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Contrast-Enhanced Spectral Mammography Offers Dual-Energy Image Acquisition

By MedImaging International staff writers
Posted on 01 Nov 2011

Image: A screenshot of the SenoBright Contrast Enhanced Spectral Mammography (CESM) technique (Photo courtesy of GE Healthcare).

Contrast-enhanced spectral mammography (CESM) is a new technology that is designed to generate contrast-enhanced images of the breast using an approved X-ray contrast agent and a dual-energy acquisition technique.

GE Healthcare (Chalfont St. Giles, UK), a unit of General Electric Company (Fairfield, CT, USA), announced US Food and Drug Administration (FDA) 510(k) clearance of the innovative technology to aid the physician in breast cancer diagnosis. GE estimates that by 2020, more than one million women worldwide will be examined using SenoBright CESM, and this technology can help lead to more productive diagnosis paths for nearly 250,000 women.

Launched in 2010, SenoBright is already in use at 17 major mammography centers in France, Spain, Italy, Belgium, Germany, Austria, and Japan. SenoBright uses X-rays at multiple energies to create two separate but almost simultaneous exposures. The resulting images specifically illuminate and highlight areas of iodinated contrast. “CESM presents two images per mammographic view, one that looks like standard mammography and a second image that showed the contrast enhanced areas that can help localize a lesion. As the images are familiar, it can therefore be easily reviewed by surgeons and oncologists. Moreover in terms of workflow, a CESM exam takes from 5 to 10 minutes,” said Dr. Clarisse Dromain, Gustave Roussy Cancer Institute (Villejuif, France).

“Worldwide, more than 1.2 million people annually are diagnosed with breast cancer. Since 1965, GE Healthcare has made significant progress in providing solutions for breast cancer detection and diagnosis that really bring a change to people’s lives. Today through ‘healthymagination,’ we continuously develop innovations to reduce costs, increase access and improve quality and efficiency of healthcare delivery around the globe,” said Anne LeGrand, GE Healthcare’s vice president and general manager of the company’s global X-ray business.

Digital mammography is considered an important means of breast cancer screening, delivering proven clinical outcomes. The sensitivity and specificity of images can, however, be affected by a range of factors. Dense breast tissue can overlap with lesions, which are not always visible on an X-ray, and radiologists’ interpretation of images can vary. Inconclusive digital mammography presents a range of challenges to healthcare professionals and patients. Ambiguity can result in diagnostic error.

SenoBright is intended to allow for a procedure to be conducted by the same staff, using the same mammography equipment, potentially on the same day as a traditional screening exam, thereby helping medical professionals to cut the critical time patients often have to wait from detection to diagnosis. GE Healthcare estimates that 2500 digital mammography systems upgradeable to SenoBright are in clinical use today. “Given our proven history of breast imaging innovations, GE is proud to showcase another innovative technology, designed to be compatible with our digital installed base. We are one of the only companies today to engineer and manufacture the entire mammography imaging chain from tube, and detector to review workstation, coupled with integration of the comprehensive local requirements for each customer,” added Ms. LeGrand.

CESM technology is intended to work as an upgrade to GE Healthcare’s Senographe DS and Senographe Essential digital mammography equipment. GE’s Senographe platforms are full-field digital mammography systems designed to meet a wide range of clinical needs, from screening to diagnostic and interventional procedures.

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61 (!!!!! 3696.9184875488): 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 (827.07405090332): SELECT fid FROM jos_deeppockets WHERE id=294737841 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294737841 AND published='1' LIMIT 1

63 (577.21138000488): 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 (97.990036010742): select jos_twitters.link from jos_twitters where cat=10

65 (48.160552978516): select jos_facebook.link from jos_facebook where cat=10

66 (46.968460083008): select jos_google_plus.link from jos_google_plus where cat=10

67 (41.961669921875): select jos_linkedin.link from jos_linkedin where cat=10

68 (884.05609130859): SELECT fid FROM jos_deeppockets WHERE id=294737841 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294737841 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 (!!!!! 1421.9284057617): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294737841 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (402.92739868164): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294737841 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (212.9077911377): 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 (204.08630371094): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (225.06713867188): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (154.97207641602): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (169.03877258301): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (64.13459777832): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (48.160552978516): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (47.922134399414): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (43.869018554688): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (39.815902709961): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (94.175338745117): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294737841 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (40.054321289062): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294737841 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (61.988830566406): 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 (663.99574279785): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (79.870223999023): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (328.06396484375): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (51.021575927734): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (63.180923461914): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (47.206878662109): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (44.107437133789): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (51.021575927734): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (44.107437133789): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (221.96769714355): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (553.84635925293): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (51.021575927734): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (!!!!! 1004.9343109131): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737841 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737841 AND published='1' LIMIT 1

105 (91.075897216797): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737841 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737841 AND published='1' LIMIT 1

106 (363.82675170898): 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=294737841 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (724.07722473145): 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=294737841 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (!!!!! 1087.9039764404): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737841 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737841 AND published='1' LIMIT 1

109 (893.83125305176): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737841 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737841 AND published='1' LIMIT 1

110 (109.91096496582): 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=294737841 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (802.99377441406): 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=294737841 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (833.03451538086): 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 (736.95182800293): 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 (352.85949707031): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737841 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737841 AND published='1' LIMIT 1

115 (82.969665527344): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737841 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737841 AND published='1' LIMIT 1

116 (111.81831359863): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737841 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737841 AND published='1' LIMIT 1

117 (68.187713623047): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737841 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737841 AND published='1' LIMIT 1

118 (89.883804321289): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737841 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737841 AND published='1' LIMIT 1

119 (67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737841 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737841 AND published='1' LIMIT 1

120 (105.85784912109): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737841 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737841 AND published='1' LIMIT 1

121 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737841 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737841 AND published='1' LIMIT 1

122 (552.89268493652): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 75134.992599487): 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 (760.07843017578): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294737841 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294737841 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 29595.851898193): ( 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 (136.8522644043): ( 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 (520.94459533691): 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 (110.14938354492): 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 (437.02125549316): 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 (66.995620727539): 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 (355.95893859863): 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 (66.041946411133): 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 (375.03242492676): 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 (93.221664428711): 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 (!!!!! 1048.0880737305): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737841 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (838.04130554199): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737841 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (!!!!! 1092.9107666016): SELECT name FROM jos_deeppockets WHERE id=211

138 (72.956085205078): SELECT name FROM jos_deeppockets WHERE id=211

139 (961.0652923584): 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 (!!!!! 1346.8265533447): 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 (429.86869812012): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737841 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737841 AND published='1' LIMIT 1

142 (360.01205444336): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737841 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737841 AND published='1' LIMIT 1

143 (!!!!! 24142.980575562): TRUNCATE TABLE jos_trademed_module

144 (!!!!! 2559.9002838135): 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=294737841 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (136.13700866699): 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=294737841 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (720.97778320312): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737841 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (112.77198791504): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737841 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (!!!!! 2547.025680542): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737841 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737841 AND published='1' LIMIT 1

149 (393.15223693848): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737841 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737841 AND published='1' LIMIT 1

150 (!!!!! 8238.0771636963): 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 (522.13668823242): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737841 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737841 AND published='1' LIMIT 1

152 (418.90144348145): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737841 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737841 AND published='1' LIMIT 1

153 (124.93133544922): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294737841 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294737841 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (61.988830566406): 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 (50.067901611328): 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 (77.009201049805): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (!!!!! 1089.0960693359): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737841 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737841 AND published='1' LIMIT 1

158 (113.01040649414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737841 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737841 AND published='1' LIMIT 1

159 (448.94218444824): select jos_twitters.link from jos_twitters where cat=10

160 (138.99803161621): select jos_facebook.link from jos_facebook where cat=10

161 (123.97766113281): select jos_google_plus.link from jos_google_plus where cat=10

162 (141.85905456543): select jos_linkedin.link from jos_linkedin where cat=10

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