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3D MRI Offers Improved Prediction of Survival After Chemotherapy for Liver Tumors

By MedImaging International staff writers
Posted on 17 Apr 2014

Image: The quantitative character of the novel 3D technique on MR scans from a patient with primary liver cancer is demonstrated. Images A and B show the scan of the patient before being treated with chemoembolization. The new 3D technique helped quantify the volume and distribution of viable tumor tissue (shown in red and yellow colors). Images C and D demonstrate MR scans acquired after the treatment. The new 3D method helped the radiologists to quantify the vast central destruction of the tumor after the treatment (the dead tumor is represented by the blue color) (Photo courtesy of Johns Hopkins Medicine).

Researchers are using specialized three-dimensional (3D) magnetic resonance imaging (MRI) scanning technology to accurately measure living and dying liver tumor tissue in order to quickly show whether very toxic chemotherapy, delivered right through a tumor’s blood supply, is working.

The Johns Hopkins University (Baltimore, MD, USA) investigators noted that their findings, presented on March 22–27, 2014, in San Diego (CA, USA), at the annual meeting of the Society of Interventional Radiology, are the first “proof of principle” that this technology can show tumors in three dimensions and effectively measure tumor viability and death. Early data of a series of studies involving 140 US men and women with liver tumors were also presented at the Radiological Society of North America (RSNA) annual meeting, December 1–6, 2013, in Chicago (IL, USA).

The researchers also reported that their findings in patients with either primary liver cancers or metastatic tumors from cancers beginning in other areas of the body are evidence that using this technology before and after treatment is a faster and better tool for predicting patient survival after chemotherapy targeted directly at tumors, called chemoembolization.

Unlike standard methods to assess tumor response after chemoembolization, which are based on two-dimensional images and tumor size, the Johns Hopkins-developed 3D technology also distinguishes between dead and live tissue, giving an accurate evaluation of tumor cell death.

The new technology builds on conventional 2D techniques and uses computer analytics to evaluate the amount of so-called contrast dye absorbed by tumor tissue. The dye is injected into patients before their MRI scan to enhance image production. Researchers say live tissue will absorb more dye than dead tissue, affecting image brightness, which can also be measured for size and intensity. "Our high-precision, 3D images of tumors provide better information to patients about whether chemoembolization has started to kill their tumors so that physicians can make more well-informed treatment recommendations,” stated Johns Hopkins interventional radiologist Jean-Francois Geschwind, MD, senior investigator on the studies.

Dr. Geschwind, a professor in the department of radiology at the Johns Hopkins University School of Medicine and its Kimmel Cancer Center, stated that determining the real degree of a tumor’s response to chemoembolization is especially important for patients with moderate to advanced stages of the disease, whose liver tumors might at first be too large or too many to surgically remove.

In the first study, researchers compared the conventional imaging technology and the newly developed technology in 17 Baltimore men and women with advanced liver cancer. All were treated with surgery or liver transplantation after chemoembolization. The research team used existing MR analysis techniques, as well as the new 3D technology to compare the radiologists’ studies with pathologic review of tumor samples after therapy and surgical removal. The error margin of the new 3D image analysis, they reported, was low (at up to 10%) when predicting the amount of dead tumor tissue found by pathologists whereas the standard, 2D method deviated by as much as 40% from actual values.

Dr. Geschwind and his colleagues, in further studies, used the conventional and new imaging techniques to study the MRI scans of more than 300 liver tumors in some 123 other men and women, also from the Baltimore region. All patients were treated at The Johns Hopkins Hospital between 2003 and 2012, and each received pre- and post-chemoembolization MRI scans to assess the effects of therapy on the tumors.

Using the new 3D technique, Dr. Geschwind’s team discovered that patients who responded well to therapy lived 19 months longer (a median of 42 months) than patients who did not respond well (average 23 month survival). Standard techniques revealed slightly less disparity in survival (average 18 months longer) between patients who responded to therapy and those who did not respond.

Dr. Geschwind reported that the 3D technology’s improved accuracy removes a lot of the guesswork that now goes into evaluating treatment outcomes. The new assessment takes seconds to perform, he added, so radiologists can provide faster, nearly instantaneous treatment guidance. The investigators plan additional software modifications to the new application before training more physicians to use it. He also has plans to study how it can affect treatment decisions, and whether these therapy choices help individuals lead a longer life.

The software used in the MRI scans was developed at Johns Hopkins and at Philips Research North America (Briarcliff Manor, NY, USA). Philips Healthcare, whose parent company is based in the Netherlands, manufactures some of the MRI scanners used in the study.

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Philips Research North America

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55 (118.01719665527): 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=294751830 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

56 (681.87713623047): 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=294751830 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

57 (!!!!! 1220.9415435791): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751830 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294751830 AND published='1' LIMIT 1

58 (62.942504882812): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751830 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294751830 AND published='1' LIMIT 1

59 (119.92454528809): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751830 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294751830 AND published='1' LIMIT 1

60 (49.829483032227): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751830 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294751830 AND published='1' LIMIT 1

61 (90.837478637695): 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 (714.06364440918): SELECT fid FROM jos_deeppockets WHERE id=294751830 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294751830 AND published='1' LIMIT 1

63 (298.02322387695): 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 (52.928924560547): select jos_twitters.link from jos_twitters where cat=10

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

66 (35.04753112793): select jos_google_plus.link from jos_google_plus where cat=10

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

68 (45.061111450195): SELECT fid FROM jos_deeppockets WHERE id=294751830 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294751830 AND published='1' LIMIT 1

69 (46.014785766602): 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 (233.88862609863): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294751830 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (149.01161193848): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294751830 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 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (32.186508178711): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (56.982040405273): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294751830 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (30.040740966797): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294751830 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (33.140182495117): 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 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (34.809112548828): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (65.088272094727): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751830 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294751830 AND published='1' LIMIT 1

105 (63.896179199219): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751830 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294751830 AND published='1' LIMIT 1

106 (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 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=294751830 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (49.114227294922): 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=294751830 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (77.962875366211): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751830 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294751830 AND published='1' LIMIT 1

109 (49.114227294922): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751830 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294751830 AND published='1' LIMIT 1

110 (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 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=294751830 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (570.05882263184): 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=294751830 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (829.93507385254): 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 (606.06002807617): 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 (125.16975402832): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751830 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294751830 AND published='1' LIMIT 1

115 (84.877014160156): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751830 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294751830 AND published='1' LIMIT 1

116 (130.89179992676): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751830 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294751830 AND published='1' LIMIT 1

117 (63.180923461914): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751830 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294751830 AND published='1' LIMIT 1

118 (80.82389831543): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751830 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294751830 AND published='1' LIMIT 1

119 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751830 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294751830 AND published='1' LIMIT 1

120 (78.201293945312): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751830 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294751830 AND published='1' LIMIT 1

121 (47.922134399414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751830 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294751830 AND published='1' LIMIT 1

122 (406.98051452637): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294751830 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294751830 AND type='deeppockets_item' AND published='1' LIMIT 1

123 (!!!!! 8371.8299865723): ( 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

124 (70.095062255859): ( 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

125 (38.14697265625): 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

126 (32.186508178711): 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

127 (52.928924560547): 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

128 (35.04753112793): 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

129 (246.04797363281): 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

130 (133.99124145508): 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

131 (35.04753112793): 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

132 (28.848648071289): 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

133 (471.11511230469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751830 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

134 (310.89782714844): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294751830 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

135 (148.77319335938): SELECT name FROM jos_deeppockets WHERE id=212

136 (32.901763916016): SELECT name FROM jos_deeppockets WHERE id=212

137 (530.95817565918): 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

138 (552.89268493652): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))212((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

139 (107.0499420166): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751830 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294751830 AND published='1' LIMIT 1

140 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751830 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294751830 AND published='1' LIMIT 1

141 (337.83912658691): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751830 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

142 (67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751830 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

143 (80.82389831543): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751830 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294751830 AND published='1' LIMIT 1

144 (58.889389038086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751830 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294751830 AND published='1' LIMIT 1

145 (!!!!! 1559.0190887451): 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

146 (103.95050048828): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751830 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294751830 AND published='1' LIMIT 1

147 (108.00361633301): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751830 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294751830 AND published='1' LIMIT 1

148 (59.127807617188): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294751830 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294751830 AND type='deeppockets_item' AND published='1' LIMIT 1

149 (42.915344238281): 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)

150 (39.100646972656): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=212 or channel_id is null)

151 (51.975250244141): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

152 (175.95291137695): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751830 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294751830 AND published='1' LIMIT 1

153 (71.048736572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751830 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294751830 AND published='1' LIMIT 1

154 (36.001205444336): select jos_twitters.link from jos_twitters where cat=10

155 (29.087066650391): select jos_facebook.link from jos_facebook where cat=10

156 (28.133392333984): select jos_google_plus.link from jos_google_plus where cat=10

157 (30.994415283203): select jos_linkedin.link from jos_linkedin where cat=10

158 (294.92378234863): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

159 (!!!!! 1290.0829315186): insert into jos_banners_delta values (14615,'2025-06-24 07:27:42','216.73.216.120','view'),(14202,'2025-06-24 07:27:42','216.73.216.120','view'),(14203,'2025-06-24 07:27:42','216.73.216.120','view')

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