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MRI Technique Could Help Track How Parkinson’s Patients Respond to Treatment

By MedImaging International staff writers
Posted on 10 Dec 2012

Image: MIT neuroscientists imaged the substantia nigra in a young adult, left, an older adult, center, and a Parkinson’s patient, right. They found that the substantia nigra deteriorates in Parkinson’s patients (Photo courtesy of David Ziegler).

New imaging technology is providing insights into the degeneration of two brain structures affected by Parkinson’s disease (PD).

The technique, which combines several types of magnetic resonance imaging (MRI), could allow physicians to optimize monitoring patients’ progression and track the effectiveness of potential new treatments, according to Dr. Suzanne Corkin, Massachusetts Institute of Technology (MIT; Cambridge, MA, USA) professor emerita of neuroscience and head of the research team.

The study, published November 26, 2012, online the journal Archives of Neurology, is also the first to provide clinical evidence for the theory that PD neurodegeneration starts deep in the brain, and travels upward. “This progression has never been shown in living people, and that’s what was special about this study. With our new imaging methods, we can see these structures more clearly than anyone had seen them before,” Dr. Corkin stated.

PD currently affects 1%–2% of individuals over 65, totaling five million individuals worldwide. The disease gradually destroys the brain cells that control movement, leaving most patients wheelchair-bound and completely dependent on caregivers. “A major obstacle to research on the causes and progression of this disease has been a lack of effective brain imaging methods for the areas affected by the disease,” stated Dr. David Ziegler, first author of the article.

In 2004, anatomist Heiko Braak, from Johann Wolfgang Goethe University (Frankfurt, Germany), categorized PD into six stages, based on the appearances of the affected brain structures. He proposed that during the earliest stages, a structure deep inside the brain, known as the substantia nigra, starts to degenerate. This structure is vital for movement and also plays significant roles in addiction and reward. Later, Dr. Braak proposed, degeneration sweeps outward to a brain region known as the basal forebrain. This area, located behind the eyes, includes several structures that generate acetylcholine, a neurotransmitter important for learning and memory.

Neuropathologists had found evidence for this sequence of events, but it had never been observed in living patients because the substantia nigra, deep within the brain, is so difficult to image with traditional MRI scanning. To overcome that, the MIT scientists employed four types of MRI scans, each of which uses slightly different magnetic fields, generating different images. By integrating these scans, the researchers created composite images of each patient’s brain that distinctly show the basal forebrain and the substantia nigra. “Our new MRI methods provide an unparalleled view of these two structures, allowing us to calculate the precise volumes of each structure,” Dr. Ziegler said.

After scanning healthy brains, the researchers examined 29 early-stage Parkinson’s patients. They first discovered a considerable volume loss in the substantia nigra part of the brain, followed by loss of basal forebrain volume later in the disease progression, as predicted by Dr. Braak.

In future studies, this MRI technique could be used to track patients over time and gauge whether degeneration of the two areas is correlated or if they deteriorate independently of one another, according to Dr. Corkin. This application could also provide clinicians with a new way to track how their patients are responding to treatment.

Most patients are currently treated with dopamine, which helps to counteract the loss of dopamine-generating neurons in the substantia nigra portion of the brain.

Researchers could also use the new imaging applications to determine the effects of possible new therapy.

Related Links:
Massachusetts Institute of Technology

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59 (91.075897216797): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743737 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743737 AND published='1' LIMIT 1

60 (49.114227294922): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743737 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743737 AND published='1' LIMIT 1

61 (112.05673217773): 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 (478.02925109863): SELECT fid FROM jos_deeppockets WHERE id=294743737 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294743737 AND published='1' LIMIT 1

63 (86.784362792969): 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 (52.928924560547): select jos_twitters.link from jos_twitters where cat=10

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

66 (29.802322387695): 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 (30.994415283203): SELECT fid FROM jos_deeppockets WHERE id=294743737 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294743737 AND published='1' LIMIT 1

69 (36.001205444336): 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 (313.04359436035): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294743737 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (257.96890258789): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294743737 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (!!!!! 3567.2187805176): 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 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (28.133392333984): 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 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (45.061111450195): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294743737 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (28.848648071289): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294743737 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (32.901763916016): 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 (54.121017456055): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (!!!!! 3414.1540527344): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (77.962875366211): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (39.815902709961): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (27.179718017578): 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 (61.988830566406): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (34.809112548828): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (93.936920166016): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743737 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743737 AND published='1' LIMIT 1

105 (45.061111450195): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743737 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743737 AND published='1' LIMIT 1

106 (54.121017456055): 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=294743737 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (519.0372467041): 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=294743737 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (68.902969360352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743737 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743737 AND published='1' LIMIT 1

109 (47.206878662109): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743737 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743737 AND published='1' LIMIT 1

110 (48.160552978516): 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=294743737 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (512.12310791016): 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=294743737 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (659.94262695312): 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 (472.06878662109): 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 (353.09791564941): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743737 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743737 AND published='1' LIMIT 1

115 (864.02893066406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743737 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743737 AND published='1' LIMIT 1

116 (953.19747924805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743737 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743737 AND published='1' LIMIT 1

117 (54.121017456055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743737 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743737 AND published='1' LIMIT 1

118 (48.87580871582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743737 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743737 AND published='1' LIMIT 1

119 (40.054321289062): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743737 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743737 AND published='1' LIMIT 1

120 (41.961669921875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743737 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743737 AND published='1' LIMIT 1

121 (40.054321289062): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743737 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743737 AND published='1' LIMIT 1

122 (245.09429931641): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 46437.978744507): 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 (!!!!! 2108.097076416): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294743737 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294743737 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 23646.116256714): ( 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 (108.95729064941): ( 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 (67.949295043945): 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 (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

129 (702.85797119141): 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 (41.961669921875): 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 (296.11587524414): 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 (35.04753112793): 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 (29.802322387695): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

135 (351.90582275391): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743737 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (!!!!! 10257.005691528): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743737 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (109.19570922852): SELECT name FROM jos_deeppockets WHERE id=212

138 (39.100646972656): SELECT name FROM jos_deeppockets WHERE id=212

139 (742.91229248047): 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 (524.99771118164): 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 (130.89179992676): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743737 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743737 AND published='1' LIMIT 1

142 (59.843063354492): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743737 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743737 AND published='1' LIMIT 1

143 (!!!!! 19265.174865723): TRUNCATE TABLE jos_trademed_module

144 (360.01205444336): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294743737 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (!!!!! 1612.1864318848): 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=294743737 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (649.21379089355): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743737 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (!!!!! 2207.9944610596): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743737 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (64.13459777832): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743737 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743737 AND published='1' LIMIT 1

149 (42.915344238281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743737 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743737 AND published='1' LIMIT 1

150 (!!!!! 1132.0114135742): 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 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743737 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743737 AND published='1' LIMIT 1

152 (38.862228393555): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743737 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743737 AND published='1' LIMIT 1

153 (34.093856811523): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294743737 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294743737 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (27.894973754883): 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 (30.040740966797): 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 (29.087066650391): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (!!!!! 2997.1599578857): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743737 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743737 AND published='1' LIMIT 1

158 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743737 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743737 AND published='1' LIMIT 1

159 (48.87580871582): select jos_twitters.link from jos_twitters where cat=10

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

161 (27.894973754883): select jos_google_plus.link from jos_google_plus where cat=10

162 (25.98762512207): select jos_linkedin.link from jos_linkedin where cat=10

163 (300.16899108887): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

164 (!!!!! 2835.0353240967): insert into jos_banners_delta values (14615,'2025-06-25 20:18:53','216.73.216.120','view'),(14202,'2025-06-25 20:18:53','216.73.216.120','view'),(14203,'2025-06-25 20:18:53','216.73.216.120','view')

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