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Bone Suppression Software Used to Optimize Diagnostic Capability of X-Ray Systems

By MedImaging International staff writers
Posted on 18 Aug 2014

Clinicians are gathering important information from the most routine imaging exam, the chest X-ray, by using advanced software that enhances X-ray images captured by the equipment they already have or are in the process of buying. New bone suppression technology helps radiologists identify lung nodules and other serious medical conditions by converting a traditional chest X-ray into a soft tissue image without the ribs and clavicle bones.

These structures typically obscure abnormalities. There are no further testing or radiation exposure for patients, and no need for imaging units or hardware for the hospital to buy or house to achieve the soft tissue image.

Riverain Technologies (Dayton, OH, USA) revenues increased 34% year-over-year through the first half of 2014 based on strong adoption of the company’s ClearRead software solutions. This was particularly true among academic medical centers and community and Veterans Administration (VA) hospitals throughout the US Midwest. “Most of the growth in adoption is being driven by radiologists’ recognition that bone suppression is very useful and there’s little to no downside to it,” said Heber MacMahon, MB, BCh, professor of radiology and director of thoracic imaging at the University of Chicago Medical Center (IL, USA).

In the past, no-bone, soft tissue images were only made possible by exposing patients to higher radiation levels using costly imaging equipment. The enhancements in clarity and performance of the X-ray are advantageous for patients because that X-ray is the most readily available and widely used imaging modality. Many lung tumors are first targeted on X-ray images taken for other reasons, such as to diagnose other medical conditions, including heart problems, broken ribs, collapsed lung, pneumonia, and emphysema.

“It’s nice to get more out of what we deliver,” said Ella Kazerooni, MD, past president of the Society of Thoracic Radiology, and professor and director, division cardiothoracic radiology, and associate chair for clinical affairs at the University of Michigan (U-M) Health System (Ann Arbor, USA). “The software is easy to install, easy to train to, and, frankly it provides immediate clinical value.”

The software is sold directly to medical centers, to enhance X-ray images captured by the machines they already have, and by major manufacturers including Siemens Healthcare (Erlangen, Germany) and Philips Healthcare (Best, The Netherlands) as a value-added extension to new X-ray equipment.

University of Chicago (IL, USA) bought ClearRead software after serving as a research site and validating the effectiveness of Riverain’s ClearRead bone suppression and computer-aided diagnosis (CAD) software, ClearRead +Detect, in improving the diagnostic potential of traditional X-ray images. “As long as we’re going to continue to do millions of chest X-rays around the world, with this software we’re going to pick up more cancers sooner and we’re going to miss less cancers,” said Dr. MacMahon, who is a member of Riverain’s medical advisory board.

In addition to purchasing ClearRead bone suppression and ClearRead + Detect software, which marks suspected lung nodules on an X-ray image, U-M Health System physicians are planning on purchasing of ClearRead +Confirm software, based on a clinical evaluation of the software.

ClearRead +Confirm identifies and highlights lines and tubes on portable chest X-ray images, reducing reading time by approximately 19% without compromising radiologist accuracy or confidence. “Referring physicians working in our intensive care units can see lines and tubes much more clearly without having to make adjustments to each image, line by line and case by case,” Dr. Kazerooni said. “They’re bypassing the standard X-ray image and going directly to the Riverain-processed images. This speaks to how highly they regard the software.”

The benefit of ClearRead +Confirm for patients, Dr. Kazerooni added, is that “It gives us greater confidence about the devices we’re putting in place so that we’re sure they’re functioning optimally.”

Riverain Technologies’ ClearRead software enhances the expert skills of radiologists to improve patient outcomes using standard chest X-ray, without additional radiation dose or procedures for patients. Riverain ClearRead software solutions include ClearRead bone suppression, +Detect, +Confirm and +Compare, which reveals density alterations between current and earlier chest X-ray images.

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59 (174.99923706055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754028 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754028 AND published='1' LIMIT 1

60 (418.18618774414): SELECT name FROM jos_deeppockets WHERE id=294754028 LIMIT 1

61 (211.95411682129): SELECT name FROM jos_deeppockets_archive WHERE id=294754028 LIMIT 1

62 (49.114227294922): SELECT a.* FROM jos_components AS a WHERE ( a.admin_menu_link = 'option=com_syndicate' OR a.admin_menu_link = 'option=com_syndicate&hidemainmenu=1' ) AND a.option = 'com_syndicate'

63 (58.889389038086): 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=294754028 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

64 (450.84953308105): 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=294754028 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

65 (!!!!! 1322.0310211182): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754028 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754028 AND published='1' LIMIT 1

66 (63.180923461914): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754028 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754028 AND published='1' LIMIT 1

67 (175.95291137695): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754028 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754028 AND published='1' LIMIT 1

68 (75.101852416992): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754028 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754028 AND published='1' LIMIT 1

69 (130.89179992676): 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

70 (494.00329589844): SELECT fid FROM jos_deeppockets WHERE id=294754028 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294754028 AND published='1' LIMIT 1

71 (272.98927307129): 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=216 ORDER BY `ordering`

72 (44.822692871094): select jos_twitters.link from jos_twitters where cat=10

73 (28.848648071289): select jos_facebook.link from jos_facebook where cat=10

74 (30.040740966797): select jos_google_plus.link from jos_google_plus where cat=10

75 (27.179718017578): select jos_linkedin.link from jos_linkedin where cat=10

76 (31.948089599609): SELECT fid FROM jos_deeppockets WHERE id=294754028 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294754028 AND published='1' LIMIT 1

77 (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=216 ORDER BY `ordering`

78 (243.9022064209): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294754028 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

79 (360.96572875977): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294754028 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

80 (39.100646972656): 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`

81 (58.889389038086): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

90 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (46.014785766602): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294754028 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

96 (29.087066650391): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294754028 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

97 (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`

98 (63.896179199219): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (37.193298339844): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (37.193298339844): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (52.928924560547): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

107 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

108 (43.869018554688): SELECT show_live FROM jos_com_show_setting LIMIT 1

109 (37.193298339844): SELECT show_live FROM jos_com_show_setting LIMIT 1

110 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

111 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

112 (97.036361694336): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754028 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754028 AND published='1' LIMIT 1

113 (69.141387939453): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754028 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754028 AND published='1' LIMIT 1

114 (86.069107055664): 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=294754028 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

115 (470.16143798828): 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=294754028 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

116 (!!!!! 3994.9417114258): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754028 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754028 AND published='1' LIMIT 1

117 (115.15617370605): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754028 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754028 AND published='1' LIMIT 1

118 (228.1665802002): 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=294754028 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

119 (616.07360839844): 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=294754028 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

120 (!!!!! 1253.8433074951): 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

121 (711.91787719727): 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

122 (571.96617126465): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754028 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754028 AND published='1' LIMIT 1

123 (81.062316894531): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754028 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754028 AND published='1' LIMIT 1

124 (!!!!! 2125.0247955322): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754028 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754028 AND published='1' LIMIT 1

125 (71.048736572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754028 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754028 AND published='1' LIMIT 1

126 (92.029571533203): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754028 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754028 AND published='1' LIMIT 1

127 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754028 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754028 AND published='1' LIMIT 1

128 (339.03121948242): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

129 (!!!!! 55409.908294678): 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

130 (!!!!! 1076.9367218018): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754028 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754028 AND published='1' LIMIT 1

131 (80.108642578125): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754028 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754028 AND published='1' LIMIT 1

132 (!!!!! 1382.1125030518): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294754028 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294754028 AND type='deeppockets_item' AND published='1' LIMIT 1

133 (!!!!! 1144940.8531189): ( 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

134 (72.002410888672): ( 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

135 (289.9169921875): 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

136 (36.001205444336): 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

137 (219.10667419434): 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

138 (35.04753112793): 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

139 (173.09188842773): 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

140 (34.093856811523): 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

141 (344.03800964355): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754028 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

142 (332.11708068848): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754028 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

143 (119.92454528809): SELECT name FROM jos_deeppockets WHERE id=216

144 (31.948089599609): SELECT name FROM jos_deeppockets WHERE id=216

145 (494.95697021484): 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 '((;)|(^))216((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

146 (368.11828613281): 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 '((;)|(^))216((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

147 (70.095062255859): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754028 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754028 AND published='1' LIMIT 1

148 (38.862228393555): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754028 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754028 AND published='1' LIMIT 1

149 (!!!!! 5042.0761108398): TRUNCATE TABLE jos_trademed_module

150 (515.93780517578): 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=294754028 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

151 (93.221664428711): 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=294754028 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

152 (280.85708618164): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754028 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

153 (133.03756713867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754028 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

154 (78.916549682617): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754028 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754028 AND published='1' LIMIT 1

155 (92.983245849609): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754028 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754028 AND published='1' LIMIT 1

156 (!!!!! 1169.9199676514): 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

157 (58.174133300781): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754028 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754028 AND published='1' LIMIT 1

158 (55.074691772461): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754028 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754028 AND published='1' LIMIT 1

159 (36.954879760742): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294754028 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294754028 AND type='deeppockets_item' AND published='1' LIMIT 1

160 (464.91622924805): 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=216 or channel_id is null)

161 (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=216 or channel_id is null)

162 (33.855438232422): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

163 (!!!!! 1171.1120605469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754028 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754028 AND published='1' LIMIT 1

164 (51.975250244141): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754028 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754028 AND published='1' LIMIT 1

165 (110.14938354492): select jos_twitters.link from jos_twitters where cat=10

166 (27.894973754883): select jos_facebook.link from jos_facebook where cat=10

167 (26.941299438477): select jos_google_plus.link from jos_google_plus where cat=10

168 (25.033950805664): select jos_linkedin.link from jos_linkedin where cat=10

169 (304.9373626709): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

170 (!!!!! 2063.9896392822): insert into jos_banners_delta values (14615,'2025-05-02 12:04:07','13.58.121.189','view'),(14202,'2025-05-02 12:04:07','13.58.121.189','view'),(14203,'2025-05-02 12:04:07','13.58.121.189','view')

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Bone Suppression Software Used to Optimize Diagnostic Capability of X-Ray Systems

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