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AAPM 2025 - 67th Annual Meeting & Exhibition of the American Association of Physicists in Medicine

Undetectable PSA after Radiation Predicts Good Patient Outcomes

By MedImaging International staff writers
Posted on 25 Nov 2009

Researchers reported that radiation therapy alone can reduce prostate-specific antigen (PSA) levels below detectable amounts in prostate cancer patients. Patients who have an undetectable level of PSA after therapy have less chance of biochemical failure than other patients do, and a good chance of being cured.

The data were presented by investigators from Fox Chase Cancer Center (Philadelphia, PA, USA) at the annual meeting of the American Society for Radiation Oncology, held in early November 2009 in San Diego, CA, USA. "With high quality radiation--whether it is from an implant or external beam--it is possible to get really low PSAs,” stated Eric M. Horwitz, M.D., acting chairman and clinical director of radiation oncology at Fox Chase. "And if you do, you have a really good chance of being cured.”

Prostate cancer patients have several options for therapy, including radiation or surgery. After surgery, patients are expected to have an undetectable PSA because the entire prostate has been removed. However, patients treated with radiation alone may still have viable prostate tissue after treatment because the radiation beam is narrowly focused on the tumor. Therefore, radiation oncologists have not expected their patients to have the same very low PSA scores as surgical patients. That expectation appears to be changing, according to Dr. Horwitz. "We used to tell our patients that they wouldn't have an undetectable or really low PSA, but we are seeing that some do,” he noted.

To determine whether a very low PSA score predicts a better clinical outcome, Dr. Horwitz and colleagues examined patient records for 1,330 men with prostate cancer who were treated with radiation therapy alone at Fox Chase between 1989 and 2005. The 154 men who had undetectable PSA after therapy were 59% less likely to have biochemical failure than men who had detectable PSA after therapy were. The reduction in risk was statistically significant in a multivariable analysis. There were also trends for reductions in the risk of local or distant recurrence and in cancer-specific death.

Physicians should no longer be surprised when they see radiation-treated patients achieve such low PSA levels, according to Dr. Horwitz. With better radiation techniques, such as three-dimensional conformal radiotherapy (3DCRT), which was developed at Fox Chase, and intensity-modulated radiation therapy (IMRT), radiation oncologists regularly deliver higher doses to the tumor bed than they were able to in the past. Patients experience fewer side effects with these techniques, despite the increased radiation dose.

Dr. Horwitz and colleagues were in a unique position to look at the clinical importance of undetectable PSA after radiation therapy. Because 3DCRT was developed at Fox Chase and the institution was an early adopter of IMRT, the Fox Chase patient database used in this study is one of the largest and longest patient series available in the United States.

Related Links:
Fox Chase Cancer Center

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64 (444.88906860352): select jos_twitters.link from jos_twitters where cat=10

65 (66.995620727539): select jos_facebook.link from jos_facebook where cat=10

66 (45.061111450195): select jos_google_plus.link from jos_google_plus where cat=10

67 (!!!!! 6814.9566650391): select jos_linkedin.link from jos_linkedin where cat=10

68 (114.91775512695): SELECT fid FROM jos_deeppockets WHERE id=294726607 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294726607 AND published='1' LIMIT 1

69 (50.067901611328): 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=211 ORDER BY `ordering`

70 (402.92739868164): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294726607 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (226.97448730469): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294726607 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (46.968460083008): 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 (70.095062255859): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (92.983245849609): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (37.193298339844): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (89.168548583984): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294726607 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (35.04753112793): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294726607 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (35.04753112793): 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 (58.889389038086): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (66.995620727539): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (50.067901611328): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (39.815902709961): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (82.015991210938): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294726607 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294726607 AND published='1' LIMIT 1

105 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294726607 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294726607 AND published='1' LIMIT 1

106 (61.988830566406): 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=294726607 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (50.067901611328): 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=294726607 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (99.897384643555): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294726607 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294726607 AND published='1' LIMIT 1

109 (73.909759521484): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294726607 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294726607 AND published='1' LIMIT 1

110 (47.922134399414): 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=294726607 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (481.12869262695): 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=294726607 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (624.17984008789): 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 (368.11828613281): 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 (78.201293945312): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294726607 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294726607 AND published='1' LIMIT 1

115 (78.916549682617): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294726607 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294726607 AND published='1' LIMIT 1

116 (50.067901611328): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294726607 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294726607 AND published='1' LIMIT 1

117 (41.007995605469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294726607 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294726607 AND published='1' LIMIT 1

118 (45.061111450195): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294726607 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294726607 AND published='1' LIMIT 1

119 (36.954879760742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294726607 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294726607 AND published='1' LIMIT 1

120 (74.148178100586): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294726607 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294726607 AND published='1' LIMIT 1

121 (48.87580871582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294726607 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294726607 AND published='1' LIMIT 1

122 (286.10229492188): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 45849.800109863): 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

124 (617.98095703125): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294726607 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294726607 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 16240.835189819): ( 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 (61.03515625): ( 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 (36.954879760742): 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

128 (31.948089599609): 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

129 (44.822692871094): 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

130 (30.994415283203): 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

131 (339.03121948242): 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

132 (42.915344238281): 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

133 (33.140182495117): 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

134 (30.040740966797): 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

135 (466.10832214355): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294726607 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (424.86190795898): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294726607 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (156.87942504883): SELECT name FROM jos_deeppockets WHERE id=211

138 (52.928924560547): SELECT name FROM jos_deeppockets WHERE id=211

139 (758.88633728027): 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 '((;)|(^))211((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

140 (854.0153503418): 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 '((;)|(^))211((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

141 (166.89300537109): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294726607 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294726607 AND published='1' LIMIT 1

142 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294726607 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294726607 AND published='1' LIMIT 1

143 (!!!!! 24205.923080444): TRUNCATE TABLE jos_trademed_module

144 (331.16340637207): 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=294726607 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (247.95532226562): 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=294726607 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (753.87954711914): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294726607 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (93.936920166016): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294726607 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (331.16340637207): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294726607 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294726607 AND published='1' LIMIT 1

149 (241.04118347168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294726607 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294726607 AND published='1' LIMIT 1

150 (!!!!! 1529.9320220947): 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

151 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294726607 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294726607 AND published='1' LIMIT 1

152 (128.03077697754): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294726607 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294726607 AND published='1' LIMIT 1

153 (219.10667419434): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294726607 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294726607 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (!!!!! 3253.9367675781): 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=211 or channel_id is null)

155 (46.014785766602): 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=211 or channel_id is null)

156 (34.093856811523): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (488.9965057373): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294726607 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294726607 AND published='1' LIMIT 1

158 (71.048736572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294726607 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294726607 AND published='1' LIMIT 1

159 (56.982040405273): select jos_twitters.link from jos_twitters where cat=10

160 (124.93133544922): select jos_facebook.link from jos_facebook where cat=10

161 (33.140182495117): select jos_google_plus.link from jos_google_plus where cat=10

162 (113.96408081055): select jos_linkedin.link from jos_linkedin where cat=10

163 (436.06758117676): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

164 (!!!!! 4497.0512390137): insert into jos_banners_delta values (14615,'2025-06-30 12:23:35','216.73.216.249','view'),(14202,'2025-06-30 12:23:35','216.73.216.249','view'),(14203,'2025-06-30 12:23:35','216.73.216.249','view')

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