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MRI-Guided Multi-Stage Robotic Positioner Enhances Stereotactic Neurosurgery Precision

By MedImaging International staff writers
Posted on 30 May 2024

Image: The interactive multi-stage robotic positioner is specifically designed for MRI-guided stereotactic neurosurgery (Photo courtesy of University of Hong Kong)

Magnetic resonance imaging (MRI) offers significant benefits in neurosurgery, providing detailed 3D visualizations of neurovascular structures and tumors. Traditionally, its use has been restricted to analyzing static images taken before or after surgery, leading to potential inaccuracies due to the setup of stereotactic frames, image registration, and brain shifts. Researchers have now developed a specialized interactive multi-stage robotic positioner for use in MRI-guided stereotactic neurosurgery, enhancing the precision of these surgical interventions.

This advanced system developed by a team from the University of Hong Kong (HKU, Pokfulam, Hong Kong) is designed to assist in various procedures such as cannula or needle targeting, which are crucial in treatments like deep brain stimulation (DBS) for movement disorders including Parkinson’s disease. Additionally, it supports a variety of therapeutic interventions like biopsy, drug delivery, ablation, and catheter placement into deep brain areas. In 2018, this team successfully developed the world’s first robotic system capable of conducting bilateral stereotactic neurosurgery within an MRI setting, which helped overcome challenges associated with lengthy procedures and complex workflows. The initial prototype has since been refined by the team.

The latest version of this system facilitates interactive, semi-automatic manipulation in two stages. Initially, based on pre-operative images, the surgeon positions the robotic instrument guide towards the target trajectory. The system incorporates fiber-optic lighting to visually indicate any angulation errors relative to the target trajectory. When the instrument guide is aligned within 5 degrees of the target, it can be remotely locked in place. The system uses finite element analysis (FEA) for design optimization and employs a fluid-driven soft actuator architecture to position the instrument with an orientation error of less than 0.2 degrees. Orientation locking is robust, utilizing soft robotic mechanisms such as tendon-driven baking units and granular jamming.

Following this setup, the surgeon manually inserts the instrument through the robot-guided pathway, with an insertion stopper aiding in setting the precise depth. This technology helps eliminate the inherent errors found in traditional frame-based stereotaxy, thus enhancing insertion accuracy and improving surgical outcomes. It also reduces the duration of the operation, which contributes to greater patient comfort and satisfaction. The device itself is compact and lightweight (97 x 81 mm, 203g), designed to be compatible with most standard imaging head coils. It includes custom-made miniature wireless omnidirectional tracking markers and a zero-electromagnetic-interference system to support accurate robot registration under real-time MRI conditions. The system's effectiveness has been confirmed through cadaveric studies and skull model testing, achieving a precision error of less than 3 mm and showing significant potential for future clinical application.

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59 (!!!!! 2923.9654541016): SELECT name FROM jos_deeppockets_archive WHERE id=294801357 LIMIT 1

60 (324.01084899902): SELECT a.* FROM jos_components AS a WHERE ( a.admin_menu_link = 'option=com_syndicate' OR a.admin_menu_link = 'option=com_syndicate&hidemainmenu=1' ) AND a.option = 'com_syndicate'

61 (352.14424133301): 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=294801357 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

62 (!!!!! 1904.9644470215): 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=294801357 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

63 (!!!!! 1992.94090271): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801357 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801357 AND published='1' LIMIT 1

64 (507.83157348633): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801357 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801357 AND published='1' LIMIT 1

65 (!!!!! 1322.9846954346): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801357 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801357 AND published='1' LIMIT 1

66 (277.04238891602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801357 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801357 AND published='1' LIMIT 1

67 (!!!!! 4388.0939483643): 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

68 (629.90188598633): SELECT fid FROM jos_deeppockets WHERE id=294801357 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294801357 AND published='1' LIMIT 1

69 (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`

70 (76.055526733398): select jos_twitters.link from jos_twitters where cat=10

71 (66.995620727539): select jos_facebook.link from jos_facebook where cat=10

72 (43.153762817383): select jos_google_plus.link from jos_google_plus where cat=10

73 (37.908554077148): select jos_linkedin.link from jos_linkedin where cat=10

74 (52.928924560547): SELECT fid FROM jos_deeppockets WHERE id=294801357 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294801357 AND published='1' LIMIT 1

75 (44.107437133789): 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`

76 (408.88786315918): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294801357 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

77 (340.93856811523): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294801357 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

78 (54.836273193359): 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`

79 (812.05368041992): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (66.995620727539): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (!!!!! 4600.0480651855): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (103.95050048828): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (956.05850219727): SELECT show_live FROM jos_com_show_setting LIMIT 1

90 (74.148178100586): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (88.930130004883): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294801357 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

94 (42.915344238281): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294801357 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

95 (48.87580871582): 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`

96 (77.009201049805): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (42.200088500977): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (943.89915466309): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (63.896179199219): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (147.81951904297): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (43.153762817383): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (37.193298339844): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

107 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

108 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

109 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

110 (!!!!! 2606.8687438965): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801357 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801357 AND published='1' LIMIT 1

111 (121.8318939209): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801357 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801357 AND published='1' LIMIT 1

112 (98.228454589844): 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=294801357 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (660.18104553223): 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=294801357 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

114 (919.81887817383): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801357 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801357 AND published='1' LIMIT 1

115 (88.930130004883): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801357 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801357 AND published='1' LIMIT 1

116 (867.84362792969): 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=294801357 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

117 (649.92904663086): 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=294801357 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

118 (85.115432739258): 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=294801352 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

119 (515.93780517578): 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=294801352 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

120 (849.00856018066): 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

121 (624.8950958252): 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

122 (108.95729064941): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801357 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801357 AND published='1' LIMIT 1

123 (67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801357 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801357 AND published='1' LIMIT 1

124 (72.002410888672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801357 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801357 AND published='1' LIMIT 1

125 (59.127807617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801357 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801357 AND published='1' LIMIT 1

126 (71.048736572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801357 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801357 AND published='1' LIMIT 1

127 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801357 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801357 AND published='1' LIMIT 1

128 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801357 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801357 AND published='1' LIMIT 1

129 (55.074691772461): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801357 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801357 AND published='1' LIMIT 1

130 (457.0484161377): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

131 (!!!!! 57059.049606323): 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

132 (769.13833618164): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294801357 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294801357 AND type='deeppockets_item' AND published='1' LIMIT 1

133 (88.930130004883): ( 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

134 (58.174133300781): ( 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

135 (60.081481933594): 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

136 (48.87580871582): 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

137 (73.909759521484): 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

138 (46.968460083008): 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

139 (49.829483032227): 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

140 (49.114227294922): 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

141 (66.041946411133): 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

142 (48.87580871582): 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

143 (!!!!! 5650.9971618652): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801357 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

144 (707.86476135254): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801357 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

145 (83.208084106445): SELECT name FROM jos_deeppockets WHERE id=212

146 (43.153762817383): SELECT name FROM jos_deeppockets WHERE id=212

147 (903.84483337402): 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

148 (!!!!! 3077.0301818848): 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

149 (113.96408081055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801357 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801357 AND published='1' LIMIT 1

150 (69.856643676758): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801357 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801357 AND published='1' LIMIT 1

151 (!!!!! 37756.91986084): TRUNCATE TABLE jos_trademed_module

152 (!!!!! 2191.0667419434): 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=294801357 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

153 (854.0153503418): 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=294801357 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

154 (!!!!! 1820.0874328613): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801357 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

155 (101.80473327637): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801357 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

156 (!!!!! 4034.9960327148): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801357 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801357 AND published='1' LIMIT 1

157 (876.90353393555): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801357 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801357 AND published='1' LIMIT 1

158 (!!!!! 2592.0867919922): 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

159 (686.1686706543): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801357 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801357 AND published='1' LIMIT 1

160 (83.92333984375): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801357 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801357 AND published='1' LIMIT 1

161 (426.05400085449): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294801357 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294801357 AND type='deeppockets_item' AND published='1' LIMIT 1

162 (53.882598876953): 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=0 or channel_id is null)

163 (46.968460083008): 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=0 or channel_id is null)

164 (575.06561279297): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

165 (!!!!! 1778.1257629395): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801357 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801357 AND published='1' LIMIT 1

166 (88.930130004883): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801357 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801357 AND published='1' LIMIT 1

167 (377.17819213867): select jos_twitters.link from jos_twitters where cat=10

168 (218.86825561523): select jos_facebook.link from jos_facebook where cat=10

169 (44.822692871094): select jos_google_plus.link from jos_google_plus where cat=10

170 (114.91775512695): select jos_linkedin.link from jos_linkedin where cat=10

171 (448.94218444824): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

172 (!!!!! 1713.0374908447): insert into jos_banners_delta values (14615,'2025-08-02 02:59:12','216.73.216.210','view'),(14202,'2025-08-02 02:59:12','216.73.216.210','view'),(14203,'2025-08-02 02:59:12','216.73.216.210','view')

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