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Breast Imaging Software Designed for Automatic Calculation of Volumetric Breast Density

By MedImaging International staff writers
Posted on 16 Dec 2010

New software assists radiologists by providing objective, automatic, and effective measurement of volumetric breast tissue density.

Offering radiologists a reliable and cost-effective tool to generate automatic volumetric breast density values, Volpara, Ltd. (Wellington, New Zealand) announced that it has received clearance from the US Food & Drug Administration (FDA) for its Volpara breast imaging software. Volpara, a subsidiary of Matakina Technology, Limited of New Zealand, is responsible for commercial operations in the United States.

Cleared for use with digital mammography systems, Volpara is currently available for Hologic (Bedford, MA, USA) and GE Healthcare (Chalfont St. Giles, UK) digital mammography systems with other systems undergoing validation.

Breast tissue density has not only been associated with an increased risk of breast cancer, it also decreases the sensitivity of the mammogram and thereby may affect early detection. Several large studies have validated that as tissue density increases the accuracy of mammography decreases. Thirty-five percent of breast cancer goes undetected by mammography in women with dense breasts, as density camouflages the appearance of tumors, according to a study published 2007 in the New England Journal of Medicine (NEJM). Since both dense breast tissue and tumors appear white on a mammogram, detecting tumors can be similar to looking for a snowball in a snowstorm.

"Radiologists and imaging scientists have known for years the challenges that tissue density presents to mammography, but there haven't been the means to objectively and automatically quantify the actual amount of breast density from the screening mammogram,” said Dr. Ralph Highnam, CEO, Volpara, Ltd. Radiologists currently use the Breast Imaging Reporting and Data System (BI-RADS) system to classify density. Developed by the American College of Radiology (Reston, VA, USA), the density assessment ranges from category 1 (mostly fat) to category 4 (extremely dense). However, the density category assessment is subjective and varies greatly among interpreting physicians, even those who are experienced. Automated, objective, volumetric density assessments, consistently applied, has the potential both for establishing a new and significant measurement for mammography, and for allowing physicians to compare a patient's volumetric density from year to year.

"With the ability to objectively and accurately measure breast density, we can look at screening women with low and high densities differently rather than one size fits all universal screening programs. For example, it may be a good idea for women with very dense breasts to receive ultrasound or MRI [magnetic resonance imaging] in addition to mammography as part of regular screening. In the future, it may be possible by lowering breast density to reduce breast cancer risk. In this case, it would be helpful to monitor this process by tracking changes in breast density over time. An automated breast density system like Volpara provides quantitative reproducible measurements of breast density and could be useful for both of these purposes,” said Prof. Martin J. Yaffe, PhD, of the Sunnybrook Health Sciences Center (Toronto, Canada) and a renowned physicist responsible for pioneering work on quantitative breast imaging.

Volpara provides an easy to implement, objective volumetric assessment of breast tissue density. Using digital images and information captured in every mammographic exam, the system applies a cutting-edge algorithm developed by some of the world's top imaging scientists using new developments in imaging physics. The software provides quantitative effetiveness, allowing Volpara to be incorporated in both research and with clinical imaging protocols, which are becoming increasingly important as adjuvant imaging is being added to conventional screening mammography.

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63 (266.07513427734): 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`

64 (49.114227294922): select jos_twitters.link from jos_twitters where cat=10

65 (57.93571472168): select jos_facebook.link from jos_facebook where cat=10

66 (37.193298339844): select jos_google_plus.link from jos_google_plus where cat=10

67 (28.848648071289): select jos_linkedin.link from jos_linkedin where cat=10

68 (32.901763916016): SELECT fid FROM jos_deeppockets WHERE id=294732541 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294732541 AND published='1' LIMIT 1

69 (36.954879760742): 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`

70 (217.19932556152): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294732541 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (162.83988952637): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294732541 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (82.015991210938): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

73 (95.129013061523): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (43.153762817383): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (34.809112548828): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (65.088272094727): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294732541 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (39.100646972656): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294732541 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (41.007995605469): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

90 (73.909759521484): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (84.161758422852): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (50.067901611328): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (30.040740966797): 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 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (32.186508178711): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (77.009201049805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294732541 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294732541 AND published='1' LIMIT 1

105 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294732541 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294732541 AND published='1' LIMIT 1

106 (55.074691772461): 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=294732541 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (65.088272094727): 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=294732541 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (63.896179199219): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294732541 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294732541 AND published='1' LIMIT 1

109 (45.061111450195): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294732541 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294732541 AND published='1' LIMIT 1

110 (67.949295043945): 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=294732541 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (355.00526428223): 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=294732541 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (689.98336791992): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

113 (462.05520629883): 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 (145.91217041016): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294732541 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294732541 AND published='1' LIMIT 1

115 (80.108642578125): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294732541 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294732541 AND published='1' LIMIT 1

116 (86.069107055664): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294732541 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294732541 AND published='1' LIMIT 1

117 (57.220458984375): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294732541 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294732541 AND published='1' LIMIT 1

118 (73.909759521484): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294732541 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294732541 AND published='1' LIMIT 1

119 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294732541 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294732541 AND published='1' LIMIT 1

120 (218.86825561523): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

121 (!!!!! 25074.95880127): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7

122 (150.91896057129): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294732541 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294732541 AND published='1' LIMIT 1

123 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294732541 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294732541 AND published='1' LIMIT 1

124 (416.04042053223): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294732541 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294732541 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 469608.06846619): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

126 (349.04479980469): ( 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 (121.11663818359): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

128 (210.04676818848): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

129 (150.91896057129): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

130 (214.0998840332): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

131 (118.01719665527): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

132 (391.00646972656): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

133 (815.15312194824): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294732541 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

134 (729.08401489258): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294732541 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

135 (420.09353637695): SELECT name FROM jos_deeppockets WHERE id=216

136 (145.91217041016): SELECT name FROM jos_deeppockets WHERE id=216

137 (!!!!! 1004.9343109131): 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

138 (601.05323791504): 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

139 (72.956085205078): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294732541 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294732541 AND published='1' LIMIT 1

140 (48.160552978516): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294732541 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294732541 AND published='1' LIMIT 1

141 (!!!!! 11168.956756592): TRUNCATE TABLE jos_trademed_module

142 (147.81951904297): 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=294732541 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

143 (92.029571533203): 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=294732541 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

144 (571.96617126465): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294732541 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

145 (65.088272094727): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294732541 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

146 (62.942504882812): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294732541 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294732541 AND published='1' LIMIT 1

147 (51.975250244141): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294732541 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294732541 AND published='1' LIMIT 1

148 (!!!!! 1265.0489807129): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

149 (109.91096496582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294732541 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294732541 AND published='1' LIMIT 1

150 (74.863433837891): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294732541 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294732541 AND published='1' LIMIT 1

151 (72.002410888672): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294732541 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294732541 AND type='deeppockets_item' AND published='1' LIMIT 1

152 (53.882598876953): 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)

153 (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)

154 (55.789947509766): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

155 (133.03756713867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294732541 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294732541 AND published='1' LIMIT 1

156 (78.201293945312): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294732541 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294732541 AND published='1' LIMIT 1

157 (69.141387939453): select jos_twitters.link from jos_twitters where cat=10

158 (38.14697265625): select jos_facebook.link from jos_facebook where cat=10

159 (31.948089599609): select jos_google_plus.link from jos_google_plus where cat=10

160 (31.948089599609): select jos_linkedin.link from jos_linkedin where cat=10

161 (311.85150146484): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

162 (!!!!! 1383.7814331055): insert into jos_banners_delta values (14615,'2025-06-19 23:42:23','216.73.216.120','view'),(14202,'2025-06-19 23:42:23','216.73.216.120','view'),(14203,'2025-06-19 23:42:23','216.73.216.120','view')

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