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PET or PET/CT Benefits in Bone, Soft Tissue Tumors Not Validated

By MedImaging International staff writers
Posted on 19 Mar 2013

For patients with bone and soft tissue tumors, the study data currently available allow no distinct conclusions as to the advantages and disadvantages of using positron emission tomography (PET), alone or in combination with computed tomography (CT). This is because no studies have directly compared the benefit of these imaging techniques with conventional diagnostics. Furthermore, the few available studies on diagnostic accuracy do not show any relevant differences.

This is the conclusion of the final report of the German Institute for Quality and Efficiency in Health Care (IQWiG; Cologne; Germany) published on February 15, 2013. Bone and soft tissue tumors are rare diseases of the musculoskeletal system and soft tissue. Malignant types are especially rare; they only represent a comparatively small percentage of all cancers. Soft tissue tumors arise from different types of connective tissue (e.g., fibrous or fat tissue). They are responsible for approximately 1% of cancer deaths in Germany yearly. However, the proportion of bone tumors is lower.

Many specialists hope that an examination using PET or PET/CT alone or in combination with other methods is better able to differentiate between benign and malignant tumors (primary diagnostics). PET is used to help categorize the stage of the tumors accurately (primary staging) and better assess whether they respond to therapy (restaging). Experts also hope that PET or PET/CT helps them find out earlier, and with greater certainty, whether a recurrence has occurred or a secondary tumor (metastasis) has developed. These data should help them give better treatment recommendations to patients.

IQWiG, therefore, searched the international literature for studies that had examined the consequences of a diagnostic intervention using PET or PET/CT on health aspects of direct relevance to patients. For example, the test findings, and appropriately personalized treatment, could contribute to better chances of survival for patients, spare them unnecessary treatment or additionally diagnostic interventions, or improve their quality of life. However, the search for such studies was unsuccessful, so the question as to the patient-relevant benefit of PET or PET/CT in bone and soft tissue tumors had to remain unanswered.

Moreover, IQWiG searched for studies that had assessed the diagnostic and prognostic accuracy, i.e., the accuracy of diagnosis and the power to predict the course of disease, of PET or PET/CT or that had compared PET or PET/CT and other testing methods regarding these criteria. The basic question is how often an investigation gives a correct result. On the one hand, it should overlook true tumors as rarely as possible, but on the other, it should raise false suspicions as rarely as possible.

IQWiG assessed the findings of a total of 32 individual studies on this topic. However, most of these studies only included few participants and were also susceptible to bias, so their results are subject to great uncertainty. Eight of these studies compared PET or PET/CT with conventional imaging techniques (magnetic resonance imaging [MRI], X-ray, CT). However, none of these eight studies found the diagnostic accuracy of PET or PET/CT to be statistically significantly higher than conventional techniques. No prognostic accuracy studies comparing PET or PET/CT with conventional techniques were found.

In conclusion, according to the IQWiG, the possible advantages of PET or PET/CT imaging in comparison with conventional techniques still remain unclear.

Related Links:
German Institute for Quality and Efficiency in Health Care

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65 (29.802322387695): select jos_facebook.link from jos_facebook where cat=10

66 (33.140182495117): select jos_google_plus.link from jos_google_plus where cat=10

67 (30.040740966797): select jos_linkedin.link from jos_linkedin where cat=10

68 (32.186508178711): SELECT fid FROM jos_deeppockets WHERE id=294745253 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294745253 AND published='1' LIMIT 1

69 (30.994415283203): 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 (509.97734069824): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294745253 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (182.8670501709): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294745253 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (47.922134399414): 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 (55.074691772461): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (25.033950805664): 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 (25.033950805664): 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 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (25.033950805664): 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=294745253 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (26.941299438477): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294745253 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (31.948089599609): 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 (50.067901611328): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (73.909759521484): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745253 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745253 AND published='1' LIMIT 1

105 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745253 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745253 AND published='1' LIMIT 1

106 (51.021575927734): 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=294745253 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (50.067901611328): 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=294745253 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (72.002410888672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745253 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745253 AND published='1' LIMIT 1

109 (42.200088500977): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745253 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745253 AND published='1' LIMIT 1

110 (51.021575927734): 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=294745253 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (363.82675170898): 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=294745253 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (749.11117553711): 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 (486.13548278809): 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 (106.0962677002): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745253 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745253 AND published='1' LIMIT 1

115 (62.942504882812): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745253 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745253 AND published='1' LIMIT 1

116 (87.976455688477): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745253 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745253 AND published='1' LIMIT 1

117 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745253 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745253 AND published='1' LIMIT 1

118 (77.962875366211): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745253 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745253 AND published='1' LIMIT 1

119 (52.928924560547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745253 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745253 AND published='1' LIMIT 1

120 (205.03997802734): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

121 (!!!!! 26430.84526062): 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 (124.93133544922): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745253 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745253 AND published='1' LIMIT 1

123 (65.088272094727): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745253 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745253 AND published='1' LIMIT 1

124 (406.98051452637): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294745253 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294745253 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 485131.97898865): ( 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 (85.115432739258): ( 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 (252.00843811035): 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 (44.107437133789): 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 (181.91337585449): 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 (44.822692871094): 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 (119.92454528809): 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 (34.093856811523): 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 (405.78842163086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745253 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

134 (327.11029052734): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745253 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

135 (210.04676818848): SELECT name FROM jos_deeppockets WHERE id=213

136 (36.001205444336): SELECT name FROM jos_deeppockets WHERE id=213

137 (459.90943908691): 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 (413.17939758301): 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 (120.16296386719): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745253 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745253 AND published='1' LIMIT 1

140 (110.14938354492): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745253 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745253 AND published='1' LIMIT 1

141 (!!!!! 9763.0023956299): TRUNCATE TABLE jos_trademed_module

142 (99.897384643555): 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=294745253 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

143 (55.074691772461): 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=294745253 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

144 (858.06846618652): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745253 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

145 (68.902969360352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745253 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

146 (71.048736572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745253 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745253 AND published='1' LIMIT 1

147 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745253 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745253 AND published='1' LIMIT 1

148 (!!!!! 1168.966293335): 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 (54.121017456055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745253 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745253 AND published='1' LIMIT 1

150 (41.961669921875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745253 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745253 AND published='1' LIMIT 1

151 (38.862228393555): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294745253 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294745253 AND type='deeppockets_item' AND published='1' LIMIT 1

152 (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)

153 (28.133392333984): 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 (34.093856811523): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

155 (77.009201049805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745253 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745253 AND published='1' LIMIT 1

156 (43.869018554688): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745253 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745253 AND published='1' LIMIT 1

157 (118.97087097168): select jos_twitters.link from jos_twitters where cat=10

158 (28.848648071289): select jos_facebook.link from jos_facebook where cat=10

159 (27.894973754883): select jos_google_plus.link from jos_google_plus where cat=10

160 (26.941299438477): select jos_linkedin.link from jos_linkedin where cat=10

161 (284.91020202637): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

162 (!!!!! 1480.1025390625): insert into jos_banners_delta values (14615,'2025-06-20 03:31:36','216.73.216.120','view'),(14202,'2025-06-20 03:31:36','216.73.216.120','view'),(14203,'2025-06-20 03:31:36','216.73.216.120','view')

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