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Stereotactic Treatment of Tumors Potentially Exposes Patients to Less Radiation

By MedImaging International staff writers
Posted on 01 Dec 2009

Researchers reported that image-guided technology has clinical advantages over earlier fixed-beam approaches to stereotactic radiosurgery (SRS) or stereotactic radiotherapy (SRT) for treating cancer.

The researchers conducting the study were from the University of California, Irvine (UCI) Medical Center (USA) and utilized image-guided RapidArc radiotherapy from Varian Medical Systems (Palo Alto, CA, USA). RapidArc, Varian's technology for delivering volumetric modulated arc therapy (VMAT), enables clinicians to deliver a highly precise image-guided intensity-modulated treatment quickly, often with just one revolution of the treatment machine around the patient.

"We found that we can deliver RapidArc treatments much more quickly, with an average of 76% less ‘beam on' time, and also using 31% fewer monitor units, which could limit unintended and undesired radiation exposure to patients,” said Daniel C. Schiffner, M.D., chief resident in the UCI department of radiation oncology, in November 2009 at the annual meeting of the American Society for Radiation Oncology (ASTRO) in Chicago, IL, USA. "The reduction in monitor units is important because it limits the degree to which patients are exposed to radiation leakage from the treatment machine. In addition, less ‘beam on' time improves our clinical workflow, improves patient comfort during treatment, and limits the potential for patient and organ motion during the treatment session, which can allow more accurate dose targeting.”

In addition to being faster and requiring fewer monitor units, RapidArc treatments were found to conform to the shape and size of a targeted tumor at least as well as dynamic, fixed-beam approaches to intensity-modulated radiotherapy (IMRT), SRS, and SRT. "Treatment with RapidArc VMAT using a single arc produced similar dose conformality and homogeneity compared with earlier, more time-consuming approaches,” said Dr. Schiffner.

Since 2008, clinicians at UC Irvine have been using Varian's Trilogy medical linear accelerator to treat tumors with either SRS or SRT, using a dynamic form of IMRT delivered from multiple beam angles. The department acquired RapidArc technology in early 2009, "permitting us to treat complex targets with a single arc,” Dr. Schiffner said. "The technology makes it possible to dynamically shape the beam, and at the same time vary the dose delivery rate and the speed of rotation around the patient. By varying those elements, RapidArc achieves the significant time savings.”

Dr. Schiffner and a team of colleagues reported on a study that compared the two treatment approaches for eight patients with 13 lesions. "All of the RapidArc plans were delivered in a single arc, while IMRT plans required 7-14 fields for delivery,” said Dr. Schiffner. "The clinically important advantages we saw lead us to recommend the use of image-guided RapidArc to optimize the delivery of SRS and SBRT for intracranial and extracranial targets.”

Varian Medical Systems is a world-leading manufacturer of medical devices and software for treating cancer and other medical conditions with radiotherapy, radiosurgery, proton therapy, and brachytherapy. The company supplies informatics software for managing cancer clinics, radiotherapy centers, and medical oncology practices. Varian is a key supplier of tubes and digital detectors for X-ray imaging in medical, scientific, and industrial applications and also supplies X-ray imaging products for cargo screening and industrial inspection.

Related Links:
University of California, Irvine Medical Center
Varian Medical Systems

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62 (!!!!! 19019.12689209): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294726668 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294726668 AND published='1' LIMIT 1

63 (!!!!! 11388.063430786): 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 (!!!!! 1239.0613555908): SELECT fid FROM jos_deeppockets WHERE id=294726668 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294726668 AND published='1' LIMIT 1

65 (!!!!! 2693.1762695312): 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`

66 (!!!!! 5167.0074462891): select jos_twitters.link from jos_twitters where cat=10

67 (839.2333984375): select jos_facebook.link from jos_facebook where cat=10

68 (159.02519226074): select jos_google_plus.link from jos_google_plus where cat=10

69 (228.1665802002): select jos_linkedin.link from jos_linkedin where cat=10

70 (510.21575927734): SELECT fid FROM jos_deeppockets WHERE id=294726668 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294726668 AND published='1' LIMIT 1

71 (216.00723266602): 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`

72 (754.11796569824): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294726668 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

73 (!!!!! 3698.1105804443): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294726668 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

74 (!!!!! 1860.1417541504): 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 (!!!!! 4827.9762268066): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (!!!!! 3263.9503479004): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (!!!!! 5379.9152374268): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (648.97537231445): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (329.97131347656): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (206.94732666016): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (!!!!! 1018.0473327637): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (53.882598876953): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (773.19145202637): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (!!!!! 2294.0635681152): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (564.0983581543): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (211.95411682129): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (!!!!! 2153.8734436035): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294726668 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

90 (!!!!! 2873.1822967529): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294726668 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

91 (222.92137145996): 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 (!!!!! 7181.8828582764): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (!!!!! 7326.1260986328): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (!!!!! 7869.0052032471): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (!!!!! 6714.1056060791): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (!!!!! 5587.100982666): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (263.92936706543): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (!!!!! 1608.13331604): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (!!!!! 2344.1314697266): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (!!!!! 2275.9437561035): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (629.90188598633): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (422.00088500977): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (42.200088500977): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (!!!!! 3338.098526001): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294726668 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294726668 AND published='1' LIMIT 1

107 (551.93901062012): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294726668 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294726668 AND published='1' LIMIT 1

108 (804.90112304688): 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=294726668 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

109 (!!!!! 1085.0429534912): 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=294726668 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

110 (!!!!! 10247.945785522): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294726668 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294726668 AND published='1' LIMIT 1

111 (92.983245849609): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294726668 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294726668 AND published='1' LIMIT 1

112 (82.015991210938): 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=294726668 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (917.91152954102): 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=294726668 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

114 (!!!!! 4875.8983612061): 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

115 (!!!!! 1668.9300537109): 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 (385.04600524902): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294726668 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294726668 AND published='1' LIMIT 1

117 (81.062316894531): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294726668 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294726668 AND published='1' LIMIT 1

118 (710.01052856445): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294726668 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294726668 AND published='1' LIMIT 1

119 (86.069107055664): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294726668 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294726668 AND published='1' LIMIT 1

120 (238.18016052246): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294726668 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294726668 AND published='1' LIMIT 1

121 (214.0998840332): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294726668 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294726668 AND published='1' LIMIT 1

122 (489.95018005371): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294726668 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294726668 AND published='1' LIMIT 1

123 (517.12989807129): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294726668 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294726668 AND published='1' LIMIT 1

124 (633.00132751465): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

125 (!!!!! 66120.862960815): 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 (!!!!! 11553.049087524): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294726668 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294726668 AND type='deeppockets_item' AND published='1' LIMIT 1

127 (!!!!! 37061.929702759): ( 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

128 (!!!!! 16036.033630371): ( 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 (!!!!! 7875.919342041): 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

130 (!!!!! 6833.0764770508): 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 (!!!!! 1447.2007751465): 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

132 (149.01161193848): 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 (257.01522827148): 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

134 (208.85467529297): 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 (492.09594726562): 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

136 (43.153762817383): 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 (!!!!! 1247.8828430176): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294726668 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

138 (!!!!! 4317.9988861084): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294726668 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

139 (!!!!! 1239.7766113281): SELECT name FROM jos_deeppockets WHERE id=211

140 (55.074691772461): SELECT name FROM jos_deeppockets WHERE id=211

141 (889.06288146973): 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

142 (692.84439086914): 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

143 (!!!!! 2862.9302978516): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294726668 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294726668 AND published='1' LIMIT 1

144 (317.09671020508): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294726668 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294726668 AND published='1' LIMIT 1

145 (!!!!! 9860.9924316406): TRUNCATE TABLE jos_trademed_module

146 (!!!!! 6201.9824981689): 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=294726668 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

147 (!!!!! 3934.8602294922): 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=294726668 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

148 (516.89147949219): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294726668 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

149 (74.148178100586): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294726668 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

150 (131.13021850586): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294726668 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294726668 AND published='1' LIMIT 1

151 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294726668 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294726668 AND published='1' LIMIT 1

152 (!!!!! 7354.0210723877): 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 (145.19691467285): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294726668 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294726668 AND published='1' LIMIT 1

154 (64.849853515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294726668 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294726668 AND published='1' LIMIT 1

155 (!!!!! 1559.0190887451): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294726668 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294726668 AND type='deeppockets_item' AND published='1' LIMIT 1

156 (!!!!! 3980.1597595215): 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)

157 (123.02398681641): 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)

158 (!!!!! 3610.8493804932): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

159 (146.15058898926): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294726668 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294726668 AND published='1' LIMIT 1

160 (68.187713623047): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294726668 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294726668 AND published='1' LIMIT 1

161 (62.942504882812): select jos_twitters.link from jos_twitters where cat=10

162 (37.908554077148): select jos_facebook.link from jos_facebook where cat=10

163 (36.954879760742): select jos_google_plus.link from jos_google_plus where cat=10

164 (36.954879760742): select jos_linkedin.link from jos_linkedin where cat=10

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