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AI Model Analyzes Tumors Removed Surgically in Real-Time

By MedImaging International staff writers
Posted on 26 Sep 2023

During breast cancer surgery, the surgeon removes the tumor, also known as a specimen, along with a bit of the adjacent healthy tissue to ensure all cancerous cells are excised. This specimen is then X-rayed using mammography equipment and examined by the medical team to confirm that the problematic area has been removed. Following that, the specimen goes to a pathology lab for a more detailed analysis where the pathologist checks if the cancer cells have reached the outer edge of the removed tissue, called the pathological margin. If they have, it's likely that some cancer cells could still be present in the breast, necessitating additional surgery. This pathology process, however, could take as long as a week post-surgery. Researchers have now created an artificial intelligence ( AI) model capable of predicting whether all the cancerous tissue has been successfully removed during breast cancer surgery.

To train this AI model, researchers at the University of North Carolina School of Medicine (Chapel Hill, NC, USA) used a large number of mammogram images of specimens, which they then matched with the final reports from pathologists. Specimen mammography, or photographing the specimen with an X-ray, can be done right in the operating room. Additionally, the researchers included patient demographic information like age, race, and specifics about the tumor, such as its type and size. Upon assessing the AI model's ability to correctly identify pathological margins, it was found to be at least as accurate as human interpretation, if not more so. Particularly, the AI was either on par with or slightly better than human experts at recognizing positive margins.

The researchers note that this AI model is especially beneficial for patients with denser breast tissue. In mammograms, both tumors and high-density tissue appear bright white, making it challenging to determine where the cancer ends and where the normal tissue starts. The model could also be invaluable for hospitals with limited resources, as they may lack the specialized personnel required to make rapid and well-informed decisions during surgery. While the model is still in its developmental phase, researchers plan to keep adding more images and data from different patients and surgeons. Further validation studies are needed before this AI tool can be clinically implemented. The team expects the model's predictive accuracy to improve as it is exposed to more data related to normal and cancerous tissues and margins.

“Some cancers you can feel and see, but we can’t see microscopic cancer cells that may be present at the edge of the tissue removed. Other cancers are completely microscopic,” said senior author Kristalyn Gallagher, DO, section chief of breast surgery in the Division of Surgical Oncology and UNC Lineberger member. “This AI tool would allow us to more accurately analyze tumors removed surgically in real-time, and increase the chance that all of the cancer cells are removed during the surgery. This would prevent the need to bring patients back for a second or third surgery.”

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64 (45.061111450195): 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`

65 (40.054321289062): select jos_twitters.link from jos_twitters where cat=10

66 (29.087066650391): select jos_facebook.link from jos_facebook where cat=10

67 (30.040740966797): select jos_google_plus.link from jos_google_plus where cat=10

68 (29.087066650391): select jos_linkedin.link from jos_linkedin where cat=10

69 (34.809112548828): SELECT fid FROM jos_deeppockets WHERE id=294798728 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294798728 AND published='1' LIMIT 1

70 (29.802322387695): 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`

71 (361.91940307617): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294798728 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (232.93495178223): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294798728 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

73 (37.908554077148): 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`

74 (73.909759521484): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (58.889389038086): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294798728 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (41.007995605469): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294798728 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

90 (45.7763671875): 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`

91 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (74.148178100586): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798728 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798728 AND published='1' LIMIT 1

106 (41.961669921875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798728 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798728 AND published='1' LIMIT 1

107 (49.114227294922): 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=294798728 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (47.206878662109): 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=294798728 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

109 (72.956085205078): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798728 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798728 AND published='1' LIMIT 1

110 (51.975250244141): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798728 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798728 AND published='1' LIMIT 1

111 (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=294798728 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (514.98413085938): 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=294798728 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (569.10514831543): 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 (329.01763916016): 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

115 (77.962875366211): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798728 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798728 AND published='1' LIMIT 1

116 (47.206878662109): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798728 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798728 AND published='1' LIMIT 1

117 (46.014785766602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798728 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798728 AND published='1' LIMIT 1

118 (36.001205444336): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798728 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798728 AND published='1' LIMIT 1

119 (41.961669921875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798728 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798728 AND published='1' LIMIT 1

120 (36.954879760742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798728 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798728 AND published='1' LIMIT 1

121 (206.94732666016): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

122 (!!!!! 26478.052139282): 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

123 (92.029571533203): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798728 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798728 AND published='1' LIMIT 1

124 (45.061111450195): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798728 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798728 AND published='1' LIMIT 1

125 (466.82357788086): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294798728 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294798728 AND type='deeppockets_item' AND published='1' LIMIT 1

126 (!!!!! 432263.13591003): ( 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 (80.108642578125): ( 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

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 (29.087066650391): 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

130 (51.021575927734): 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 (30.040740966797): 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

132 (29.087066650391): 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 (28.133392333984): 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

134 (516.89147949219): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798728 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

135 (381.9465637207): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798728 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (39.100646972656): SELECT name FROM jos_deeppockets WHERE id=211

137 (28.848648071289): SELECT name FROM jos_deeppockets WHERE id=211

138 (468.96934509277): 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 (452.04162597656): 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 (65.088272094727): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798728 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798728 AND published='1' LIMIT 1

141 (47.922134399414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798728 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798728 AND published='1' LIMIT 1

142 (!!!!! 8635.0440979004): TRUNCATE TABLE jos_trademed_module

143 (88.930130004883): 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=294798728 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

144 (78.916549682617): 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=294798728 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (823.974609375): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798728 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

146 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798728 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (52.928924560547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798728 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798728 AND published='1' LIMIT 1

148 (39.100646972656): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798728 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798728 AND published='1' LIMIT 1

149 (!!!!! 1139.8792266846): 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

150 (52.928924560547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798728 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798728 AND published='1' LIMIT 1

151 (40.054321289062): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798728 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798728 AND published='1' LIMIT 1

152 (32.186508178711): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294798728 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294798728 AND type='deeppockets_item' AND published='1' LIMIT 1

153 (29.087066650391): 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 (27.179718017578): 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 (28.848648071289): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

156 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798728 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798728 AND published='1' LIMIT 1

157 (44.107437133789): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798728 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798728 AND published='1' LIMIT 1

158 (37.193298339844): select jos_twitters.link from jos_twitters where cat=10

159 (31.948089599609): select jos_facebook.link from jos_facebook where cat=10

160 (30.040740966797): select jos_google_plus.link from jos_google_plus where cat=10

161 (30.040740966797): select jos_linkedin.link from jos_linkedin where cat=10

162 (247.00164794922): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

163 (!!!!! 1131.0577392578): insert into jos_banners_delta values (14615,'2025-04-29 21:16:55','13.58.219.150','view'),(14202,'2025-04-29 21:16:55','13.58.219.150','view'),(14203,'2025-04-29 21:16:55','13.58.219.150','view')

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