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Knowledge-Based Contouring Tool Speeds Radiotherapy Treatment Planning

By MedImaging International staff writers
Posted on 17 Jan 2012

A knowledge-based contouring tool works with treatment planning software to automate and accelerate key steps in the radiotherapy treatment planning process.

Varian Medical Systems (Palo Alto, CA, USA) has received US Food and Drug Administration (FDA) 510(k) clearance for a new radiotherapy treatment planning tool designed to work with the company’s Eclipse treatment planning software to reduce the amount of time needed for planning advanced treatments.

“In order to create a customized treatment plan, a clinician must take the patient’s anatomical images and identify and outline the tumor and nearby organs in a process called contouring. More...

This is critical when specifying what is to be irradiated or protected during radiotherapy treatments,” said Jefferson Amacker, director, clinical solutions. “Traditionally, contouring has been a time-consuming process.”

Varian has combined two techniques in Smart Segmentation Knowledge-based Contouring, making it possible for clinicians to accomplish the contouring process more rapidly: Smart Segmentation, which analyzes anatomic images, drawing on data about human anatomy to identify and outline organs and other structures, and Knowledge-based Contouring, which allows the clinician to start the planning process by drawing on a library of expertly precontoured images that have important anatomic structures already outlined. The clinician then follows a special process for matching these precontoured images with those of the patient to create the desired contours.

“It’s similar to building a house from scratch or remodeling. Remodeling is generally faster because you have something to work from,” said Mr. Amacker. “Both of these tools give clinicians a head start, so that the contouring task can be more easily and quickly completed.”

Smart Segmentation KBC can be used in conjunction with Varian’s Eclipse treatment planning system to create treatment plans for external beam or for brachytherapy treatments. Varian’s proprietary and patented Knowledge-based Contouring tool contains an anatomy atlas that covers all of the areas of the body most commonly treated with radiotherapy when cancer has been detected, including the breast, prostate, gynecologic, lung, brain, head and neck, and many other areas of the body. Eclipse has been adopted for radiotherapy treatment planning at over 3,000 radiation oncology clinics worldwide.

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63 (498.05641174316): SELECT fid FROM jos_deeppockets WHERE id=294738892 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294738892 AND published='1' LIMIT 1

64 (76.055526733398): 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`

65 (70.095062255859): select jos_twitters.link from jos_twitters where cat=10

66 (42.915344238281): select jos_facebook.link from jos_facebook where cat=10

67 (42.915344238281): select jos_google_plus.link from jos_google_plus where cat=10

68 (39.815902709961): select jos_linkedin.link from jos_linkedin where cat=10

69 (67.949295043945): SELECT fid FROM jos_deeppockets WHERE id=294738892 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294738892 AND published='1' LIMIT 1

70 (48.160552978516): 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`

71 (406.02684020996): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294738892 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (303.03001403809): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294738892 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

73 (64.849853515625): 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`

74 (94.175338745117): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (44.107437133789): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (43.153762817383): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (50.067901611328): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (42.915344238281): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (43.869018554688): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (49.829483032227): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (77.962875366211): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294738892 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (35.04753112793): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294738892 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

90 (51.021575927734): 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`

91 (99.18212890625): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (49.829483032227): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (39.815902709961): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (42.915344238281): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (37.193298339844): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (44.107437133789): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (51.021575927734): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (136.13700866699): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738892 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738892 AND published='1' LIMIT 1

106 (68.902969360352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738892 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738892 AND published='1' LIMIT 1

107 (89.883804321289): 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=294738892 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (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.cat=10 AND dp.id=294738892 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

109 (146.15058898926): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738892 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738892 AND published='1' LIMIT 1

110 (74.863433837891): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738892 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738892 AND published='1' LIMIT 1

111 (78.916549682617): 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=294738892 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (642.06123352051): 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=294738892 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (836.13395690918): 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 (549.0779876709): 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

115 (118.97087097168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738892 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738892 AND published='1' LIMIT 1

116 (83.208084106445): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738892 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738892 AND published='1' LIMIT 1

117 (100.13580322266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738892 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738892 AND published='1' LIMIT 1

118 (63.896179199219): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738892 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738892 AND published='1' LIMIT 1

119 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738892 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738892 AND published='1' LIMIT 1

120 (57.220458984375): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738892 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738892 AND published='1' LIMIT 1

121 (73.19450378418): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738892 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738892 AND published='1' LIMIT 1

122 (60.081481933594): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738892 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738892 AND published='1' LIMIT 1

123 (344.99168395996): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

124 (!!!!! 56399.822235107): 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

125 (663.99574279785): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294738892 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294738892 AND type='deeppockets_item' AND published='1' LIMIT 1

126 (!!!!! 12969.017028809): ( 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 (!!!!! 5686.9983673096): ( 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

128 (522.13668823242): 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 (62.942504882812): 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

130 (519.0372467041): 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 (239.84909057617): 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

132 (272.03559875488): 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 (38.862228393555): 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

134 (576.97296142578): 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 (89.883804321289): 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

136 (!!!!! 4448.1754302979): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738892 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (494.95697021484): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738892 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

138 (74.148178100586): SELECT name FROM jos_deeppockets WHERE id=211

139 (35.04753112793): SELECT name FROM jos_deeppockets WHERE id=211

140 (924.11041259766): 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 (756.97898864746): 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

142 (110.86463928223): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738892 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738892 AND published='1' LIMIT 1

143 (70.095062255859): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738892 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738892 AND published='1' LIMIT 1

144 (!!!!! 25627.136230469): TRUNCATE TABLE jos_trademed_module

145 (638.00811767578): 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=294738892 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (!!!!! 2223.9685058594): 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=294738892 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

147 (610.1131439209): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738892 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (106.0962677002): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738892 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

149 (85.115432739258): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738892 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738892 AND published='1' LIMIT 1

150 (62.942504882812): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738892 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738892 AND published='1' LIMIT 1

151 (!!!!! 1734.9720001221): 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

152 (106.0962677002): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738892 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738892 AND published='1' LIMIT 1

153 (62.942504882812): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738892 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738892 AND published='1' LIMIT 1

154 (55.074691772461): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294738892 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294738892 AND type='deeppockets_item' AND published='1' LIMIT 1

155 (41.961669921875): 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 (36.954879760742): 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)

157 (56.028366088867): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

158 (91.791152954102): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738892 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738892 AND published='1' LIMIT 1

159 (58.889389038086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738892 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738892 AND published='1' LIMIT 1

160 (!!!!! 3237.0090484619): select jos_twitters.link from jos_twitters where cat=10

161 (119.92454528809): select jos_facebook.link from jos_facebook where cat=10

162 (55.789947509766): select jos_google_plus.link from jos_google_plus where cat=10

163 (54.836273193359): select jos_linkedin.link from jos_linkedin where cat=10

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