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New MR Image Guidance Software Provides Direct Tumor Visualization during HDR Prostate Procedures

By MedImaging International staff writers
Posted on 11 Jul 2024

High dose-rate (HDR) brachytherapy is a treatment for prostate cancer that involves placing radioactive sources directly into the prostate gland using needles. More...

For planning such procedures, clinicians traditionally rely on computed tomography (CT) or ultrasound imaging. Integrating magnetic resonance imaging (MRI) into the brachytherapy treatment planning process can minimize toxicity to critical anatomical structures. Nonetheless, difficulties in accurately aligning MRI contours with real-time ultrasound images have limited MRI's application in HDR treatments. Now, an impressive new solution provides visualization of reoriented MRI contours on the live ultrasound during procedures.

GE HealthCare’s (Chicago, IL, USA) MIM Software has introduced MIM Symphony HDR Prostate, a groundbreaking tool designed to enhance HDR brachytherapy. This software aims to boost clinician confidence and enhance patient outcomes by enabling the direct visualization of tumors from MRI scans during live ultrasound-guided HDR prostate treatments. MIM Symphony HDR Prostate facilitates the alignment of MRI-derived contours with real-time ultrasound images, enhancing the visibility of the prostate, any lesions, and critical structures throughout the HDR procedure.

This alignment of the MRI contours with the ultrasound helps clinicians accurately place needles by defining the lesion and tracking changes, thus guiding needle placement accurately as the prostate shifts during the treatment. The software includes ReSlicer, a feature that adjusts for discrepancies between MRI in a supine position and ultrasound in lithotomy positions, and automates needle digitization on CT or ultrasound planning images while also managing needle review and free length checks. MIM Symphony HDR Prostate stands out for its ability to correct MRI orientations and provide MRI-guided visualization during HDR prostate treatments. This new solution is the latest addition to GE HealthCare’s MIM Software portfolio of vendor-neutral solutions for radiation oncology.

“Our goal with this solution is to empower clinicians to plan and deliver safe, more informed, and precise treatment for patients with prostate disease,” said Andrew Nelson, CEO of MIM Software, GE HealthCare. “MIM Symphony HDR Prostate exemplifies decades of MIM Software and GE HealthCare innovations that enable precision care, and we’re thrilled to expand our impact in brachytherapy.”

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60 (!!!!! 1144.1707611084): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801797 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801797 AND published='1' LIMIT 1

61 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801797 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801797 AND published='1' LIMIT 1

62 (92.029571533203): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801797 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801797 AND published='1' LIMIT 1

63 (43.153762817383): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801797 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801797 AND published='1' LIMIT 1

64 (81.062316894531): 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

65 (483.98971557617): SELECT fid FROM jos_deeppockets WHERE id=294801797 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294801797 AND published='1' LIMIT 1

66 (45.061111450195): 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`

67 (40.054321289062): select jos_twitters.link from jos_twitters where cat=10

68 (30.994415283203): select jos_facebook.link from jos_facebook where cat=10

69 (36.954879760742): select jos_google_plus.link from jos_google_plus where cat=10

70 (35.04753112793): select jos_linkedin.link from jos_linkedin where cat=10

71 (58.174133300781): SELECT fid FROM jos_deeppockets WHERE id=294801797 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294801797 AND published='1' LIMIT 1

72 (36.001205444336): 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`

73 (517.84515380859): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294801797 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

74 (271.08192443848): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294801797 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

75 (40.054321289062): 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 (67.949295043945): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (29.802322387695): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (158.07151794434): SELECT show_live FROM jos_com_show_setting LIMIT 1

90 (51.975250244141): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294801797 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=294801797 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

92 (32.901763916016): 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 (59.127807617188): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (72.956085205078): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (37.193298339844): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

107 (96.08268737793): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801797 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801797 AND published='1' LIMIT 1

108 (64.13459777832): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801797 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801797 AND published='1' LIMIT 1

109 (85.830688476562): 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=294801797 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

110 (71.048736572266): 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=294801797 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (98.228454589844): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801797 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801797 AND published='1' LIMIT 1

112 (48.87580871582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801797 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801797 AND published='1' LIMIT 1

113 (352.14424133301): 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=294801797 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

114 (!!!!! 1727.819442749): 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=294801797 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

115 (63.896179199219): 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=294801794 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

116 (465.86990356445): 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=294801794 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

117 (635.86235046387): 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

118 (494.00329589844): 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

119 (92.029571533203): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801797 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801797 AND published='1' LIMIT 1

120 (52.928924560547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801797 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801797 AND published='1' LIMIT 1

121 (87.976455688477): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801797 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801797 AND published='1' LIMIT 1

122 (41.961669921875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801797 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801797 AND published='1' LIMIT 1

123 (46.014785766602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801797 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801797 AND published='1' LIMIT 1

124 (41.007995605469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801797 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801797 AND published='1' LIMIT 1

125 (46.014785766602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801797 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801797 AND published='1' LIMIT 1

126 (59.843063354492): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801797 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801797 AND published='1' LIMIT 1

127 (622.98774719238): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294801797 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294801797 AND type='deeppockets_item' AND published='1' LIMIT 1

128 (!!!!! 9052.9918670654): ( 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 (94.890594482422): ( 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 (70.095062255859): 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 (41.961669921875): 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 (113.01040649414): 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 (41.007995605469): 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 (395.05958557129): 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 (48.87580871582): 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 (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

137 (39.100646972656): 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 (579.1187286377): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801797 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

139 (501.87110900879): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801797 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

140 (54.836273193359): SELECT name FROM jos_deeppockets WHERE id=214

141 (37.908554077148): SELECT name FROM jos_deeppockets WHERE id=214

142 (784.87396240234): 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

143 (648.97537231445): 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

144 (98.943710327148): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801797 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801797 AND published='1' LIMIT 1

145 (76.055526733398): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801797 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801797 AND published='1' LIMIT 1

146 (607.96737670898): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801797 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (68.187713623047): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801797 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (77.962875366211): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801797 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801797 AND published='1' LIMIT 1

149 (106.0962677002): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801797 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801797 AND published='1' LIMIT 1

150 (!!!!! 1512.0506286621): 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 (72.002410888672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801797 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801797 AND published='1' LIMIT 1

152 (54.121017456055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801797 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801797 AND published='1' LIMIT 1

153 (59.127807617188): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294801797 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294801797 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (46.968460083008): 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=0 or channel_id is null)

155 (37.908554077148): 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=0 or channel_id is null)

156 (77.009201049805): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (182.8670501709): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801797 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801797 AND published='1' LIMIT 1

158 (104.18891906738): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801797 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801797 AND published='1' LIMIT 1

159 (66.995620727539): select jos_twitters.link from jos_twitters where cat=10

160 (41.961669921875): select jos_facebook.link from jos_facebook where cat=10

161 (45.061111450195): select jos_google_plus.link from jos_google_plus where cat=10

162 (41.961669921875): select jos_linkedin.link from jos_linkedin where cat=10

163 (413.89465332031): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14202,14203)

164 (!!!!! 1480.1025390625): insert into jos_banners_delta values (14202,'2025-08-02 15:05:21','216.73.216.210','view'),(14203,'2025-08-02 15:05:21','216.73.216.210','view')

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