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Vessel Architectural Imaging Reveals Glioblastoma Response to Antiangiogenesis Therapy

By MedImaging International staff writers
Posted on 27 Aug 2013

A new method has been developed to analyze information acquired in magnetic resonance imaging (MRI) that appears to be able to identify whether or not tumors are responding to antiangiogenesis therapy.

In their report published online in August 2013 in the journal Nature Medicine, investigators from the Martinos Center for Biomedical Imaging at Massachusetts General Hospital (MGH; Boston, USA) described how their technology, called vessel architectural imaging (VAI), was able to detect changes in brain tumor blood vessels within days of the initiation of antiangiogenesis therapy.

“Until now the only ways of obtaining similar data on the blood vessels in patients’ tumors were either taking a biopsy, which is a surgical procedure that can harm the patients and often cannot be repeated, or PET [positron emission tomography] scanning, which provides limited information and exposes patients to a dose of radiation,” stated Kyrre Emblem, PhD, of the Martinos Center, lead and corresponding author of the report. “VAI can acquire all of this information in a single MR exam that takes less than two minutes and can be safely repeated many times.”

Earlier research in both animal and in human patients have shown that the ability of antiangiogenesis agents to improve survival in cancer therapy stems from their ability to “normalize” the abnormal, leaky blood vessels that typically develop in a tumor, improving the perfusion of blood throughout a tumor and the success of radiation and chemotherapy. In the lethal brain tumor disorder called glioblastoma, the researchers discovered that antiangiogenesis treatment by itself substantially extends the survival of some patients by lessening edema, the swelling of brain tissue. In the current report, the MGH researchers used VAI to examine how these agents produce their effects and which patients benefit.

Recently developed MRI techniques can determine factors like the size, radius, and capacity of blood vessels. VAI integrated data from two types of advanced MR images and analyzes them in a way that differentiates among veins, small arteries, and capillaries; determines the radius of these vessels and shows how much oxygen is being delivered to tissues. The investigators employed VAI to analyze MR data acquired in a phase 2 clinical trial of the antiangiogenesis drug cediranib in patients with recurrent glioblastoma. The images had been taken before treatment started and then 1, 28, 56, and 112 days after it was initiated.

In some patients, VAI identified changes reflecting vascular normalization within the tumors—particularly changes in the shape of blood vessels—after 28 days of cediranib therapy and sometimes as early as the next day. Of the 30 patients whose data was analyzed, VAI indicated that 10 were true responders to cediranib, whereas 12 who had a worsening of disease were characterized as non-responders. Data from the remaining eight patients suggested stabilization of their tumors. Responding patients survived six months longer than non-responders, a considerable difference for patients with an expected survival of less than two years, Dr. Emblem reported. He also noted that rapidly identifying those whose tumors do not respond would allow discontinuation of the ineffective therapy and looking for other alternatives.

Gregory Sorensen, MD, senior author of the article, clarified, “One of the biggest problems in cancer today is that we do not know who will benefit from a particular drug. Since only about half the patients who receive a typical anticancer drug benefit and the others just suffer side effects, knowing whether or not a patient’s tumor is responding to a drug can bring us one step closer to truly personalized medicine—tailoring therapies to the patients who will benefit and not wasting time and resources on treatments that will be ineffective.” Formerly with the Martinos Center, Sorensen is now with Siemens Healthcare (Erlangen, Germany).

Study coauthor Rakesh Jain, PhD, director of the Steele Laboratory in the MGH department of radiation Oncology, added, “This is the most compelling evidence yet of vascular normalization with antiangiogenic therapy in cancer patients and how this concept can be used to select patients likely to benefit from these therapies.”

Lead author Dr. Emblem, noted that VAI may help further improve understanding of how abnormal tumor blood vessels change during antiangiogenesis treatment and could be useful in the treatment of other types of cancer and in vascular conditions like stroke. He and his colleagues are also exploring whether VAI can identify which glioblastoma patients are prone to respond to antiangiogenesis drugs even before therapy is initiated, potentially eliminating treatment deemed to be ineffective.

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Martinos Center for Biomedical Imaging at Massachusetts General Hospital

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57 (!!!!! 1349.925994873): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747947 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747947 AND published='1' LIMIT 1

58 (69.856643676758): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747947 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747947 AND published='1' LIMIT 1

59 (204.08630371094): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747947 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747947 AND published='1' LIMIT 1

60 (78.916549682617): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747947 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747947 AND published='1' LIMIT 1

61 (97.990036010742): 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 (543.11752319336): SELECT fid FROM jos_deeppockets WHERE id=294747947 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294747947 AND published='1' LIMIT 1

63 (67.949295043945): 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 (142.81272888184): select jos_twitters.link from jos_twitters where cat=10

65 (47.206878662109): select jos_facebook.link from jos_facebook where cat=10

66 (34.093856811523): select jos_google_plus.link from jos_google_plus where cat=10

67 (37.908554077148): select jos_linkedin.link from jos_linkedin where cat=10

68 (53.882598876953): SELECT fid FROM jos_deeppockets WHERE id=294747947 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294747947 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 (413.89465332031): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294747947 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (371.93298339844): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294747947 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (68.902969360352): 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 (51.021575927734): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (37.193298339844): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (34.809112548828): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (42.915344238281): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (59.127807617188): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294747947 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (36.001205444336): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294747947 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (44.107437133789): 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 (60.081481933594): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (43.869018554688): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (79.870223999023): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747947 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747947 AND published='1' LIMIT 1

105 (89.168548583984): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747947 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747947 AND published='1' LIMIT 1

106 (60.796737670898): 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=294747947 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (50.067901611328): 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=294747947 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (100.85105895996): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747947 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747947 AND published='1' LIMIT 1

109 (48.87580871582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747947 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747947 AND published='1' LIMIT 1

110 (69.856643676758): 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=294747947 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (581.97975158691): 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=294747947 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (692.84439086914): 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 (458.95576477051): 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 (84.161758422852): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747947 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747947 AND published='1' LIMIT 1

115 (48.87580871582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747947 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747947 AND published='1' LIMIT 1

116 (86.069107055664): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747947 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747947 AND published='1' LIMIT 1

117 (180.95970153809): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747947 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747947 AND published='1' LIMIT 1

118 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747947 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747947 AND published='1' LIMIT 1

119 (46.014785766602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747947 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747947 AND published='1' LIMIT 1

120 (79.870223999023): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747947 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747947 AND published='1' LIMIT 1

121 (78.916549682617): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747947 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747947 AND published='1' LIMIT 1

122 (440.12069702148): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 40051.937103271): 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 (!!!!! 1150.8464813232): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294747947 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294747947 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 20859.003067017): ( 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 (58.889389038086): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

127 (41.007995605469): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

128 (33.855438232422): 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 (43.869018554688): 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 (34.093856811523): 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 (365.9725189209): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

132 (46.968460083008): 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 (64.13459777832): 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 (41.961669921875): 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 (648.97537231445): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747947 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (498.05641174316): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747947 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (40.054321289062): SELECT name FROM jos_deeppockets WHERE id=212

138 (30.994415283203): SELECT name FROM jos_deeppockets WHERE id=212

139 (669.95620727539): 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 (727.17666625977): 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 (105.14259338379): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747947 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747947 AND published='1' LIMIT 1

142 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747947 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747947 AND published='1' LIMIT 1

143 (!!!!! 9006.9770812988): TRUNCATE TABLE jos_trademed_module

144 (102.04315185547): 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=294747947 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (100.85105895996): 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=294747947 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (885.96343994141): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747947 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (95.844268798828): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747947 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (105.85784912109): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747947 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747947 AND published='1' LIMIT 1

149 (65.088272094727): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747947 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747947 AND published='1' LIMIT 1

150 (!!!!! 1409.0538024902): 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 (89.168548583984): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747947 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747947 AND published='1' LIMIT 1

152 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747947 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747947 AND published='1' LIMIT 1

153 (51.975250244141): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294747947 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294747947 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (51.975250244141): 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 (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)

156 (53.882598876953): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (190.97328186035): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747947 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747947 AND published='1' LIMIT 1

158 (74.863433837891): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747947 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747947 AND published='1' LIMIT 1

159 (56.028366088867): select jos_twitters.link from jos_twitters where cat=10

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

161 (45.061111450195): select jos_google_plus.link from jos_google_plus where cat=10

162 (42.200088500977): select jos_linkedin.link from jos_linkedin where cat=10

163 (379.08554077148): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

164 (!!!!! 1375.9136199951): insert into jos_banners_delta values (14615,'2025-06-25 09:53:48','216.73.216.120','view'),(14202,'2025-06-25 09:53:48','216.73.216.120','view'),(14203,'2025-06-25 09:53:48','216.73.216.120','view')

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