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

Hybrid Molecular Imaging Helps Detect Whether Ovarian Tumors Are Cancerous or Benign Prior to Surgery

By MedImaging International staff writers
Posted on 07 Jul 2011

New findings may provide a new tool for detection of malignant-stage ovarian cancer. Researchers found that positron emission tomography and computed tomography (PET/CT), which images both functional and anatomic alterations in the body, was useful for preoperative cancer imaging of ovarian masses when used with a radiotracer that is actively metabolized by cells as fuel. Physicians imaging patients suspected of having malignant tumors can see where cancerous cells are hypermetabolizing the tracer and accurately predict whether a mass is malignant, cancerous but stable, or benign.

“We found that PET/CT imaging with the radiotracer 18F-FDG gave us beneficial information about the ovarian cancer stage that helped gynecologists in their treatment planning,” said Dr. Majbritt Frost, a research technologist from Aalborg Hospital (Denmark) and lead author of the study. “This research is important because it gives gynecologists and oncologists the opportunity to provide these women the best possible course of treatment. We were also able to find additional tumors, resulting in patient referral to the appropriate medical specialist.”

This study was conducted to explore PET imaging with a radiotracer that combines a fluorine-based medical isotope with fluorodeoxyglucose (18F-FDG), which mimics glucose as a source of energy, to determine the malignancy of adnexal masses. These are lumps in the tissue of the adnexa, or connected structures of the uterus. Most typically, these masses affect the ovaries and fallopian tubes, but they can also develop within supporting tissues. PET imaging with 18F-FDG was able to ascertain whether lumps were malignant, because cancerous tissues are far more metabolically active than normal cells and this hyperactivity shows up as “hot spots” on PET scans.

For the purposes of this study, 104 patients with a mean age of 62 years presenting adnexal masses with the potential for ovarian cancer were imaged using PET/CT with the radiotracer 18F-FDG prior to surgery. Results of the scans were classified as either benign or malignant and were then compared to surgical findings. Early research revealed that 18F-FDG PET/CT imaging was able to detect successfully 84% of benign and malignant tumors for these patients.

The ability to detect ovarian cancer expands hybrid molecular imaging in the field of gynecology. Already molecular imaging is useful for the staging of cervical cancer, and continuing research may one day provide insights into the staging of endometrial and other cancers for women.

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

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63 (226.97448730469): 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 (89.883804321289): select jos_twitters.link from jos_twitters where cat=10

65 (34.093856811523): select jos_facebook.link from jos_facebook where cat=10

66 (34.093856811523): select jos_google_plus.link from jos_google_plus where cat=10

67 (31.948089599609): select jos_linkedin.link from jos_linkedin where cat=10

68 (500.91743469238): SELECT fid FROM jos_deeppockets WHERE id=294735944 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294735944 AND published='1' LIMIT 1

69 (56.982040405273): 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 (297.78480529785): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294735944 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (295.16220092773): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294735944 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (77.962875366211): 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 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (28.848648071289): 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 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (38.862228393555): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294735944 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (25.98762512207): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294735944 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (30.994415283203): 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 (329.97131347656): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (!!!!! 1309.1564178467): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (59.127807617188): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (43.869018554688): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (44.822692871094): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (54.121017456055): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (82.015991210938): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735944 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735944 AND published='1' LIMIT 1

105 (81.062316894531): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735944 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735944 AND published='1' LIMIT 1

106 (66.995620727539): 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=294735944 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=294735944 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (!!!!! 1950.0255584717): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735944 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735944 AND published='1' LIMIT 1

109 (67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735944 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735944 AND published='1' LIMIT 1

110 (48.87580871582): 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=294735944 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (!!!!! 4371.8814849854): 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=294735944 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (606.06002807617): 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 (411.9873046875): 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 (81.062316894531): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735944 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735944 AND published='1' LIMIT 1

115 (55.074691772461): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735944 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735944 AND published='1' LIMIT 1

116 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735944 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735944 AND published='1' LIMIT 1

117 (41.961669921875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735944 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735944 AND published='1' LIMIT 1

118 (51.021575927734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735944 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735944 AND published='1' LIMIT 1

119 (39.100646972656): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735944 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735944 AND published='1' LIMIT 1

120 (!!!!! 1043.7965393066): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735944 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735944 AND published='1' LIMIT 1

121 (51.975250244141): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735944 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735944 AND published='1' LIMIT 1

122 (560.99891662598): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 62867.879867554): 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 (602.00691223145): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294735944 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294735944 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 46241.998672485): ( 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 (!!!!! 3987.0738983154): ( 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 (!!!!! 3881.9313049316): 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 (!!!!! 3983.0207824707): 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 (626.0871887207): 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 (436.06758117676): 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 (!!!!! 2858.8771820068): 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 (458.0020904541): 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 (139.95170593262): 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 (359.05838012695): 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 (849.96223449707): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735944 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (464.91622924805): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735944 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (452.04162597656): SELECT name FROM jos_deeppockets WHERE id=213

138 (45.061111450195): SELECT name FROM jos_deeppockets WHERE id=213

139 (659.94262695312): 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 (451.80320739746): 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 (!!!!! 2672.9106903076): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735944 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735944 AND published='1' LIMIT 1

142 (99.897384643555): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735944 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735944 AND published='1' LIMIT 1

143 (!!!!! 12412.786483765): TRUNCATE TABLE jos_trademed_module

144 (!!!!! 2200.8419036865): 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=294735944 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (952.95906066895): 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=294735944 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (!!!!! 1801.0139465332): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735944 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (72.002410888672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735944 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (!!!!! 4361.1526489258): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735944 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735944 AND published='1' LIMIT 1

149 (69.856643676758): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735944 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735944 AND published='1' LIMIT 1

150 (!!!!! 3580.8086395264): 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 (167.1314239502): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735944 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735944 AND published='1' LIMIT 1

152 (55.074691772461): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735944 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735944 AND published='1' LIMIT 1

153 (405.78842163086): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294735944 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294735944 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (662.08839416504): 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 (36.954879760742): 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 (196.93374633789): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (356.91261291504): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735944 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735944 AND published='1' LIMIT 1

158 (!!!!! 2923.9654541016): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735944 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735944 AND published='1' LIMIT 1

159 (160.93254089355): select jos_twitters.link from jos_twitters where cat=10

160 (!!!!! 1194.0002441406): select jos_facebook.link from jos_facebook where cat=10

161 (56.028366088867): select jos_google_plus.link from jos_google_plus where cat=10

162 (28.848648071289): select jos_linkedin.link from jos_linkedin where cat=10

163 (262.97569274902): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

164 (!!!!! 1152.0385742188): insert into jos_banners_delta values (14615,'2025-06-22 02:29:33','216.73.216.120','view'),(14202,'2025-06-22 02:29:33','216.73.216.120','view'),(14203,'2025-06-22 02:29:33','216.73.216.120','view')

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