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Radiologists Beat AI in Detecting Common Lung Diseases on Chest X-Rays

By MedImaging International staff writers
Posted on 27 Sep 2023

Chest X-rays are frequently used for diagnosis, but it takes a lot of training and expertise to read these images correctly. Although the Food and Drug Administration (FDA) has approved some artificial intelligence (AI) tools to help radiologists, the real-world effectiveness of these AI solutions in radiology is still relatively unexplored. Previous research has often focused on the AI's ability to detect a single disease, which is simpler than real-world situations where a patient might have multiple conditions. Now, a new study of over 2,000 chest X-rays has shown that human radiologists were generally more accurate than AI in identifying the presence and absence of three common lung diseases.

A team of researchers at Herlev and Gentofte Hospital (Copenhagen, Denmark) compared the performance of four commercially available AI tools against 72 radiologists. They evaluated 2,040 adult chest X-rays from four different hospitals, collected over two years in 2020. The patients' median age was 72, and about one-third of the X-rays had at least one key finding. The researchers focused on three common conditions: airspace disease (which could be due to pneumonia or lung edema), pneumothorax (collapsed lung), and pleural effusion (fluid around the lungs).

The AI tools showed sensitivity rates that varied: 72-91% for detecting airspace disease, 63-90% for pneumothorax, and 62-95% for pleural effusion. When it came to airspace disease, the AI's positive predictive values ranged from 40 to 50%. In this particular set of older and complex patients, the AI incorrectly flagged the presence of airspace disease in 50-60% of cases. While these AI tools had a moderate to high sensitivity comparable to human radiologists for detecting these conditions, they were more likely to produce false positives.

Moreover, their performance dipped when the X-rays showed multiple findings or smaller target areas. For instance, the probability of a correct pneumothorax diagnosis using AI ranged between 56% and 86%, while it was 96% for the radiologists. According to the research team, the ultimate goal for radiologists is to strike a balance between identifying diseases and avoiding false positives. These AI tools, although not perfect, could act as a secondary check for radiologists, potentially increasing their confidence in making diagnoses.

“AI systems seem very good at finding disease, but they aren’t as good as radiologists at identifying the absence of disease especially when the chest X-rays are complex. Too many false-positive diagnoses would result in unnecessary imaging, radiation exposure and increased costs,” said lead researcher Louis L. Plesner. “Our study demonstrates that radiologists generally outperform AI in real-life scenarios where there is a wide variety of patients. While an AI system is effective at identifying normal chest X-rays, AI should not be autonomous for making diagnoses.”

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64 (76.055526733398): 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 (68.187713623047): select jos_twitters.link from jos_twitters where cat=10

66 (47.922134399414): select jos_facebook.link from jos_facebook where cat=10

67 (41.007995605469): select jos_google_plus.link from jos_google_plus where cat=10

68 (37.908554077148): select jos_linkedin.link from jos_linkedin where cat=10

69 (71.048736572266): SELECT fid FROM jos_deeppockets WHERE id=294798748 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294798748 AND published='1' LIMIT 1

70 (46.014785766602): 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 (264.16778564453): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294798748 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (200.03318786621): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294798748 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

73 (46.968460083008): 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 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (41.007995605469): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294798748 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (28.848648071289): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294798748 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

90 (32.901763916016): 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 (56.028366088867): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (51.021575927734): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (48.87580871582): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (74.148178100586): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798748 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798748 AND published='1' LIMIT 1

106 (43.869018554688): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798748 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798748 AND published='1' LIMIT 1

107 (48.87580871582): 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=294798748 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (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=294798748 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

109 (102.04315185547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798748 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798748 AND published='1' LIMIT 1

110 (67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798748 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798748 AND published='1' LIMIT 1

111 (63.896179199219): 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=294798748 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (534.0576171875): 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=294798748 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (717.1630859375): 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 (432.01446533203): 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 (143.05114746094): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798748 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798748 AND published='1' LIMIT 1

116 (85.115432739258): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798748 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798748 AND published='1' LIMIT 1

117 (82.015991210938): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798748 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798748 AND published='1' LIMIT 1

118 (67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798748 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798748 AND published='1' LIMIT 1

119 (74.148178100586): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798748 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798748 AND published='1' LIMIT 1

120 (59.127807617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798748 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798748 AND published='1' LIMIT 1

121 (231.98127746582): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

122 (!!!!! 26726.961135864): 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 (90.122222900391): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798748 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798748 AND published='1' LIMIT 1

124 (44.107437133789): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798748 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798748 AND published='1' LIMIT 1

125 (371.93298339844): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294798748 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294798748 AND type='deeppockets_item' AND published='1' LIMIT 1

126 (!!!!! 459093.09387207): ( 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 (123.02398681641): ( 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 (63.896179199219): 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 (39.815902709961): 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 (42.915344238281): 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 (27.894973754883): 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 (33.855438232422): 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 (519.0372467041): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798748 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

135 (353.09791564941): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798748 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (51.021575927734): SELECT name FROM jos_deeppockets WHERE id=211

137 (30.040740966797): SELECT name FROM jos_deeppockets WHERE id=211

138 (521.18301391602): 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 (399.11270141602): 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 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798748 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798748 AND published='1' LIMIT 1

141 (45.7763671875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798748 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798748 AND published='1' LIMIT 1

142 (!!!!! 11663.913726807): TRUNCATE TABLE jos_trademed_module

143 (132.79914855957): 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=294798748 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

144 (77.009201049805): 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=294798748 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (754.83322143555): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798748 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

146 (80.108642578125): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798748 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (99.897384643555): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798748 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798748 AND published='1' LIMIT 1

148 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798748 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798748 AND published='1' LIMIT 1

149 (!!!!! 1567.8405761719): 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 (113.96408081055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798748 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798748 AND published='1' LIMIT 1

151 (54.836273193359): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798748 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798748 AND published='1' LIMIT 1

152 (45.061111450195): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294798748 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294798748 AND type='deeppockets_item' AND published='1' LIMIT 1

153 (35.04753112793): 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 (32.186508178711): 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 (42.200088500977): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

156 (75.101852416992): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798748 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798748 AND published='1' LIMIT 1

157 (46.014785766602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798748 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798748 AND published='1' LIMIT 1

158 (47.922134399414): select jos_twitters.link from jos_twitters where cat=10

159 (30.994415283203): select jos_facebook.link from jos_facebook where cat=10

160 (28.848648071289): select jos_google_plus.link from jos_google_plus where cat=10

161 (28.133392333984): select jos_linkedin.link from jos_linkedin where cat=10

162 (371.93298339844): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

163 (!!!!! 1684.9040985107): insert into jos_banners_delta values (14615,'2025-04-29 21:17:01','13.58.219.150','view'),(14202,'2025-04-29 21:17:01','13.58.219.150','view'),(14203,'2025-04-29 21:17:01','13.58.219.150','view')

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