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MRS Detects Brain Tumor Biomarker

By MedImaging International staff writers
Posted on 14 Feb 2012

A new magnetic resonance spectroscopy (MRS) technique may offer a new approach to identify and track a protein associated with a genetic mutation in brain tumor cancer cells.
The imaging modality could determine a diagnosis of glioma and provide prognostic information, according to new research.

The study’s findings were published online January 26, 2012, in the journal Nature Medicine. The MRS technique provides a definitive diagnosis of cancer based on imaging of a protein, 2HG, which is associated with a mutated gene (IDH1 or IDH2), found in 80% of low- and intermediate-grade gliomas. The presence of the mutation also means a better prognosis.

“To our knowledge, this is the only direct metabolic consequence of a genetic mutation in a cancer cell that can be identified through noninvasive imaging,” said Elizabeth Maher, MD, associate professor of internal medicine and neurology at the University of Texas (UT) Southwestern Medical Center (Dallas, USA).

UT Southwestern researchers developed the technique by modifying the settings of a 3T MRI system to monitor the level of the 2HG protein. Earlier studies linked high levels of the protein to the mutation. “Our next step is to make this testing procedure widely available as part of routine MRIs for brain tumors. It doesn’t require any injections or special equipment,” said Maher.

To confirm the test as a diagnostic tool, biopsy samples from 30 glioma patients enrolled in the UT Southwestern clinical trial were analyzed; half had the mutation and expected high levels of the protein. MRS imaging of these patients conducted prior to surgery predicted, with 100% accuracy, which patients had the mutation.

“These data show that the presence of a 2HG peak in MRS is 100 percent correlated with the presence of a mutation in IDH1 or IDH2 and elevated concentrations of D-2HG in the tumor,” wrote Dr. Maher and colleagues, adding that the method is both highly sensitive and specific.

The researchers concluded by noting that the method could be easily and relatively quickly transferred into clinical practice. 3T MRI systems are becoming more available and the data acquisition method uses standard hardware. In addition to providing diagnostic and prognostic data, the method could offer a useful measurement during treatment and follow up, and potentially evaluate therapeutic response. Biomarker monitoring may help with the clinical management of patients with gliomas, who typically have a long period marked by minimal disease progression, followed by aggressive growth and conversion to high-grade disease.

Related Links:
University of Texas Southwestern Medical Center

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63 (63.180923461914): 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 (50.067901611328): select jos_twitters.link from jos_twitters where cat=10

65 (30.040740966797): select jos_facebook.link from jos_facebook where cat=10

66 (91.075897216797): select jos_google_plus.link from jos_google_plus where cat=10

67 (38.862228393555): select jos_linkedin.link from jos_linkedin where cat=10

68 (53.882598876953): SELECT fid FROM jos_deeppockets WHERE id=294739280 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294739280 AND published='1' LIMIT 1

69 (38.14697265625): 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 (410.79521179199): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294739280 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (313.99726867676): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294739280 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (38.862228393555): 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 (58.174133300781): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (32.186508178711): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (66.041946411133): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294739280 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (39.815902709961): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294739280 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 (102.99682617188): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (44.822692871094): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (44.107437133789): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (44.107437133789): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (44.107437133789): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (32.186508178711): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (93.936920166016): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739280 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739280 AND published='1' LIMIT 1

105 (63.896179199219): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739280 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739280 AND published='1' LIMIT 1

106 (77.009201049805): 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=294739280 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (68.902969360352): 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=294739280 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (106.0962677002): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739280 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739280 AND published='1' LIMIT 1

109 (68.902969360352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739280 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739280 AND published='1' LIMIT 1

110 (69.141387939453): 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=294739280 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (531.91184997559): 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=294739280 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (616.07360839844): 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 (391.96014404297): 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 (79.154968261719): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739280 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739280 AND published='1' LIMIT 1

115 (57.93571472168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739280 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739280 AND published='1' LIMIT 1

116 (46.014785766602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739280 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739280 AND published='1' LIMIT 1

117 (35.04753112793): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739280 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739280 AND published='1' LIMIT 1

118 (72.002410888672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739280 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739280 AND published='1' LIMIT 1

119 (109.19570922852): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739280 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739280 AND published='1' LIMIT 1

120 (50.067901611328): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739280 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739280 AND published='1' LIMIT 1

121 (36.001205444336): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739280 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739280 AND published='1' LIMIT 1

122 (314.95094299316): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 23242.950439453): 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 (602.00691223145): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294739280 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294739280 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (83.92333984375): ( 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 (45.061111450195): ( 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 (51.975250244141): 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 (39.100646972656): 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 (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

130 (29.802322387695): 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 (30.040740966797): 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 (28.133392333984): 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 (34.093856811523): 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 (66.041946411133): 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 (609.15946960449): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739280 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (419.13986206055): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739280 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (67.949295043945): SELECT name FROM jos_deeppockets WHERE id=212

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

139 (741.95861816406): 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 (678.06243896484): 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 (133.99124145508): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739280 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739280 AND published='1' LIMIT 1

142 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739280 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739280 AND published='1' LIMIT 1

143 (!!!!! 13098.955154419): TRUNCATE TABLE jos_trademed_module

144 (137.0906829834): 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=294739280 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (84.161758422852): 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=294739280 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (!!!!! 1062.1547698975): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739280 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (84.877014160156): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739280 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (97.036361694336): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739280 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739280 AND published='1' LIMIT 1

149 (69.141387939453): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739280 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739280 AND published='1' LIMIT 1

150 (!!!!! 1678.9436340332): 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 (128.98445129395): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739280 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739280 AND published='1' LIMIT 1

152 (84.161758422852): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739280 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739280 AND published='1' LIMIT 1

153 (65.088272094727): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294739280 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294739280 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (49.114227294922): 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 (45.061111450195): 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 (51.975250244141): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (190.01960754395): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739280 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739280 AND published='1' LIMIT 1

158 (68.187713623047): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739280 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739280 AND published='1' LIMIT 1

159 (55.074691772461): select jos_twitters.link from jos_twitters where cat=10

160 (39.100646972656): select jos_facebook.link from jos_facebook where cat=10

161 (40.054321289062): select jos_google_plus.link from jos_google_plus where cat=10

162 (41.961669921875): select jos_linkedin.link from jos_linkedin where cat=10

163 (391.96014404297): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

164 (!!!!! 1636.9819641113): insert into jos_banners_delta values (14615,'2025-06-26 15:58:52','216.73.216.249','view'),(14202,'2025-06-26 15:58:52','216.73.216.249','view'),(14203,'2025-06-26 15:58:52','216.73.216.249','view')

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