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Digital Mammography Combined with Tomosynthesis Optimizes Detection of Cancer in Dense Breasts

By MedImaging International staff writers
Posted on 22 Dec 2014

Image: A tumor that easily missed on 2-D mammography was clearly seen on 3-D mammography (Photo courtesy of RSNA).

Imager: A woman getting a mammogram (Photo courtesy of the CDC – US Centers for Disease Control).

A new study supports the effectiveness of three-dimensional (3-D) mammography, which researchers found has the potential to considerably increase the rate of identifying cancer in women with dense breasts who are screened using the digital technology.

Using digital mammography combined with tomosynthesis, which provides a 3-D view, researchers detected 80% of the 132 tumors in women with dense breasts, compared to 59% detection when using mammography alone. The study, which included more than 25,000 women, was presented December 2, 2014, in Chicago (IL, USA) at the annual meeting of the Radiological Society of North America (RSNA).

Breasts that are fibrous or have a lot of glandular tissue but little fatty tissue are considered dense, and are most likely to develop cancer, the researchers reported. Because of the density, cancer can be difficult to identify using standard mammograms. Other imaging systems, such as ultrasound and magnetic resonance imaging (MRI) scans, are used to detect breast cancer that cannot be visualized on mammograms; however, they have higher rates of false-positive findings that turn out not to be cancer. Such false-positive findings generate unnecessary biopsies and also raise the costs to patients, medical institutions and insurers, according to the researchers.

“Tomosynthesis could be regarded as an improvement of mammography and would be much easier than MRI or ultrasound to implement in organized screening programs,” stated Per Skaane, MD, PhD, from Oslo University Hospital (Norway), and lead author of the study. “So the intention of our study was to see if tomosynthesis really would significantly increase the cancer detection rate in a population-based mammography screening program.”

In the study, 257 tumors were detected using full-field digital mammography (FFDM) and a combination of FFDM and tomosynthesis. Of the 257 tumors, 211, or 82%, were detected with FFDM plus tomosynthesis, a significant improvement over the 163, or 63%, detected with FFDM by itself. “Our findings are extremely promising, showing an overall relative increase in the cancer detection rate of about 30%,” Dr. Skaane said. “Stratifying the results on invasive cancers only, the relative increase in cancer detection was about 40%.”

Moreover, not only did the use of tomosynthesis increase the rate of cancer detection in women with dense breasts, it also helped improve detection for women in the “fatty breast” category. The combination of tomosynthesis with FFDM bumped the cancer detection rate up to 84% from 68%.

3-D breast cancer imaging was first approved by the US Food and Drug Administration (FDA) in 2011. In a study published by the Journal of the American Medical Association (JAMA) in June 2014, researchers using data gathered from 13 US hospitals found that when using 3-D imaging, 16 fewer women out of 1,000 evaluated had to undergo tests compared to those receiving traditional imaging.

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64 (869.0357208252): select jos_twitters.link from jos_twitters where cat=10

65 (36.001205444336): 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 (43.153762817383): SELECT fid FROM jos_deeppockets WHERE id=294756326 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294756326 AND published='1' LIMIT 1

69 (35.04753112793): 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 (295.87745666504): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294756326 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (!!!!! 2418.041229248): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294756326 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (804.90112304688): 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 (71.048736572266): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (55.074691772461): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (66.041946411133): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294756326 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (30.040740966797): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294756326 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (33.140182495117): 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 (189.06593322754): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (89.168548583984): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (301.12266540527): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (100.85105895996): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (!!!!! 4112.0052337646): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (113.01040649414): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (63.180923461914): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (82.969665527344): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (47.922134399414): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (123.97766113281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756326 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756326 AND published='1' LIMIT 1

105 (82.015991210938): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756326 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756326 AND published='1' LIMIT 1

106 (128.03077697754): 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=294756326 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (73.909759521484): 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=294756326 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (245.09429931641): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756326 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756326 AND published='1' LIMIT 1

109 (232.93495178223): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756326 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756326 AND published='1' LIMIT 1

110 (155.92575073242): 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=294756326 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (!!!!! 1788.854598999): 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=294756326 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (!!!!! 1083.8508605957): 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 (518.0835723877): 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 (!!!!! 2113.8191223145): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756326 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756326 AND published='1' LIMIT 1

115 (!!!!! 2523.8990783691): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756326 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756326 AND published='1' LIMIT 1

116 (!!!!! 4086.0176086426): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756326 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756326 AND published='1' LIMIT 1

117 (!!!!! 1149.8928070068): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756326 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756326 AND published='1' LIMIT 1

118 (515.93780517578): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756326 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756326 AND published='1' LIMIT 1

119 (!!!!! 1960.0391387939): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756326 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756326 AND published='1' LIMIT 1

120 (!!!!! 3011.94190979): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756326 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756326 AND published='1' LIMIT 1

121 (!!!!! 2219.9153900146): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756326 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756326 AND published='1' LIMIT 1

122 (!!!!! 1221.8952178955): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 194535.01701355): 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 (!!!!! 5882.0247650146): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294756326 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294756326 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (681.87713623047): ( 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 (!!!!! 1452.9228210449): ( 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 (689.02969360352): 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 (!!!!! 1039.981842041): 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 (!!!!! 4959.1064453125): 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 (783.92028808594): 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 (156.87942504883): 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 (49.114227294922): 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 (398.87428283691): 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 (40.054321289062): 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 (!!!!! 1199.9607086182): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756326 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (828.98139953613): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756326 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (!!!!! 4082.9181671143): SELECT name FROM jos_deeppockets WHERE id=211

138 (61.03515625): SELECT name FROM jos_deeppockets WHERE id=211

139 (!!!!! 1351.8333435059): 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 (746.01173400879): 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 (!!!!! 4319.9062347412): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756326 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756326 AND published='1' LIMIT 1

142 (657.08160400391): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756326 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756326 AND published='1' LIMIT 1

143 (!!!!! 9923.9349365234): TRUNCATE TABLE jos_trademed_module

144 (!!!!! 5012.035369873): 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=294756326 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (929.11720275879): 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=294756326 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (954.86640930176): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756326 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (318.05038452148): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756326 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (360.96572875977): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756326 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756326 AND published='1' LIMIT 1

149 (378.84712219238): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756326 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756326 AND published='1' LIMIT 1

150 (!!!!! 4299.1638183594): 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 (!!!!! 1876.8310546875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756326 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756326 AND published='1' LIMIT 1

152 (212.9077911377): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756326 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756326 AND published='1' LIMIT 1

153 (712.87155151367): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294756326 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294756326 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (288.00964355469): 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 (34.809112548828): 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 (475.16822814941): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (434.87548828125): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756326 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756326 AND published='1' LIMIT 1

158 (59.127807617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756326 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756326 AND published='1' LIMIT 1

159 (405.07316589355): select jos_twitters.link from jos_twitters where cat=10

160 (!!!!! 2983.0932617188): select jos_facebook.link from jos_facebook where cat=10

161 (159.97886657715): select jos_google_plus.link from jos_google_plus where cat=10

162 (62.942504882812): select jos_linkedin.link from jos_linkedin where cat=10

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