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Fast Clinical Adoption of Advanced Radiotherapy and Radiosurgery

By MedImaging International staff writers
Posted on 26 May 2011

Hospitals across Europe have been among the earliest global adopters of the cutting-edge TrueBeam system, which was introduced in 2010 for fast and precise radiotherapy and radiosurgery treatments.

Of the first 50 TrueBeam systems to begin treating patients clinically, ten are in Europe, where thousands of patients have already received advanced treatments. "We have seen an unprecedented adoption for a new linear accelerator platform and we are delighted that hospitals globally are using TrueBeam to treat a greater number of patients while pushing back the boundaries of advanced radiotherapy treatments, enabling difficult to treat tumors such as lung and liver to be treated effectively by radiotherapy and radiosurgery," stated Rolf Staehelin, head of international marketing for Varian's (Palo Alto, CA, USA) oncology systems unit.

TrueBeam is the centerpiece of Varian May 2011 at the annual meeting of the European Society for Therapeutic Radiation Oncology (ESTRO) in London, UK, where the UK's first TrueBeam system will enter clinical use at University College Hospital this summer in a joint project between HCA National Health Service (NHS) Ventures and the hospital. Derek D'Souza, head of radiotherapy physics at UCH, said, "TrueBeam will offer patients new treatments using small, high-intensity fields of radiation to treat the tumor. It provides greater efficiency in the steps needed for imaging, positioning, and treating patients and offers a high degree of precision."

Richard Yacob, director of medical physics at HCA-NHS/ Ventures, added, "TrueBeam was selected for this project as we believe it to be the most advanced system of its kind. As well as being able to deliver higher doses faster than other systems, it is also capable of advanced real-time imaging and gated RapidArc. It will be a big step forward in providing higher precision in treatment delivery."

TrueBeam was designed to treat tumors in a quick and precise manner, including tumors that move during treatment as the patient breathes in and out. Designed to advance the treatment of lung, breast, prostate, head and neck, and other types of cancer, TrueBeam features many technical developments that dynamically synchronize imaging, patient positioning, motion management, and treatment delivery. With its high intensity mode, TrueBeam can deliver very high doses quickly and accurately, more than twice as fast as earlier generations of technology.

At Humanitas Institute (Rozzano-Milan, Italy), TrueBeam is routinely used to treat 50 patients a day and treatments focus on hypofractionated stereotactic body radiotherapy (SBRT), in particular for liver and pancreatic cancer, non-small-cell lung cancer and lymph-node metastases, along with total marrow irradiation. "TrueBeam enables us to offer treatments for different kinds of pathologies than have previously been possible with radiosurgery here at Humanitas," said Dr. Marta Scorsetti, head of radiation oncology and radiosurgery at the hospital. "We are impressed by the greater precision and higher quality imaging, higher possible dose rate, the ability to deliver the total dose in fewer fractions and the speed of the treatment, which allows for shorter treatment sessions for patients." To date, Humanitas Institute has treated more than 420 patients using the TrueBeam device, with 25 new patients commencing treatment on the system each week.

Two TrueBeam devices are treating up to 100 patients a day at VU University Medical Center (Amsterdam, Netherlands), and according to department head Dr. Ben Slotman, the devices have become a vital part of their stereotactic body radiotherapy program. "From a clinical perspective, TrueBeam enables better integration between imaging and treatment delivery, much faster dose output using the flattening filter free mode, and a much shorter time is needed for pretreatment setup due to the user-friendly nature of the equipment," he said.

Zurich University Hospital (Switzerland) was the first clinic in the world to commence treatment with TrueBeam in March 2010. "We have found the system technically wonderful, giving us dose distributions that are slightly superior to intensity modulated radiotherapy from conventional systems, with lower doses to surrounding healthy tissues," stated Prof. Urs M. Lütolf, MD, clinical director and chairman of the department of radiation oncology. "I have been astonished and excited to see the degree to which the TrueBeam image isocenter matches the beam isocenter, at a level of precision I have never seen before."

Routine clinical TrueBeam treatments have also begun at the Institut Catala d'Oncologia (ICO) in Barcelona, Spain; Neolife Medical Center in Istanbul, Turkey; Davidoff Center in Petah Tikva, Israel; Casa di Cura San Rossore in Pisa, Italy; Radioonkologie Amsler in Liestal, Switzerland Strahlentherapie-Bonn-Rhein-Sieg/St. Josef Hospital in Troisdorf, Germany; and Azizia Royal Clinic/Azizia Royal Palace in Riyadh, Saudi Arabia.

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57 (850.91590881348): 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=294735276 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

58 (!!!!! 1667.9763793945): 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=294735276 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

59 (!!!!! 3626.1081695557): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735276 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735276 AND published='1' LIMIT 1

60 (354.05158996582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735276 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735276 AND published='1' LIMIT 1

61 (!!!!! 1418.8289642334): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735276 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735276 AND published='1' LIMIT 1

62 (97.036361694336): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735276 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735276 AND published='1' LIMIT 1

63 (!!!!! 8852.0050048828): 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

64 (630.85556030273): SELECT fid FROM jos_deeppockets WHERE id=294735276 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294735276 AND published='1' LIMIT 1

65 (254.86946105957): 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`

66 (!!!!! 2628.0879974365): select jos_twitters.link from jos_twitters where cat=10

67 (483.03604125977): select jos_facebook.link from jos_facebook where cat=10

68 (716.9246673584): select jos_google_plus.link from jos_google_plus where cat=10

69 (!!!!! 2696.9909667969): select jos_linkedin.link from jos_linkedin where cat=10

70 (447.03483581543): SELECT fid FROM jos_deeppockets WHERE id=294735276 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294735276 AND published='1' LIMIT 1

71 (59.127807617188): 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`

72 (!!!!! 1646.9955444336): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294735276 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

73 (602.96058654785): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294735276 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

74 (59.843063354492): 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`

75 (!!!!! 1008.0337524414): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (!!!!! 4025.936126709): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (502.8247833252): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (185.01281738281): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (159.97886657715): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (777.00614929199): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (468.01567077637): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (631.80923461914): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (!!!!! 3242.015838623): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (850.91590881348): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (!!!!! 6253.0040740967): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (!!!!! 8589.9829864502): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (391.96014404297): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (478.98292541504): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294735276 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

90 (968.93310546875): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294735276 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

91 (152.8263092041): 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`

92 (89.168548583984): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (64.849853515625): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (77.009201049805): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (43.153762817383): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (249.86267089844): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (!!!!! 1889.9440765381): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (!!!!! 1332.0446014404): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (!!!!! 2853.1551361084): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (!!!!! 1259.0885162354): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (!!!!! 1004.9343109131): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (!!!!! 1357.0785522461): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (!!!!! 1019.9546813965): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (!!!!! 2254.0092468262): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (!!!!! 6447.0767974854): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735276 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735276 AND published='1' LIMIT 1

107 (959.15794372559): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735276 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735276 AND published='1' LIMIT 1

108 (452.99530029297): 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=294735276 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

109 (!!!!! 1620.0542449951): 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=294735276 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

110 (!!!!! 4420.9957122803): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735276 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735276 AND published='1' LIMIT 1

111 (!!!!! 1903.0570983887): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735276 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735276 AND published='1' LIMIT 1

112 (833.98818969727): 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=294735276 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (!!!!! 2885.103225708): 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=294735276 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

114 (!!!!! 4534.9597930908): 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

115 (603.91426086426): 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

116 (112.05673217773): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735276 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735276 AND published='1' LIMIT 1

117 (69.856643676758): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735276 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735276 AND published='1' LIMIT 1

118 (695.94383239746): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735276 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735276 AND published='1' LIMIT 1

119 (163.07830810547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735276 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735276 AND published='1' LIMIT 1

120 (92.983245849609): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735276 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735276 AND published='1' LIMIT 1

121 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735276 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735276 AND published='1' LIMIT 1

122 (84.877014160156): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735276 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735276 AND published='1' LIMIT 1

123 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735276 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735276 AND published='1' LIMIT 1

124 (!!!!! 7758.1405639648): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

125 (!!!!! 222198.96316528): 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

126 (!!!!! 5974.0543365479): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294735276 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294735276 AND type='deeppockets_item' AND published='1' LIMIT 1

127 (!!!!! 3543.8537597656): ( 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

128 (!!!!! 6463.0508422852): ( 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

129 (808.0005645752): 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

130 (48.87580871582): 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

131 (!!!!! 4047.155380249): 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

132 (205.99365234375): 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

133 (375.98609924316): 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

134 (48.160552978516): 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

135 (59.843063354492): 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

136 (!!!!! 3123.0449676514): 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

137 (506.87789916992): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735276 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

138 (401.97372436523): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735276 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

139 (42.200088500977): SELECT name FROM jos_deeppockets WHERE id=213

140 (27.894973754883): SELECT name FROM jos_deeppockets WHERE id=213

141 (614.88151550293): 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

142 (504.97055053711): 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

143 (88.930130004883): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735276 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735276 AND published='1' LIMIT 1

144 (44.107437133789): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735276 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735276 AND published='1' LIMIT 1

145 (!!!!! 10277.986526489): TRUNCATE TABLE jos_trademed_module

146 (161.88621520996): 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=294735276 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

147 (82.015991210938): 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=294735276 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

148 (!!!!! 5656.0039520264): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735276 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

149 (102.04315185547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735276 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

150 (136.13700866699): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735276 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735276 AND published='1' LIMIT 1

151 (71.048736572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735276 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735276 AND published='1' LIMIT 1

152 (!!!!! 1317.024230957): 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

153 (!!!!! 2469.0628051758): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735276 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735276 AND published='1' LIMIT 1

154 (92.983245849609): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735276 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735276 AND published='1' LIMIT 1

155 (61.03515625): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294735276 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294735276 AND type='deeppockets_item' AND published='1' LIMIT 1

156 (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)

157 (40.054321289062): 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)

158 (73.909759521484): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

159 (162.83988952637): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735276 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735276 AND published='1' LIMIT 1

160 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735276 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735276 AND published='1' LIMIT 1

161 (69.141387939453): select jos_twitters.link from jos_twitters where cat=10

162 (116.10984802246): select jos_facebook.link from jos_facebook where cat=10

163 (41.007995605469): select jos_google_plus.link from jos_google_plus where cat=10

164 (35.04753112793): select jos_linkedin.link from jos_linkedin where cat=10

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