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Stereotactic Radiotherapy System Treats Breast Cancer

By MedImaging International staff writers
Posted on 10 Jan 2018

Image: The GammaPod dedicated RT system (Photo courtesy of Xcision Medical Systems).

A new cobalt (Co60) teletherapy device delivers a radiation dose to specific areas of the breast, in conjunction with breast conserving treatment.

The Xcision Medical Systems (Columbia, MD, USA) GammaPod system is a dedicated radiation therapy (RT) technology that uses thousands of focused beams of radiation emanating from 36 rotating radioactive Co60 sources, in combination with a two-layer, vacuum-assisted positioning cup that immobilizes the breast during treatment, thus minimizing the radiation dose to the surrounding healthy tissues in the breast, heart, and lungs. The system contains four main components:

• The GammaPod irradiation unit, a hemispherical carrier that holds multiple Co60 sources, a hemispherical dynamically changing collimator system (inside and concentric to the source carrier), a hemi-elliptical-sphere treatment space (inside the collimator) within which the breast is positioned for treatment, and a treatment patient loader that lifts and rotates a patient positioned on a treatment couch from the standing to prone position, which also contains a portal within which the breast immobilization cup is affixed. The irradiation unit is controlled by a computerized treatment control system.

• The Imager loader system, an imaging couch intended to make the imaging geometry identical to that of the treatment geometry. The patient is lifted and rotated from a standing position to prone position for imaging while wearing a breast immobilization device, which is affixed through a portal in the imaging couch.

• The breast immobilization system, a vacuum-assisted breast cup designed to reproducibly hold the breast in place and provide an accurate reference frame to match the tumor with the coordinate system of the irradiation unit. The cup consists of a rigid reusable outer cup with an imbedded stereotactic frame and a thin inner cup joined together by a silicone flange at the chest side. A mild negative pressure is applied between the inner and outer cups, causing the skin of the breast to press against the inner cup, securing it in place.

• A treatment planning system designed specifically for planning breast radiotherapy using the GammaPod by placing the breast images within the stereotactic localization frame coordinate system through an image registration process; optimizing a dynamic and deliverable trajectory of the focal spots of different sizes to realize the prescribed dose to the target volume, while minimizing radiation exposure to the surrounding tissues and structures; and ensuring accurate dose calculation of the optimized plan and providing dosimetric indices for review.

“The GammaPod has the potential to significantly shorten the treatment time to a few sessions or possibly even one treatment,” said Professor Cedric X. Yu, DSc, CEO and founder of Xcision Medical Systems. “We envision that one day we'll be able to neutralize a tumor with a high dose of focused radiation instead of removing it with a scalpel. This approach would spare patients the negative side effects of surgery and prolonged radiation treatments, significantly improving their quality of life.”

Stereotactic radiation therapy is most commonly used to treat brain cancer and cancers in other parts of the body, such as the lung, spine and liver, where it is called stereotactic body radiation therapy (SBRT). Requirements of SBRT include precise localization of the target lesion in the treatment planning process; accounting for tumor motion due to respiration or other changes in the body; highly conformal dose distribution to the target volume, including a steep dose gradient to minimize radiation to surrounding healthy tissue; and image-guidance at the time of dose delivery for verification and adjustment of the target localization.

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66 (28.133392333984): select jos_google_plus.link from jos_google_plus where cat=10

67 (26.941299438477): select jos_linkedin.link from jos_linkedin where cat=10

68 (29.087066650391): SELECT fid FROM jos_deeppockets WHERE id=294772122 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294772122 AND published='1' LIMIT 1

69 (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`

70 (159.97886657715): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294772122 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (138.99803161621): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294772122 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (36.954879760742): 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 (56.028366088867): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (43.153762817383): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (60.081481933594): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (77.009201049805): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (67.949295043945): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (51.021575927734): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (72.956085205078): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (52.928924560547): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (38.862228393555): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294772122 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (27.179718017578): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294772122 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (30.994415283203): 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 (56.982040405273): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (24.795532226562): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (68.902969360352): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (23.841857910156): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (24.795532226562): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294772122 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294772122 AND published='1' LIMIT 1

105 (41.007995605469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294772122 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294772122 AND published='1' LIMIT 1

106 (70.095062255859): 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=294772122 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (44.107437133789): 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=294772122 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (118.97087097168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294772122 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294772122 AND published='1' LIMIT 1

109 (70.095062255859): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294772122 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294772122 AND published='1' LIMIT 1

110 (622.98774719238): 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=294772122 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (339.03121948242): 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=294772122 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (746.01173400879): 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 (569.10514831543): 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 (136.8522644043): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294772122 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294772122 AND published='1' LIMIT 1

115 (60.796737670898): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294772122 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294772122 AND published='1' LIMIT 1

116 (105.85784912109): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294772122 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294772122 AND published='1' LIMIT 1

117 (63.180923461914): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294772122 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294772122 AND published='1' LIMIT 1

118 (101.08947753906): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294772122 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294772122 AND published='1' LIMIT 1

119 (130.89179992676): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294772122 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294772122 AND published='1' LIMIT 1

120 (357.15103149414): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

121 (!!!!! 41589.975357056): 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 (183.10546875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294772122 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294772122 AND published='1' LIMIT 1

123 (117.06352233887): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294772122 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294772122 AND published='1' LIMIT 1

124 (634.19342041016): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294772122 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294772122 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 634289.97993469): ( 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 (239.84909057617): ( 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 (227.92816162109): 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 (192.88063049316): 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 (37.908554077148): 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 (29.087066650391): 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 (360.96572875977): 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 (!!!!! 3058.910369873): 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 (!!!!! 1163.9595031738): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294772122 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

134 (794.88754272461): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294772122 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

135 (!!!!! 1115.7989501953): SELECT name FROM jos_deeppockets WHERE id=213

136 (53.882598876953): SELECT name FROM jos_deeppockets WHERE id=213

137 (616.07360839844): 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 (619.88830566406): 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 (!!!!! 1760.9596252441): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294772122 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294772122 AND published='1' LIMIT 1

140 (622.03407287598): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294772122 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294772122 AND published='1' LIMIT 1

141 (!!!!! 13824.224472046): TRUNCATE TABLE jos_trademed_module

142 (548.12431335449): 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=294772122 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

143 (108.00361633301): 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=294772122 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

144 (!!!!! 1695.1560974121): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294772122 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

145 (937.93869018555): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294772122 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

146 (!!!!! 2186.0599517822): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294772122 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294772122 AND published='1' LIMIT 1

147 (911.95106506348): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294772122 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294772122 AND published='1' LIMIT 1

148 (!!!!! 1734.9720001221): 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 (177.86026000977): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294772122 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294772122 AND published='1' LIMIT 1

150 (174.04556274414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294772122 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294772122 AND published='1' LIMIT 1

151 (627.04086303711): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294772122 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294772122 AND type='deeppockets_item' AND published='1' LIMIT 1

152 (371.93298339844): 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 (234.84230041504): 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 (278.94973754883): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

155 (447.98851013184): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294772122 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294772122 AND published='1' LIMIT 1

156 (710.96420288086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294772122 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294772122 AND published='1' LIMIT 1

157 (134.22966003418): select jos_twitters.link from jos_twitters where cat=10

158 (29.087066650391): 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 (25.98762512207): select jos_linkedin.link from jos_linkedin where cat=10

161 (286.10229492188): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

162 (!!!!! 1813.8885498047): insert into jos_banners_delta values (14615,'2025-04-30 14:13:40','3.15.34.228','view'),(14202,'2025-04-30 14:13:40','3.15.34.228','view'),(14203,'2025-04-30 14:13:40','3.15.34.228','view')

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