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AI Platform Leverages Robotic Bronchoscopy Under 3D Fluoroscopic Guidance for Precision Biopsy

By MedImaging International staff writers
Posted on 02 Sep 2024

Lung cancer typically presents no symptoms until it is advanced, limiting treatment effectiveness and patient prognosis. More...

However, leveraging the vast number of annual CT scans received by US patients—approximately 90 million, including those from emergency and cardiac assessments—could facilitate an "early detection system" to identify cancer before symptoms develop.

A pioneering integrated product concept from Optellum Ltd. (Oxford, UK) combines artificial intelligence (AI) with advanced robotics and imaging devices to enable precision biopsy and improve patient outcomes. The Optellum Virtual Nodule Clinic, which is the first FDA and CE-MDR-approved decision support tool for early-stage lung cancer, utilizes a Patient Discovery AI that employs Natural Language Processing. This, coupled with a clinically validated Lung Cancer Prediction (LCP) score that utilizes imaging AI/Radiomics and deep-learning neural networks, aids clinicians in identifying at-risk patients within a healthcare system and prioritizing them for further diagnostic procedures like biopsies.

The use of minimally invasive endobronchial biopsies, performed with robotic bronchoscopes under advanced imaging guidance, represents the cutting edge in diagnosing lung tissue. Integrating these technologies with Optellum’s Virtual Nodule Clinic AI platform promises to revolutionize the precision, speed, and efficiency of lung cancer diagnosis and treatment. Programs powered by Optellum’s AI have demonstrated their capability to efficiently manage larger volumes of patients, allowing clinicians to make more informed decisions regarding the necessity of interventions for small nodules. This synergistic blend of AI software, imaging, and biopsy technologies holds the potential to significantly enhance patient outcomes by ensuring more accurate diagnoses and optimizing clinical workflows.

"We are thrilled to enable interventional pulmonologists using advanced bronchoscopy platforms to grow their programs through Optellum AI-powered early diagnosis and precision intervention," said Václav Potěšil, PhD, Founder & Chief Business Officer at Optellum. "Our goal is to move beyond early lung cancer diagnosis alone, to build an AI-powered lung "operating system" that drives the right patients into the right minimally invasive therapies, saving thousands of lives."

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59 (90.122222900391): 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=294802336 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

60 (527.14347839355): 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=294802336 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

61 (!!!!! 1327.9914855957): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802336 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802336 AND published='1' LIMIT 1

62 (85.115432739258): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802336 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802336 AND published='1' LIMIT 1

63 (128.98445129395): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802336 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802336 AND published='1' LIMIT 1

64 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802336 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802336 AND published='1' LIMIT 1

65 (133.99124145508): 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

66 (540.01808166504): SELECT fid FROM jos_deeppockets WHERE id=294802336 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294802336 AND published='1' LIMIT 1

67 (56.982040405273): 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`

68 (51.975250244141): select jos_twitters.link from jos_twitters where cat=10

69 (36.001205444336): select jos_facebook.link from jos_facebook where cat=10

70 (36.954879760742): select jos_google_plus.link from jos_google_plus where cat=10

71 (35.04753112793): select jos_linkedin.link from jos_linkedin where cat=10

72 (38.14697265625): SELECT fid FROM jos_deeppockets WHERE id=294802336 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294802336 AND published='1' LIMIT 1

73 (38.14697265625): 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`

74 (340.93856811523): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294802336 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

75 (199.0795135498): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294802336 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

76 (47.922134399414): 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`

77 (93.936920166016): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (34.809112548828): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (43.869018554688): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

90 (52.928924560547): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (55.074691772461): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294802336 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

92 (39.100646972656): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294802336 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

93 (46.968460083008): 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`

94 (60.081481933594): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (62.942504882812): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

107 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

108 (87.976455688477): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802336 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802336 AND published='1' LIMIT 1

109 (53.882598876953): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802336 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802336 AND published='1' LIMIT 1

110 (71.048736572266): 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=294802336 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (58.889389038086): 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=294802336 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (105.14259338379): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802336 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802336 AND published='1' LIMIT 1

113 (57.93571472168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802336 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802336 AND published='1' LIMIT 1

114 (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 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=294802336 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

115 (352.85949707031): 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=294802336 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

116 (66.041946411133): 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=294802333 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

117 (364.06517028809): 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=294802333 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

118 (726.93824768066): 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

119 (447.03483581543): 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

120 (85.830688476562): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802336 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802336 AND published='1' LIMIT 1

121 (60.081481933594): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802336 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802336 AND published='1' LIMIT 1

122 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802336 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802336 AND published='1' LIMIT 1

123 (48.160552978516): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802336 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802336 AND published='1' LIMIT 1

124 (50.067901611328): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802336 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802336 AND published='1' LIMIT 1

125 (46.014785766602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802336 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802336 AND published='1' LIMIT 1

126 (52.928924560547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802336 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802336 AND published='1' LIMIT 1

127 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802336 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802336 AND published='1' LIMIT 1

128 (289.9169921875): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

129 (!!!!! 28214.931488037): 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 (492.09594726562): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294802336 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294802336 AND type='deeppockets_item' AND published='1' LIMIT 1

131 (!!!!! 9639.0247344971): ( 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

132 (122.0703125): ( 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

133 (77.009201049805): 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

134 (45.061111450195): 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

135 (87.02278137207): 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

136 (61.03515625): 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

137 (348.80638122559): 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

138 (135.89859008789): 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

139 (53.167343139648): 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

140 (39.815902709961): 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

141 (479.93659973145): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802336 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

142 (377.17819213867): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802336 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

143 (61.03515625): SELECT name FROM jos_deeppockets WHERE id=215

144 (44.822692871094): SELECT name FROM jos_deeppockets WHERE id=215

145 (808.0005645752): 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

146 (740.05126953125): 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

147 (103.95050048828): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802336 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802336 AND published='1' LIMIT 1

148 (68.902969360352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802336 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802336 AND published='1' LIMIT 1

149 (!!!!! 10729.074478149): TRUNCATE TABLE jos_trademed_module

150 (183.10546875): 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=294802336 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

151 (102.04315185547): 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=294802336 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

152 (740.05126953125): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802336 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

153 (107.0499420166): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802336 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

154 (112.05673217773): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802336 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802336 AND published='1' LIMIT 1

155 (77.962875366211): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802336 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802336 AND published='1' LIMIT 1

156 (!!!!! 2033.9488983154): 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 (116.10984802246): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802336 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802336 AND published='1' LIMIT 1

158 (87.976455688477): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802336 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802336 AND published='1' LIMIT 1

159 (77.962875366211): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294802336 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294802336 AND type='deeppockets_item' AND published='1' LIMIT 1

160 (52.928924560547): 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 (51.021575927734): 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 (79.870223999023): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

163 (211.95411682129): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802336 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802336 AND published='1' LIMIT 1

164 (102.99682617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802336 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802336 AND published='1' LIMIT 1

165 (82.015991210938): select jos_twitters.link from jos_twitters where cat=10

166 (51.975250244141): select jos_facebook.link from jos_facebook where cat=10

167 (46.014785766602): select jos_google_plus.link from jos_google_plus where cat=10

168 (46.014785766602): select jos_linkedin.link from jos_linkedin where cat=10

169 (400.06637573242): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14202,14203)

170 (!!!!! 1421.9284057617): insert into jos_banners_delta values (14202,'2025-08-02 15:05:50','216.73.216.210','view'),(14203,'2025-08-02 15:05:50','216.73.216.210','view')

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