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PET Scanning Found To Be Powerful Imaging Modality Across all Cancer Types

By MedImaging International staff writers
Posted on 30 Dec 2008

With the most recent release of data from the U.S. oncologic PET registry, researchers validated the effectiveness of positron emission tomography (PET) imaging in the monitoring of tumor activity across a broad range of cancers.

The registry, called the U.S. National Oncologic PET Registry (NOPR), is a collaboration of the American College of Radiology Imaging Network (ACRIN; Philadelphia, PA, USA), the American College of Radiology (ACR; Philadelphia, PA, USA), and the Academy of Molecular Imaging (AMI; Los Angeles, CA, USA). "During the first year of the study, we verified that PET finds more areas of active cancer than other imaging tools and leads, in some cases, to earlier initiation of subsequent treatment,” said Bruce E. Hillner, M.D., professor of medicine at Virginia Commonwealth University (Richmond, VA, USA), and lead author of the article. "We noted that PET has a clinically significant impact on cancer management, resulting in a change in treatment in more than one out of three cases--or 36% of the time.”

In the article, published in the December 2008 issue of The Journal of Nuclear Medicine (JNM), researchers reported results by cancer type for the first two years of data collected from nearly 41,000 PET studies conducted at more than 1,300 cancer centers nationwide. Analysis was restricted to the use of PET for staging, restaging or detection of suspected recurrences in patients with pathologically proven cancers.

Study data released in March 2008 showed a striking consistency of the impact of PET on referring physicians' intended management plans. At that time, NOPR researchers felt that the significance of the evidence was such that they formally asked the Centers for Medicare and Medicaid Services (CMS) to reconsider the current U.S. National Coverage Determination on oncologic use of PET.

"As a result of the data, the follow-up question for the second year was: Does the impact of PET vary between cancers?” questioned Dr. Hillner. "We found that it did not vary significantly, and that changes in treatment plans for rare cancers--such as stomach cancer--clustered around the same one-third mark as the more common cancers. As a result, we believe that coverage for PET in the staging, restaging and detection of recurrence of cancer should be handled the same across the board.”

According to the researchers, a considerable body of national and international literature now exists showing that PET is a highly effective technique for imaging cancer. "From the data, we concluded that, although the effectiveness of PET may differ somewhat between individual cancers, it's in the same ballpark,” said Barry A. Siegel, M.D., professor of radiology at the Mallinckrodt Institute of Radiology (St. Louis, MO, USA) and one of the co-authors of the article. "This result was a little unexpected, but leads us to believe that a continual parsing of PET's usefulness, cancer by cancer and indication by indication, for purposes of reimbursement does not make clinical sense.”

The NOPR was launched in 2006 in response to a proposal from CMS to expand coverage for PET in the United States to include cancers and indications not presently eligible for reimbursement, including cancers of the ovary, uterus, prostate, pancreas, stomach, kidney, and bladder. "The NOPR has been a collaborative process with CMS,” said Dr. Siegel. "The purpose of our partnership has been to get the best data into the public domain for decision-making. We are hopeful that a decade-long process leading to an understanding of the usefulness of PET in cancer management is finally completed.”

A draft decision by CMS is expected on January 10, 2009. Following a 30-day comment period, the final U.S. National Coverage Determination will be made April 9, 2009.

Related Links:
National Oncologic PET Registry
Virginia Commonwealth University
Mallinckrodt Institute of Radiology

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59 (182.8670501709): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721556 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721556 AND published='1' LIMIT 1

60 (83.92333984375): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721556 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721556 AND published='1' LIMIT 1

61 (!!!!! 2270.9369659424): 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 (552.89268493652): SELECT fid FROM jos_deeppockets WHERE id=294721556 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294721556 AND published='1' LIMIT 1

63 (46.968460083008): 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=213 ORDER BY `ordering`

64 (97.990036010742): select jos_twitters.link from jos_twitters where cat=10

65 (35.04753112793): select jos_facebook.link from jos_facebook where cat=10

66 (34.093856811523): select jos_google_plus.link from jos_google_plus where cat=10

67 (30.040740966797): select jos_linkedin.link from jos_linkedin where cat=10

68 (35.04753112793): SELECT fid FROM jos_deeppockets WHERE id=294721556 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294721556 AND published='1' LIMIT 1

69 (42.915344238281): 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=213 ORDER BY `ordering`

70 (472.06878662109): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294721556 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (268.93615722656): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294721556 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (52.213668823242): 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 (149.96528625488): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (47.922134399414): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (61.03515625): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (29.802322387695): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (66.041946411133): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294721556 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (32.186508178711): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294721556 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (35.04753112793): 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 (103.95050048828): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (43.869018554688): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (43.869018554688): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (29.802322387695): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (47.206878662109): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (109.91096496582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721556 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721556 AND published='1' LIMIT 1

105 (51.975250244141): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721556 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721556 AND published='1' LIMIT 1

106 (71.048736572266): 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=294721556 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (787.97340393066): 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=294721556 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (98.943710327148): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721556 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721556 AND published='1' LIMIT 1

109 (64.13459777832): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721556 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721556 AND published='1' LIMIT 1

110 (94.175338745117): 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=294721556 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (536.20338439941): 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=294721556 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (!!!!! 1595.0202941895): 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 (480.17501831055): 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 (!!!!! 5879.8789978027): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721556 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721556 AND published='1' LIMIT 1

115 (135.89859008789): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721556 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721556 AND published='1' LIMIT 1

116 (133.03756713867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721556 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721556 AND published='1' LIMIT 1

117 (55.074691772461): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721556 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721556 AND published='1' LIMIT 1

118 (51.975250244141): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721556 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721556 AND published='1' LIMIT 1

119 (39.100646972656): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721556 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721556 AND published='1' LIMIT 1

120 (47.922134399414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721556 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721556 AND published='1' LIMIT 1

121 (40.054321289062): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721556 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721556 AND published='1' LIMIT 1

122 (236.98806762695): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 47215.938568115): 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 (!!!!! 3621.1013793945): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294721556 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294721556 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 12765.884399414): ( 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 (160.93254089355): ( 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 (124.93133544922): 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 (!!!!! 1504.8980712891): 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 (525.95138549805): 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 (70.095062255859): 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 (280.85708618164): 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 (37.908554077148): 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 (34.809112548828): 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 (30.040740966797): 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 (686.1686706543): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721556 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (272.03559875488): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721556 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (47.922134399414): SELECT name FROM jos_deeppockets WHERE id=213

138 (117.06352233887): SELECT name FROM jos_deeppockets WHERE id=213

139 (801.08642578125): 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 '((;)|(^))213((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

140 (523.80561828613): 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 '((;)|(^))213((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

141 (308.99047851562): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721556 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721556 AND published='1' LIMIT 1

142 (334.02442932129): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721556 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721556 AND published='1' LIMIT 1

143 (!!!!! 16674.041748047): TRUNCATE TABLE jos_trademed_module

144 (161.88621520996): 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=294721556 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (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_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=294721556 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (936.03134155273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721556 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (465.15464782715): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721556 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (72.956085205078): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721556 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721556 AND published='1' LIMIT 1

149 (46.014785766602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721556 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721556 AND published='1' LIMIT 1

150 (!!!!! 1897.0966339111): 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 (104.18891906738): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721556 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721556 AND published='1' LIMIT 1

152 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721556 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721556 AND published='1' LIMIT 1

153 (34.809112548828): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294721556 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294721556 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (28.848648071289): 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=213 or channel_id is null)

155 (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=213 or channel_id is null)

156 (51.021575927734): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (!!!!! 2666.9502258301): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721556 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721556 AND published='1' LIMIT 1

158 (92.029571533203): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721556 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721556 AND published='1' LIMIT 1

159 (40.054321289062): select jos_twitters.link from jos_twitters where cat=10

160 (39.815902709961): select jos_facebook.link from jos_facebook where cat=10

161 (28.133392333984): select jos_google_plus.link from jos_google_plus where cat=10

162 (26.941299438477): select jos_linkedin.link from jos_linkedin where cat=10

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