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Breast Tomosynthesis Increases Cancer Detection and Reduces Recall Rates

By MedImaging International staff writers
Posted on 23 Dec 2013

Researchers have discovered that digital breast tomosynthesis (DBT) imaging led to reduced recall rates and an increase in cancer detection in a large breast cancer-screening program.

The findings were presented December 3, 2013, at the annual meeting of the Radiological Society of North America (RSNA), held in Chicago (IL, USA). Digital mammography is the gold standard for breast cancer screening, but may generate suspicious findings that turn out not to be cancer. These false-positive findings are tied to with a higher recall rate, or the rate at which women are called back for further imaging or biopsy.

Digital breast tomosynthesis has revealed promising findings at reducing recall rates in all groups of patients, including younger women and women with dense breast tissue. Tomosynthesis is similar to mammography in that it relies on ionizing radiation to generate images of the breast. However, unlike conventional mammography, tomosynthesis allows for three-dimensional (3D) reconstruction of the breast tissue, which can then be viewed as sequential slices through the breast.

Because DBT technology is a comparatively new application, it is typically used only as a supplemental screening tool, but since October 2011, every patient screened for breast cancer at the Hospital of the University of Pennsylvania (HUP; Philadelphia, USA) has been screened using DBT, according to Emily F. Conant, MD, chief of breast imaging at HUP and the study’s lead author. “We have used DBT on all of our breast screening patients,” Dr. Conant said. “Every patient has had it—we have not selected patients because of their risk, or breast density, or if they were willing to pay extra. We did not charge extra and were able to provide all of our women with this new technology.”

For the study, Dr. Conant and colleagues compared imaging results from 15,633 women who underwent DBT at HUP beginning in 2011 to those of 10,753 patients imaged with digital mammography the prior year. Six radiologists trained in DBT interpretation reviewed the images. The researchers discovered that, in comparison to digital mammography, the average recall rate using DBT decreased from 10.40% to 8.78%, and the cancer detection rate increased from 4.28 to 5.25 (per 1,000 patients). The overall positive predictive value (PPV, the proportion of positive screening mammograms from which cancer was diagnosed) increased from 4.1% to 6.0% with DBT.

“Our study showed that we reduced our callback rate and increased our cancer detection rate,” Dr. Conant said. “The degree to which these rates were affected varied by radiologist. But importantly, the ratio of callback to cancer detection rate improved significantly for our radiologists.”

Dr. Conant noted that tomosynthesis is an evolving platform, and researchers are already seeing a substantial improvement in important screening outcomes. “It’s the most exciting improvement to mammography that I have seen in my career, even more important than the conversion from film-screen mammography to digital mammography,” she said. “The coming years will be very exciting, as we see further improvements in this technology.”

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63 (57.93571472168): 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 (58.889389038086): select jos_twitters.link from jos_twitters where cat=10

65 (30.994415283203): select jos_facebook.link from jos_facebook where cat=10

66 (30.994415283203): select jos_google_plus.link from jos_google_plus where cat=10

67 (28.133392333984): select jos_linkedin.link from jos_linkedin where cat=10

68 (33.855438232422): SELECT fid FROM jos_deeppockets WHERE id=294749816 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294749816 AND published='1' LIMIT 1

69 (32.901763916016): 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 (427.0076751709): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294749816 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (312.80517578125): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294749816 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (44.107437133789): 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 (!!!!! 1631.0214996338): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (!!!!! 4032.8502655029): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (98.943710327148): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (143.05114746094): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (49.829483032227): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (82.969665527344): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294749816 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=294749816 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (36.001205444336): 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 (50.067901611328): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (!!!!! 5190.8493041992): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (101.08947753906): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (55.074691772461): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (58.889389038086): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (61.988830566406): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (!!!!! 2515.0775909424): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749816 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749816 AND published='1' LIMIT 1

105 (190.01960754395): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749816 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749816 AND published='1' LIMIT 1

106 (152.1110534668): 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=294749816 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (704.05006408691): 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=294749816 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (108.95729064941): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749816 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749816 AND published='1' LIMIT 1

109 (!!!!! 1424.0741729736): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749816 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749816 AND published='1' LIMIT 1

110 (129.93812561035): 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=294749816 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (717.1630859375): 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=294749816 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (655.8895111084): 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 (391.00646972656): 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 (89.883804321289): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749816 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749816 AND published='1' LIMIT 1

115 (47.922134399414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749816 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749816 AND published='1' LIMIT 1

116 (48.87580871582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749816 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749816 AND published='1' LIMIT 1

117 (40.054321289062): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749816 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749816 AND published='1' LIMIT 1

118 (46.014785766602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749816 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749816 AND published='1' LIMIT 1

119 (37.908554077148): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749816 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749816 AND published='1' LIMIT 1

120 (49.829483032227): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749816 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749816 AND published='1' LIMIT 1

121 (38.14697265625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749816 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749816 AND published='1' LIMIT 1

122 (302.07633972168): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 38480.997085571): 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 (567.91305541992): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294749816 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294749816 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 16252.994537354): ( 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 (64.849853515625): ( 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 (41.961669921875): 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 (31.948089599609): 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 (44.107437133789): 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 (29.802322387695): 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 (429.86869812012): 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 (57.93571472168): 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 (45.061111450195): 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 (33.855438232422): 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 (!!!!! 1091.9570922852): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749816 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (!!!!! 6875.9918212891): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749816 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (!!!!! 4323.0056762695): SELECT name FROM jos_deeppockets WHERE id=211

138 (!!!!! 7515.1920318604): SELECT name FROM jos_deeppockets WHERE id=211

139 (!!!!! 8681.058883667): 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 (!!!!! 5387.0677947998): 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 (!!!!! 5478.8589477539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749816 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749816 AND published='1' LIMIT 1

142 (128.98445129395): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749816 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749816 AND published='1' LIMIT 1

143 (!!!!! 15574.932098389): TRUNCATE TABLE jos_trademed_module

144 (643.96858215332): 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=294749816 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (275.1350402832): 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=294749816 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (!!!!! 1704.9312591553): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749816 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (!!!!! 11839.151382446): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749816 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (!!!!! 6731.9869995117): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749816 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749816 AND published='1' LIMIT 1

149 (125.88500976562): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749816 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749816 AND published='1' LIMIT 1

150 (!!!!! 2225.1605987549): 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 (!!!!! 2640.0089263916): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749816 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749816 AND published='1' LIMIT 1

152 (132.08389282227): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749816 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749816 AND published='1' LIMIT 1

153 (44.822692871094): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294749816 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294749816 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (34.093856811523): 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 (31.948089599609): 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 (35.04753112793): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (83.208084106445): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749816 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749816 AND published='1' LIMIT 1

158 (!!!!! 2678.8711547852): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749816 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749816 AND published='1' LIMIT 1

159 (746.9654083252): select jos_twitters.link from jos_twitters where cat=10

160 (141.14379882812): select jos_facebook.link from jos_facebook where cat=10

161 (342.13066101074): select jos_google_plus.link from jos_google_plus where cat=10

162 (41.961669921875): select jos_linkedin.link from jos_linkedin where cat=10

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