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New Method Combines EEG, MRI, and ML to Identify Seizure-Prone Brain Regions Before Surgery

By MedImaging International staff writers
Posted on 29 Aug 2024

Image: The faster, non-invasive approach finds epilepsy hotspots before surgery (Photo courtesy of 123RF)

Neurosurgery for patients with drug-resistant epilepsy involves locating the brain regions responsible for seizures. Generally, this requires patients to undergo 7 to 10 days of invasive intracranial EEG monitoring, where electrodes are implanted inside the brain through skull openings to record seizure activity. Researchers have now introduced a shorter, noninvasive technique for mapping seizure zones, which offers insights beyond what traditional EEGs can provide. Detailed in the journal Epilepsia, this novel method integrates standard scalp EEG readings with MRI data to map brain structures and employs machine learning to identify the brain areas most likely to generate seizures.

The team at Boston Children’s Hospital (Boston, MA, USA) conducted a retrospective analysis using approximately five minutes of scalp EEG data from 50 patients with drug-resistant epilepsy who had undergone neurosurgery. By incorporating MRI data and applying machine learning algorithms, they defined functional cortical networks, capable of detecting epileptiform activity not visible to the naked eye and even in the absence of discernible brain abnormalities on MRI. The algorithm showed a 75% accuracy rate (91% sensitivity, 74% specificity) in pinpointing seizure zones during episodes of epileptiform activity and 62% accuracy during non-epileptiform periods. The algorithm was less likely to match the targeted zones in patients who continued to experience seizures post-surgery, implying the initial surgical intervention did not accurately target the epileptic focus.

In cases where surgery did not stop the seizures, the model suggested that not all epileptogenic regions had been removed. It also pointed out scenarios where the epileptic area might be too extensive for resection, suggesting that such patients might better benefit from palliative treatments like neuromodulation. The researchers aim to further validate their approach in a larger, prospective study and determine which patients with drug-resistant epilepsy could most benefit from surgical interventions. Given its brief and noninvasive nature, this new technique could be applied earlier in the disease process, potentially allowing for earlier surgical interventions and helping to mitigate the neurodevelopmental impacts of epilepsy.

“Using computational tools, we can reconstruct cortical activity that the eye cannot catch and understand how different regions are functionally connected,” said Eleonora Tamilia, PhD, who directs the Epilepsy Monitoring Unit Signal and Data Science Program within the Epilepsy Center at Boston Children’s Hospital. “If a seizure starts in one region of the cortex, it’s likely to spread to another network it connects to. Even regions that are far apart may fire together.”

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56 (!!!!! 1654.1481018066): 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'

57 (103.95050048828): 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=294802310 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

58 (!!!!! 3287.0769500732): 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=294802310 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

59 (!!!!! 1640.0814056396): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802310 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802310 AND published='1' LIMIT 1

60 (73.909759521484): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802310 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802310 AND published='1' LIMIT 1

61 (!!!!! 2795.934677124): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802310 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802310 AND published='1' LIMIT 1

62 (123.02398681641): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802310 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802310 AND published='1' LIMIT 1

63 (!!!!! 4561.185836792): 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

64 (834.94186401367): SELECT fid FROM jos_deeppockets WHERE id=294802310 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294802310 AND published='1' LIMIT 1

65 (586.98654174805): 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`

66 (58.889389038086): select jos_twitters.link from jos_twitters where cat=10

67 (40.054321289062): select jos_facebook.link from jos_facebook where cat=10

68 (576.01928710938): select jos_google_plus.link from jos_google_plus where cat=10

69 (56.982040405273): select jos_linkedin.link from jos_linkedin where cat=10

70 (53.882598876953): SELECT fid FROM jos_deeppockets WHERE id=294802310 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294802310 AND published='1' LIMIT 1

71 (53.167343139648): 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`

72 (982.99980163574): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294802310 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

73 (486.13548278809): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294802310 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

74 (72.002410888672): 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`

75 (750.78010559082): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (751.97219848633): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (287.05596923828): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (50.067901611328): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (85.115432739258): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (42.915344238281): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (138.99803161621): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (123.97766113281): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (44.822692871094): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (339.03121948242): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (53.167343139648): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (768.89991760254): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294802310 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

90 (41.007995605469): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294802310 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

91 (245.09429931641): 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`

92 (324.96452331543): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (172.13821411133): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (52.928924560547): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (120.87821960449): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (173.80714416504): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (174.99923706055): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (144.00482177734): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (138.99803161621): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (710.01052856445): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802310 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802310 AND published='1' LIMIT 1

107 (293.01643371582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802310 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802310 AND published='1' LIMIT 1

108 (343.08433532715): 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=294802310 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

109 (814.91470336914): 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=294802310 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

110 (!!!!! 1228.0941009521): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802310 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802310 AND published='1' LIMIT 1

111 (84.877014160156): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802310 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802310 AND published='1' LIMIT 1

112 (!!!!! 1202.1064758301): 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=294802310 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (505.92422485352): 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=294802310 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

114 (834.94186401367): 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=294802307 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

115 (463.96255493164): 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=294802307 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

116 (665.90309143066): 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

117 (530.00450134277): 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

118 (182.8670501709): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802310 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802310 AND published='1' LIMIT 1

119 (55.074691772461): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802310 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802310 AND published='1' LIMIT 1

120 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802310 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802310 AND published='1' LIMIT 1

121 (73.909759521484): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802310 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802310 AND published='1' LIMIT 1

122 (46.014785766602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802310 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802310 AND published='1' LIMIT 1

123 (36.001205444336): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802310 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802310 AND published='1' LIMIT 1

124 (41.007995605469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802310 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802310 AND published='1' LIMIT 1

125 (36.954879760742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802310 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802310 AND published='1' LIMIT 1

126 (411.03363037109): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

127 (!!!!! 55047.035217285): 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

128 (741.00494384766): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294802310 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294802310 AND type='deeppockets_item' AND published='1' LIMIT 1

129 (!!!!! 19044.160842896): ( 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

130 (108.00361633301): ( 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

131 (46.014785766602): 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

132 (30.994415283203): 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

133 (94.175338745117): 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

134 (41.007995605469): 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

135 (364.06517028809): 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

136 (40.054321289062): 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

137 (40.769577026367): 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

138 (30.994415283203): 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

139 (991.8212890625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802310 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

140 (577.21138000488): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802310 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

141 (277.04238891602): SELECT name FROM jos_deeppockets WHERE id=212

142 (52.928924560547): SELECT name FROM jos_deeppockets WHERE id=212

143 (!!!!! 1711.8453979492): 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

144 (944.85282897949): 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

145 (339.98489379883): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802310 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802310 AND published='1' LIMIT 1

146 (266.07513427734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802310 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802310 AND published='1' LIMIT 1

147 (!!!!! 17511.129379272): TRUNCATE TABLE jos_trademed_module

148 (855.2074432373): 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=294802310 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

149 (927.92510986328): 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=294802310 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

150 (890.97023010254): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802310 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

151 (!!!!! 3626.1081695557): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802310 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

152 (120.87821960449): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802310 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802310 AND published='1' LIMIT 1

153 (113.01040649414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802310 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802310 AND published='1' LIMIT 1

154 (!!!!! 2774.9538421631): 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

155 (102.04315185547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802310 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802310 AND published='1' LIMIT 1

156 (63.180923461914): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802310 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802310 AND published='1' LIMIT 1

157 (264.88304138184): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294802310 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294802310 AND type='deeppockets_item' AND published='1' LIMIT 1

158 (!!!!! 1145.1244354248): 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)

159 (56.982040405273): 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)

160 (430.82237243652): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

161 (!!!!! 1868.0095672607): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802310 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802310 AND published='1' LIMIT 1

162 (87.02278137207): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802310 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802310 AND published='1' LIMIT 1

163 (452.99530029297): select jos_twitters.link from jos_twitters where cat=10

164 (138.0443572998): select jos_facebook.link from jos_facebook where cat=10

165 (257.01522827148): select jos_google_plus.link from jos_google_plus where cat=10

166 (51.975250244141): select jos_linkedin.link from jos_linkedin where cat=10

167 (550.0316619873): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

168 (!!!!! 4340.8870697021): insert into jos_banners_delta values (14615,'2025-08-01 09:30:36','216.73.216.8','view'),(14202,'2025-08-01 09:30:36','216.73.216.8','view'),(14203,'2025-08-01 09:30:36','216.73.216.8','view')

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