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Resting Functional and Diffusion MRI Technologies Provide Clues on Dementia and Consciousness Disorders

By MedImaging International staff writers
Posted on 26 Mar 2013

Image: Differences in functional connectivity from rfMRI between autistic patients and age- and gender-matched controls: the major disconnection is between the cerebellum and frontal language regions (Photo courtesy of Prof. Stefan Sunaert, Leuven University Hospital, Belgium).

Image: Combination of fMRI of language and diffusion MRI fiber tractography in a healthy subject (Photo courtesy of Prof. Stefan Sunaert, Leuven University Hospital, Belgium).

New magnetic resonance imaging (MRI) advances have helped visualize the brain to a degree where neuroradiologists can now begin to see the mind at work.

Leading researchers recently discussed where these latest developments at the European Congress of Radiology (ECR), held March 2013 in Vienna (Austria). Recent advances with resting functional MRI (rfMRI) and diffusion MRI (dMRI) technology enable researchers to better clarify complex processes such as autism, dementia, and depression, and established these technologies increasingly to be key to the diagnosis of comas and chronic disorders of consciousness.

fMRI has been utilized for over 20 years to visualize alterations in brain activity by comparing a task versus a control task, and demonstrating and quantifying how much brain activity is involved in the process. The recent addition of rfMRI enables researchers to monitor networks that are randomly active and mine data what they call the default mode network.

They have already noticed that several networks work differently in autistic patients, noted Dr. Stefan Sunaert, professor of neuroradiology at Leuven University Hospital (Belgium) and chairman of the ECR session. “For instance, in autistic children with language impairment, the classical language network is disconnected from the cerebellum, which now becomes the focus of major structural and functional studies in autism,” he said.

Researchers are also speculating how rfMRI could help predict dementia and Alzheimer’s disease (AD). Presently, rfMRI cannot reveal if a patient will ever suffer from AD, but techniques will soon arise, he believes. “We hope to develop techniques within the next five to ten years to predict whether somebody aged 40 to 45 who complains about a slight impairment or memory deficit is going to develop dementia within 10 years or age normally,” said Dr. Sunaert, stressing that neuroscientists still need to find and learn precisely how the brain works to understand disease.

dMRI can visualize white matter architecture, i.e., major white matter tracts connecting the brain to the spine, and the connection between brain regions. Combined with rfMRI, it has become increasingly relevant in the differential diagnosis of patients with chronic disorders of consciousness.

In Belgium alone, as many as 150 patients with chronic disorders of consciousness are diagnosed yearly. In the European Union (EU), an estimated 100,000 patients suffer from one of these disorders, which include minimally conscious state, persistent vegetative state—now called unresponsive wakefulness syndrome—and locked-in syndrome.

The past 15 years have seen a major change in the scientific perception of comas, with key developments being made using electroencephalography (EEG), positron emission tomography (PET), and MRI. Clinicians are now able to validate that some patients who seem comatose are in reality conscious, but their ability to communicate with the outside world has been damaged, for instance, following a an anoxic or traumatic event.

In her presentation, Dr. Carol Di Perri, a neuroradiologist working at the Coma Science Group, at the department of neurology and Cyclotron Research Center, University Hospital of Liège (Belgium), clarified how locked-in syndrome patients are able to communicate through MRI technology, and show that they still hear, feel, and understand what is going on around them, a development which could dramatically improve their fate. She also focused on the intense ethical debate surrounding those questions.

Related Links:
Leuven University Hospital
University Hospital of Liège

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59 (126.12342834473): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745375 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745375 AND published='1' LIMIT 1

60 (48.87580871582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745375 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745375 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 (642.06123352051): SELECT fid FROM jos_deeppockets WHERE id=294745375 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294745375 AND published='1' LIMIT 1

63 (51.975250244141): 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 (55.074691772461): select jos_twitters.link from jos_twitters where cat=10

65 (32.901763916016): select jos_facebook.link from jos_facebook where cat=10

66 (41.007995605469): select jos_google_plus.link from jos_google_plus where cat=10

67 (30.994415283203): select jos_linkedin.link from jos_linkedin where cat=10

68 (46.968460083008): SELECT fid FROM jos_deeppockets WHERE id=294745375 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294745375 AND published='1' LIMIT 1

69 (46.968460083008): 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 (351.90582275391): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294745375 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (256.06155395508): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294745375 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (40.054321289062): 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 (62.942504882812): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (40.769577026367): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (54.121017456055): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (57.93571472168): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (56.982040405273): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294745375 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (30.994415283203): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294745375 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 (64.13459777832): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (43.153762817383): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (51.021575927734): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (84.161758422852): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745375 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745375 AND published='1' LIMIT 1

105 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745375 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745375 AND published='1' LIMIT 1

106 (64.849853515625): 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=294745375 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (53.882598876953): 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=294745375 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (93.936920166016): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745375 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745375 AND published='1' LIMIT 1

109 (67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745375 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745375 AND published='1' LIMIT 1

110 (67.949295043945): 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=294745375 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (653.02848815918): 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=294745375 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (529.05082702637): 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 (325.20294189453): 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 (74.863433837891): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745375 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745375 AND published='1' LIMIT 1

115 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745375 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745375 AND published='1' LIMIT 1

116 (49.829483032227): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745375 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745375 AND published='1' LIMIT 1

117 (36.001205444336): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745375 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745375 AND published='1' LIMIT 1

118 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745375 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745375 AND published='1' LIMIT 1

119 (50.067901611328): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745375 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745375 AND published='1' LIMIT 1

120 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745375 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745375 AND published='1' LIMIT 1

121 (62.942504882812): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745375 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745375 AND published='1' LIMIT 1

122 (353.09791564941): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 37848.949432373): 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=294745375 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294745375 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 17146.825790405): ( 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 (138.99803161621): ( 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 (349.04479980469): 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 (129.93812561035): 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 (180.95970153809): 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 (479.93659973145): 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 (707.14950561523): 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 (457.0484161377): 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 (355.95893859863): 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 (130.17654418945): 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 (488.9965057373): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745375 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (380.03921508789): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745375 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (41.007995605469): SELECT name FROM jos_deeppockets WHERE id=212

138 (29.087066650391): SELECT name FROM jos_deeppockets WHERE id=212

139 (552.89268493652): 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 (442.9817199707): 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 (68.902969360352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745375 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745375 AND published='1' LIMIT 1

142 (47.206878662109): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745375 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745375 AND published='1' LIMIT 1

143 (!!!!! 10702.848434448): TRUNCATE TABLE jos_trademed_module

144 (102.99682617188): 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=294745375 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (56.982040405273): 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=294745375 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (444.88906860352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745375 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (51.975250244141): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745375 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745375 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745375 AND published='1' LIMIT 1

149 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745375 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745375 AND published='1' LIMIT 1

150 (!!!!! 7703.0658721924): 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 (72.956085205078): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745375 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745375 AND published='1' LIMIT 1

152 (50.783157348633): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745375 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745375 AND published='1' LIMIT 1

153 (58.889389038086): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294745375 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294745375 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (43.153762817383): 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 (39.100646972656): 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 (50.783157348633): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (215.05355834961): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745375 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745375 AND published='1' LIMIT 1

158 (84.877014160156): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745375 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745375 AND published='1' LIMIT 1

159 (548.8395690918): select jos_twitters.link from jos_twitters where cat=10

160 (45.061111450195): select jos_facebook.link from jos_facebook where cat=10

161 (248.90899658203): select jos_google_plus.link from jos_google_plus where cat=10

162 (41.007995605469): select jos_linkedin.link from jos_linkedin where cat=10

163 (702.85797119141): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

164 (!!!!! 1546.1444854736): insert into jos_banners_delta values (14615,'2025-06-25 20:34:28','216.73.216.120','view'),(14202,'2025-06-25 20:34:28','216.73.216.120','view'),(14203,'2025-06-25 20:34:28','216.73.216.120','view')

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