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27 Jul 2025 - 30 Jul 2025

AAPM 2025 - 67th Annual Meeting & Exhibition of the American Association of Physicists in Medicine

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MR-Guided Ultrasound Offers Effective Noninvasive Treatment for Breast Cancer

By MedImaging International staff writers
Posted on 16 Dec 2013

Image: PRE: Pretreatment transverse MR image obtained with perfusion technique shows an enhancing lesion of 1.2 cm (circled) in the upper quadrants of the right breast; the lesion shows with irregular margin and appears color-coded in red due to the washout pattern (malignancy). POST: Same MR image technique obtained post-treatment (10 days): Absence of enhancement was seen at perfusion color-coded image after noninvasive thermal ablation with MR-guided high-intensity focused ultrasound; the black hole stands for necrosis nicely demonstrating also the absence of residual tumor (Photo courtesy of RSNA).

A technique that utilizes focused ultrasound under magnetic resonance imaging (MRI) guidance to heat and destroy tumors may offer a safe and effective treatment for breast cancer.

The new findings were presented according to research being presented today at the annual meeting of the Radiological Society of North America (RSNA), held in December 1-6, 2013, in Chicago (IL, USA). MR-guided focused ultrasound (MRgFUS) ablation is a noninvasive technique that requires no incision or puncture to perform. Instead, it uses the acoustic energy from high-intensity focused ultrasound to ablate diseased tissue. Continuous MRI scanning is employed to locate the lesions and monitor the temperature change during the ablation process.

The primary advantages of MRgFUS over other breast cancer treatments are that it is a noninvasive, outpatient procedure offering a quick recovery time, and that it provides precise measurement of temperature alterations during the procedure. “In the treatment stage, we are able to precisely visualize where the energy is having an effect and to measure exactly the rise in temperature,” said Alessandro Napoli, MD, PhD, assistant professor of radiology at Sapienza University (Rome, Italy). “Temperature monitoring is particularly important since too low a temperature is ineffective and too high a temperature may be dangerous.”

Dr. Napoli and colleagues evaluated the safety and efficacy of MRgFUS in 12 patients with invasive ductal breast cancer before surgical removal of the cancer and biopsy of the lymph nodes. They used 3T MRI to validate the presence and treatable location of cancerous lesions. The patients then underwent single-session MRgFUS treatment. Researchers evaluated treatment efficacy through postsurgery pathology.

None of the patients experienced significant complications during or immediately after the procedure. In 10 of the 12 patients, MRI scans revealed no enhancement in the treatment area after the procedure. Postsurgery histological evaluation confirmed the absence of residual disease in the treatment area in those 10 patients. “This procedure allows for safe ablation of breast cancer,” Dr. Napoli said. “At pathology, no significant viable tumor was found in the specimens from these 10 patients.”

In the other two instances, treatment failed due to transducer malfunction, and the pathologist observed residual tumor in the samples.

According to Dr. Napoli, MRI guidance is crucial for correct identification of lesions, treatment planning and real-time control during the procedure. Specifically, tracking with MRI allows for efficient deposit of energy into the region of treatment at the correct range of between 60 °C and 70 °C. “This is carried out by a special sequence that is called MR thermometry,” Dr. Napoli said. “Only MRI presently has the ability to determine, in real time, fine temperature quantification.”

Even though these preliminary findings are promising, Dr. Napoli noted that more studies would be needed before the approach can be adopted as a stand-alone treatment for breast cancer.

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60 (51.975250244141): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749710 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749710 AND published='1' LIMIT 1

61 (84.161758422852): 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 (455.14106750488): SELECT fid FROM jos_deeppockets WHERE id=294749710 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294749710 AND published='1' LIMIT 1

63 (291.10908508301): 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=214 ORDER BY `ordering`

64 (53.882598876953): select jos_twitters.link from jos_twitters where cat=10

65 (39.100646972656): select jos_facebook.link from jos_facebook where cat=10

66 (33.140182495117): select jos_google_plus.link from jos_google_plus where cat=10

67 (29.087066650391): select jos_linkedin.link from jos_linkedin where cat=10

68 (36.001205444336): SELECT fid FROM jos_deeppockets WHERE id=294749710 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294749710 AND published='1' LIMIT 1

69 (37.908554077148): 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=214 ORDER BY `ordering`

70 (239.13383483887): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294749710 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (199.79476928711): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294749710 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (45.061111450195): 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 (52.928924560547): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (54.121017456055): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294749710 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (36.001205444336): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294749710 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (35.04753112793): 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 (51.021575927734): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (85.830688476562): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (82.015991210938): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749710 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749710 AND published='1' LIMIT 1

105 (67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749710 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749710 AND published='1' LIMIT 1

106 (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.cat=10 AND dp.id=294749710 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (51.975250244141): 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=294749710 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (73.909759521484): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749710 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749710 AND published='1' LIMIT 1

109 (54.121017456055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749710 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749710 AND published='1' LIMIT 1

110 (48.87580871582): 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=294749710 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (451.08795166016): 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=294749710 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (525.95138549805): 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 (396.0132598877): 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 (80.108642578125): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749710 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749710 AND published='1' LIMIT 1

115 (45.061111450195): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749710 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749710 AND published='1' LIMIT 1

116 (163.79356384277): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749710 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749710 AND published='1' LIMIT 1

117 (59.127807617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749710 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749710 AND published='1' LIMIT 1

118 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749710 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749710 AND published='1' LIMIT 1

119 (39.100646972656): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749710 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749710 AND published='1' LIMIT 1

120 (67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749710 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749710 AND published='1' LIMIT 1

121 (82.015991210938): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749710 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749710 AND published='1' LIMIT 1

122 (258.9225769043): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 22466.897964478): 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 (514.03045654297): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294749710 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294749710 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (60.081481933594): ( 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 (34.093856811523): ( 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 (51.021575927734): 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 (37.908554077148): 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 (58.889389038086): 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 (41.961669921875): 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 (36.001205444336): 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 (29.087066650391): 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 (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

134 (34.093856811523): 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 (455.85632324219): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749710 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (410.07995605469): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749710 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (245.80955505371): SELECT name FROM jos_deeppockets WHERE id=214

138 (35.04753112793): SELECT name FROM jos_deeppockets WHERE id=214

139 (683.06922912598): 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 '((;)|(^))214((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

140 (491.14227294922): 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 '((;)|(^))214((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

141 (77.009201049805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749710 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749710 AND published='1' LIMIT 1

142 (50.067901611328): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749710 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749710 AND published='1' LIMIT 1

143 (!!!!! 9604.9308776855): TRUNCATE TABLE jos_trademed_module

144 (87.976455688477): 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=294749710 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (65.088272094727): 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=294749710 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (574.82719421387): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749710 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (63.896179199219): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749710 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (89.168548583984): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749710 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749710 AND published='1' LIMIT 1

149 (82.969665527344): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749710 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749710 AND published='1' LIMIT 1

150 (!!!!! 1140.1176452637): 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 (62.942504882812): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749710 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749710 AND published='1' LIMIT 1

152 (45.7763671875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749710 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749710 AND published='1' LIMIT 1

153 (42.915344238281): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294749710 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294749710 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (567.91305541992): 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=214 or channel_id is null)

155 (41.007995605469): 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=214 or channel_id is null)

156 (37.908554077148): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (150.91896057129): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749710 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749710 AND published='1' LIMIT 1

158 (62.942504882812): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749710 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749710 AND published='1' LIMIT 1

159 (40.054321289062): select jos_twitters.link from jos_twitters where cat=10

160 (31.948089599609): select jos_facebook.link from jos_facebook where cat=10

161 (31.948089599609): select jos_google_plus.link from jos_google_plus where cat=10

162 (30.994415283203): select jos_linkedin.link from jos_linkedin where cat=10

163 (267.02880859375): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14202,14203)

164 (!!!!! 1177.0725250244): insert into jos_banners_delta values (14202,'2025-06-24 22:07:35','216.73.216.120','view'),(14203,'2025-06-24 22:07:35','216.73.216.120','view')

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