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New Imaging Method Superior for Diagnosing Multiple Types of Cancer

By MedImaging International staff writers
Posted on 30 May 2023

Image: New imaging method offers potential for diagnosing, staging, and treating multiple types of cancer (Photo courtesy of SNMMI)

Cancer-associated fibroblasts play a significant role in tumor development, migration, and progression. A subset of these fibroblasts expresses fibroblast activation protein (FAP), a protein prominently found in solid tumors but hardly present in healthy tissues. This makes FAP an appealing target for diagnosis and treatment using fibroblast activation protein inhibitors (FAPI). Now, two new studies have highlighted the potential of a novel FAPI radiotracer in the diagnosis, staging, and treatment of various types of cancer. The most comprehensive patient study of 68Ga-FAPI PET to date has demonstrated its superiority over the standard 18F-FDG PET in evaluating numerous cancers. Additionally, a newly developed FAPI-targeted treatment has demonstrated its ability to curb tumor growth in common cancers in preclinical trials. These advancements hold great promise for providing more accurate staging and management of cancer patients.

In the first study conducted by researchers at Essen University Hospital (Essen, Germany), 324 patients with 21 different types of tumors underwent 68Ga-FAPI PET over a span of three years; 237 of them also received 18F-FDG PET imaging. Researchers compared the uptake of 68Ga-FAPI PET and 18F-FDG PET across various tumors. They also looked for a potential correlation between 68Ga-FAPI uptake on PET scans and FAP expression in stained tissue samples. The uptake was significantly higher for 68Ga-FAPI compared to 18F-FDG in primary pancreatic cancer lesions and sarcoma, as well as in metastatic pancreatic cancer lesions. 68Ga-FAPI PET proved superior in detecting local, regional, and distant metastatic disease in various cancers, including sarcoma, pancreatic, head and neck, bile duct, lung, and bladder cancers. A positive correlation was also discovered between radiotracer uptake and FAP expression levels in tissue samples.

“68Ga-FAPI PET can be used as a tool for diagnosis of tumors, with the potential for more precise staging and management of patients with the aforementioned tumor entities,” said Nader Hirmas, MD, ScD, a PhD candidate at the Department of Nuclear Medicine at Essen University Hospital. “It could also be used as a tool to screen patients who would potentially benefit from FAP-directed radioligand therapy.”

In the second study, researchers at Purdue University (West Lafayette, IN, USA) developed a new FAP-targeted radiopharmaceutical therapy that targets naturally occurring cancer-associated fibroblasts. Using modern bioanalytical methods, they identified which cells in 34 human tumors of the breast, ovary, colon, and lung expressed FAP. They developed and tested two radiopharmaceutical conjugates, FAP6-DOTA and FAP6-IP-DOTA (the latter contains an albumin-binder for longer circulation and improved tumor uptake), on human cells expressing FAP. Additionally, radiopharmaceutical therapies of 177Lu-FAP6-DOTA and 177Lu-FAP6-IP-DOTA were evaluated in a mouse model. FAP was found to be over-expressed in 5% of human tumor cells, with cancer-associated fibroblasts making up 77% of this FAP-subpopulation and cancer cells constituting 2%. FAP6-IP-DOTA demonstrated high FAP affinity, extended circulation, increased tumor uptake, and minimal retention in healthy tissue. Additionally, single doses of 177Lu-FAP6-IP-DOTA curbed tumor growth by almost 50% in all tested tumor models without causing reproducible toxicities.

“These data suggest that this newly designed FAP-targeted radiotherapy should be capable of treating many more types of human cancers in which the FAP expression is limited to only the cancer-associated fibroblasts,” noted Spencer D. Lindeman, PhD, visiting scholar in the Department of Chemistry at Purdue University. “This could be a powerful and versatile tool for the field of clinical nuclear medicine.”

Related Links:
Essen University Hospital
Purdue University

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62 (406.98051452637): SELECT fid FROM jos_deeppockets WHERE id=294797366 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294797366 AND published='1' LIMIT 1

63 (257.01522827148): 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`

64 (73.909759521484): select jos_twitters.link from jos_twitters where cat=10

65 (29.087066650391): select jos_facebook.link from jos_facebook where cat=10

66 (27.894973754883): select jos_google_plus.link from jos_google_plus where cat=10

67 (26.226043701172): select jos_linkedin.link from jos_linkedin where cat=10

68 (61.988830566406): SELECT fid FROM jos_deeppockets WHERE id=294797366 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294797366 AND published='1' LIMIT 1

69 (56.028366088867): 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`

70 (246.04797363281): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294797366 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (178.81393432617): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294797366 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (!!!!! 9112.1196746826): 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 (54.836273193359): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (24.795532226562): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (!!!!! 1206.8748474121): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (24.795532226562): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (42.200088500977): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294797366 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (27.179718017578): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294797366 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (30.994415283203): 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 (!!!!! 1054.048538208): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (51.021575927734): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (51.975250244141): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (26.226043701172): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (24.795532226562): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (26.226043701172): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (80.108642578125): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797366 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797366 AND published='1' LIMIT 1

105 (51.021575927734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797366 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797366 AND published='1' LIMIT 1

106 (391.00646972656): 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=294797366 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (!!!!! 9396.0762023926): 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=294797366 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (108.00361633301): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797366 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797366 AND published='1' LIMIT 1

109 (45.061111450195): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797366 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797366 AND published='1' LIMIT 1

110 (284.19494628906): 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=294797366 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (329.97131347656): 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=294797366 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (828.98139953613): 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 (425.10032653809): 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 (82.015991210938): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797366 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797366 AND published='1' LIMIT 1

115 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797366 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797366 AND published='1' LIMIT 1

116 (55.789947509766): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797366 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797366 AND published='1' LIMIT 1

117 (42.200088500977): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797366 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797366 AND published='1' LIMIT 1

118 (110.14938354492): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797366 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797366 AND published='1' LIMIT 1

119 (39.815902709961): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797366 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797366 AND published='1' LIMIT 1

120 (208.85467529297): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

121 (!!!!! 57484.865188599): 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

122 (!!!!! 4038.0954742432): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797366 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797366 AND published='1' LIMIT 1

123 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797366 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797366 AND published='1' LIMIT 1

124 (405.07316589355): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294797366 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294797366 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 1701435.0891113): ( 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 (!!!!! 1042234.1823578): ( 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 (!!!!! 2218.0080413818): 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

128 (143.05114746094): 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

129 (371.93298339844): 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

130 (102.99682617188): 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

131 (276.08871459961): 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

132 (73.909759521484): 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

133 (241.99485778809): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797366 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

134 (268.93615722656): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797366 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

135 (100.13580322266): SELECT name FROM jos_deeppockets WHERE id=213

136 (46.014785766602): SELECT name FROM jos_deeppockets WHERE id=213

137 (411.03363037109): 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

138 (333.07075500488): 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

139 (808.0005645752): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797366 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797366 AND published='1' LIMIT 1

140 (52.928924560547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797366 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797366 AND published='1' LIMIT 1

141 (!!!!! 6484.0316772461): TRUNCATE TABLE jos_trademed_module

142 (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 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=294797366 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

143 (478.98292541504): 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=294797366 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

144 (424.86190795898): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797366 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

145 (106.0962677002): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797366 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

146 (91.075897216797): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797366 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797366 AND published='1' LIMIT 1

147 (101.80473327637): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797366 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797366 AND published='1' LIMIT 1

148 (!!!!! 3598.9284515381): 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

149 (80.108642578125): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797366 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797366 AND published='1' LIMIT 1

150 (46.014785766602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797366 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797366 AND published='1' LIMIT 1

151 (771.04568481445): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294797366 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294797366 AND type='deeppockets_item' AND published='1' LIMIT 1

152 (118.01719665527): 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=213 or channel_id is null)

153 (147.10426330566): 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=213 or channel_id is null)

154 (57.93571472168): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

155 (!!!!! 3185.9874725342): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797366 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797366 AND published='1' LIMIT 1

156 (95.129013061523): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797366 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797366 AND published='1' LIMIT 1

157 (98.943710327148): select jos_twitters.link from jos_twitters where cat=10

158 (43.869018554688): select jos_facebook.link from jos_facebook where cat=10

159 (36.954879760742): select jos_google_plus.link from jos_google_plus where cat=10

160 (34.093856811523): select jos_linkedin.link from jos_linkedin where cat=10

161 (259.8762512207): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

162 (!!!!! 3426.0749816895): insert into jos_banners_delta values (14615,'2025-04-29 22:40:35','18.188.252.203','view'),(14202,'2025-04-29 22:40:35','18.188.252.203','view'),(14203,'2025-04-29 22:40:35','18.188.252.203','view')

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