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AI Based Lesion-Detection Software Detects Incidental Lung Nodules on Chest X-Rays

By MedImaging International staff writers
Posted on 17 Nov 2023

Image: Lunit INSIGHT CXR detects 10 abnormal radiologic findings with 97-99% accuracy (Photo courtesy of Lunit)

In the field of radiology, artificial intelligence (AI) has made significant strides, particularly in the development of AI-based lesion-detection software for chest X-rays. These advancements have proven effective in real-world settings, including emergency departments, lung cancer screenings, and respiratory clinics. However, the impact of AI in identifying unexpected lung nodules in patients not initially presenting with chest-related issues has been less explored. Now, a new study has demonstrated that an AI-based lesion-detection software can be instrumental in daily medical practice, especially for spotting clinically significant incidental lung nodules in chest X-rays.

A group of researchers at Yonsei University College of Medicine (Gyeonggi-do, South Korea) used Insight CXR, v3 from Lunit (Seoul, South Korea) to evaluate how often clinically significant lung nodules were detected unexpectedly on chest X-rays and whether coexisting findings can aid in differential diagnoses. This software is intended to assist in the interpretation of both posterior-anterior and anterior-posterior chest X-rays. It is capable of detecting various lesions such as nodules, pneumothorax, consolidation, atelectasis, fibrosis, cardiomegaly, pleural effusion, and pneumoperitoneum. When a patient has a chest X-ray, the software automatically processes the image and adds a secondary file to the original image in the hospital’s Picture Archiving and Communication System (PACS). Clinicians can then consult the AI analysis, which is presented with a contour map, abbreviations, and an abnormality score.

In their study, the team reviewed the imaging results of 14,563 patients who had initial chest X-rays at outpatient clinics. Three radiologists classified nodules into four categories: malignancy (group A), active inflammation or infection requiring treatment (group B), postinflammatory sequelae (group C), and other conditions (group D). The software identified lesions when its abnormality score was above 15%. The findings revealed that the AI software unexpectedly detected lung nodules in 152 patients (1%). Of these, 72 patients were excluded due to lack of follow-up images, and seven were excluded because they did not receive a conclusive clinical diagnosis.

In the final analysis of the remaining 73 patients, the false positive rate was found to be 30.1%. The breakdown showed that 11% had malignancy, 6.9% had active inflammation, 49.3% had postinflammatory sequelae, and 2.7% fell into other categories. This suggested that about 20.6% of incidental lung nodules in groups A, B, and D required further evaluation or treatment. The researchers acknowledged that their study did not provide comprehensive data on the detection and management of lung nodules when using AI-based software. This was partly because clinicians in their hospital had the discretion to consult AI results at their convenience, making it challenging to determine the exact influence of AI on clinical decision-making. Nevertheless, the team plans to further investigate these aspects in future research.

“Our results showed that lung nodules were detected unexpectedly by AI in approximately 1% of initial [chest X-rays], and approximately 70% of these cases were true positive nodules, while 20.5% needed clinical management,” noted lead author Shin Hye Hwang, MD.

Related Links:
Yonsei University College of Medicine
Lunit

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67 (!!!!! 3775.8350372314): select jos_linkedin.link from jos_linkedin where cat=10

68 (!!!!! 7802.0095825195): SELECT fid FROM jos_deeppockets WHERE id=294799329 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294799329 AND published='1' LIMIT 1

69 (!!!!! 7884.0255737305): 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`

70 (!!!!! 8106.9469451904): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294799329 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (!!!!! 7577.8961181641): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294799329 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (!!!!! 7029.0565490723): 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 (!!!!! 4566.9078826904): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (!!!!! 3358.8409423828): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (!!!!! 5788.0878448486): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (!!!!! 9975.9101867676): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (!!!!! 6986.8564605713): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (!!!!! 6786.1080169678): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (!!!!! 2120.9716796875): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (!!!!! 5718.9464569092): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (!!!!! 10979.890823364): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (!!!!! 3210.0677490234): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (!!!!! 5452.1560668945): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (!!!!! 2418.9949035645): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (!!!!! 6786.1080169678): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (!!!!! 7830.1429748535): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (!!!!! 8032.0835113525): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294799329 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (!!!!! 7512.8078460693): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294799329 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (!!!!! 5831.9568634033): 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 (!!!!! 7481.0981750488): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (!!!!! 8002.9964447021): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (!!!!! 7827.9972076416): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (!!!!! 8177.9956817627): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (!!!!! 7642.9843902588): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (!!!!! 8188.9629364014): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (!!!!! 2380.8479309082): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (!!!!! 9204.1492462158): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (!!!!! 7818.9373016357): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (!!!!! 8042.0970916748): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (!!!!! 7736.9213104248): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (!!!!! 8021.1162567139): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (!!!!! 7825.1361846924): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (!!!!! 7961.0347747803): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (!!!!! 11062.860488892): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799329 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799329 AND published='1' LIMIT 1

105 (!!!!! 8558.988571167): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799329 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799329 AND published='1' LIMIT 1

106 (!!!!! 6956.1004638672): 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=294799329 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (!!!!! 9083.9862823486): 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=294799329 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (!!!!! 2514.8391723633): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799329 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799329 AND published='1' LIMIT 1

109 (!!!!! 7352.1137237549): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799329 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799329 AND published='1' LIMIT 1

110 (!!!!! 7515.1920318604): 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=294799329 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (!!!!! 4282.9513549805): 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=294799329 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (827.07405090332): 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 (552.89268493652): 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 (193.11904907227): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799329 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799329 AND published='1' LIMIT 1

115 (74.148178100586): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799329 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799329 AND published='1' LIMIT 1

116 (113.01040649414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799329 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799329 AND published='1' LIMIT 1

117 (77.962875366211): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799329 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799329 AND published='1' LIMIT 1

118 (106.0962677002): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799329 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799329 AND published='1' LIMIT 1

119 (76.055526733398): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799329 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799329 AND published='1' LIMIT 1

120 (526.90505981445): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

121 (!!!!! 151839.97154236): 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 (142.09747314453): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799329 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799329 AND published='1' LIMIT 1

123 (86.069107055664): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799329 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799329 AND published='1' LIMIT 1

124 (!!!!! 13350.963592529): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294799329 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294799329 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 1413782.119751): ( 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 (81.062316894531): ( 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 (!!!!! 2025.842666626): 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 (60.081481933594): 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 (!!!!! 1379.0130615234): 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 (164.98565673828): 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 (!!!!! 4148.9601135254): 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 (607.01370239258): 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 (!!!!! 1575.9468078613): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799329 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

134 (430.10711669922): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799329 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

135 (205.99365234375): SELECT name FROM jos_deeppockets WHERE id=211

136 (43.153762817383): SELECT name FROM jos_deeppockets WHERE id=211

137 (630.14030456543): 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

138 (!!!!! 2301.2161254883): 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 (742.19703674316): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799329 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799329 AND published='1' LIMIT 1

140 (739.09759521484): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799329 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799329 AND published='1' LIMIT 1

141 (!!!!! 23998.022079468): TRUNCATE TABLE jos_trademed_module

142 (778.9134979248): 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=294799329 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

143 (189.06593322754): 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=294799329 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

144 (506.16264343262): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799329 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

145 (167.1314239502): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799329 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

146 (204.08630371094): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799329 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799329 AND published='1' LIMIT 1

147 (207.90100097656): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799329 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799329 AND published='1' LIMIT 1

148 (!!!!! 1159.9063873291): 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 (!!!!! 2212.0475769043): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799329 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799329 AND published='1' LIMIT 1

150 (!!!!! 5759.0007781982): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799329 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799329 AND published='1' LIMIT 1

151 (!!!!! 1618.1468963623): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294799329 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294799329 AND type='deeppockets_item' AND published='1' LIMIT 1

152 (!!!!! 2544.8799133301): 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)

153 (!!!!! 1921.8921661377): 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 (!!!!! 1033.7829589844): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

155 (!!!!! 2838.134765625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799329 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799329 AND published='1' LIMIT 1

156 (900.9838104248): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799329 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799329 AND published='1' LIMIT 1

157 (202.17895507812): select jos_twitters.link from jos_twitters where cat=10

158 (967.02575683594): select jos_facebook.link from jos_facebook where cat=10

159 (37.908554077148): select jos_google_plus.link from jos_google_plus where cat=10

160 (29.087066650391): select jos_linkedin.link from jos_linkedin where cat=10

161 (376.93977355957): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

162 (!!!!! 6618.9765930176): insert into jos_banners_delta values (14615,'2025-04-29 21:00:18','18.222.218.204','view'),(14202,'2025-04-29 21:00:18','18.222.218.204','view'),(14203,'2025-04-29 21:00:18','18.222.218.204','view')

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