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

MRI Scan Shown Best Imaging Choice for Heart Patients

By MedImaging International staff writers
Posted on 10 Jan 2012

A magnetic resonance imaging (MRI) scan for the detection of coronary heart disease has been shown to be superior to the most typically used alternative, revealed findings from a major UK trial of heart disease patients.

The findings, by investigators from the University of Leeds (UK), could change the way that individuals with suspected heart disease are assessed, potentially avoiding the need for tests that are invasive or use ionizing radiation. Results of the study, which was funded by a GBP 1.3 million grant from the British Heart Foundation (BHF; London, UK), were published online December 2011 in the medical journal the Lancet.

Coronary heart disease (CHD) is a leading cause of death and disability worldwide. In the United States, an estimated 18 million men and women are living with the disorder, resulting in an estimated cost to the economy of USD 177.1 billion in 2010.

CHD is caused when vital arteries serving the heart become narrowed or blocked by a build-up of fatty substances. This can lead to severe chest pain, known as angina, and if the condition worsens and remains untreated, patients may have a heart attack.
Patients with chest pain who are suspected of having angina will typically be sent to the physician for additional testing. These tests will validate the diagnosis of CHD and help clinicians choose the best course of treatment option, which may involve drug therapy, a balloon “stretch and stent” procedure to open-up narrowing in the heart’s blood vessels--or a heart bypass procedure.

Currently, patients with suspected angina are most likely to have either an angiogram--an invasive test where dye is injected directly into the heart’s arteries--or a noninvasive imaging test called single photon emission computed tomography (SPECT). Similar to MRI scans, angiograms and SPECT both involve ionizing radiation.

A five-year study by University of Leeds researchers, involving 752 patients, has now shown that an MRI scan is a reliable way of detecting signs of significant CHD. The researchers also showed that MRI was better than SPECT at diagnosing CHD and at ruling out heart disease in patients who did not have the condition.

This is the first time that MRI has been compared head-to-head against the gold standard tests for CHD in such a large group of patients. The findings may now lead healthcare policy-makers to re-evaluate supervision on the imaging exams that patients with suspected CHD should be offered.

University of Leeds’ Dr. John Greenwood, who led the study, said, “We have shown convincingly that of the options available to doctors in diagnosing coronary heart disease, MRI is better than the more commonly-used SPECT imaging test. As well as being more accurate, it has the advantage of not using any ionizing radiation, sparing patients and health professionals from unnecessary exposure. The MRI technique could be used widely and not just in the UK. The scans were all carried out on a standard 1.5 Tesla scanner--exactly the type of MRI scanner that you would find in most hospitals today.”

Prof. Peter Weissberg, medical director at the British Heart Foundation, said, “For patients suffering with chest pains, there are a number of tests that can be used to decide whether their symptoms are due to coronary heart disease or not. This research shows that a full MRI scan is better than the most commonly used alternative--a SPECT scan using a radioactive tracer. “MRI has the additional advantage that it doesn’t involve radiation. At present, not all hospitals have the expertise to undertake such scans but these findings provide clear evidence that MRI should be more widely used in the future.”

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60 (76.055526733398): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738798 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738798 AND published='1' LIMIT 1

61 (87.02278137207): 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 (611.0668182373): SELECT fid FROM jos_deeppockets WHERE id=294738798 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294738798 AND published='1' LIMIT 1

63 (436.06758117676): 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 (48.160552978516): select jos_twitters.link from jos_twitters where cat=10

65 (30.994415283203): select jos_facebook.link from jos_facebook where cat=10

66 (38.862228393555): select jos_google_plus.link from jos_google_plus where cat=10

67 (37.193298339844): select jos_linkedin.link from jos_linkedin where cat=10

68 (46.968460083008): SELECT fid FROM jos_deeppockets WHERE id=294738798 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294738798 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 (293.97010803223): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294738798 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (225.06713867188): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294738798 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (!!!!! 1066.2078857422): 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 (67.949295043945): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (43.869018554688): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (34.809112548828): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (24.795532226562): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (24.795532226562): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (56.028366088867): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294738798 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (33.140182495117): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294738798 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 (66.995620727539): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (52.928924560547): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (42.200088500977): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (51.021575927734): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (75.101852416992): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738798 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738798 AND published='1' LIMIT 1

105 (53.882598876953): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738798 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738798 AND published='1' LIMIT 1

106 (60.081481933594): 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=294738798 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (77.962875366211): 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=294738798 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (113.01040649414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738798 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738798 AND published='1' LIMIT 1

109 (72.956085205078): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738798 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738798 AND published='1' LIMIT 1

110 (62.942504882812): 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=294738798 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (620.84197998047): 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=294738798 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (669.00253295898): 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 (403.16581726074): 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 (82.969665527344): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738798 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738798 AND published='1' LIMIT 1

115 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738798 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738798 AND published='1' LIMIT 1

116 (101.08947753906): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738798 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738798 AND published='1' LIMIT 1

117 (41.007995605469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738798 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738798 AND published='1' LIMIT 1

118 (51.975250244141): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738798 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738798 AND published='1' LIMIT 1

119 (38.862228393555): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738798 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738798 AND published='1' LIMIT 1

120 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738798 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738798 AND published='1' LIMIT 1

121 (40.054321289062): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738798 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738798 AND published='1' LIMIT 1

122 (319.9577331543): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 20308.017730713): 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 (525.95138549805): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294738798 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294738798 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 7709.9800109863): ( 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 (92.029571533203): ( 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 (332.11708068848): 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 (72.956085205078): 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 (240.08750915527): 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 (57.93571472168): 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 (263.92936706543): 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 (36.954879760742): 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 (198.1258392334): 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 (31.948089599609): 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 (510.93101501465): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738798 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (391.96014404297): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738798 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (215.05355834961): SELECT name FROM jos_deeppockets WHERE id=212

138 (32.901763916016): SELECT name FROM jos_deeppockets WHERE id=212

139 (618.93463134766): 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 (468.01567077637): 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 (76.055526733398): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738798 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738798 AND published='1' LIMIT 1

142 (44.822692871094): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738798 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738798 AND published='1' LIMIT 1

143 (!!!!! 10164.976119995): TRUNCATE TABLE jos_trademed_module

144 (128.98445129395): 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=294738798 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (75.101852416992): 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=294738798 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (561.95259094238): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738798 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (75.101852416992): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738798 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (98.943710327148): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738798 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738798 AND published='1' LIMIT 1

149 (64.849853515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738798 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738798 AND published='1' LIMIT 1

150 (!!!!! 1559.9727630615): 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 (86.069107055664): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738798 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738798 AND published='1' LIMIT 1

152 (68.902969360352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738798 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738798 AND published='1' LIMIT 1

153 (66.041946411133): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294738798 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294738798 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (47.922134399414): 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 (42.915344238281): 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 (49.114227294922): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (134.94491577148): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738798 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738798 AND published='1' LIMIT 1

158 (72.956085205078): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738798 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738798 AND published='1' LIMIT 1

159 (118.97087097168): select jos_twitters.link from jos_twitters where cat=10

160 (32.901763916016): select jos_facebook.link from jos_facebook where cat=10

161 (33.855438232422): select jos_google_plus.link from jos_google_plus where cat=10

162 (38.862228393555): select jos_linkedin.link from jos_linkedin where cat=10

163 (300.16899108887): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

164 (988.96026611328): insert into jos_banners_delta values (14615,'2025-06-26 17:25:37','216.73.216.249','view'),(14202,'2025-06-26 17:25:37','216.73.216.249','view'),(14203,'2025-06-26 17:25:37','216.73.216.249','view')

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