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Technology Overcomes the Limitations of Traditional Bed-Based PET/CT

By MedImaging International staff writers
Posted on 20 Jun 2013

New positron emission tomography/computed tomography (PET/CT) technology provides continuous motion scanning for precise imaging, and eliminates doses related to overscanning, while achieving optimum efficiency.

At the 2013 annual meeting of the Society of Nuclear Medicine and Molecular Imaging (SNMMI) held June 8-12, 2013, in Vancouver (BC, Canada), Siemens Healthcare (Erlangen, Germany) presented the Biograph mCT Flow, a new positron emission tomography/computed tomography (PET/CT) system that for the first time, overcomes the limitations of conventional bed-based PET/CT with FlowMotion, a cutting-edge new technology that moves the patient smoothly through the system’s gantry, while continuously capturing PET data.

Biograph mCT Flow with FlowMotion’s imaging protocols are based on the organ’s need. FlowMotion expands precise and reproducible quantification in all dimensions for detailed disease characterization in therapy monitoring, while enabling physicians to offer as low as reasonably achievable (ALARA) dose to every patient. Furthermore, the combination of a 78-cm bore with five-minute ultrafast scanning and a continuous feeling of progress throughout the scan provides the patient with a more comfortable scan experience. The new Biograph mCT Flow PET•CT system with FlowMotion technology demonstrates Siemens’ innovation and competitiveness—key components of the Healthcare Sector’s Agenda 2013 two-year initiative.

With traditional PET/CT scanners, planning and scanning is limited to the fixed size of the system’s detector field-of-view (FOV) for each bed position. Whereas the adjustment of scan parameters in clinical stop-and-go PET/CT protocols is technically possible, the complexity of adjustment has limited its routine use.

mCT Flow PET•CT with FlowMotion technology changes how PET imaging is performed, eliminating the need for stop-and-go, bed-based planning with planning and scanning based on the single continuous motion of the patient table. Without the limitations of bed positions, the technician can be easily adjust the examination parameters such as image resolution, speed, and motion management to the precise dimensions of organs and routinely incorporated into a single scan for every patient.

To help physicians make sound decisions, imaging must provide effective and reproducible quantification. Traditional PET/CT suffers from intrinsic sensitivity degradation from the center to the edge of the axial FOV. Overlapping sequential bed positions are employed to counteract for this limitation, but this approach can lead to axially varying noise sensitivity. This noise can distort the quantitative values of a detected lesion, which may prompt a physician to mischaracterize the severity of a tumor. By constantly moving the patient through the detection system, FlowMotion technology eliminates overlapping bed acquisitions and maintains uniform noise sensitivity across the entire scan range.

FlowMotion eliminates CT dose due to over-scanning by enabling the user to precisely define the beginning and end of the PET scan, and because the CT scan of Biograph mCT Flow begins and ends at the same points as the system’s PET scan, the patient is not irradiated in regions of the body that do not require a CT scan. With Biograph mCT Flow, the user can realize a CT dose decrease of up to 32%. Meanwhile, the new Biograph mCT Flow, combined with TrueV, is the only solution that enables continuous scanning at twice the speed of conventional PET/CT. TrueV technology provides a 30% wider axial FOV of 21.6 cm—the largest in the PET/CT industry—enabling Biograph mCT Flow to provide a 70% increase in count rate performance. When combined with ultraHD•PET, which provides increased image quality, routine clinical scans can be performed in five minutes. Throughput is further optimized by one click FAST planning. The user can employ a simple protocol setup to determine the scan type and duration for up to four zones: for example, the head, abdomen, lungs, and legs. The user can then tailor the scan in each region using Siemens’ established image quality techniques.

Healthcare providers require a system that accommodates the individual needs of a wide patient demographic. A standard PET/CT scan can last 25 to 30 minutes, with the patient frequently falling asleep or zoning out while the system acquires a bed position. When the bed shifts to the next scanning position, the patient is frequently alarmed, which results in an image that is flawed by motion artifacts. The patient also can feel anxiety during the lengthy scanning process, perceiving no progress until the bed shifts to a new scanning position.

In addition to the elimination of patient motion due to surprise, the continuously moving patient table of Biograph mCT Flow gives the patients a sense of progress, which can additionally optimize patient satisfaction. Moreover, the large 78-cm bore, short tunnel, and a 227-kg table capacity can improve patient accessibility and comfort.

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58 (69.141387939453): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746872 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746872 AND published='1' LIMIT 1

59 (95.844268798828): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746872 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746872 AND published='1' LIMIT 1

60 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746872 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746872 AND published='1' LIMIT 1

61 (86.069107055664): select cover from jos_number where journalid in (5) and cover is not null order by left(issue,2)+right(issue,2)*12 desc limit 1

62 (572.91984558105): SELECT fid FROM jos_deeppockets WHERE id=294746872 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294746872 AND published='1' LIMIT 1

63 (431.06079101562): 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 (67.949295043945): select jos_twitters.link from jos_twitters where cat=10

65 (40.054321289062): select jos_facebook.link from jos_facebook where cat=10

66 (41.007995605469): select jos_google_plus.link from jos_google_plus where cat=10

67 (41.007995605469): select jos_linkedin.link from jos_linkedin where cat=10

68 (41.961669921875): SELECT fid FROM jos_deeppockets WHERE id=294746872 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294746872 AND published='1' LIMIT 1

69 (33.855438232422): 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 (339.98489379883): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294746872 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (248.90899658203): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294746872 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (81.062316894531): 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 (80.82389831543): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (41.961669921875): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294746872 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=294746872 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (32.901763916016): 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 (56.028366088867): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (28.133392333984): 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 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (87.976455688477): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746872 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746872 AND published='1' LIMIT 1

105 (60.081481933594): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746872 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746872 AND published='1' LIMIT 1

106 (53.882598876953): 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=294746872 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (47.922134399414): 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=294746872 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (96.08268737793): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746872 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746872 AND published='1' LIMIT 1

109 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746872 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746872 AND published='1' LIMIT 1

110 (56.028366088867): 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=294746872 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (576.01928710938): 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=294746872 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (601.05323791504): 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 (382.90023803711): 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 (81.777572631836): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746872 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746872 AND published='1' LIMIT 1

115 (47.922134399414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746872 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746872 AND published='1' LIMIT 1

116 (106.0962677002): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746872 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746872 AND published='1' LIMIT 1

117 (39.100646972656): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746872 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746872 AND published='1' LIMIT 1

118 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746872 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746872 AND published='1' LIMIT 1

119 (37.908554077148): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746872 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746872 AND published='1' LIMIT 1

120 (77.009201049805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746872 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746872 AND published='1' LIMIT 1

121 (44.107437133789): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746872 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746872 AND published='1' LIMIT 1

122 (488.0428314209): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294746872 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294746872 AND type='deeppockets_item' AND published='1' LIMIT 1

123 (!!!!! 915409.08813477): ( 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

124 (!!!!! 953855.03768921): ( 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

125 (106.0962677002): 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

126 (67.949295043945): 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

127 (66.995620727539): 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

128 (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

129 (51.975250244141): 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

130 (47.922134399414): 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

131 (447.98851013184): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746872 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

132 (292.06275939941): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746872 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

133 (133.99124145508): SELECT name FROM jos_deeppockets WHERE id=213

134 (30.994415283203): SELECT name FROM jos_deeppockets WHERE id=213

135 (422.95455932617): 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

136 (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

137 (!!!!! 1033.0677032471): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746872 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746872 AND published='1' LIMIT 1

138 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746872 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746872 AND published='1' LIMIT 1

139 (287.05596923828): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746872 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

140 (44.822692871094): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746872 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

141 (49.114227294922): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746872 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746872 AND published='1' LIMIT 1

142 (37.908554077148): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746872 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746872 AND published='1' LIMIT 1

143 (!!!!! 3412.9619598389): 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

144 (59.127807617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746872 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746872 AND published='1' LIMIT 1

145 (55.074691772461): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746872 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746872 AND published='1' LIMIT 1

146 (377.89344787598): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294746872 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294746872 AND type='deeppockets_item' AND published='1' LIMIT 1

147 (39.815902709961): 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)

148 (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)

149 (76.055526733398): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

150 (!!!!! 3414.8693084717): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746872 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746872 AND published='1' LIMIT 1

151 (177.14500427246): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746872 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746872 AND published='1' LIMIT 1

152 (76.055526733398): select jos_twitters.link from jos_twitters where cat=10

153 (46.968460083008): select jos_facebook.link from jos_facebook where cat=10

154 (46.014785766602): select jos_google_plus.link from jos_google_plus where cat=10

155 (46.014785766602): select jos_linkedin.link from jos_linkedin where cat=10

156 (333.07075500488): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

157 (!!!!! 4106.9984436035): insert into jos_banners_delta values (14615,'2025-06-20 06:23:50','216.73.216.120','view'),(14202,'2025-06-20 06:23:50','216.73.216.120','view'),(14203,'2025-06-20 06:23:50','216.73.216.120','view')

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