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PET/CT Scans Detect Hidden Tumors in Rare Cancer Syndrome

By MedImaging staff writers
Posted on 15 Apr 2008

Researchers reported that full-body positron emission tomography/computed tomography (PET/CT) scanning detected unsuspected, treatable tumors in three of 15 patients with Li-Fraumeni syndrome (LFS), a rare genetic cancer syndrome for which no screening tests have been recommended.

The results suggested that periodic scans in combination with physical exams might detect more tumors at a curable stage, the investigators reported in the March 19, 2008, issue of the Journal of the American Medical Association (JAMA). But they caution that additional, larger studies are needed to determine whether PET/CT screening is beneficial in LFS patients, who are highly susceptible to a variety of cancers from an early age because of an inborn gene mutation.

"We need to be cautious, and we shouldn't say that every patient with the syndrome should have a PET/CT examination,” said Annick Van Den Abbeele, M.D., clinical director of radiology and director of nuclear medicine/PET at Dana-Farber Cancer Institute (Boston, MA, USA). "But the study showed some interesting findings that justify a larger, international study in these patients.”

PET detects cancers by tracking their abnormal appetite for glucose compared to normal tissues, while CT utilizes X-rays to show anatomic and structural details. Combining the two modalities in a single machine allows a patient to undergo both exams in one session; the resulting images are superimposed to reveal the exact location of suspected tumors.

LFS is a rare hereditary cancer syndrome named for the researchers who first described it, Frederick Li, M.D., of Dana-Farber and Joseph Fraumeni Jr., M.D., of the U.S. National Cancer Institute (NCI; Bethesda, MD, USA). In most instances, the cause is a mutation in the TP53 tumor-suppressor gene that can be inherited and creates a high risk of a variety of tumors, including sarcomas, breast cancer, leukemia, brain tumors, and many more common cancers at unusually early ages, including childhood. Among individuals with LFS, the chance of developing any cancer has been estimated at 50% by age 30, and 90% by age 60. A survivor of one cancer has a high risk of developing a new malignancy over time.

The syndrome is typically diagnosed after several members of a family develop early-onset tumors, prompting a test for the mutated gene. Currently, there is no specific screening test to detect cancers before they become symptomatic in individuals carrying the Li-Fraumeni mutation because they are prone to such a wide variety of cancer types.

The pilot study recruited 15 healthy members of Li-Fraumeni families carrying the TP53 mutation and who had not been diagnosed with cancer in the past five years. Many of the volunteers were members of Li-Fraumeni families who had participated in research through Dana-Farber and the NCI for many years.

The combined PET/CT images revealed thyroid cancer in a 31-year-old breast cancer survivor and in a 48-year-old survivor of breast cancer and a childhood sarcoma. Moreover, a 36-year-old man with no cancer history was found to have a tumor at the junction of his esophagus and stomach.

Whether earlier detection of tumors in LFS patients will mean increased survival remains to be shown in longer-term studies, the scientists reported. Another uncertainty is whether the potential benefit from periodic screening would outweigh the risks that the radiation exposure might trigger cancers in the cancer-prone LFS patients. Each PET/CT scan exposes the individual to an amount of radiation that is half of the allowable yearly limit for a worker in the radiation industry, according to the study.

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Dana-Farber Cancer Institute

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60 (70.095062255859): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=278280000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=278280000 AND published='1' LIMIT 1

61 (!!!!! 3547.9068756104): select cover from jos_number where journalid in (5) and cover is not null order by left(issue,2)+right(issue,2)*12 desc limit 1

62 (!!!!! 1588.8214111328): SELECT fid FROM jos_deeppockets WHERE id=278280000 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=278280000 AND published='1' LIMIT 1

63 (47.922134399414): 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=213 ORDER BY `ordering`

64 (!!!!! 2428.0548095703): select jos_twitters.link from jos_twitters where cat=10

65 (54.121017456055): select jos_facebook.link from jos_facebook where cat=10

66 (!!!!! 1300.8117675781): select jos_google_plus.link from jos_google_plus where cat=10

67 (262.97569274902): select jos_linkedin.link from jos_linkedin where cat=10

68 (924.11041259766): SELECT fid FROM jos_deeppockets WHERE id=278280000 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=278280000 AND published='1' LIMIT 1

69 (431.06079101562): 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=213 ORDER BY `ordering`

70 (!!!!! 3904.8194885254): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=278280000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (929.11720275879): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=278280000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (82.015991210938): 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 (!!!!! 1519.9184417725): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (133.99124145508): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (216.96090698242): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (100.85105895996): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (491.14227294922): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (!!!!! 3290.8916473389): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (66.041946411133): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (198.8410949707): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (84.877014160156): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (423.90823364258): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (42.915344238281): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (!!!!! 3613.9488220215): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=278280000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (52.213668823242): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=278280000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (57.93571472168): 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 (!!!!! 7149.9347686768): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (!!!!! 7606.9831848145): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (!!!!! 7822.0367431641): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (!!!!! 7990.1218414307): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (!!!!! 7883.0718994141): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (!!!!! 7961.9884490967): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (!!!!! 7873.0583190918): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (!!!!! 8075.9525299072): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (!!!!! 7907.8674316406): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (!!!!! 8187.0555877686): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (!!!!! 5311.9659423828): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (219.10667419434): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (716.9246673584): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (714.06364440918): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=278280000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=278280000 AND published='1' LIMIT 1

105 (64.13459777832): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=278280000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=278280000 AND published='1' LIMIT 1

106 (56.982040405273): 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=278280000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (411.9873046875): 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=278280000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (533.10394287109): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=278280000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=278280000 AND published='1' LIMIT 1

109 (189.06593322754): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=278280000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=278280000 AND published='1' LIMIT 1

110 (!!!!! 7925.9872436523): 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=278280000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (!!!!! 7520.9140777588): 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=278280000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (!!!!! 3000.020980835): 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 (!!!!! 1094.8181152344): 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 (492.09594726562): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=278280000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=278280000 AND published='1' LIMIT 1

115 (616.07360839844): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=278280000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=278280000 AND published='1' LIMIT 1

116 (739.81285095215): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=278280000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=278280000 AND published='1' LIMIT 1

117 (324.96452331543): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=278280000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=278280000 AND published='1' LIMIT 1

118 (!!!!! 2810.9550476074): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=278280000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=278280000 AND published='1' LIMIT 1

119 (!!!!! 1023.0541229248): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=278280000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=278280000 AND published='1' LIMIT 1

120 (391.00646972656): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=278280000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=278280000 AND published='1' LIMIT 1

121 (!!!!! 1023.0541229248): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=278280000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=278280000 AND published='1' LIMIT 1

122 (!!!!! 3851.1753082275): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 56446.075439453): 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 (!!!!! 1601.9344329834): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=278280000 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=278280000 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (571.01249694824): ( 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 (61.03515625): ( 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 (!!!!! 1417.875289917): 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 (56.982040405273): 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 (422.00088500977): 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 (!!!!! 1067.8768157959): 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 (38.862228393555): 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 (85.115432739258): 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 (372.88665771484): 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 (42.200088500977): 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 (!!!!! 2728.9390563965): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=278280000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (!!!!! 6170.0344085693): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=278280000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (!!!!! 7848.9780426025): SELECT name FROM jos_deeppockets WHERE id=213

138 (!!!!! 7964.1342163086): SELECT name FROM jos_deeppockets WHERE id=213

139 (!!!!! 8189.9166107178): 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 '((;)|(^))213((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

140 (!!!!! 7997.989654541): 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 '((;)|(^))213((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

141 (!!!!! 7818.9373016357): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=278280000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=278280000 AND published='1' LIMIT 1

142 (!!!!! 7900.9532928467): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=278280000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=278280000 AND published='1' LIMIT 1

143 (!!!!! 11113.166809082): TRUNCATE TABLE jos_trademed_module

144 (524.99771118164): 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=278280000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (226.97448730469): 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=278280000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (!!!!! 1036.1671447754): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=278280000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (211.00044250488): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=278280000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (!!!!! 7339.0007019043): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=278280000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=278280000 AND published='1' LIMIT 1

149 (379.80079650879): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=278280000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=278280000 AND published='1' LIMIT 1

150 (!!!!! 3059.1487884521): 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 (403.16581726074): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=278280000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=278280000 AND published='1' LIMIT 1

152 (220.06034851074): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=278280000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=278280000 AND published='1' LIMIT 1

153 (212.19253540039): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=278280000 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=278280000 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (132.79914855957): 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=213 or channel_id is null)

155 (37.908554077148): 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=213 or channel_id is null)

156 (!!!!! 1296.0433959961): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (283.00285339355): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=278280000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=278280000 AND published='1' LIMIT 1

158 (52.928924560547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=278280000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=278280000 AND published='1' LIMIT 1

159 (187.87384033203): select jos_twitters.link from jos_twitters where cat=10

160 (136.8522644043): select jos_facebook.link from jos_facebook where cat=10

161 (31.948089599609): select jos_google_plus.link from jos_google_plus where cat=10

162 (144.95849609375): select jos_linkedin.link from jos_linkedin where cat=10

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