Download Mobile App

Video Library

Hysterectomies Can Be Avoided for Cervical Cancer Patients Using 3D Image-Guided Brachytherapy

By MedImaging International staff writers
Posted on 06 Jun 2012

Delivering radiotherapy directly to cancer of the cervix using three-dimensional (3D) imaging techniques is effective at controlling the reoccurrence and metastasis of the disease, and in most instances, avoids the need for hysterectomies.

The new findings were presented May 11, 2012, at the World Congress of Brachytherapy, held in Barcelona (Spain). Dr. Renaud Mazeron reported that a review of the use of 3D image-guided adaptive brachytherapy (IGABT) after a course of chemotherapy and radiotherapy administered together (concomitant chemoradiation) in 163 patients treated between 2004-2009 at the Institut Gustave Roussy (Villejuif, France), had shown that it achieved results that were far superior to those from earlier times using different treatments. Not only was IGABT effective at controlling the tumor, but it also had more acceptable side effects.

At present there is no conclusive evidence whether or not women with cervical cancer, particularly if it is at an advanced stage (stage IB-IIB), should have their wombs removed to help to avoid the cancer returning or spreading. This study suggests that hysterectomies may be unnecessary for most women, unless the cancer has obviously returned and invaded the womb.

Dr. Mazeron, who is an assistant professor in the radiation oncology department of the Institut Gustave Roussy, said, “IGABT is a three-dimensional technique of brachytherapy allowing a much better adaptation of treatment to the target area, while preserving healthy organs at risk from radiation. Our department has been one of the pioneers of this technique and we already have accumulated significant experience. Our current study does not formally show that surgery is unnecessary, since we did not conduct a randomized comparison, but it shows that IGABT combined with chemoradiation achieves results far superior to the historical data, with high rates of control at the site of the primary tumor. In our institute, surgeons have been convinced to abandon systematic surgery by the advances in concomitant chemoradiation and IGABT, and the conjunction of both. Historic data based on classical techniques, which gave external radiation without chemotherapy and X-ray-based brachytherapy which did not allow to adapt the treatment to each case, show that local control of a stage I tumor was usually around 90%, between 60%-87% for stage II, 44%-66% for stage III, and 18%-48% for stage IVA. In this study, we report a rate of 92% in a large group of patients with tumors at any stage.”

Of the 163 patients in the study, 27% had stage I cervical cancer, 57% stage II, 12% stage III, and 3% stage IV. They received concomitant chemoradiation followed by brachytherapy that was guided to the correct area by either magnetic resonance imaging (MRI) in 88% of cases, or computed tomography (CT) in 12% of cases.

Sixty-one (37%) of the women underwent a radical hysterectomy, but residual cancer cells were found in only 13 of these cases. Dr. Mazeron reported that the operations were partly because the study covered a crucial period when surgeons ceased to operate regularly on cervical cancer patients. “At present, surgery is proposed in case of obvious residual tumor after chemoradiation and IGABT. It is sometimes difficult to define complete remission, and thus some patients in the study were operated due to clinical or imaging suspicion of residual tumor, but finally were found to be in complete pathological remission. Currently, surgeons at our institute practice radical hysterectomy following chemoradiotherapy and IGABT only a few times per year, after a biopsy has confirmed that part of the tumor remains. However, in another study, we have shown a worse prognosis, despite surgery, for patients who do not respond completely to radiotherapy or brachytherapy due to a higher risk of metastases,” he said.

After an average follow-up of 36 months, 45 patients had relapsed, including one woman who had had a hysterectomy, and of whom 70.4% had distant metastases. “This clearly shows that distant metastases are the primary cause of relapse,” said Dr. Mazeron.

After three years, overall survival and disease-free survival was 84% and 73%, respectively. Control of the tumor at its primary site (local control) decreased in relation to the initial width of the tumor: 97% for less than 5 cm, 91% for 5-6 cm and 81% for 6 cm or more. Only 7.4% of patients experienced more severe side effects (grade 3/4), but of these 12 patients, nine had undergone a hysterectomy after radiotherapy. “This represents a strong argument for not performing surgery in patients in complete remission after treatment with concomitant chemoradiation and IGABT,” said Dr. Mazeron.

According to Dr. Mazeron, IGABT was an emerging technology and the results from this study should be validated by two international studies, one of which will be presented at the parallel ESTRO 31 conference. “IGABT is the future of brachytherapy in cervical cancer. Potential financial investments should not discourage radiation oncologists. It costs less than intensity-modulated radiation therapy [IMRT], a technique of external beam radiotherapy that has become a standard in the treatment of some cancers. We must keep in mind that cervical cancer is a public health problem in developing countries where it is the second most common cancer in women following breast cancer. IGABT represents a significant improvement in results, and some centers are already practicing this technique in India and Southeast Asia,” he concluded.

Dr. Christine Haie-Meder, radiation oncologist at the Institut Gustave Roussy and chairperson of the World Congress of Brachytherapy, commented, “Image-guided adaptive brachytherapy has recently been implemented in cervix cancer patients. Results are in favor of a significant improvement in local control. The present series also contribute to show improvement in local control with IGABT. Within this context, complementary surgery does not bring any further contribution to local control improvement, and hysterectomy may even increase the risk of complications.”

Brachytherapy is a type of internal radiotherapy, which involves putting solid radioactive material close to, or inside, the tumor. This gives a high dose of radiotherapy directly to the tumor but only a low dose to normal tissues.

The World Congress of Brachytherapy was held in parallel with the 31st conference of the European Society for Radiotherapy and Oncology (ESTRO 31), both took place in Barcelona (Spain), during May 9-13, 2012.

Related Links:
Institut Gustave Roussy

Visit expo >

Gold Member

Ultrasound System

FUTUS LE

Gold Member

Electrode Solution and Skin Prep

Signaspray

Wireless Flat Panel Detector

ExamVue 10" x 12" Glassless Substrate Wireless

Web-Based DICOM Viewer

iQ-4VIEW

Latest Nuclear Medicine News

Channels

Radiography

view channel

Image: A 4mm square diamond radiation detector (Photo courtesy of Orbray)

World's Largest Class Single Crystal Diamond Radiation Detector Opens New Possibilities for Diagnostic Imaging

Diamonds possess ideal physical properties for radiation detection, such as exceptional thermal and chemical stability along with a quick response time. Made of carbon with an atomic number of six, diamonds... Read more

Image: The AI-powered FFR assessment is comparable to conventional assessment (Photo courtesy of 123RF)

MRI

view channel

Image: An AI tool has shown tremendous promise for predicting relapse of pediatric brain cancer (Photo courtesy of 123RF)

AI Tool Predicts Relapse of Pediatric Brain Cancer from Brain MRI Scans

Many pediatric gliomas are treatable with surgery alone, but relapses can be catastrophic. Predicting which patients are at risk for recurrence remains challenging, leading to frequent follow-ups with... Read more

AI Tool Tracks Effectiveness of Multiple Sclerosis Treatments Using Brain MRI Scans

Multiple sclerosis (MS) is a condition in which the immune system attacks the brain and spinal cord, leading to impairments in movement, sensation, and cognition. Magnetic Resonance Imaging (MRI) markers... Read more

Ultra-Powerful MRI Scans Enable Life-Changing Surgery in Treatment-Resistant Epileptic Patients

Approximately 360,000 individuals in the UK suffer from focal epilepsy, a condition in which seizures spread from one part of the brain. Around a third of these patients experience persistent seizures... Read more

Image: The automated MRI processing and machine learning software features a noninvasive biomarker technique (Photo courtesy of University of Florida)

AI-Powered MRI Technology Improves Parkinson’s Diagnoses

Current research shows that the accuracy of diagnosing Parkinson’s disease typically ranges from 55% to 78% within the first five years of assessment. This is partly due to the similarities shared by Parkinson’s... Read more

Ultrasound

view channel

AI-Powered Lung Ultrasound Outperforms Human Experts in Tuberculosis Diagnosis

Despite global declines in tuberculosis (TB) rates in previous years, the incidence of TB rose by 4.6% from 2020 to 2023. Early screening and rapid diagnosis are essential elements of the World Health... Read more

Image: Researchers are using AI to analyze images from a common heart test to identify signs of valve disease (Photo courtesy of 123RF)

AI Identifies Heart Valve Disease from Common Imaging Test

Tricuspid regurgitation is a condition where the heart's tricuspid valve does not close completely during contraction, leading to backward blood flow, which can result in heart failure. A new artificial... Read more

Image: Diagram of ULM processing (Photo courtesy of Cyborg and Bionic Systems)

Novel Imaging Method Enables Early Diagnosis and Treatment Monitoring of Type 2 Diabetes

Type 2 diabetes is recognized as an autoimmune inflammatory disease, where chronic inflammation leads to alterations in pancreatic islet microvasculature, a key factor in β-cell dysfunction.... Read more

Image: Artist’s impression of the new ultrasound technique, called nonlinear sound sheet microscopy (Photo courtesy of Maayan Harel/Maresca Lab)

Ultrasound-Based Microscopy Technique to Help Diagnose Small Vessel Diseases

Clinical ultrasound, commonly used in pregnancy scans, provides real-time images of body structures. It is one of the most widely used imaging techniques in medicine, but until recently, it had little... Read more

General/Advanced Imaging

view channel

Image: The LungVision system has received regulatory approval from the TGA in Australia (Photo courtesy of Body Vision Medical)

AI-Powered Imaging System Improves Lung Cancer Diagnosis

Given the need to detect lung cancer at earlier stages, there is an increasing need for a definitive diagnostic pathway for patients with suspicious pulmonary nodules. However, obtaining tissue samples... Read more

Image: The multimodal multitask foundation model enhances lung cancer screening (Photo courtesy of 123RF)

AI Model Significantly Enhances Low-Dose CT Capabilities

Lung cancer remains one of the most challenging diseases, making early diagnosis vital for effective treatment. Fortunately, advancements in artificial intelligence (AI) are revolutionizing lung cancer... Read more

Image: Axial noncontrast chest CT lung window images of three different sample patches shown in each row (Photo courtesy of Radiology: Cardiothoracic Imaging)

Ultra-Low Dose CT Aids Pneumonia Diagnosis in Immunocompromised Patients

Lung infections can be life-threatening for patients with weakened immune systems, making timely diagnosis crucial. While CT scans are considered the gold standard for detecting pneumonia, repeated scans... Read more

Image: Histologically confirmed lung cancer cases detected at immediate referral after baseline scan or 3-month short-term follow-up (Photo courtesy of DOI:10.1016/j.ejca.2025.115324)

AI Reduces CT Lung Cancer Screening Workload by Almost 80%

Lung cancer impacts over 48,000 individuals in the UK annually, and early detection is key to improving survival rates. The UK Lung Cancer Screening (UKLS) trial has already shown that low-dose CT (LDCT)... Read more

Imaging IT

view channel

New Google Cloud Medical Imaging Suite Makes Imaging Healthcare Data More Accessible

Medical imaging is a critical tool used to diagnose patients, and there are billions of medical images scanned globally each year. Imaging data accounts for about 90% of all healthcare data1 and, until... Read more

Global AI in Medical Diagnostics Market to Be Driven by Demand for Image Recognition in Radiology

The global artificial intelligence (AI) in medical diagnostics market is expanding with early disease detection being one of its key applications and image recognition becoming a compelling consumer proposition... Read more

AI-Based Mammography Triage Software Helps Dramatically Improve Interpretation Process

An artificial intelligence (AI)-based mammography triage software is helping dramatically improve the interpretation process for healthcare providers. In a new study, researchers at the Scripps Green... Read more

Artificial Intelligence (AI) Program Accurately Predicts Lung Cancer Risk from CT Images

An artificial intelligence (AI) program accurately predicts the risk that lung nodules detected on screening CT will become cancerous, according to a study published in the journal Radiology.... Read more

Industry News

view channel

GE HealthCare and NVIDIA Collaboration to Reimagine Diagnostic Imaging

GE HealthCare (Chicago, IL, USA) has entered into a collaboration with NVIDIA (Santa Clara, CA, USA), expanding the existing relationship between the two companies to focus on pioneering innovation in... Read more

Image: The patient-specific 3D-printed phantoms usher in a new era for medical imaging research (Photo courtesy of Siemens Healthineers)

Patient-Specific 3D-Printed Phantoms Transform CT Imaging

New research has highlighted how anatomically precise, patient-specific 3D-printed phantoms are proving to be scalable, cost-effective, and efficient tools in the development of new CT scan algorithms... Read more

Siemens and Sectra Collaborate on Enhancing Radiology Workflows

Siemens Healthineers (Forchheim, Germany) and Sectra (Linköping, Sweden) have entered into a collaboration aimed at enhancing radiologists' diagnostic capabilities and, in turn, improving patient care... Read more

Image: Virtual colonoscopy (CT colonography) is an approved option for screening for colorectal cancer in the US (Photo courtesy of Shtutterstock)

Bracco Diagnostics and ColoWatch Partner to Expand Availability CRC Screening Tests Using Virtual Colonoscopy

Over the last 25 years, virtual colonoscopy has been proven to be a highly accurate, safe, convenient, and cost-effective method of colorectal cancer (CRC) prevention and screening. It can reliably find... Read more

1 (121.8318939209): SET sql_mode = 'MYSQL40'

2 (91.791152954102): SELECT folder, element, published, params FROM jos_mambots WHERE published >= 1 AND access <= 0 AND folder = 'system' ORDER BY ordering

3 (399.11270141602): SELECT template FROM jos_templates_menu WHERE client_id = 0 AND ( menuid = 0 OR menuid = 294741005 ) ORDER BY menuid DESC LIMIT 1

4 (365.01884460449): DELETE FROM jos_session WHERE time < 1755420832 AND guest = 1 AND userid = 0

5 (51.975250244141): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

6 (40.054321289062): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

7 (43.153762817383): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

8 (389.09912109375): SELECT * FROM jos_menu WHERE id = 294741005

9 (773.90670776367): SELECT dp.*, ch.title as channel, ch.name as channel_name, 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=294741005 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

10 (!!!!! 1055.0022125244): SELECT dp.*, ch.title as channel, ch.name as channel_name, 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=294741005 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

11 (77.962875366211): SELECT dp.*, ch.title as channel, ch.name as channel_name, 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=294741005 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

12 (!!!!! 1117.2294616699): SELECT * FROM jos_deeppockets WHERE 1=1 AND cat=10 AND type='deeppockets_item' AND published='1' AND (id<>294741005) AND (fid=213) ORDER BY id DESC, `created` DESC LIMIT 0,16

13 (189.06593322754): SELECT * FROM jos_deeppockets WHERE 1=1 AND cat=10 AND type='deeppockets_item' AND published='1' AND (id<>294741005) AND (fid=213) ORDER BY id DESC, `created` DESC LIMIT 0,16

14 (!!!!! 7948.8754272461): 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='P' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_item.fid=213 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 ) AND (jos_number.channelID=294741005 OR jos_number.channelID=0) ORDER BY RAND() DESC LIMIT 3

15 (!!!!! 6430.8643341064): 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='P' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_item.fid=213 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 ) AND (jos_number.channelID=294741005 OR jos_number.channelID=0) ORDER BY RAND() DESC LIMIT 3

16 (!!!!! 6293.0583953857): 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='P' 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 ) AND (jos_number.channelID=294741005 OR jos_number.channelID=0) ORDER BY RAND() DESC LIMIT 3

17 (!!!!! 1476.0494232178): 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='P' 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 ) AND (jos_number.channelID=294741005 OR jos_number.channelID=0) ORDER BY RAND() DESC LIMIT 3

18 (825.16670227051): SELECT name,id,title FROM jos_deeppockets WHERE id=213 LIMIT 1

19 (41.007995605469): SELECT name,id,title FROM jos_deeppockets WHERE id=213 LIMIT 1

20 (483.03604125977): 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=294741005 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

21 (522.85194396973): 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=294741005 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

22 (74.863433837891): 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=294741005 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

23 (93.936920166016): 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=294741005 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

24 (717.8783416748): 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=294741005 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

25 (537.15705871582): 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=294741005 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

26 (144.95849609375): 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=294741005 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

27 (106.8115234375): 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=294741005 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

28 (163.07830810547): 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=294741005 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

29 (69.856643676758): 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=294741005 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

30 (87.976455688477): SELECT conference_items.channel_id, conference_items.tracking_code FROM conference_items LEFT JOIN conference_groups ON conference_groups.id = conference_items.group_id LEFT JOIN jos_deeppockets ON jos_deeppockets.id = conference_items.channel_id LEFT JOIN jos_journal ON jos_journal.cat = jos_deeppockets.cat AND jos_journal.real = 1 AND jos_journal.directory IS NOT NULL WHERE 1 = 1 ORDER BY conference_items.id

31 (512.12310791016): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294741005 LIMIT 1

32 (47.922134399414): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294741005 LIMIT 1

33 (382.90023803711): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294741005 LIMIT 1

34 (56.982040405273): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294741005 LIMIT 1

35 (54.836273193359): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294741005 LIMIT 1

36 (41.961669921875): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294741005 LIMIT 1

37 (41.007995605469): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294741005 LIMIT 1

38 (40.054321289062): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294741005 LIMIT 1

39 (!!!!! 1075.0293731689): SELECT id, title, module, position, content, showtitle, params FROM jos_modules AS m INNER JOIN jos_modules_menu AS mm ON mm.moduleid = m.id WHERE m.published = 1 AND m.access <= 0 AND m.client_id != 1 AND ( mm.menuid = 0 OR mm.menuid = 294741005 ) ORDER BY ordering

40 (!!!!! 2187.967300415): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741005 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741005 AND published='1' LIMIT 1

41 (92.029571533203): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741005 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741005 AND published='1' LIMIT 1

42 (51.021575927734): SELECT * FROM jos_bannersmanager_banner WHERE `groupid` = 98 AND `site_id` = 10 AND `published` = 1

43 (39.100646972656): SELECT * FROM jos_bannersmanager_banner WHERE `groupid` = 99 AND `site_id` = 10 AND `published` = 1

44 (115.15617370605): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741005 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741005 AND published='1' LIMIT 1

45 (53.167343139648): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741005 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741005 AND published='1' LIMIT 1

46 (551.93901062012): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741005 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741005 AND published='1' LIMIT 1

47 (248.90899658203): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741005 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741005 AND published='1' LIMIT 1

48 (483.98971557617): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741005 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741005 AND published='1' LIMIT 1

49 (242.94853210449): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741005 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741005 AND published='1' LIMIT 1

50 (144.00482177734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741005 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741005 AND published='1' LIMIT 1

51 (77.962875366211): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741005 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741005 AND published='1' LIMIT 1

52 (440.12069702148): SELECT name FROM jos_deeppockets WHERE id=294741005 LIMIT 1

53 (226.02081298828): SELECT name FROM jos_deeppockets_archive WHERE id=294741005 LIMIT 1

54 (375.98609924316): SELECT a.* FROM jos_components AS a WHERE ( a.admin_menu_link = 'option=com_syndicate' OR a.admin_menu_link = 'option=com_syndicate&hidemainmenu=1' ) AND a.option = 'com_syndicate'

55 (58.889389038086): 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=294741005 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

56 (518.0835723877): 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=294741005 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

57 (!!!!! 1208.0669403076): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741005 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741005 AND published='1' LIMIT 1

58 (71.048736572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741005 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741005 AND published='1' LIMIT 1

59 (123.97766113281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741005 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741005 AND published='1' LIMIT 1

60 (53.167343139648): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741005 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741005 AND published='1' LIMIT 1

61 (91.075897216797): 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 (496.86431884766): SELECT fid FROM jos_deeppockets WHERE id=294741005 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294741005 AND published='1' LIMIT 1

63 (50.067901611328): 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 (41.961669921875): select jos_twitters.link from jos_twitters where cat=10

65 (27.894973754883): select jos_facebook.link from jos_facebook where cat=10

66 (30.040740966797): select jos_google_plus.link from jos_google_plus where cat=10

67 (29.087066650391): select jos_linkedin.link from jos_linkedin where cat=10

68 (30.040740966797): SELECT fid FROM jos_deeppockets WHERE id=294741005 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294741005 AND published='1' LIMIT 1

69 (31.948089599609): 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 (316.14303588867): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294741005 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (218.86825561523): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294741005 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (37.908554077148): 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 (64.849853515625): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (34.809112548828): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (32.186508178711): 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 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (66.041946411133): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294741005 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (30.040740966797): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294741005 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (33.855438232422): 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 (59.127807617188): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (74.148178100586): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (43.869018554688): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (104.90417480469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741005 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741005 AND published='1' LIMIT 1

105 (70.095062255859): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741005 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741005 AND published='1' LIMIT 1

106 (59.843063354492): 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=294741005 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (65.088272094727): 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=294741005 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (86.069107055664): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741005 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741005 AND published='1' LIMIT 1

109 (47.922134399414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741005 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741005 AND published='1' LIMIT 1

110 (46.968460083008): 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=294741005 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (612.97416687012): 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=294741005 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (890.01655578613): 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 (859.02214050293): 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 (207.90100097656): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741005 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741005 AND published='1' LIMIT 1

115 (106.8115234375): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741005 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741005 AND published='1' LIMIT 1

116 (102.04315185547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741005 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741005 AND published='1' LIMIT 1

117 (80.108642578125): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741005 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741005 AND published='1' LIMIT 1

118 (72.002410888672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741005 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741005 AND published='1' LIMIT 1

119 (62.942504882812): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741005 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741005 AND published='1' LIMIT 1

120 (72.956085205078): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741005 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741005 AND published='1' LIMIT 1

121 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741005 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741005 AND published='1' LIMIT 1

122 (342.13066101074): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 21115.064620972): 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 (601.05323791504): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294741005 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294741005 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (61.988830566406): ( 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 (33.855438232422): ( 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 (42.915344238281): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

130 (28.848648071289): 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 (28.133392333984): 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 (28.133392333984): 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 (31.948089599609): 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 (27.894973754883): 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 (534.0576171875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741005 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (443.2201385498): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741005 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (42.915344238281): SELECT name FROM jos_deeppockets WHERE id=213

138 (31.948089599609): SELECT name FROM jos_deeppockets WHERE id=213

139 (730.03768920898): 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 (684.02290344238): 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 (113.01040649414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741005 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741005 AND published='1' LIMIT 1

142 (80.108642578125): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741005 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741005 AND published='1' LIMIT 1

143 (!!!!! 10133.028030396): TRUNCATE TABLE jos_trademed_module

144 (139.95170593262): 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=294741005 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (65.088272094727): 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=294741005 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (554.08477783203): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741005 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (72.002410888672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741005 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (111.10305786133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741005 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741005 AND published='1' LIMIT 1

149 (67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741005 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741005 AND published='1' LIMIT 1

150 (!!!!! 1480.1025390625): 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 (81.062316894531): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741005 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741005 AND published='1' LIMIT 1

152 (53.882598876953): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741005 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741005 AND published='1' LIMIT 1

153 (47.922134399414): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294741005 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294741005 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (36.001205444336): 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 (37.908554077148): 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 (60.081481933594): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (222.92137145996): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741005 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741005 AND published='1' LIMIT 1

158 (97.036361694336): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741005 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741005 AND published='1' LIMIT 1

159 (91.075897216797): select jos_twitters.link from jos_twitters where cat=10

160 (33.140182495117): select jos_facebook.link from jos_facebook where cat=10

161 (35.04753112793): select jos_google_plus.link from jos_google_plus where cat=10

162 (36.954879760742): select jos_linkedin.link from jos_linkedin where cat=10

Download Mobile App

Video Library

Hysterectomies Can Be Avoided for Cervical Cancer Patients Using 3D Image-Guided Brachytherapy

Latest Nuclear Medicine News

Channels

Radiography

World's Largest Class Single Crystal Diamond Radiation Detector Opens New Possibilities for Diagnostic Imaging

AI-Powered Imaging Technique Shows Promise in Evaluating Patients for PCI

Higher Chest X-Ray Usage Catches Lung Cancer Earlier and Improves Survival

AI-Powered Mammograms Predict Cardiovascular Risk

MRI

AI Tool Predicts Relapse of Pediatric Brain Cancer from Brain MRI Scans

AI Tool Tracks Effectiveness of Multiple Sclerosis Treatments Using Brain MRI Scans

Ultra-Powerful MRI Scans Enable Life-Changing Surgery in Treatment-Resistant Epileptic Patients

AI-Powered MRI Technology Improves Parkinson’s Diagnoses

Ultrasound

AI-Powered Lung Ultrasound Outperforms Human Experts in Tuberculosis Diagnosis

AI Identifies Heart Valve Disease from Common Imaging Test

Novel Imaging Method Enables Early Diagnosis and Treatment Monitoring of Type 2 Diabetes

Ultrasound-Based Microscopy Technique to Help Diagnose Small Vessel Diseases

General/Advanced Imaging

AI-Powered Imaging System Improves Lung Cancer Diagnosis

AI Model Significantly Enhances Low-Dose CT Capabilities

Ultra-Low Dose CT Aids Pneumonia Diagnosis in Immunocompromised Patients

AI Reduces CT Lung Cancer Screening Workload by Almost 80%

Imaging IT

New Google Cloud Medical Imaging Suite Makes Imaging Healthcare Data More Accessible

Global AI in Medical Diagnostics Market to Be Driven by Demand for Image Recognition in Radiology

AI-Based Mammography Triage Software Helps Dramatically Improve Interpretation Process

Artificial Intelligence (AI) Program Accurately Predicts Lung Cancer Risk from CT Images

Industry News

GE HealthCare and NVIDIA Collaboration to Reimagine Diagnostic Imaging

Patient-Specific 3D-Printed Phantoms Transform CT Imaging

Siemens and Sectra Collaborate on Enhancing Radiology Workflows

Bracco Diagnostics and ColoWatch Partner to Expand Availability CRC Screening Tests Using Virtual Colonoscopy

MedImaging

Channels

Features

Partner Sites

Archive:

Click for LinkXpress Reader Inquiry Service
Enter code to receive information:

Where I can find code?

LinkXpress

Download Mobile App

Video Library

Hysterectomies Can Be Avoided for Cervical Cancer Patients Using 3D Image-Guided Brachytherapy

Latest Nuclear Medicine News

Channels

MedImaging

Channels

Features

Partner Sites

Archive: