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Optimized CT and MR Segmenting Software Used to Accelerate Study Segmenting Process

By MedImaging International staff writers
Posted on 08 Jul 2010

New computed tomography (CT) and magnetic resonance imaging (MRI) segmenting software is being used in a study to improve workflow and enhance technologist productivity by reducing the time required to accurately split multiregion CT and MR scans (i.e., chest-abdomen-pelvis) into anatomic regions that match the original orders from the radiology information system (RIS) and reducing the time required for the newly split studies to be sent to the picture archiving communications system (PACS). More...

Mach 7 Technologies (M7T; Burlington, VT, USA), a global provider of flexible, PACS-neutral healthcare image management solutions, has developed a state-of-the-art modality workstation application, the Keystone Study Split Utility (SSU), for a Massachusetts General Hospital Imaging (MGH; Boston, MA, USA) study.

With the new Keystone SSU application, radiologists who specialize in one region of the body will rapidly get just the images they need to interpret while ensuring accurate billing for all orders entered into the system. The efficient and accurate splitting of studies is important as a means of speeding time to diagnosis, enhancing patient care, and improving operational and business processes.

"The Keystone Study Split Utility improves technologist workflow when splitting multiregion scans from CT or MR,” noted Mary-Theresa Shore, director of clinical operations at MGH. "Based on initial testing data from the Keystone SSU clinical pilot, we are excited about the anticipated increased technologists' efficiency that the utility will deliver from scanner to PACS.”

Designed for simplicity and continuity, the SSU receives multiregion studies and provides a straightforward work list interface from which studies can be selected for splitting by technologists. Once selected, the study loads quickly into the splitting interface at the Image level or Series level. From this intuitive user interface, technologists can easily highlight images or series and relate them to the original accession numbers (orders) derived from the Digital Imaging and Communications in Medicine (DICOM) modality worklist coming from the RIS or PACS broker. If they have not completed the exam in the RIS, the SSU automatically generates a reminder before allowing the technologist to split the study.

The SSU enables overlapping between anatomic regions and the ability to send the scout image and dosage report image or series with all of the resulting studies. Once the split definition step is completed, the technologist initiates the split/send function with a minimum of clicks. The SSU then automatically splits the original study into the defined studies for each anatomical region and associates them to the proper accession numbers. The SSU sends a Storage Commit Query to the PACS to autoverify that the studies are in the PACS before purging them from memory.

"Our ability to rapidly incorporate feedback from the Mass General Imaging clinical operations team during the development of the Keystone SSU epitomizes the way Mach 7 Technologies partners with customers to deliver new and exciting image management solutions faster and with greater end-user customer input than other software developers,” remarked Doug Schwab, VP and GM of Mach 7 Technologies. "The Keystone Study Split Utility demonstrates why Mach 7 Technologies is a rapidly-emerging provider of advanced, PACS-neutral, DICOM-based solutions.”

Related Links:
Mach 7 Technologies
Massachusetts General Hospital

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57 (559.09156799316): 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=294730169 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

58 (!!!!! 1608.13331604): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730169 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730169 AND published='1' LIMIT 1

59 (78.916549682617): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730169 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730169 AND published='1' LIMIT 1

60 (137.0906829834): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730169 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730169 AND published='1' LIMIT 1

61 (67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730169 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730169 AND published='1' LIMIT 1

62 (92.983245849609): 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 (632.04765319824): SELECT fid FROM jos_deeppockets WHERE id=294730169 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294730169 AND published='1' LIMIT 1

64 (58.889389038086): 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 (60.081481933594): select jos_twitters.link from jos_twitters where cat=10

66 (39.100646972656): select jos_facebook.link from jos_facebook where cat=10

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

68 (72.956085205078): select jos_linkedin.link from jos_linkedin where cat=10

69 (56.982040405273): SELECT fid FROM jos_deeppockets WHERE id=294730169 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294730169 AND published='1' LIMIT 1

70 (43.153762817383): 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 (422.95455932617): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294730169 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (313.99726867676): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294730169 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

73 (71.048736572266): 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 (75.817108154297): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (79.870223999023): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (43.869018554688): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (37.193298339844): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (37.193298339844): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (66.041946411133): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294730169 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (41.007995605469): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294730169 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

90 (46.014785766602): 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 (70.810317993164): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (42.200088500977): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (37.193298339844): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (92.029571533203): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730169 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730169 AND published='1' LIMIT 1

106 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730169 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730169 AND published='1' LIMIT 1

107 (72.956085205078): 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=294730169 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (66.995620727539): 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=294730169 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

109 (96.08268737793): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730169 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730169 AND published='1' LIMIT 1

110 (71.048736572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730169 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730169 AND published='1' LIMIT 1

111 (66.995620727539): 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=294730169 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (647.06802368164): 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=294730169 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (745.05805969238): 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 (490.90385437012): 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 (167.1314239502): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730169 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730169 AND published='1' LIMIT 1

116 (81.062316894531): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730169 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730169 AND published='1' LIMIT 1

117 (82.969665527344): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730169 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730169 AND published='1' LIMIT 1

118 (51.975250244141): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730169 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730169 AND published='1' LIMIT 1

119 (72.002410888672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730169 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730169 AND published='1' LIMIT 1

120 (86.069107055664): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730169 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730169 AND published='1' LIMIT 1

121 (67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730169 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730169 AND published='1' LIMIT 1

122 (51.021575927734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730169 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730169 AND published='1' LIMIT 1

123 (362.15782165527): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

124 (!!!!! 27149.91569519): 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 (628.23295593262): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294730169 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294730169 AND type='deeppockets_item' AND published='1' LIMIT 1

126 (!!!!! 9546.0414886475): ( 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 (93.936920166016): ( 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 (67.949295043945): 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 (39.815902709961): 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 (72.002410888672): 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 (38.862228393555): 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 (398.15902709961): 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 (51.021575927734): 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 (47.922134399414): 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 (56.028366088867): 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 (600.81481933594): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730169 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (447.03483581543): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730169 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

138 (54.121017456055): SELECT name FROM jos_deeppockets WHERE id=216

139 (38.862228393555): SELECT name FROM jos_deeppockets WHERE id=216

140 (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

141 (673.05564880371): 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 (87.02278137207): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730169 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730169 AND published='1' LIMIT 1

143 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730169 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730169 AND published='1' LIMIT 1

144 (!!!!! 9501.2187957764): TRUNCATE TABLE jos_trademed_module

145 (117.77877807617): 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=294730169 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (82.015991210938): 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=294730169 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

147 (576.97296142578): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730169 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (104.90417480469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730169 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

149 (83.92333984375): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730169 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730169 AND published='1' LIMIT 1

150 (60.081481933594): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730169 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730169 AND published='1' LIMIT 1

151 (!!!!! 1477.0030975342): 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 (82.969665527344): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730169 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730169 AND published='1' LIMIT 1

153 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730169 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730169 AND published='1' LIMIT 1

154 (54.121017456055): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294730169 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294730169 AND type='deeppockets_item' AND published='1' LIMIT 1

155 (45.061111450195): 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 (41.961669921875): 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 (54.121017456055): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

158 (110.86463928223): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730169 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730169 AND published='1' LIMIT 1

159 (63.896179199219): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730169 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730169 AND published='1' LIMIT 1

160 (51.021575927734): select jos_twitters.link from jos_twitters where cat=10

161 (37.908554077148): select jos_facebook.link from jos_facebook where cat=10

162 (36.954879760742): select jos_google_plus.link from jos_google_plus where cat=10

163 (37.908554077148): select jos_linkedin.link from jos_linkedin where cat=10

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