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3D Printing Supports Accurate Radiation Therapy Delivery

By MedImaging International staff writers
Posted on 08 Jul 2015

Image: Example of bolus printed to conform to the nose of a phantom (Photo courtesy of Stony Brook Medicine).

A new study demonstrates how an inexpensive three dimensional (3-D) printer can be used to manufacture a patient-specific bolus for external beam therapy.

Researchers at Stony Brook Medicine (NY, USA) conducted a project to design and print a bolus using a treatment planning system and an inexpensive (USD 3,000) 3-D printer. The bolus is a device used in radiation therapy (RT) placed directly on the patient’s skin, and is intended to shape the desired RT dose to surface anatomy, thus conforming and containing the planning target volume (PTV) dose while delivering minimal radiation to adjacent underlying critical structures and normal tissues.

The researchers began the design process using a phantom as the test subject. After a computerized tomography (CT) scan was acquired, the data was exported to the Varian (Palo Alto, CA, USA) Eclipse treatment planning system. Once a satisfactory bolus design was determined, the structure set was exported to 3DSlicer, a 3-D modeling software that is maintained as open source. The stereolithography (STL) files were interpreted by printer software, and instructions were sent to an Airwolf (Costa Mesa, CA, USA) 3-D printer.

The researchers tested different materials—including acrylonitrile butadiene styrene and polylactic acid—as the substrate. Dose plane comparisons were conducted for each material using the phantom model and photographic film to verify accurate treatment planning. They were also able to verify accurate treatment planning using gamma analysis, and found that with gamma criteria of 5% dose difference and 3 mm distance-to-agreement (DTA) leeway, they achieved 95% points passing. The study was published in the May-June 2015 issue of the Journal of Applied Clinical Medical Physics (JACMP).

“We are confident that we can accurately model this printing material in our treatment planning system for all energies in photon and electron beams,” concluded lead author Sarah Burleso, PhD, and colleagues of the department of radiation oncology. “In the event the patient cannot have bolus materials placed on their skin for molding, we can print a 3D positive mold of the patient’s treatment area, molding the bolus to the replica instead. This process of printing our own bolus streamlines patient care, minimizes patient involvement, and maintains quality treatments.”

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62 (57.93571472168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294759509 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294759509 AND published='1' LIMIT 1

63 (125.88500976562): 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

64 (707.14950561523): SELECT fid FROM jos_deeppockets WHERE id=294759509 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294759509 AND published='1' LIMIT 1

65 (347.85270690918): 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`

66 (77.009201049805): select jos_twitters.link from jos_twitters where cat=10

67 (44.822692871094): select jos_facebook.link from jos_facebook where cat=10

68 (36.001205444336): select jos_google_plus.link from jos_google_plus where cat=10

69 (30.040740966797): select jos_linkedin.link from jos_linkedin where cat=10

70 (35.04753112793): SELECT fid FROM jos_deeppockets WHERE id=294759509 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294759509 AND published='1' LIMIT 1

71 (32.901763916016): 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`

72 (331.87866210938): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294759509 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

73 (360.01205444336): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294759509 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

74 (56.982040405273): 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`

75 (80.108642578125): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (63.896179199219): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294759509 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

90 (34.093856811523): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294759509 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

91 (36.001205444336): 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`

92 (72.002410888672): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (72.002410888672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294759509 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294759509 AND published='1' LIMIT 1

107 (41.007995605469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294759509 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294759509 AND published='1' LIMIT 1

108 (64.13459777832): 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=294759509 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

109 (56.982040405273): 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=294759509 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

110 (88.930130004883): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294759509 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294759509 AND published='1' LIMIT 1

111 (49.114227294922): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294759509 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294759509 AND published='1' LIMIT 1

112 (406.02684020996): 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=294759509 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (400.06637573242): 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=294759509 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

114 (54.121017456055): 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=294759506 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

115 (364.06517028809): 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=294759506 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

116 (670.9098815918): 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

117 (410.07995605469): 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

118 (82.969665527344): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294759509 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294759509 AND published='1' LIMIT 1

119 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294759509 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294759509 AND published='1' LIMIT 1

120 (91.075897216797): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294759509 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294759509 AND published='1' LIMIT 1

121 (42.915344238281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294759509 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294759509 AND published='1' LIMIT 1

122 (118.97087097168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294759509 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294759509 AND published='1' LIMIT 1

123 (462.05520629883): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294759509 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294759509 AND published='1' LIMIT 1

124 (818.01414489746): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

125 (!!!!! 48650.979995728): 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

126 (82.015991210938): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294759509 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294759509 AND published='1' LIMIT 1

127 (46.014785766602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294759509 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294759509 AND published='1' LIMIT 1

128 (375.03242492676): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294759509 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294759509 AND type='deeppockets_item' AND published='1' LIMIT 1

129 (!!!!! 478173.01750183): ( 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

130 (124.93133544922): ( 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

131 (123.97766113281): 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

132 (55.074691772461): 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

133 (108.00361633301): 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

134 (54.121017456055): 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

135 (61.988830566406): 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

136 (48.87580871582): 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

137 (623.94142150879): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294759509 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

138 (506.87789916992): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294759509 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

139 (340.93856811523): SELECT name FROM jos_deeppockets WHERE id=213

140 (51.021575927734): SELECT name FROM jos_deeppockets WHERE id=213

141 (739.09759521484): 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

142 (560.04524230957): 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

143 (98.943710327148): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294759509 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294759509 AND published='1' LIMIT 1

144 (69.856643676758): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294759509 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294759509 AND published='1' LIMIT 1

145 (!!!!! 11184.930801392): TRUNCATE TABLE jos_trademed_module

146 (131.84547424316): 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=294759509 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

147 (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_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=294759509 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

148 (594.8543548584): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294759509 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

149 (78.916549682617): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294759509 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

150 (85.115432739258): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294759509 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294759509 AND published='1' LIMIT 1

151 (60.081481933594): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294759509 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294759509 AND published='1' LIMIT 1

152 (!!!!! 1476.0494232178): 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

153 (79.154968261719): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294759509 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294759509 AND published='1' LIMIT 1

154 (62.942504882812): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294759509 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294759509 AND published='1' LIMIT 1

155 (55.074691772461): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294759509 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294759509 AND type='deeppockets_item' AND published='1' LIMIT 1

156 (44.822692871094): 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=0 or channel_id is null)

157 (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=0 or channel_id is null)

158 (49.114227294922): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

159 (174.99923706055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294759509 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294759509 AND published='1' LIMIT 1

160 (420.09353637695): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294759509 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294759509 AND published='1' LIMIT 1

161 (38.14697265625): select jos_twitters.link from jos_twitters where cat=10

162 (30.040740966797): select jos_facebook.link from jos_facebook where cat=10

163 (27.894973754883): select jos_google_plus.link from jos_google_plus where cat=10

164 (29.087066650391): select jos_linkedin.link from jos_linkedin where cat=10

165 (330.92498779297): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

166 (!!!!! 1538.9919281006): insert into jos_banners_delta values (14615,'2025-06-17 20:13:30','216.73.216.120','view'),(14202,'2025-06-17 20:13:30','216.73.216.120','view'),(14203,'2025-06-17 20:13:30','216.73.216.120','view')

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