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AAPM 2025 - 67th Annual Meeting & Exhibition of the American Association of Physicists in Medicine

PET Imaging of Cancer Advanced by Combined Imaging Agents

By MedImaging International staff writers
Posted on 06 Jul 2011

Research is taking targeted molecular imaging to a new level by combining two typically used imaging agents into one molecular imaging procedure. The combination of these agents creates a comprehensive screening of the extent of cancer spread within a variety of organ systems in the body.

“During a time when healthcare costs are under intense scrutiny, consolidated procedures such as this one that provide comprehensive imaging data are a benefit to everyone--to clinicians, healthcare administrators, and especially patients who would need only one scan instead of two,” remarked Andrei Iagaru, MD, lead author of the study and assistant professor of radiology and nuclear medicine at Stanford University Medical Center (Stanford, CA, USA). “What we stand to gain from combining these two agents is the diversification of tumor targeting. The beauty of it is that each agent has its own strength, and those are unified in the imaging. In combination they represent a powerful new tool for acquiring as much information as possible about the extent of a patient’s cancer.”

The goal of the study was to assess the benefit of combining two molecular imaging agents for cancer imaging with a hybrid molecular imaging system. Researchers used a positron emission tomography/computed tomography (PET/CT) system, which combines both nuclear medicine and X-ray technology to generate images that provide data about both physiologic processes and structural anatomy.

Not all PET imaging agents are alike. Medical isotopes are frequently labeled with an antibody, peptide, or any number of other suitable molecules that guide the medical isotope directly to its target. One of the most commonly used imaging agents is 18F-fluorodeoxyglucose (18F FDG), a glucose analog that is metabolized by cells as fuel. This is useful because cancer cells are metabolically hyperactive compared to healthy cells. PET imaging with 18F FDG will show these areas of increased metabolism as “hot spots” on scans. But while it is an excellent agent, it can still miss some cancer lesions, such as those in the skeleton. For this study, researchers compare the results of 18F FDG and sodium fluoride-18 (18F NaF), another PET imaging agent that has been shown to provide superior functional imaging of skeletal tissue, both separately and together.

For this prospective study, investigators recruited 78 patients with validated tumors and scanned them separately using 18F NaF PET/CT and 18F FDG PET/CT imaging methods. Participants then received a third PET/CT scan using 18F NaF and 18F FDG simultaneously. Findings of all three imaging studies were then analyzed for their usefulness in evaluating tumor malignancy. Researchers discovered that combined 18F NaF and 18F FDG PET/CT imaging provided good-quality imaging of both skeletal and extra-skeletal malignant lesions from breast, lung, colorectal, and other cancers.

Combined 18F NaF and 18F FDG PET/CT is a comprehensive new imaging procedure for cancer staging without any additional risk of toxicity. In fact, this technique reduces overall radiation dose due to the consolidation of imaging. With additional validation of its clinical value, this imaging technique could become widely available for assessing a variety of different cancers in order to improve treatment planning and patient prognosis.

The study’s findings were presented at SNM’s 58th annual meeting, held in June 4-8, 2011, in San Antonio (TX, USA).

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61 (77.009201049805): 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 (465.86990356445): SELECT fid FROM jos_deeppockets WHERE id=294735920 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294735920 AND published='1' LIMIT 1

63 (42.915344238281): 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 (39.100646972656): select jos_twitters.link from jos_twitters where cat=10

65 (29.802322387695): select jos_facebook.link from jos_facebook where cat=10

66 (28.848648071289): select jos_google_plus.link from jos_google_plus where cat=10

67 (27.894973754883): select jos_linkedin.link from jos_linkedin where cat=10

68 (32.186508178711): SELECT fid FROM jos_deeppockets WHERE id=294735920 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294735920 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 (294.92378234863): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294735920 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (277.04238891602): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294735920 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (60.081481933594): 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 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (71.048736572266): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294735920 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (41.961669921875): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294735920 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (33.855438232422): 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 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735920 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735920 AND published='1' LIMIT 1

105 (41.961669921875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735920 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735920 AND published='1' LIMIT 1

106 (47.922134399414): 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=294735920 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (46.014785766602): 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=294735920 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (70.095062255859): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735920 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735920 AND published='1' LIMIT 1

109 (43.869018554688): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735920 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735920 AND published='1' LIMIT 1

110 (44.822692871094): 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=294735920 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (506.87789916992): 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=294735920 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (561.95259094238): 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 (313.99726867676): 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 (72.002410888672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735920 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735920 AND published='1' LIMIT 1

115 (43.869018554688): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735920 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735920 AND published='1' LIMIT 1

116 (45.061111450195): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735920 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735920 AND published='1' LIMIT 1

117 (39.100646972656): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735920 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735920 AND published='1' LIMIT 1

118 (41.007995605469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735920 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735920 AND published='1' LIMIT 1

119 (33.855438232422): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735920 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735920 AND published='1' LIMIT 1

120 (41.007995605469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735920 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735920 AND published='1' LIMIT 1

121 (36.954879760742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735920 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735920 AND published='1' LIMIT 1

122 (226.02081298828): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 18725.872039795): 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 (492.09594726562): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294735920 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294735920 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 7498.9795684814): ( 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 (79.154968261719): ( 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 (41.961669921875): 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 (37.908554077148): 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 (28.133392333984): 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 (282.04917907715): 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 (35.04753112793): 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 (32.901763916016): 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 (27.894973754883): 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 (486.85073852539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735920 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (317.09671020508): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735920 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (37.193298339844): SELECT name FROM jos_deeppockets WHERE id=213

138 (29.087066650391): SELECT name FROM jos_deeppockets WHERE id=213

139 (530.00450134277): 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 (442.0280456543): 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 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735920 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735920 AND published='1' LIMIT 1

142 (41.961669921875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735920 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735920 AND published='1' LIMIT 1

143 (!!!!! 7474.1840362549): TRUNCATE TABLE jos_trademed_module

144 (101.08947753906): 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=294735920 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (77.009201049805): 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=294735920 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (!!!!! 1055.9558868408): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735920 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (74.863433837891): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735920 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (88.930130004883): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735920 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735920 AND published='1' LIMIT 1

149 (59.843063354492): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735920 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735920 AND published='1' LIMIT 1

150 (!!!!! 1488.9240264893): 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 (84.877014160156): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735920 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735920 AND published='1' LIMIT 1

152 (62.942504882812): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735920 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735920 AND published='1' LIMIT 1

153 (60.081481933594): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294735920 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294735920 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (50.067901611328): 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 (42.915344238281): 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 (44.107437133789): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (95.129013061523): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735920 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735920 AND published='1' LIMIT 1

158 (70.095062255859): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735920 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735920 AND published='1' LIMIT 1

159 (52.213668823242): select jos_twitters.link from jos_twitters where cat=10

160 (39.815902709961): 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 (41.007995605469): select jos_linkedin.link from jos_linkedin where cat=10

163 (!!!!! 4713.0584716797): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

164 (!!!!! 1286.0298156738): insert into jos_banners_delta values (14615,'2025-06-22 02:30:22','216.73.216.120','view'),(14202,'2025-06-22 02:30:22','216.73.216.120','view'),(14203,'2025-06-22 02:30:22','216.73.216.120','view')

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