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VMAT Radiotherapy Reduces Patient Treatment Time with More Precise Tumor Targeting

By MedImaging staff writers
Posted on 07 May 2008

Patients in the United Kingdom and Austria have completed the world's first image-guided intensity modulated arc therapy treatments using sophisticated radiotherapy equipment.

The Royal Marsden Hospital (Sutton UK) pioneered clinical use of an Elekta (Stockholm, Sweden) Synergy image-guided system fitted with the new Elekta linear accelerator control system to deliver volumetric intensity modulated arc therapy (VMAT) to a patient undergoing a course of radiation therapy treatment for lung cancer.

"On Monday 28th of January we treated our first patient with the VMAT technique,” reported Jim Warrington, head of radiotherapy physics at the Royal Marsden. "The patient received a single 340° arc of 6 MV X-rays, with simultaneously variable gantry rotation speed, dose rate and dynamic multi-leaf collimator modulation. The treatment arc delivered a 2-Gray fraction to the target in 93 seconds. The efficiency and flexibility of this technique is impressive, and we hope to be able to expand the use of this advanced new treatment method to become routine practice in the future. We anticipate that when used in conjunction with our Elekta Synergy image guidance systems and employing non-coplanar angles of delivery, VMAT will be a significantly improved treatment modality for the Royal Marsden's radiotherapy patients” he concluded.

The two key benefits of this unique technology promise to be a significant reduction in treatment time (in the case of the Royal Marsden treatment, 50% from the patient's previous conformal plan) combined with a significant improvement in conformance to the target and sparing of dose to adjacent healthy tissues. An additional benefit of reducing treatment times is greater comfort for the patient, which in turn, by making it easier for the patient to keep still, increases the likelihood of delivering radiation beams more accurately as targeted.

During the same week in January 2008, Allgemeines KrankenHaus/Medical University of Vienna (AKH; Austria) delivered the world's first PreciseBeam VMAT treatment. PreciseBeam VMAT is delivered as a combination of optimized treatment planning using Ergo++ and an Elekta Synergy linear accelerator, upgraded with a next-generation digital control system.

The treatment was to an intracranial glioblastoma and consisted of three non-coplanar VMAT arcs with variable gantry speed and simultaneous leaf movement and rotation of the dynamic multileaf collimator. The Elekta accelerators are unique in their ability to deliver this level of movement complexity. The patient had a brain lesion very close to vital structures such as hypophysis, brain stem, optical nerves, and lenses of the eyes, however the treatment was completed within 10 minutes--including set-up, imaging, repositioning, and delivery.

"The new system will revolutionize the practice of tailored intensity modulated radiotherapy during the next decade,” commented Prof. Dr. Richard Pötter, chief medical doctor at AKH. "Very soon, not only head and neck lesions but also tumors in the lung, close to the cervical spine and in the pelvis will be treated with VMAT.”

"For many years AKH has been practicing a technique called IMRT. The new technique VMAT adds the possibility of modulating the radiation intensity during an arc treatment. The advantage is an even better sparring of healthy organs and a more effective and better targeted irradiation of the tumor … At the same time, the total treatment time is significantly reduced from 15 minutes to 6-7 minutes, which is of highest importance for patients with serious diseases,” continued Prof. Dr. Pötter.

Related Links:
Royal Marsden Hospital
Elekta
Allgemeines KrankenHaus/Medical University of Vienna

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60 (97.036361694336): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=280600000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=280600000 AND published='1' LIMIT 1

61 (472.06878662109): 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 (!!!!! 1027.1072387695): SELECT fid FROM jos_deeppockets WHERE id=280600000 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=280600000 AND published='1' LIMIT 1

63 (420.09353637695): 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 (504.0168762207): select jos_twitters.link from jos_twitters where cat=10

65 (!!!!! 6298.7804412842): select jos_facebook.link from jos_facebook where cat=10

66 (592.94700622559): select jos_google_plus.link from jos_google_plus where cat=10

67 (34.093856811523): select jos_linkedin.link from jos_linkedin where cat=10

68 (!!!!! 1003.0269622803): SELECT fid FROM jos_deeppockets WHERE id=280600000 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=280600000 AND published='1' LIMIT 1

69 (597.00012207031): 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 (442.0280456543): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=280600000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (!!!!! 1873.9700317383): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=280600000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (!!!!! 2406.120300293): 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 (139.95170593262): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (610.1131439209): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (700.95062255859): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (59.127807617188): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (59.127807617188): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=280600000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (29.087066650391): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=280600000 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 (87.976455688477): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (!!!!! 1623.8689422607): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (43.869018554688): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (178.09867858887): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (253.91578674316): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (109.19570922852): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=280600000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=280600000 AND published='1' LIMIT 1

105 (77.009201049805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=280600000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=280600000 AND published='1' LIMIT 1

106 (64.13459777832): 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=280600000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (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_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=280600000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (65.088272094727): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=280600000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=280600000 AND published='1' LIMIT 1

109 (71.048736572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=280600000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=280600000 AND published='1' LIMIT 1

110 (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.id=280600000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (408.88786315918): 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=280600000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (!!!!! 7750.0343322754): 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 (!!!!! 3245.1152801514): 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 (!!!!! 2190.113067627): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=280600000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=280600000 AND published='1' LIMIT 1

115 (!!!!! 6323.0991363525): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=280600000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=280600000 AND published='1' LIMIT 1

116 (!!!!! 3846.1685180664): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=280600000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=280600000 AND published='1' LIMIT 1

117 (!!!!! 6594.181060791): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=280600000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=280600000 AND published='1' LIMIT 1

118 (!!!!! 7721.9009399414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=280600000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=280600000 AND published='1' LIMIT 1

119 (!!!!! 5373.0010986328): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=280600000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=280600000 AND published='1' LIMIT 1

120 (!!!!! 6026.9832611084): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=280600000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=280600000 AND published='1' LIMIT 1

121 (!!!!! 2826.2138366699): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=280600000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=280600000 AND published='1' LIMIT 1

122 (!!!!! 7894.0391540527): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 64040.899276733): 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 (!!!!! 3650.9037017822): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=280600000 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=280600000 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 14662.027359009): ( 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 (!!!!! 6908.8935852051): ( 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 (88.930130004883): 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 (44.822692871094): 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 (185.96649169922): 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 (226.97448730469): 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 (339.98489379883): 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 (53.167343139648): 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 (574.11193847656): 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 (51.975250244141): 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 (735.99815368652): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=280600000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (491.14227294922): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=280600000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (336.88545227051): SELECT name FROM jos_deeppockets WHERE id=213

138 (33.855438232422): SELECT name FROM jos_deeppockets WHERE id=213

139 (527.14347839355): 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 (469.92301940918): 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 (!!!!! 5275.9647369385): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=280600000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=280600000 AND published='1' LIMIT 1

142 (80.108642578125): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=280600000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=280600000 AND published='1' LIMIT 1

143 (!!!!! 12413.024902344): TRUNCATE TABLE jos_trademed_module

144 (79.870223999023): 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=280600000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (927.92510986328): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=280600000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (!!!!! 10523.080825806): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=280600000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (155.92575073242): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=280600000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (68.187713623047): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=280600000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=280600000 AND published='1' LIMIT 1

149 (42.915344238281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=280600000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=280600000 AND published='1' LIMIT 1

150 (!!!!! 1253.8433074951): 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=280600000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=280600000 AND published='1' LIMIT 1

152 (45.061111450195): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=280600000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=280600000 AND published='1' LIMIT 1

153 (509.97734069824): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=280600000 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=280600000 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (41.007995605469): 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 (30.994415283203): 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 (31.948089599609): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (!!!!! 4179.9545288086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=280600000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=280600000 AND published='1' LIMIT 1

158 (144.00482177734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=280600000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=280600000 AND published='1' LIMIT 1

159 (36.001205444336): select jos_twitters.link from jos_twitters where cat=10

160 (33.855438232422): select jos_facebook.link from jos_facebook where cat=10

161 (39.100646972656): select jos_google_plus.link from jos_google_plus where cat=10

162 (!!!!! 2088.0699157715): select jos_linkedin.link from jos_linkedin where cat=10

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