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New Imaging Technique Detects Aggressive Lung and Prostate Cancers

By MedImaging International staff writers
Posted on 02 Jul 2024

Image: The DLL3-targeting technology can detect some cancers that would likely be missed by more conventional imaging (Photo courtesy of Radiochemistry & Molecular Imaging Probe Core Facility)

Small cell lung cancer (SCLC) and neuroendocrine prostate cancer (NEPC) are types of neuroendocrine cancers, which develop in hormone-producing cells. SCLC is known for its rapid spread to other regions and lymph nodes in the chest. The five-year survival rate stands at 18% when it is diagnosed after it has spread beyond the lungs. NEPC, while rare, is highly lethal and lacks effective standard treatments. It may appear as a new cancer, referred to as “de novo,” or develop from more common prostate adenocarcinoma, often due to the effects of treatments like hormone therapy or chemotherapy. NEPCs are challenging to detect and usually require biopsies for diagnosis, posing an increasing challenge in prostate cancer management. However Now, a new imaging technology has been shown to enhance the detection of metastatic SCLC and NEPC, which conventional imaging methods might miss.

This advanced imaging method, developed at Memorial Sloan Kettering Cancer Center (MSK, New York, NY, USA), utilizes a radioactive tracer designed to bind to a specific cancer cell ligand known as DLL3, enhancing the visibility of these cells on PET scans. DLL3 is predominantly expressed in aggressive forms of SCLC and NEPC, aiding in the identification of patients who could benefit from new DLL3-targeting drugs currently under clinical evaluation. Furthermore, researchers are exploring ways to couple these drugs with radioactive materials to create a targeted treatment that spares healthy cells while eliminating cancer cells.

Named [89Zr]Zr-DFO-SC16.56, this imaging agent is a significant advancement in the field of theranostics, which combines diagnostic and therapeutic capabilities in a single agent. The imaging agent is injected into the body by a nuclear medicine physician, followed by its absorption by cancer cells that express DLL3. This process allows physicians to use PET scans to determine the extent of the cancer and guide treatment decisions. This agent not only detects minute metastases to the brain but may also be applicable to other cancers like thyroid cancer and neuroblastoma. Initial results from a pilot study published in The Lancet Oncology have shown that [89Zr]Zr-DFO-SC16.56 reliably identifies cancer cells with DLL3 in 18 patients, without raising safety issues. Plans are underway to further evaluate this agent in a larger cohort, with MSK receiving multiple grants to advance and validate this DLL3-focused technology.

“DLL3-targeting technology could be the next generation of theranostics, guiding new treatments for patients with small cell lung cancer or neuroendocrine prostate cancers who otherwise would have run out of options,” said MSK radiochemist Jason S. Lewis, PhD.

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64 (!!!!! 2101.1829376221): 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

65 (!!!!! 7858.0379486084): SELECT fid FROM jos_deeppockets WHERE id=294801708 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294801708 AND published='1' LIMIT 1

66 (!!!!! 1009.9411010742): 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`

67 (643.96858215332): select jos_twitters.link from jos_twitters where cat=10

68 (!!!!! 1717.0906066895): select jos_facebook.link from jos_facebook where cat=10

69 (206.23207092285): select jos_google_plus.link from jos_google_plus where cat=10

70 (226.02081298828): select jos_linkedin.link from jos_linkedin where cat=10

71 (232.93495178223): SELECT fid FROM jos_deeppockets WHERE id=294801708 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294801708 AND published='1' LIMIT 1

72 (160.93254089355): 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`

73 (!!!!! 2604.0077209473): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294801708 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

74 (547.88589477539): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294801708 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

75 (76.055526733398): 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`

76 (255.10787963867): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (43.153762817383): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (586.03286743164): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (56.028366088867): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (51.021575927734): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (!!!!! 2015.8290863037): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (97.990036010742): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (201.94053649902): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (53.882598876953): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (118.97087097168): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (545.02487182617): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (51.021575927734): SELECT show_live FROM jos_com_show_setting LIMIT 1

90 (736.95182800293): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294801708 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

91 (!!!!! 1435.9951019287): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294801708 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

92 (96.08268737793): 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`

93 (!!!!! 2166.9864654541): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (510.93101501465): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (500.91743469238): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (197.8874206543): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (515.93780517578): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (58.174133300781): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (118.97087097168): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (141.14379882812): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (289.9169921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (801.08642578125): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (234.84230041504): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (!!!!! 3948.9269256592): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (727.89192199707): SELECT show_live FROM jos_com_show_setting LIMIT 1

107 (!!!!! 5511.999130249): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801708 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801708 AND published='1' LIMIT 1

108 (100.85105895996): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801708 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801708 AND published='1' LIMIT 1

109 (!!!!! 1096.9638824463): 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=294801708 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

110 (!!!!! 4048.8243103027): 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=294801708 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (!!!!! 1523.0178833008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801708 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801708 AND published='1' LIMIT 1

112 (!!!!! 1445.0550079346): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801708 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801708 AND published='1' LIMIT 1

113 (661.13471984863): 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=294801708 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

114 (!!!!! 2496.9577789307): 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=294801708 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

115 (!!!!! 1513.0043029785): 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

116 (!!!!! 1320.8389282227): 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 (!!!!! 1739.9787902832): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801708 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801708 AND published='1' LIMIT 1

118 (107.0499420166): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801708 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801708 AND published='1' LIMIT 1

119 (!!!!! 2190.113067627): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801708 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801708 AND published='1' LIMIT 1

120 (648.97537231445): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801708 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801708 AND published='1' LIMIT 1

121 (!!!!! 5481.0047149658): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801708 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801708 AND published='1' LIMIT 1

122 (!!!!! 6264.9250030518): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801708 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801708 AND published='1' LIMIT 1

123 (!!!!! 7670.8793640137): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801708 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801708 AND published='1' LIMIT 1

124 (!!!!! 7947.9217529297): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801708 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801708 AND published='1' LIMIT 1

125 (!!!!! 5414.0090942383): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

126 (!!!!! 71786.880493164): 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

127 (!!!!! 1197.8149414062): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294801708 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294801708 AND type='deeppockets_item' AND published='1' LIMIT 1

128 (!!!!! 23297.071456909): ( 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

129 (77.962875366211): ( 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 (64.13459777832): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

131 (46.968460083008): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

132 (372.88665771484): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

133 (51.975250244141): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

134 (458.95576477051): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

135 (303.98368835449): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

136 (452.99530029297): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

137 (295.16220092773): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

138 (!!!!! 5215.1679992676): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801708 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

139 (540.97175598145): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801708 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

140 (837.08763122559): SELECT name FROM jos_deeppockets WHERE id=213

141 (269.88983154297): SELECT name FROM jos_deeppockets WHERE id=213

142 (957.96585083008): 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 (!!!!! 1019.9546813965): 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

144 (706.19583129883): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801708 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801708 AND published='1' LIMIT 1

145 (87.976455688477): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801708 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801708 AND published='1' LIMIT 1

146 (!!!!! 14011.859893799): TRUNCATE TABLE jos_trademed_module

147 (!!!!! 7662.0578765869): 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=294801708 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

148 (586.03286743164): 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=294801708 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

149 (!!!!! 1079.0824890137): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801708 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

150 (219.82192993164): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801708 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

151 (916.0041809082): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801708 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801708 AND published='1' LIMIT 1

152 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801708 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801708 AND published='1' LIMIT 1

153 (!!!!! 6167.8886413574): 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

154 (!!!!! 1000.1659393311): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801708 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801708 AND published='1' LIMIT 1

155 (85.115432739258): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801708 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801708 AND published='1' LIMIT 1

156 (!!!!! 2489.0899658203): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294801708 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294801708 AND type='deeppockets_item' AND published='1' LIMIT 1

157 (!!!!! 1597.8813171387): 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)

158 (45.061111450195): 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)

159 (792.02651977539): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

160 (!!!!! 1686.8114471436): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801708 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801708 AND published='1' LIMIT 1

161 (97.036361694336): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801708 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801708 AND published='1' LIMIT 1

162 (867.12837219238): select jos_twitters.link from jos_twitters where cat=10

163 (605.82160949707): select jos_facebook.link from jos_facebook where cat=10

164 (57.93571472168): select jos_google_plus.link from jos_google_plus where cat=10

165 (149.96528625488): select jos_linkedin.link from jos_linkedin where cat=10

166 (!!!!! 1583.8146209717): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

167 (!!!!! 1430.9883117676): insert into jos_banners_delta values (14615,'2025-08-02 18:43:56','216.73.216.210','view'),(14202,'2025-08-02 18:43:56','216.73.216.210','view'),(14203,'2025-08-02 18:43:56','216.73.216.210','view')

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