Download Mobile App

Video Library

CT Angiography Screening in Asymptomatic Patients Without Apparent Benefit

By MedImaging International staff writers
Posted on 08 Jun 2011

Coronary computed tomographic (CT) angiography, which can identify plaque accumulation in heart vessels, is at times used as a screening tool to assess the risk for a heart attack. However, the usefulness of the imaging modality on low-risk patients who do not have coronary symptoms, such as chest pain, has been unclear.

In the first large population study to assess the impact of the test on physicians and patients, Johns Hopkins University (JHU; Baltimore, MD, USA) cardiologists discovered that having CT angiography leads to more prescriptions for cholesterol-lowering medications and aspirin, as well as more stress tests, nuclear medicine scans, and invasive catheterizations. However, the incidence of heart attacks or cardiac death among the study participants was the same, whether or not patients had a CT angiography test.

"There was no difference in cardiac events at 90 days or at 18 months between the group that had positive findings on the CT angiogram screening compared to the group that did not have the test," said John W. McEvoy, MB., BCh, BAO, a Johns Hopkins heart specialist and lead author of the study. "Our findings suggest that low-risk patients without symptoms don't benefit in the short term from knowing whether or not plaque has been detected using CT angiography. However, their physicians may be inclined to be more aggressive with prescriptions or follow up tests."

For the study, published online in the journal Archives of Internal Medicine on May 23, 2011, researchers compared two similar groups of 1,000 asymptomatic patients who were taking part in a health-screening program in South Korea. Patients in one of the groups had coronary CT angiography while a matched control group of 1,000 patients did not have the test. The baseline heart disease risk factors were the same in both groups and none of the patients had chest pain or other symptoms. The mean age of the participants was 50, and 63% were men. All were given the standard of care and were advised on ways to lower their risk.

Of the 1,000 patients who had CT angiography, 215 had a positive result, meaning that waxy plaque deposits were seen in their vessels. As a result, they were much more likely to have more aggressive care, according to the study findings. After 18 months, the patients with plaque detected on the test were 10 times more likely to have been sent for an exercise stress test, a nuclear medicine scan, or a cardiac catheterization, compared with those patients who didn't have the test. Moreover, they were three times more likely to be taking a statin medication and four times more likely to be on aspirin therapy.

After 18 months, one person in the CT angiography group developed unstable angina, while one person in the control group had a fatal heart attack. "Our data are consistent with current guidelines by the American Heart Association that screening CT angiography should not play a role for low-risk patients who do not have symptoms," said Roger Blumenthal, MD, a coauthor of the study who is a professor of medicine and director of the Johns Hopkins Ciccarone Center for the Prevention of Heart Disease. "Before we advocate for a particular screening test, we need to demonstrate its potential benefit and define the patient populations for whom the test would be useful." Dr. Blumenthal reported that a CT angiography test could cost between US$600 and $1,000.

Johns Hopkins heart specialist Michael Blaha, MD, MPH, a coauthor on the study, stresses that the findings of the study only apply to individuals believed to be at low risk of cardiovascular events, such as a heart attack, in the next 10 years. "There does seem to be a role for CT angiography in patients who have chest pain, particularly in the emergency room setting. There, CT angiography offers the opportunity to exclude atherosclerosis as the cause of the symptoms, which can be very helpful in the triage of patients," Dr. Blaha stated.

The senior author of the study, Hyuk-Jae Chang, MD, PhD, is a cardiologist at the Yonsei University Health System (Seoul, South Korea), whose large data set was used in the study. He had asked Dr. Blumenthal to collaborate on the research. "This was a unique opportunity to analyze the data and look at the downstream impact of the test on physicians and patients," remarked Dr. Blumenthal.

CT angiography is different from calcium scoring, which has been established as a useful way to assess risk among people with an intermediate risk of a heart attack within 10 years. CT angiography is a more accurate test than calcium scoring, showing not just calcified areas of plaque in heart arteries but also the fatty deposits that form earlier and have not hardened yet. However, CT angiography requires an injection of contrast material, delivers more radiation than calcium scoring, and is more expensive.

In a commentary accompanying the article, Michael S. Lauer, MD, from the US National Heart, Lung and Blood Institute (Bethesda, MD, USA), stated that the study serves as a powerful reminder that testing without evidence of a benefit "can lead to exposure to further medical tests and treatments, each of which carries its own risk. We cannot simply assume that just because a screening test predicts clinical outcomes, interventions necessarily will prevent them," Dr. Lauer added in his commentary.

Related Links:
Hopkins University
Yonsei University Health System

Visit expo >

Gold Member

Ultrasound System

FUTUS LE

Gold Member

Electrode Solution and Skin Prep

Signaspray

Mobile Imaging Table

medifa 8000 hybrid

Pencil Beam System

inus D DXA

Latest Radiography News

Channels

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

Nuclear Medicine

view channel

Image: In vivo imaging of U-87 MG xenograft model with varying mass doses of 89Zr-labeled KLG-3 or isotype control (Photo courtesy of L Gajecki et al.; doi.org/10.2967/jnumed.124.268762)

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 (65.088272094727): SET sql_mode = 'MYSQL40'

2 (67.949295043945): SELECT folder, element, published, params FROM jos_mambots WHERE published >= 1 AND access <= 0 AND folder = 'system' ORDER BY ordering

3 (329.01763916016): SELECT template FROM jos_templates_menu WHERE client_id = 0 AND ( menuid = 0 OR menuid = 294735479 ) ORDER BY menuid DESC LIMIT 1

4 (272.03559875488): DELETE FROM jos_session WHERE time < 1755658894 AND guest = 1 AND userid = 0

5 (49.829483032227): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

6 (204.08630371094): SELECT * FROM jos_session WHERE session_id = 'f8f56cac92a91d87cf2cc1a80fb82c57'

7 (223.87504577637): UPDATE jos_session SET `time`='1755659794',`userid`='0',`usertype`='\'\'',`username`='',`gid`='0',`guest`='1' WHERE session_id='f8f56cac92a91d87cf2cc1a80fb82c57'

8 (278.94973754883): SELECT * FROM jos_menu WHERE id = 294735479

9 (505.92422485352): 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=294735479 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

10 (567.91305541992): 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=294735479 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

11 (91.075897216797): 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=294735479 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

12 (!!!!! 1012.0868682861): SELECT * FROM jos_deeppockets WHERE 1=1 AND cat=10 AND type='deeppockets_item' AND published='1' AND (id<>294735479) AND (fid=211) ORDER BY id DESC, `created` DESC LIMIT 0,16

13 (171.89979553223): SELECT * FROM jos_deeppockets WHERE 1=1 AND cat=10 AND type='deeppockets_item' AND published='1' AND (id<>294735479) AND (fid=211) ORDER BY id DESC, `created` DESC LIMIT 0,16

14 (!!!!! 3885.03074646): 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=211 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=294735479 OR jos_number.channelID=0) ORDER BY RAND() DESC LIMIT 3

15 (!!!!! 3999.9485015869): 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=211 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=294735479 OR jos_number.channelID=0) ORDER BY RAND() DESC LIMIT 3

16 (!!!!! 1843.9292907715): 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=294735479 OR jos_number.channelID=0) ORDER BY RAND() DESC LIMIT 3

17 (!!!!! 1750.9460449219): 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=294735479 OR jos_number.channelID=0) ORDER BY RAND() DESC LIMIT 3

18 (92.983245849609): SELECT name,id,title FROM jos_deeppockets WHERE id=211 LIMIT 1

19 (89.168548583984): SELECT name,id,title FROM jos_deeppockets WHERE id=211 LIMIT 1

20 (480.17501831055): 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=294735479 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

21 (475.88348388672): 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=294735479 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

22 (94.890594482422): 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=294735479 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

23 (76.055526733398): 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=294735479 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

24 (571.01249694824): 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=294735479 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

25 (452.04162597656): 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=294735479 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

26 (95.129013061523): 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=294735479 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

27 (75.101852416992): 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=294735479 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

28 (81.062316894531): 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=294735479 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

29 (77.962875366211): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_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=294735479 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

30 (104.90417480469): 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 (286.81755065918): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294735479 LIMIT 1

32 (56.028366088867): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294735479 LIMIT 1

33 (221.96769714355): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294735479 LIMIT 1

34 (51.021575927734): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294735479 LIMIT 1

35 (77.962875366211): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294735479 LIMIT 1

36 (46.014785766602): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294735479 LIMIT 1

37 (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 = 294735479 LIMIT 1

38 (39.100646972656): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294735479 LIMIT 1

39 (!!!!! 1194.953918457): 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 = 294735479 ) ORDER BY ordering

40 (!!!!! 1410.961151123): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735479 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735479 AND published='1' LIMIT 1

41 (88.930130004883): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735479 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735479 AND published='1' LIMIT 1

42 (!!!!! 5179.1667938232): SELECT * FROM jos_bannersmanager_banner WHERE `groupid` = 98 AND `site_id` = 10 AND `published` = 1

43 (!!!!! 5439.9967193604): SELECT * FROM jos_bannersmanager_banner WHERE `groupid` = 99 AND `site_id` = 10 AND `published` = 1

44 (627.99453735352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735479 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735479 AND published='1' LIMIT 1

45 (213.1462097168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735479 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735479 AND published='1' LIMIT 1

46 (102.99682617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735479 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735479 AND published='1' LIMIT 1

47 (51.021575927734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735479 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735479 AND published='1' LIMIT 1

48 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735479 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735479 AND published='1' LIMIT 1

49 (44.107437133789): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735479 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735479 AND published='1' LIMIT 1

50 (121.8318939209): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735479 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735479 AND published='1' LIMIT 1

51 (51.021575927734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735479 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735479 AND published='1' LIMIT 1

52 (472.06878662109): SELECT name FROM jos_deeppockets WHERE id=294735479 LIMIT 1

53 (360.96572875977): SELECT name FROM jos_deeppockets_archive WHERE id=294735479 LIMIT 1

54 (75.101852416992): 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 (82.969665527344): 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=294735479 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

56 (626.0871887207): 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=294735479 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

57 (!!!!! 1747.8466033936): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735479 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735479 AND published='1' LIMIT 1

58 (91.075897216797): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735479 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735479 AND published='1' LIMIT 1

59 (!!!!! 1910.2096557617): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735479 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735479 AND published='1' LIMIT 1

60 (151.8726348877): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735479 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735479 AND published='1' LIMIT 1

61 (!!!!! 4289.8654937744): 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 (687.1223449707): SELECT fid FROM jos_deeppockets WHERE id=294735479 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294735479 AND published='1' LIMIT 1

63 (981.09245300293): 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 (105.14259338379): select jos_twitters.link from jos_twitters where cat=10

65 (41.007995605469): select jos_facebook.link from jos_facebook where cat=10

66 (48.160552978516): select jos_google_plus.link from jos_google_plus where cat=10

67 (40.054321289062): select jos_linkedin.link from jos_linkedin where cat=10

68 (59.843063354492): SELECT fid FROM jos_deeppockets WHERE id=294735479 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294735479 AND published='1' LIMIT 1

69 (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=211 ORDER BY `ordering`

70 (411.9873046875): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294735479 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (380.03921508789): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294735479 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (59.127807617188): 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 (66.041946411133): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (43.153762817383): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (37.193298339844): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (34.809112548828): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (!!!!! 3316.1640167236): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294735479 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (122.0703125): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294735479 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (63.180923461914): 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 (80.108642578125): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (42.915344238281): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (62.942504882812): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (37.193298339844): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (108.00361633301): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735479 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735479 AND published='1' LIMIT 1

105 (67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735479 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735479 AND published='1' LIMIT 1

106 (!!!!! 3209.8293304443): 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=294735479 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (853.7769317627): 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=294735479 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (167.1314239502): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735479 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735479 AND published='1' LIMIT 1

109 (82.969665527344): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735479 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735479 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=294735479 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (805.85479736328): 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=294735479 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (776.76773071289): 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 (!!!!! 3250.1220703125): 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 (118.97087097168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735479 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735479 AND published='1' LIMIT 1

115 (60.796737670898): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735479 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735479 AND published='1' LIMIT 1

116 (81.062316894531): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735479 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735479 AND published='1' LIMIT 1

117 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735479 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735479 AND published='1' LIMIT 1

118 (71.048736572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735479 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735479 AND published='1' LIMIT 1

119 (50.067901611328): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735479 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735479 AND published='1' LIMIT 1

120 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735479 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735479 AND published='1' LIMIT 1

121 (53.882598876953): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735479 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735479 AND published='1' LIMIT 1

122 (431.77604675293): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 55833.101272583): 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 (!!!!! 3376.9607543945): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294735479 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294735479 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 16927.003860474): ( 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 (308.99047851562): ( 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 (85.115432739258): 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 (89.168548583984): 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 (84.877014160156): 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 (149.96528625488): 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 (!!!!! 1049.0417480469): 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 (113.96408081055): 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 (146.86584472656): 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 (635.14709472656): 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 (539.06440734863): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735479 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (604.86793518066): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735479 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (221.01402282715): SELECT name FROM jos_deeppockets WHERE id=211

138 (31.948089599609): SELECT name FROM jos_deeppockets WHERE id=211

139 (520.94459533691): 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 (614.16625976562): 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 (411.03363037109): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735479 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735479 AND published='1' LIMIT 1

142 (324.01084899902): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735479 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735479 AND published='1' LIMIT 1

143 (!!!!! 19349.098205566): TRUNCATE TABLE jos_trademed_module

144 (130.17654418945): 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=294735479 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (72.956085205078): 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=294735479 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (496.14906311035): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735479 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (226.97448730469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735479 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (144.95849609375): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735479 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735479 AND published='1' LIMIT 1

149 (75.101852416992): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735479 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735479 AND published='1' LIMIT 1

150 (!!!!! 1330.8525085449): 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=294735479 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735479 AND published='1' LIMIT 1

152 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735479 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735479 AND published='1' LIMIT 1

153 (59.843063354492): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294735479 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294735479 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (30.040740966797): 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 (27.894973754883): 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 (31.232833862305): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (203.84788513184): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735479 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735479 AND published='1' LIMIT 1

158 (59.127807617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735479 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735479 AND published='1' LIMIT 1

159 (!!!!! 2694.1299438477): select jos_twitters.link from jos_twitters where cat=10

160 (71.048736572266): select jos_facebook.link from jos_facebook where cat=10

161 (36.001205444336): 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

163 (339.98489379883): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

164 (959.87319946289): insert into jos_banners_delta values (14615,'2025-08-20 03:16:35','216.73.216.0','view'),(14202,'2025-08-20 03:16:35','216.73.216.0','view'),(14203,'2025-08-20 03:16:35','216.73.216.0','view')

Download Mobile App

Video Library

CT Angiography Screening in Asymptomatic Patients Without Apparent Benefit

Latest Radiography News

Channels

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

Nuclear Medicine

Novel Radiolabeled Antibody Improves Diagnosis and Treatment of Solid Tumors

Novel PET Imaging Approach Offers Never-Before-Seen View of Neuroinflammation

Novel Radiotracer Identifies Biomarker for Triple-Negative Breast Cancer

Innovative PET Imaging Technique to Help Diagnose Neurodegeneration

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

CT Angiography Screening in Asymptomatic Patients Without Apparent Benefit

Latest Radiography News

Channels

MedImaging

Channels

Features

Partner Sites

Archive: