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New Cardiology Imaging Tools Include MRI Myocardial Tissue Quantification to Help Fight Cardiovascular Disease

By MedImaging International staff writers
Posted on 10 Sep 2014

Image: T1, T2 and T2 myocardial tissue quantification in one solution, on the fly. Based on HeartFreeze Inline Motion Correction (Siemens unique), MyoMaps1 provides pixel-based myocardial quantification. Global, diffuse, myocardial pathologies can be better detected (T1 Map), or better depict cardiac edema (T2 Map) and improve early detection of iron overload (T2 Map) (Photo courtesy of Siemens Healthcare).

New imaging tools have been designed for a more precise diagnosis of cardiovascular diseases using computed tomography (CT), magnetic resonance imaging (MRI), and molecular imaging, as well as utilizing a universal angiography system with sophisticated features for cardiology.

An MRI application has been designed for myocardial tissue quantification, in addition to precise and effective myocardial perfusion due to a new application for CT systems. Siemens Healthcare (Erlangen, Germany) presented its latest cardiology imaging technology at the Congress of the European Society for Cardiology (ESC), held August 30 to September 3, 2014, in Barcelona (Spain).

Early detection of heart failure with MRI cardiac magnetic resonance imaging (CMR) provides detailed information about the morphology and function of the heart. Current ESC guidelines consider CMR to be the gold standard for the diagnosis and treatment of acute and chronic heart failure. This is largely due to MRI’s accuracy in measuring heart volume, mass, and wall motion, including evaluation of ischemia and viability.

The MyoMaps application not only enables visual diagnosis but also offers physical quantification of myocardial tissue with MyoMaps. The tool makes it possible to record microscopic changes in myocardial tissue and represent them as pixel-based, colored images. This enables the diagnosis and quantification of diffuse myocardial pathologies, scar tissue, and edemas in the very early stages of the disease. It also allows for early detection and quantification of iron overload, which can result in heart failure.

With these findings, physicians can diagnose and begin treating heart patients earlier than before and improve the course of disease. MyoMaps is now available for the 1.5-Tesla scanner Magnetom Aera and the 3.0-Tesla scanner Magnetom Skyra, and will be available for more scanners in the future.

Using CT to evaluate the total range of myocardial perfusion, one of the developments in computed tomography highlighted by Siemens at this year’s ESC congress is the Syngo.CT cardiac function-enhancement application for myocardial perfusion. With this application, both CT angiography and functional assessment of coronary lesions, using perfusion imaging, can be performed using only one modality. This means more convenience for the patients, offers a faster approach to diagnosis for the physician, and saves time. Combined with the Somatom Force CT scanner, it is very easy to incorporate the tool into daily routine, since it offers substantially improved spatial coverage of the heart.

CT angiography is used to examine the coronary arteries and identify stenosis, indicating risks to myocardial blood supply. The evaluation of myocardial perfusion provides physicians with important additional data to enable them to decide whether the patient is suffering from a hemodynamically relevant stenosis requiring intervention in the cath lab. Precise and insightful diagnostics are particularly important in the case of patients with moderately severe stenosis, where a diagnosis based only on CT angiography findings is not possible.

Physicians can achieve this evaluation using Syngo.CT Cardiac function-Enhancement and an examination using the Somatom Force or Somatom Definition Flash. They can choose from the entire range of myocardial perfusion, regardless of whether the process involves first-pass enhancement for the qualitative identification of perfusion defects, late enhancement to diagnose tissue affected by scar lesions, or the quantitative evaluation of myocardial blood flow via dynamic myocardial perfusion.

Three new applications for the Biograph mCT Flow positron emission tomography-computed tomography (PET-CT) scanner from Siemens Healthcare will also be featured at this year’s ESC congress. “Phase matching can be used with PET/CT examinations to enhance quantification and image quality. Identical displays, for instance, are automatically provided for the cardiac phase in both PET and CT measurement, enabling physicians to compare both datasets directly against each other.

The Smart auto cardiac registration application automatically aligns the PET and CT images based on anatomical landmarks, providing for the correct values for PET attenuation correction at all times, even if the CT and PET data are acquired in different time points. This previously had to be done manually, which meant more time was needed and the results were less reproducible.

HD•Cardiac is a new application that enables respiratory motion management on PET cardiac scans without the need for an external respiratory trigger device. This device had earlier been needed to synchronize the acquisition with the respiratory cycle. Now, however, electrocardiography (ECG) gating and respiratory gating are performed together. There is no need for an additional respiratory gating unit next to the ECG, because the movement of the heart caused by breathing can be corrected by the PET data itself. The result is reduced respiratory motion blur, improved visualization of PET images and less complicated patient positioning.

Minimally invasive procedures are becoming more and more popular world-wide. In cardiology, these mainly include dilation of narrowed coronary arteries (coronary stenosis) or revascularization of peripheral artery disease, and implanting pacemakers. Siemens Healthcare developed Artis one angiography system with advanced features for all of these routine interventions, and will showcase it at the ESC 2014 congress.

The angiography system is similar in positioning flexibility to a ceiling-mounted system, while requiring much less space: Artis one needs only 25 square meters, compared to the usual 45 square meters for ceiling-mounted systems. It has multiple axes that can be moved independently of each other, enabling physicians and clinical staff to select the most appropriate system position with ease to suit every procedure, regardless whether the physician stands on the patient’s right, as in the case of a coronary examination, or on the left, for pacemaker implantations.

The inclusion of Clearstent Live provides Artis one with a feature that was previously available only for the premium product family Artis Q and Artis Q.zen. This cardiology application enables the physician to mask out movement of the beating heart in order to place the stent in precisely the right position. The new HeartSweep functionality makes use of the system’s double axis rotation and enables to capture all cardiac standard projections in one movement of the C-arm. This can be done in only five seconds and with only one injection of contrast agent.

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55 (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.cat=10 AND dp.id=294754510 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

56 (380.03921508789): 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=294754510 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

57 (!!!!! 1505.8517456055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754510 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754510 AND published='1' LIMIT 1

58 (174.04556274414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754510 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754510 AND published='1' LIMIT 1

59 (101.08947753906): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754510 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754510 AND published='1' LIMIT 1

60 (49.114227294922): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754510 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754510 AND published='1' LIMIT 1

61 (80.82389831543): 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 (442.9817199707): SELECT fid FROM jos_deeppockets WHERE id=294754510 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294754510 AND published='1' LIMIT 1

63 (314.95094299316): 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 (44.107437133789): select jos_twitters.link from jos_twitters where cat=10

65 (29.087066650391): select jos_facebook.link from jos_facebook where cat=10

66 (30.040740966797): select jos_google_plus.link from jos_google_plus where cat=10

67 (28.133392333984): select jos_linkedin.link from jos_linkedin where cat=10

68 (30.040740966797): SELECT fid FROM jos_deeppockets WHERE id=294754510 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294754510 AND published='1' LIMIT 1

69 (45.061111450195): 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 (247.95532226562): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294754510 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (234.12704467773): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294754510 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (45.061111450195): 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 (57.220458984375): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (25.98762512207): 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 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (24.795532226562): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (23.841857910156): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (46.014785766602): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294754510 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (28.133392333984): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294754510 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (30.994415283203): 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 (51.975250244141): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (30.040740966797): 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 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (26.941299438477): 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 (27.179718017578): 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 (75.817108154297): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754510 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754510 AND published='1' LIMIT 1

105 (44.822692871094): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754510 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754510 AND published='1' LIMIT 1

106 (56.028366088867): 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=294754510 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (50.067901611328): 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=294754510 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754510 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754510 AND published='1' LIMIT 1

109 (92.029571533203): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754510 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754510 AND published='1' LIMIT 1

110 (46.968460083008): 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=294754510 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (441.07437133789): 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=294754510 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (746.01173400879): 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 (481.12869262695): 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 (122.0703125): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754510 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754510 AND published='1' LIMIT 1

115 (47.922134399414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754510 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754510 AND published='1' LIMIT 1

116 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754510 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754510 AND published='1' LIMIT 1

117 (41.961669921875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754510 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754510 AND published='1' LIMIT 1

118 (103.95050048828): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754510 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754510 AND published='1' LIMIT 1

119 (39.100646972656): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754510 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754510 AND published='1' LIMIT 1

120 (64.13459777832): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754510 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754510 AND published='1' LIMIT 1

121 (42.915344238281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754510 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754510 AND published='1' LIMIT 1

122 (422.00088500977): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294754510 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294754510 AND type='deeppockets_item' AND published='1' LIMIT 1

123 (!!!!! 410836.93504333): ( 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

124 (122.0703125): ( 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

125 (328.06396484375): 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

126 (51.975250244141): 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

127 (231.02760314941): 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

128 (42.915344238281): 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

129 (186.92016601562): 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

130 (36.954879760742): 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

131 (468.96934509277): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754510 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

132 (498.05641174316): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754510 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

133 (223.87504577637): SELECT name FROM jos_deeppockets WHERE id=212

134 (32.901763916016): SELECT name FROM jos_deeppockets WHERE id=212

135 (469.92301940918): 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

136 (391.00646972656): 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

137 (72.002410888672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754510 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754510 AND published='1' LIMIT 1

138 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754510 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754510 AND published='1' LIMIT 1

139 (289.9169921875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754510 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

140 (47.922134399414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754510 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

141 (53.882598876953): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754510 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754510 AND published='1' LIMIT 1

142 (44.107437133789): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754510 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754510 AND published='1' LIMIT 1

143 (!!!!! 1030.9219360352): 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

144 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754510 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754510 AND published='1' LIMIT 1

145 (46.014785766602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754510 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754510 AND published='1' LIMIT 1

146 (38.862228393555): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294754510 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294754510 AND type='deeppockets_item' AND published='1' LIMIT 1

147 (433.92181396484): 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)

148 (37.908554077148): 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)

149 (35.04753112793): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

150 (375.98609924316): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754510 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754510 AND published='1' LIMIT 1

151 (75.101852416992): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754510 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754510 AND published='1' LIMIT 1

152 (107.0499420166): select jos_twitters.link from jos_twitters where cat=10

153 (27.894973754883): select jos_facebook.link from jos_facebook where cat=10

154 (27.894973754883): select jos_google_plus.link from jos_google_plus where cat=10

155 (25.98762512207): select jos_linkedin.link from jos_linkedin where cat=10

156 (272.03559875488): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

157 (!!!!! 1085.0429534912): insert into jos_banners_delta values (14615,'2025-06-19 04:36:52','216.73.216.120','view'),(14202,'2025-06-19 04:36:52','216.73.216.120','view'),(14203,'2025-06-19 04:36:52','216.73.216.120','view')

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