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Leading Cancer Center Uses High-Intensity Radiotherapy to Deliver Precise Brain Radiosurgery

By MedImaging International staff writers
Posted on 11 Oct 2012

Image: The TrueBeam STx linear accelerator (Photo courtesy of Varian Medical Systems).

Clinicians at one of Scotland’s largest radiotherapy departments have begun brain radiosurgery treatments that enable patients to spend less time on the treatment table while increasing precision by minimizing the chance of movement during treatment.

Physicians from the Beatson West of Scotland Cancer Center (Glasgow, UK) have begun delivering the innovative treatments using a TrueBeam STx linear accelerator from Varian Medical Systems (Palo Alto, CA, USA).

A 71-year-old female with breast cancer that spread to her brain received the first of these radiosurgery treatments for two small brain metastases--only 5 mm and 6 mm in diameter--in just one treatment. “Reducing the time the patient spends on the treatment couch is not only easier on the patient but also reduces the opportunity for movement during the treatment, which helps enhance precision,” said clinical oncologist Dr. Brian Clark. “Without the TrueBeam system’s high intensity mode the patient would have received single-fraction fixed beam radiosurgery, taking 45-60 minutes to deliver, with all the inherent problems of potential movement.”

In addition to the high intensity mode, the first treatment at Glasgow utilized Varian’s RapidArc technology for dose delivery, further expediting the treatment. The technology makes it possible to complete a precise treatment by delivering dose continuously during just one or two rotations of the machine around the patient. During a RapidArc treatment, the beam is continually shaped and reshaped to closely conform the dose to the size, shape, and location of the tumor and minimize the dose to surrounding healthy tissue. By using a two-arc approach and delivering the dose at 2,400 monitor units per minute--twice as fast as standard linear accelerators--doctors at Glasgow were able to deliver the full prescribed radiosurgery dose of 25 Gy within a single session, with a “beam on” time of five minutes.

“As soon as we installed the TrueBeam system we wanted to start utilizing the high intensity mode together with RapidArc to deliver higher doses in a single treatment session,” said Garry Currie, head of radiotherapy physics. “The RapidArc planning capability and superior imaging enable us to achieve very high precision, giving us the confidence to deliver such a high dose in a single session to carry out what is effectively a noninvasive technique on small brain metastases.”

Mr. Currie reported that following the success of early TrueBeam high intensity mode treatments, the technique will be utilized for all radiosurgical treatments at the hospital, including stereotactic ablative body radiotherapy (SABR) in the rest of the body.

The Beatson West of Scotland Cancer Center treats more than 7,000 patients each year on 11 Varian medical linear accelerators. With a catchment area enocmpassing 50% the population of Scotland, the center has a history of groundbreaking radiotherapy treatments.

Designed to advance the treatment of lung, breast, prostate, gynecologic, liver, head and neck, and other types of cancer, TrueBeam features technical developments that dynamically synchronize imaging, patient positioning, motion management, and treatment delivery. The TrueBeam STx is optimized for radiosurgical applications, where very large doses are delivered in a single treatment or only a few sessions.

Related Links:
Beatson West of Scotland Cancer Center
Varian Medical Systems

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65 (46.968460083008): select jos_facebook.link from jos_facebook where cat=10

66 (47.922134399414): select jos_google_plus.link from jos_google_plus where cat=10

67 (46.014785766602): select jos_linkedin.link from jos_linkedin where cat=10

68 (68.187713623047): SELECT fid FROM jos_deeppockets WHERE id=294742913 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294742913 AND published='1' LIMIT 1

69 (49.829483032227): 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 (371.21772766113): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294742913 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (317.09671020508): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294742913 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (63.896179199219): 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 (56.028366088867): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (29.802322387695): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (29.802322387695): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (37.193298339844): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (32.186508178711): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (57.93571472168): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294742913 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (33.140182495117): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294742913 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (36.001205444336): 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 (67.949295043945): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (77.009201049805): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (50.067901611328): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (57.93571472168): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (45.7763671875): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (48.87580871582): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (42.915344238281): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (113.01040649414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742913 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742913 AND published='1' LIMIT 1

105 (74.148178100586): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742913 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742913 AND published='1' LIMIT 1

106 (97.036361694336): 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=294742913 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (86.069107055664): 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=294742913 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (106.0962677002): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742913 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742913 AND published='1' LIMIT 1

109 (72.956085205078): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742913 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742913 AND published='1' LIMIT 1

110 (76.055526733398): 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=294742913 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (633.00132751465): 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=294742913 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (790.11917114258): 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 (386.95335388184): 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 (132.79914855957): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742913 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742913 AND published='1' LIMIT 1

115 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742913 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742913 AND published='1' LIMIT 1

116 (69.141387939453): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742913 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742913 AND published='1' LIMIT 1

117 (45.061111450195): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742913 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742913 AND published='1' LIMIT 1

118 (53.882598876953): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742913 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742913 AND published='1' LIMIT 1

119 (41.961669921875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742913 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742913 AND published='1' LIMIT 1

120 (330.20973205566): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

121 (!!!!! 21522.045135498): 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 (174.04556274414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742913 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742913 AND published='1' LIMIT 1

123 (87.976455688477): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742913 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742913 AND published='1' LIMIT 1

124 (623.94142150879): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294742913 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294742913 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 567806.95915222): ( 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 (88.930130004883): ( 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 (51.021575927734): 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 (48.160552978516): 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 (76.055526733398): 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 (43.869018554688): 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 (53.167343139648): 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 (41.961669921875): 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 (496.86431884766): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742913 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

134 (415.08674621582): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742913 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

135 (327.11029052734): SELECT name FROM jos_deeppockets WHERE id=213

136 (49.114227294922): SELECT name FROM jos_deeppockets WHERE id=213

137 (611.0668182373): 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 (496.86431884766): 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 (88.930130004883): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742913 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742913 AND published='1' LIMIT 1

140 (87.976455688477): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742913 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742913 AND published='1' LIMIT 1

141 (!!!!! 13909.816741943): TRUNCATE TABLE jos_trademed_module

142 (122.0703125): 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=294742913 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

143 (60.081481933594): 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=294742913 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

144 (!!!!! 2307.8918457031): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742913 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

145 (100.13580322266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742913 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

146 (88.930130004883): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742913 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742913 AND published='1' LIMIT 1

147 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742913 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742913 AND published='1' LIMIT 1

148 (!!!!! 1214.0274047852): 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 (63.896179199219): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742913 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742913 AND published='1' LIMIT 1

150 (42.915344238281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742913 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742913 AND published='1' LIMIT 1

151 (46.014785766602): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294742913 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294742913 AND type='deeppockets_item' AND published='1' LIMIT 1

152 (31.948089599609): 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 (26.941299438477): 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 (32.901763916016): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

155 (540.97175598145): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742913 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742913 AND published='1' LIMIT 1

156 (57.93571472168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742913 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742913 AND published='1' LIMIT 1

157 (50.067901611328): select jos_twitters.link from jos_twitters where cat=10

158 (44.107437133789): select jos_facebook.link from jos_facebook where cat=10

159 (41.007995605469): select jos_google_plus.link from jos_google_plus where cat=10

160 (32.186508178711): select jos_linkedin.link from jos_linkedin where cat=10

161 (324.96452331543): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

162 (!!!!! 1363.0390167236): insert into jos_banners_delta values (14615,'2025-06-20 13:34:42','216.73.216.120','view'),(14202,'2025-06-20 13:34:42','216.73.216.120','view'),(14203,'2025-06-20 13:34:42','216.73.216.120','view')

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