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

Advanced Cardiac Imaging Improves Pacemaker Outcome

By MedImaging International staff writers
Posted on 13 Oct 2010

Cardiologists and surgeons may soon have a new tool to improve outcomes for patients requiring pacemakers, angioplasties, or bypass surgery. New research led has led to a new imaging technique that provides a single, three-dimensional (3D) high-resolution image of the heart, and shows both its vasculature and the presence of scar tissue within the muscle.

This innovative imaging technology was performed using a 3-Tesla magnetic resonance imaging (MRI) system at Western's Robarts Research Institute (London, Ontario, Canada). The findings were published on-line in September 2010 in the Journal of the American College of Cardiology (JACC) Cardiovascular Imaging.

Damage to the heart, including heart attacks or viral inflammation, typically results in permanent damage or scarring of its muscle. "We've known for some time that myocardial scar tissue can be imaged using MRI, but what we've now been able to do is to take this imaging to another level,” explained the Dr. James White and his colleagues at the University of Western Ontario (London, Canada), who led the study. "This is the first time we have been able to visualize myocardial scar and the heart's blood vessels at the same time. We are able to construct a three dimensional model of a person's heart to immediately understand the relationship between the heart's blood vessels and related permanent injury. This will help direct surgeons and cardiologists to better target the blood vessels that lead to muscle capable of responding to their therapy, rather than to muscle that is irreversibly diseased.”

The technique works by first acquiring a 3D coronary image using a continuous infusion of a contrast called gadolinium, which makes the blood-pool light up brightly. The 3-T MRI takes images as this contrast is infused into the blood stream, providing a high resolution, 3D image of the heart showing coronary blood vessels. Scar tissue is slow to give up this contrast agent and its signal is therefore retained in spite of a washing out of contrast from the blood stream and normal tissues. A repeat image, performed 20 minutes later, highlights the heart's scar, also in 3D. Because the two images are taken in the identical way using the exact same MRI pulse sequence, they are already perfectly suited to be fused to one another. The result is a fused, 3D model of the heart that reveals both the heart's vessels and scar tissue.

The imaging technique was performed on 55 patients referred for either bypass surgery or a specialized pacemaker designed to improve heart function called cardiac resynchronization therapy (CRT), demonstrating that the procedure was clinically feasible. The study was able to demonstrate that this novel imaging technique may be valuable in the planning of these vascular-based cardiac interventions. Dr White noted that in bypass or angioplasty procedures surgeons have to decide whether or not to open up blocked blood vessels, but if they can see there is scar in that region, no benefit will be expected. Similarly, CRT pacemaker leads delivered to regions of scarred heart muscle may prevent any benefit from this therapy.

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61 (100.13580322266): 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 (591.03965759277): SELECT fid FROM jos_deeppockets WHERE id=294731555 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294731555 AND published='1' LIMIT 1

63 (74.148178100586): 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 (64.13459777832): select jos_twitters.link from jos_twitters where cat=10

65 (30.994415283203): select jos_facebook.link from jos_facebook where cat=10

66 (31.948089599609): select jos_google_plus.link from jos_google_plus where cat=10

67 (28.848648071289): select jos_linkedin.link from jos_linkedin where cat=10

68 (36.001205444336): SELECT fid FROM jos_deeppockets WHERE id=294731555 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294731555 AND published='1' LIMIT 1

69 (31.948089599609): 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 (295.87745666504): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294731555 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (225.06713867188): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294731555 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (60.081481933594): 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 (51.975250244141): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (41.007995605469): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294731555 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (36.001205444336): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294731555 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (41.961669921875): 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 (56.028366088867): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (39.815902709961): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (97.990036010742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731555 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731555 AND published='1' LIMIT 1

105 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731555 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731555 AND published='1' LIMIT 1

106 (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 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=294731555 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (48.87580871582): 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=294731555 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (82.015991210938): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731555 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731555 AND published='1' LIMIT 1

109 (81.062316894531): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731555 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731555 AND published='1' LIMIT 1

110 (46.014785766602): 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=294731555 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (525.95138549805): 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=294731555 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (580.78765869141): 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 (329.01763916016): 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 (104.90417480469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731555 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731555 AND published='1' LIMIT 1

115 (77.009201049805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731555 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731555 AND published='1' LIMIT 1

116 (79.870223999023): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731555 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731555 AND published='1' LIMIT 1

117 (58.889389038086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731555 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731555 AND published='1' LIMIT 1

118 (71.048736572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731555 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731555 AND published='1' LIMIT 1

119 (79.154968261719): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731555 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731555 AND published='1' LIMIT 1

120 (45.061111450195): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731555 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731555 AND published='1' LIMIT 1

121 (44.107437133789): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731555 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731555 AND published='1' LIMIT 1

122 (295.87745666504): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 21867.036819458): 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 (622.03407287598): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294731555 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294731555 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 7730.0071716309): ( 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 (71.048736572266): ( 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 (36.001205444336): 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 (28.848648071289): 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 (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

130 (28.133392333984): 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 (324.01084899902): 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 (82.969665527344): 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 (53.882598876953): 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 (38.862228393555): 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 (539.06440734863): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731555 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (475.88348388672): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731555 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (41.961669921875): SELECT name FROM jos_deeppockets WHERE id=212

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

139 (612.02049255371): 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 (507.11631774902): 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 (87.976455688477): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731555 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731555 AND published='1' LIMIT 1

142 (54.121017456055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731555 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731555 AND published='1' LIMIT 1

143 (!!!!! 9378.9100646973): TRUNCATE TABLE jos_trademed_module

144 (123.97766113281): 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=294731555 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (79.870223999023): 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=294731555 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (924.11041259766): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731555 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731555 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (69.141387939453): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731555 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731555 AND published='1' LIMIT 1

149 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731555 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731555 AND published='1' LIMIT 1

150 (!!!!! 1243.1144714355): 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 (60.081481933594): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731555 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731555 AND published='1' LIMIT 1

152 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731555 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731555 AND published='1' LIMIT 1

153 (36.954879760742): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294731555 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294731555 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (36.001205444336): 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 (41.961669921875): 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 (49.114227294922): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (80.108642578125): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731555 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731555 AND published='1' LIMIT 1

158 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731555 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731555 AND published='1' LIMIT 1

159 (34.093856811523): select jos_twitters.link from jos_twitters where cat=10

160 (27.894973754883): select jos_facebook.link from jos_facebook where cat=10

161 (28.848648071289): select jos_google_plus.link from jos_google_plus where cat=10

162 (28.848648071289): select jos_linkedin.link from jos_linkedin where cat=10

163 (306.84471130371): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

164 (!!!!! 1311.0637664795): insert into jos_banners_delta values (14615,'2025-06-27 19:34:18','216.73.216.249','view'),(14202,'2025-06-27 19:34:18','216.73.216.249','view'),(14203,'2025-06-27 19:34:18','216.73.216.249','view')

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