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

PET Tracer Imaging Changes Brain Tumor Management Plans

By MedImaging International staff writers
Posted on 19 Mar 2012

Imaging amino acid transporters used with positron emission tomography/computed tomography (PET/CT) have been shown to change significantly the intended management plans for patients with brain tumors, according to new findings. As a result of imaging with the radiopharmaceutical 3,4-dihydroxy-6-F-18-fluoro-l-phenylalanine (F-18-DOPA), physicians altered the intended management plan for 41% of patients with brain tumors.

Contrast-enhanced magnetic resonance imaging (MRI) is most frequently used to diagnose and monitor patients with brain tumors. After initial treatment, however, the assessment of recurrence by MRI can be difficult because contrast enhancement cannot effectively differentiate tumor recurrence from radiation necrosis. PET/CT imaging provides a highly accurate image that is useful for detecting primary and recurrent high- and low-grade brain tumors.

In the study published in the March 2012 issue of the Journal of Nuclear Medicine, referring physicians were given a survey before performing PET/CT scans with F-18-DOPA on patients with known or suspected brain tumors. The prescan surveys asked about indication, tumor histology or grade, level of suspicion for tumor recurrence, and planned management. Soon after the PET/CT scanning, the referring physicians were asked to complete a survey to categorize PET findings, level of suspicion for primary or recurrent brain tumors, and intended management alterations. Six months following the scans, the physicians took another survey dealing with recurrence and survival.

Of the 58 cases that were included in the survey, the clinical suspicion for recurrence increased in 33%, remained unchanged in 50%, and decreased in 17% of patients after adding the PET/CT findings to other diagnostic data. As a result, several changes in management were recommended, with changes from “watch and wait” to chemotherapy (25%) and from chemotherapy to “watch and wait” (17%) occurring most frequently. Seventy-five percent of the recommended changes were implemented.

“We know that F-DOPA PET/CT imaging is highly accurate for detecting brain tumors, and in our research we’ve shown that this imaging modality has a significant impact on patient management,” said Johannes Czernin, MD, a professor of cardiology from the University of California, Los Angeles’ (UCLA) David Geffen School of Medicine (USA), and one of the authors of the study. “In the future, we will initiate multicenter trials to determine whether these management changes have an impact on patient outcome. We believe that amino-acid transport imaging with PET will eventually be an important and frequently used imaging modality in brain cancer.”

The five year survival rates vary among tumor subtypes and range from 3.3% for high-grade tumors to 70% for low-grade tumors.

Related Links:
University of California, Los Angeles’ David Geffen School of Medicine

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64 (589.13230895996): select jos_twitters.link from jos_twitters where cat=10

65 (33.855438232422): select jos_facebook.link from jos_facebook where cat=10

66 (30.040740966797): select jos_google_plus.link from jos_google_plus where cat=10

67 (29.087066650391): select jos_linkedin.link from jos_linkedin where cat=10

68 (32.186508178711): SELECT fid FROM jos_deeppockets WHERE id=294739835 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294739835 AND published='1' LIMIT 1

69 (32.901763916016): 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 (411.9873046875): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294739835 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (406.02684020996): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294739835 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (43.869018554688): 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 (51.021575927734): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (34.809112548828): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (53.882598876953): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294739835 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (30.994415283203): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294739835 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (41.961669921875): 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 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (27.894973754883): 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 (27.894973754883): 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 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (!!!!! 2515.0775909424): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (!!!!! 1457.9296112061): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739835 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739835 AND published='1' LIMIT 1

105 (87.02278137207): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739835 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739835 AND published='1' LIMIT 1

106 (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 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=294739835 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (520.94459533691): 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=294739835 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (74.148178100586): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739835 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739835 AND published='1' LIMIT 1

109 (43.869018554688): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739835 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739835 AND published='1' LIMIT 1

110 (!!!!! 3403.1867980957): 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=294739835 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (547.88589477539): 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=294739835 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (604.86793518066): 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 (360.96572875977): 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 (72.956085205078): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739835 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739835 AND published='1' LIMIT 1

115 (54.121017456055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739835 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739835 AND published='1' LIMIT 1

116 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739835 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739835 AND published='1' LIMIT 1

117 (40.054321289062): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739835 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739835 AND published='1' LIMIT 1

118 (45.061111450195): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739835 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739835 AND published='1' LIMIT 1

119 (37.908554077148): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739835 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739835 AND published='1' LIMIT 1

120 (41.007995605469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739835 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739835 AND published='1' LIMIT 1

121 (38.862228393555): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739835 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739835 AND published='1' LIMIT 1

122 (277.04238891602): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 40473.937988281): 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 (545.97854614258): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294739835 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294739835 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 15912.055969238): ( 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 (60.796737670898): ( 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 (39.100646972656): 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 (29.802322387695): 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 (53.882598876953): 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 (33.140182495117): 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 (349.99847412109): 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 (40.054321289062): 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 (34.093856811523): 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 (30.040740966797): 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 (458.95576477051): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739835 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (315.90461730957): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739835 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (35.04753112793): SELECT name FROM jos_deeppockets WHERE id=213

138 (27.894973754883): SELECT name FROM jos_deeppockets WHERE id=213

139 (616.07360839844): 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 (504.0168762207): 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 (71.048736572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739835 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739835 AND published='1' LIMIT 1

142 (49.829483032227): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739835 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739835 AND published='1' LIMIT 1

143 (!!!!! 15442.132949829): TRUNCATE TABLE jos_trademed_module

144 (74.148178100586): 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=294739835 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (49.114227294922): 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=294739835 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (820.15991210938): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739835 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (51.021575927734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739835 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (!!!!! 2961.8740081787): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739835 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739835 AND published='1' LIMIT 1

149 (90.122222900391): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739835 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739835 AND published='1' LIMIT 1

150 (!!!!! 1091.9570922852): 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 (51.021575927734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739835 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739835 AND published='1' LIMIT 1

152 (42.915344238281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739835 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739835 AND published='1' LIMIT 1

153 (64.849853515625): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294739835 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294739835 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (32.901763916016): 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 (30.040740966797): 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 (30.994415283203): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (59.127807617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739835 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739835 AND published='1' LIMIT 1

158 (42.915344238281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739835 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739835 AND published='1' LIMIT 1

159 (33.140182495117): select jos_twitters.link from jos_twitters where cat=10

160 (61.03515625): select jos_facebook.link from jos_facebook where cat=10

161 (46.968460083008): select jos_google_plus.link from jos_google_plus where cat=10

162 (31.948089599609): select jos_linkedin.link from jos_linkedin where cat=10

163 (243.9022064209): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

164 (949.14436340332): insert into jos_banners_delta values (14615,'2025-06-21 02:48:11','216.73.216.120','view'),(14202,'2025-06-21 02:48:11','216.73.216.120','view'),(14203,'2025-06-21 02:48:11','216.73.216.120','view')

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