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AAPM 2025 - 67th Annual Meeting & Exhibition of the American Association of Physicists in Medicine

Closed Loop Imaging Research Trial To Integrate Data with Imaging Systems

By MedImaging International staff writers
Posted on 31 Dec 2008

A first-of-kind closed loop imaging research trial has been initiated with the intention of taking a holistic view of radiology workflow and integrate information systems together with imaging systems to remove inefficiency at all points within the imaging loop. The so-called imaging loop clock starts when the physician decides to order an imaging exam and ends when the results of the test are communicated to the physician and eventually the patient.

Philips Medical Systems (Best, The Netherlands) is partnering with the University of Chicago Medical Center (UCMC; IL, USA) on the ongoing imaging research trial. Led by Paul J. Chang, M.D., medical director, Enterprise Imaging for University of Chicago Hospitals, UCMC has initiated this iterative study with the goal of reducing errors and improving quality of care and patient outcomes. Together with Philips, UCMC is integrating the technologies used throughout the radiology suite so they "talk” to each other across a smart, automated, and open platform, seeking to streamline imaging procedure steps to save minutes, not seconds, during the entire imaging loop. Helping to improve efficiency of radiology workflow may help UCMC reduce patient waiting time, repeat scans and the time needed for appointments.

”To stay relevant in healthcare, we simply can't keep using the same workflow model,” said Dr. Chang. "Radiologists need to provide the highest quality diagnostic results to the patient's physician while obtaining the best images on the first scan, every time, without compromising patient care. This requires an orchestrated workflow that can only be achieved if all systems used in the imaging loop are integrated and provide an interface allowing information to flow seamlessly from one step to the next, minimizing inefficient and potentially distracting busy work for the radiologists and technicians.”

"Any imaging company can provide clinicians with a scanner or technology to store and distribute images. But at Philips, we strive to offer a range of meaningful innovations that can work together to help physicians, nurses, and technologists provide the best possible patient care and further improve healthcare,” said Steve Rusckowski, CEO, Philips Healthcare. "Evident from our comprehensive healthcare portfolio, Philips offers customers an intelligent and integrated platform, that will help hospitals solve workflow problems and improve patient care.”

As a first necessary step of the research trial process, Philips and UCMC have successfully identified major bottlenecks and nonessential steps in the imaging loop, and have determined the right Philips technologies to help solve the inefficiencies facing radiologists and technologists. During this initial research phase, UCMC replaced the current paper-based computed tomography (CT) protocol system--manual entry of a list of images requested, as well as contrast and dose requirements--with an automated electronic patient protocol system which uses a Philips tablet personal computer (PC) for wireless access to relevant patient and scanning protocol information.

Protocol settings are automatically communicated to the CT scanner, simplifying CT scanning by sending all relevant clinical information and protocol definition without requiring manual entry. Event-driven alerts provide updates throughout the entire imaging process and notify radiology staff when images are ready for processing. Overall, the radiology department was able to eliminate nonessential work and paper trails. Upcoming iterations of this project will seek to incorporate additional, customized systems that directly address the bottlenecks identified in the imaging process.

Related Links:
Philips Medical Systems
University of Chicago Medical Center

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61 (83.92333984375): 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

62 (529.05082702637): SELECT fid FROM jos_deeppockets WHERE id=294721569 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294721569 AND published='1' LIMIT 1

63 (288.00964355469): 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=212 ORDER BY `ordering`

64 (53.882598876953): select jos_twitters.link from jos_twitters where cat=10

65 (31.948089599609): select jos_facebook.link from jos_facebook where cat=10

66 (30.994415283203): select jos_google_plus.link from jos_google_plus where cat=10

67 (30.994415283203): select jos_linkedin.link from jos_linkedin where cat=10

68 (31.948089599609): SELECT fid FROM jos_deeppockets WHERE id=294721569 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294721569 AND published='1' LIMIT 1

69 (31.948089599609): 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=212 ORDER BY `ordering`

70 (249.14741516113): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294721569 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (283.95652770996): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294721569 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (44.107437133789): 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 (72.002410888672): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (53.167343139648): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (29.802322387695): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (59.127807617188): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294721569 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (32.186508178711): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294721569 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (36.001205444336): 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 (52.928924560547): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721569 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721569 AND published='1' LIMIT 1

105 (48.87580871582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721569 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721569 AND published='1' LIMIT 1

106 (49.114227294922): 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=294721569 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (46.014785766602): 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=294721569 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (108.95729064941): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721569 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721569 AND published='1' LIMIT 1

109 (65.088272094727): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721569 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721569 AND published='1' LIMIT 1

110 (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.id=294721569 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (463.96255493164): 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=294721569 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (627.04086303711): 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 (417.94776916504): 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 (85.115432739258): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721569 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721569 AND published='1' LIMIT 1

115 (43.869018554688): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721569 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721569 AND published='1' LIMIT 1

116 (58.889389038086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721569 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721569 AND published='1' LIMIT 1

117 (40.054321289062): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721569 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721569 AND published='1' LIMIT 1

118 (41.961669921875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721569 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721569 AND published='1' LIMIT 1

119 (36.954879760742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721569 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721569 AND published='1' LIMIT 1

120 (80.108642578125): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721569 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721569 AND published='1' LIMIT 1

121 (37.193298339844): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721569 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721569 AND published='1' LIMIT 1

122 (262.97569274902): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 20057.916641235): 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

124 (666.14151000977): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294721569 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294721569 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 8132.9345703125): ( 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 (96.08268737793): ( 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 (407.93418884277): 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

128 (56.028366088867): 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 (260.1146697998): 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

130 (73.909759521484): 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 (252.96211242676): 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

132 (49.114227294922): 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 (221.96769714355): 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

134 (53.882598876953): 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 (432.96813964844): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721569 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (324.01084899902): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721569 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (251.05476379395): SELECT name FROM jos_deeppockets WHERE id=212

138 (34.093856811523): SELECT name FROM jos_deeppockets WHERE id=212

139 (631.09397888184): 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 '((;)|(^))212((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

140 (671.1483001709): 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 '((;)|(^))212((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

141 (87.976455688477): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721569 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721569 AND published='1' LIMIT 1

142 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721569 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721569 AND published='1' LIMIT 1

143 (!!!!! 9768.009185791): TRUNCATE TABLE jos_trademed_module

144 (130.17654418945): 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=294721569 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (73.909759521484): 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=294721569 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (615.11993408203): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721569 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (69.141387939453): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721569 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (73.19450378418): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721569 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721569 AND published='1' LIMIT 1

149 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721569 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721569 AND published='1' LIMIT 1

150 (!!!!! 1397.8481292725): 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

151 (75.101852416992): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721569 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721569 AND published='1' LIMIT 1

152 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721569 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721569 AND published='1' LIMIT 1

153 (51.021575927734): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294721569 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294721569 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (41.007995605469): 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=212 or channel_id is null)

155 (40.769577026367): 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=212 or channel_id is null)

156 (72.002410888672): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (138.99803161621): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721569 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721569 AND published='1' LIMIT 1

158 (133.99124145508): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721569 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721569 AND published='1' LIMIT 1

159 (107.0499420166): select jos_twitters.link from jos_twitters where cat=10

160 (40.054321289062): select jos_facebook.link from jos_facebook where cat=10

161 (40.054321289062): select jos_google_plus.link from jos_google_plus where cat=10

162 (37.908554077148): select jos_linkedin.link from jos_linkedin where cat=10

163 (309.94415283203): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

164 (!!!!! 1070.0225830078): insert into jos_banners_delta values (14615,'2025-06-22 13:26:14','216.73.216.120','view'),(14202,'2025-06-22 13:26:14','216.73.216.120','view'),(14203,'2025-06-22 13:26:14','216.73.216.120','view')

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