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Technologies Create Inroads for Low Dose BSGI Molecular Breast Imaging

By MedImaging International staff writers
Posted on 04 Apr 2011

Image: The Dilon 6800 gamma camera for molecular breast imaging (photo courtesy of Dilon Diagnostics).

Investigators recently presented study findings that found the improved photon sensitivity of new detector technologies such as position-sensitive photomultiplier tubes (PSPMTs) and cadmium zinc telluride (CZT) should be capable of reducing the radiation dose a patient receives from breast-specific gamma imaging/molecular breast imaging (BSGI/MBI) studies by 75%.

However, low dose imaging is currently an off-label use of the radiopharmaceutical, and there are several prospective patient studies underway to validate the clinical feasibility of low dose imaging. The latest findings were presented by Craig Thiessen, MD, director of radiology for West Houston Radiology Associates, LLP (Houston, TX, USA) and North Cypress Medical Center (Cypress, TX, USA) in March 2011 at the National Consortium of Breast Centers annual meeting, held in Las Vegas (NV, USA).

BSGI/MBI is a molecular imaging tool for detecting early stage breast cancer, particularly for women who are at increased risk for the disease or have dense breast tissue. BSGI/MBI utilizes a radiopharmaceutical to visualize metabolic activity, revealing highly active areas that may be indicative of disease. A major benefit of BSGI/MBI is that the exam provides a physiologic map complementary to the anatomic map produced by mammography, and its ability to detect cancer is not affected by dense breast tissue as mammograms often are. It is also especially useful when mammographic or ultrasonic imaging studies are normal or discordant in the presence of clinical signs and symptoms.

Dr. Thiessen, a nuclear medicine specialist and breast imager, said that, "BSGI/MBI--as with PET [positron emission tomography] imaging--shows that molecular imaging is more advantageous in conjunction with standard anatomical evaluation of the body, and specifically the breast. Mammography, ultrasound, and MRI [magnetic resonance imaging] look at various structures and patterns, whereas BSGI/MBI looks at the breast on a cellular level to help determine the presence or absence of disease.”

Dr. Thiessen noted that MBI with the Dilon (Newport News, VA, USA) 6800 gamma camera is as sensitive, more specific, and cost-effective than performing a diagnostic work-up with MRI. "BSGI/MBI is as safe and efficacious as other primary radiological exams; and even as new studies demonstrate that we can use lower doses to evaluate the breast, the current recommended dose is safe and only slightly higher than mammography,” said Dr. Thiessen.

Dilon Diagnostics currently has the only US Food and Drug Administration (FDA)-approved localization system for gamma-guided biopsy. Dr. Thiessen concluded that, "To date, Dilon's localization system/GammaLoc has shown sensitivity for diagnosis of areas of concern, and will advance breast imaging to a new level; where I believe that molecular imaging reveals changes that happen on a cellular level before we can see differences in structural recognition.”

Dilon Diagnostics' cornerstone product, the Dilon 6800, is a digital high-resolution, compact gamma camera optimized to perform BSGI, a molecular breast imaging procedure that images the metabolic activity of breast lesions through radiotracer uptake.

Related Links:
West Houston Radiology Associates
Dilon

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61 (!!!!! 5766.8685913086): 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 (622.03407287598): SELECT fid FROM jos_deeppockets WHERE id=294734277 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294734277 AND published='1' LIMIT 1

63 (!!!!! 11055.946350098): 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 (197.17216491699): select jos_twitters.link from jos_twitters where cat=10

65 (!!!!! 5305.0518035889): select jos_facebook.link from jos_facebook where cat=10

66 (490.90385437012): select jos_google_plus.link from jos_google_plus where cat=10

67 (!!!!! 1510.8585357666): select jos_linkedin.link from jos_linkedin where cat=10

68 (!!!!! 3845.9300994873): SELECT fid FROM jos_deeppockets WHERE id=294734277 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294734277 AND published='1' LIMIT 1

69 (!!!!! 2763.032913208): 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 (!!!!! 1643.8961029053): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294734277 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (!!!!! 5015.8500671387): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294734277 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (!!!!! 2098.0834960938): 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 (79.154968261719): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (44.107437133789): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (26.226043701172): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (53.882598876953): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (46.968460083008): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294734277 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (28.848648071289): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294734277 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (42.200088500977): 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 (83.208084106445): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (26.226043701172): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (118.97087097168): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (114.20249938965): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734277 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734277 AND published='1' LIMIT 1

105 (73.909759521484): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734277 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734277 AND published='1' LIMIT 1

106 (114.91775512695): 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=294734277 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (80.108642578125): 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=294734277 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (116.10984802246): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734277 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734277 AND published='1' LIMIT 1

109 (75.101852416992): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734277 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734277 AND published='1' LIMIT 1

110 (103.95050048828): 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=294734277 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (514.03045654297): 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=294734277 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (591.99333190918): 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 (373.84033203125): 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 (89.168548583984): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734277 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734277 AND published='1' LIMIT 1

115 (97.990036010742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734277 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734277 AND published='1' LIMIT 1

116 (240.08750915527): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734277 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734277 AND published='1' LIMIT 1

117 (118.97087097168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734277 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734277 AND published='1' LIMIT 1

118 (71.048736572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734277 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734277 AND published='1' LIMIT 1

119 (51.975250244141): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734277 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734277 AND published='1' LIMIT 1

120 (53.882598876953): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734277 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734277 AND published='1' LIMIT 1

121 (41.961669921875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734277 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734277 AND published='1' LIMIT 1

122 (389.81437683105): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 27435.064315796): 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 (654.93583679199): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294734277 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294734277 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (67.234039306641): ( 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 (46.014785766602): ( 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 (53.882598876953): 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 (37.908554077148): 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 (55.074691772461): 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 (38.14697265625): 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 (36.001205444336): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

132 (36.954879760742): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

133 (40.054321289062): 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 (36.001205444336): 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 (677.10876464844): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734277 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (492.09594726562): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734277 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (60.081481933594): SELECT name FROM jos_deeppockets WHERE id=213

138 (44.107437133789): SELECT name FROM jos_deeppockets WHERE id=213

139 (797.98698425293): 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 (738.85917663574): 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 (141.85905456543): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734277 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734277 AND published='1' LIMIT 1

142 (74.148178100586): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734277 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734277 AND published='1' LIMIT 1

143 (!!!!! 13206.005096436): TRUNCATE TABLE jos_trademed_module

144 (137.0906829834): 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=294734277 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (60.796737670898): 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=294734277 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (523.09036254883): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734277 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (87.02278137207): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734277 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (85.115432739258): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734277 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734277 AND published='1' LIMIT 1

149 (55.074691772461): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734277 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734277 AND published='1' LIMIT 1

150 (!!!!! 1631.0214996338): 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 (87.976455688477): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734277 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734277 AND published='1' LIMIT 1

152 (51.975250244141): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734277 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734277 AND published='1' LIMIT 1

153 (55.789947509766): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294734277 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294734277 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (46.968460083008): 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 (33.855438232422): 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 (45.061111450195): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (77.962875366211): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734277 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734277 AND published='1' LIMIT 1

158 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734277 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734277 AND published='1' LIMIT 1

159 (43.869018554688): select jos_twitters.link from jos_twitters where cat=10

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

161 (31.948089599609): select jos_google_plus.link from jos_google_plus where cat=10

162 (32.901763916016): select jos_linkedin.link from jos_linkedin where cat=10

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