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Whole Body, Diffusion-Weighted MRI Scan Could Optimize Bone Marrow Cancer Treatment

By MedImaging International staff writers
Posted on 06 Feb 2014

Image: ICR researchers pioneer scanning technique that can image a patient’s entire body to reveal where cancer is affecting the bones (Photo courtesy of ICR - Institute of Cancer Research).

An innovative scanning technique that images a patient’s entire body can reveal where cancer is affecting the bones and guide physicians in the optimal choice of treatment.

The new type of magnetic resonance imaging (MRI) scan could enhance care for a type of cancer called myeloma and reduce reliance on bone marrow biopsies, which can be painful for patients and frequently cannot show clinicians how far the disease has metastasized.

The study’s findings were published January 28, 2014, in the journal Radiology. The new whole-body, diffusion-weighted MRI scans demonstrated the spread of cancer throughout the bone marrow of patients with myeloma, one of the most common forms of blood cancer, more effectively than conventional tests. The scans also showed whether the patients were responding to cancer treatments.

In the study, 26 patients had whole-body, diffusion-weighted MRI scanning before and after treatment. In 86% of patients, experienced doctors trained in imaging were able to correctly identify whether patients responded to treatment. In addition, they also accurately identified those patients who were not responding to treatment 80% of the time. Using the scanning technique, clinicians could target precisely where the cancer was in the bones, with the results available immediately. Conventional tests include bone marrow biopsies and blood tests; however, neither shows accurately where the cancer is present in the bones.

The researchers also evaluated the visible alterations on the MRI scans, using a measurement called the apparent diffusion coefficient (ADC), which records how restricted water movement is within tissues. Changes in this measurement correctly identified treatment response for 24 of 25 myeloma patients. The ADC is a quantitative measure of the random thermal movement of water protons within tissues. Water movement is more limited in tumors because their high cell density restricts the movement of extracellular water.

The new technology was able to image cancer in nearly all the bones in the body, with only the skull remaining difficult to image partly because of the frequency of metal dental implants and fillings. The researchers also discovered that the new imaging techniques were suitable for more patients than conventional tests; for instance, seven patients had bone marrow biopsies but their samples were found to be inadequate for analysis. Performing another biopsy could be traumatic and painful, and may not provide any new information.

Nandita deSouza, professor of translational imaging at the Institute of Cancer Research (ICR; London, UK) and honorary consultant at the Royal Marsden (London, UK), said, “This is the first time we’ve been able to obtain information from all the bones in the entire body for myeloma in one scan without having to rely on individual bone X-rays. It enables us to measure the involvement of individual bones and follow their response to treatment. The results can be visualized immediately; we can look on the screen and see straight away where the cancer is and measure how severe it is. The scan is better than blood tests, which don’t tell us in which bones the cancer is located. It also reduces the need for uncomfortable biopsies, which don’t reveal the extent or severity of the disease.”

Dr. Faith Davies, member of the myeloma targeted treatment team at the Institute of Cancer Research and consultant at the Royal Marsden, said, “Myeloma can affect bones anywhere in the body, which is why this study is so important. We’ve shown that whole body MRI scans can accurately monitor how myeloma patients are responding to treatment, allowing doctors to make more informed decisions. With this new scan, if a treatment isn’t working the patient can be moved onto new therapies that might be more effective much more quickly. This is a small study, so our next step will be to try out the technology in more patients and refine it. In the future, we hope this new tool will help doctors extend the life of more myeloma patients. ”

Julia Frater, Cancer Research UK’s (London) senior cancer information nurse, said, “Finding kinder ways to monitor how patients respond to treatment is really important, particularly in the case of myeloma where taking bone marrow samples can be painful. This research demonstrates how an advanced imaging technique could provide a whole-skeleton ‘snapshot’ to track the response of tumors in individual bones. Finding ways to make treatments gentler and improve the experience for patients is an important focus for Cancer Research UK and the research we fund.”

Related Links:
The Institute of Cancer Research

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57 (!!!!! 5101.9191741943): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750589 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750589 AND published='1' LIMIT 1

58 (233.17337036133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750589 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750589 AND published='1' LIMIT 1

59 (!!!!! 1806.9744110107): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750589 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750589 AND published='1' LIMIT 1

60 (!!!!! 1107.931137085): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750589 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750589 AND published='1' LIMIT 1

61 (!!!!! 5601.8829345703): 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 (746.01173400879): SELECT fid FROM jos_deeppockets WHERE id=294750589 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294750589 AND published='1' LIMIT 1

63 (!!!!! 2094.9840545654): 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 (360.01205444336): select jos_twitters.link from jos_twitters where cat=10

65 (179.05235290527): select jos_facebook.link from jos_facebook where cat=10

66 (167.1314239502): select jos_google_plus.link from jos_google_plus where cat=10

67 (198.1258392334): select jos_linkedin.link from jos_linkedin where cat=10

68 (613.92784118652): SELECT fid FROM jos_deeppockets WHERE id=294750589 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294750589 AND published='1' LIMIT 1

69 (54.121017456055): 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 (519.99092102051): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294750589 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (598.90747070312): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294750589 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (66.041946411133): 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 (584.84077453613): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (64.13459777832): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (39.815902709961): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (!!!!! 1236.9155883789): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (60.081481933594): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (60.081481933594): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294750589 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=294750589 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (34.093856811523): 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 (123.02398681641): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (59.843063354492): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (51.021575927734): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (51.021575927734): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (61.03515625): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (77.962875366211): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (117.06352233887): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750589 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750589 AND published='1' LIMIT 1

105 (49.829483032227): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750589 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750589 AND published='1' LIMIT 1

106 (64.13459777832): 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=294750589 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (51.021575927734): 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=294750589 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (204.08630371094): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750589 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750589 AND published='1' LIMIT 1

109 (73.909759521484): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750589 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750589 AND published='1' LIMIT 1

110 (69.141387939453): 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=294750589 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (!!!!! 2460.9565734863): 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=294750589 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (724.07722473145): 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 (477.79083251953): 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 (200.03318786621): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750589 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750589 AND published='1' LIMIT 1

115 (69.856643676758): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750589 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750589 AND published='1' LIMIT 1

116 (50.067901611328): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750589 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750589 AND published='1' LIMIT 1

117 (44.107437133789): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750589 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750589 AND published='1' LIMIT 1

118 (76.055526733398): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750589 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750589 AND published='1' LIMIT 1

119 (44.107437133789): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750589 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750589 AND published='1' LIMIT 1

120 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750589 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750589 AND published='1' LIMIT 1

121 (48.87580871582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750589 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750589 AND published='1' LIMIT 1

122 (394.10591125488): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 21825.075149536): 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 (555.99212646484): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294750589 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294750589 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 7763.147354126): ( 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 (106.8115234375): ( 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 (342.13066101074): 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 (51.021575927734): 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 (241.99485778809): 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 (90.837478637695): 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 (218.86825561523): 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 (54.121017456055): 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 (221.01402282715): 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 (39.100646972656): 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 (550.0316619873): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750589 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (452.99530029297): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750589 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (293.01643371582): SELECT name FROM jos_deeppockets WHERE id=212

138 (38.14697265625): SELECT name FROM jos_deeppockets WHERE id=212

139 (551.93901062012): 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 (488.9965057373): 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 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750589 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750589 AND published='1' LIMIT 1

142 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750589 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750589 AND published='1' LIMIT 1

143 (!!!!! 12320.995330811): TRUNCATE TABLE jos_trademed_module

144 (149.96528625488): 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=294750589 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (79.154968261719): 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=294750589 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (822.06726074219): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750589 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750589 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750589 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750589 AND published='1' LIMIT 1

149 (53.882598876953): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750589 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750589 AND published='1' LIMIT 1

150 (!!!!! 1288.890838623): 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 (65.088272094727): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750589 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750589 AND published='1' LIMIT 1

152 (49.829483032227): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750589 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750589 AND published='1' LIMIT 1

153 (38.862228393555): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294750589 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294750589 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (43.869018554688): 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 (36.001205444336): 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 (53.167343139648): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (180.00602722168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750589 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750589 AND published='1' LIMIT 1

158 (76.055526733398): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750589 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750589 AND published='1' LIMIT 1

159 (101.08947753906): select jos_twitters.link from jos_twitters where cat=10

160 (30.040740966797): select jos_facebook.link from jos_facebook where cat=10

161 (34.809112548828): select jos_google_plus.link from jos_google_plus where cat=10

162 (36.001205444336): select jos_linkedin.link from jos_linkedin where cat=10

163 (370.97930908203): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

164 (!!!!! 3596.0674285889): insert into jos_banners_delta values (14615,'2025-06-24 11:55:20','216.73.216.120','view'),(14202,'2025-06-24 11:55:20','216.73.216.120','view'),(14203,'2025-06-24 11:55:20','216.73.216.120','view')

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