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AAPM 2025 - 67th Annual Meeting & Exhibition of the American Association of Physicists in Medicine

Portable Optical Imaging Tool Designed for Concussion Evaluation

By MedImaging International staff writers
Posted on 14 Jul 2014

Image: Participant fitted with fNIRS headgear (Photo courtesy of University of Pittsburgh Schools of the Health Sciences).

Researchers have demonstrated that a portable, low-cost optical imaging application is useful in evaluation of concussions.

Two separate research projects, published recently, represent important steps toward demonstrating on patients the utility of portable, optical brain imaging for concussion and substantiating--via a large-scale statistical analysis—computed neurocognitive testing for concussion.

The findings from the optical-imaging research, employing functional near infrared spectroscopy (fNIRS), provided early support for the tool as a low-cost, portable device for imaging sports and military related concussions, researchers said. That report, published in the July 2014 issue of the journal Brain Imaging and Behavior, led to additional research out of University of Pittsburgh (Pitt) Medical Center (UPMC; PA, USA) that examined the brain during dual cognitive-balance performance in children following concussion.

The fNIRS unit works similar to a pulse oximeter for the brain. It gauges blood flow to the brain by sending light signals from sensors mounted in a 3-pound head-cap, and then producing images of blood oxygen changes representing brain activity by recording the absorption of light at different colors. The fNIRS generated readouts while participants wearing the head-cap took a computerized neurocognitive test and matched the test in revealing the brain's struggles to complete specific cognitive tasks.

“We hypothesize that cerebral blood flow is affected post-injury, and brain processing is going to be less efficient,” explained Anthony Kontos, PhD, assistant research director, UPMC Sports Medicine Concussion Program and assistant professor, Pitt department of orthopedic surgery. “If you’re performing a memory task or reaction-time task, it would require activation—more blood flow, more oxygen needed—in certain areas of the brain specific to that task. However, we found decreased and more spread out activation in the concussed group. In other words, their injured brains were less efficient and strained to get from elsewhere in the brain the resources necessary to perform cognitive tasks.”

“We knew what brain areas normally should light up,” added Theodore Huppert, PhD, assistant professor, Magnetic Resonance Research Center, Pitt department of radiology and Swanson School of Engineering. “From our data set, we had on average decreased brain activity and more diffuse brain activity, where more areas of the brain were needed to accomplish the task because the usual areas weren’t as efficient.”

This preliminary study included nine people between ages 18 and 45 who were symptomatic within 15 days to 1½ months of a sports-related concussion. Researchers compared them to five people who were uninjured. The fNIRS scans indicated that the concussed brain activated at a lower threshold and drew from a wider area—a distinct contrast from earlier functional magnetic resonance imaging (fMRI) studies using concussion patients. Furthermore, the decrease in oxygenated blood flow and lower test performance were detected during certain, more cognitively strenuous aspects of neurocognitive testing: word memory, design memory, and symbol matching.

“It’s a portable and fairly inexpensive imaging device compared to MRI; and most important, it allows us to combine both spatial and temporal information, meaning what is going on in a specific area of the brain and when the activation is occurring,” Dr. Kontos said. “It’s not just location. It’s not just timing. It’s both.”

A wireless fNIRS device is expected on the market soon, availing it for further research in a clinical and possibly even a sideline concussion setting, according to the investigators. However, Dr. Kontos emphasized the utility of the current iteration, “You can wear this while doing neurocognitive testing, you can wear this during balance-testing, you can even wear it while doing exertional testing, like on a treadmill. It’s useable in an environment for sports-related concussion.”

“In the past decade and a half, many in the field of concussion science have tried to find an imaging tool that could help us in a clinical setting, and failed to find anything with consistency,” stated Michael Collins, PhD, director, UPMC Sports Medicine Concussion Program. “This preliminary study, although small, showed us where in the brain a patient is affected and to what cognitive extent. It was enough evidence for us to keep pushing further with this potential tool.”

The fNIRS study employed ImPACT, a computerized neurocognitive test battery designed to evaluate mild traumatic brain injury. The technology was developed by ImPACT Applications, Inc. (Pittsburgh, PA, USA).

In a separate study, a meta-analysis published in the March 2014 edition of the Journal of the International Neuropsychological Society, Rock Braithwaite, EdD, a professor from the department of kinesiology and recreation administration, Humboldt State University (Arcata, CA, USA), synthesized all existing research using the four major computerized neurocognitive tests for concussion: Headminder, CogSport, Automated Neuropsychological Assessment Metrics (ANAM), and ImPACT.

In what is considered the largest statistical review of published computerized concussion testing to date, involving 37 studies and 3,960 participants all within the first week of sustaining a concussion, the investigators produced two key findings: (1) Middle-school and younger high-school students displayed more pronounced cognitive effects and greater performance deterioration according to neurocognitive testing after a concussion than their senior high-school and college-aged counterparts. (2) ImPACT demonstrated the strongest performance for identifying cognitive impairment because it measured the types of tasks that this meta-analysis analyzed as being most effective in detecting such postconcussion issues: processing speed, verbal memory, visual memory, and recall.

“ImPACT found the largest effects for individuals who had been concussed, across all outcomes,” said Dr. Braithwaite, who initiated the idea for this study. “Memory, processing speed, recall… ImPACT was able to better detect changes compared to the other computerized tests.”

Dr. Kontos, a coauthor on the meta-analysis along with Drs. Elbin and Dakan, concurred with Dr. Braithwaite that their study is an important first step. “There is not a lot of good research out there involving many of these tests, and most of the existing research uses the ImPACT test,” said Dr. Kontos. “We need more research on the effectiveness of these other tests in patients with sports-related concussion.”

Related Links:
University of Pittsburgh Medical Center
ImPACT Applications
Humboldt State University

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52 (481.12869262695): SELECT name FROM jos_deeppockets WHERE id=294753535 LIMIT 1

53 (227.92816162109): SELECT name FROM jos_deeppockets_archive WHERE id=294753535 LIMIT 1

54 (833.03451538086): 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'

55 (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 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=294753535 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

56 (533.10394287109): 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=294753535 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

57 (!!!!! 1827.0015716553): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753535 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753535 AND published='1' LIMIT 1

58 (607.96737670898): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753535 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753535 AND published='1' LIMIT 1

59 (!!!!! 1599.0734100342): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753535 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753535 AND published='1' LIMIT 1

60 (92.983245849609): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753535 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753535 AND published='1' LIMIT 1

61 (!!!!! 2303.1234741211): 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

62 (564.0983581543): SELECT fid FROM jos_deeppockets WHERE id=294753535 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294753535 AND published='1' LIMIT 1

63 (285.14862060547): 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=215 ORDER BY `ordering`

64 (48.160552978516): select jos_twitters.link from jos_twitters where cat=10

65 (30.994415283203): select jos_facebook.link from jos_facebook where cat=10

66 (30.994415283203): select jos_google_plus.link from jos_google_plus where cat=10

67 (28.848648071289): select jos_linkedin.link from jos_linkedin where cat=10

68 (36.001205444336): SELECT fid FROM jos_deeppockets WHERE id=294753535 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294753535 AND published='1' LIMIT 1

69 (33.140182495117): 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=215 ORDER BY `ordering`

70 (249.14741516113): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294753535 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (378.13186645508): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294753535 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (41.007995605469): 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 (64.13459777832): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (29.802322387695): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (43.153762817383): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (43.869018554688): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294753535 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (29.087066650391): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294753535 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (34.093856811523): 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 (612.97416687012): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (54.836273193359): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (43.869018554688): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (!!!!! 2177.0000457764): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (71.048736572266): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (77.962875366211): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753535 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753535 AND published='1' LIMIT 1

105 (55.074691772461): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753535 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753535 AND published='1' LIMIT 1

106 (62.942504882812): 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=294753535 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (434.16023254395): 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=294753535 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (596.04644775391): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753535 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753535 AND published='1' LIMIT 1

109 (281.09550476074): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753535 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753535 AND published='1' LIMIT 1

110 (442.0280456543): 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=294753535 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (344.03800964355): 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=294753535 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (543.11752319336): 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 (422.95455932617): 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 (117.77877807617): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753535 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753535 AND published='1' LIMIT 1

115 (53.882598876953): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753535 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753535 AND published='1' LIMIT 1

116 (102.99682617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753535 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753535 AND published='1' LIMIT 1

117 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753535 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753535 AND published='1' LIMIT 1

118 (84.161758422852): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753535 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753535 AND published='1' LIMIT 1

119 (44.822692871094): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753535 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753535 AND published='1' LIMIT 1

120 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753535 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753535 AND published='1' LIMIT 1

121 (38.862228393555): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753535 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753535 AND published='1' LIMIT 1

122 (198.8410949707): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 41616.916656494): 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

124 (!!!!! 8774.0421295166): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294753535 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294753535 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 34936.904907227): ( 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 (60.796737670898): ( 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 (37.908554077148): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

128 (29.087066650391): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

129 (44.107437133789): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

130 (28.848648071289): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

131 (248.19374084473): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

132 (71.048736572266): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

133 (49.829483032227): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

134 (38.862228393555): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

135 (!!!!! 1037.1208190918): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753535 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (336.88545227051): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753535 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (423.19297790527): SELECT name FROM jos_deeppockets WHERE id=215

138 (151.15737915039): SELECT name FROM jos_deeppockets WHERE id=215

139 (838.04130554199): 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 '((;)|(^))215((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

140 (741.00494384766): 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 '((;)|(^))215((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

141 (730.03768920898): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753535 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753535 AND published='1' LIMIT 1

142 (324.01084899902): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753535 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753535 AND published='1' LIMIT 1

143 (!!!!! 13232.946395874): TRUNCATE TABLE jos_trademed_module

144 (786.06605529785): 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=294753535 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (197.8874206543): 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=294753535 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (684.97657775879): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753535 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (508.06999206543): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753535 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (481.12869262695): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753535 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753535 AND published='1' LIMIT 1

149 (460.14785766602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753535 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753535 AND published='1' LIMIT 1

150 (!!!!! 2120.9716796875): 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

151 (620.84197998047): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753535 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753535 AND published='1' LIMIT 1

152 (59.127807617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753535 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753535 AND published='1' LIMIT 1

153 (236.03439331055): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294753535 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294753535 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (305.8910369873): 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=215 or channel_id is null)

155 (33.855438232422): 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=215 or channel_id is null)

156 (!!!!! 1209.9742889404): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (!!!!! 1009.9411010742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753535 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753535 AND published='1' LIMIT 1

158 (296.83113098145): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294753535 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294753535 AND published='1' LIMIT 1

159 (691.17546081543): select jos_twitters.link from jos_twitters where cat=10

160 (131.13021850586): select jos_facebook.link from jos_facebook where cat=10

161 (30.994415283203): select jos_google_plus.link from jos_google_plus where cat=10

162 (29.087066650391): select jos_linkedin.link from jos_linkedin where cat=10

163 (!!!!! 1013.9942169189): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14202,14203)

164 (!!!!! 1129.150390625): insert into jos_banners_delta values (14202,'2025-06-23 13:00:24','216.73.216.120','view'),(14203,'2025-06-23 13:00:24','216.73.216.120','view')

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