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Pelvic Node Treatment Individualized by Including Sentinel Nodes with IMRT

By MedImaging International staff writers
Posted on 02 Dec 2013

Treatment of pelvic nodes individualized by inclusion of sentinel nodes (SNs) can be simply integrated into an intensity-modulated radiation therapy (IMRT)-based treatment approach, according to German researchers. Their target volume model seems to effectively cover individual pelvic nodes, which is indicated by the absence of any nodal recurrence within five years of follow-up.

The study’s findings were presented November 2013 at the 5th European Multidisciplinary meeting for Urological Cancer (EMUC), held in Marseille (France). “Radiation treatment with long-term androgen deprivation has level 1 evidence as treatment option for high risk prostate cancer patients,” commented lead author of the study Dr. Arndt-Christian Müller, from the Eberhard-Karls-Universität Tübingen (Germany). “However, there is a discussion with regard to toxicity and efficacy concerning the inclusion of pelvic nodes into the radiation portals. With high conformal techniques such as IMRT for irradiation of pelvic lymph nodes, target volume contouring becomes highly important. There are standard lymph node radiation target volumes, yet the individual lymph drainage of different patients is not taken into account.”

According to the researchers, these new data on individual inclusion of sentinel nodes into the pelvic conventional radiation target volumes with IMRT suggest that toxicity with sophisticated treatment techniques is low. “With regard to efficacy, the absence of any nodal recurrence in the pelvis indicates that the sentinel node based target volume concept correctly covers individual pelvic lymph drainage,” said Dr. Müller.

Regarding the risk profile in this series, such as high risk defined in one-third by Gleason score 8–10, outcome parameters were at least comparable to available data of the same treatment period. Therefore, this sentinel node-based strategy substantiates additional assessment, including current dose-escalation strategies to prostate in a larger prospective series.

“Firstly, we conclude that treatment of pelvic nodes individualized by inclusion of SN is feasible with IMRT. Secondly, the absence of any nodal pelvic recurrence within five years of follow-up indicates efficacy of this individualized treatment concept, reported Dr. Müller. “We expect an improvement of PSA [prostate-specific antigen] control and with longer follow-up and higher patient numbers a survival benefit for patients with individual inclusion of sentinel lymph nodes.”

According to the authors, the results of the study’s findings could be followed up by additional evaluation of dose-escalated IMRT to prostate +/- SN-guided pelvic IMRT, or treatment stratification after SN-biopsy with IMRT of prostate-only for node negative patients, and IMRT of prostate +/- SN-guided IMRT in case of affected pelvic nodes.

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66 (59.127807617188): 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 (54.121017456055): select jos_twitters.link from jos_twitters where cat=10

68 (38.14697265625): select jos_facebook.link from jos_facebook where cat=10

69 (31.948089599609): select jos_google_plus.link from jos_google_plus where cat=10

70 (36.954879760742): select jos_linkedin.link from jos_linkedin where cat=10

71 (47.922134399414): SELECT fid FROM jos_deeppockets WHERE id=294749434 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294749434 AND published='1' LIMIT 1

72 (42.915344238281): 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 (401.97372436523): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294749434 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

74 (298.02322387695): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294749434 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

75 (38.862228393555): 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 (78.201293945312): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (39.815902709961): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (43.869018554688): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (65.088272094727): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (49.829483032227): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

90 (69.856643676758): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294749434 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

91 (31.948089599609): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294749434 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

92 (77.009201049805): 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 (48.87580871582): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (29.802322387695): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

107 (72.002410888672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749434 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749434 AND published='1' LIMIT 1

108 (46.014785766602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749434 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749434 AND published='1' LIMIT 1

109 (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=294749434 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

110 (46.014785766602): 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=294749434 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (70.810317993164): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749434 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749434 AND published='1' LIMIT 1

112 (44.107437133789): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749434 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749434 AND published='1' LIMIT 1

113 (46.968460083008): 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=294749434 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

114 (584.12551879883): 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=294749434 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

115 (553.84635925293): 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 (328.06396484375): 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 (87.976455688477): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749434 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749434 AND published='1' LIMIT 1

118 (67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749434 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749434 AND published='1' LIMIT 1

119 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749434 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749434 AND published='1' LIMIT 1

120 (50.067901611328): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749434 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749434 AND published='1' LIMIT 1

121 (53.882598876953): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749434 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749434 AND published='1' LIMIT 1

122 (50.067901611328): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749434 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749434 AND published='1' LIMIT 1

123 (53.167343139648): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749434 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749434 AND published='1' LIMIT 1

124 (48.160552978516): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749434 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749434 AND published='1' LIMIT 1

125 (303.03001403809): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

126 (!!!!! 19058.9427948): 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 (555.03845214844): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294749434 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294749434 AND type='deeppockets_item' AND published='1' LIMIT 1

128 (122.0703125): ( 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 (36.001205444336): ( 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 (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

131 (30.040740966797): 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 (40.769577026367): 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 (29.087066650391): 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 (27.894973754883): 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 (28.133392333984): 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 (27.894973754883): 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 (503.0632019043): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749434 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

139 (409.84153747559): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749434 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

140 (38.14697265625): SELECT name FROM jos_deeppockets WHERE id=211

141 (28.848648071289): SELECT name FROM jos_deeppockets WHERE id=211

142 (526.90505981445): 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 (442.9817199707): 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 (75.101852416992): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749434 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749434 AND published='1' LIMIT 1

145 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749434 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749434 AND published='1' LIMIT 1

146 (!!!!! 13820.886611938): TRUNCATE TABLE jos_trademed_module

147 (!!!!! 1490.8313751221): 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=294749434 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

148 (100.85105895996): 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=294749434 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

149 (!!!!! 5102.1575927734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749434 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

150 (185.01281738281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749434 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

151 (117.06352233887): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749434 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749434 AND published='1' LIMIT 1

152 (89.883804321289): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749434 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749434 AND published='1' LIMIT 1

153 (!!!!! 1310.1100921631): 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 (72.002410888672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749434 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749434 AND published='1' LIMIT 1

155 (58.174133300781): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749434 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749434 AND published='1' LIMIT 1

156 (38.862228393555): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294749434 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294749434 AND type='deeppockets_item' AND published='1' LIMIT 1

157 (30.994415283203): 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 (26.941299438477): 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 (36.001205444336): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

160 (73.909759521484): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749434 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749434 AND published='1' LIMIT 1

161 (51.975250244141): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749434 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749434 AND published='1' LIMIT 1

162 (154.01840209961): select jos_twitters.link from jos_twitters where cat=10

163 (!!!!! 2606.8687438965): select jos_facebook.link from jos_facebook where cat=10

164 (100.85105895996): select jos_google_plus.link from jos_google_plus where cat=10

165 (38.14697265625): select jos_linkedin.link from jos_linkedin where cat=10

166 (311.85150146484): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

167 (!!!!! 1024.9614715576): insert into jos_banners_delta values (14615,'2025-08-19 04:42:50','216.73.216.0','view'),(14202,'2025-08-19 04:42:50','216.73.216.0','view'),(14203,'2025-08-19 04:42:50','216.73.216.0','view')

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