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Mobile 3D C-Arm Takes Intraoperative Imaging to a New Level

By MedImaging International staff writers
Posted on 09 Mar 2015

For the first time in Europe and under the theme of “R3DEFINED IMAGING,” Ziehm Imaging (Nuremberg, Germany), a company that specializes in the development, manufacturing and worldwide marketing of mobile X-ray-based imaging solutions, showcased their new 3-D C-arm. More...

Called the Ziehm Vision RFD 3D, this X-ray imaging device is their solution to 3-D imaging on a mobile platform.

Axel Kouril, who is Head of Marketing Communications at Ziehm Imaging spoke to MII about their latest C-arm innovation. “It’s a system that combines the capabilities of a mobile C-arm with intraoperative 3-D imaging,” he explained. “It is also the world’s only 3-D C-arm with a 30 cm x 30 cm flat-panel technology that provides a 16-cm edge length per scan volume. This enables imaging of up to seven vertebrae bodies in only one volume.”

It excels in providing the maximum intraoperative control in orthopedics, traumatology and spinal surgery, for example. Ziehm Imaging now brings iterative reconstruction techniques, so far only seen in CT imaging, to a mobile 3D C-arm. The in-house developed, specialized algorithm ZIR (Ziehm Iterative Reconstruction) minimizes fan and metal artifacts in 3D reconstructions.

The result is a significantly more distinguishable anatomy, defined bone crests and optimum slice views in the coronal, axial, sagittal and individually adjustable planes. The surgeon benefits from outstanding CT-like images, and the patient from successful surgical procedures, Mr. Kouril pointed out.

Asked what was so unique about the system, Mr. Kouril said Ziehm Imaging is unique in having 2-D and 3-D on one platform. “This system is capable of performing in multiple 2-D imaging applications or with the push of a button it can switch to 3-D imaging.”

Mr. Kouril added, “SmartScan, the new and patented scanning technique offers 180° image information of any anatomical structure. This provides complete 3-D information of the patient’s anatomy and enables the visualization of even the finest anatomical details intraoperatively.”

Other features include superior image quality in 2-D and 3-D thanks to the powerful 25 kW generator and the flat-panel detector technology. “Together with the liquid cooling system ‘Advanced Active Cooling’ the system supports a variety of clinical applications,” remarked Mr. Kouril.

“It’s the perfect tool for the surgeon to provide the information to make a decision on whether the position of the implant or screws is set correctly,” continued Mr Kouril. “Post-operative CT scans may not be needed anymore, as the result of the operation being evaluated intraoperatively in the theatre, so if any alteration is needed then it can be made there and then.”

At ECR 2015, Ziehm Imaging also presented a complete mobile Hybrid Room solution with the Ziehm Vision RFD Hybrid Edition.
Combined with a table, fully motorized movements, external monitors and contrast media injector, the surgeon create his own mobile Hybrid OR.

The Ziehm Vision RFD 3D is not cleared for sale in the US.

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59 (82.969665527344): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294757624 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294757624 AND published='1' LIMIT 1

60 (130.17654418945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294757624 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294757624 AND published='1' LIMIT 1

61 (54.121017456055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294757624 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294757624 AND published='1' LIMIT 1

62 (128.03077697754): 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

63 (653.02848815918): SELECT fid FROM jos_deeppockets WHERE id=294757624 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294757624 AND published='1' LIMIT 1

64 (69.141387939453): 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 (77.962875366211): select jos_twitters.link from jos_twitters where cat=10

66 (41.961669921875): select jos_facebook.link from jos_facebook where cat=10

67 (44.107437133789): select jos_google_plus.link from jos_google_plus where cat=10

68 (35.04753112793): select jos_linkedin.link from jos_linkedin where cat=10

69 (48.87580871582): SELECT fid FROM jos_deeppockets WHERE id=294757624 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294757624 AND published='1' LIMIT 1

70 (41.961669921875): 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 (462.05520629883): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294757624 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (342.13066101074): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294757624 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

73 (50.067901611328): 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 (146.86584472656): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (43.153762817383): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (50.067901611328): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (81.062316894531): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (76.055526733398): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294757624 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (36.954879760742): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294757624 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 (58.889389038086): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (116.10984802246): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294757624 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294757624 AND published='1' LIMIT 1

106 (70.095062255859): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294757624 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294757624 AND published='1' LIMIT 1

107 (77.962875366211): 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=294757624 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (75.817108154297): 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=294757624 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

109 (122.7855682373): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294757624 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294757624 AND published='1' LIMIT 1

110 (70.095062255859): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294757624 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294757624 AND published='1' LIMIT 1

111 (76.055526733398): 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=294757624 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (755.78689575195): 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=294757624 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (752.92587280273): 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 (511.88468933105): 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 (189.06593322754): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294757624 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294757624 AND published='1' LIMIT 1

116 (82.015991210938): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294757624 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294757624 AND published='1' LIMIT 1

117 (89.883804321289): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294757624 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294757624 AND published='1' LIMIT 1

118 (70.095062255859): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294757624 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294757624 AND published='1' LIMIT 1

119 (85.115432739258): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294757624 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294757624 AND published='1' LIMIT 1

120 (65.088272094727): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294757624 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294757624 AND published='1' LIMIT 1

121 (80.82389831543): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294757624 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294757624 AND published='1' LIMIT 1

122 (58.889389038086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294757624 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294757624 AND published='1' LIMIT 1

123 (613.92784118652): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294757624 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294757624 AND type='deeppockets_item' AND published='1' LIMIT 1

124 (!!!!! 8753.0612945557): ( 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

125 (97.036361694336): ( 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 (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

127 (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

128 (99.897384643555): 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

129 (31.948089599609): 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 (351.90582275391): 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

131 (45.061111450195): 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 (52.928924560547): 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

133 (34.093856811523): 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 (603.91426086426): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294757624 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

135 (574.11193847656): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294757624 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (61.03515625): SELECT name FROM jos_deeppockets WHERE id=211

137 (31.948089599609): SELECT name FROM jos_deeppockets WHERE id=211

138 (767.94624328613): 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

139 (692.12913513184): 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 (93.936920166016): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294757624 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294757624 AND published='1' LIMIT 1

141 (51.975250244141): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294757624 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294757624 AND published='1' LIMIT 1

142 (553.13110351562): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294757624 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

143 (54.121017456055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294757624 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

144 (55.074691772461): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294757624 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294757624 AND published='1' LIMIT 1

145 (43.869018554688): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294757624 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294757624 AND published='1' LIMIT 1

146 (!!!!! 1152.0385742188): 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

147 (98.943710327148): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294757624 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294757624 AND published='1' LIMIT 1

148 (75.817108154297): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294757624 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294757624 AND published='1' LIMIT 1

149 (50.067901611328): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294757624 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294757624 AND type='deeppockets_item' AND published='1' LIMIT 1

150 (45.061111450195): 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)

151 (38.862228393555): 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)

152 (53.167343139648): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

153 (144.95849609375): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294757624 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294757624 AND published='1' LIMIT 1

154 (65.088272094727): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294757624 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294757624 AND published='1' LIMIT 1

155 (36.001205444336): select jos_twitters.link from jos_twitters where cat=10

156 (28.133392333984): select jos_facebook.link from jos_facebook where cat=10

157 (30.040740966797): select jos_google_plus.link from jos_google_plus where cat=10

158 (28.133392333984): select jos_linkedin.link from jos_linkedin where cat=10

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