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Breast Cancer Detection in Screening Mammography Improved Over Time

By MedImaging International staff writers
Posted on 30 Jun 2010

An analysis of data from more than 2.5 million screening mammograms revealed that breast cancer-detection rates improved from 1996 to 2004. Whereas recall rates increased, the increase in cancer detection rates outweighed the increase in false-positive findings, according to researchers. This is the first study to provide long-term radiologist performance measures in a large sample of U.S. women undergoing screening mammography.

Researchers analyzing 2.5 million screening mammograms performed on nearly one million women found discrimination of cancerous from noncancerous lesions improved over a nine-year period. Results of the study were published in May 2010 the online edition of the journal Radiology. "To our knowledge, this is the first study of time trends for performance measures in a large representative sample of women undergoing screening mammography in the United States,” said lead author Laura E. Ichikawa, M.S., biostatistician at the Group Health Research Institute in Seattle, WA, USA).

The researchers examined data from six mammography registries in the Breast Cancer Surveillance Consortium. The data included 2,542,049 screening mammograms of 971,364 women (age 40 to 79) performed at healthcare facilities throughout the country between 1996 and 2004.

Each of the women included in the study had at least one prior mammogram and at least nine months in between mammography exams. Cancer registries and pathology databases were used to identify breast cancers that occurred within one year of any mammogram included in the study. "We found universal trends that breast imagers are increasing their ability to detect and intercept breast cancer before a lump is felt by a woman,” said study coauthor R. James Brenner, M.D., professor of clinical radiology at the University of California, San Francisco (UCSF; USA).

Analysis of the radiologists' performance in interpreting the mammograms over the nine-year time period showed an increase in the recall rate, or mammograms resulting in patients being called back for further evaluation, from 6.7% (10,779 of 160,329 mammograms) in 1996 to 8.6% (24,630 of 285,286) in 2004.

The sensitivity rate (ability of radiologists to identify cancer when present) increased from 71.4% in 1996 to 83.8% in 2004. The specificity rate (level to which radiologists accurately identified noncancerous lesions) decreased from 93.6% in 1996 to 91.7% in 2004.

According to Dr. Ichikawa, the increase in the cancer detection rate outweighed the increase in false-positive test results over the nine-year time period, for a positive net effect. "This is good news for women and for radiology that we have seen a net improvement in how radiologists interpret mammograms,” she said. "Radiologists are doing a better job of discriminating cancer from noncancer.”

A total of 12,498 invasive cancers and noninvasive tumors were diagnosed. An invasive cancer is a cancer that has metastasized beyond the layer of tissue where it developed and is growing into surrounding, healthy tissues. Overall, 78.7% of tumors included in the study were invasive.

The majority of mammograms included in the study were film studies. According to Dr. Ichikawa, future studies should focus on time trends of radiologists' interpretive performance when reading digital mammograms. Digital mammography, which was just beginning to be adopted in healthcare institutions towards the end of this study, is now available in approximately half of all mammography facilities in the United States.

Related Links:
Group Health Research Institute
University of California, San Francisco

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62 (648.02169799805): SELECT fid FROM jos_deeppockets WHERE id=294730042 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294730042 AND published='1' LIMIT 1

63 (396.0132598877): 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=211 ORDER BY `ordering`

64 (96.08268737793): select jos_twitters.link from jos_twitters where cat=10

65 (42.915344238281): select jos_facebook.link from jos_facebook where cat=10

66 (33.140182495117): select jos_google_plus.link from jos_google_plus where cat=10

67 (61.03515625): select jos_linkedin.link from jos_linkedin where cat=10

68 (41.007995605469): SELECT fid FROM jos_deeppockets WHERE id=294730042 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294730042 AND published='1' LIMIT 1

69 (59.127807617188): 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=211 ORDER BY `ordering`

70 (287.05596923828): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294730042 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (231.02760314941): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294730042 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (!!!!! 1016.1399841309): 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 (85.830688476562): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (44.107437133789): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (74.148178100586): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (43.153762817383): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (44.107437133789): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (83.92333984375): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294730042 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (50.067901611328): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294730042 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (46.014785766602): 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 (102.99682617188): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (47.922134399414): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (43.153762817383): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (47.922134399414): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (92.029571533203): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (44.822692871094): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (43.869018554688): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (86.069107055664): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730042 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730042 AND published='1' LIMIT 1

105 (47.922134399414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730042 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730042 AND published='1' LIMIT 1

106 (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=294730042 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (50.067901611328): 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=294730042 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (94.175338745117): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730042 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730042 AND published='1' LIMIT 1

109 (55.074691772461): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730042 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730042 AND published='1' LIMIT 1

110 (80.108642578125): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets 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=294730042 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (597.00012207031): 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=294730042 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (560.99891662598): 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 (387.19177246094): 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 (88.930130004883): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730042 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730042 AND published='1' LIMIT 1

115 (68.187713623047): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730042 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730042 AND published='1' LIMIT 1

116 (79.870223999023): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730042 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730042 AND published='1' LIMIT 1

117 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730042 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730042 AND published='1' LIMIT 1

118 (81.062316894531): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730042 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730042 AND published='1' LIMIT 1

119 (108.00361633301): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730042 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730042 AND published='1' LIMIT 1

120 (92.983245849609): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730042 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730042 AND published='1' LIMIT 1

121 (59.843063354492): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730042 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730042 AND published='1' LIMIT 1

122 (283.95652770996): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 22561.073303223): 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 (708.10317993164): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294730042 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294730042 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 7789.8502349854): ( 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 (92.983245849609): ( 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 (321.1498260498): 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 (56.028366088867): 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 (219.82192993164): 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 (46.014785766602): 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 (188.82751464844): 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 (38.14697265625): 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 (189.06593322754): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

134 (36.954879760742): 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 (488.9965057373): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730042 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (378.13186645508): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730042 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (213.1462097168): SELECT name FROM jos_deeppockets WHERE id=211

138 (43.153762817383): SELECT name FROM jos_deeppockets WHERE id=211

139 (718.11676025391): 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 '((;)|(^))211((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

140 (713.10997009277): 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 '((;)|(^))211((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

141 (458.0020904541): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730042 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730042 AND published='1' LIMIT 1

142 (251.05476379395): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730042 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730042 AND published='1' LIMIT 1

143 (!!!!! 5610.9428405762): TRUNCATE TABLE jos_trademed_module

144 (787.97340393066): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets 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=294730042 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (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_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=294730042 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (411.9873046875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730042 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730042 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (51.975250244141): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730042 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730042 AND published='1' LIMIT 1

149 (663.99574279785): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730042 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730042 AND published='1' LIMIT 1

150 (!!!!! 1039.0281677246): 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 (54.836273193359): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730042 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730042 AND published='1' LIMIT 1

152 (40.054321289062): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730042 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730042 AND published='1' LIMIT 1

153 (32.901763916016): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294730042 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294730042 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (28.848648071289): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=211 or channel_id is null)

155 (27.179718017578): 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=211 or channel_id is null)

156 (27.894973754883): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (57.93571472168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730042 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730042 AND published='1' LIMIT 1

158 (41.007995605469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730042 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730042 AND published='1' LIMIT 1

159 (101.08947753906): select jos_twitters.link from jos_twitters where cat=10

160 (26.941299438477): select jos_facebook.link from jos_facebook where cat=10

161 (27.894973754883): select jos_google_plus.link from jos_google_plus where cat=10

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

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