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Image-Guided System Offers "Moving-Target” Radiotherapy

By MedImaging International staff writers
Posted on 26 Apr 2010

A new range of "super" accelerators is designed to advance the treatment of lung, breast, prostate, head and neck, and other types of cancer with unprecedented speed and precision.

The TrueBeam platform can be used for all forms of advanced external-beam radiotherapy, including image-guided radiotherapy and radiosurgery (IGRT and IGRS), intensity-modulated radiotherapy (IMRT), and stereotactic body radiotherapy (SBRT). The system can deliver treatments up to 50% faster, with a dose delivery rate of up to 2,400 monitor units per minute. Intelligent automation further speeds treatments, resulting in an up to five-fold reduction in the number of steps needed for imaging, positioning, and treating patients.

The precision of the system is measured in increments of less than a millimeter, an accuracy made possible by the system architecture, which establishes a high level of synchronization between imaging, patient positioning, motion management, beam shaping, and dose delivery technologies, by performing accuracy checks every ten milliseconds throughout an entire treatment. Over 100,000 data points are monitored continually as a treatment progresses, ensuring that the system maintains a true, or focal point of treatment (the isocenter). The TrueBeam system also delivers new "gated” RapidArc radiotherapy, which compensates for tumor motion by synchronizing imaging with dose delivery during a continuous rotation around the patient.

Other innovations built in to the TrueBeam system include a streamlined treatment console with a graphical, easy-to-use interface that consolidates all controls for imaging, treatment, and motion management. Treatment processes and workflows are simplified and easy to learn, with prompts, messages, and a simple guidance system that enhances safety by guiding therapists through the steps of even the most complex treatments. "One button" IGRT enables the therapist to spend more time attending to the patient, and less time managing the technology. The TrueBeam platform was developed by Varian Medical Systems (Palo alto, CA, USA), and includes the TrueBeam STx, which has been specially configured for advanced radiosurgery.

"This increased level of precision will make it possible for doctors to treat a moving lung tumor as if it were standing still,” said Tim Guertin, president and CEO of Varian Medical Systems. "By synchronizing treatment with tumor position changes throughout the respiratory cycle, doctors will be able to reduce the margin of healthy tissue affected by the treatment beam.”

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66 (!!!!! 7936.0008239746): select jos_google_plus.link from jos_google_plus where cat=10

67 (!!!!! 5818.1285858154): select jos_linkedin.link from jos_linkedin where cat=10

68 (!!!!! 5847.9309082031): SELECT fid FROM jos_deeppockets WHERE id=294729065 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294729065 AND published='1' LIMIT 1

69 (!!!!! 6963.9682769775): 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 (!!!!! 8354.1870117188): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294729065 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (!!!!! 6057.0240020752): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294729065 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (307.08312988281): 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 (766.99256896973): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (56.028366088867): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (931.97822570801): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (48.87580871582): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (361.91940307617): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (161.17095947266): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (92.029571533203): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (361.91940307617): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (354.05158996582): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (147.10426330566): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (359.05838012695): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (497.10273742676): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (502.8247833252): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (54.121017456055): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (!!!!! 1850.1281738281): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294729065 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (!!!!! 4395.9617614746): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294729065 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (530.95817565918): 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 (!!!!! 1650.0949859619): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (183.8207244873): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (361.91940307617): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (189.78118896484): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (335.9317779541): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (345.94535827637): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (624.8950958252): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (50.067901611328): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (450.84953308105): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (113.01040649414): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (480.89027404785): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (164.03198242188): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (217.91458129883): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (203.84788513184): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (!!!!! 2107.8586578369): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294729065 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294729065 AND published='1' LIMIT 1

105 (370.02563476562): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294729065 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294729065 AND published='1' LIMIT 1

106 (479.93659973145): 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=294729065 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (!!!!! 1759.0522766113): 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=294729065 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (!!!!! 5640.983581543): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294729065 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294729065 AND published='1' LIMIT 1

109 (504.97055053711): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294729065 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294729065 AND published='1' LIMIT 1

110 (228.1665802002): 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=294729065 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (940.08445739746): 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=294729065 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (!!!!! 2854.1088104248): 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 (!!!!! 8793.1156158447): 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 (!!!!! 6477.1175384521): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294729065 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294729065 AND published='1' LIMIT 1

115 (!!!!! 6865.0245666504): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294729065 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294729065 AND published='1' LIMIT 1

116 (!!!!! 1749.9923706055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294729065 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294729065 AND published='1' LIMIT 1

117 (!!!!! 7192.850112915): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294729065 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294729065 AND published='1' LIMIT 1

118 (711.91787719727): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294729065 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294729065 AND published='1' LIMIT 1

119 (950.09803771973): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294729065 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294729065 AND published='1' LIMIT 1

120 (612.02049255371): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294729065 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294729065 AND published='1' LIMIT 1

121 (467.06199645996): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294729065 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294729065 AND published='1' LIMIT 1

122 (767.94624328613): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 235531.8069458): 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 (!!!!! 2743.0057525635): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294729065 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294729065 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (110.14938354492): ( 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 (37.908554077148): ( 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 (41.007995605469): 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 (30.994415283203): 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 (!!!!! 1049.9954223633): 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 (!!!!! 2764.9402618408): 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 (344.99168395996): 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 (171.89979553223): 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 (293.97010803223): 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 (!!!!! 2376.7948150635): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294729065 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (!!!!! 1162.052154541): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294729065 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (533.10394287109): SELECT name FROM jos_deeppockets WHERE id=213

138 (276.08871459961): SELECT name FROM jos_deeppockets WHERE id=213

139 (977.0393371582): 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 (!!!!! 1101.016998291): 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 (!!!!! 2238.9888763428): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294729065 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294729065 AND published='1' LIMIT 1

142 (!!!!! 2704.8587799072): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294729065 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294729065 AND published='1' LIMIT 1

143 (!!!!! 23762.941360474): TRUNCATE TABLE jos_trademed_module

144 (!!!!! 4251.0032653809): 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=294729065 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (!!!!! 15578.985214233): 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=294729065 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (!!!!! 3417.96875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294729065 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (427.9613494873): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294729065 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (!!!!! 3619.909286499): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294729065 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294729065 AND published='1' LIMIT 1

149 (115.15617370605): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294729065 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294729065 AND published='1' LIMIT 1

150 (!!!!! 4194.0212249756): 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 (!!!!! 1981.9736480713): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294729065 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294729065 AND published='1' LIMIT 1

152 (!!!!! 1584.0530395508): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294729065 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294729065 AND published='1' LIMIT 1

153 (!!!!! 9577.0359039307): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294729065 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294729065 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (264.16778564453): 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 (66.995620727539): 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 (123.02398681641): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (265.12145996094): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294729065 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294729065 AND published='1' LIMIT 1

158 (899.07646179199): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294729065 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294729065 AND published='1' LIMIT 1

159 (!!!!! 1040.9355163574): select jos_twitters.link from jos_twitters where cat=10

160 (73.909759521484): select jos_facebook.link from jos_facebook where cat=10

161 (201.94053649902): select jos_google_plus.link from jos_google_plus where cat=10

162 (!!!!! 3673.0766296387): select jos_linkedin.link from jos_linkedin where cat=10

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