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Enhancements Designed to Make Radiotherapy and Radiosurgery Faster, Easier, More Accurate, and Cost Effective

By MedImaging International staff writers
Posted on 05 Oct 2011

Continual visual verification that a tumor is being accurately targeted during a radiotherapy treatment is now possible with recent improvements to radiotherapy technology.

This new capability, called intrafraction motion review (IMR), is among the newest developments that Varian Medical Systems, Inc. (Palo Alto, CA, USA) will showcase at the annual meeting of the American Society for Radiation Oncology (ASTRO), to be held in Miami Beach (FL, USA) on October 2-4, 2011.

With intrafraction motion review, clinicians can use the imager on a TrueBeam system to monitor continually tumor location during treatment to ensure that the tumor has not moved out of range due to changes in the patient’s breathing pattern. “By introducing intrafraction treatment imaging and combining it with the millisecond response time of the TrueBeam machine, we can minimize the effects of changes in tumor motion during treatment,” said Chris Toth, senior director of marketing for the company.

Varian will exhibit the company’s full range of products for planning and delivering image-guided radiotherapy and proton therapy, with a special emphasis on recent enhancements to its devices and software products, including (1) a motion management interface for the Trilogy machine that enables integration with the Calypso system for tracking the prostate gland during treatment, for greater targeting accuracy. (2) A new user-centric design for the Aria oncology information system, with more personalization to the user, easy-to-follow task-driven workflows, greater automation, and a single clinical management system that accesses both Aria and Varian’s Eclipse treatment planning system from a single unified dashboard. (3) A new Aria iPad application allows clinicians greater mobility. New tools for using different types of images, including magnetic resonance (MR) images, to adapt a patient’s treatment plan if there have been anatomic changes such as tumor shrinkage or weight loss during a multiple-week course of treatment. (4) A new version of Varian’s BrachyVision software for planning brachytherapy treatments is now fully integrated with the Aria oncology information system for seamless management of patient data information. (5) A specially designed treatment couch attachment that enables breast cancer treatments with the patient in the prone position to help minimize radiation exposure to heart and lung tissue, and facilitates the use of RapidArc radiotherapy in the treatment of some breast cancer cases.

Several products in the development pipeline which have been submitted to the US Food and Drug Administration (FDA) for review will also be on display, including higher dose delivery rates on the company’s Trilogy and Clinac iX machines, for delivering high dose treatments more quickly to shorten treatment times and increase clinical efficiency.

New contouring tools have been designed to expedite treatment planning by using “smart” software to automatically identify and outline organs and other structures within diagnostic images and that enable clinicians to draw on a library of precontoured images by expert radiation oncologists and use these as a starting point for creating new treatment plans.

“Each of these innovations was designed to enable clinicians to make optimal treatment choices for their patients. By facilitating accurate, efficient treatments, these advances in Varian technology can help clinicians tackle even the most complex cases with confidence,” said Mr. Toth. “Varian is committed to providing cancer treatment professionals with the best possible tools and devices for helping patients fight cancer.”

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62 (!!!!! 3034.8300933838): SELECT fid FROM jos_deeppockets WHERE id=294737425 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294737425 AND published='1' LIMIT 1

63 (631.09397888184): 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`

64 (!!!!! 2900.1235961914): select jos_twitters.link from jos_twitters where cat=10

65 (84.877014160156): select jos_facebook.link from jos_facebook where cat=10

66 (52.928924560547): select jos_google_plus.link from jos_google_plus where cat=10

67 (30.994415283203): select jos_linkedin.link from jos_linkedin where cat=10

68 (65.088272094727): SELECT fid FROM jos_deeppockets WHERE id=294737425 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294737425 AND published='1' LIMIT 1

69 (49.829483032227): 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 (456.09474182129): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294737425 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (415.80200195312): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294737425 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (!!!!! 2294.0635681152): 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 (!!!!! 1833.9157104492): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (85.830688476562): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (42.200088500977): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (54.121017456055): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (56.028366088867): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (42.915344238281): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (89.883804321289): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294737425 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (42.200088500977): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294737425 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (47.922134399414): 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 (90.122222900391): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (43.153762817383): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (!!!!! 1374.9599456787): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737425 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737425 AND published='1' LIMIT 1

105 (70.095062255859): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737425 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737425 AND published='1' LIMIT 1

106 (252.00843811035): 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=294737425 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (699.99694824219): 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=294737425 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (!!!!! 5050.1823425293): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737425 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737425 AND published='1' LIMIT 1

109 (393.86749267578): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737425 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737425 AND published='1' LIMIT 1

110 (252.00843811035): 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=294737425 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (916.95785522461): 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=294737425 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (994.92073059082): 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 (!!!!! 5683.8989257812): 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 (632.04765319824): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737425 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737425 AND published='1' LIMIT 1

115 (82.969665527344): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737425 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737425 AND published='1' LIMIT 1

116 (794.88754272461): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737425 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737425 AND published='1' LIMIT 1

117 (76.055526733398): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737425 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737425 AND published='1' LIMIT 1

118 (483.03604125977): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737425 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737425 AND published='1' LIMIT 1

119 (316.85829162598): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737425 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737425 AND published='1' LIMIT 1

120 (468.01567077637): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737425 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737425 AND published='1' LIMIT 1

121 (233.88862609863): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737425 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737425 AND published='1' LIMIT 1

122 (443.93539428711): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 63953.161239624): 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 (765.08522033691): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294737425 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294737425 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 21798.133850098): ( 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 (75.101852416992): ( 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 (53.167343139648): 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 (42.915344238281): 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 (815.15312194824): 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 (68.902969360352): 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 (442.0280456543): 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 (56.028366088867): 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 (56.028366088867): 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 (42.915344238281): 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 (658.03527832031): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737425 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (885.009765625): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737425 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (237.94174194336): SELECT name FROM jos_deeppockets WHERE id=211

138 (37.908554077148): SELECT name FROM jos_deeppockets WHERE id=211

139 (820.87516784668): 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 (729.08401489258): 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 (806.80847167969): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737425 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737425 AND published='1' LIMIT 1

142 (87.976455688477): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737425 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737425 AND published='1' LIMIT 1

143 (!!!!! 23520.946502686): TRUNCATE TABLE jos_trademed_module

144 (!!!!! 4831.075668335): 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=294737425 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (197.8874206543): 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=294737425 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (!!!!! 1025.915145874): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737425 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (299.93057250977): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737425 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (272.03559875488): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737425 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737425 AND published='1' LIMIT 1

149 (283.00285339355): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737425 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737425 AND published='1' LIMIT 1

150 (!!!!! 2068.9964294434): 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 (495.91064453125): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737425 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737425 AND published='1' LIMIT 1

152 (276.80397033691): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737425 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737425 AND published='1' LIMIT 1

153 (302.79159545898): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294737425 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294737425 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (969.88677978516): 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 (61.988830566406): 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 (46.014785766602): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (444.17381286621): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737425 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737425 AND published='1' LIMIT 1

158 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737425 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737425 AND published='1' LIMIT 1

159 (!!!!! 2792.8352355957): select jos_twitters.link from jos_twitters where cat=10

160 (426.05400085449): select jos_facebook.link from jos_facebook where cat=10

161 (56.982040405273): select jos_google_plus.link from jos_google_plus where cat=10

162 (39.100646972656): select jos_linkedin.link from jos_linkedin where cat=10

163 (734.09080505371): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

164 (!!!!! 1924.0379333496): insert into jos_banners_delta values (14615,'2025-08-20 00:14:04','216.73.216.0','view'),(14202,'2025-08-20 00:14:04','216.73.216.0','view'),(14203,'2025-08-20 00:14:04','216.73.216.0','view')

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