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

Hybrid Linac-MRI Technology Developed to Image and Treat Tumors

By MedImaging International staff writers
Posted on 14 Aug 2009

Image: Colored X-ray of the left lung in a patient with lung cancer (Photo courtesy of Zephyr / SPL).

Canadian scientists are developing a new technology that integrates two existing medical devices--medical linear accelerators, linacs, which produce powerful X-rays for treating cancer, and magnetic resonance imaging (MRI) systems, which are widely used to image tumors in the human body.

The proposed hybrid Linac-MR system promises to help clinicians treat specific types of cancer by allowing them to accurately monitor moving tumors in people's lungs and other soft tissues such as the liver or prostate in real time while the radiation treatment is ongoing. Though the new technology is not yet available in the clinic, the scientists, from the University of Alberta's Cross Cancer Institute (Edmonton, AB, Canada), have now demonstrated its feasibility for the near future.

In related research, a group from Stanford University (Stanford, CA, USA) is determining the specifications for how the new technology can be used. Both groups discussed their latest findings at the 51st meeting of the American Association of Physicists in Medicine (AAPM), July 26-30, 2009, in Anaheim, CA, USA.

The success of modern cancer radiotherapy often depends on how well radiation oncologists and medical physicists can determine the exact location and shape of a tumor. When doctors plan radiotherapy treatment for their patients, they first define the outline of target tumors by collecting high-resolution three-dimensional (3D) images. The better the outline of a tumor is defined, the more precisely clinicians can irradiate it, and the more successfully the cancerous cells inside are killed while sparing the surrounding healthy tissue.

Imaging techniques have improved to the point that doctors can now define the edges of many tumors to within a fraction of an inch. During treatment, however, many tumors will move. Tumors in the lungs, for instance, can move up to an inch or more as a person breathes, complicating treatment. Therefore, traditionally, radiation is delivered to a slightly larger area surrounding the tumor to ensure that the tumor is always in the beam's sight. This means, however, that adjacent normal tissue as well as critical organs such as the heart and spinal cord may receive harmful radiation dose.

In recent years, image-guided radiation treatment (IGRT) has emerged as a technique for following tumors as they move. With IGRT, clinicians typically use implanted markers to localize the tumor or X-rays to generate computed tomography (CT) images of the patient just prior to treatment to determine the tumor position on that day and adjust the patient position to place the tumor to coincide with the high radiation dose.

According to Dr. B. Gino Fallone, the director of medical physics at the University of Alberta's Cross Cancer Institute, image-guided radiotherapy is simply the latest sophisticated way of doing what radiologists have always done. "Track it and treat it,” he stated. "That's been the goal of radiation oncology for 50 years.”

While existing IGRT techniques are effective, they are limited because they do not give true image-based guidance of the entire volume of the tumor, according to Dr. Amit Sawant, an instructor in the department of radiation oncology at Stanford University. Instead of imaging the whole anatomic volume containing the tumor, markers and seeds provide a few points in space that doctors can follow--something Dr. Sawant refers to as "faith-based radiation delivery.”

While CT provides 3D images, it is frequently difficult to distinguish tumors from normal tissues with CT scans. MRI provides superior distinction between normal and cancerous tissues, but the technology has not been available to place an MR scanner in the treatment room. A more robust way to guide radiotherapy would be to image the entire tumor continuously and adjust the radiation beams accordingly. Dr. Fallone and his colleagues are evaluating a prototype Linac-MR system they built to do just that.

Linacs (linear particle accelerators) are devices that use radio waves to accelerate electrons to high speeds and crash them into a solid metal target--typically tungsten--producing high-energy X-rays in the collision. These high-energy X-rays destroy cancerous cells by causing irreparable damage to the cells' DNA, MRI systems, familiar because of their ubiquity in modern hospitals, are very good at imaging soft tissue and would be an ideal technology for combining with Linacs because most cancers occur in soft tissue.

The problem is making MRIs and Linacs work together. Normally, each one would interfere with the other. Linac systems emit radio waves, which interfere with MRI hardware--so much so that most hospital MRI units are placed in shielded rooms that specifically block radio waves. At the same time, MRI devices employ strong magnets that can interfere with Linac systems.

Dr. Fallone and his colleagues have managed to build a prototype linac-MR device that overcomes the obstacles to integrating the two technologies. It is the first working system to do so. They have a specialized design that shields the radio frequency waves and magnetic fields. In December 2008, they performed experiments with the system to demonstrate that it works by taking MRI test images with the linac on and off to demonstrate that the interference is eliminated. A working, clinically ready system is not here yet, but Dr. Fallone believes that it will be in about five years.

In related research, Dr. Sawant and his Stanford colleagues Drs. Kim Butts Pauly and Paul Keall have been working out the technical details of just how a hybrid MRI+linac system could be used to achieve real-time image guidance. Typical imaging times for MRI range from several seconds to a few minutes per image. Dr. Sawant noted that their goal is to go at least 10 times faster. They are developing imaging specifications for a system to accurately image the entire volume of a tumor in real time, about three times per second.

The key to implementing this technology may be to lower the magnetic field of the magnetic resonance used to image a tumor. Powerful hospital MR instruments employ large magnets with strong magnetic fields because these will give the best quality images. Better quality images help doctors spot tumors, and when someone with cancer is diagnosed, doctors prefer to have images that are as clear as possible, for accurate classification of the tumor. Integrating such strong magnets with linear accelerators is expensive and can be technically quite challenging.

During therapy, however, the images need not be the highest quality in order to track the tumors. Doctors simply need to be able to see the tumor boundaries so that they can make adjustments as the treatment proceeds. At the meeting, Dr. Sawant and his colleagues described the results of their studies, which indicate the feasibility of such rapid imaging for hybrid MRI+linac systems in order to follow tumors in real time.

Related Links:
University of Alberta's Cross Cancer Institute
Stanford University

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50 (106.0962677002): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725000 AND published='1' LIMIT 1

51 (58.174133300781): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725000 AND published='1' LIMIT 1

52 (371.93298339844): SELECT name FROM jos_deeppockets WHERE id=294725000 LIMIT 1

53 (259.1609954834): SELECT name FROM jos_deeppockets_archive WHERE id=294725000 LIMIT 1

54 (43.869018554688): SELECT a.* FROM jos_components AS a WHERE ( a.admin_menu_link = 'option=com_syndicate' OR a.admin_menu_link = 'option=com_syndicate&hidemainmenu=1' ) AND a.option = 'com_syndicate'

55 (57.93571472168): 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=294725000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

56 (459.19418334961): 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=294725000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

57 (!!!!! 1556.1580657959): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725000 AND published='1' LIMIT 1

58 (88.214874267578): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725000 AND published='1' LIMIT 1

59 (144.00482177734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725000 AND published='1' LIMIT 1

60 (74.863433837891): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725000 AND published='1' LIMIT 1

61 (113.96408081055): 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 (678.06243896484): SELECT fid FROM jos_deeppockets WHERE id=294725000 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294725000 AND published='1' LIMIT 1

63 (394.10591125488): 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 (62.942504882812): select jos_twitters.link from jos_twitters where cat=10

65 (40.054321289062): select jos_facebook.link from jos_facebook where cat=10

66 (42.915344238281): select jos_google_plus.link from jos_google_plus where cat=10

67 (39.815902709961): select jos_linkedin.link from jos_linkedin where cat=10

68 (54.836273193359): SELECT fid FROM jos_deeppockets WHERE id=294725000 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294725000 AND published='1' LIMIT 1

69 (44.822692871094): 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 (311.85150146484): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294725000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (338.07754516602): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294725000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (56.982040405273): 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 (68.902969360352): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (34.809112548828): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (75.101852416992): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294725000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (48.160552978516): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294725000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (104.90417480469): 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 (72.002410888672): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (44.822692871094): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (108.00361633301): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725000 AND published='1' LIMIT 1

105 (64.13459777832): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725000 AND published='1' LIMIT 1

106 (72.002410888672): 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=294725000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (70.810317993164): 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=294725000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (95.844268798828): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725000 AND published='1' LIMIT 1

109 (76.055526733398): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725000 AND published='1' LIMIT 1

110 (70.095062255859): 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=294725000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (648.02169799805): 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=294725000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (705.00373840332): 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 (377.89344787598): 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 (99.897384643555): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725000 AND published='1' LIMIT 1

115 (55.074691772461): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725000 AND published='1' LIMIT 1

116 (48.87580871582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725000 AND published='1' LIMIT 1

117 (41.007995605469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725000 AND published='1' LIMIT 1

118 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725000 AND published='1' LIMIT 1

119 (97.990036010742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725000 AND published='1' LIMIT 1

120 (63.896179199219): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725000 AND published='1' LIMIT 1

121 (41.007995605469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725000 AND published='1' LIMIT 1

122 (261.06834411621): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 24532.079696655): 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 (702.1427154541): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294725000 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294725000 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 10787.963867188): ( 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 (110.86463928223): ( 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 (503.0632019043): 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 (61.988830566406): 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 (361.91940307617): 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 (56.028366088867): 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 (333.07075500488): 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 (57.93571472168): 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 (331.87866210938): 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 (51.021575927734): 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 (517.12989807129): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (431.06079101562): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (233.88862609863): SELECT name FROM jos_deeppockets WHERE id=212

138 (48.87580871582): SELECT name FROM jos_deeppockets WHERE id=212

139 (760.07843017578): 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 (684.02290344238): 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 (102.99682617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725000 AND published='1' LIMIT 1

142 (79.154968261719): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725000 AND published='1' LIMIT 1

143 (!!!!! 9464.0254974365): TRUNCATE TABLE jos_trademed_module

144 (156.87942504883): 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=294725000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (92.983245849609): 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=294725000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (609.8747253418): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (74.863433837891): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (87.02278137207): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725000 AND published='1' LIMIT 1

149 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725000 AND published='1' LIMIT 1

150 (!!!!! 1616.9548034668): 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 (92.983245849609): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725000 AND published='1' LIMIT 1

152 (65.088272094727): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725000 AND published='1' LIMIT 1

153 (49.829483032227): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294725000 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294725000 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (43.869018554688): 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 (40.054321289062): 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 (171.18453979492): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725000 AND published='1' LIMIT 1

158 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725000 AND published='1' LIMIT 1

159 (110.86463928223): select jos_twitters.link from jos_twitters where cat=10

160 (41.007995605469): select jos_facebook.link from jos_facebook where cat=10

161 (41.007995605469): select jos_google_plus.link from jos_google_plus where cat=10

162 (38.862228393555): select jos_linkedin.link from jos_linkedin where cat=10

163 (382.90023803711): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

164 (!!!!! 1672.0294952393): insert into jos_banners_delta values (14615,'2025-06-29 05:04:44','216.73.216.249','view'),(14202,'2025-06-29 05:04:44','216.73.216.249','view'),(14203,'2025-06-29 05:04:44','216.73.216.249','view')

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