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Radiology Test Non-Invasively Diagnoses Immune Checkpoint Inhibitor-Associated AKI

By MedImaging International staff writers
Posted on 06 Sep 2024

Image: The radiology test can be used to diagnose immune checkpoint inhibitor-associated acute kidney injury (Photo courtesy of 123RF)

Immune checkpoint inhibitors (ICIs) are a class of immunotherapy that has transformed cancer treatment but can trigger autoimmune reactions like immune checkpoint inhibitor-associated acute kidney injury (ICI-AKI). Distinguishing ICI-AKI from other causes of acute kidney injury (AKI), common among cancer patients, often requires a kidney biopsy, which carries bleeding risks for some patients. In a new study, researchers explored the use of F18-FDG PET-CTs, a nuclear imaging technique, to identify ICI-AKI without invasive biopsies. Their findings show that ICI-AKI patients exhibit significantly higher levels of radioactively labeled glucose in the kidneys—indicative of inflammation—compared to those with AKI from other causes. This suggests that F18-FDG PET-CTs could serve as a non-invasive alternative for diagnosing ICI-AKI.

Historically, kidney biopsies in ICI-AKI cases typically reveal acute interstitial nephritis, triggered by activated T-cells. Current standard procedures require a biopsy to diagnose this condition. However, certain conditions, such as having a single kidney or being on anticoagulants, may preclude safe biopsy, emphasizing the need for non-invasive diagnostic options. Earlier small-scale studies and case reports considered F18-FDG PET-CTs for this purpose but were limited by size, lack of rigorous criteria, and absence of control groups.

In this latest study, researchers at Brigham and Women's Hospital (Boston, MA, USA) aimed to validate the diagnostic utility of F18-FDG PET-CTs for ICI-AKI. They analyzed data from a previous study, focusing on patients who underwent F18-FDG PET-CTs near the time of suspected ICI-AKI diagnosis. They also included two control groups: patients with AKI from non-ICI causes and ICI-treated patients without AKI during a follow-up scan. Eligible patients had F18-FDG PET-CT scans both at baseline and close to the onset of AKI (or during a follow-up period for the second control group). Radiologists evaluated the scans for standardized uptake value (SUV) changes in the renal cortices, an indicator of inflammation and metabolic activity in the kidneys. Results showed a median SUV increase of 57.4% from baseline in ICI-AKI patients, compared to only 8.5% in those with non-ICI AKI and no change in ICI patients without AKI.

The findings published in Journal of Clinical Investigation suggest that F18-FDG PET-CTs could be an effective non-invasive test for ICI-AKI. This method could potentially spare patients from risky biopsies by providing a safer diagnostic alternative, crucial for initiating appropriate treatments like steroids and adjusting ICI therapies. Researchers plan to further validate these findings in a larger, prospective study to confirm the ability of F18-FDG PET-CTs to accurately differentiate ICI-AKI from other AKI causes in patients undergoing ICI treatment.

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61 (169.03877258301): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802368 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802368 AND published='1' LIMIT 1

62 (!!!!! 2046.1082458496): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802368 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802368 AND published='1' LIMIT 1

63 (163.07830810547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802368 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802368 AND published='1' LIMIT 1

64 (200.98686218262): 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 (746.01173400879): SELECT fid FROM jos_deeppockets WHERE id=294802368 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294802368 AND published='1' LIMIT 1

66 (540.97175598145): 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 (92.029571533203): select jos_twitters.link from jos_twitters where cat=10

68 (!!!!! 4404.0679931641): select jos_facebook.link from jos_facebook where cat=10

69 (128.98445129395): select jos_google_plus.link from jos_google_plus where cat=10

70 (54.121017456055): select jos_linkedin.link from jos_linkedin where cat=10

71 (93.936920166016): SELECT fid FROM jos_deeppockets WHERE id=294802368 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294802368 AND published='1' LIMIT 1

72 (56.028366088867): 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 (!!!!! 3028.8696289062): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294802368 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

74 (600.09956359863): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294802368 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

75 (89.883804321289): 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 (!!!!! 1280.0693511963): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (106.8115234375): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (55.074691772461): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (43.869018554688): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (43.153762817383): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (39.815902709961): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (78.916549682617): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (!!!!! 3116.1308288574): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (!!!!! 3944.8738098145): SELECT show_live FROM jos_com_show_setting LIMIT 1

90 (158.07151794434): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294802368 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

91 (52.928924560547): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294802368 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

92 (51.021575927734): 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 (171.89979553223): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (58.889389038086): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (51.021575927734): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (42.200088500977): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (51.021575927734): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (44.107437133789): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (48.87580871582): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (44.107437133789): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (44.822692871094): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (53.167343139648): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

107 (137.0906829834): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802368 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802368 AND published='1' LIMIT 1

108 (92.029571533203): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802368 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802368 AND published='1' LIMIT 1

109 (122.7855682373): 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=294802368 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

110 (787.97340393066): 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=294802368 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (!!!!! 1856.0886383057): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802368 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802368 AND published='1' LIMIT 1

112 (!!!!! 5076.8852233887): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802368 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802368 AND published='1' LIMIT 1

113 (115.87142944336): 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=294802368 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

114 (912.90473937988): 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=294802368 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

115 (909.09004211426): 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 (732.1834564209): 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 (130.17654418945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802368 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802368 AND published='1' LIMIT 1

118 (83.92333984375): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802368 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802368 AND published='1' LIMIT 1

119 (107.0499420166): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802368 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802368 AND published='1' LIMIT 1

120 (110.14938354492): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802368 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802368 AND published='1' LIMIT 1

121 (88.214874267578): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802368 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802368 AND published='1' LIMIT 1

122 (64.13459777832): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802368 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802368 AND published='1' LIMIT 1

123 (83.208084106445): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802368 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802368 AND published='1' LIMIT 1

124 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802368 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802368 AND published='1' LIMIT 1

125 (545.02487182617): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

126 (!!!!! 66607.95211792): 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 (857.11479187012): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294802368 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294802368 AND type='deeppockets_item' AND published='1' LIMIT 1

128 (!!!!! 23404.836654663): ( 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 (92.983245849609): ( 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 (74.148178100586): 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 (48.160552978516): 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 (99.18212890625): 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 (47.206878662109): 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 (479.93659973145): 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 (62.942504882812): 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 (61.988830566406): 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 (46.968460083008): 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 (589.84756469727): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802368 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

139 (411.9873046875): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802368 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

140 (279.90341186523): SELECT name FROM jos_deeppockets WHERE id=213

141 (49.114227294922): SELECT name FROM jos_deeppockets WHERE id=213

142 (798.94065856934): 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 (722.16987609863): 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 (102.04315185547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802368 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802368 AND published='1' LIMIT 1

145 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802368 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802368 AND published='1' LIMIT 1

146 (!!!!! 20391.941070557): TRUNCATE TABLE jos_trademed_module

147 (!!!!! 4762.1726989746): 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=294802368 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

148 (573.87351989746): 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=294802368 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

149 (715.97099304199): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802368 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

150 (144.00482177734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802368 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

151 (118.97087097168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802368 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802368 AND published='1' LIMIT 1

152 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802368 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802368 AND published='1' LIMIT 1

153 (!!!!! 4538.0592346191): 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 (105.14259338379): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802368 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802368 AND published='1' LIMIT 1

155 (67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802368 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802368 AND published='1' LIMIT 1

156 (!!!!! 1972.9137420654): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294802368 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294802368 AND type='deeppockets_item' AND published='1' LIMIT 1

157 (932.21664428711): 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 (62.942504882812): 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 (!!!!! 3048.8967895508): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

160 (172.85346984863): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802368 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802368 AND published='1' LIMIT 1

161 (!!!!! 3200.0541687012): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802368 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802368 AND published='1' LIMIT 1

162 (100.85105895996): select jos_twitters.link from jos_twitters where cat=10

163 (!!!!! 2375.8411407471): select jos_facebook.link from jos_facebook where cat=10

164 (135.89859008789): select jos_google_plus.link from jos_google_plus where cat=10

165 (50.067901611328): select jos_linkedin.link from jos_linkedin where cat=10

166 (!!!!! 6888.1511688232): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

167 (!!!!! 1854.8965454102): insert into jos_banners_delta values (14615,'2025-08-02 15:20:20','216.73.216.210','view'),(14202,'2025-08-02 15:20:20','216.73.216.210','view'),(14203,'2025-08-02 15:20:20','216.73.216.210','view')

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