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Hyperpolarized Xenon MRI Scans Detect Abnormalities in Lungs of Long COVID Patients

By MedImaging International staff writers
Posted on 07 Feb 2022

Using hyperpolarized xenon MRI, researchers have identified abnormalities in the lungs of long COVID patients with breathlessness but whose other tests are normal.

The EXPLAIN study conducted by researchers at the University of Sheffield (Sheffield, UK) and University of Oxford (Oxford, UK) is using hyperpolarized xenon MRI scans to investigate possible lung damage in long COVID patients who experience breathlessness and were not hospitalized when they had COVID-19. These early results suggest that COVID-19 may result in persistent impairment in gas transfer and underlying lung abnormalities. However, the extent to which these abnormalities contribute to breathlessness is currently unclear.

Hyperpolarized xenon MRI requires the patient to lie in an MRI scanner and breathe in one litre of xenon gas that has had its atomic structure altered so it can be seen using MRI. Xenon is an inert gas that behaves in a very similar way to oxygen, so radiologists then can observe how the gas moves from the lungs into the bloodstream. A previous study using the same imaging method established that patients who had been hospitalized with COVID-19 had persistent lung abnormalities several months after they were discharged.

For this pilot study, the researchers recruited 36 patients who fell into three groups: People with long COVID who had normal CT scans; People who had been in hospital with COVID-19 and discharged more than three months previously, who had normal or nearly normal CT scans and who were not experiencing long COVID; and An age- and gender-matched control group who did not have long COVID symptoms nor had been hospitalized with COVID-19. In the initial results, the long COVID patients had abnormal hyperpolarized xenon MRI scans, indicating ‘significantly impaired gas transfer’ from the lungs to the bloodstream. However their CT scans showed normal results.

“We knew from our post-hospital COVID study that xenon could detect abnormalities when the CT scan and other lung function tests are normal,” said the study’s Chief Investigator, Fergus Gleeson, Professor of Radiology at the University of Oxford and Consultant Radiologist at Oxford University Hospitals NHS Foundation Trust. “What we’ve found now is that, even though their CT scans are normal, the xenon MRI scans have detected similar abnormalities in patients with long COVID. These patients have never been in hospital and did not have an acute severe illness when they had their COVID-19 infection. Some of them have been experiencing their symptoms for a year after contracting COVID-19.”

“Xenon MRI is uniquely placed to help understand why breathlessness persists in some patients post COVID,” said Professor Jim Wild and the Pulmonary, Lung and Respiratory Imaging Sheffield (POLARIS) research group at the University of Sheffield, who pioneered hyperpolarized xenon MRI. “Xenon follows the pathway of oxygen when it is taken up by the lungs and can tell us where the abnormality lies between the airways, gas exchange membranes and capillaries in the lungs.”

“These are interesting results and may indicate that the changes observed within the lungs of some patients with long COVID contribute to breathlessness. However, these are early findings and further work to understand the clinical significance is key,” said co-researcher Dr Emily Fraser, a Respiratory Consultant who leads the Oxford Post-COVID Assessment Clinic. “Extending this study to larger numbers of patients and looking at control groups who have recovered from COVID should help us to answer this question and further our understanding of the mechanisms that drive long COVID.”

Related Links:
University of Sheffield
University of Oxford

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60 (72.956085205078): SELECT a.* FROM jos_components AS a WHERE ( a.admin_menu_link = 'option=com_syndicate' OR a.admin_menu_link = 'option=com_syndicate&hidemainmenu=1' ) AND a.option = 'com_syndicate'

61 (83.92333984375): 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=294791505 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

62 (549.0779876709): 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=294791505 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

63 (!!!!! 1271.0094451904): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294791505 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294791505 AND published='1' LIMIT 1

64 (64.13459777832): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294791505 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294791505 AND published='1' LIMIT 1

65 (96.08268737793): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294791505 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294791505 AND published='1' LIMIT 1

66 (45.061111450195): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294791505 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294791505 AND published='1' LIMIT 1

67 (105.85784912109): select cover from jos_number where journalid in (5) and cover is not null order by left(issue,2)+right(issue,2)*12 desc limit 1

68 (576.97296142578): SELECT fid FROM jos_deeppockets WHERE id=294791505 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294791505 AND published='1' LIMIT 1

69 (340.93856811523): 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 (46.968460083008): select jos_twitters.link from jos_twitters where cat=10

71 (29.087066650391): select jos_facebook.link from jos_facebook where cat=10

72 (28.848648071289): select jos_google_plus.link from jos_google_plus where cat=10

73 (28.848648071289): select jos_linkedin.link from jos_linkedin where cat=10

74 (30.994415283203): SELECT fid FROM jos_deeppockets WHERE id=294791505 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294791505 AND published='1' LIMIT 1

75 (32.186508178711): 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`

76 (281.09550476074): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294791505 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

77 (221.01402282715): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294791505 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

78 (38.14697265625): 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`

79 (75.101852416992): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (32.186508178711): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

90 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (50.067901611328): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (69.856643676758): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294791505 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

94 (36.954879760742): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294791505 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

95 (40.054321289062): 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`

96 (55.789947509766): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (60.081481933594): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

107 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

108 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

109 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

110 (74.148178100586): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294791505 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294791505 AND published='1' LIMIT 1

111 (45.061111450195): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294791505 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294791505 AND published='1' LIMIT 1

112 (72.956085205078): 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=294791505 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (57.220458984375): 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=294791505 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

114 (68.187713623047): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294791505 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294791505 AND published='1' LIMIT 1

115 (46.014785766602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294791505 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294791505 AND published='1' LIMIT 1

116 (411.03363037109): 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=294791505 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

117 (427.9613494873): 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=294791505 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

118 (70.095062255859): 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=294791497 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

119 (357.86628723145): 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=294791497 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

120 (586.03286743164): 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

121 (365.01884460449): 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

122 (82.969665527344): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294791505 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294791505 AND published='1' LIMIT 1

123 (64.849853515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294791505 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294791505 AND published='1' LIMIT 1

124 (50.067901611328): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294791505 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294791505 AND published='1' LIMIT 1

125 (37.908554077148): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294791505 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294791505 AND published='1' LIMIT 1

126 (58.889389038086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294791505 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294791505 AND published='1' LIMIT 1

127 (36.001205444336): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294791505 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294791505 AND published='1' LIMIT 1

128 (324.01084899902): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

129 (!!!!! 20456.790924072): 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

130 (92.983245849609): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294791505 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294791505 AND published='1' LIMIT 1

131 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294791505 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294791505 AND published='1' LIMIT 1

132 (385.04600524902): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294791505 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294791505 AND type='deeppockets_item' AND published='1' LIMIT 1

133 (!!!!! 479717.96989441): ( 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

134 (97.036361694336): ( 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

135 (380.03921508789): 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

136 (87.02278137207): 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

137 (312.08992004395): 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

138 (66.041946411133): 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

139 (!!!!! 2066.1354064941): 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

140 (55.074691772461): 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

141 (405.07316589355): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294791505 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

142 (292.06275939941): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294791505 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

143 (188.82751464844): SELECT name FROM jos_deeppockets WHERE id=212

144 (39.815902709961): SELECT name FROM jos_deeppockets WHERE id=212

145 (447.98851013184): 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

146 (355.00526428223): 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

147 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294791505 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294791505 AND published='1' LIMIT 1

148 (51.975250244141): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294791505 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294791505 AND published='1' LIMIT 1

149 (!!!!! 10468.95980835): TRUNCATE TABLE jos_trademed_module

150 (140.90538024902): 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=294791505 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

151 (82.015991210938): 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=294791505 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

152 (571.96617126465): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294791505 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

153 (77.962875366211): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294791505 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

154 (98.943710327148): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294791505 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294791505 AND published='1' LIMIT 1

155 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294791505 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294791505 AND published='1' LIMIT 1

156 (!!!!! 1542.0913696289): 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

157 (82.969665527344): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294791505 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294791505 AND published='1' LIMIT 1

158 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294791505 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294791505 AND published='1' LIMIT 1

159 (71.048736572266): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294791505 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294791505 AND type='deeppockets_item' AND published='1' LIMIT 1

160 (697.13592529297): 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)

161 (57.93571472168): 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)

162 (58.889389038086): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

163 (443.93539428711): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294791505 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294791505 AND published='1' LIMIT 1

164 (103.95050048828): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294791505 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294791505 AND published='1' LIMIT 1

165 (133.03756713867): select jos_twitters.link from jos_twitters where cat=10

166 (27.894973754883): select jos_facebook.link from jos_facebook where cat=10

167 (28.133392333984): select jos_google_plus.link from jos_google_plus where cat=10

168 (26.941299438477): select jos_linkedin.link from jos_linkedin where cat=10

169 (339.98489379883): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

170 (!!!!! 1120.0904846191): insert into jos_banners_delta values (14615,'2025-05-01 12:58:12','18.216.224.98','view'),(14202,'2025-05-01 12:58:12','18.216.224.98','view'),(14203,'2025-05-01 12:58:12','18.216.224.98','view')

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