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CT Parametric Response Mapping Technology Can Distinguish Types of Lung Injury

By MedImaging International staff writers
Posted on 16 Oct 2012

A new approach designed for lung scanning could improve the diagnosis and treatment of a lung disease called chronic obstructive pulmonary disease (COPD), which is the United States’ third-highest cause of death.

In a new study published October 7, 2012, online in the journal Nature Medicine, the University of Michigan (U-M) Medical School (Ann Arbor, MI, USA) investigators reported on a technique called parametric response mapping (PRM). They used PRM to study computed tomography (CT) scans of the lungs of patients with COPD, who took part in a COPDGene study funded by the US National Heart, Lung and Blood Institute (Bethesda, MD, USA).

The researchers reported that the PRM technique for evaluating CT scans could better differentiate between early-stage damage to the small airways of the lungs, and more severe damage known as emphysema. They have also demonstrated that the overall severity of a patient’s disease, as measured with PRM, correlates closely with the patient’s performance on traditional lung tests based on breathing ability.

“Essentially, with the PRM technique, we’ve been able to tell subtypes of COPD apart, distinguishing functional small airway disease, or fSAD, from emphysema and normal lung function,” said Brian Ross, PhD, the a research professor of radiology, professor of biological chemistry and senior author of the article. “We believe this offers a new path to more precise diagnosis and treatment planning, and a useful tool for precisely assessing the impact of new medications and other treatments.”

“In the last decade, CT scan techniques for imaging COPD have improved steadily, but PRM is the missing link--giving us a robust way to see small airway disease and personalize treatment,” said Ella Kazerooni, MD, MS, FACS, a radiology professor who leads U-M’s lung imaging program and is a member of the COPDGene trial.

Originally developed to show the response of brain tumors to treatment, the PRM technique allows researchers to identify COPD specific changes in three-dimensional (3D) lung regions over time. A U-M spinoff company, Imbio (Minneapolis, MN, USA; http://imbio.com), has licensed U-M’s patents on the PRM technique, and is developing the technology for use in early prediction of treatment response of brain tumors and other cancers. Imbio has now begun developing PRM for COPD subtype diagnosis and tracking.

With the PRM technique, the researchers use computer techniques to overlay the CT scan taken during a full inhalation with an image captured during a full exhalation. The overlaid (registered) CT images share the same geometric space; therefore, the lung tissue in the inflated and deflated lungs aligns. Healthy lung tissue’s density will change more between the two images than the density of diseased lung, allowing researchers to create a 3D “map” of the patient’s lungs.

PRM assign colors to each small 3D area, called a voxel, according to the difference in signal changes within each of the areas between the two scans. Green means healthy, yellow means a reduced ability to push air out of the small sacs, and red means severely reduced ability.

“By distinguishing small airway abnormality from that involving the lung parenchyma, such as emphysema, PRM could help physicians personalize therapy for individual COPD patients--and select patients for clinical trials of new treatment options more precisely,” stated cosenior author Fernando Martinez, MD, MS, an internal medicine professor who is also participated in the COPDGene trial.

“PRM can also help to track COPD progression or response to treatment over time,” remarked lead author Dr. Craig Gabán, assistant professor of radiology. Although the current study typically looked at a “snapshot” of CT scans taken a one time, it also includes data on two U-M COPD patients who were imaged over more than two years. More longitudinal data are needed to determine that PRM works well for long-term monitoring and studies are ongoing.

Whereas a simple breathing test called spirometry is still considered the best way to diagnose the disease, spirometry has limitations in its ability to differentiate between diverse types of lung injury that COPD patients experience.

“The PRM technique is a step forward in being able to better sub-classify patients with COPD so that targeted therapies can be developed,” stated lead author MeiLan Han, MD, MS, a U-M pulmonologist and COPDGene investigator. “This is one of many important studies that is being made possible by the data being collected through NHLBI funded COPD initiatives.”

Related Links:
University of Michigan Medical School
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60 (!!!!! 1832.0083618164): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742980 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742980 AND published='1' LIMIT 1

61 (!!!!! 4041.1949157715): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742980 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742980 AND published='1' LIMIT 1

62 (!!!!! 4403.1143188477): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742980 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742980 AND published='1' LIMIT 1

63 (!!!!! 5588.0546569824): 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 (!!!!! 1446.008682251): SELECT fid FROM jos_deeppockets WHERE id=294742980 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294742980 AND published='1' LIMIT 1

65 (!!!!! 10946.989059448): 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=216 ORDER BY `ordering`

66 (804.90112304688): select jos_twitters.link from jos_twitters where cat=10

67 (!!!!! 1304.8648834229): select jos_facebook.link from jos_facebook where cat=10

68 (!!!!! 5409.0023040771): select jos_google_plus.link from jos_google_plus where cat=10

69 (803.94744873047): select jos_linkedin.link from jos_linkedin where cat=10

70 (!!!!! 3437.0422363281): SELECT fid FROM jos_deeppockets WHERE id=294742980 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294742980 AND published='1' LIMIT 1

71 (!!!!! 1981.0199737549): 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=216 ORDER BY `ordering`

72 (!!!!! 1821.9947814941): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294742980 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

73 (741.95861816406): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294742980 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

74 (!!!!! 5824.089050293): 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 (100.13580322266): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (48.160552978516): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (79.870223999023): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294742980 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

90 (46.014785766602): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294742980 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

91 (57.93571472168): 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 (415.80200195312): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (97.036361694336): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (122.7855682373): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (72.956085205078): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (102.99682617188): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (50.067901611328): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (123.97766113281): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (66.995620727539): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (103.95050048828): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (56.028366088867): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (95.129013061523): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (61.988830566406): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (97.036361694336): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (53.167343139648): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (902.17590332031): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742980 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742980 AND published='1' LIMIT 1

107 (110.14938354492): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742980 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742980 AND published='1' LIMIT 1

108 (135.89859008789): 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=294742980 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

109 (74.148178100586): 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=294742980 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

110 (972.98622131348): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742980 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742980 AND published='1' LIMIT 1

111 (166.89300537109): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742980 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742980 AND published='1' LIMIT 1

112 (398.87428283691): 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=294742980 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (456.80999755859): 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=294742980 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

114 (77.009201049805): 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=294742979 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

115 (!!!!! 2125.9784698486): 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=294742979 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

116 (833.98818969727): 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 (845.90911865234): 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 (118.01719665527): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742980 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742980 AND published='1' LIMIT 1

119 (80.82389831543): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742980 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742980 AND published='1' LIMIT 1

120 (169.03877258301): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742980 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742980 AND published='1' LIMIT 1

121 (72.956085205078): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742980 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742980 AND published='1' LIMIT 1

122 (91.075897216797): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742980 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742980 AND published='1' LIMIT 1

123 (67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742980 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742980 AND published='1' LIMIT 1

124 (468.96934509277): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

125 (!!!!! 88190.793991089): 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 (308.03680419922): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742980 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742980 AND published='1' LIMIT 1

127 (272.98927307129): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742980 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742980 AND published='1' LIMIT 1

128 (!!!!! 1378.059387207): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294742980 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294742980 AND type='deeppockets_item' AND published='1' LIMIT 1

129 (!!!!! 659160.13717651): ( 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 (87.976455688477): ( 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 (486.85073852539): 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 (61.988830566406): 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 (359.05838012695): 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 (47.922134399414): 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 (268.93615722656): 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 (45.061111450195): 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 (599.86114501953): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742980 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

138 (514.98413085938): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742980 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

139 (262.02201843262): SELECT name FROM jos_deeppockets WHERE id=216

140 (45.061111450195): SELECT name FROM jos_deeppockets WHERE id=216

141 (584.12551879883): 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 '((;)|(^))216((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

142 (573.87351989746): 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 '((;)|(^))216((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

143 (78.916549682617): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742980 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742980 AND published='1' LIMIT 1

144 (64.13459777832): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742980 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742980 AND published='1' LIMIT 1

145 (!!!!! 10182.857513428): TRUNCATE TABLE jos_trademed_module

146 (135.89859008789): 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=294742980 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

147 (79.154968261719): 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=294742980 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

148 (745.05805969238): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742980 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

149 (78.916549682617): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742980 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

150 (84.877014160156): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742980 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742980 AND published='1' LIMIT 1

151 (59.843063354492): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742980 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742980 AND published='1' LIMIT 1

152 (!!!!! 1067.1615600586): 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 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742980 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742980 AND published='1' LIMIT 1

154 (42.200088500977): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742980 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742980 AND published='1' LIMIT 1

155 (41.961669921875): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294742980 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294742980 AND type='deeppockets_item' AND published='1' LIMIT 1

156 (466.10832214355): 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 (42.200088500977): 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 (37.908554077148): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

159 (57.93571472168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742980 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742980 AND published='1' LIMIT 1

160 (41.007995605469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742980 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742980 AND published='1' LIMIT 1

161 (148.05793762207): select jos_twitters.link from jos_twitters where cat=10

162 (37.193298339844): select jos_facebook.link from jos_facebook where cat=10

163 (36.001205444336): select jos_google_plus.link from jos_google_plus where cat=10

164 (36.001205444336): select jos_linkedin.link from jos_linkedin where cat=10

165 (344.99168395996): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

166 (!!!!! 1528.0246734619): insert into jos_banners_delta values (14615,'2025-06-18 22:44:52','216.73.216.120','view'),(14202,'2025-06-18 22:44:52','216.73.216.120','view'),(14203,'2025-06-18 22:44:52','216.73.216.120','view')

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