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Optimization Models Improve Radiation Therapy for Cancer Patients

By MedImaging International staff writers
Posted on 02 Nov 2011

Engineering researchers have developed mathematical optimization models that will make radiation treatment plans safer and more efficient than conventional plans.

Conventional radiation therapy uses a single, cumulative treatment plan that disregards changes in tumor geometry and biology over time. However, recent technologic developments have made it possible to capture these changes throughout the course of treatment.

Working with geometric and biologic data gathered from the most advanced technology used to capture tumor changes, the University of Arkansas (Fayetteville, USA) researchers achieve optimization in terms of delivering the maximum dose of energy to the tumor without undue risk to surrounding healthy tissues. By integrating the most recent data about tumor geometry and biology, the researchers’ models will help optimize radiation treatment on a per-session and cumulative basis.

“This is one of the first efforts to develop a method of radiation therapy optimization that uses biological information while maintaining both cumulative and per-fraction, or per-session, dose constraints,” said Dr. Behlul Saka, who recently completed his doctorate in industrial engineering. “Our optimization models may be used to generate treatment plans based on tumor biology prior to treatment, but also may react to changing tumor biology throughout treatment.”

More than one million people in the United States alone are diagnosed with cancer yearly, and more than half of these patients receive radiation therapy at some point during treatment. This type of therapy destroys cancer cells or slows their rate of growth by applying high-energy rays to tumors. Traditional radiation therapy involves shooting radiation from different beam angles with a linear accelerator that rotates around the patient. The variety of beam angles limits radiation exposure and thus spare healthy tissues exposed from particular angles while concentrating their combined effect on the tumor. Care is usually taken to ensure homogeneous distributions of radiation across the tumor.

Intensity-modulated radiation therapy (IMRT) addresses the limitations of conventional radiation therapy by delivering small parts of rays, called beamlets, directly to specific sections or specific points on a tumor while also sparing healthy tissue. To clarify, with IMRT, the radiation dose conforms more precisely to the three-dimensional (3D) shape of the tumor.

Dr. Saka’s research adds to the advantages of IMRT by developing optimized treatment plans in response to changes in tumor geometry measured against cumulative and per-session doses. To build the models, he relied on anonymous, archived patient data. Dr. Saka tested the models on two simulated cases of lung cancer. These cases demonstrated clinically significant improvements in tumor response over time. On a different simulated test case, by comparing tumor hypoxia information, the models demonstrated considerable improvements in controlling a tumor. These gains in tumor control and average doses were significant throughout treatment. The models also displayed the volatility of tumor control in relation to emerging alterations in tumor hypoxia values.

“This work suggests that a homogeneous approach to dose distributions across the tumor can be greatly improved upon,” Dr. Saka said. “Nonhomogeneous distributions that [are] varying doses according biological responses of the tumor apparently can be much more effective. Of course, clinical trials will be required to confirm these simulation findings.”

Dr. Saka continues his research on improved cancer treatment planning as a research scientist at Elekta, AB (Stockholm, Sweden), a healthcare company that develops clinical solutions for treating cancer and brain disorders. His work at the University of Arkansas was completed under the direction of Ron Rardin, professor also director of the Center for Innovation in Healthcare Logistics at the University of Arkansas. Prof. Rardin and his students have been working on radiation planning optimization for more than a decade. “I believe Behlul’s work points the way to much more refined treatment planning, by exploiting more of the information available as the tumor changes through 25 to 50 daily treatment sessions,” Prof. Rardin said. Prof. Rardin is also director of the Center for Innovation in Healthcare Logistics at the University of Arkansas.

Related Links:
University of Arkansas
Elekta

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60 (!!!!! 1529.9320220947): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737854 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737854 AND published='1' LIMIT 1

61 (!!!!! 6542.9210662842): 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

62 (!!!!! 1224.9946594238): SELECT fid FROM jos_deeppockets WHERE id=294737854 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294737854 AND published='1' LIMIT 1

63 (76.055526733398): 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 (!!!!! 1198.0533599854): select jos_twitters.link from jos_twitters where cat=10

65 (839.9486541748): select jos_facebook.link from jos_facebook where cat=10

66 (615.83518981934): select jos_google_plus.link from jos_google_plus where cat=10

67 (75.101852416992): select jos_linkedin.link from jos_linkedin where cat=10

68 (746.9654083252): SELECT fid FROM jos_deeppockets WHERE id=294737854 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294737854 AND published='1' LIMIT 1

69 (55.074691772461): 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 (!!!!! 2237.08152771): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294737854 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (535.96496582031): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294737854 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (638.00811767578): 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 (!!!!! 8993.1488037109): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (!!!!! 2532.958984375): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (!!!!! 2417.0875549316): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (406.98051452637): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (291.82434082031): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (465.86990356445): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (781.05926513672): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (!!!!! 1309.1564178467): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (!!!!! 1520.8721160889): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (!!!!! 1178.0261993408): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (496.86431884766): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (!!!!! 1981.0199737549): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (689.02969360352): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (159.97886657715): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (!!!!! 1036.8824005127): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294737854 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (608.92105102539): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294737854 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (550.0316619873): 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 (!!!!! 3163.0992889404): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (159.02519226074): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (53.167343139648): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (79.870223999023): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (143.05114746094): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (801.08642578125): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (156.87942504883): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (!!!!! 1575.9468078613): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (191.92695617676): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (81.062316894531): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (510.93101501465): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (219.82192993164): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737854 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737854 AND published='1' LIMIT 1

105 (183.8207244873): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737854 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737854 AND published='1' LIMIT 1

106 (118.01719665527): 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=294737854 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (221.01402282715): 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=294737854 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (120.87821960449): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737854 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737854 AND published='1' LIMIT 1

109 (117.06352233887): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737854 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737854 AND published='1' LIMIT 1

110 (117.06352233887): 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=294737854 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (507.83157348633): 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=294737854 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (893.11599731445): 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 (712.87155151367): 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 (144.00482177734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737854 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737854 AND published='1' LIMIT 1

115 (94.175338745117): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737854 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737854 AND published='1' LIMIT 1

116 (107.0499420166): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737854 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737854 AND published='1' LIMIT 1

117 (72.002410888672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737854 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737854 AND published='1' LIMIT 1

118 (93.936920166016): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737854 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737854 AND published='1' LIMIT 1

119 (74.148178100586): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737854 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737854 AND published='1' LIMIT 1

120 (113.01040649414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737854 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737854 AND published='1' LIMIT 1

121 (72.002410888672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737854 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737854 AND published='1' LIMIT 1

122 (483.98971557617): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 85755.109786987): 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 (534.0576171875): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294737854 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294737854 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 30364.990234375): ( 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 (!!!!! 8365.8695220947): ( 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 (213.1462097168): 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 (46.014785766602): 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 (60.081481933594): 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 (256.06155395508): 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 (284.91020202637): 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 (674.96299743652): 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 (48.87580871582): 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 (190.01960754395): 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 (458.95576477051): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737854 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (269.88983154297): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737854 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (60.796737670898): SELECT name FROM jos_deeppockets WHERE id=211

138 (28.848648071289): SELECT name FROM jos_deeppockets WHERE id=211

139 (565.0520324707): 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 (544.07119750977): 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 (85.830688476562): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737854 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737854 AND published='1' LIMIT 1

142 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737854 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737854 AND published='1' LIMIT 1

143 (!!!!! 13748.168945312): TRUNCATE TABLE jos_trademed_module

144 (!!!!! 1200.9143829346): 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=294737854 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (823.974609375): 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=294737854 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (478.98292541504): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737854 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (62.942504882812): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737854 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (653.02848815918): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737854 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737854 AND published='1' LIMIT 1

149 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737854 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737854 AND published='1' LIMIT 1

150 (!!!!! 6813.0493164062): 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 (308.03680419922): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737854 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737854 AND published='1' LIMIT 1

152 (193.11904907227): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737854 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737854 AND published='1' LIMIT 1

153 (296.83113098145): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294737854 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294737854 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (51.021575927734): 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 (162.12463378906): 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 (165.93933105469): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (161.88621520996): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737854 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737854 AND published='1' LIMIT 1

158 (192.16537475586): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737854 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737854 AND published='1' LIMIT 1

159 (!!!!! 1116.9910430908): select jos_twitters.link from jos_twitters where cat=10

160 (198.8410949707): select jos_facebook.link from jos_facebook where cat=10

161 (!!!!! 1487.9703521729): select jos_google_plus.link from jos_google_plus where cat=10

162 (51.021575927734): select jos_linkedin.link from jos_linkedin where cat=10

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