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

3D Brain Mapping Imaging Technology Helps Remove Fist-Sized Tumor from the Brain

By MedImaging International staff writers
Posted on 07 Aug 2009

A new technology involving the fusion of four different types of imaging applications into a three-dimensional (3D) map of a patient's brain has helped surgeons successfully remove a fist-sized tumor from the brain of a woman.

The surgery was performed by University of Cincinnati (UC; OH, USA) specialists at University Hospital by an eight-member team from the Brain Tumor Center at the UC Neuroscience Institute. "This marks the culmination of one of the most important developments in brain tumor surgery in the last 100 years,” remarked John Tew, M.D., a neurosurgeon with the Mayfield Clinic, professor of neurosurgery, and clinical director of the UC Neuroscience Institute.

The multiple brain scans were fused and installed into a surgical guidance computer, whose function is similar to a global positioning system. By revealing the tumor's relationship to all of the functional centers, electrical pathways, and arteries and veins in the patient's brain, the technology enabled Dr. Tew and his colleagues to map out a safe pathway to the tumor.

The processing and fusion of images was performed by James Leach, M.D., associate professor of neuroradiology at UC, and neuroradiologist with Cincinnati Children's Hospital Medical Center and the UC Neuroscience Institute, using the BrainLAB iPlan system at University Hospital. "This fusion of images is exciting in that it allows us to maximize resection of the tumor while preserving function for the patient,” Dr. Leach commented.

Since early 2007 Brain Tumor Center specialists have used the fusion of three types of imaging as a guide to stereotactic surgery: magnetic resonance imaging (MRI), which creates detailed images of the body by detecting differences in magnetic signals between different types of tissues. Functional MRI (fMRI), which creates a series of images that capture blood oxygen levels in parts of the brain that are responsible for movement, perception, and cognition; and diffusion tensor imaging (DTI), which provides a map of critical white-matter tracts that facilitate electrical connections between different parts of the brain.

In the latest development, Dr. Leach added the fusion of computed tomography angiography (CTA), which provides a map of blood vessels (arteries and veins). "The ability to completely map the brain and to understand--before we operate--where the tumor lies in relation to important structures is a milestone in our use of digital computer technology to heighten patient safety during complex brain tumor surgery,” Dr. Tew said.

The fMRI and DTI studies were performed on University Hospital's 3T MRI system. "The 3T system allows us to image the functional areas of the brain using various language, motor, and vision tasks with the patient in the MRI scanner,” Dr. Leach explained. "The addition of the DTI sequence allows the connections between these areas and other parts of the nervous system to be identified at the same time.”

fMRI scanning takes approximately 75 minutes, about 30 minutes longer than conventional MRI. The DTI scan, which takes five minutes, is performed in the same setting. CTA scanning was performed at University Hospital. Dr. Leach processed the images, highlighting the location of speech and movement areas, white matter tracts, and arteries and veins. He also highlighted the tumor location, and then imported all of the information into BrainLAB's (Feldkirchen, Germany) navigation software at University Hospital.

Assisted by the three-dimensional brain mapping, Dr. Tew and his team were able to navigate a trajectory through the patient's brain and remove 90% of the malignant tumor, an anaplastic astrocytoma, without harming the healthy brain tissue--including the deep nerve-fiber tracts--that surrounded it. The patient was talking normally right after surgery, and she was walking the halls and able to take a shower without assistance one day after surgery.

The team sought to eradicate the remaining tumor by applying a course of 33 computer-guided, fractionated radiotherapy treatments as a first approach. During fractionated radiotherapy, a small burst of radiation is delivered to the lesion every day over a period of weeks. Delivering radiation in this way, instead of in a single, concentrated session, allows healthy tissue to recover in between treatment sessions. The patient underwent those treatments at the Precision Radiotherapy Center (West Chester, OH, USA).

Concurrently, the patient underwent treatment with a chemotherapy agent (temosolomide). If the radiotherapy and chemotherapy are not effective, she could face another operation.

Related Links:
University of Cincinnati
BrainLAB

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57 (!!!!! 1723.051071167): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294724896 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294724896 AND published='1' LIMIT 1

58 (154.01840209961): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294724896 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294724896 AND published='1' LIMIT 1

59 (!!!!! 3540.9927368164): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294724896 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294724896 AND published='1' LIMIT 1

60 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294724896 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294724896 AND published='1' LIMIT 1

61 (!!!!! 2254.9629211426): 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

62 (!!!!! 1980.0662994385): SELECT fid FROM jos_deeppockets WHERE id=294724896 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294724896 AND published='1' LIMIT 1

63 (408.88786315918): 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`

64 (254.15420532227): select jos_twitters.link from jos_twitters where cat=10

65 (46.014785766602): select jos_facebook.link from jos_facebook where cat=10

66 (45.061111450195): select jos_google_plus.link from jos_google_plus where cat=10

67 (40.054321289062): select jos_linkedin.link from jos_linkedin where cat=10

68 (136.8522644043): SELECT fid FROM jos_deeppockets WHERE id=294724896 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294724896 AND published='1' LIMIT 1

69 (52.213668823242): 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 (!!!!! 2876.9969940186): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294724896 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (267.98248291016): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294724896 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (67.949295043945): 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 (164.98565673828): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (89.883804321289): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (135.89859008789): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (79.870223999023): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (563.8599395752): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (467.06199645996): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (102.99682617188): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (52.928924560547): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (58.889389038086): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (66.041946411133): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (107.0499420166): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294724896 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (85.830688476562): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294724896 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (95.844268798828): 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 (828.02772521973): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (87.02278137207): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (117.06352233887): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (287.05596923828): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (121.11663818359): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (411.9873046875): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (42.915344238281): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (123.02398681641): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (169.99244689941): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (458.0020904541): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294724896 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294724896 AND published='1' LIMIT 1

105 (177.86026000977): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294724896 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294724896 AND published='1' LIMIT 1

106 (61.03515625): 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=294724896 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (128.98445129395): 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=294724896 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (!!!!! 1667.9763793945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294724896 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294724896 AND published='1' LIMIT 1

109 (215.05355834961): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294724896 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294724896 AND published='1' LIMIT 1

110 (360.01205444336): 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=294724896 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (534.0576171875): 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=294724896 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (617.02728271484): 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 (342.13066101074): 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 (87.02278137207): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294724896 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294724896 AND published='1' LIMIT 1

115 (58.174133300781): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294724896 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294724896 AND published='1' LIMIT 1

116 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294724896 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294724896 AND published='1' LIMIT 1

117 (48.87580871582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294724896 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294724896 AND published='1' LIMIT 1

118 (77.009201049805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294724896 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294724896 AND published='1' LIMIT 1

119 (115.15617370605): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294724896 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294724896 AND published='1' LIMIT 1

120 (55.789947509766): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294724896 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294724896 AND published='1' LIMIT 1

121 (47.206878662109): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294724896 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294724896 AND published='1' LIMIT 1

122 (315.90461730957): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 19815.921783447): 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 (521.89826965332): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294724896 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294724896 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 7393.1217193604): ( 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 (178.09867858887): ( 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 (43.153762817383): 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 (30.040740966797): 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 (35.04753112793): 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 (28.848648071289): 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 (277.99606323242): 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 (36.001205444336): 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 (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

134 (29.802322387695): 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 (442.0280456543): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294724896 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (687.83760070801): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294724896 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (277.04238891602): SELECT name FROM jos_deeppockets WHERE id=212

138 (34.093856811523): SELECT name FROM jos_deeppockets WHERE id=212

139 (555.03845214844): 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 (507.83157348633): 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 (80.108642578125): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294724896 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294724896 AND published='1' LIMIT 1

142 (47.922134399414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294724896 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294724896 AND published='1' LIMIT 1

143 (!!!!! 8511.0664367676): TRUNCATE TABLE jos_trademed_module

144 (91.075897216797): 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=294724896 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (56.028366088867): 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=294724896 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (798.94065856934): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294724896 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (49.829483032227): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294724896 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294724896 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294724896 AND published='1' LIMIT 1

149 (51.021575927734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294724896 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294724896 AND published='1' LIMIT 1

150 (!!!!! 1279.8309326172): 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 (71.048736572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294724896 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294724896 AND published='1' LIMIT 1

152 (52.928924560547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294724896 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294724896 AND published='1' LIMIT 1

153 (38.14697265625): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294724896 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294724896 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (29.087066650391): 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 (28.133392333984): 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 (37.908554077148): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (138.99803161621): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294724896 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294724896 AND published='1' LIMIT 1

158 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294724896 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294724896 AND published='1' LIMIT 1

159 (46.968460083008): select jos_twitters.link from jos_twitters where cat=10

160 (32.186508178711): select jos_facebook.link from jos_facebook where cat=10

161 (32.186508178711): select jos_google_plus.link from jos_google_plus where cat=10

162 (30.994415283203): select jos_linkedin.link from jos_linkedin where cat=10

163 (257.01522827148): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

164 (!!!!! 1016.1399841309): insert into jos_banners_delta values (14615,'2025-06-29 05:31:16','216.73.216.249','view'),(14202,'2025-06-29 05:31:16','216.73.216.249','view'),(14203,'2025-06-29 05:31:16','216.73.216.249','view')

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