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MR Research Reveals Altered Brain Connections in Epilepsy Patients

By MedImaging International staff writers
Posted on 12 Dec 2013

Image: Flowchart illustrates the steps of the connectivity analysis. MP-RAGE (magnetization-prepared rapid acquisition gradient echo) volumes are segmented into 83 region of interest (ROIs), which are further parcellated into 1,000 cortical and 15 subcortical ROIs. Whole-brain white matter tractography is performed after voxelwise tensor calculation, and the density of fibers that connect each pair of cortical ROIs is used to calculate structural connectivity. T1w = T1-weighted (Photo courtesy of RSNA).

Image: Surface representation shows the gray-white matter junction of the seven modules that emerge by using the Newman spectral algorithm on an across-subject (both healthy subjects and patients with temporal lobe epilepsy [TLE]) average connectivity matrix (Photo courtesy of RSNA).

Image: Inflated cortical surface representations show the significant (p the group of patients with TLE and healthy subjects. Warm colors (red, orange, and yellow) indicate increases in TLE, while cool colors (blue) indicate decreases. Within-module connectivity is within-module z score of degree, and between-module connectivity is participation coefficient. Light gray areas represent gyri, and dark gray areas represent sulci. Lat = lateral, Med = medial (Photo courtesy of RSNA).

New imaging findings show that patients with the most typical form of focal epilepsy have widespread, abnormal connections in their brains. This new research could provide insights for better diagnosis and treatment of the disorder.

The study’s findings were published online November 19, 2013, in the journal Radiology. Temporal lobe epilepsy (TLE) is characterized by seizures originating from the temporal lobes. Clinicians at first believed that the disorder was related to isolated injuries of structures within the temporal lobe, such as the hippocampus. However, recent research has implicated the default mode network (DMN), the set of brain regions activated during task-free introspection and deactivated during goal-directed behavior. The DMN consists of several hubs that are more active during the resting state.

Researchers performed diffusion tensor imaging—a type of magnetic resonance imaging (MRI) technology that monitors the diffusion of water in the brain’s white matter—of the nerve fibers that send signals throughout the brain to analyze the patients. The study group consisted of 24 patients with left temporal lobe epilepsy who were scheduled for surgery to remove the site from where their seizures emanated. The researchers compared them with 24 healthy controls using an MRI protocol designed to find white matter tracts with diffusion imaging at high resolution. The data were studied with a new technique that identifies and quantifies structural connections in the brain.

Patients with left temporal lobe epilepsy showed a drop in long-range connectivity of 22%–45% among areas of the DMN when compared with the healthy controls. “Using diffusion MRI, we found alterations in the structural connectivity beyond the medial temporal lobe, especially in the default mode network,” said Steven M. Stufflebeam, MD, from the Athinoula A. Martinos Center for Biomedical Imaging at Massachusetts General Hospital (Boston, MA, USA).

In addition to reduced long-range connectivity, the epileptic patients had an 85%–270% increase in local connectivity within and beyond the DMN. The researchers believe this may be an adaptation to the loss of the long-range connections. “The increase in local connections could represent a maladaptive mechanism by which overall neural connectivity is maintained despite the loss of connections through important hub areas,” Dr. Stufflebeam said.

The findings are supported by earlier functional MRI scans that have shown decreased functional connectivity in DMN areas in temporal lobe epilepsy. Researchers are not sure if the structural changes cause the functional changes, or the opposite. “It’s probably a breakdown of myelin, which is the insulation of neurons, causing a slowdown in the propagation of information, but we don’t know for sure,” Dr. Stufflebeam said.

Dr. Stufflebeam and colleagues plan to continue their research, using structural and functional MRI with electroencephalography and magnetoencephalography to monitor diffusion changes and visualize real-time brain activity. “Our long-term goal is to see if we can we predict from diffusion studies who will respond to surgery and who will not,” he said.

The study is part of the Human Connectome Project, a five-year project funded by the National Institutes of Health that uses neuroimaging techniques to study connectomics, or the functional and structural connections in the brain.

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56 (693.08280944824): 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=294749654 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

57 (!!!!! 2052.0687103271): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749654 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749654 AND published='1' LIMIT 1

58 (68.902969360352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749654 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749654 AND published='1' LIMIT 1

59 (!!!!! 3303.050994873): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749654 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749654 AND published='1' LIMIT 1

60 (376.22451782227): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749654 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749654 AND published='1' LIMIT 1

61 (!!!!! 14754.056930542): 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 (!!!!! 2049.2076873779): SELECT fid FROM jos_deeppockets WHERE id=294749654 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294749654 AND published='1' LIMIT 1

63 (!!!!! 1024.9614715576): 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 (773.19145202637): select jos_twitters.link from jos_twitters where cat=10

65 (136.13700866699): select jos_facebook.link from jos_facebook where cat=10

66 (388.14544677734): select jos_google_plus.link from jos_google_plus where cat=10

67 (51.975250244141): select jos_linkedin.link from jos_linkedin where cat=10

68 (!!!!! 2118.1106567383): SELECT fid FROM jos_deeppockets WHERE id=294749654 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294749654 AND published='1' LIMIT 1

69 (431.06079101562): 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 (!!!!! 1285.0761413574): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294749654 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (!!!!! 2937.0784759521): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294749654 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (!!!!! 1430.0346374512): 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 (401.02005004883): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (!!!!! 3032.922744751): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (409.84153747559): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (192.88063049316): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (164.98565673828): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (144.00482177734): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (149.01161193848): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (95.844268798828): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (205.03997802734): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (592.94700622559): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294749654 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (!!!!! 1189.9471282959): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294749654 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (477.07557678223): 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 (931.97822570801): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (415.08674621582): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (56.028366088867): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (598.90747070312): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (346.89903259277): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (!!!!! 1677.0362854004): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (508.06999206543): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (51.021575927734): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (!!!!! 6069.1833496094): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749654 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749654 AND published='1' LIMIT 1

105 (!!!!! 2187.0136260986): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749654 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749654 AND published='1' LIMIT 1

106 (81.062316894531): 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=294749654 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (531.19659423828): 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=294749654 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (!!!!! 7109.8804473877): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749654 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749654 AND published='1' LIMIT 1

109 (!!!!! 7982.0156097412): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749654 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749654 AND published='1' LIMIT 1

110 (!!!!! 7885.9329223633): 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=294749654 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (!!!!! 7933.1398010254): 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=294749654 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (!!!!! 4467.0104980469): 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 (!!!!! 8230.9246063232): 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 (!!!!! 4071.9509124756): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749654 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749654 AND published='1' LIMIT 1

115 (!!!!! 1477.9567718506): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749654 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749654 AND published='1' LIMIT 1

116 (!!!!! 2517.9386138916): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749654 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749654 AND published='1' LIMIT 1

117 (298.97689819336): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749654 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749654 AND published='1' LIMIT 1

118 (!!!!! 1362.0853424072): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749654 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749654 AND published='1' LIMIT 1

119 (115.87142944336): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749654 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749654 AND published='1' LIMIT 1

120 (!!!!! 1163.0058288574): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749654 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749654 AND published='1' LIMIT 1

121 (!!!!! 7016.8972015381): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749654 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749654 AND published='1' LIMIT 1

122 (!!!!! 5988.8362884521): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 46876.192092896): 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 (!!!!! 3909.1110229492): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294749654 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294749654 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (502.10952758789): ( 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 (486.13548278809): ( 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 (900.0301361084): 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 (94.890594482422): 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 (!!!!! 1128.1967163086): 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 (51.975250244141): 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 (42.915344238281): 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 (309.94415283203): 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 (!!!!! 1047.1343994141): 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 (57.93571472168): 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 (376.93977355957): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749654 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (!!!!! 3892.8985595703): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749654 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (!!!!! 3154.0393829346): SELECT name FROM jos_deeppockets WHERE id=212

138 (!!!!! 2197.9808807373): SELECT name FROM jos_deeppockets WHERE id=212

139 (!!!!! 2299.0703582764): 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 (!!!!! 5553.0071258545): 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 (!!!!! 7620.096206665): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749654 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749654 AND published='1' LIMIT 1

142 (!!!!! 2280.9505462646): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749654 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749654 AND published='1' LIMIT 1

143 (!!!!! 14460.08682251): TRUNCATE TABLE jos_trademed_module

144 (!!!!! 4141.092300415): 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=294749654 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (!!!!! 1503.9443969727): 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=294749654 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (!!!!! 1466.9895172119): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749654 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (71.048736572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749654 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (!!!!! 2366.0659790039): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749654 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749654 AND published='1' LIMIT 1

149 (761.03210449219): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749654 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749654 AND published='1' LIMIT 1

150 (!!!!! 4033.088684082): 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 (!!!!! 15658.855438232): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749654 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749654 AND published='1' LIMIT 1

152 (!!!!! 8321.0468292236): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749654 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749654 AND published='1' LIMIT 1

153 (!!!!! 11856.7943573): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294749654 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294749654 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (!!!!! 8289.8139953613): 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 (!!!!! 7518.0530548096): 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 (!!!!! 7817.0299530029): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (!!!!! 12850.999832153): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749654 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749654 AND published='1' LIMIT 1

158 (!!!!! 7303.9531707764): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749654 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749654 AND published='1' LIMIT 1

159 (!!!!! 7789.8502349854): select jos_twitters.link from jos_twitters where cat=10

160 (!!!!! 7943.868637085): select jos_facebook.link from jos_facebook where cat=10

161 (!!!!! 7958.8890075684): select jos_google_plus.link from jos_google_plus where cat=10

162 (!!!!! 5419.0158843994): select jos_linkedin.link from jos_linkedin where cat=10

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