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First Image-Guided Radiotherapy School in Australia to Teach Advanced Radiotherapy Techniques

By MedImaging International staff writers
Posted on 02 Mar 2010

An Australian hospital has become a teaching facility for image-guided radiotherapy (IGRT). More...

The radiation oncology department at Royal North Shore Hospital (RNSH; Sydney, NSW, Australia) has become the first in Australia to be formally accredited by Varian Medical Systems (Palo Alto, CA, USA), a world leader in radiotherapy technology. The hospital will hold four IGRT courses in 2010, and there are plans to extend this accreditation to other advanced techniques such as intensity-modulated radiotherapy (IMRT) and RapidArc in the future.

"The advanced radiotherapy that we use in our department combines computer-controlled technology with imaging equipment to deliver intensity-modulated radiotherapy and image-guided radiotherapy,” said associate professor Michael Back, director of radiation oncology at the hospital's Northern Sydney Cancer Centre. "These techniques enable the radiation therapists to image and precisely target the patient's tumor each day to within an accuracy level previously unheard of in conventional radiotherapy.”

Prof. Back reported that the signing of the contract with Varian to provide other radiation oncology departments with training in such techniques is a great step towards improving the precision and quality of radiotherapy departments using this equipment across Australasia. "Using these techniques we are able to minimize exposure to the salivary glands in head and neck tumor patients or exposure to the rectum in prostate cancer patients,” added Prof. Back. "As we are able to deliver higher doses of radiation while reducing exposure to healthy tissue, we also have a better chance of controlling the tumor and improving the outcome for patients.”

Prof. Back's team of radiation oncologists, radiation therapists, and medical physicists has been teaching these techniques to clinicians from other hospitals on an unofficial basis since 2007. "Now that the agreement with Varian Medical Systems has been formalized, the department will be able to provide far more support and instruction to other radiotherapy departments across New South Wales and the rest of Australia,” added Prof Back. "In time, this will mean that more Australian cancer patients will benefit from this improved therapy.”

Chris Cowley, managing director of Varian Medial Systems Australasia, said "Royal North Shore Hospital is one of the world's leading radiotherapy institutions, and Varian is pleased to formalize this arrangement with the radiation oncology department. "The department has been using our advanced radiotherapy equipment for several years and its use to treat patients is now standard practice at RNSH. I hope Professor Back and his team can use this valuable experience to help other radiotherapy departments benefit from these radiotherapy techniques.”

IGRT can improve the quality of all forms of radiotherapy. "Techniques like intensity-modulated radiation therapy have enabled clinicians to shape the radiation beam so it conforms to the tumor being treated, whereas IGRT makes it easier to know exactly where to aim the beams,” added Mr. Cowley.

Prior to the advent of IGRT, radiation oncologists had to contend with variations in patient positioning and with respiratory motion by treating a larger margin of healthy tissue around the tumor. IGRT enables clinicians to minimize further the volume of healthy tissue exposed to the treatment beam. Potentially, image data from IGRT tools such as Varian's On-Board Imager device will be used to assess changes in tumor size and shape over a course of treatment, and make real-time adaptations to the treatment plan.

Varian Medical Systems, Inc. is a 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 comprehensive cancer clinics, radiotherapy centers, and medical oncology practices. Varian is a premier 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:
Royal North Shore Hospital
Varian Medical Systems

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58 (!!!!! 1424.0741729736): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728269 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728269 AND published='1' LIMIT 1

59 (87.976455688477): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728269 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728269 AND published='1' LIMIT 1

60 (120.87821960449): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728269 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728269 AND published='1' LIMIT 1

61 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728269 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728269 AND published='1' LIMIT 1

62 (102.99682617188): 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

63 (547.88589477539): SELECT fid FROM jos_deeppockets WHERE id=294728269 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294728269 AND published='1' LIMIT 1

64 (51.021575927734): 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`

65 (41.961669921875): select jos_twitters.link from jos_twitters where cat=10

66 (32.186508178711): select jos_facebook.link from jos_facebook where cat=10

67 (29.087066650391): select jos_google_plus.link from jos_google_plus where cat=10

68 (29.087066650391): select jos_linkedin.link from jos_linkedin where cat=10

69 (46.014785766602): SELECT fid FROM jos_deeppockets WHERE id=294728269 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294728269 AND published='1' LIMIT 1

70 (35.04753112793): 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`

71 (339.03121948242): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294728269 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (272.98927307129): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294728269 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

73 (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`

74 (57.93571472168): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (66.041946411133): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (48.160552978516): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (63.896179199219): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294728269 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (42.200088500977): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294728269 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

90 (43.869018554688): 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`

91 (84.161758422852): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (35.762786865234): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (34.809112548828): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (77.962875366211): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (102.04315185547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728269 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728269 AND published='1' LIMIT 1

106 (78.916549682617): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728269 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728269 AND published='1' LIMIT 1

107 (82.969665527344): 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=294728269 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (85.115432739258): 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=294728269 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

109 (111.10305786133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728269 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728269 AND published='1' LIMIT 1

110 (67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728269 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728269 AND published='1' LIMIT 1

111 (69.856643676758): 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=294728269 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (720.97778320312): 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=294728269 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (823.02093505859): 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 (586.98654174805): 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 (229.83551025391): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728269 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728269 AND published='1' LIMIT 1

116 (85.115432739258): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728269 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728269 AND published='1' LIMIT 1

117 (101.08947753906): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728269 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728269 AND published='1' LIMIT 1

118 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728269 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728269 AND published='1' LIMIT 1

119 (127.07710266113): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728269 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728269 AND published='1' LIMIT 1

120 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728269 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728269 AND published='1' LIMIT 1

121 (77.962875366211): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728269 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728269 AND published='1' LIMIT 1

122 (59.843063354492): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728269 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728269 AND published='1' LIMIT 1

123 (758.17108154297): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

124 (!!!!! 31655.073165894): 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

125 (723.12355041504): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294728269 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294728269 AND type='deeppockets_item' AND published='1' LIMIT 1

126 (!!!!! 14866.11366272): ( 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 (133.99124145508): ( 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 (102.99682617188): 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 (51.021575927734): 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 (78.916549682617): 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 (43.869018554688): 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 (446.08116149902): 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 (101.08947753906): 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 (66.995620727539): 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 (44.107437133789): 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 (480.17501831055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728269 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (365.9725189209): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728269 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

138 (41.007995605469): SELECT name FROM jos_deeppockets WHERE id=211

139 (42.915344238281): SELECT name FROM jos_deeppockets WHERE id=211

140 (556.94580078125): 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 (550.0316619873): 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 (112.05673217773): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728269 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728269 AND published='1' LIMIT 1

143 (97.036361694336): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728269 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728269 AND published='1' LIMIT 1

144 (!!!!! 9672.8801727295): TRUNCATE TABLE jos_trademed_module

145 (176.90658569336): 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=294728269 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (102.04315185547): 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=294728269 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

147 (679.01611328125): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728269 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728269 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

149 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728269 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728269 AND published='1' LIMIT 1

150 (49.114227294922): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728269 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728269 AND published='1' LIMIT 1

151 (!!!!! 1507.043838501): 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

152 (80.82389831543): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728269 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728269 AND published='1' LIMIT 1

153 (49.829483032227): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728269 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728269 AND published='1' LIMIT 1

154 (41.007995605469): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294728269 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294728269 AND type='deeppockets_item' AND published='1' LIMIT 1

155 (35.04753112793): 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 (36.001205444336): 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 (47.922134399414): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

158 (107.0499420166): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728269 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728269 AND published='1' LIMIT 1

159 (78.916549682617): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728269 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728269 AND published='1' LIMIT 1

160 (44.107437133789): select jos_twitters.link from jos_twitters where cat=10

161 (32.186508178711): select jos_facebook.link from jos_facebook where cat=10

162 (30.994415283203): select jos_google_plus.link from jos_google_plus where cat=10

163 (30.040740966797): select jos_linkedin.link from jos_linkedin where cat=10

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