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Novel Approach Combines Advanced Robotics and Low-Field MRI Technology for Incisionless Prostate Surgery

By MedImaging International staff writers
Posted on 07 Oct 2024

Image: Virtuoso’s revolutionary system resets scale and reimagines the future of robotic endoscopic surgery (Photo courtesy of Virtuoso Surgical)

Researchers at Case Western Reserve University (CWRU, Cleveland, OH, USA) and Vanderbilt University (Nashville, TN, USA) are spearheading a groundbreaking approach to prostate cancer surgery by integrating advanced robotics with “low-field” MRI technology. This research aims to achieve highly precise, personalized prostate cancer surgeries without the need for traditional incisions. This innovative work represents a significant advancement in minimally invasive prostate cancer treatments, with the potential to enhance both patient safety and procedural efficiency.

The research team plans to adapt a robotic system from Virtuoso Surgical Inc. (Nashville, TN, USA) to remove prostate cancer lesions, combining it with Promaxo Inc.’s (Oakland, CA, USA) MRI technology. The Virtuoso Surgical system features two robotically controlled, needle-sized manipulators working from the tip of a rigid endoscope that is less than half the diameter of a U.S. dime. This endoscope is significantly smaller than current robotic endoscope systems, and its manipulators are just 1mm in diameter. Equipped with a camera, the endoscope offers a variety of tools depending on the procedure, such as a tissue grasper, retractor, tissue snare, laser aiming manipulator, and electrosurgical devices. Virtuoso is progressing toward the commercialization of its robotic surgical system and also exploring the application of its robotic technology for bladder lesion removal. While initial clinical applications are likely to focus on bladder lesions and benign prostatic hyperplasia (BPH) tissue removal, this technology has the potential to enhance numerous surgical procedures performed through rigid endoscopes.

Unlike traditional transrectal ultrasound, Promaxo’s MRI can image the prostate without obstructing surgical access to the lesions. Promaxo’s MRI system, FDA cleared for in-office use, integrates AI-based imaging to guide prostate interventions with precision. Designed for ease of transport and installation, Promaxo’s MRI can be set up in a standard physician’s office with minimal facility modifications. Unlike conventional MRI systems, it does not require hazardous materials or complex safety protocols, such as quenching. The system's confined fringe field eliminates the need for RF shielding, while its quieter operation and low energy consumption make it both patient-friendly and cost-effective.

“Our goal is to eliminate the many complications associated with whole-gland prostate removal to treat prostate cancer,” said William Grissom, the Medtronic Professor of Biomedical Discovery and Innovation at the Case Western Reserve School of Medicine and Case School of Engineering. “Targeted removal of localized prostate lesions could alleviate these complications but is challenging because cancerous tissue can appear identical to healthy tissue in endoscopic images, making accurate surgery difficult.”

“The new robot will be able to carefully guide surgical instruments directly to prostate cancer lesions identified in high-field MR images,” added Robert Webster, the Richard A. Schroeder Professor of Mechanical Engineering at Vanderbilt University. “This will enable surgeons to focus treatment on specific cancerous lesions.”

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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=294802671 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

58 (710.01052856445): 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=294802671 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

59 (!!!!! 2401.1135101318): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802671 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802671 AND published='1' LIMIT 1

60 (185.01281738281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802671 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802671 AND published='1' LIMIT 1

61 (123.97766113281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802671 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802671 AND published='1' LIMIT 1

62 (64.849853515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802671 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802671 AND published='1' LIMIT 1

63 (!!!!! 3733.1581115723): 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 (685.9302520752): SELECT fid FROM jos_deeppockets WHERE id=294802671 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294802671 AND published='1' LIMIT 1

65 (71.048736572266): 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 (80.108642578125): select jos_twitters.link from jos_twitters where cat=10

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

68 (67.949295043945): 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 (51.975250244141): SELECT fid FROM jos_deeppockets WHERE id=294802671 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294802671 AND published='1' LIMIT 1

71 (41.007995605469): 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 (488.0428314209): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294802671 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

73 (405.07316589355): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294802671 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

74 (64.849853515625): 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 (510.93101501465): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (55.074691772461): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (139.95170593262): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (580.0724029541): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (47.922134399414): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (43.869018554688): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (132.79914855957): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (!!!!! 1114.1300201416): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294802671 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

90 (134.94491577148): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294802671 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

91 (205.99365234375): 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 (685.21499633789): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (51.021575927734): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (180.95970153809): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (155.21049499512): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (185.96649169922): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (185.01281738281): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (165.93933105469): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (133.03756713867): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (684.02290344238): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (48.87580871582): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (154.01840209961): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802671 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802671 AND published='1' LIMIT 1

107 (53.882598876953): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802671 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802671 AND published='1' LIMIT 1

108 (334.9781036377): 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=294802671 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

109 (!!!!! 1366.138458252): 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=294802671 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

110 (501.15585327148): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802671 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802671 AND published='1' LIMIT 1

111 (90.122222900391): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802671 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802671 AND published='1' LIMIT 1

112 (!!!!! 1332.9982757568): 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=294802671 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (491.14227294922): 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=294802671 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

114 (890.01655578613): 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=294802667 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

115 (531.91184997559): 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=294802667 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

116 (840.90232849121): 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 (498.05641174316): 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 (185.01281738281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802671 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802671 AND published='1' LIMIT 1

119 (103.95050048828): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802671 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802671 AND published='1' LIMIT 1

120 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802671 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802671 AND published='1' LIMIT 1

121 (52.928924560547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802671 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802671 AND published='1' LIMIT 1

122 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802671 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802671 AND published='1' LIMIT 1

123 (39.100646972656): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802671 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802671 AND published='1' LIMIT 1

124 (42.915344238281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802671 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802671 AND published='1' LIMIT 1

125 (43.869018554688): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802671 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802671 AND published='1' LIMIT 1

126 (247.95532226562): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

127 (!!!!! 50585.031509399): 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 (!!!!! 1317.9779052734): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294802671 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294802671 AND type='deeppockets_item' AND published='1' LIMIT 1

129 (!!!!! 19526.958465576): ( 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 (223.87504577637): ( 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 (159.97886657715): 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 (149.96528625488): 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 (205.03997802734): 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 (232.93495178223): 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 (151.8726348877): 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 (219.10667419434): 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 (186.92016601562): 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 (145.91217041016): 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 (518.798828125): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802671 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

140 (572.20458984375): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802671 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

141 (!!!!! 1010.1795196533): SELECT name FROM jos_deeppockets WHERE id=212

142 (54.121017456055): SELECT name FROM jos_deeppockets WHERE id=212

143 (931.97822570801): 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 (!!!!! 1091.9570922852): 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 (168.0850982666): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802671 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802671 AND published='1' LIMIT 1

146 (426.05400085449): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802671 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802671 AND published='1' LIMIT 1

147 (!!!!! 12680.053710938): TRUNCATE TABLE jos_trademed_module

148 (!!!!! 1641.9887542725): 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=294802671 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

149 (977.99301147461): 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=294802671 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

150 (914.09683227539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802671 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

151 (541.92543029785): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802671 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

152 (195.02639770508): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802671 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802671 AND published='1' LIMIT 1

153 (113.96408081055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802671 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802671 AND published='1' LIMIT 1

154 (!!!!! 1975.0595092773): 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 (188.11225891113): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802671 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802671 AND published='1' LIMIT 1

156 (143.05114746094): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802671 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802671 AND published='1' LIMIT 1

157 (108.00361633301): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294802671 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294802671 AND type='deeppockets_item' AND published='1' LIMIT 1

158 (41.961669921875): 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 (41.961669921875): 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 (680.92346191406): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

161 (440.12069702148): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802671 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802671 AND published='1' LIMIT 1

162 (834.94186401367): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802671 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802671 AND published='1' LIMIT 1

163 (51.975250244141): select jos_twitters.link from jos_twitters where cat=10

164 (31.948089599609): select jos_facebook.link from jos_facebook where cat=10

165 (32.901763916016): select jos_google_plus.link from jos_google_plus where cat=10

166 (30.994415283203): select jos_linkedin.link from jos_linkedin where cat=10

167 (313.04359436035): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

168 (!!!!! 1224.9946594238): 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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