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Encouraging Results Reported from Study of Image-Guided Stereotactic Radiosurgery for Spine Metastases

By MedImaging International staff writers
Posted on 26 Oct 2011

Image-guided stereotactic radiosurgery (SRS) can be an effective and practicable approach for treating up to three spinal metastases, according to an international team of researchers reporting on the results of a recently concluded multi-institutional phase II trial.

Samuel Ryu, MD, head of neuro- and spinal-oncology at the Henry Ford Health System (Detroit, MI, USA), who served as lead investigator for the trial, reported the results on October 5, 2011, at the 2011 annual meeting of the American Society for Radiation Oncology (ASTRO) in Miami Beach (FL, USA).

The goals of the phase II trial (RTOG 0631) were to study the emerging technique of spine radiosurgery within the cooperative group setting, and to demonstrate the technical feasibility of treating spinal metastases with image-guided stereotactic radiosurgery. “The message we get from the results of the phase II trial is that spine radiosurgery--despite its complexity--can be carried out successfully in the community hospital setting,” said Dr. Ryu.

The study enrolled 46 patients treated at sixteen institutions between August 2009 and March 2011. Each patient received a single SRS treatment of 16 Gy after their treatment plans were rapid-reviewed by the principle investigator to ensure that they met previously-agreed-upon standards for quality of tumor coverage and compliance with normal tissue dose constraints and delivery of image-guided radiosurgery treatment.

Rapid review findings showed that the treatment plans were optimal and acceptable in 100% of the patients. Spinal cord dose constraints were optimal for all patients (i.e., less than 10% of the spinal cord received 10 Gy of dose). Image-guidance treatment data showed optimal (91%) or acceptable (9%) compliance with preset parameters calling for less than 2 mm to 3 mm of difference between the target position at the time of treatment planning and the target position at the end of treatment.

According to the study protocol, earlier clinical experience with stereotactic radiosurgery for spinal metastasis has shown it to be effective for pain control and improvement of neurological function in patients with epidural compression. “As the technology for stereotactic radiosurgery becomes more widely available, we felt it was critical to study the emerging technique of spine radiosurgery in a phase II trial within a national cooperative group,” Dr. Ryu said. “On the basis of the phase II results we are proceeding with a planned RTOG 0631 phase III study, comparing the effectiveness of SRS with conventional external beam radiotherapy, in terms of pain relief and quality of life outcomes in 240 patients with spine metastasis.”

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66 (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`

67 (63.180923461914): select jos_twitters.link from jos_twitters where cat=10

68 (36.001205444336): select jos_facebook.link from jos_facebook where cat=10

69 (34.093856811523): select jos_google_plus.link from jos_google_plus where cat=10

70 (32.901763916016): select jos_linkedin.link from jos_linkedin where cat=10

71 (44.107437133789): SELECT fid FROM jos_deeppockets WHERE id=294737764 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294737764 AND published='1' LIMIT 1

72 (41.007995605469): 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`

73 (432.01446533203): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294737764 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

74 (267.02880859375): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294737764 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

75 (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`

76 (51.021575927734): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

90 (60.081481933594): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294737764 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

91 (37.908554077148): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294737764 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

92 (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`

93 (52.213668823242): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (32.186508178711): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

107 (123.97766113281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737764 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737764 AND published='1' LIMIT 1

108 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737764 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737764 AND published='1' LIMIT 1

109 (54.836273193359): 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=294737764 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

110 (529.05082702637): 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=294737764 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (195.02639770508): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737764 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737764 AND published='1' LIMIT 1

112 (85.115432739258): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737764 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737764 AND published='1' LIMIT 1

113 (80.108642578125): 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=294737764 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

114 (778.9134979248): 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=294737764 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

115 (682.11555480957): 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 (388.14544677734): 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

117 (83.208084106445): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737764 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737764 AND published='1' LIMIT 1

118 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737764 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737764 AND published='1' LIMIT 1

119 (51.975250244141): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737764 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737764 AND published='1' LIMIT 1

120 (41.961669921875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737764 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737764 AND published='1' LIMIT 1

121 (45.061111450195): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737764 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737764 AND published='1' LIMIT 1

122 (41.961669921875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737764 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737764 AND published='1' LIMIT 1

123 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737764 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737764 AND published='1' LIMIT 1

124 (40.054321289062): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737764 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737764 AND published='1' LIMIT 1

125 (390.05279541016): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

126 (!!!!! 48549.175262451): 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

127 (634.90867614746): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294737764 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294737764 AND type='deeppockets_item' AND published='1' LIMIT 1

128 (!!!!! 18177.032470703): ( 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 (70.095062255859): ( 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

130 (72.956085205078): 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 (36.001205444336): 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

132 (58.174133300781): 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 (33.140182495117): 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

134 (391.00646972656): 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 (40.054321289062): 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

136 (35.04753112793): 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 (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

138 (!!!!! 3007.8887939453): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737764 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

139 (693.08280944824): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737764 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

140 (61.988830566406): SELECT name FROM jos_deeppockets WHERE id=211

141 (36.954879760742): SELECT name FROM jos_deeppockets WHERE id=211

142 (780.10559082031): 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 (641.1075592041): 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

144 (99.897384643555): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737764 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737764 AND published='1' LIMIT 1

145 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737764 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737764 AND published='1' LIMIT 1

146 (!!!!! 15157.93800354): TRUNCATE TABLE jos_trademed_module

147 (!!!!! 1384.973526001): 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=294737764 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

148 (60.081481933594): 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=294737764 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

149 (!!!!! 4474.1630554199): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737764 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

150 (128.98445129395): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737764 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

151 (87.02278137207): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737764 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737764 AND published='1' LIMIT 1

152 (77.962875366211): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737764 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737764 AND published='1' LIMIT 1

153 (!!!!! 1734.9720001221): 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

154 (97.990036010742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737764 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737764 AND published='1' LIMIT 1

155 (68.902969360352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737764 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737764 AND published='1' LIMIT 1

156 (128.98445129395): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294737764 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294737764 AND type='deeppockets_item' AND published='1' LIMIT 1

157 (55.074691772461): 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 (42.915344238281): 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)

159 (74.863433837891): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

160 (108.95729064941): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737764 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737764 AND published='1' LIMIT 1

161 (73.19450378418): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737764 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737764 AND published='1' LIMIT 1

162 (97.990036010742): select jos_twitters.link from jos_twitters where cat=10

163 (51.975250244141): select jos_facebook.link from jos_facebook where cat=10

164 (50.067901611328): select jos_google_plus.link from jos_google_plus where cat=10

165 (45.061111450195): select jos_linkedin.link from jos_linkedin where cat=10

166 (447.03483581543): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

167 (!!!!! 1423.1204986572): insert into jos_banners_delta values (14615,'2025-08-20 00:14:37','216.73.216.0','view'),(14202,'2025-08-20 00:14:37','216.73.216.0','view'),(14203,'2025-08-20 00:14:37','216.73.216.0','view')

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