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Diffusion-Weighted MRI Technique Cuts Breast Biopsy Requirements

By MedImaging International staff writers
Posted on 18 Oct 2015

An abbreviated magnetic resonance imaging (MRI) protocol could reduce unnecessary breast biopsies by providing additional information on suspicious X-ray screening mammography findings, according to a new study.

Researchers at the German Cancer Research Center (DKFZ; Heidelberg, Germany), University Hospital Heidelberg (Germany), and other institutions conducted a study to evaluate the ability of an abbreviated MRI protocol consisting of maximum intensity projections (MIPs) from diffusion-weighted imaging with background suppression (DWIBS) and unenhanced morphologic sequences to help predict the likelihood of malignancy on suspicious screening X-ray mammograms, as compared with an abbreviated contrast material-enhanced MRI protocol and a full diagnostic breast MRI protocol. More...

To do so, 50 women (mean age 57.1 years), who gave informed consent and who had suspicious screening mammograms and an indication for biopsy participated in a prospective study from September 2014 to January 2015. Before biopsy, a full diagnostic contrast-enhanced MRI was performed that included DWIBS. Two abbreviated protocols based on MIPs were evaluated; the first showed the shape and appearance of the lesion; the second displayed its biophysiological properties with DWIBS, a technique that works by assessing the diffusion of water molecules through tissue, since areas of restricted diffusion may indicate malignancy.

The results showed that 25 of the 50 participants had a breast carcinoma. DWIBS achieved a comparable accuracy to that of the full diagnostic and the abbreviated contrast-enhanced MRI protocols, yielding an excellent negative predictive value of 92%. Only pure microcalcification related ductal carcinoma in-situ (DCIS) without solid tumor—a very early stage of breast cancer—was not detected by any of the MRI techniques. The study was published early online on September 11, 2015, in Radiology.

“If the preliminary findings are confirmed, this approach could have a high potential to be used as an adjunct in the clarification process of unclear lesions on X-ray mammography in breast cancer screening,” said lead author Sebastian Bickelhaupt, MD, a radiologist at DKFZ. “This might help to reduce the number of invasive biopsies and the related anxiety in women who have suspicious findings at mammography.”

DWIBS MRI holds several advantages; the images can be obtained in less than seven minutes, compared with more than 30 minutes for a full breast MRI protocol; and the mean reading time using the unenhanced DWIBS method is less than 30 seconds thanks to MIPS, a technique that allows lesion assessment by reading one summation image instead of multiple single-slice images. The technique however, is in its early stages, and as such is not intended as a standalone screening modality but as an adjunct to X-ray mammography and tomosynthesis.

Related Links:
German Cancer Research Center
University Hospital Heidelberg

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60 (58.889389038086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760895 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760895 AND published='1' LIMIT 1

61 (108.95729064941): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760895 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760895 AND published='1' LIMIT 1

62 (47.922134399414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760895 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760895 AND published='1' LIMIT 1

63 (73.19450378418): 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

64 (562.19100952148): SELECT fid FROM jos_deeppockets WHERE id=294760895 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294760895 AND published='1' LIMIT 1

65 (56.028366088867): 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`

66 (56.982040405273): select jos_twitters.link from jos_twitters where cat=10

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

68 (33.140182495117): select jos_google_plus.link from jos_google_plus where cat=10

69 (29.087066650391): select jos_linkedin.link from jos_linkedin where cat=10

70 (31.948089599609): SELECT fid FROM jos_deeppockets WHERE id=294760895 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294760895 AND published='1' LIMIT 1

71 (36.954879760742): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=212 ORDER BY `ordering`

72 (336.88545227051): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294760895 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

73 (292.06275939941): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294760895 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

74 (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`

75 (51.021575927734): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (29.802322387695): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (43.869018554688): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294760895 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

90 (29.802322387695): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294760895 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

91 (33.140182495117): 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`

92 (48.87580871582): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (29.802322387695): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (71.048736572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760895 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760895 AND published='1' LIMIT 1

107 (44.107437133789): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760895 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760895 AND published='1' LIMIT 1

108 (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=294760895 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

109 (47.922134399414): 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=294760895 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

110 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760895 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760895 AND published='1' LIMIT 1

111 (41.007995605469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760895 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760895 AND published='1' LIMIT 1

112 (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=294760895 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (596.04644775391): 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=294760895 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

114 (732.8987121582): 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

115 (583.88710021973): 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

116 (111.81831359863): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760895 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760895 AND published='1' LIMIT 1

117 (104.90417480469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760895 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760895 AND published='1' LIMIT 1

118 (77.962875366211): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760895 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760895 AND published='1' LIMIT 1

119 (60.081481933594): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760895 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760895 AND published='1' LIMIT 1

120 (68.902969360352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760895 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760895 AND published='1' LIMIT 1

121 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760895 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760895 AND published='1' LIMIT 1

122 (163.79356384277): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760895 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760895 AND published='1' LIMIT 1

123 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760895 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760895 AND published='1' LIMIT 1

124 (414.84832763672): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

125 (!!!!! 27860.164642334): 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

126 (656.1279296875): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294760895 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294760895 AND type='deeppockets_item' AND published='1' LIMIT 1

127 (!!!!! 18656.969070435): ( 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

128 (87.976455688477): ( 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

129 (68.902969360352): 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

130 (110.86463928223): 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

131 (67.949295043945): 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

132 (42.915344238281): 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

133 (439.88227844238): 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

134 (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

135 (45.061111450195): 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

136 (41.007995605469): 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

137 (571.01249694824): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760895 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

138 (527.85873413086): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760895 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

139 (54.836273193359): SELECT name FROM jos_deeppockets WHERE id=212

140 (36.001205444336): SELECT name FROM jos_deeppockets WHERE id=212

141 (752.92587280273): 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

142 (730.99136352539): 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

143 (90.122222900391): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760895 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760895 AND published='1' LIMIT 1

144 (64.13459777832): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760895 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760895 AND published='1' LIMIT 1

145 (!!!!! 10560.989379883): TRUNCATE TABLE jos_trademed_module

146 (123.02398681641): 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=294760895 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

147 (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=294760895 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

148 (555.03845214844): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760895 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

149 (78.916549682617): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760895 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

150 (78.916549682617): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760895 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760895 AND published='1' LIMIT 1

151 (62.942504882812): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760895 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760895 AND published='1' LIMIT 1

152 (!!!!! 1681.0894012451): 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

153 (87.976455688477): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760895 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760895 AND published='1' LIMIT 1

154 (70.095062255859): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760895 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760895 AND published='1' LIMIT 1

155 (55.789947509766): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294760895 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294760895 AND type='deeppockets_item' AND published='1' LIMIT 1

156 (49.114227294922): 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)

157 (43.869018554688): 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)

158 (53.882598876953): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

159 (91.075897216797): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760895 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760895 AND published='1' LIMIT 1

160 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760895 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760895 AND published='1' LIMIT 1

161 (58.889389038086): select jos_twitters.link from jos_twitters where cat=10

162 (68.187713623047): select jos_facebook.link from jos_facebook where cat=10

163 (46.968460083008): select jos_google_plus.link from jos_google_plus where cat=10

164 (41.007995605469): select jos_linkedin.link from jos_linkedin where cat=10

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