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3D Cardiac Imaging Revolutionized with New "Slice” Technique

By MedImaging International staff writers
Posted on 23 Aug 2010

A leading British cardiologist is the first in the world to develop a unique technique to "slice” three-dimensional (3D) images of the heart into intricate sections using computer software. The advanced method, known as multiplane review (MPR) 3D echocardiography, allows the user to identify heart defects much more accurately than on traditional 2D or standard 3D scans and is revolutionizing the accuracy and speed of diagnosis.

Consultant congenital cardiologist Dr. Joseph Vettukattil pioneered its development at Southampton General Hospital (Hampshire, UK) to identify heart abnormalities that are present from birth. It is believed the technology, which lets the user see the three dimensions of the heart move simultaneously for the first time, could eventually replace the need for magnetic resonance imaging (MRI) for most aspects of cardiac imaging. "The most important aspect is the operator's ability to slice the dynamic cardiac structures in infinite sections through all the three dimensions, which was not possible before we developed MPR 3D echocardiography,” said Dr. Vettukattil. "You can chop the heart into small pieces and see what is wrong and exactly where it is wrong on the screen. By using MPR, because you are slicing and seeing it in three different planes, you can get a clear understanding of a patient--especially in a child whose heart is congenitally malformed.”

Traditionally, diagnosis of heart defects has been made using 2D scans with the addition of invasive cardiac catheterization. "The 2D images show pictures of the heart in two planes, so it just takes one slice of the heart and, because it has not been easy to know without doubt what the problem is, surgeons have often had to perform exploratory operations as well. Now, though, we are able to visualize even more than a surgeon can during an operation, minimizing the need for additional and invasive assessments.”

Dr. Vettukattil made the finding after an upgrade from conventional 2D imaging on echo machines in the children's heart unit at Southampton General; however, the new basic 3D method of examination only enabled users to view a full cube shape and not definitively dissect the defective part of a patient's heart on screen. This led Dr. Vettukattil to set up two personal computers (PCs) with 3D software programs to read results from the echo scans in a small side room where he went on to develop MPR after many hours of study. He has since traveled to hospitals around the world and continues to hold international workshops to train people in MPR 3D, as well as receiving scans from colleagues abroad that he is asked to analyze and report back on. "People across the world are constantly asking me to teach them how to use MPR,” he said. "I have been to hospitals in Germany, Sweden, Denmark and I am soon to visit India and Malaysia, while there is also interest from heart specialists in America.”

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63 (165.93933105469): select cover from jos_number where journalid in (5) and cover is not null order by left(issue,2)+right(issue,2)*12 desc limit 1

64 (!!!!! 2125.9784698486): SELECT fid FROM jos_deeppockets WHERE id=294730812 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294730812 AND published='1' LIMIT 1

65 (249.86267089844): 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`

66 (137.0906829834): select jos_twitters.link from jos_twitters where cat=10

67 (110.86463928223): select jos_facebook.link from jos_facebook where cat=10

68 (40.054321289062): select jos_google_plus.link from jos_google_plus where cat=10

69 (61.988830566406): select jos_linkedin.link from jos_linkedin where cat=10

70 (43.153762817383): SELECT fid FROM jos_deeppockets WHERE id=294730812 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294730812 AND published='1' LIMIT 1

71 (89.883804321289): 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 (283.95652770996): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294730812 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

73 (176.90658569336): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294730812 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

74 (53.882598876953): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

75 (539.06440734863): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (191.92695617676): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (98.943710327148): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (381.9465637207): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (168.0850982666): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (!!!!! 2005.8155059814): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (540.01808166504): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (470.87669372559): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294730812 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

90 (127.07710266113): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294730812 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

91 (416.99409484863): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

92 (61.988830566406): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (43.153762817383): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (77.962875366211): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730812 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730812 AND published='1' LIMIT 1

107 (!!!!! 2807.1403503418): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730812 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730812 AND published='1' LIMIT 1

108 (!!!!! 1263.8568878174): 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=294730812 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

109 (119.92454528809): 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=294730812 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

110 (653.02848815918): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730812 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730812 AND published='1' LIMIT 1

111 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730812 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730812 AND published='1' LIMIT 1

112 (965.83366394043): 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=294730812 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (560.04524230957): 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=294730812 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

114 (52.928924560547): 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=294730811 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

115 (503.0632019043): 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=294730811 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

116 (656.8431854248): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

117 (538.11073303223): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

118 (344.99168395996): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730812 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730812 AND published='1' LIMIT 1

119 (49.114227294922): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730812 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730812 AND published='1' LIMIT 1

120 (352.14424133301): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730812 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730812 AND published='1' LIMIT 1

121 (41.961669921875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730812 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730812 AND published='1' LIMIT 1

122 (252.96211242676): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730812 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730812 AND published='1' LIMIT 1

123 (43.869018554688): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730812 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730812 AND published='1' LIMIT 1

124 (288.00964355469): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

125 (!!!!! 39478.063583374): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7

126 (181.91337585449): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730812 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730812 AND published='1' LIMIT 1

127 (252.00843811035): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730812 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730812 AND published='1' LIMIT 1

128 (!!!!! 1467.9431915283): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294730812 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294730812 AND type='deeppockets_item' AND published='1' LIMIT 1

129 (!!!!! 416270.97129822): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

130 (75.101852416992): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

131 (37.908554077148): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

132 (31.948089599609): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

133 (36.954879760742): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

134 (28.848648071289): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

135 (30.040740966797): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

136 (27.894973754883): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

137 (475.88348388672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730812 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

138 (448.94218444824): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730812 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

139 (286.10229492188): SELECT name FROM jos_deeppockets WHERE id=216

140 (33.855438232422): SELECT name FROM jos_deeppockets WHERE id=216

141 (461.81678771973): 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 (343.08433532715): 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

143 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730812 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730812 AND published='1' LIMIT 1

144 (52.928924560547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730812 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730812 AND published='1' LIMIT 1

145 (!!!!! 8746.862411499): TRUNCATE TABLE jos_trademed_module

146 (101.08947753906): 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=294730812 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

147 (49.829483032227): 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=294730812 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

148 (808.9542388916): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730812 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

149 (53.882598876953): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730812 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

150 (48.87580871582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730812 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730812 AND published='1' LIMIT 1

151 (37.908554077148): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730812 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730812 AND published='1' LIMIT 1

152 (!!!!! 1108.8848114014): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

153 (46.014785766602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730812 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730812 AND published='1' LIMIT 1

154 (37.908554077148): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730812 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730812 AND published='1' LIMIT 1

155 (38.862228393555): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294730812 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294730812 AND type='deeppockets_item' AND published='1' LIMIT 1

156 (29.802322387695): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=0 or channel_id is null)

157 (28.133392333984): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=0 or channel_id is null)

158 (28.848648071289): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

159 (51.021575927734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730812 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730812 AND published='1' LIMIT 1

160 (36.001205444336): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730812 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730812 AND published='1' LIMIT 1

161 (59.843063354492): select jos_twitters.link from jos_twitters where cat=10

162 (42.915344238281): select jos_facebook.link from jos_facebook where cat=10

163 (49.829483032227): select jos_google_plus.link from jos_google_plus where cat=10

164 (46.968460083008): select jos_linkedin.link from jos_linkedin where cat=10

165 (262.02201843262): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

166 (!!!!! 1219.0341949463): insert into jos_banners_delta values (14615,'2025-06-20 05:21:51','216.73.216.120','view'),(14202,'2025-06-20 05:21:51','216.73.216.120','view'),(14203,'2025-06-20 05:21:51','216.73.216.120','view')

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