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New Imaging Agent Provides Better Cancer Diagnosis with More Effective Staging

By MedImaging International staff writers
Posted on 08 Apr 2013

Researchers have shown that a new imaging dye is a successful agent in identifying and mapping tumors that have reached the lymph nodes. The radioactive dye called technetium Tc-99m tilmanocept, effectively identified cancerous lymph nodes and was superior for marking cancers than the conventional standard dye.

The findings from the phase III clinical trial have been published in March 20, 2013, online in the journal Annals of Surgical Oncology. “Tilmanocept is a novel engineered radiopharmaceutical specifically designed for sentinel lymph node detection,” said David R. Vera, PhD, the drug’s developer, who is a professor in the University of California, San Diego (UCSD; USA) School of Medicine’s department of radiology. “The molecule, developed at UC San Diego School of Medicine, offers surgeons a new tool to accurately detect and stage melanoma and breast cancers while in the operating room.”

After a cancer diagnosis, surgeons want to be sure that the disease has not spread to a patient’s lymph nodes, especially the sentinel nodes that may be the first place that a tumor reaches. The lymphatic system is a conglomeration of and ducts and vessels that transmit disease-fighting cells throughout the body, but can also act as a way for cancer cells to access the bloodstream. By surgically removing and examining the sentinel nodes that drain a tumor, clinicians can better determine if a cancer has spread.

“Tilmanocept advances the molecular targeting in breast cancer. It's the first agent that is binding to a lymph node because it is a lymph node that plays an important role in metastasis,” said Anne Wallace, MD. professor of surgery, UC San Diego School of Medicine and principal investigator of the study. “Tilmanocept’s ability to identify more cancer containing nodes will lead to better postoperative care for patients, especially those patients who had more than one positive sentinel node.”

Physicians compared injections of tilmanocept (also known as Lymphoseek), and the conventional blue dye into the tumor area. Next, using a handheld radiation detector, they discovered the lymph nodes that had taken up the drugs radioactivity. The researchers revealed that more than 99% of sentinel lymph nodes containing blue dye also contained tilmanocept. Of these nodes, 18% were positive for cancer. Ninety-four percent of the malignancies were identified by the new radiopharmaceutical whereas the blue dye only detected 76%.

“Tilmanocept is just as accurate as current techniques, simple to use, takes less time to find lymph nodes, and is cleared faster from the body. This could standardize the process of lymph node mapping and make the process easier, particularly for less experienced surgeons,” said Dr. Wallace, chief of plastic surgery at UC San Diego Health System and director of the breast care unit at UC San Diego Moores Cancer Center.

Tilmanocept was originally developed at UC San Diego by Dr. Vera. Dr. Wallace refined the agent through phase 1 clinical trials. The phase III study was supported by Navidea Biopharmaceuticals, Inc. (Dublin, OH, USA).

Lymphoseek’s safety and effectiveness were established in two clinical trials of 332 patients with melanoma or breast cancer. The phase III clinical trial took place at 13 medical centers involving 148 patients who had both breast cancer and melanoma. The most common side effects identified in clinical trials was pain or irritation at the injection site reported by two patients.

Tilmanocept received US Food and Drug Administration (FDA) approval on March 13, 2013.

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64 (61.988830566406): select jos_twitters.link from jos_twitters where cat=10

65 (34.093856811523): select jos_facebook.link from jos_facebook where cat=10

66 (38.14697265625): select jos_google_plus.link from jos_google_plus where cat=10

67 (35.04753112793): select jos_linkedin.link from jos_linkedin where cat=10

68 (43.869018554688): SELECT fid FROM jos_deeppockets WHERE id=294745542 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294745542 AND published='1' LIMIT 1

69 (39.100646972656): 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 (291.10908508301): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294745542 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (272.98927307129): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294745542 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (39.100646972656): 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 (63.896179199219): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (39.815902709961): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (81.062316894531): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (76.055526733398): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294745542 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (41.961669921875): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294745542 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (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`

90 (77.009201049805): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (26.941299438477): 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 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (73.909759521484): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745542 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745542 AND published='1' LIMIT 1

105 (54.836273193359): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745542 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745542 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=294745542 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (46.968460083008): 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=294745542 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (95.129013061523): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745542 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745542 AND published='1' LIMIT 1

109 (60.081481933594): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745542 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745542 AND published='1' LIMIT 1

110 (66.995620727539): 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=294745542 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (510.93101501465): 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=294745542 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (585.07919311523): 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 (359.05838012695): 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 (80.108642578125): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745542 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745542 AND published='1' LIMIT 1

115 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745542 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745542 AND published='1' LIMIT 1

116 (143.05114746094): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745542 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745542 AND published='1' LIMIT 1

117 (75.101852416992): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745542 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745542 AND published='1' LIMIT 1

118 (88.214874267578): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745542 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745542 AND published='1' LIMIT 1

119 (77.009201049805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745542 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745542 AND published='1' LIMIT 1

120 (318.76564025879): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

121 (!!!!! 25094.032287598): 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 (138.99803161621): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745542 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745542 AND published='1' LIMIT 1

123 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745542 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745542 AND published='1' LIMIT 1

124 (565.0520324707): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294745542 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294745542 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 1057625.0553131): ( 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 (!!!!! 1043501.1386871): ( 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 (!!!!! 2164.1254425049): 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 (79.154968261719): 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 (65.088272094727): 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 (30.040740966797): 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 (29.087066650391): 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 (28.133392333984): 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 (385.99967956543): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745542 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

134 (361.20414733887): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745542 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

135 (156.87942504883): SELECT name FROM jos_deeppockets WHERE id=213

136 (41.007995605469): SELECT name FROM jos_deeppockets WHERE id=213

137 (427.0076751709): 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 (411.9873046875): 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 (945.8065032959): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745542 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745542 AND published='1' LIMIT 1

140 (63.180923461914): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745542 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745542 AND published='1' LIMIT 1

141 (!!!!! 6887.9127502441): TRUNCATE TABLE jos_trademed_module

142 (495.91064453125): 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=294745542 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

143 (655.8895111084): 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=294745542 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

144 (391.00646972656): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745542 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

145 (51.021575927734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745542 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

146 (72.002410888672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745542 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745542 AND published='1' LIMIT 1

147 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745542 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745542 AND published='1' LIMIT 1

148 (!!!!! 2930.1643371582): 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 (!!!!! 2665.0428771973): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745542 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745542 AND published='1' LIMIT 1

150 (93.936920166016): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745542 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745542 AND published='1' LIMIT 1

151 (!!!!! 1877.0694732666): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294745542 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294745542 AND type='deeppockets_item' AND published='1' LIMIT 1

152 (653.02848815918): 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 (780.82084655762): 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 (125.88500976562): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

155 (218.15299987793): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745542 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745542 AND published='1' LIMIT 1

156 (138.99803161621): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745542 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745542 AND published='1' LIMIT 1

157 (36.954879760742): select jos_twitters.link from jos_twitters where cat=10

158 (26.941299438477): select jos_facebook.link from jos_facebook where cat=10

159 (26.941299438477): 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 (272.03559875488): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

162 (!!!!! 2559.1850280762): insert into jos_banners_delta values (14615,'2025-06-20 05:27:24','216.73.216.120','view'),(14202,'2025-06-20 05:27:24','216.73.216.120','view'),(14203,'2025-06-20 05:27:24','216.73.216.120','view')

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