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MRI Scans Reveal Brain Abnormalities in Migraine Patients

By MedImaging International staff writers
Posted on 09 Apr 2013

Image: Vertex-by-vertex analysis shows regional differences in cortical thickness and cortical surface area in patients with migraine compared with healthy control subjects (p < 0.01) represented on an averaged brain map. Regions of increased cortical thickness or surface area are shown in red (color coded according to t value), and regions of decreased cortical thickness or surface area are shown in blue (color-coded according to t value). Only the most representative views are shown. (Photo courtesy of Radiological Society of North America).

A new study suggests that migraines are associated with brain abnormalities that are present at birth and other anomalies that develop over time.

The research is published online March 26, 2013, in the journal Radiology. Earlier studies on migraine patients demonstrated the atrophy of cortical regions in the brain related to pain processing, possibly due to chronic stimulation of those areas. Migraines are intense, throbbing headaches, sometimes accompanied by nausea, vomiting, and sensitivity to light. Some patients experience auras, a change in visual or sensory function that precedes or occurs during the migraine. More than 300 million people suffer from migraines worldwide, according to the World Health Organization (Geneva, Switzerland).

A lot of that research has depended on voxel-based morphometry technology, which provides estimations of the brain’s cortical volume. In the new study, Italian researchers used a different tool: surface-based magnetic resonance imaging (MRI) to gauge cortical thickness. “For the first time, we assessed cortical thickness and surface area abnormalities in patients with migraine, which are two components of cortical volume that provide different and complementary pieces of information,” said Massimo Filippi, MD, director of the neuroimaging research unit at the University Ospedale San Raffaele and professor of neurology at the University Vita-Salute’s San Raffaele Scientific Institute (Milan, Italy). “Indeed, cortical surface area increases dramatically during late fetal development as a consequence of cortical folding, while cortical thickness changes dynamically throughout the entire life span as a consequence of development and disease.”

Dr. Filippi and colleagues used MRI scanning to capture T2-weighted and three-dimensional (3D) T1-weighted brain images from 63 migraine patients and 18 healthy control participants. Utilizing customized software and statistical analysis, they estimated cortical thickness and surface area and correlated it with the patients’ clinical and radiologic characteristics.

Migraine patients, in comparison to controls, showed reduced cortical thickness and surface area in regions related to pain processing. There was only slight anatomic overlap of cortical thickness and cortical surface area abnormalities, with cortical surface area irregularities being more pronounced and distributed than cortical thickness abnormalities. The presence of aura and white matter hyperintensities—regions of high intensity on MRI that appear to be more common in individuals with migraines—was related to the regional distribution of cortical thickness and surface area abnormalities, but not to disease duration and attack frequency.

“The most important finding of our study was that cortical abnormalities that occur in patients with migraine are a result of the balance between an intrinsic predisposition, as suggested by cortical surface area modification, and disease-related processes, as indicated by cortical thickness abnormalities,” Dr. Filippi said. “Accurate measurements of cortical abnormalities could help characterize migraine patients better and improve understanding of the pathophysiological processes underlying the condition.”

Further studies are required to clarify the meaning of cortical abnormalities in the pain processing areas of migraine patients, according to Dr. Filippi. “Whether the abnormalities are a consequence of the repetition of migraine attacks or represent an anatomical signature that predisposes to the development of the disease is still debated,” he said. “In my opinion, they might contribute to make migraine patients more susceptible to pain and to an abnormal processing of painful conditions and stimuli.”

The researchers are performed a longitudinal study of the patient group to clarify if their cortical abnormalities are stable or apt to worsen over the course of the disease. They are also studying the effects of treatments on the observed modifications of cortical folding and examining pediatric patients with migraine to assess whether the abnormalities represent a biomarker of the disease.

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58 (317.81196594238): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745567 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745567 AND published='1' LIMIT 1

59 (!!!!! 5056.8580627441): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745567 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745567 AND published='1' LIMIT 1

60 (126.83868408203): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745567 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745567 AND published='1' LIMIT 1

61 (169.99244689941): 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 (673.05564880371): SELECT fid FROM jos_deeppockets WHERE id=294745567 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294745567 AND published='1' LIMIT 1

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

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

66 (30.994415283203): select jos_google_plus.link from jos_google_plus where cat=10

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

68 (36.954879760742): SELECT fid FROM jos_deeppockets WHERE id=294745567 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294745567 AND published='1' LIMIT 1

69 (47.922134399414): 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 (365.01884460449): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294745567 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (334.9781036377): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294745567 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (53.882598876953): 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 (82.969665527344): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (43.869018554688): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (74.148178100586): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294745567 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=294745567 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (51.975250244141): 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 (67.949295043945): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (56.028366088867): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (113.01040649414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745567 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745567 AND published='1' LIMIT 1

105 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745567 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745567 AND published='1' LIMIT 1

106 (82.969665527344): 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=294745567 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (128.03077697754): 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=294745567 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (116.10984802246): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745567 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745567 AND published='1' LIMIT 1

109 (67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745567 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745567 AND published='1' LIMIT 1

110 (77.962875366211): 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=294745567 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (942.94548034668): 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=294745567 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (909.09004211426): 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 (436.06758117676): 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 (167.1314239502): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745567 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745567 AND published='1' LIMIT 1

115 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745567 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745567 AND published='1' LIMIT 1

116 (52.928924560547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745567 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745567 AND published='1' LIMIT 1

117 (40.769577026367): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745567 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745567 AND published='1' LIMIT 1

118 (42.915344238281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745567 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745567 AND published='1' LIMIT 1

119 (36.001205444336): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745567 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745567 AND published='1' LIMIT 1

120 (87.02278137207): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745567 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745567 AND published='1' LIMIT 1

121 (49.114227294922): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745567 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745567 AND published='1' LIMIT 1

122 (442.0280456543): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 31933.069229126): 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 (611.0668182373): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294745567 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294745567 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 22282.123565674): ( 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 (97.036361694336): ( 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 (97.990036010742): 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 (36.954879760742): 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 (29.087066650391): 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 (361.91940307617): 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 (72.002410888672): 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 (36.954879760742): 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 (31.948089599609): 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 (776.05247497559): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745567 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (634.90867614746): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745567 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (37.908554077148): SELECT name FROM jos_deeppockets WHERE id=212

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

139 (710.96420288086): 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 (612.97416687012): 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 (447.98851013184): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745567 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745567 AND published='1' LIMIT 1

142 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745567 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745567 AND published='1' LIMIT 1

143 (!!!!! 18411.159515381): TRUNCATE TABLE jos_trademed_module

144 (138.0443572998): 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=294745567 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (454.90264892578): 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=294745567 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (!!!!! 1165.1515960693): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745567 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (226.02081298828): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745567 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (!!!!! 1198.0533599854): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745567 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745567 AND published='1' LIMIT 1

149 (93.936920166016): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745567 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745567 AND published='1' LIMIT 1

150 (!!!!! 2368.9270019531): 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 (326.15661621094): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745567 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745567 AND published='1' LIMIT 1

152 (157.83309936523): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745567 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745567 AND published='1' LIMIT 1

153 (95.844268798828): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294745567 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294745567 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (46.014785766602): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=212 or channel_id is null)

155 (41.007995605469): 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 (180.95970153809): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (553.84635925293): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745567 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745567 AND published='1' LIMIT 1

158 (63.180923461914): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745567 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745567 AND published='1' LIMIT 1

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

160 (61.03515625): select jos_facebook.link from jos_facebook where cat=10

161 (37.908554077148): 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 (!!!!! 2028.226852417): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

164 (!!!!! 1477.9567718506): insert into jos_banners_delta values (14615,'2025-06-25 13:02:34','216.73.216.120','view'),(14202,'2025-06-25 13:02:34','216.73.216.120','view'),(14203,'2025-06-25 13:02:34','216.73.216.120','view')

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