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PET Imaging Advance Significant for Early Detection of Breast Cancer

By MedImaging International staff writers
Posted on 12 Jun 2011

European researchers have developed a clinical positron emission tomography (PET) system with very high resolution and sensitivity, specifically designed for breast cancer detection in early stages. The MAMMI (mammography with molecular imaging) device will allow clinicians to begin treatments one or even two years earlier than usual and also evaluate the patient's response to chemotherapy.

Coordinated by José María Benlloch, a researcher from the Spanish National Research Council (CSIC; Madrid, Spain), the MAMMI Project was created by a multidisciplinary team of eight European research institutions and companies, ranging from medical oncology and pharmacokinetics research to molecular imaging instrumentation, advanced image processing software, and integrated electronic circuit design.

The device is currently installed in the National Cancer Institute in Amsterdam (The Netherlands) and was previously set up at the clinic of the Technical University of Munich (Germany), where they have completed the clinical research and examined over 50 patients. The new system will soon be installed in the Provincial Hospital of Castellón (Spain) and other international hospitals have shown their interest in purchasing it.

The most remarkable innovation of the mammogram is the way it captures the image. The patient lies face down on a special table, and enters a breast in one of the openings. Beside the stretcher, the specialist positions a trolley that incorporates the detection system based on a gamma ray sensor. The image is taken without compressing the breast due to the ring shape of the detector that surrounds the pendant breast. According to Dr. Benlloch, "This significantly improves the visualization and diagnosis because sometimes there are tumors that are very close to the base of the pectoral muscle."

This new mammogram also provides greater patient comfort. In this sense, the Biomechanics Institute of Valencia (IBV; Spain) assessed the company Oncovision (Valencia, Spain) in the design, manufacturing, and mechanical tests of the stretcher, and applied user-friendly design methodologies and ergonomic criteria. For example, lifting columns were added to the table to facilitate its use by the elderly and disabled.

The other major development is the technique used. The traditional mammogram is an X-ray of the breast. MAMMI, however, is based on the positron emission tomography (PET) technique for the diagnosis of breast cancer, which offers numerous advantages. In the first stages of a cancer, the malignant cells replicate in an uncontrolled manner, and after one to two years, become a lesion that is visible with the current techniques. After that, the lesion extends and takes about another year until it can be felt.

While current diagnostic equipment is based on morphologic images and does not recognize the cancer until there is a lesion, the MAMMI PET measures the metabolic activity of the tumor by locating the high glucose uptake of the cancer cells. This allows the specialist to detect the disease much earlier and numerous studies have confirmed that early detection reduces mortality by 29%.

Until now, whole-body PET scans were indicated for breast cancer patients or for individuals with a high risk of suffering the disease. However, the result is a low-resolution image and therefore does not detect small tumors. "Our device, however, is devoted exclusively to breasts so the detectors are very close to this part of the body and show tumors in early stages," explained Luis Caballero, head of the project in Oncovision.

In comparison, MAMMI can see lesions as little as 1.5 mm, while the best of the systems that currently exist offers a resolution of 5 mm. The system typically improves the diagnosis of all patients, but it is particularly effective for women with breast implants or young women whose breast density has always made obtaining a clear image difficult.

The mammography device can also monitor whether the treatment the patient with breast cancer is following actually works. According to Dr. Caballero, "By showing the uptake of glucose, the PET technique is the only one able to reveal whether there are still cancer tissues after an operation, since with the other techniques it is impossible to distinguish tumor tissue from the scar left by the operation."

Moreover, according to the researchers, PET reveals whether the therapies of radiation and chemotherapy are effective or need to be modified. Because MAMMI is a more precise PET instrument, it ensures a better assessment of tumor activity and its response to therapy.

Related Links:
Spanish National Research Council
National Cancer Institute, Amsterdam
Oncovision

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59 (!!!!! 6531.9538116455): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735525 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735525 AND published='1' LIMIT 1

60 (!!!!! 7958.8890075684): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735525 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735525 AND published='1' LIMIT 1

61 (!!!!! 1735.9256744385): 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 (636.81602478027): SELECT fid FROM jos_deeppockets WHERE id=294735525 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294735525 AND published='1' LIMIT 1

63 (401.97372436523): 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 (!!!!! 3880.9776306152): select jos_twitters.link from jos_twitters where cat=10

65 (121.11663818359): select jos_facebook.link from jos_facebook where cat=10

66 (49.114227294922): select jos_google_plus.link from jos_google_plus where cat=10

67 (59.127807617188): select jos_linkedin.link from jos_linkedin where cat=10

68 (104.90417480469): SELECT fid FROM jos_deeppockets WHERE id=294735525 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294735525 AND published='1' LIMIT 1

69 (45.061111450195): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=213 ORDER BY `ordering`

70 (!!!!! 2641.9162750244): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294735525 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (512.83836364746): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294735525 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (79.870223999023): 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 (54.121017456055): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (32.186508178711): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (!!!!! 2416.8491363525): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (109.19570922852): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (32.186508178711): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (886.91711425781): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294735525 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (66.041946411133): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294735525 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (43.869018554688): 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 (77.962875366211): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (44.107437133789): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (40.769577026367): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (44.107437133789): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (!!!!! 2974.0333557129): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (105.14259338379): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (51.021575927734): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (42.200088500977): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (!!!!! 1303.9112091064): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735525 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735525 AND published='1' LIMIT 1

105 (!!!!! 1614.0937805176): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735525 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735525 AND published='1' LIMIT 1

106 (77.962875366211): 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=294735525 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (!!!!! 1998.9013671875): 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=294735525 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (444.88906860352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735525 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735525 AND published='1' LIMIT 1

109 (!!!!! 1535.8924865723): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735525 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735525 AND published='1' LIMIT 1

110 (60.081481933594): 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=294735525 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (570.05882263184): 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=294735525 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (!!!!! 2388.0004882812): 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 (!!!!! 1160.8600616455): 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 (494.00329589844): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735525 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735525 AND published='1' LIMIT 1

115 (259.8762512207): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735525 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735525 AND published='1' LIMIT 1

116 (!!!!! 1395.9407806396): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735525 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735525 AND published='1' LIMIT 1

117 (123.02398681641): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735525 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735525 AND published='1' LIMIT 1

118 (102.04315185547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735525 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735525 AND published='1' LIMIT 1

119 (67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735525 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735525 AND published='1' LIMIT 1

120 (808.0005645752): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735525 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735525 AND published='1' LIMIT 1

121 (118.97087097168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735525 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735525 AND published='1' LIMIT 1

122 (!!!!! 2006.0539245605): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 58279.991149902): 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 (!!!!! 4942.1787261963): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294735525 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294735525 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 22487.878799438): ( 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 (289.9169921875): ( 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 (43.153762817383): 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 (41.961669921875): 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 (!!!!! 1068.115234375): 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 (164.98565673828): 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 (844.95544433594): 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 (61.988830566406): 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 (!!!!! 1117.9447174072): 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 (64.13459777832): 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 (!!!!! 4287.0044708252): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735525 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (695.94383239746): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735525 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (536.91864013672): SELECT name FROM jos_deeppockets WHERE id=213

138 (61.03515625): SELECT name FROM jos_deeppockets WHERE id=213

139 (864.02893066406): 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 (!!!!! 2174.8542785645): 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 (124.93133544922): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735525 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735525 AND published='1' LIMIT 1

142 (97.990036010742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735525 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735525 AND published='1' LIMIT 1

143 (!!!!! 19510.984420776): TRUNCATE TABLE jos_trademed_module

144 (!!!!! 6143.0931091309): 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=294735525 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (!!!!! 1379.9667358398): 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=294735525 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (511.88468933105): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735525 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (85.115432739258): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735525 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (161.17095947266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735525 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735525 AND published='1' LIMIT 1

149 (302.07633972168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735525 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735525 AND published='1' LIMIT 1

150 (!!!!! 2382.9936981201): 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 (!!!!! 1055.0022125244): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735525 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735525 AND published='1' LIMIT 1

152 (104.90417480469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735525 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735525 AND published='1' LIMIT 1

153 (787.97340393066): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294735525 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294735525 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (77.962875366211): 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 (53.882598876953): 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 (67.949295043945): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (509.02366638184): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735525 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735525 AND published='1' LIMIT 1

158 (428.91502380371): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735525 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735525 AND published='1' LIMIT 1

159 (!!!!! 7743.8354492188): select jos_twitters.link from jos_twitters where cat=10

160 (!!!!! 3899.097442627): select jos_facebook.link from jos_facebook where cat=10

161 (!!!!! 9164.8101806641): select jos_google_plus.link from jos_google_plus where cat=10

162 (!!!!! 6711.0061645508): select jos_linkedin.link from jos_linkedin where cat=10

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