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MRI/PET Scans Link Brainstem Atrophy to Dementia Symptoms

By MedImaging International staff writers
Posted on 11 Apr 2022

Image: Brainstem atrophy is linked to extrapyramidal symptoms in frontotemporal dementia (Photo courtesy of Unsplash)

Frontotemporal dementia, FTD, is an umbrella term for degenerative brain diseases that affect behaviour and cognition. Sometimes, FTD comes with extrapyramidal symptoms, such as those in Parkinson’s disease, and this makes the diagnosis of FTD challenging. However, a new study now shows that accurate imaging and analysis of the brain may make it possible to distinguish between FTD and other diseases that cause extrapyramidal symptoms.

The new study from the University of Eastern Finland (Kuopio, Finland) shows that FTD patients with extrapyramidal symptoms have brainstem atrophy and reduced metabolism in certain areas of the brain significantly more often than patients without extrapyramidal symptoms. This observation can facilitate differential diagnostics in FTD. Extrapyramidal symptoms refer to involuntary movements, typically tremor, slowness, stiffness, loss of facial expressions and automatic movements, such as arm swing when walking. They are often associated with extrapyramidal disorders such as Parkinson’s disease and atypical parkinsonism. Examples of atypical parkinsonism include progressive supranuclear palsy (PSP) and corticobasal degeneration (CBD). They share disease mechanisms with FTD, which is why they are nowadays considered to be part of the same spectrum of diseases. FTD is traditionally divided into two main categories: the more common variant with behavioral changes as an early symptom, and the rarer primary progressive aphasia (PPA) with problems related to speech as an early symptom.

Neurodegeneration associated with progressive memory disorders is typically imaged in two ways: magnetic resonance imaging (MRI) of the brain provides accurate information on brain structures and volumes of the different parts of the brain, whereas positron emission tomography, or a PET scan, provides information on metabolism in different areas of the brain. Degeneration of the brain tissue is often preceded by slow or missing metabolism. In the new study, the researchers analyzed medical records on a total of 139 patients with FTD, PSP or CBD, focusing in particular on their diagnosis and the presence of extrapyramidal symptoms. The patients’ MRI and PET images were analyzed using automated analysis software.

The researchers found that patients with extrapyramidal symptoms also had atrophy of the basal ganglia in the midbrain, and of the brainstem. When looking at patients with FTD alone, it was found that patients with extrapyramidal symptoms had brainstem atrophy considerably more often than patients without extrapyramidal symptoms. In addition, PET image analyses showed reduced metabolism in the superior cerebellar peduncle and the frontal lobes in patients with extrapyramidal symptoms. The study showed, for the first time, that significant structural and metabolic differences can be detected in the brain of FTD patients with extrapyramidal symptoms, compared to patients without these symptoms.

“If our findings are confirmed in other cohorts, they can be used in early diagnostics to distinguish between FTD and Parkinson's disease, for example. These findings will also provide us with a better understanding of the mechanisms of these diseases,” said doctoral researcher Sami Heikkinen. “Although the treatment of these diseases is symptomatic at the moment, an early and accurate diagnosis is an important step towards the development of disease modifying treatments.”

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62 (60.081481933594): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792379 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792379 AND published='1' LIMIT 1

63 (!!!!! 5886.0778808594): 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

64 (!!!!! 3854.9900054932): SELECT fid FROM jos_deeppockets WHERE id=294792379 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294792379 AND published='1' LIMIT 1

65 (!!!!! 1147.985458374): 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`

66 (53.882598876953): select jos_twitters.link from jos_twitters where cat=10

67 (30.040740966797): select jos_facebook.link from jos_facebook where cat=10

68 (30.994415283203): select jos_google_plus.link from jos_google_plus where cat=10

69 (28.133392333984): select jos_linkedin.link from jos_linkedin where cat=10

70 (633.00132751465): SELECT fid FROM jos_deeppockets WHERE id=294792379 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294792379 AND published='1' LIMIT 1

71 (48.160552978516): 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`

72 (778.1982421875): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294792379 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

73 (240.80276489258): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294792379 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

74 (36.954879760742): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

75 (826.83563232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (50.067901611328): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (618.93463134766): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (321.86508178711): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (507.11631774902): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (251.77001953125): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (!!!!! 1118.8983917236): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294792379 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

90 (46.968460083008): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294792379 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

91 (37.193298339844): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

92 (385.99967956543): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (42.915344238281): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (102.99682617188): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (282.04917907715): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (100.85105895996): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (221.96769714355): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (!!!!! 4436.9697570801): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792379 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792379 AND published='1' LIMIT 1

107 (!!!!! 3633.975982666): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792379 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792379 AND published='1' LIMIT 1

108 (365.01884460449): 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=294792379 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

109 (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.cat=10 AND dp.id=294792379 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

110 (994.92073059082): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792379 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792379 AND published='1' LIMIT 1

111 (288.00964355469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792379 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792379 AND published='1' LIMIT 1

112 (600.09956359863): 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=294792379 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (328.06396484375): 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=294792379 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

114 (159.97886657715): 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=294792355 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

115 (597.95379638672): 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=294792355 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

116 (988.00659179688): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

117 (620.84197998047): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

118 (669.95620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792379 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792379 AND published='1' LIMIT 1

119 (77.009201049805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792379 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792379 AND published='1' LIMIT 1

120 (287.05596923828): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792379 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792379 AND published='1' LIMIT 1

121 (52.928924560547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792379 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792379 AND published='1' LIMIT 1

122 (!!!!! 1036.8824005127): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792379 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792379 AND published='1' LIMIT 1

123 (49.114227294922): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792379 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792379 AND published='1' LIMIT 1

124 (359.77363586426): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

125 (!!!!! 47562.837600708): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7

126 (!!!!! 3345.0126647949): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792379 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792379 AND published='1' LIMIT 1

127 (!!!!! 11967.897415161): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792379 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792379 AND published='1' LIMIT 1

128 (!!!!! 4369.9741363525): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294792379 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294792379 AND type='deeppockets_item' AND published='1' LIMIT 1

129 (!!!!! 2001549.0055084): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

130 (!!!!! 2171715.0211334): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

131 (190.97328186035): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

132 (152.1110534668): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

133 (68.902969360352): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

134 (49.114227294922): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

135 (66.041946411133): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

136 (54.121017456055): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

137 (416.04042053223): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792379 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

138 (252.96211242676): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792379 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

139 (238.89541625977): SELECT name FROM jos_deeppockets WHERE id=215

140 (31.948089599609): SELECT name FROM jos_deeppockets WHERE id=215

141 (468.96934509277): 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

142 (511.88468933105): 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

143 (931.0245513916): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792379 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792379 AND published='1' LIMIT 1

144 (113.96408081055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792379 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792379 AND published='1' LIMIT 1

145 (!!!!! 13593.912124634): TRUNCATE TABLE jos_trademed_module

146 (674.00932312012): 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=294792379 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

147 (!!!!! 2641.2010192871): 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=294792379 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

148 (!!!!! 1393.0797576904): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792379 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

149 (195.02639770508): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792379 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

150 (164.03198242188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792379 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792379 AND published='1' LIMIT 1

151 (159.97886657715): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792379 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792379 AND published='1' LIMIT 1

152 (!!!!! 1852.9891967773): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

153 (77.009201049805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792379 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792379 AND published='1' LIMIT 1

154 (39.100646972656): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792379 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792379 AND published='1' LIMIT 1

155 (!!!!! 1127.0046234131): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294792379 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294792379 AND type='deeppockets_item' AND published='1' LIMIT 1

156 (92.983245849609): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=0 or channel_id is null)

157 (66.041946411133): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=0 or channel_id is null)

158 (53.882598876953): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

159 (!!!!! 2874.8512268066): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792379 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792379 AND published='1' LIMIT 1

160 (97.990036010742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792379 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792379 AND published='1' LIMIT 1

161 (94.890594482422): select jos_twitters.link from jos_twitters where cat=10

162 (49.114227294922): select jos_facebook.link from jos_facebook where cat=10

163 (46.968460083008): select jos_google_plus.link from jos_google_plus where cat=10

164 (25.98762512207): select jos_linkedin.link from jos_linkedin where cat=10

165 (310.89782714844): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

166 (!!!!! 2547.9793548584): insert into jos_banners_delta values (14615,'2025-05-02 03:00:52','3.21.114.165','view'),(14202,'2025-05-02 03:00:52','3.21.114.165','view'),(14203,'2025-05-02 03:00:52','3.21.114.165','view')

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