222625732): 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=294799325 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

144 (687.83760070801): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799325 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

145 (!!!!! 3354.0725708008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799325 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

146 (!!!!! 9819.9844360352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799325 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799325 AND published='1' LIMIT 1

147 (!!!!! 1006.1264038086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799325 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799325 AND published='1' LIMIT 1

148 (!!!!! 8543.9682006836): 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 (!!!!! 7004.976272583): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799325 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799325 AND published='1' LIMIT 1

150 (!!!!! 1787.1856689453): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799325 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799325 AND published='1' LIMIT 1

151 (516.89147949219): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294799325 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294799325 AND type='deeppockets_item' AND published='1' LIMIT 1

152 (!!!!! 5084.0377807617): 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=212 or channel_id is null)

153 (!!!!! 1415.0142669678): 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=212 or channel_id is null)

154 (316.14303588867): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

155 (!!!!! 4216.9094085693): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799325 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799325 AND published='1' LIMIT 1

156 (651.12113952637): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799325 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799325 AND published='1' LIMIT 1

157 (669.00253295898): select jos_twitters.link from jos_twitters where cat=10

158 (120.87821960449): select jos_facebook.link from jos_facebook where cat=10

159 (164.03198242188): select jos_google_plus.link from jos_google_plus where cat=10

160 (380.9928894043): select jos_linkedin.link from jos_linkedin where cat=10

161 (!!!!! 1515.8653259277): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

162 (!!!!! 3983.0207824707): insert into jos_banners_delta values (14615,'2025-04-29 22:23:34','3.16.147.165','view'),(14202,'2025-04-29 22:23:34','3.16.147.165','view'),(14203,'2025-04-29 22:23:34','3.16.147.165','view')

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