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

Blood Flow in Cervical Tumors Can Predict Outcome

By MedImaging staff writers
Posted on 07 Jan 2008

Measuring both the level of red blood cells in the body and the blood flow in tumors can help predict which cervical cancer patients are likely to have a better outcome, according to researchers.

"We must look at how the oxygenation in the circulation and the vasculature of each individual tumor interact,” stated Dr. Nina Mayr, a researcher and chair of radiation medicine at the James Cancer Hospital and Solove Research Institute at Ohio State University (Columbus, USA). "For cancer therapy to be effective, tumors must have blood flow and sufficient oxygen.”

Dr. Mayr and colleagues from the Ohio State University Comprehensive Cancer Center presented their findings in December 2007 during the annual meeting of the American Society of Therapeutic Radiology and Oncology in Los Angeles, CA, USA. "We have identified a method using magnetic resonance imaging [MRI] to check the actual blood flow within tumors as they are treated. If we put together both the number of red blood cells that a patient's body has to carry the oxygen to the tumor, and the blood flow within the tumor, we have a powerful predictor to tell us whether the treatment will work,” said Dr. Mayr.

Researchers studied the levels of red blood cells throughout the course of radiation and chemotherapy in 66 cervical cancer patients. In addition, they examined the blood supply of the tumor during therapy in each patient using innovative MRI techniques.

The level of red blood cells has long been thought to influence the response of tumors to radiation therapy and chemotherapy. Red blood cells contain hemoglobin, which carries the oxygen from the lungs to the tissue. Low red blood cell levels have been implicated in poor treatment response in cervical cancer patients--probably due to poor oxygen supply, which impairs the tumor-killing effects of radiation, according to Dr. Mayr.

"We found that we must analyze both the level of red blood cells and the vasculature ‘signature' of each individual tumor,” Dr. Mayr said. "If both are high, patients responded well to therapy and had a 91% chance of survival. But when both are low, patients had a 32% chance of tumor recurrence, and only a 56% chance of survival.”

Patients frequently receive transfusions or stimulating factors that boost their low red blood cell levels, but those treatments can be expensive, uncomfortable, and somewhat risky, reported Dr. Mayr. "Now we may have a way to predict whether that treatment will work for each individual patient,” Dr. Mayr conlcuded. "This new information may help to make cancer care more personalized by using transfusions in patients who need them most, and we may be able to avoid them in those who will do well without them.”

Related Links:
Ohio State University Comprehensive Cancer Center

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64 (309.94415283203): select jos_twitters.link from jos_twitters where cat=10

65 (342.13066101074): select jos_facebook.link from jos_facebook where cat=10

66 (46.968460083008): select jos_google_plus.link from jos_google_plus where cat=10

67 (43.869018554688): select jos_linkedin.link from jos_linkedin where cat=10

68 (651.83639526367): SELECT fid FROM jos_deeppockets WHERE id=267150000 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=267150000 AND published='1' LIMIT 1

69 (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=212 ORDER BY `ordering`

70 (537.87231445312): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=267150000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (610.8283996582): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=267150000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (486.85073852539): 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 (909.09004211426): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (83.92333984375): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (37.193298339844): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (142.09747314453): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (158.07151794434): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (380.9928894043): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (912.90473937988): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=267150000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (52.928924560547): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=267150000 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 (137.0906829834): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (53.167343139648): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (51.021575927734): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (!!!!! 4492.9981231689): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=267150000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=267150000 AND published='1' LIMIT 1

105 (173.09188842773): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=267150000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=267150000 AND published='1' LIMIT 1

106 (154.01840209961): 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=267150000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (87.976455688477): 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=267150000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (140.90538024902): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=267150000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=267150000 AND published='1' LIMIT 1

109 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=267150000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=267150000 AND published='1' LIMIT 1

110 (82.969665527344): 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=267150000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (598.90747070312): 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=267150000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (950.09803771973): 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 (618.93463134766): 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 (555.99212646484): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=267150000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=267150000 AND published='1' LIMIT 1

115 (249.86267089844): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=267150000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=267150000 AND published='1' LIMIT 1

116 (209.09309387207): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=267150000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=267150000 AND published='1' LIMIT 1

117 (308.99047851562): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=267150000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=267150000 AND published='1' LIMIT 1

118 (72.002410888672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=267150000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=267150000 AND published='1' LIMIT 1

119 (102.99682617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=267150000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=267150000 AND published='1' LIMIT 1

120 (103.95050048828): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=267150000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=267150000 AND published='1' LIMIT 1

121 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=267150000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=267150000 AND published='1' LIMIT 1

122 (412.94097900391): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 54099.082946777): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7

124 (689.98336791992): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=267150000 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=267150000 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 10892.868041992): ( 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 (92.983245849609): ( 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 (56.982040405273): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

128 (41.007995605469): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

129 (50.067901611328): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

130 (41.007995605469): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

131 (380.03921508789): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

132 (41.961669921875): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

133 (36.001205444336): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

134 (30.040740966797): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

135 (642.06123352051): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=267150000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (472.06878662109): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=267150000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (323.05717468262): SELECT name FROM jos_deeppockets WHERE id=212

138 (42.915344238281): SELECT name FROM jos_deeppockets WHERE id=212

139 (781.05926513672): 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 '((;)|(^))212((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

140 (845.90911865234): 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 '((;)|(^))212((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

141 (97.990036010742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=267150000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=267150000 AND published='1' LIMIT 1

142 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=267150000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=267150000 AND published='1' LIMIT 1

143 (!!!!! 16417.026519775): TRUNCATE TABLE jos_trademed_module

144 (139.95170593262): 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=267150000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (76.055526733398): 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=267150000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (575.78086853027): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=267150000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (68.902969360352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=267150000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (71.048736572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=267150000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=267150000 AND published='1' LIMIT 1

149 (57.93571472168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=267150000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=267150000 AND published='1' LIMIT 1

150 (!!!!! 1554.012298584): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

151 (77.962875366211): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=267150000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=267150000 AND published='1' LIMIT 1

152 (58.889389038086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=267150000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=267150000 AND published='1' LIMIT 1

153 (44.107437133789): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=267150000 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=267150000 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (39.100646972656): 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=212 or channel_id is null)

155 (51.975250244141): 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=212 or channel_id is null)

156 (45.061111450195): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (82.015991210938): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=267150000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=267150000 AND published='1' LIMIT 1

158 (60.081481933594): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=267150000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=267150000 AND published='1' LIMIT 1

159 (42.200088500977): select jos_twitters.link from jos_twitters where cat=10

160 (34.093856811523): select jos_facebook.link from jos_facebook where cat=10

161 (86.069107055664): select jos_google_plus.link from jos_google_plus where cat=10

162 (36.954879760742): select jos_linkedin.link from jos_linkedin where cat=10

163 (329.97131347656): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

164 (!!!!! 1319.8852539062): insert into jos_banners_delta values (14615,'2025-07-01 07:58:48','216.73.216.249','view'),(14202,'2025-07-01 07:58:48','216.73.216.249','view'),(14203,'2025-07-01 07:58:48','216.73.216.249','view')

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