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Radiology Societies Collaborate to Promote Use of Lower Radiopharmaceutical Doses in Nuclear Imaging Scans

By MedImaging International staff writers
Posted on 03 Dec 2012

American radiology and nuclear medicine societies have created easily accessible online educational resources to help providers use the lowest radiopharmaceutical dose necessary to perform nuclear medicine scans.

The material have been made available by The American College of Radiology (ACR; Reston, VA, USA) and Image Wisely, in collaboration with the Society of Nuclear Medicine and Molecular Imaging (SNMMI; Reston, VA, USA), SNMMI Technologist Section, and American Society of Nuclear Cardiology (ASNC; Bethesda, MD, USA).

Medical physicists, physicians, and imaging technologists are encouraged to visit Image Wisely (please see Related Links below) to review this important information and use the material in their clinical practice. “This collaborative initiative illustrates the commitment by those in the medical imaging community to ensure that medical protocols keep pace with advancing technology and that we continue to put patient safety and quality of care above all,” said James A. Brink, MD, cochair of Image Wisely.

“Nuclear medicine exams help save and extend lives every day, but opportunities remain to ensure that each patient receives optimal care. I can’t urge providers strongly enough to use the materials gathered for this Image Wisely initiative,” said M. Elizabeth Oates, MD, chair of the American College of Radiology Nuclear Medicine Commission.

The new Image Wisely nuclear medicine initiative advises nuclear medicine providers to perform nuclear medicine procedures only when clinically indicated; customize administered doses based on the specific clinical task; utilize tactics to minimize radiation dose; and familiarize themselves with recommended administered activities. “I strongly encourage nuclear medicine providers to avail themselves of the materials gathered and created for this initiative and to work together with all members of their team to provide the best patient care possible,” said Gordon DePuey, MD, FASNC, ASNC representative to Image Wisely.

“I appeal to all medical physicists involved in nuclear medicine to review, save and share these materials, and engage all nuclear medicine team members to strengthen radiation optimization in their facilities,” said Larry Williams, PhD, American Association of Physicists in Medicine (AAPM) representative to Image Wisely.

Image Wisely urges imaging providers to demonstrate to patients that they “image wisely” by earning accreditation from the ACR (or equivalent accrediting organization) and by taking the Image Wisely initiative. There are now three online pledge options: pledge as an individual, pledge as a facility, or pledge as an association.

“Radiation dose for all nuclear medicine and molecular imaging procedures should be optimized so that the patient receives the smallest possible amount of radiopharmaceutical that will provide the appropriate diagnostic information. I ask that nuclear medicine providers take advantage of the important materials offered and that they demonstrate their commitment to patient care by taking the pledge to ‘image wisely,’” said Frederic H. Fahey, DSc, FACR, FAAPM, SNMMI president and representative to Image Wisely.

“Medical imaging technologists are vital members of the nuclear medicine team. It is important that they are familiar with the materials gathered and created for this effort, and that they share these resources with others and remind them of their importance by taking the Image Wisely pledge,” said Greg Morrison, MA, RT(R), American Society of Radiologic Technologists (ASRT; Albuquerque, NM, USA) chief operating officer.

Image Wisely is a collaborative initiative of the ACR, the Radiological Society of North America (RSNA, ASRT, and American Association of Physicists in Medicine (AAPM; College Park, MD, USA). The four charter members of Image Wisely represent more than 200,000 physicians, radiologic technologists, and medical physicists who play key roles in medical imaging.

Related Links:
American College of Radiology
Image Wisely
Society of Nuclear Medicine and Molecular Imaging

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63 (260.1146697998): 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 (!!!!! 1986.026763916): select jos_twitters.link from jos_twitters where cat=10

65 (56.028366088867): select jos_facebook.link from jos_facebook where cat=10

66 (385.99967956543): select jos_google_plus.link from jos_google_plus where cat=10

67 (55.074691772461): select jos_linkedin.link from jos_linkedin where cat=10

68 (42.915344238281): SELECT fid FROM jos_deeppockets WHERE id=294743637 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294743637 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 (231.02760314941): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294743637 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (198.1258392334): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294743637 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (51.975250244141): 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 (488.0428314209): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (43.153762817383): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (247.00164794922): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (!!!!! 5034.9235534668): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (428.91502380371): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (!!!!! 3450.1552581787): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (!!!!! 6563.9019012451): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (303.98368835449): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (!!!!! 3663.0630493164): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (499.01008605957): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (597.95379638672): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (329.01763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (!!!!! 1830.1010131836): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294743637 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (144.00482177734): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294743637 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (762.939453125): 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 (385.99967956543): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (158.07151794434): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (150.91896057129): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (256.77680969238): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (148.05793762207): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (249.14741516113): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (782.01293945312): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743637 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743637 AND published='1' LIMIT 1

105 (82.015991210938): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743637 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743637 AND published='1' LIMIT 1

106 (75.817108154297): 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=294743637 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (195.02639770508): 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=294743637 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (!!!!! 1008.9874267578): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743637 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743637 AND published='1' LIMIT 1

109 (235.08071899414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743637 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743637 AND published='1' LIMIT 1

110 (192.16537475586): 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=294743637 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (!!!!! 1122.9515075684): 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=294743637 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (730.99136352539): 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 (520.94459533691): 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 (154.01840209961): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743637 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743637 AND published='1' LIMIT 1

115 (73.909759521484): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743637 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743637 AND published='1' LIMIT 1

116 (77.009201049805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743637 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743637 AND published='1' LIMIT 1

117 (52.928924560547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743637 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743637 AND published='1' LIMIT 1

118 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743637 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743637 AND published='1' LIMIT 1

119 (51.021575927734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743637 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743637 AND published='1' LIMIT 1

120 (380.9928894043): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

121 (!!!!! 30558.109283447): 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 (106.0962677002): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743637 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743637 AND published='1' LIMIT 1

123 (60.796737670898): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743637 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743637 AND published='1' LIMIT 1

124 (589.84756469727): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294743637 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294743637 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 564638.85307312): ( 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 (83.92333984375): ( 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 (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

128 (37.908554077148): 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 (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

130 (38.14697265625): 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 (35.04753112793): 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 (34.809112548828): 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 (585.07919311523): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743637 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

134 (!!!!! 2391.0999298096): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743637 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

135 (226.02081298828): SELECT name FROM jos_deeppockets WHERE id=213

136 (46.968460083008): SELECT name FROM jos_deeppockets WHERE id=213

137 (586.98654174805): 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 (509.97734069824): 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 (92.029571533203): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743637 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743637 AND published='1' LIMIT 1

140 (60.081481933594): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743637 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743637 AND published='1' LIMIT 1

141 (!!!!! 13573.884963989): TRUNCATE TABLE jos_trademed_module

142 (111.10305786133): 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=294743637 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

143 (73.909759521484): 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=294743637 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

144 (!!!!! 1063.1084442139): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743637 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

145 (72.956085205078): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743637 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

146 (77.962875366211): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743637 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743637 AND published='1' LIMIT 1

147 (60.081481933594): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743637 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743637 AND published='1' LIMIT 1

148 (!!!!! 1338.005065918): 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 (75.101852416992): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743637 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743637 AND published='1' LIMIT 1

150 (83.92333984375): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743637 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743637 AND published='1' LIMIT 1

151 (51.975250244141): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294743637 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294743637 AND type='deeppockets_item' AND published='1' LIMIT 1

152 (45.061111450195): 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 (41.007995605469): 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 (42.915344238281): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

155 (144.00482177734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743637 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743637 AND published='1' LIMIT 1

156 (68.187713623047): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743637 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743637 AND published='1' LIMIT 1

157 (90.122222900391): select jos_twitters.link from jos_twitters where cat=10

158 (37.193298339844): select jos_facebook.link from jos_facebook where cat=10

159 (36.954879760742): select jos_google_plus.link from jos_google_plus where cat=10

160 (36.001205444336): select jos_linkedin.link from jos_linkedin where cat=10

161 (318.05038452148): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

162 (!!!!! 1321.0773468018): insert into jos_banners_delta values (14615,'2025-06-20 13:21:29','216.73.216.120','view'),(14202,'2025-06-20 13:21:29','216.73.216.120','view'),(14203,'2025-06-20 13:21:29','216.73.216.120','view')

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