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MR, PET Imaging Calculates Chemotherapy’s Ability to Prolong Life of Breast Cancer Patients

By MedImaging International staff writers
Posted on 24 Jun 2013

For patients with advanced breast cancer, positron emission tomography (PET) and magnetic resonance (MR) imaging can improve quality of life and survival by providing physicians with information on the effectiveness of chemotherapy before surgery.

The investigators who presented their data June 2013 at the annual meeting of the Society of Nuclear Medicine and Molecular Imaging (SNMMI) held in Vancouver (BC, Canada), merged separate imaging systems, PET, MR, and computed tomography (CT), to map the course of chemotherapy prior to surgery, known as neoadjuvant chemotherapy. These different imaging systems provide complementary data, both structural and physiologic, about how chemotherapy will be distributed in the body to destroy breast cancer and metastatic tumors. Investigators, in this research, used a specialized molecular imaging agent called F-18 fluorodeoxyglucose (FDG) that acts as a biomarker for cellular metabolism with PET to target regions of cancer metastasis.

“Previous studies have shown that, separately, FDG PET and dynamic enhanced MR imaging can provide a prediction of how patients will respond to neoadjuvant treatment, but we have improved upon this concept by combining the two techniques side by side,” said Sang Moo Lim, MD, current director of the department of nuclear medicine, and until 2006, director of the National Radiation Emergency Medical Center of the Korea Institute of Radiological and Medical Sciences (Seoul, Republic of Korea). “Using both FDG PET and MR imaging to predict cancer progression-free survival allows us to apply more aggressive therapies that could potentially halt patients’ cancers and extend their lives.”

This study, which assessed survival after chemotherapy included a patient population of 44 women with advanced breast cancer. All underwent three cycles of neoadjuvant chemotherapy and sequential whole-body FDG PET/CT, breast MR, and delayed breast PET/CT a total of four times—once before the first course of chemotherapy, again after the first course, after the second course, and once more prior to surgery to predict and validate disease-free survival. The findings indicated that patient survival with no recurrence of cancer after neoadjuvant chemotherapy was from just under three months to about three years for a median of 661 days.

“Additionally, this study demonstrates the collective potential of these imaging systems, which provides evidence that fused PET/MR utilizing both metabolic and vascular perfusion imaging can benefit patients,” said Dr. Lim. “Together, these techniques can help clinicians classify patients and provide risk stratification to not only predict cancer recurrence after treatment but also avoid chemotherapy for those who probably would benefit more from an alternative treatment.”

This research using combined, sequential PET and MR imaging provides additional proof of the potential benefit of simultaneous PET/MR imaging, an emerging molecular imaging technology. “This extends beyond just breast cancer,” Dr. Lim added. “We could potentially apply these technologies to other malignancies and develop some brilliant methods to improve clinical outcomes. Considering the results of our research, we now need to further develop the technology—not just imaging systems, but tracers and biomarkers—to advance our field. Research and development in nuclear medicine and molecular imaging can satisfy these demands for the future.”

Related Links:
National Radiation Emergency Medical Center of the Korea Institute of Radiological and Medical Sciences

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66 (26.941299438477): select jos_google_plus.link from jos_google_plus where cat=10

67 (25.98762512207): select jos_linkedin.link from jos_linkedin where cat=10

68 (37.193298339844): SELECT fid FROM jos_deeppockets WHERE id=294746902 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294746902 AND published='1' LIMIT 1

69 (30.040740966797): 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 (216.00723266602): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294746902 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (165.93933105469): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294746902 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (40.054321289062): 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 (54.121017456055): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (24.795532226562): 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 (24.080276489258): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (24.080276489258): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (!!!!! 3734.1117858887): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294746902 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (83.92333984375): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294746902 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (41.961669921875): 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 (49.114227294922): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (!!!!! 4386.9018554688): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (82.969665527344): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (32.186508178711): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (85.115432739258): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746902 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746902 AND published='1' LIMIT 1

105 (55.074691772461): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746902 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746902 AND published='1' LIMIT 1

106 (77.009201049805): 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=294746902 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (52.928924560547): 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=294746902 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (92.029571533203): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746902 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746902 AND published='1' LIMIT 1

109 (82.969665527344): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746902 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746902 AND published='1' LIMIT 1

110 (46.014785766602): 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=294746902 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (610.8283996582): 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=294746902 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (508.06999206543): 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 (313.99726867676): 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 (97.036361694336): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746902 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746902 AND published='1' LIMIT 1

115 (74.148178100586): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746902 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746902 AND published='1' LIMIT 1

116 (105.85784912109): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746902 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746902 AND published='1' LIMIT 1

117 (57.220458984375): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746902 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746902 AND published='1' LIMIT 1

118 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746902 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746902 AND published='1' LIMIT 1

119 (36.001205444336): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746902 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746902 AND published='1' LIMIT 1

120 (333.07075500488): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

121 (!!!!! 34122.943878174): 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 (108.95729064941): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746902 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746902 AND published='1' LIMIT 1

123 (60.081481933594): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746902 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746902 AND published='1' LIMIT 1

124 (455.14106750488): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294746902 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294746902 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 546123.98147583): ( 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 (94.175338745117): ( 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 (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

128 (28.848648071289): 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 (35.04753112793): 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 (28.133392333984): 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 (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

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 (653.02848815918): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746902 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

134 (664.94941711426): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746902 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

135 (123.97766113281): SELECT name FROM jos_deeppockets WHERE id=213

136 (30.994415283203): SELECT name FROM jos_deeppockets WHERE id=213

137 (574.82719421387): 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 (379.08554077148): 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 (353.09791564941): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746902 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746902 AND published='1' LIMIT 1

140 (565.0520324707): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746902 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746902 AND published='1' LIMIT 1

141 (!!!!! 11570.21522522): TRUNCATE TABLE jos_trademed_module

142 (155.21049499512): 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=294746902 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

143 (230.07392883301): 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=294746902 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

144 (!!!!! 1601.9344329834): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746902 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

145 (62.942504882812): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746902 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

146 (60.081481933594): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746902 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746902 AND published='1' LIMIT 1

147 (43.869018554688): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746902 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746902 AND published='1' LIMIT 1

148 (!!!!! 1021.146774292): 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 (109.91096496582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746902 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746902 AND published='1' LIMIT 1

150 (63.180923461914): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746902 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746902 AND published='1' LIMIT 1

151 (74.148178100586): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294746902 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294746902 AND type='deeppockets_item' AND published='1' LIMIT 1

152 (!!!!! 2522.9454040527): 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 (188.11225891113): 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 (54.836273193359): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

155 (!!!!! 1410.961151123): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746902 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746902 AND published='1' LIMIT 1

156 (801.80168151855): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746902 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746902 AND published='1' LIMIT 1

157 (!!!!! 2985.0006103516): select jos_twitters.link from jos_twitters where cat=10

158 (477.07557678223): select jos_facebook.link from jos_facebook where cat=10

159 (474.92980957031): select jos_google_plus.link from jos_google_plus where cat=10

160 (797.03330993652): select jos_linkedin.link from jos_linkedin where cat=10

161 (323.05717468262): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

162 (!!!!! 1281.0230255127): insert into jos_banners_delta values (14615,'2025-06-20 03:53:37','216.73.216.120','view'),(14202,'2025-06-20 03:53:37','216.73.216.120','view'),(14203,'2025-06-20 03:53:37','216.73.216.120','view')

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