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Radiologists Closer to Achieving 3D View of the Breast

By MedImaging International staff writers
Posted on 21 Dec 2011

A three-dimensional (3D) digital mammography system is a novel breast screening technology that presents the images to radiologists in an in-depth, three-dimensional view. Pairs of stereo images of the breast are acquired and then viewed by combining a 3D review workstation and dedicated glasses specifically designed to present 3D breast images.

One year after clinical trials began in Japan, Fujifilm Medical Systems USA, Inc. (Stamford, CT, USA) announced at the Radiological Society of North America (RSNA) 2011 annual meeting, held November 27-December 2, 2011, in Chicago (IL, USA), that clinical trials for their 3D digital mammography technology are about to begin in the United States. The medical imaging and informatics company is currently installing 3D mammography systems at medical centers in the United States with plans to begin trials as early as December 2011.

“When it comes to the early detection of breast cancer, radiologists will benefit from powerful 3D technology to elevate their diagnostic confidence using an average glandular dose that is equivalent to 2D full-field digital mammography [FFDM], increase their workflow, and give their patients improved outcomes,” explained David Hotchkiss, director of modality solutions marketing at Fujifilm. “After thorough evaluation of needs of the patients and clinicians, we believe that, when approved by the FDA [US Food and Drug Administration], Fujifilm’s 3D digital mammography has the potential to become the standard of care. We remain committed to improving our breast screening technologies, and we are confident that this will be the screening technology of choice.”

Fujifilm’s 3D digital mammography is currently commercially available for sale and in use in Europe. Because 3D digital mammography uses the similar clinical workflow as traditional FFDM, and because it presents the stereo images in a standard mammographic view of the breast that is familiar for radiologists, it has the potential to increase throughput and diagnostic confidence. The new 3D system will be especially powerful when viewing overlapping tissue, particularly in dense breasts, and will enable radiologists to better visualize abnormalities. This assertion is supported by a previous study of 3D stereo digital mammography at Emory University (Atlanta, GA, USA) that demonstrated a 23% increase in sensitivity, and a 46% decrease in patient callbacks.

According to Satoshi Arakawa, vice president of the medical systems division at Fujifilm Europe, “European clinicians are expressing increased enthusiastic interest in the 3D system. Initial reports of ongoing studies in Germany indicate that the low-dose 3D FFDM system has yielded statistically significant reduction in recall rates. These results are very encouraging. We hope to see many more clinics and patients benefit from this new 3D technology.”

Fujifilm is building upon its proven technological foundation for breast screening with its 3D digital mammography. Images will be acquired with the AspireHD Plus FFDM system upgraded with 3D capability that will combine the use of innovative Direct Optical Switching (DOS) detector technology and Fujifilm’s 50-micron resolution to generate the exceptional image quality and detailed visualization that is particularly vital for interpreting mammography studies. This 50-micron resolution is the foundation for Fujifilm’s entire breast imaging range, including its recently FDA-cleared Aspire HD and computed radiography (CR)-based FFDM. Fujifilm is the first manufacturer to provide an FDA-approved CR-based FFDM system in the United States, the scalable Aspire ClearView.

3D digital mammography is a works-in-progress and is not yet commercially available for sale in the United States. The Aspire HD Plus is known as Amulet f in other countries. It requires FDA clearance and is not yet commercially available for sale in the United States.

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61 (91.075897216797): select cover from jos_number where journalid in (5) and cover is not null order by left(issue,2)+right(issue,2)*12 desc limit 1

62 (581.02607727051): SELECT fid FROM jos_deeppockets WHERE id=294738549 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294738549 AND published='1' LIMIT 1

63 (305.17578125): 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 (61.03515625): select jos_twitters.link from jos_twitters where cat=10

65 (41.961669921875): select jos_facebook.link from jos_facebook where cat=10

66 (39.100646972656): select jos_google_plus.link from jos_google_plus where cat=10

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

68 (36.954879760742): SELECT fid FROM jos_deeppockets WHERE id=294738549 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294738549 AND published='1' LIMIT 1

69 (38.862228393555): 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 (327.11029052734): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294738549 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (267.98248291016): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294738549 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (40.054321289062): 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 (49.829483032227): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (29.802322387695): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (46.968460083008): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294738549 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (30.994415283203): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294738549 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (35.04753112793): 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 (78.201293945312): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (43.153762817383): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (77.962875366211): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738549 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738549 AND published='1' LIMIT 1

105 (49.114227294922): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738549 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738549 AND published='1' LIMIT 1

106 (67.949295043945): 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=294738549 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (61.03515625): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294738549 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (80.82389831543): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738549 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738549 AND published='1' LIMIT 1

109 (49.829483032227): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738549 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738549 AND published='1' LIMIT 1

110 (51.975250244141): 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=294738549 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (560.99891662598): 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=294738549 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (732.8987121582): 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 (495.91064453125): 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 (128.03077697754): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738549 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738549 AND published='1' LIMIT 1

115 (55.074691772461): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738549 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738549 AND published='1' LIMIT 1

116 (51.975250244141): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738549 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738549 AND published='1' LIMIT 1

117 (38.862228393555): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738549 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738549 AND published='1' LIMIT 1

118 (58.889389038086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738549 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738549 AND published='1' LIMIT 1

119 (43.153762817383): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738549 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738549 AND published='1' LIMIT 1

120 (45.061111450195): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738549 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738549 AND published='1' LIMIT 1

121 (39.100646972656): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738549 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738549 AND published='1' LIMIT 1

122 (380.03921508789): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 21776.914596558): 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 (669.00253295898): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294738549 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294738549 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 8491.039276123): ( 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 (79.870223999023): ( 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 (36.954879760742): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

128 (30.040740966797): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

129 (51.975250244141): 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 (30.040740966797): 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 (283.95652770996): 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 (41.007995605469): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

133 (36.001205444336): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

134 (28.848648071289): 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 (702.85797119141): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738549 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (523.80561828613): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738549 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (356.91261291504): SELECT name FROM jos_deeppockets WHERE id=211

138 (60.081481933594): SELECT name FROM jos_deeppockets WHERE id=211

139 (749.11117553711): 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 (626.0871887207): 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 (108.00361633301): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738549 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738549 AND published='1' LIMIT 1

142 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738549 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738549 AND published='1' LIMIT 1

143 (!!!!! 9675.0259399414): TRUNCATE TABLE jos_trademed_module

144 (113.01040649414): 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=294738549 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (60.796737670898): 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=294738549 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (!!!!! 1120.0904846191): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738549 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (80.108642578125): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738549 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (92.983245849609): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738549 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738549 AND published='1' LIMIT 1

149 (48.160552978516): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738549 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738549 AND published='1' LIMIT 1

150 (!!!!! 1686.8114471436): 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 (112.05673217773): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738549 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738549 AND published='1' LIMIT 1

152 (85.115432739258): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738549 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738549 AND published='1' LIMIT 1

153 (81.062316894531): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294738549 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294738549 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (55.074691772461): 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 (48.160552978516): 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 (71.048736572266): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (173.09188842773): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738549 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738549 AND published='1' LIMIT 1

158 (78.916549682617): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738549 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738549 AND published='1' LIMIT 1

159 (64.13459777832): select jos_twitters.link from jos_twitters where cat=10

160 (45.061111450195): select jos_facebook.link from jos_facebook where cat=10

161 (44.822692871094): select jos_google_plus.link from jos_google_plus where cat=10

162 (46.014785766602): select jos_linkedin.link from jos_linkedin where cat=10

163 (396.0132598877): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

164 (!!!!! 1219.9878692627): insert into jos_banners_delta values (14615,'2025-08-19 23:28:33','216.73.216.0','view'),(14202,'2025-08-19 23:28:33','216.73.216.0','view'),(14203,'2025-08-19 23:28:33','216.73.216.0','view')

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