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Siemens Launches World’s First CT Scanner With Photon-Counting Technology

By MedImaging International staff writers
Posted on 24 Nov 2021

Image: Naeotom Alpha (Photo courtesy of Siemens Healthineers)

Siemens Healthineers (Erlangen, Germany) has launched Naeotom Alpha, the world’s first photon-counting CT scanner, with the system cleared for clinical use in the US and Europe.

Conventional CT imaging has reached its technical limitations: Resolution can only be improved by small margins and dose cannot be reduced significantly: Photon-counting technology enables drastic improvements. These improvements include an increase in resolution and a reduction in radiation dose by up to 45% for ultra-high resolution (UHR) scans compared with conventional CT detectors with a UHR comb filer. This would be impossible with conventional detectors. Photon-counting scans contain more useable data, due to the fact that photon-counting technology directly detects each X-ray photon and its energy level instead of first converting it into visible light as with conventional CT imaging.

These aspects combined open up new capabilities, such as scanning a patient’s lung at a high scan speed and getting high-resolution images with inherent spectral information– without the patient having to hold their breath. This spectral information also helps to identify materials inside the body that can even be removed from the image should they obstruct an area of interest. This helps physicians to assess issues quickly and offers the possibility to start treatment early. Through the reduction in radiation dose, regular examinations, such as lung cancer screenings using CT imaging can become routinely available for larger patient populations. And the high resolution reveals even small structures, taking clinical decision-making to a new level of confidence. The technical complexity of photon-counting CT imaging does not mean increased complexity for the user, thanks to myExam Companion from Siemens.

The clinical fields of cardiac imaging, oncology, and pulmonology all have their own unique demands of medical images. In cardiac imaging, it is capturing the heart while moving, which therefore requires speed. Naeotom Alpha delivers speed thanks to its Dual Source design and benefits from spectral information and high resolution for removing obstructions caused by calcifications. This enables diagnostic assessment and allows more patients to benefit from CT imaging –even those with a high calcium burden.

The high precision offered by Naeotom Alpha is also highly beneficial in oncology, where reliable and consistent evaluation of disease progress is the most important factor. Therefore, clinical images need to be as conclusive and consistent as possible to make the right decisions. In pulmonology, images need to contain all meaningful answers in as few scans as possible to avoid delays in treatment and potentially severe consequences for patients. These needs are met and often exceeded by Naeotom Alpha’s features. Its clinical images inherently carry more information than ever possible before for precise diagnosis, follow-up, and treatment. The new technology adds clinical value for fast and reliable diagnoses by the physician by improving image quality, potentially leading to less uncertainty for physicians and patients. It helps in almost every clinical field, but especially when fine structures have to be evaluated.

“More than 15 years ago, work on photon-counting CT and this clinical vision started at Siemens Healthineers. We always believed in the tremendous clinical value and relentlessly worked on it together with our partners,” said Philipp Fischer, Head of Computed Tomography at Siemens Healthineers. “Today, with the introduction of Naeotom Alpha, we are taking a huge step in furthering patient care in a wide range of clinical domains by effectively showing things impossible to see with conventional CT scans. This required a radical rethinking of practically every technological aspect of computed tomography.”

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65 (90.837478637695): select jos_facebook.link from jos_facebook where cat=10

66 (66.995620727539): select jos_google_plus.link from jos_google_plus where cat=10

67 (46.014785766602): select jos_linkedin.link from jos_linkedin where cat=10

68 (66.995620727539): SELECT fid FROM jos_deeppockets WHERE id=294790677 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294790677 AND published='1' LIMIT 1

69 (56.028366088867): 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 (!!!!! 2225.1605987549): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294790677 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (340.93856811523): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294790677 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (66.995620727539): 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 (93.936920166016): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (51.021575927734): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (50.783157348633): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (49.114227294922): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (37.193298339844): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (853.06167602539): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294790677 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (67.949295043945): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294790677 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (55.074691772461): 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 (87.02278137207): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (48.87580871582): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (43.869018554688): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (101.08947753906): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294790677 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294790677 AND published='1' LIMIT 1

105 (77.009201049805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294790677 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294790677 AND published='1' LIMIT 1

106 (81.062316894531): 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=294790677 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (385.99967956543): 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=294790677 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (69.141387939453): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294790677 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294790677 AND published='1' LIMIT 1

109 (45.061111450195): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294790677 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294790677 AND published='1' LIMIT 1

110 (46.968460083008): 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=294790677 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (386.95335388184): 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=294790677 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (!!!!! 1390.9339904785): 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 (!!!!! 4155.8742523193): 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 (505.92422485352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294790677 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294790677 AND published='1' LIMIT 1

115 (303.98368835449): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294790677 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294790677 AND published='1' LIMIT 1

116 (235.08071899414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294790677 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294790677 AND published='1' LIMIT 1

117 (162.12463378906): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294790677 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294790677 AND published='1' LIMIT 1

118 (194.07272338867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294790677 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294790677 AND published='1' LIMIT 1

119 (184.05914306641): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294790677 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294790677 AND published='1' LIMIT 1

120 (189.06593322754): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

121 (!!!!! 47503.94821167): 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 (!!!!! 5221.8437194824): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294790677 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294790677 AND published='1' LIMIT 1

123 (63.896179199219): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294790677 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294790677 AND published='1' LIMIT 1

124 (385.04600524902): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294790677 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294790677 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 632654.90531921): ( 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 (67.949295043945): ( 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 (196.93374633789): 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 (35.04753112793): 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 (130.89179992676): 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 (32.901763916016): 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 (108.00361633301): 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 (32.186508178711): 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 (382.90023803711): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294790677 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

134 (260.82992553711): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294790677 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

135 (118.97087097168): SELECT name FROM jos_deeppockets WHERE id=215

136 (30.994415283203): SELECT name FROM jos_deeppockets WHERE id=215

137 (428.91502380371): 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

138 (336.88545227051): 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

139 (68.902969360352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294790677 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294790677 AND published='1' LIMIT 1

140 (45.061111450195): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294790677 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294790677 AND published='1' LIMIT 1

141 (!!!!! 6157.8750610352): TRUNCATE TABLE jos_trademed_module

142 (!!!!! 4028.0818939209): 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=294790677 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

143 (161.88621520996): 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=294790677 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

144 (529.05082702637): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294790677 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

145 (142.81272888184): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294790677 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

146 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294790677 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294790677 AND published='1' LIMIT 1

147 (41.007995605469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294790677 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294790677 AND published='1' LIMIT 1

148 (!!!!! 1410.961151123): 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 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294790677 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294790677 AND published='1' LIMIT 1

150 (39.100646972656): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294790677 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294790677 AND published='1' LIMIT 1

151 (46.014785766602): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294790677 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294790677 AND type='deeppockets_item' AND published='1' LIMIT 1

152 (30.994415283203): 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)

153 (26.941299438477): 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)

154 (37.908554077148): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

155 (!!!!! 2934.9327087402): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294790677 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294790677 AND published='1' LIMIT 1

156 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294790677 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294790677 AND published='1' LIMIT 1

157 (121.11663818359): select jos_twitters.link from jos_twitters where cat=10

158 (29.087066650391): select jos_facebook.link from jos_facebook where cat=10

159 (27.179718017578): select jos_google_plus.link from jos_google_plus where cat=10

160 (26.941299438477): select jos_linkedin.link from jos_linkedin where cat=10

161 (269.17457580566): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

162 (!!!!! 1327.0378112793): insert into jos_banners_delta values (14615,'2025-05-02 06:45:43','3.17.156.160','view'),(14202,'2025-05-02 06:45:43','3.17.156.160','view'),(14203,'2025-05-02 06:45:43','3.17.156.160','view')

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