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PET Imaging Agent Predicts Poor Functional Outcomes After Heart Attack

By MedImaging International staff writers
Posted on 16 Jun 2022

Image: New biomarker predicts severity of cardiac remodeling after heart attack (Photo courtesy of Pexels)

Acute myocardial infarction, commonly known as heart attack, is one of the leading causes of death worldwide. After a heart attack, the heart goes through a series of changes at the molecular and cellular level. The fibroblast activation protein (FAP) is overexpressed as these changes occur and can provide useful information about a patient’s prognosis. Now, poor functional outcomes after a heart attack can be predicted with a new PET imaging agent, 68Ga-FAPI-46, according to new research.

A study by researchers at the Hannover School of Medicine (Hannover, Germany) revealed that when correlated with cardiac MRI, 68Ga-FAPI-46 PET is a new specific indicator of active fibrosis and can identify a patient’s chances of recovery. In the study, 35 patients underwent 68Ga-FAPI-46 PET/CT, perfusion SPECT, and cardiac MRI within 11 days after a heart attack. Cardiac FAP-volume was determined by PET imaging and infarct size defined by SPECT imaging. Cardiac MRI showed functional parameters, area of injury and tissue mapping. These datapoints were then compiled to examine potential correlations.

In all patients the FAP-upregulation was significantly larger than both the infarct size and the area of injury as defined by SPECT and cardiac MRI, respectively. A higher extent of myocardial FAP upregulation was predictive of subsequent left ventricular dysfunction. As such, the researchers concluded that fibroblast activation in non-infarcted areas of the heart may contribute to adverse outcomes.

“Molecular PET imaging of the fibroblast activation protein has recently been evaluated in patients after acute myocardial infarction,” said Johanna Diekmann, MD, clinician scientist in the Department of Nuclear Medicine at the Hannover School of Medicine. “In our study, we sought to obtain further insights by correlating FAP-targeted PET imaging with tissue characteristics from cardiac MRI, as well as functional outcome.”

“Myocardial infarction is an important contributor to the development of heart failure, but the early molecular processes involved in the transition from initial injury to heart failure are under-treated,” added Diekmann. “New antifibrotic therapies (such as CAR-T cell therapies) could significantly change future therapy of heart failure. Using FAPI-PET to select patients suitable for therapy would open a new major application for PET in fibrosis and cardiac diseases.”

“FAPI is a very exciting radiotracer that holds great potential for the future of nuclear medicine and molecular imaging,” noted Heather Jacene, Scientific Program chair of the Society of Nuclear Medicine and Molecular Imaging. “68Ga-FAPI-46 PET/CT clearly indicates pro-fibrotic activity after acute myocardial infarction. The predictive value of FAPI-PET for the magnitude of subsequent decline in global cardiac function, if further validated, may be used in the future to help select the most suitable patients for anti-fibrotic therapies which are currently under development. This could ultimately have a powerful impact on cardiovascular medicine.”

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60 (59.127807617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294793453 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294793453 AND published='1' LIMIT 1

61 (90.837478637695): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294793453 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294793453 AND published='1' LIMIT 1

62 (48.87580871582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294793453 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294793453 AND published='1' LIMIT 1

63 (91.075897216797): 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

64 (483.03604125977): SELECT fid FROM jos_deeppockets WHERE id=294793453 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294793453 AND published='1' LIMIT 1

65 (304.9373626709): 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=213 ORDER BY `ordering`

66 (56.028366088867): select jos_twitters.link from jos_twitters where cat=10

67 (30.040740966797): select jos_facebook.link from jos_facebook where cat=10

68 (30.040740966797): select jos_google_plus.link from jos_google_plus where cat=10

69 (28.133392333984): select jos_linkedin.link from jos_linkedin where cat=10

70 (30.994415283203): SELECT fid FROM jos_deeppockets WHERE id=294793453 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294793453 AND published='1' LIMIT 1

71 (32.186508178711): 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=213 ORDER BY `ordering`

72 (337.83912658691): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294793453 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

73 (247.00164794922): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294793453 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

74 (41.007995605469): 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`

75 (60.796737670898): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (57.93571472168): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (45.061111450195): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294793453 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

90 (30.994415283203): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294793453 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

91 (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`

92 (61.988830566406): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (29.802322387695): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (33.855438232422): 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 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (51.021575927734): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (77.009201049805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294793453 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294793453 AND published='1' LIMIT 1

107 (43.153762817383): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294793453 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294793453 AND published='1' LIMIT 1

108 (61.988830566406): 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=294793453 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

109 (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_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=294793453 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

110 (70.095062255859): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294793453 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294793453 AND published='1' LIMIT 1

111 (42.915344238281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294793453 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294793453 AND published='1' LIMIT 1

112 (345.94535827637): 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=294793453 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (339.98489379883): 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=294793453 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

114 (50.067901611328): 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=294793412 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

115 (388.14544677734): 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=294793412 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

116 (624.8950958252): 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 (452.99530029297): 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 (72.956085205078): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294793453 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294793453 AND published='1' LIMIT 1

119 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294793453 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294793453 AND published='1' LIMIT 1

120 (109.91096496582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294793453 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294793453 AND published='1' LIMIT 1

121 (52.928924560547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294793453 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294793453 AND published='1' LIMIT 1

122 (71.048736572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294793453 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294793453 AND published='1' LIMIT 1

123 (54.121017456055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294793453 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294793453 AND published='1' LIMIT 1

124 (345.94535827637): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

125 (!!!!! 21591.186523438): 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

126 (102.04315185547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294793453 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294793453 AND published='1' LIMIT 1

127 (77.962875366211): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294793453 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294793453 AND published='1' LIMIT 1

128 (424.14665222168): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294793453 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294793453 AND type='deeppockets_item' AND published='1' LIMIT 1

129 (!!!!! 479242.80166626): ( 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 (102.04315185547): ( 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

131 (49.114227294922): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

132 (30.994415283203): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

133 (56.982040405273): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

134 (30.994415283203): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

135 (28.848648071289): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 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 = 294800361 LIMIT 1

137 (430.10711669922): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294793453 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

138 (368.83354187012): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294793453 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

139 (235.08071899414): SELECT name FROM jos_deeppockets WHERE id=213

140 (37.193298339844): SELECT name FROM jos_deeppockets WHERE id=213

141 (478.02925109863): 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 '((;)|(^))213((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

142 (402.92739868164): 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 '((;)|(^))213((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

143 (65.088272094727): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294793453 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294793453 AND published='1' LIMIT 1

144 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294793453 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294793453 AND published='1' LIMIT 1

145 (!!!!! 9474.0390777588): TRUNCATE TABLE jos_trademed_module

146 (108.95729064941): 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=294793453 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

147 (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_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=294793453 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

148 (660.89630126953): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294793453 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

149 (88.930130004883): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294793453 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

150 (103.95050048828): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294793453 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294793453 AND published='1' LIMIT 1

151 (73.909759521484): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294793453 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294793453 AND published='1' LIMIT 1

152 (!!!!! 1188.0397796631): 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

153 (53.882598876953): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294793453 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294793453 AND published='1' LIMIT 1

154 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294793453 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294793453 AND published='1' LIMIT 1

155 (41.961669921875): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294793453 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294793453 AND type='deeppockets_item' AND published='1' LIMIT 1

156 (36.001205444336): 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)

157 (31.948089599609): 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)

158 (35.04753112793): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

159 (380.03921508789): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294793453 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294793453 AND published='1' LIMIT 1

160 (59.127807617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294793453 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294793453 AND published='1' LIMIT 1

161 (39.100646972656): select jos_twitters.link from jos_twitters where cat=10

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

163 (30.994415283203): select jos_google_plus.link from jos_google_plus where cat=10

164 (30.040740966797): select jos_linkedin.link from jos_linkedin where cat=10

165 (242.94853210449): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

166 (!!!!! 1245.0218200684): insert into jos_banners_delta values (14615,'2025-04-29 22:35:04','3.21.126.72','view'),(14202,'2025-04-29 22:35:04','3.21.126.72','view'),(14203,'2025-04-29 22:35:04','3.21.126.72','view')

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