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Ultralow-Dose Chest CT Outperforms X-Ray in Emergency Department Patients

By MedImaging International staff writers
Posted on 25 Oct 2023

Image: A study has found ultralow-dose chest CT to be superior to X-ray in emergencies (Photo courtesy of 123RF)

Chest X-rays are a commonly used primary diagnostic tool for various medical conditions, offering benefits like easy access, quick results, and minimal radiation exposure. However, they don't score high in terms of sensitivity and specificity. Chest CT scans offer better diagnostic capabilities but come with drawbacks like higher radiation, more expense, and longer time for reports. Advances in CT technology, however, may be turning the tide. Now, a new study has found that ultralow-dose chest CT has twice the detection rate for main diagnoses compared to chest X-rays in patients who visit the emergency room for non-traumatic issues. The finding suggests that CT scans could be used more commonly as an assessment tool for these patients.

Traditionally, non-contrast-enhanced chest CTs are carried out at two key radiation dose levels: standard-dose and low-dose CT. But the latest improvements in CT technology, such as new detectors and reconstruction algorithms, have dramatically reduced the necessary radiation exposure for chest CTs. It's now nearly equivalent to that of a chest X-ray. As a result, ultralow-dose chest CT is emerging as a viable alternative to standard chest X-rays for patients with low prevalence conditions. Numerous studies have already indicated the effectiveness of using chest CTs with radiation doses up to that of three chest X-rays.

Researchers from the Medical University of Vienna (Vienna, Austria) investigated how ultralow-dose chest CT might offer advantages over chest X-rays for emergency room patients with non-traumatic issues. The study involved 294 participants who visited the emergency room between May and November of 2019. All subjects received both a chest X-ray and an ultralow-dose CT scan. The study was segmented into two groups based on these diagnostic methods. The research showed that ultralow-dose chest CT provided over double the rate of main diagnoses compared to chest X-rays. While this indicates that ultralow-dose CT could serve as a primary imaging method for non-traumatic emergency room patients, more research is essential. This is particularly true considering that CT scans are more expensive and take longer to report, the researchers noted.

"Our findings support the future use of ultralow-dose CT as one of the primary chest-imaging modalities in low-prevalence non-traumatic emergency department patients," wrote the researchers. "Due to higher expected costs and resource requirements, further economic analyses will be necessary to determine the optimal spectrum of indications, rationale, and economic potential of a broader substitution of ultralow-dose CT for chest X-ray as a primary imaging modality of the chest."

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67 (36.001205444336): select jos_facebook.link from jos_facebook where cat=10

68 (36.001205444336): select jos_google_plus.link from jos_google_plus where cat=10

69 (35.04753112793): select jos_linkedin.link from jos_linkedin where cat=10

70 (41.961669921875): SELECT fid FROM jos_deeppockets WHERE id=294799086 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294799086 AND published='1' LIMIT 1

71 (41.961669921875): 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`

72 (394.10591125488): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294799086 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

73 (378.13186645508): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294799086 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

74 (58.889389038086): 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`

75 (62.942504882812): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (34.809112548828): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (34.809112548828): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (61.03515625): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294799086 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

90 (36.954879760742): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294799086 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

91 (42.915344238281): 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`

92 (77.962875366211): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (43.153762817383): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (44.107437133789): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (77.962875366211): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (83.92333984375): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799086 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799086 AND published='1' LIMIT 1

107 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799086 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799086 AND published='1' LIMIT 1

108 (74.148178100586): 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=294799086 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

109 (60.081481933594): 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=294799086 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

110 (85.830688476562): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799086 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799086 AND published='1' LIMIT 1

111 (70.095062255859): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799086 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799086 AND published='1' LIMIT 1

112 (458.0020904541): 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=294799086 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (479.93659973145): 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=294799086 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

114 (67.949295043945): 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=294799085 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

115 (597.00012207031): 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=294799085 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

116 (753.87954711914): 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 (520.94459533691): 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 (151.8726348877): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799086 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799086 AND published='1' LIMIT 1

119 (59.127807617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799086 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799086 AND published='1' LIMIT 1

120 (!!!!! 5669.116973877): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799086 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799086 AND published='1' LIMIT 1

121 (74.863433837891): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799086 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799086 AND published='1' LIMIT 1

122 (85.115432739258): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799086 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799086 AND published='1' LIMIT 1

123 (54.121017456055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799086 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799086 AND published='1' LIMIT 1

124 (401.02005004883): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

125 (!!!!! 54519.891738892): 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 (329.01763916016): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799086 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799086 AND published='1' LIMIT 1

127 (198.1258392334): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799086 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799086 AND published='1' LIMIT 1

128 (!!!!! 1309.871673584): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294799086 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294799086 AND type='deeppockets_item' AND published='1' LIMIT 1

129 (!!!!! 532437.08610535): ( 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 (102.04315185547): ( 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 (58.889389038086): 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 (30.040740966797): 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 (74.148178100586): 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 (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

135 (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

136 (35.04753112793): 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 (535.01129150391): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799086 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

138 (396.9669342041): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799086 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

139 (47.922134399414): SELECT name FROM jos_deeppockets WHERE id=211

140 (37.193298339844): SELECT name FROM jos_deeppockets WHERE id=211

141 (488.0428314209): 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 (416.04042053223): 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 (55.789947509766): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799086 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799086 AND published='1' LIMIT 1

144 (49.114227294922): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799086 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799086 AND published='1' LIMIT 1

145 (!!!!! 7941.9612884521): TRUNCATE TABLE jos_trademed_module

146 (97.036361694336): 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=294799086 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

147 (97.990036010742): 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=294799086 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

148 (795.12596130371): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799086 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

149 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799086 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

150 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799086 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799086 AND published='1' LIMIT 1

151 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799086 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799086 AND published='1' LIMIT 1

152 (!!!!! 1355.1712036133): 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 (49.829483032227): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799086 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799086 AND published='1' LIMIT 1

154 (36.954879760742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799086 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799086 AND published='1' LIMIT 1

155 (41.007995605469): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294799086 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294799086 AND type='deeppockets_item' AND published='1' LIMIT 1

156 (31.948089599609): 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=0 or channel_id is null)

157 (27.894973754883): 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=0 or channel_id is null)

158 (27.894973754883): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

159 (64.13459777832): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799086 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799086 AND published='1' LIMIT 1

160 (41.007995605469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799086 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799086 AND published='1' LIMIT 1

161 (53.882598876953): select jos_twitters.link from jos_twitters where cat=10

162 (35.04753112793): select jos_facebook.link from jos_facebook where cat=10

163 (30.994415283203): select jos_google_plus.link from jos_google_plus where cat=10

164 (30.994415283203): select jos_linkedin.link from jos_linkedin where cat=10

165 (265.12145996094): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

166 (!!!!! 1158.9527130127): insert into jos_banners_delta values (14615,'2025-04-29 21:32:56','3.140.184.203','view'),(14202,'2025-04-29 21:32:56','3.140.184.203','view'),(14203,'2025-04-29 21:32:56','3.140.184.203','view')

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