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Standardized Analysis Recommended for SPECT Cardiac Imaging

By MedImaging staff writers
Posted on 14 Apr 2008

For the sake of accuracy, medical professionals should use the same software for comparing and analyzing diagnostic heart images taken from different time periods and laboratories, a team of researchers has concluded.

The collaborative study, published in the January-February 2008 issue of the Journal of Nuclear Cardiology, involved physicians and researchers at Sacred Heart Medical Center (Eugene, OR, USA), the University of Oregon (Eugene, OR, USA), and Cedars-Sinai Medical Center (Los Angeles, CA, USA). More...

The study, which involved images done on 328 heart patients at Sacred Heart, is part of an effort to standardize cardiac-image analyses to improve both diagnostics and patient care.

A lack of important consistency is evident from analyses now conducted with three widely used software packages, according to Dr. Mathews Fish, medical director of nuclear cardiology at the Oregon Heart & Vascular Institute at Sacred Heart. Inconsistencies can occur, for example, he reported, when comparing images done on over time or when results on a patient come from different labs.

Dr. Fish is part of a collaborative research project with Cedars-Sinai that includes a recently awarded grant from the U.S. National Institutes of Health (NIH; Bethesda, MD, USA) for the development of an automated high-performance system for analyzing three-dimensional (3D) cardiac singe-photon emission tomography (SPECT) imaging. SPECT uses gamma rays to create pictures of organs and their structures.

The recently published study is believed to be the first head-to-head comparison of the commercially available software used in such cardiac-related diagnostics. Cardiac SPECT is performed in conjunction with stress testing to compare blood flow to the heart muscle when patients are at rest or stressed. The images are analyzed using computer software. The new study found significant differences in diagnostic performance and quantification of abnormalities in the sophisticated software packages being used for cardiac SPECT imaging.

Because of its high diagnostic accuracy in determining the presence of significant coronary artery disease and its ability to determine the risk of a heart attack, cardiac SPECT imaging has become a useful tool in the care of patients with suspected heart disease. Important management and treatment decisions are based not only on whether the test is abnormal, but also on the level of the abnormality, which is best determined by computer software.

The database used in the study to compare the various results was created and maintained by Santiago Lorenzo, a doctoral student in the University of Oregon's department of human physiology. Dr. Lorenzo adapted the results into Microsoft Access. "It was very useful to use since I had to constantly analyze the data in many different ways,” he said. "Having the data organized made my job much easier.” Dr. Lorenzo's participation in the study was done as part of collaboration between the hospital and the UO's human physiology department.

"This study shows the tangible benefits of the Oregon Heart & Vascular Institute's research partnership with the University of Oregon,” Dr. Fish said. "Such research performed locally in our own institutions greatly enhances the quality of medical outcomes and supports the use of the most appropriate and effective technology for the care of patients.”

Related Links:
Sacred Heart Medical Center
University of Oregon
Cedars-Sinai Medical Center

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58 (!!!!! 1506.0901641846): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=278090000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=278090000 AND published='1' LIMIT 1

59 (!!!!! 3992.0806884766): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=278090000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=278090000 AND published='1' LIMIT 1

60 (!!!!! 11517.04788208): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=278090000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=278090000 AND published='1' LIMIT 1

61 (97.036361694336): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=278090000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=278090000 AND published='1' LIMIT 1

62 (667.09518432617): 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

63 (613.92784118652): SELECT fid FROM jos_deeppockets WHERE id=278090000 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=278090000 AND published='1' LIMIT 1

64 (588.17863464355): 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`

65 (437.97492980957): select jos_twitters.link from jos_twitters where cat=10

66 (422.95455932617): select jos_facebook.link from jos_facebook where cat=10

67 (38.14697265625): select jos_google_plus.link from jos_google_plus where cat=10

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

69 (72.002410888672): SELECT fid FROM jos_deeppockets WHERE id=278090000 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=278090000 AND published='1' LIMIT 1

70 (97.990036010742): 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`

71 (689.98336791992): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=278090000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (473.0224609375): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=278090000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

73 (135.89859008789): 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`

74 (458.0020904541): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (73.909759521484): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (395.05958557129): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (64.13459777832): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (42.915344238281): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (!!!!! 3202.9151916504): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (504.0168762207): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (!!!!! 7681.8466186523): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (648.02169799805): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (844.00177001953): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=278090000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (828.98139953613): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=278090000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

90 (678.06243896484): 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`

91 (!!!!! 9043.9319610596): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (!!!!! 5759.9544525146): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (!!!!! 4007.10105896): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (!!!!! 8094.0723419189): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (!!!!! 6062.9844665527): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (!!!!! 5566.8354034424): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (!!!!! 1646.0418701172): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (812.05368041992): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (!!!!! 1504.8980712891): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (50.067901611328): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (586.03286743164): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (587.94021606445): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (849.96223449707): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (57.93571472168): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (!!!!! 2165.0791168213): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=278090000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=278090000 AND published='1' LIMIT 1

106 (79.870223999023): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=278090000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=278090000 AND published='1' LIMIT 1

107 (705.00373840332): 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=278090000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (!!!!! 10478.019714355): 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=278090000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

109 (!!!!! 6393.1941986084): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=278090000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=278090000 AND published='1' LIMIT 1

110 (!!!!! 5840.0630950928): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=278090000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=278090000 AND published='1' LIMIT 1

111 (929.11720275879): 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=278090000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (478.02925109863): 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=278090000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (!!!!! 2227.0679473877): 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 (621.08039855957): 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

115 (!!!!! 2328.8726806641): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=278090000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=278090000 AND published='1' LIMIT 1

116 (!!!!! 1716.8521881104): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=278090000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=278090000 AND published='1' LIMIT 1

117 (373.12507629395): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=278090000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=278090000 AND published='1' LIMIT 1

118 (560.99891662598): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=278090000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=278090000 AND published='1' LIMIT 1

119 (!!!!! 1528.0246734619): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=278090000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=278090000 AND published='1' LIMIT 1

120 (!!!!! 1334.9056243896): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=278090000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=278090000 AND published='1' LIMIT 1

121 (!!!!! 3528.8333892822): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=278090000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=278090000 AND published='1' LIMIT 1

122 (92.983245849609): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=278090000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=278090000 AND published='1' LIMIT 1

123 (701.1890411377): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

124 (!!!!! 52511.930465698): 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

125 (!!!!! 2753.0193328857): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=278090000 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=278090000 AND type='deeppockets_item' AND published='1' LIMIT 1

126 (!!!!! 19048.21395874): ( 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 (586.03286743164): ( 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

128 (436.06758117676): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

129 (!!!!! 1609.0869903564): 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

130 (!!!!! 4825.8304595947): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

131 (726.93824768066): 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

132 (908.13636779785): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

133 (928.87878417969): 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

134 (576.97296142578): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

135 (335.9317779541): 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

136 (!!!!! 4154.9205780029): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=278090000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (!!!!! 5156.0401916504): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=278090000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

138 (802.04010009766): SELECT name FROM jos_deeppockets WHERE id=216

139 (140.90538024902): SELECT name FROM jos_deeppockets WHERE id=216

140 (859.97581481934): 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

141 (720.02410888672): 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

142 (!!!!! 4610.0616455078): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=278090000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=278090000 AND published='1' LIMIT 1

143 (179.05235290527): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=278090000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=278090000 AND published='1' LIMIT 1

144 (!!!!! 8219.9573516846): TRUNCATE TABLE jos_trademed_module

145 (!!!!! 3668.0698394775): 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=278090000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (179.05235290527): 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=278090000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

147 (903.84483337402): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=278090000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (472.06878662109): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=278090000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

149 (698.08959960938): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=278090000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=278090000 AND published='1' LIMIT 1

150 (416.04042053223): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=278090000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=278090000 AND published='1' LIMIT 1

151 (!!!!! 1937.1509552002): 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

152 (!!!!! 3696.9184875488): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=278090000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=278090000 AND published='1' LIMIT 1

153 (285.86387634277): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=278090000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=278090000 AND published='1' LIMIT 1

154 (449.89585876465): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=278090000 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=278090000 AND type='deeppockets_item' AND published='1' LIMIT 1

155 (833.98818969727): 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)

156 (263.92936706543): 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)

157 (187.87384033203): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

158 (102.04315185547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=278090000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=278090000 AND published='1' LIMIT 1

159 (75.817108154297): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=278090000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=278090000 AND published='1' LIMIT 1

160 (707.14950561523): select jos_twitters.link from jos_twitters where cat=10

161 (50.067901611328): select jos_facebook.link from jos_facebook where cat=10

162 (34.093856811523): select jos_google_plus.link from jos_google_plus where cat=10

163 (29.802322387695): select jos_linkedin.link from jos_linkedin where cat=10

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