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Dynamic Edge Gating Radiotherapy Automates Response to Organ Motion

By MedImaging International staff writers
Posted on 02 Nov 2010

New radiotherapy technology automates the response to organ motion that occurs during the delivery of radiation to prostate cancer tumors in order to protect healthy tissue from unintended radiation. As a result, this technology may enable an additional decrease in the side effects associated with prostate radiotherapy, such as bowel and bladder incontinence and sexual dysfunction.

Calypso Medical Technologies, Inc. (Seattle, WA, USA), a developer of real-time localization technology used for the precise tracking of tumors, announced it has received 510(k) clearance from the U.S. Food and Drug Administration (FDA) to market the Calypso system with dynamic edge gating technology. The Calypso system, with its global positioning system (GPS) for the Body technology, utilizes miniature implanted Beacon transponders to provide precise, continuous information on the location of the tumor during external beam radiation therapy. The real-time position information provided by the Calypso system allows physicians to deliver maximum radiation directly to the tumor while sparing the surrounding healthy tissues and organs from exposure.

The new gating technology allows therapists to set motion thresholds that automatically signal radiation delivery to be stopped each time the targeted tissue moves outside the preset threshold. Previously the Calypso system, which provides target position information in the form of objective data, relied upon the therapist to manually intervene and halt radiation delivery when healthy tissue was in danger of receiving unintended radiation. Dynamic edge gating technology automates this function with an immediate signal to the linear accelerator so the radiation beam can be disabled or re-enabled in response to organ motion. The dynamic edge-gating feature will be compatible with linear accelerators, the equipment that produces the radiation beam, manufactured by Siemens Medical (Erlangen, Germany) and Varian Medical Systems (Palo Alto, CA, USA).

"The automatic response of the Calypso system to organ motion results in benefits to both the patient and the department,” said Lorraine Marshall Wright, chief marketing officer and vice president of Calypso Medical. "Holding the radiation beam when the target is outside of clinician-defined limits results in a safer, more uniform approach to radiation delivery, which may lead to a decrease in the side effects of prostate radiotherapy. Additionally, as with any automated process, improvements in workflow efficiency will be appreciated for maximizing throughput and enhancing the patient experience.”

Side effects result when the tumor moves outside of the radiation field in response to normal physiologic processes such as digestion, coughing and breathing, as well as small movements by the patient, while radiation is being delivered. As a result, healthy tissue receives the intended radiation, and at the same time, the tumor fails to receive the fully prescribed radiation dose thereby compromising effectiveness of the therapy. Whereas some side effects may resolve over time, many do not, leaving the patient with a significant impact to their quality of life.

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66 (82.969665527344): select jos_google_plus.link from jos_google_plus where cat=10

67 (51.975250244141): select jos_linkedin.link from jos_linkedin where cat=10

68 (51.975250244141): SELECT fid FROM jos_deeppockets WHERE id=294731858 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294731858 AND published='1' LIMIT 1

69 (47.922134399414): 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 (645.16067504883): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294731858 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (486.13548278809): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294731858 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (!!!!! 1964.807510376): 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 (97.036361694336): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (112.05673217773): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (47.922134399414): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (32.186508178711): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (39.815902709961): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (43.869018554688): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (39.815902709961): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (92.983245849609): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294731858 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (50.067901611328): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294731858 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (46.014785766602): 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 (64.849853515625): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (49.114227294922): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (42.915344238281): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (52.928924560547): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (32.186508178711): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (56.028366088867): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (113.96408081055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731858 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731858 AND published='1' LIMIT 1

105 (54.836273193359): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731858 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731858 AND published='1' LIMIT 1

106 (56.028366088867): 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=294731858 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (55.074691772461): 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=294731858 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (131.13021850586): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731858 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731858 AND published='1' LIMIT 1

109 (70.810317993164): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731858 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731858 AND published='1' LIMIT 1

110 (72.002410888672): 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=294731858 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (660.89630126953): 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=294731858 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (720.97778320312): 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 (515.93780517578): 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 (154.01840209961): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731858 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731858 AND published='1' LIMIT 1

115 (60.796737670898): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731858 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731858 AND published='1' LIMIT 1

116 (82.015991210938): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731858 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731858 AND published='1' LIMIT 1

117 (46.014785766602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731858 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731858 AND published='1' LIMIT 1

118 (92.029571533203): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731858 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731858 AND published='1' LIMIT 1

119 (45.061111450195): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731858 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731858 AND published='1' LIMIT 1

120 (77.009201049805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731858 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731858 AND published='1' LIMIT 1

121 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731858 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731858 AND published='1' LIMIT 1

122 (430.82237243652): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 30833.959579468): 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 (848.05488586426): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294731858 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294731858 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 10661.125183105): ( 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 (109.91096496582): ( 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 (360.96572875977): 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 (58.889389038086): 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 (313.04359436035): 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 (128.98445129395): 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 (312.80517578125): 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 (66.041946411133): 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 (293.97010803223): 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 (50.067901611328): 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 (694.99015808105): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731858 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (598.90747070312): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731858 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (483.03604125977): SELECT name FROM jos_deeppockets WHERE id=211

138 (61.988830566406): SELECT name FROM jos_deeppockets WHERE id=211

139 (864.98260498047): 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 (805.13954162598): 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 (133.99124145508): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731858 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731858 AND published='1' LIMIT 1

142 (90.837478637695): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731858 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731858 AND published='1' LIMIT 1

143 (!!!!! 14706.85005188): TRUNCATE TABLE jos_trademed_module

144 (160.93254089355): 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=294731858 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (138.99803161621): 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=294731858 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (537.87231445312): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731858 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (87.976455688477): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731858 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (106.0962677002): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731858 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731858 AND published='1' LIMIT 1

149 (57.93571472168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731858 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731858 AND published='1' LIMIT 1

150 (!!!!! 1877.0694732666): 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 (102.04315185547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731858 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731858 AND published='1' LIMIT 1

152 (68.902969360352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731858 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731858 AND published='1' LIMIT 1

153 (62.942504882812): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294731858 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294731858 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (49.829483032227): 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 (47.206878662109): 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 (53.882598876953): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (143.05114746094): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731858 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731858 AND published='1' LIMIT 1

158 (76.055526733398): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731858 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731858 AND published='1' LIMIT 1

159 (123.97766113281): select jos_twitters.link from jos_twitters where cat=10

160 (47.922134399414): select jos_facebook.link from jos_facebook where cat=10

161 (49.829483032227): select jos_google_plus.link from jos_google_plus where cat=10

162 (47.922134399414): select jos_linkedin.link from jos_linkedin where cat=10

163 (430.10711669922): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

164 (!!!!! 1690.149307251): insert into jos_banners_delta values (14615,'2025-08-20 14:43:02','216.73.216.0','view'),(14202,'2025-08-20 14:43:02','216.73.216.0','view'),(14203,'2025-08-20 14:43:02','216.73.216.0','view')

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