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

Integrated 3D Imaging Facilitates Human Face Transplantation

By MedImaging International staff writers
Posted on 13 Dec 2011

Image: Darren Smith, MD, resident, UPMC Division of Plastic and Reconstructive Surgery, talks about a new fused 3-D model that can be manipulated by surgeons to prepare for complex face transplant surgeries. The technology is currently being developed by UPMC's Reconstructive Transplantation Program (Photo courtesy of the University of Pittsburgh Medical Center).

By incorporating traditional medical imaging with some of the same three-dimensional (3D) modeling techniques used in movies, researchers are providing new hope to victims of devastating facial injuries.

Findings of a new study on human face transplantation, led by Darren M. Smith, MD, plastic surgery resident from the University of Pittsburgh Medical Center (UPMC; PA, USA), were presented November 28, 2011, at the annual meeting of the Radiological Society of North America (RSNA) held in Chicago (IL, USA).

Serious injuries or defects of the face are incredibly challenging, if not impossible, to satisfactorily reconstruct by traditional surgical techniques. In face transplantation, facial tissue from a donor is transferred to reconstruct the defect, restore fundamental life-sustaining functions--such as breathing, chewing, and speaking--and most importantly, reestablish a normal human appearance.

“This surgery is for patients with devastating injuries to the face, who have lost their ability to smell, eat and engage socially and have no other conventional treatment options,” said Vijay S. Gorantla, MD, PhD, administrative medical director of the Reconstructive Transplantation Program at UPMC.

Distinctly defining and understanding the complex tissue deficits and defects that go along with devastating facial injuries like electric burns, blast wounds, and accidental trauma are critical for both technical effectiveness and objective analysis of the return of function after face transplantation.

Medical imaging plays a major role in the entire spectrum of face transplantation, ranging from patient selection, donor and recipient surgical planning, and postoperative assessment of returning motor and sensory function. Face transplantation is a long, complex procedure that involves reconstruction of multiple tissues--such as skin, muscle, blood vessels, nerves, and bone--by a team of surgeons.

Currently, to prepare for facial transplantation, plaster or plastic models are first created based on 3D computed tomography (CT) or angiographic images or reconstruction. Following this, mock cadaveric dissections are performed to allow surgeons to prepare for the donor and recipient surgeries. Magnetic resonance imaging (MRI) and other imaging exams may also be used to provide supplemental information.

By combining data from multiple imaging exams and creating a sophisticated 3-D computer model, the researchers for this study were better able to assess the facial structure and contours, the underlying bone, muscles, nerves, and vessels, as well as the extent of damage.

Using advanced computer modeling software, Drs. Smith and Gorantla, along with Joseph Losee, MD, integrated information from 3D CT, CT angiography, MRI and high-definition tractography to create a 3D model of the patient’s head and neck anatomy. The same kind of modeling technology is frequently used in movies to animate computer-generated characters with detailed 3D human features and realistic expressions.

“We have integrated data from multiple imaging sources into a single 3D representation that allows for real-time user interaction and modification,” Dr. Smith said. “In assessing eligibility for this procedure, it is critical to understand whether the patient has enough blood vessels and bone structure to support new facial tissue. This 3D modeling helps us customize the procedure to the patient’s individual anatomy so that the donor tissue will fit like a puzzle piece onto the patient’s face.”

Utilizing computer modeling, the team also overlaid the patient model with a polygon mesh of a generic human face and then personalized it to the recipient facial anatomy. Dr. Smith noted that the ability to manipulate this 3D facial wrapper over the residual face model allows the entire surgical team to participate in planning exactly where bone, blood vessel, and nerves will be cut and connected, as well as to assess the outcomes of reconstructive transplantation, including nerve regeneration within the transplanted facial tissue.

“The goal of face transplantation is not just structural,” Dr. Gorantla said. “It is about restoring function, so that patients are once again able to chew their food, smile and regain the most important aspect of a normal face--to look human."

Related Links:
University of Pittsburgh Medical Center
Video: Creating 3-D Models to Prepare for Face Transplants

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57 (!!!!! 1166.820526123): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738437 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738437 AND published='1' LIMIT 1

58 (84.877014160156): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738437 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738437 AND published='1' LIMIT 1

59 (111.10305786133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738437 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738437 AND published='1' LIMIT 1

60 (48.87580871582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738437 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738437 AND published='1' LIMIT 1

61 (92.029571533203): 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 (494.00329589844): SELECT fid FROM jos_deeppockets WHERE id=294738437 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294738437 AND published='1' LIMIT 1

63 (306.12945556641): 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 (92.983245849609): select jos_twitters.link from jos_twitters where cat=10

65 (31.948089599609): select jos_facebook.link from jos_facebook where cat=10

66 (35.04753112793): select jos_google_plus.link from jos_google_plus where cat=10

67 (30.040740966797): select jos_linkedin.link from jos_linkedin where cat=10

68 (36.001205444336): SELECT fid FROM jos_deeppockets WHERE id=294738437 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294738437 AND published='1' LIMIT 1

69 (43.153762817383): 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 (524.99771118164): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294738437 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (318.05038452148): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294738437 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (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`

73 (65.088272094727): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (61.03515625): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294738437 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (39.100646972656): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294738437 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (35.04753112793): 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 (87.02278137207): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (54.836273193359): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (70.095062255859): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738437 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738437 AND published='1' LIMIT 1

105 (51.021575927734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738437 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738437 AND published='1' LIMIT 1

106 (80.108642578125): 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=294738437 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (55.074691772461): 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=294738437 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (100.13580322266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738437 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738437 AND published='1' LIMIT 1

109 (51.021575927734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738437 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738437 AND published='1' LIMIT 1

110 (51.021575927734): 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=294738437 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (767.94624328613): 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=294738437 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (540.01808166504): 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 (324.01084899902): 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 (102.99682617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738437 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738437 AND published='1' LIMIT 1

115 (53.167343139648): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738437 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738437 AND published='1' LIMIT 1

116 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738437 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738437 AND published='1' LIMIT 1

117 (38.862228393555): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738437 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738437 AND published='1' LIMIT 1

118 (44.822692871094): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738437 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738437 AND published='1' LIMIT 1

119 (36.001205444336): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738437 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738437 AND published='1' LIMIT 1

120 (41.961669921875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738437 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738437 AND published='1' LIMIT 1

121 (64.13459777832): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738437 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738437 AND published='1' LIMIT 1

122 (307.08312988281): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 20257.949829102): 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 (518.0835723877): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294738437 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294738437 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 7847.0706939697): ( 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 (72.002410888672): ( 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 (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

128 (29.087066650391): 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 (34.809112548828): 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 (313.04359436035): 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 (46.014785766602): 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 (49.114227294922): 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 (35.04753112793): 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 (636.10076904297): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738437 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (468.01567077637): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738437 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (298.02322387695): SELECT name FROM jos_deeppockets WHERE id=212

138 (44.107437133789): SELECT name FROM jos_deeppockets WHERE id=212

139 (967.97943115234): 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 (624.8950958252): 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 (73.909759521484): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738437 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738437 AND published='1' LIMIT 1

142 (48.87580871582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738437 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738437 AND published='1' LIMIT 1

143 (!!!!! 15763.998031616): TRUNCATE TABLE jos_trademed_module

144 (110.86463928223): 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=294738437 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (117.06352233887): 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=294738437 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (!!!!! 1652.9560089111): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738437 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (64.13459777832): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738437 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (992.77496337891): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738437 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738437 AND published='1' LIMIT 1

149 (58.889389038086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738437 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738437 AND published='1' LIMIT 1

150 (!!!!! 1328.9451599121): 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 (525.95138549805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738437 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738437 AND published='1' LIMIT 1

152 (123.02398681641): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738437 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738437 AND published='1' LIMIT 1

153 (106.8115234375): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294738437 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294738437 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (120.87821960449): 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 (33.140182495117): 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 (567.91305541992): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (998.97384643555): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738437 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738437 AND published='1' LIMIT 1

158 (74.863433837891): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738437 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738437 AND published='1' LIMIT 1

159 (50.067901611328): select jos_twitters.link from jos_twitters where cat=10

160 (30.040740966797): select jos_facebook.link from jos_facebook where cat=10

161 (29.087066650391): select jos_google_plus.link from jos_google_plus where cat=10

162 (29.087066650391): select jos_linkedin.link from jos_linkedin where cat=10

163 (340.93856811523): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

164 (!!!!! 1056.9095611572): insert into jos_banners_delta values (14615,'2025-06-26 19:02:16','216.73.216.249','view'),(14202,'2025-06-26 19:02:16','216.73.216.249','view'),(14203,'2025-06-26 19:02:16','216.73.216.249','view')

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