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AAPM 2025 - 67th Annual Meeting & Exhibition of the American Association of Physicists in Medicine

Breast-Specific Gamma Imaging Not Affected by Breast Density

By MedImaging International staff writers
Posted on 13 Dec 2011

Contradictory to mammography, recent findings have revealed breast-specific gamma imaging (BSGI), also known as molecular breast imaging (MBI), is as effective in identifying breast cancer in women with both dense and nondense breasts.

These findings were presented at the 2011 Radiological Society of North America (RSNA) annual meeting, held in Chicago (IL, USA), November 27-December 2, 2011. “Dense breast tissue is extremely common, occurring in 50% of premenopausal and 40% of postmenopausal women, and is a strong risk factor for developing breast cancer,” said Rachel Brem, MD, first author of this study from the George Washington University Medical Center (Washington DC, USA). “However, mammography is far less effective in women with dense breasts, missing 35%-45% of breast cancers in these women.”

Mammography in women with dense breasts is limited and necessitates additional imaging modalities that are not impacted by breast density. “As we increasingly appreciate the importance breast density has on risk for developing breast cancer and the limitations of mammography, it is crucial that we find technologies that allow for the detection of breast cancer, regardless of risk,” said Dr. Brem. “It is exciting that BSGI does exactly that and can be used to detect breast cancer in all women, regardless of density.”

Under new US legislation, mammography clinics in Connecticut and Texas are now required to inform patients about their breast density. While other states may follow suit, clinicians are already using advanced diagnostic imaging tools that are effective in the detection of cancer in both dense and nondense breasts.

Researchers from George Washington University Medical Center conducted a retrospective review of their BSGI database from January 2004 to August 2009. They evaluated 344 women with breast cancer, of whom breast density was available per mammography report. The study results revealed there was no difference in the sensitivity of BSGI/MBI in detecting breast cancer in women with nondense and dense breasts. The overall sensitivity of BSGI/MBI for breast cancer detection was 95.6%; 137 of 142 (96.5%) women with nondense breasts, and 192 of 202 (95.1%) women with dense breasts had positive BSGI/MBI examinations.

“The ability to utilize physiologic imaging to improve breast cancer detection is very exciting in that it is equally effective in women with dense and nondense breasts,” said Dr. Brem. “The sensitivity of BSGI has been reported to be equal to MRI, but BSGI is performed with the patient comfortably seated. BSGI requires a fraction of the physician time for image interpretation, has a lower false-positive rate, and can be performed in women who cannot undergo MRI [magnetic resonance imaging], such as those with implantable devices and renal insufficiency. The integration of BSGI in clinical practice is a robust tool for the improved detection of the smallest cancers: those which are detected early, and are most curable,” said Dr. Brem.

As a follow-up to mammography, BSGI/MBI utilizes the Dilon (Newport News, VA, USA) 6800 gamma camera to help physicians more clearly distinguish benign from malignant tissue. To perform BSGI/MBI, the patient receives a pharmaceutical tracing agent that is absorbed by all the cells in the body. Due to their increased rate of metabolic activity, cancerous cells in the breast absorb a greater amount of the tracing agent than normal healthy cells and typically appear as dark spots on the BSGI/MBI image.

Related Links:
George Washington University Medical Center
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61 (96.08268737793): 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 (502.10952758789): SELECT fid FROM jos_deeppockets WHERE id=294738438 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294738438 AND published='1' LIMIT 1

63 (51.975250244141): 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 (51.975250244141): select jos_twitters.link from jos_twitters where cat=10

65 (44.822692871094): select jos_facebook.link from jos_facebook where cat=10

66 (40.054321289062): select jos_google_plus.link from jos_google_plus where cat=10

67 (36.001205444336): select jos_linkedin.link from jos_linkedin where cat=10

68 (39.815902709961): SELECT fid FROM jos_deeppockets WHERE id=294738438 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294738438 AND published='1' LIMIT 1

69 (36.001205444336): 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 (488.0428314209): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294738438 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (267.02880859375): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294738438 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (56.982040405273): 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 (71.048736572266): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (50.783157348633): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (44.107437133789): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (34.809112548828): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (64.849853515625): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294738438 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (40.054321289062): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294738438 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (46.968460083008): 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 (70.095062255859): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (57.93571472168): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (34.809112548828): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (98.943710327148): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738438 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738438 AND published='1' LIMIT 1

105 (71.048736572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738438 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738438 AND published='1' LIMIT 1

106 (66.995620727539): 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=294738438 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (61.03515625): 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=294738438 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (97.990036010742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738438 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738438 AND published='1' LIMIT 1

109 (59.843063354492): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738438 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738438 AND published='1' LIMIT 1

110 (63.896179199219): 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=294738438 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (736.95182800293): 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=294738438 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (624.8950958252): 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 (486.85073852539): 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 (80.108642578125): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738438 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738438 AND published='1' LIMIT 1

115 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738438 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738438 AND published='1' LIMIT 1

116 (100.13580322266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738438 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738438 AND published='1' LIMIT 1

117 (42.915344238281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738438 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738438 AND published='1' LIMIT 1

118 (44.822692871094): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738438 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738438 AND published='1' LIMIT 1

119 (37.193298339844): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738438 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738438 AND published='1' LIMIT 1

120 (39.815902709961): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738438 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738438 AND published='1' LIMIT 1

121 (36.001205444336): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738438 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738438 AND published='1' LIMIT 1

122 (334.9781036377): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 19570.112228394): 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 (562.90626525879): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294738438 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294738438 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 7941.9612884521): ( 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 (68.902969360352): ( 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 (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

128 (30.040740966797): 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 (40.054321289062): 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 (29.087066650391): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

131 (378.84712219238): 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 (100.85105895996): 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 (32.186508178711): 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 (28.133392333984): 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 (642.06123352051): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738438 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (417.94776916504): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738438 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (46.014785766602): SELECT name FROM jos_deeppockets WHERE id=213

138 (34.093856811523): SELECT name FROM jos_deeppockets WHERE id=213

139 (569.10514831543): 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 (511.88468933105): 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 (97.990036010742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738438 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738438 AND published='1' LIMIT 1

142 (60.081481933594): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738438 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738438 AND published='1' LIMIT 1

143 (!!!!! 8918.0469512939): TRUNCATE TABLE jos_trademed_module

144 (92.029571533203): 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=294738438 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (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_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=294738438 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (!!!!! 1118.8983917236): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738438 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (99.897384643555): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738438 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=294738438 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738438 AND published='1' LIMIT 1

149 (46.014785766602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738438 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738438 AND published='1' LIMIT 1

150 (!!!!! 1243.1144714355): 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 (88.930130004883): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738438 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738438 AND published='1' LIMIT 1

152 (48.87580871582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738438 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738438 AND published='1' LIMIT 1

153 (38.862228393555): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294738438 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294738438 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (32.901763916016): 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 (31.948089599609): 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 (33.140182495117): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (72.002410888672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738438 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738438 AND published='1' LIMIT 1

158 (46.014785766602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738438 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738438 AND published='1' LIMIT 1

159 (47.922134399414): select jos_twitters.link from jos_twitters where cat=10

160 (42.915344238281): select jos_facebook.link from jos_facebook where cat=10

161 (44.107437133789): select jos_google_plus.link from jos_google_plus where cat=10

162 (42.915344238281): select jos_linkedin.link from jos_linkedin where cat=10

163 (342.13066101074): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

164 (!!!!! 1114.1300201416): insert into jos_banners_delta values (14615,'2025-06-21 04:52:28','216.73.216.120','view'),(14202,'2025-06-21 04:52:28','216.73.216.120','view'),(14203,'2025-06-21 04:52:28','216.73.216.120','view')

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