We use cookies to understand how you use our site and to improve your experience. This includes personalizing content and advertising. To learn more, click here. By continuing to use our site, you accept our use of cookies. Cookie Policy.
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.
Related Links: Siemens Healthcare
1
(90.122222900391): SET sql_mode = 'MYSQL40'2
(!!!!! 2410.888671875): SELECT folder, element, published, params
FROM jos_mambots
WHERE published >= 1
AND access <= 0
AND folder = 'system'
ORDER BY ordering3
(341.17698669434): SELECT template
FROM jos_templates_menu
WHERE client_id = 0
AND ( menuid = 0 OR menuid = 294754510 )
ORDER BY menuid DESC
LIMIT 14
(478.98292541504): DELETE FROM jos_session
WHERE
time < 1756131323
AND guest = 1
AND userid = 05
(43.153762817383): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 16
(31.232833862305): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 17
(85.115432739258): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 18
(193.83430480957): SELECT *
FROM jos_menu
WHERE id = 2947545109
(453.94897460938): SELECT dp.*,
ch.title as channel,
ch.name as channel_name,
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 110
(989.91394042969): SELECT dp.*,
ch.title as channel,
ch.name as channel_name,
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 111
(128.98445129395): SELECT dp.*,
ch.title as channel,
ch.name as channel_name,
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 112
(!!!!! 1277.2083282471): SELECT *
FROM jos_deeppockets
WHERE 1=1
AND cat=10
AND type='deeppockets_item'
AND published='1'
AND (id<>294754510)
AND (fid=212)
ORDER BY id DESC, `created` DESC
LIMIT 0,1613
(!!!!! 1944.0650939941): SELECT *
FROM jos_deeppockets
WHERE 1=1
AND cat=10
AND type='deeppockets_item'
AND published='1'
AND (id<>294754510)
AND (fid=212)
ORDER BY id DESC, `created` DESC
LIMIT 0,1614
(!!!!! 2712.9650115967): 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='P'
AND jos_item.numberID= (
SELECT jos_number.id
FROM jos_number
WHERE jos_number.journalID IN (10)
and jos_item.fid=212
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
)
AND (jos_number.channelID=294754510 OR jos_number.channelID=0)
ORDER BY RAND() DESC LIMIT 315
(!!!!! 7471.7998504639): 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='P'
AND jos_item.numberID= (
SELECT jos_number.id
FROM jos_number
WHERE jos_number.journalID IN (10)
and jos_item.fid=212
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
)
AND (jos_number.channelID=294754510 OR jos_number.channelID=0)
ORDER BY RAND() DESC LIMIT 316
(!!!!! 5496.0250854492): 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='P'
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
)
AND (jos_number.channelID=294754510 OR jos_number.channelID=0)
ORDER BY RAND() DESC LIMIT 317
(!!!!! 1215.934753418): 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='P'
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
)
AND (jos_number.channelID=294754510 OR jos_number.channelID=0)
ORDER BY RAND() DESC LIMIT 318
(52.213668823242): SELECT name,id,title FROM jos_deeppockets WHERE id=212 LIMIT 119
(30.040740966797): SELECT name,id,title FROM jos_deeppockets WHERE id=212 LIMIT 120
(291.82434082031): 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 121
(319.9577331543): 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 122
(74.148178100586): 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 123
(74.148178100586): 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 124
(288.96331787109): 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 125
(389.81437683105): 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 126
(51.975250244141): 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 127
(70.095062255859): 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 128
(51.975250244141): 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 129
(56.982040405273): 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 130
(!!!!! 1841.0682678223): SELECT
conference_items.channel_id,
conference_items.tracking_code
FROM
conference_items
LEFT JOIN
conference_groups ON conference_groups.id = conference_items.group_id
LEFT JOIN
jos_deeppockets ON jos_deeppockets.id = conference_items.channel_id
LEFT JOIN
jos_journal ON jos_journal.cat = jos_deeppockets.cat AND jos_journal.real = 1 AND jos_journal.directory IS NOT NULL
WHERE
1 = 1
ORDER BY
conference_items.id31
(365.01884460449): SELECT
dp.id,
dp.name,
dp.title,
dp.video,
dp.video_source,
dp.created
FROM
jos_deeppockets AS dp
WHERE
dp.id = 294754510
LIMIT 132
(41.007995605469): SELECT
dp.id,
dp.name,
dp.title,
dp.video,
dp.video_source,
dp.created
FROM
jos_deeppockets AS dp
WHERE
dp.id = 294754510
LIMIT 133
(140.90538024902): SELECT
dp.id,
dp.name,
dp.title,
dp.video,
dp.video_source,
dp.created
FROM
jos_deeppockets_archive AS dp
WHERE
dp.id = 294754510
LIMIT 134
(34.093856811523): SELECT
dp.id,
dp.name,
dp.title,
dp.video,
dp.video_source,
dp.created
FROM
jos_deeppockets_archive AS dp
WHERE
dp.id = 294754510
LIMIT 135
(702.85797119141): SELECT id, title, module, position, content, showtitle, params
FROM jos_modules AS m
INNER JOIN jos_modules_menu AS mm ON mm.moduleid = m.id
WHERE m.published = 1
AND m.access <= 0
AND m.client_id != 1
AND ( mm.menuid = 0 OR mm.menuid = 294754510 )
ORDER BY ordering36
(948.90594482422): 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 137
(86.069107055664): 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 138
(!!!!! 7640.8386230469): SELECT
*
FROM
jos_bannersmanager_banner
WHERE
`groupid` = 98
AND
`site_id` = 10
AND
`published` = 139
(!!!!! 3660.9172821045): SELECT
*
FROM
jos_bannersmanager_banner
WHERE
`groupid` = 99
AND
`site_id` = 10
AND
`published` = 140
(!!!!! 7924.7951507568): 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 141
(96.08268737793): 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 142
(84.161758422852): SELECT
dp.id,
dp.name,
dp.title,
dp.video,
dp.video_source,
dp.created
FROM
jos_deeppockets AS dp
WHERE
dp.id = 294754510
LIMIT 143
(35.04753112793): SELECT
dp.id,
dp.name,
dp.title,
dp.video,
dp.video_source,
dp.created
FROM
jos_deeppockets AS dp
WHERE
dp.id = 294754510
LIMIT 144
(31.948089599609): SELECT
dp.id,
dp.name,
dp.title,
dp.video,
dp.video_source,
dp.created
FROM
jos_deeppockets_archive AS dp
WHERE
dp.id = 294754510
LIMIT 145
(28.848648071289): SELECT
dp.id,
dp.name,
dp.title,
dp.video,
dp.video_source,
dp.created
FROM
jos_deeppockets_archive AS dp
WHERE
dp.id = 294754510
LIMIT 146
(92.983245849609): 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 147
(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 148
(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 149
(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 150
(115.87142944336): 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 151
(68.902969360352): 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 152
(249.86267089844): SELECT name FROM jos_deeppockets WHERE id=294754510 LIMIT 153
(241.04118347168): SELECT name FROM jos_deeppockets_archive WHERE id=294754510 LIMIT 154
(77.009201049805): SELECT a.*
FROM jos_components AS a
WHERE ( a.admin_menu_link = 'option=com_syndicate' OR a.admin_menu_link = 'option=com_syndicate&hidemainmenu=1' )
AND a.option = 'com_syndicate'55
(61.988830566406): 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 156
(416.99409484863): 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 157
(!!!!! 1396.1791992188): 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 158
(130.89179992676): 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 159
(120.16296386719): 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 160
(51.975250244141): 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 161
(99.897384643555): 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 162
(523.09036254883): 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 163
(46.014785766602): 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
(41.961669921875): select jos_twitters.link from jos_twitters where cat=1065
(30.040740966797): select jos_facebook.link from jos_facebook where cat=1066
(30.994415283203): select jos_google_plus.link from jos_google_plus where cat=1067
(30.040740966797): select jos_linkedin.link from jos_linkedin where cat=1068
(31.948089599609): 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 169
(30.994415283203): 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
(346.89903259277): SELECT fid FROM jos_deeppockets
WHERE cat=10
AND id=294754510
AND (type='deeppockets_item' OR type='deeppockets_item_link')
AND published='1'
LIMIT 171
(476.12190246582): 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 172
(61.988830566406): 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
(51.021575927734): SELECT show_live FROM jos_com_show_setting LIMIT 174
(30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 175
(29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 176
(28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 177
(32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 178
(27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 179
(27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 180
(28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 181
(31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 182
(27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 183
(46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 184
(36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 185
(29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 186
(29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 187
(49.114227294922): SELECT fid FROM jos_deeppockets
WHERE cat=10
AND id=294754510
AND (type='deeppockets_item' OR type='deeppockets_item_link')
AND published='1'
LIMIT 188
(30.994415283203): 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 189
(34.093856811523): 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
(48.87580871582): SELECT show_live FROM jos_com_show_setting LIMIT 191
(33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 192
(28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 193
(29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 194
(35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 195
(28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 196
(28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 197
(28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 198
(27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 199
(27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1100
(26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1101
(27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1102
(32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1103
(29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1104
(79.870223999023): 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 1105
(48.87580871582): 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 1106
(72.002410888672): 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 1107
(57.93571472168): 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 1108
(76.055526733398): 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 1109
(51.021575927734): 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 1110
(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 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 1111
(564.0983581543): 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 1112
(550.0316619873): 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 1113
(316.85829162598): 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 1114
(120.87821960449): 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 1115
(82.969665527344): 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 1116
(65.803527832031): 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 1117
(53.167343139648): 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 1118
(57.93571472168): 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 1119
(51.975250244141): 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 1120
(63.896179199219): 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 1121
(90.122222900391): 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 1122
(427.0076751709): 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 1123
(!!!!! 7105.1120758057): (
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
3124
(70.095062255859): (
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
3125
(40.054321289062): SELECT
dp.id,
dp.name,
dp.title,
dp.video,
dp.video_source,
dp.created
FROM
jos_deeppockets AS dp
WHERE
dp.id = 294803337
LIMIT 1126
(28.848648071289): SELECT
dp.id,
dp.name,
dp.title,
dp.video,
dp.video_source,
dp.created
FROM
jos_deeppockets AS dp
WHERE
dp.id = 294803337
LIMIT 1127
(43.869018554688): SELECT
dp.id,
dp.name,
dp.title,
dp.video,
dp.video_source,
dp.created
FROM
jos_deeppockets AS dp
WHERE
dp.id = 294803276
LIMIT 1128
(29.087066650391): SELECT
dp.id,
dp.name,
dp.title,
dp.video,
dp.video_source,
dp.created
FROM
jos_deeppockets AS dp
WHERE
dp.id = 294803276
LIMIT 1129
(299.93057250977): 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 1130
(41.007995605469): 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 1131
(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 1132
(27.894973754883): SELECT
dp.id,
dp.name,
dp.title,
dp.video,
dp.video_source,
dp.created
FROM
jos_deeppockets AS dp
WHERE
dp.id = 294802958
LIMIT 1133
(437.97492980957): SELECT *
FROM jos_deeppockets
WHERE 1=1
AND id=294754510
AND (type='deeppockets_item' OR type='deeppockets_item_link')
AND published='1'
LIMIT 1134
(366.9261932373): SELECT *
FROM jos_deeppockets_archive
WHERE 1=1
AND id=294754510
AND (type='deeppockets_item' OR type='deeppockets_item_link')
AND published='1'
LIMIT 1135
(41.007995605469): SELECT name FROM jos_deeppockets WHERE id=212136
(31.948089599609): SELECT name FROM jos_deeppockets WHERE id=212137
(634.90867614746): 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((;)|($))' AND catid IN (0,110)
ORDER BY publish_up ASC LIMIT 3138
(427.9613494873): SELECT *,
DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up,
DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down
FROM jos_events
WHERE state=1
AND publish_up > NOW()
and extra_info REGEXP '((;)|(^))212((;)|($))' AND catid IN (0,110)
ORDER BY publish_up ASC LIMIT 3139
(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 1140
(48.160552978516): 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 1141
(307.08312988281): SELECT *
FROM jos_deeppockets
WHERE 1=1
AND id=294754510
AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1142
(46.014785766602): SELECT *
FROM jos_deeppockets
WHERE 1=1
AND id=294754510
AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1143
(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 1144
(43.869018554688): 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 1145
(!!!!! 1121.0441589355): 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 6146
(65.088272094727): 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 1147
(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 1148
(36.954879760742): 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 1149
(30.994415283203): 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)150
(30.994415283203): 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)151
(30.994415283203): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1152
(366.9261932373): 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 1153
(86.069107055664): 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 1154
(36.001205444336): select jos_twitters.link from jos_twitters where cat=10155
(29.087066650391): select jos_facebook.link from jos_facebook where cat=10156
(28.848648071289): select jos_google_plus.link from jos_google_plus where cat=10157
(29.087066650391): select jos_linkedin.link from jos_linkedin where cat=10158
(295.16220092773): update jos_bannersmanager_banner
set impmade=impmade+1
where id in(14615,14202,14203)159
(!!!!! 1138.9255523682): insert into jos_banners_delta values (14615,'2025-08-25 14:30:24','216.73.216.114','view'),(14202,'2025-08-25 14:30:24','216.73.216.114','view'),(14203,'2025-08-25 14:30:24','216.73.216.114','view')
Expo
.jpeg "Image: The AI-powered lung ultrasound tool outperformed human experts by 9% in diagnosing TB (Photo courtesy of Adobe Stock)")
Client Login