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New Cardiac MRI Strategy Guides Ablation Procedures for Complex Tachycardias

By MedImaging International staff writers
Posted on 09 Oct 2024

Image: The new image processing strategy for cardiac MRI identifies culprit areas underlying complex tachycardias (Photo courtesy of 123RF)

Ablation procedures use energy—typically heat or cold—to target and eliminate small areas of heart tissue that trigger abnormal cardiac arrhythmias, restoring normal heart rhythm. This approach is often applied to treat ventricular tachycardias that result from scarred regions following a myocardial infarction. A new strategy has now been proposed to guide ablation procedures for patients with complex tachycardias. It involves preoperative planning based on a cardiac magnetic resonance (CMR) imaging technique that avoids the biases associated with conventional image analysis.

A multicenter study, led by the National Centre for Cardiovascular Research (Madrid, Spain), has described and validated this novel approach that utilizes advanced CMR image processing methods to identify the regions that sustain ventricular tachycardia in areas affected by postinfarction scarring. The method systematically processes the images, bypassing the biases that can occur when CMR imaging parameters are selected manually. This approach enhances sensitivity in detecting the regions responsible for these arrhythmias. Moreover, it supports preoperative planning by enabling operators to accurately locate these areas before the ablation procedure begins. Published in the journal Europace, the study employed a swine model of myocardial infarction to explore how variability in image processing parameters can obstruct accurate detection of cardiac tissue circuits that drive complex ventricular tachycardias.

Using this animal model, the researchers devised a strategy to overcome this issue. The method was later validated in patients through a multicenter study conducted from 2013 to 2022, involving leading national and international experts. The new image-processing technique simplifies the visualization of cardiac tissue at varying depths, allowing for an objective evaluation of the cardiac wall. It eliminates operator bias in the selection of imaging parameters, enabling accurate detection of the myocardial regions responsible for postinfarction ventricular tachycardia. The streamlined planning of ablation procedures with this method is especially beneficial for patients in whom conventional invasive catheter mapping is contraindicated, as it carries the risk of inducing more severe tachycardias and circulatory collapse. Instead of these risky procedures, the new approach uses pre-ablation cardiac imaging to identify target areas, reducing risk while maintaining the procedure's efficacy.

“The study helps to fill gaps in the integration of imaging data during the planning of ablation procedures for ventricular tachycardia,” said study coordinator David Filgueiras. “By allowing personalized and unbiassed pre-procedure planning, the new method can reduce procedure times and complications, which is especially useful in patients with severe and poorly tolerated episodes. The strategy achieves a high success rate without the need for invasive catheter mapping procedures, which in any case are frequently contraindicated by the patient’s clinical condition.”

“The conventional strategies used to characterize regions causing postinfarction ventricular tachycardia require invasive catheter mapping, a risky process that increases the time needed for the ablation procedure,” added study coauthor, Julián Pérez Villacastín. “The new approach identifies the culprit areas during preoperative planning and offers a standardized and unbiased method, allowing medical professionals in different centers to carry out ablations in a more controlled manner in highly complex patients.”

Related Links:
National Centre for Cardiovascular Research

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62 (506.87789916992): SELECT fid FROM jos_deeppockets WHERE id=294802702 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294802702 AND published='1' LIMIT 1

63 (48.160552978516): 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 (53.167343139648): select jos_twitters.link from jos_twitters where cat=10

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

66 (30.994415283203): select jos_google_plus.link from jos_google_plus where cat=10

67 (28.133392333984): select jos_linkedin.link from jos_linkedin where cat=10

68 (48.160552978516): SELECT fid FROM jos_deeppockets WHERE id=294802702 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294802702 AND published='1' LIMIT 1

69 (31.948089599609): 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 (324.01084899902): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294802702 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (221.96769714355): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294802702 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (41.961669921875): 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 (50.067901611328): 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 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (45.061111450195): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294802702 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=294802702 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 (61.03515625): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (43.153762817383): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (34.809112548828): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (74.148178100586): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802702 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802702 AND published='1' LIMIT 1

105 (42.915344238281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802702 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802702 AND published='1' LIMIT 1

106 (51.975250244141): 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=294802702 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (45.061111450195): 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=294802702 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (85.115432739258): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802702 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802702 AND published='1' LIMIT 1

109 (53.167343139648): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802702 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802702 AND published='1' LIMIT 1

110 (52.928924560547): 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=294802702 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (958.91952514648): 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=294802702 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (547.88589477539): 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 (396.9669342041): 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 (170.94612121582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802702 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802702 AND published='1' LIMIT 1

115 (200.98686218262): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802702 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802702 AND published='1' LIMIT 1

116 (93.936920166016): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802702 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802702 AND published='1' LIMIT 1

117 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802702 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802702 AND published='1' LIMIT 1

118 (43.869018554688): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802702 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802702 AND published='1' LIMIT 1

119 (38.14697265625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802702 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802702 AND published='1' LIMIT 1

120 (40.054321289062): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802702 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802702 AND published='1' LIMIT 1

121 (37.908554077148): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802702 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802702 AND published='1' LIMIT 1

122 (303.03001403809): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 20791.053771973): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7

124 (535.01129150391): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294802702 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294802702 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 7459.1636657715): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

126 (82.015991210938): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

127 (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

128 (31.232833862305): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

129 (65.088272094727): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

130 (28.848648071289): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

131 (299.93057250977): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

132 (39.815902709961): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

133 (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

134 (29.087066650391): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

135 (499.01008605957): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802702 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (369.07196044922): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802702 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (37.908554077148): SELECT name FROM jos_deeppockets WHERE id=212

138 (29.087066650391): SELECT name FROM jos_deeppockets WHERE id=212

139 (646.11434936523): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))212((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

140 (462.05520629883): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))212((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

141 (63.180923461914): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802702 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802702 AND published='1' LIMIT 1

142 (49.829483032227): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802702 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802702 AND published='1' LIMIT 1

143 (!!!!! 15265.941619873): TRUNCATE TABLE jos_trademed_module

144 (89.883804321289): 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=294802702 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (79.154968261719): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294802702 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (345.23010253906): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802702 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (74.863433837891): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802702 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802702 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802702 AND published='1' LIMIT 1

149 (46.014785766602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802702 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802702 AND published='1' LIMIT 1

150 (!!!!! 1224.0409851074): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

151 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802702 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802702 AND published='1' LIMIT 1

152 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802702 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802702 AND published='1' LIMIT 1

153 (38.14697265625): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294802702 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294802702 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (34.093856811523): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=212 or channel_id is null)

155 (31.948089599609): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=212 or channel_id is null)

156 (34.093856811523): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (324.96452331543): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802702 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802702 AND published='1' LIMIT 1

158 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802702 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802702 AND published='1' LIMIT 1

159 (112.05673217773): select jos_twitters.link from jos_twitters where cat=10

160 (33.140182495117): select jos_facebook.link from jos_facebook where cat=10

161 (33.140182495117): select jos_google_plus.link from jos_google_plus where cat=10

162 (44.107437133789): select jos_linkedin.link from jos_linkedin where cat=10

163 (443.93539428711): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

164 (!!!!! 1002.0732879639): insert into jos_banners_delta values (14615,'2025-08-01 09:35:54','216.73.216.8','view'),(14202,'2025-08-01 09:35:54','216.73.216.8','view'),(14203,'2025-08-01 09:35:54','216.73.216.8','view')

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