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Coronary CT Angiography Noninvasively Detects Coronary Artery Disease

By MedImaging International staff writers
Posted on 06 Sep 2012

Among patients with suspected or known coronary artery disease, use of a screening test that utilizes computational fluid dynamics to draw on specific data from computed tomographic (CT) angiography imaging demonstrated improved diagnostic accuracy vs. CT angiography alone for the diagnosis of ischemia.

The results from the new study were published online August 26, 2012, in the Journal of the American Medical Association (JAMA). The study was released early to coincide with its presentation at the European Society of Cardiology Congress, held in Munich (Germany), August 25-29, 2012.

“Coronary computed tomographic angiography is a noninvasive anatomic test for diagnosis of coronary stenosis [narrowing of a blood vessel] that does not determine whether a stenosis causes ischemia [inadequate blood supply]. In contrast, fractional flow reserve [FFR] is a physiologic measure of coronary stenosis expressing the amount of coronary flow still attainable despite the presence of a stenosis, but it requires an invasive procedure. Noninvasive FFR computed from CT [FFRCT] is a novel method for determining the physiologic significance of coronary artery disease [CAD], but its ability to identify ischemia has not been adequately examined to date,” according to the article.

James K. Min, MD, from the Cedars-Sinai Heart Institute (Los Angeles, CA, USA) and colleagues conducted a study to assess the performance of noninvasive FFRCT compared with an invasive FFR reference standard for diagnosis of ischemia. The study included 252 patients with suspected or known CAD from 17 centers in five countries who underwent CT, invasive coronary angiography (ICA), FFR, and FFRCT between October 2010 and October 2011. Approximately 77% of patients had experienced angina within the last month. Ischemia was defined by certain criteria. Anatomically obstructive CAD was defined by a stenosis of 50% or larger on CT and ICA. Among 615 study vessels, 271 had less than 30% stenosis and 101 had at least 90% stenosis.

Among study participants, 137 (54.4%) had an abnormal FFR as determined by ICA. The researchers found that the diagnostic accuracy for FFRCT plus CT was 73%, which did not meet a prespecified primary end point for accuracy (as prespecified based on the lower limit of a calculated 95% confidence interval). By comparison, diagnostic accuracy of CT alone for detecting coronary lesions with stenosis of 50% or greater, was 64%. When comparing FFRCT alone with CT alone for identifying these lesions, FFRCT demonstrated better discrimination.

“On a per-patient basis, diagnostic accuracy, sensitivity, specificity, positive predictive value and negative predictive value of FFRCT plus CT were 73%, 90%, 54%, 67%, and 84%, respectively,” the authors wrote. They noted that the sensitivity and negative predictive value of FFRCT were high, indicating a low rate of false-negative studies. “These diagnostic features of FFRCT may encourage a greater sense of diagnostic certainty that patients who undergo CT who have ischemia are not overlooked, such that clinicians may be confident in not proceeding to invasive angiography in patients with stenoses on CT when FFRCT results are normal.”

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64 (617.98095703125): SELECT fid FROM jos_deeppockets WHERE id=294742429 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294742429 AND published='1' LIMIT 1

65 (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`

66 (77.962875366211): select jos_twitters.link from jos_twitters where cat=10

67 (50.067901611328): select jos_facebook.link from jos_facebook where cat=10

68 (40.054321289062): select jos_google_plus.link from jos_google_plus where cat=10

69 (32.901763916016): select jos_linkedin.link from jos_linkedin where cat=10

70 (91.075897216797): SELECT fid FROM jos_deeppockets WHERE id=294742429 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294742429 AND published='1' LIMIT 1

71 (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`

72 (427.9613494873): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294742429 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

73 (355.00526428223): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294742429 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

74 (58.889389038086): 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`

75 (76.055526733398): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (51.021575927734): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (69.141387939453): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294742429 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

90 (45.061111450195): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294742429 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

91 (48.87580871582): 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`

92 (72.002410888672): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (37.193298339844): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (39.815902709961): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (43.153762817383): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (147.81951904297): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742429 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742429 AND published='1' LIMIT 1

107 (77.962875366211): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742429 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742429 AND published='1' LIMIT 1

108 (91.075897216797): 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=294742429 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

109 (61.988830566406): 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=294742429 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

110 (158.07151794434): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742429 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742429 AND published='1' LIMIT 1

111 (105.14259338379): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742429 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742429 AND published='1' LIMIT 1

112 (69.141387939453): 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=294742429 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (823.02093505859): 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=294742429 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

114 (869.0357208252): 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 (829.93507385254): 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

116 (220.06034851074): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742429 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742429 AND published='1' LIMIT 1

117 (81.062316894531): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742429 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742429 AND published='1' LIMIT 1

118 (100.13580322266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742429 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742429 AND published='1' LIMIT 1

119 (70.810317993164): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742429 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742429 AND published='1' LIMIT 1

120 (82.015991210938): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742429 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742429 AND published='1' LIMIT 1

121 (62.942504882812): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742429 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742429 AND published='1' LIMIT 1

122 (82.969665527344): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742429 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742429 AND published='1' LIMIT 1

123 (60.081481933594): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742429 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742429 AND published='1' LIMIT 1

124 (402.21214294434): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

125 (!!!!! 66715.002059937): 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

126 (!!!!! 3035.0685119629): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294742429 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294742429 AND type='deeppockets_item' AND published='1' LIMIT 1

127 (!!!!! 13447.046279907): ( 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 (121.11663818359): ( 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

129 (78.916549682617): 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 (46.014785766602): 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

131 (92.029571533203): 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 (49.114227294922): 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

133 (557.18421936035): 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 (91.075897216797): 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

135 (61.03515625): 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 (39.100646972656): 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

137 (649.92904663086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742429 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

138 (478.98292541504): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742429 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

139 (44.107437133789): SELECT name FROM jos_deeppockets WHERE id=211

140 (30.040740966797): SELECT name FROM jos_deeppockets WHERE id=211

141 (839.9486541748): 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 (671.1483001709): 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

143 (75.101852416992): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742429 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742429 AND published='1' LIMIT 1

144 (51.021575927734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742429 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742429 AND published='1' LIMIT 1

145 (!!!!! 9891.9868469238): TRUNCATE TABLE jos_trademed_module

146 (167.1314239502): 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=294742429 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

147 (68.187713623047): 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=294742429 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

148 (647.06802368164): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742429 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

149 (69.141387939453): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742429 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

150 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742429 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742429 AND published='1' LIMIT 1

151 (48.160552978516): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742429 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742429 AND published='1' LIMIT 1

152 (!!!!! 1455.0685882568): 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

153 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742429 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742429 AND published='1' LIMIT 1

154 (51.975250244141): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742429 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742429 AND published='1' LIMIT 1

155 (48.160552978516): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294742429 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294742429 AND type='deeppockets_item' AND published='1' LIMIT 1

156 (36.001205444336): 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 (35.04753112793): 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)

158 (36.001205444336): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

159 (223.15979003906): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742429 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742429 AND published='1' LIMIT 1

160 (50.067901611328): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742429 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742429 AND published='1' LIMIT 1

161 (36.954879760742): select jos_twitters.link from jos_twitters where cat=10

162 (29.087066650391): select jos_facebook.link from jos_facebook where cat=10

163 (98.943710327148): select jos_google_plus.link from jos_google_plus where cat=10

164 (32.901763916016): select jos_linkedin.link from jos_linkedin where cat=10

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