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Handheld 3D Imaging Device for the OR May Transform Radio-Guided Surgeries

By MedImaging International staff writers
Posted on 24 May 2012

For quite a while, nonimaging gamma probes have been employed to guide surgeons to critical lymph nodes in cancer patients. More recently, a procedure has been developed to guide tumor surgery using the same probe; however, the nonimaging probes used in these procedures cannot provide accurate depth information.

According to the recent findings, an intraoperative, handheld three-dimensional (3D) image-viewing device cleared by the US Food and Drug Administration (FDA) may improve the accuracy of these procedures by providing 3D images of the tumor and lymph nodes.

The findings were presented by two leading medical institutions at the Society of Surgical Oncology 2012 annual Cancer Symposium, held March 21, 2012, in Orlando (FL, USA). Leading surgeons from The Netherlands Cancer Institute (Amsterdam) presented data on the use of the declipseSPECT in the radioguided resection of nonpalpable breast cancer. Their results showed that the SurgicEye (Munich, Germany) declipseSPECT (single photon emission tomography) could support radioguided surgery by determining the precise 3D localization of the marked tumor and lymph nodes in the operating room. Moreover, the system allowed them to determine the depth of each structure and to image the lumpectomy specimen to verify margins; all margins were confirmed to be negative by pathology.

The lead author, Dr. Omgo E. Nieweg, a surgeon at The Netherlands Cancer Institute, commented that, “The innovative 3D declipseSPECT technology may make the sentinel node biopsy easier and more reliable. New technologies like 3D declipseSPECT will also open up lymphatic mapping to additional cancer types, cancer types in locations with a more intricate anatomy and cancer types with more complex lymph drainage.”

The team of surgeons from the general surgery department of the University Hospital of the Technische Universitat Munchen (Munich, Germany) presented their findings on the use of the declipseSPECT in locating sentinel nodes of melanoma patients. The system enabled the physicians to intraoperatively image all of the nodes seen in preoperative imaging. In addition, by using the device for postexcision imaging in the operating room (OR), the clinicians was able to confirm and validate complete resection of the nodes.

The declipseSPECT device is provided in the US exclusively by Dilon Diagnostics ((Newport News, VA, USA), a developer of molecular breast imaging technology, a new diagnostic test that can find cancers missed by other modalities. According to company CEO, Mr. Robert Moussa, “Dilon is the market leader in gamma imaging technologies for breast cancer detection. The declipseSPECT system is a natural fit for our product portfolio since it extends gamma-imaging capabilities into the operating room. We are excited and encouraged by these results and our company continues to lead the molecular imaging market through innovation and partnerships like the one we share with SurgicEye.”

Dilon Diagnostics, a brand of Dilon Technologies Inc.’s cornerstone product, the Dilon 6800, is a high-resolution, small field-of view gamma camera, optimized to perform breast-specific gamma imaging/molecular breast imaging (BSGI/MBI), a molecular breast imaging procedure that images the metabolic activity of breast lesions through radiotracer uptake.

SurgicEye provides systems for intraoperative 3D imaging and instrument navigation. The declipseSPECT implements the so-called freehand SPECT technology for detection, localization, and guided biopsy of sentinel lymph nodes in breast cancer, melanoma, and head and neck malignancies. Clinical investigations in other tumor surgery fields show potential a wide application field and huge potential for quality assurance during surgery.

Related Links:
The Netherlands Cancer Institute
SurgicEye
Dilon Diagnostics

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63 (66.041946411133): 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 (59.843063354492): select jos_twitters.link from jos_twitters where cat=10

65 (53.167343139648): select jos_facebook.link from jos_facebook where cat=10

66 (43.153762817383): select jos_google_plus.link from jos_google_plus where cat=10

67 (45.061111450195): select jos_linkedin.link from jos_linkedin where cat=10

68 (58.174133300781): SELECT fid FROM jos_deeppockets WHERE id=294740772 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294740772 AND published='1' LIMIT 1

69 (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`

70 (520.94459533691): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294740772 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (362.15782165527): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294740772 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (57.220458984375): 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 (54.121017456055): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (47.206878662109): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294740772 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (30.040740966797): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294740772 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (47.206878662109): 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 (79.154968261719): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (43.153762817383): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (54.836273193359): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (43.153762817383): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (83.92333984375): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740772 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740772 AND published='1' LIMIT 1

105 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740772 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740772 AND published='1' LIMIT 1

106 (86.784362792969): 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=294740772 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (71.048736572266): 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=294740772 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (85.115432739258): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740772 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740772 AND published='1' LIMIT 1

109 (59.127807617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740772 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740772 AND published='1' LIMIT 1

110 (65.088272094727): 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=294740772 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (634.90867614746): 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=294740772 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (577.92663574219): 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 (478.98292541504): 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 (84.161758422852): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740772 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740772 AND published='1' LIMIT 1

115 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740772 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740772 AND published='1' LIMIT 1

116 (77.962875366211): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740772 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740772 AND published='1' LIMIT 1

117 (42.915344238281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740772 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740772 AND published='1' LIMIT 1

118 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740772 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740772 AND published='1' LIMIT 1

119 (41.007995605469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740772 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740772 AND published='1' LIMIT 1

120 (342.84591674805): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

121 (!!!!! 25219.917297363): 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

122 (144.00482177734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740772 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740772 AND published='1' LIMIT 1

123 (70.095062255859): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740772 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740772 AND published='1' LIMIT 1

124 (526.18980407715): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294740772 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294740772 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 620812.89291382): ( 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 (128.03077697754): ( 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 = 294800513 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 = 294800513 LIMIT 1

129 (64.13459777832): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

130 (49.114227294922): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

131 (41.007995605469): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

132 (37.908554077148): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

133 (!!!!! 3331.8996429443): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740772 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

134 (579.1187286377): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740772 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

135 (44.107437133789): SELECT name FROM jos_deeppockets WHERE id=213

136 (29.087066650391): SELECT name FROM jos_deeppockets WHERE id=213

137 (524.99771118164): 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

138 (525.95138549805): 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

139 (104.90417480469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740772 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740772 AND published='1' LIMIT 1

140 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740772 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740772 AND published='1' LIMIT 1

141 (!!!!! 15580.892562866): TRUNCATE TABLE jos_trademed_module

142 (127.07710266113): 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=294740772 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

143 (89.168548583984): 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=294740772 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

144 (711.91787719727): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740772 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

145 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740772 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

146 (73.909759521484): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740772 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740772 AND published='1' LIMIT 1

147 (46.014785766602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740772 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740772 AND published='1' LIMIT 1

148 (!!!!! 1338.9587402344): 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

149 (101.80473327637): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740772 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740772 AND published='1' LIMIT 1

150 (71.048736572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740772 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740772 AND published='1' LIMIT 1

151 (69.856643676758): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294740772 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294740772 AND type='deeppockets_item' AND published='1' LIMIT 1

152 (51.021575927734): 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)

153 (43.869018554688): 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)

154 (53.167343139648): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

155 (93.936920166016): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740772 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740772 AND published='1' LIMIT 1

156 (59.843063354492): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740772 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740772 AND published='1' LIMIT 1

157 (42.915344238281): select jos_twitters.link from jos_twitters where cat=10

158 (30.994415283203): select jos_facebook.link from jos_facebook where cat=10

159 (30.040740966797): select jos_google_plus.link from jos_google_plus where cat=10

160 (30.040740966797): select jos_linkedin.link from jos_linkedin where cat=10

161 (285.14862060547): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

162 (!!!!! 1504.8980712891): insert into jos_banners_delta values (14615,'2025-06-20 18:57:56','216.73.216.120','view'),(14202,'2025-06-20 18:57:56','216.73.216.120','view'),(14203,'2025-06-20 18:57:56','216.73.216.120','view')

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