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PET Scanning Detects Colorectal Cancer Recurrence Earlier

By MedImaging staff writers
Posted on 29 Apr 2008

Routine monitoring with positron emission tomography (PET) scanning that detects alterations in the function of cells, achieves earlier detection of recurrences of colorectal cancer than traditional scanning, which simply visualizes the structure of body tissues, a prospective study has shown.

Colorectal cancer--cancer affecting the lower part of the digestive tract--is the second most common cause of cancer-related deaths in Western countries. Most individuals newly diagnosed with the disease undergo surgery to completely remove their tumor. However, about half of people who have curative surgery go on to develop recurrent disease. The median survival after surgery is two years. Adjuvant chemotherapy--anticancer drug treatment given just after surgery--improves the prognosis, but one-third of patients having this treatment still suffer a recurrence within two years after surgery.

Surgery to remove metastases in the liver or lung in people who have a recurrence of colorectal cancer improves survival so that 35-40% are alive after five years. This means that it is very important to monitor patients with colorectal cancer regularly to identify recurrence as early as possible so that tumor tissue can be removed and their odds of survival improved. Most people have regular clinical examinations and computed tomography (CT) scans, which provide detailed images of structures inside the body, to look for signs of recurrence.

French researchers performed a study to determine if functional positron emission tomography (PET) imaging, which looks at the function of body cells by measuring their use of a radio-labeled isotope of glucose (18-fluorodeoxyglucose, 18FDG)--could detect recurrences of colorectal cancer earlier than CT imaging. They randomly allocated 130 patients who had undergone curative surgery for colorectal cancer followed by chemotherapy to regular follow-up with conventional tests or with PET scans.

All the patients had six follow-up appointments, starting from the ninth month after their initial surgery and continuing to 24 months or their death. They had a physical examination, measurement of biologic markers for cancer, an ultrasound scan every 3 months (replaced by abdominal CT scans after 9 and 15 months), and a chest X-ray every 6 months. Patients in the PET group also had 18FDG-PET scans after 9 and 15 months.

Results showed that recurrence occurred in 46 patients--25 in the FDG-PET group and 21 in the group having conventional follow-up. Use of PET scans revealed unexpected tumors in an additional three patients.

Recurrences were detected after a significantly shorter time with PET scanning (12.1 months, on average) compared with conventional follow-up (15.4 months, p = 0.01). Recurrences in the PET group were also more frequently cured by surgery, with 10 patients with recurrence being cured, compared with only 2 patients in the group not having PET scans.

Prof. Iradj Sobhani, from the Université Paris 12 and Hôpital Henri Mondor (Paris, France), and lead author of the study, commented, "We showed that FDG-PET is a valuable adjunct to conventional follow-up. Using this new follow-up strategy increased the rate of curative resection by allowing us to detect recurrences of colorectal cancer at an earlier stage. Regular FDG-PET monitoring in the follow-up of colorectal cancer patients may permit the earlier detection of recurrence. We would expect improved patient survival if such as [a] follow-up program was undertaken.”

PET scanners have now been developed that can detect even smaller tumors than the system used in the French study. The investigators noted that combined PET-CT scans appeared to provide more accurate diagnoses than using the techniques separately. They predicted that using combined PET-CT scans would make it easier to accurately determine the stage of a patient's cancer, although more research is needed to validate this.

The study was published online February 26, 2008 in the British Journal of Cancer.

Related Links:
Université Paris 12 and Hôpital Henri Mondor

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59 (!!!!! 2915.8592224121): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=279840000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=279840000 AND published='1' LIMIT 1

60 (111.81831359863): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=279840000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=279840000 AND published='1' LIMIT 1

61 (133.99124145508): 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 (603.91426086426): SELECT fid FROM jos_deeppockets WHERE id=279840000 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=279840000 AND published='1' LIMIT 1

63 (56.028366088867): 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 (40.054321289062): select jos_twitters.link from jos_twitters where cat=10

65 (29.087066650391): select jos_facebook.link from jos_facebook where cat=10

66 (31.948089599609): select jos_google_plus.link from jos_google_plus where cat=10

67 (29.087066650391): select jos_linkedin.link from jos_linkedin where cat=10

68 (31.948089599609): SELECT fid FROM jos_deeppockets WHERE id=279840000 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=279840000 AND published='1' LIMIT 1

69 (30.994415283203): 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 (348.09112548828): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=279840000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (225.06713867188): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=279840000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (37.908554077148): 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 (58.889389038086): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (!!!!! 4714.9658203125): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (104.90417480469): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (29.802322387695): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (71.048736572266): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=279840000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (35.04753112793): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=279840000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (36.001205444336): 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 (!!!!! 3521.9192504883): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (115.15617370605): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (56.028366088867): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (42.915344238281): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (56.982040405273): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (43.153762817383): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (!!!!! 3688.0970001221): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=279840000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=279840000 AND published='1' LIMIT 1

105 (136.8522644043): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=279840000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=279840000 AND published='1' LIMIT 1

106 (100.85105895996): 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=279840000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (745.05805969238): 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=279840000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (!!!!! 6931.7817687988): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=279840000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=279840000 AND published='1' LIMIT 1

109 (160.93254089355): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=279840000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=279840000 AND published='1' LIMIT 1

110 (72.002410888672): 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=279840000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (503.0632019043): 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=279840000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (567.19779968262): 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 (475.16822814941): 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 (604.15267944336): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=279840000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=279840000 AND published='1' LIMIT 1

115 (!!!!! 4174.9477386475): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=279840000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=279840000 AND published='1' LIMIT 1

116 (758.88633728027): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=279840000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=279840000 AND published='1' LIMIT 1

117 (102.99682617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=279840000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=279840000 AND published='1' LIMIT 1

118 (460.86311340332): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=279840000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=279840000 AND published='1' LIMIT 1

119 (74.863433837891): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=279840000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=279840000 AND published='1' LIMIT 1

120 (341.89224243164): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=279840000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=279840000 AND published='1' LIMIT 1

121 (58.889389038086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=279840000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=279840000 AND published='1' LIMIT 1

122 (532.86552429199): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 56766.986846924): 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 (869.0357208252): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=279840000 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=279840000 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 21900.89225769): ( 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 (55.074691772461): ( 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 (51.975250244141): 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 (45.061111450195): 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 (504.97055053711): 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 (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

131 (342.84591674805): 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 (149.01161193848): 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 (317.09671020508): 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 (36.001205444336): 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 (!!!!! 7667.064666748): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=279840000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (!!!!! 7921.9341278076): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=279840000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (!!!!! 7814.884185791): SELECT name FROM jos_deeppockets WHERE id=213

138 (!!!!! 7988.9297485352): SELECT name FROM jos_deeppockets WHERE id=213

139 (!!!!! 8062.8395080566): 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 (!!!!! 7843.017578125): 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 (!!!!! 7731.9145202637): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=279840000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=279840000 AND published='1' LIMIT 1

142 (!!!!! 7981.7771911621): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=279840000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=279840000 AND published='1' LIMIT 1

143 (!!!!! 26551.961898804): TRUNCATE TABLE jos_trademed_module

144 (!!!!! 3986.120223999): 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=279840000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (292.06275939941): 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=279840000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (432.96813964844): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=279840000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (!!!!! 1651.0486602783): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=279840000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (112.05673217773): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=279840000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=279840000 AND published='1' LIMIT 1

149 (!!!!! 1788.1393432617): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=279840000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=279840000 AND published='1' LIMIT 1

150 (!!!!! 1885.8909606934): 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 (!!!!! 13031.005859375): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=279840000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=279840000 AND published='1' LIMIT 1

152 (!!!!! 6541.0137176514): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=279840000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=279840000 AND published='1' LIMIT 1

153 (803.94744873047): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=279840000 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=279840000 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (!!!!! 4926.9199371338): 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 (385.99967956543): 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 (!!!!! 9069.2043304443): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (!!!!! 7524.9671936035): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=279840000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=279840000 AND published='1' LIMIT 1

158 (!!!!! 7964.1342163086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=279840000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=279840000 AND published='1' LIMIT 1

159 (!!!!! 7771.9688415527): select jos_twitters.link from jos_twitters where cat=10

160 (!!!!! 7956.9816589355): select jos_facebook.link from jos_facebook where cat=10

161 (!!!!! 7956.0279846191): select jos_google_plus.link from jos_google_plus where cat=10

162 (!!!!! 7926.9409179688): select jos_linkedin.link from jos_linkedin where cat=10

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