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Innovative Mammography Technology Increases Detection Rate

By MedImaging International staff writers
Posted on 18 Feb 2014

Image: Two-view screening mammograms obtained with the DR photon-counting system show a spiculated mass in the right upper quadrants (arrow). The diagnosis was invasive ductal carcinoma, 8 mm in diameter, as seen on the right craniocaudal image (Photo courtesy of Radiological Society of North America).

Image: Two-view screening mammograms obtained with the DR photon-counting system show a spiculated mass in the right upper quadrants (arrow). The diagnosis was invasive ductal carcinoma, 8 mm in diameter, as seen on the right mediolateral oblique image (Photo courtesy of Radiological Society of North America).

Image: Two-view screening mammograms obtained with the DR photon-counting system show a spiculated mass in the right upper quadrants. The diagnosis was invasive ductal carcinoma, 8 mm in diameter, as seen on the zoomed in craniocaudal image of the lesion (Photo courtesy of Radiological Society of North America).

A new photon-counting technique used with digital mammography screening has been shown to provide high diagnostic accuracy.

The study’s findings were published online February 2014 in the journal Radiology. While mammography screening has shifted to digital technology, a range of computed radiography (CR) and direct radiography (DR) systems have emerged. The photon-counting technique shows promise as a DR application that employs a unique detector to decrease scattered radiation and noise, enabling dose reduction and making it a promising tool for screening. “In population-based mammography screening, dose reducing techniques that don’t compromise outcome parameters are desirable,” said Walter Heindel, MD, from the department of clinical radiology at the University Hospital Muenster (Muenster, Germany).

For the study, Dr. Heindel and colleagues examined data for the study from the mammography-screening program in North Rhine-Westphalia, the most populated state in Germany. They compared the screening effectiveness of a DR photon-counting scan system with those of statewide operating screening units using different digital technologies. During the study period (2009–2010), 13,312 women were examined using the photon-counting system, and 993,822 women were screened with either CR or DR systems alone.

The DR photon-counting scan system had a cancer detection rate of 0.76% for subsequent screening, compared with 0.59% for the other screening units. The recall rate was 5.4% for the photon-counting technology and 3.4% for the other techniques. “The higher cancer detection resulting from the use of the DR photon-counting scan system is due to high detection of both small, invasive cancers and ductal carcinoma in situ,” Dr. Heindel said.

The photon-counting technique had nearly twice the detection rate of other techniques for ductal carcinoma in situ (DCIS), an early, noninvasive form of the disease. It had a higher DCIS detection rate than the statewide units and the conventional DR subgroup. Moreover, the mean average glandular radiation dose of the DR photon-counting scan system was substantially lower than the traditional DR systems with the individually used parameters of the automatic exposure control. The study’s large size distinguishes it from earlier studies that compared the DR photon-counting scan system’s performance with other approaches. “To our knowledge, the study is different from previous ones as we examined the performance of the DR photon-counting scan mammography on a larger database with consideration of multiple parameters of screening,” said study coauthor Stefanie Weigel, MD, from the University Hospital Muenster.

The photon-counting technique also offers lateral dose modulation during the image acquisition, which can help account for differences in breast density. Cancer frequently is more difficult to identify in women with dense breasts. “The innovative photon-counting technique offers further research potential,” Dr. Heindel said. “One future research direction is the application of spectral imaging for quantification of breast glandular tissue, addressing the problem of breast density.”

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60 (!!!!! 8077.85987854): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750793 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750793 AND published='1' LIMIT 1

61 (!!!!! 5805.0155639648): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750793 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750793 AND published='1' LIMIT 1

62 (!!!!! 8162.0216369629): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750793 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750793 AND published='1' LIMIT 1

63 (!!!!! 5705.1181793213): 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

64 (753.16429138184): SELECT fid FROM jos_deeppockets WHERE id=294750793 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294750793 AND published='1' LIMIT 1

65 (396.0132598877): 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 (!!!!! 1255.0354003906): select jos_twitters.link from jos_twitters where cat=10

67 (176.19132995605): select jos_facebook.link from jos_facebook where cat=10

68 (670.19462585449): select jos_google_plus.link from jos_google_plus where cat=10

69 (36.001205444336): select jos_linkedin.link from jos_linkedin where cat=10

70 (34.093856811523): SELECT fid FROM jos_deeppockets WHERE id=294750793 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294750793 AND published='1' LIMIT 1

71 (33.855438232422): 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 (!!!!! 3021.0018157959): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294750793 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

73 (369.07196044922): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294750793 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

74 (165.93933105469): 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 (!!!!! 2635.0021362305): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (!!!!! 3097.0573425293): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (354.05158996582): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (255.10787963867): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (308.99047851562): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (149.96528625488): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (199.0795135498): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (144.00482177734): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (540.97175598145): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (492.81120300293): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (49.114227294922): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (44.822692871094): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (!!!!! 2326.0116577148): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294750793 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

90 (48.87580871582): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294750793 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

91 (251.05476379395): 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 (!!!!! 1419.0673828125): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (481.84394836426): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (933.88557434082): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (153.0647277832): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (!!!!! 1785.9935760498): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (751.97219848633): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (100.85105895996): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (133.99124145508): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (84.877014160156): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (92.983245849609): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (141.85905456543): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (75.817108154297): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (101.08947753906): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (71.048736572266): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (!!!!! 7234.0965270996): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750793 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750793 AND published='1' LIMIT 1

107 (476.12190246582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750793 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750793 AND published='1' LIMIT 1

108 (!!!!! 1337.0513916016): 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=294750793 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

109 (!!!!! 1098.8712310791): 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=294750793 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

110 (!!!!! 7272.9587554932): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750793 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750793 AND published='1' LIMIT 1

111 (!!!!! 8021.8315124512): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750793 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750793 AND published='1' LIMIT 1

112 (!!!!! 8373.0220794678): 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=294750793 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (!!!!! 7661.1042022705): 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=294750793 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

114 (!!!!! 7297.0390319824): 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 (!!!!! 5395.1740264893): 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 (!!!!! 2108.097076416): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750793 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750793 AND published='1' LIMIT 1

117 (!!!!! 4288.1965637207): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750793 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750793 AND published='1' LIMIT 1

118 (!!!!! 7719.9935913086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750793 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750793 AND published='1' LIMIT 1

119 (!!!!! 7989.8834228516): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750793 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750793 AND published='1' LIMIT 1

120 (!!!!! 6344.0799713135): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750793 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750793 AND published='1' LIMIT 1

121 (!!!!! 1670.8374023438): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750793 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750793 AND published='1' LIMIT 1

122 (!!!!! 5857.9444885254): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750793 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750793 AND published='1' LIMIT 1

123 (!!!!! 7195.9495544434): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750793 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750793 AND published='1' LIMIT 1

124 (837.08763122559): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

125 (!!!!! 84382.057189941): 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 (!!!!! 5831.9568634033): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294750793 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294750793 AND type='deeppockets_item' AND published='1' LIMIT 1

127 (212.9077911377): ( 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 (188.11225891113): ( 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 (107.0499420166): 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 (396.9669342041): 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 (768.89991760254): 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 (34.809112548828): 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 (30.994415283203): 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 (79.870223999023): 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 (363.82675170898): 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 (33.140182495117): 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 (!!!!! 2820.9686279297): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750793 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

138 (!!!!! 2438.7836456299): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750793 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

139 (!!!!! 1307.0106506348): SELECT name FROM jos_deeppockets WHERE id=211

140 (596.04644775391): SELECT name FROM jos_deeppockets WHERE id=211

141 (!!!!! 1590.0135040283): 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 (!!!!! 10076.04598999): 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 (!!!!! 2906.7993164062): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750793 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750793 AND published='1' LIMIT 1

144 (880.00297546387): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750793 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750793 AND published='1' LIMIT 1

145 (!!!!! 11399.030685425): TRUNCATE TABLE jos_trademed_module

146 (!!!!! 1141.0713195801): 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=294750793 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

147 (612.97416687012): 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=294750793 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

148 (!!!!! 3684.0438842773): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750793 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

149 (!!!!! 3720.0450897217): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750793 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

150 (!!!!! 1047.8496551514): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750793 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750793 AND published='1' LIMIT 1

151 (875.94985961914): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750793 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750793 AND published='1' LIMIT 1

152 (!!!!! 2201.7955780029): 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 (!!!!! 1028.0609130859): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750793 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750793 AND published='1' LIMIT 1

154 (316.14303588867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750793 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750793 AND published='1' LIMIT 1

155 (476.12190246582): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294750793 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294750793 AND type='deeppockets_item' AND published='1' LIMIT 1

156 (645.16067504883): 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 (!!!!! 2504.825592041): 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 (!!!!! 1350.1644134521): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

159 (!!!!! 6198.1678009033): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750793 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750793 AND published='1' LIMIT 1

160 (!!!!! 6429.91065979): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750793 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750793 AND published='1' LIMIT 1

161 (!!!!! 1971.960067749): select jos_twitters.link from jos_twitters where cat=10

162 (870.94306945801): select jos_facebook.link from jos_facebook where cat=10

163 (463.00888061523): select jos_google_plus.link from jos_google_plus where cat=10

164 (287.05596923828): select jos_linkedin.link from jos_linkedin where cat=10

165 (751.97219848633): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

166 (!!!!! 1072.1683502197): insert into jos_banners_delta values (14615,'2025-08-13 09:28:26','216.73.216.186','view'),(14202,'2025-08-13 09:28:26','216.73.216.186','view'),(14203,'2025-08-13 09:28:26','216.73.216.186','view')

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