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Low-Dose CT Monitoring of Lung Nodules Could Spare Unnecessary Surgery

By MedImaging International staff writers
Posted on 04 Sep 2015
Image: CT images show invasive adenocarcinoma of the lung (photo courtesy of RSNA).
Image: CT images show invasive adenocarcinoma of the lung (photo courtesy of RSNA).
A new study shows that non-solid lung nodules can be safely monitored by performing annual low-dose Computed Tomography (CT) screening.

Non-solid nodules often show up on chest CT scans, and may result in additional imaging tests or surgery. Annual low-dose CT screening could spare patients unnecessary interventions and imaging.

The study was performed by researchers at the Icahn School of Medicine at Mount Sinai Hospital (ISMMS; New York, NY, USA) and included 57,496 participants from the International Early Lung Cancer Program (I-ELCAP). The patients received one baseline, and repeat screenings every subsequent year, during which time the researchers evaluated any non-solid nodules found.

The results of the research suggest that non-solid nodules can be safely followed using annual low-dose CT screening, and can help clinicians assess a potential transition to a part-solid nodule.

Study coauthor Claudia I. Henschke, PhD, MD, Icahn School of Medicine, said, "Nonsolid nodules could be due to inflammation, infection or fibrosis, but could also be cancerous or a precursor of cancer. For screening, we have to define which nodules need further workup and how quickly we have to do that workup. The results show that if we see a nonsolid lung nodule of any size, we can tell people to come back in one year for another CT. These findings are important for reducing unnecessary CT scans and possible biopsies or surgery in programs of CT screening for lung cancer."

The study was published online, in the journal Radiology on July 23, 2015.

Related Links:
Icahn School of Medicine


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				union
		SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760278 AND published='1'
		LIMIT 1
51
(112.05673217773): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760278 AND published='1'
				union
		SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760278 AND published='1'
		LIMIT 1
52
(955.10482788086): SELECT name FROM jos_deeppockets WHERE id=294760278 LIMIT 1
53
(354.05158996582): SELECT name FROM jos_deeppockets_archive WHERE id=294760278 LIMIT 1
54
(796.07963562012): SELECT a.*
 FROM jos_components AS a
 WHERE ( a.admin_menu_link = 'option=com_syndicate' OR a.admin_menu_link = 'option=com_syndicate&hidemainmenu=1' )
 AND a.option = 'com_syndicate'
55
(529.05082702637): 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=294760278
							AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link')
							AND dp.published='1' LIMIT 1
56
(597.95379638672): 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=294760278
								AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link')
								AND dp.published='1' LIMIT 1
57
(!!!!! 15691.995620728): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760278 AND published='1'
				union
		SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760278 AND published='1'
		LIMIT 1
58
(!!!!! 3970.8614349365): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760278 AND published='1'
				union
		SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760278 AND published='1'
		LIMIT 1
59
(!!!!! 2331.018447876): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760278 AND published='1'
				union
		SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760278 AND published='1'
		LIMIT 1
60
(283.95652770996): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760278 AND published='1'
				union
		SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760278 AND published='1'
		LIMIT 1
61
(!!!!! 7838.0107879639): 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
62
(!!!!! 7973.9093780518): SELECT fid FROM jos_deeppockets WHERE id=294760278 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294760278 AND published='1'  LIMIT 1
63
(!!!!! 7860.8989715576): 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
(!!!!! 6450.891494751): select jos_twitters.link from jos_twitters where cat=10
65
(!!!!! 5451.9176483154): select jos_facebook.link from jos_facebook where cat=10
66
(!!!!! 1101.016998291): select jos_google_plus.link from jos_google_plus where cat=10
67
(40.054321289062): select jos_linkedin.link from jos_linkedin where cat=10
68
(!!!!! 1034.0213775635): SELECT fid FROM jos_deeppockets WHERE id=294760278 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294760278 AND published='1'  LIMIT 1
69
(301.12266540527): 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
(!!!!! 1301.0501861572): SELECT fid FROM jos_deeppockets
								WHERE cat=10
								AND id=294760278
								AND (type='deeppockets_item' OR type='deeppockets_item_link') 
								AND published='1' 
								LIMIT 1
71
(761.03210449219): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294760278 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
72
(324.96452331543): 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
(!!!!! 7697.1054077148): SELECT show_live FROM jos_com_show_setting LIMIT 1
74
(!!!!! 7963.8957977295): SELECT show_live FROM jos_com_show_setting LIMIT 1
75
(!!!!! 7875.919342041): SELECT show_live FROM jos_com_show_setting LIMIT 1
76
(!!!!! 5763.053894043): SELECT show_live FROM jos_com_show_setting LIMIT 1
77
(!!!!! 1502.0370483398): SELECT show_live FROM jos_com_show_setting LIMIT 1
78
(870.94306945801): SELECT show_live FROM jos_com_show_setting LIMIT 1
79
(84.877014160156): SELECT show_live FROM jos_com_show_setting LIMIT 1
80
(184.05914306641): SELECT show_live FROM jos_com_show_setting LIMIT 1
81
(288.00964355469): SELECT show_live FROM jos_com_show_setting LIMIT 1
82
(259.8762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1
83
(354.05158996582): SELECT show_live FROM jos_com_show_setting LIMIT 1
84
(34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1
85
(361.91940307617): SELECT show_live FROM jos_com_show_setting LIMIT 1
86
(40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1
87
(!!!!! 1352.071762085): SELECT fid FROM jos_deeppockets
								WHERE cat=10
								AND id=294760278
								AND (type='deeppockets_item' OR type='deeppockets_item_link') 
								AND published='1' 
								LIMIT 1
88
(318.05038452148): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294760278 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
89
(204.80155944824): 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
(!!!!! 2094.030380249): SELECT show_live FROM jos_com_show_setting LIMIT 1
91
(395.05958557129): SELECT show_live FROM jos_com_show_setting LIMIT 1
92
(!!!!! 2497.9114532471): SELECT show_live FROM jos_com_show_setting LIMIT 1
93
(904.79850769043): SELECT show_live FROM jos_com_show_setting LIMIT 1
94
(720.97778320312): SELECT show_live FROM jos_com_show_setting LIMIT 1
95
(302.07633972168): SELECT show_live FROM jos_com_show_setting LIMIT 1
96
(558.85314941406): SELECT show_live FROM jos_com_show_setting LIMIT 1
97
(355.95893859863): SELECT show_live FROM jos_com_show_setting LIMIT 1
98
(54.836273193359): SELECT show_live FROM jos_com_show_setting LIMIT 1
99
(34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1
100
(!!!!! 4016.1609649658): SELECT show_live FROM jos_com_show_setting LIMIT 1
101
(905.99060058594): SELECT show_live FROM jos_com_show_setting LIMIT 1
102
(534.0576171875): SELECT show_live FROM jos_com_show_setting LIMIT 1
103
(46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1
104
(!!!!! 2652.8835296631): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760278 AND published='1'
				union
		SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760278 AND published='1'
		LIMIT 1
105
(!!!!! 2267.1222686768): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760278 AND published='1'
				union
		SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760278 AND published='1'
		LIMIT 1
106
(786.06605529785): 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=294760278
							AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link')
							AND dp.published='1' LIMIT 1
107
(!!!!! 2012.0143890381): 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=294760278
								AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link')
								AND dp.published='1' LIMIT 1
108
(!!!!! 6595.1347351074): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760278 AND published='1'
				union
		SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760278 AND published='1'
		LIMIT 1
109
(616.07360839844): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760278 AND published='1'
				union
		SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760278 AND published='1'
		LIMIT 1
110
(!!!!! 3589.8685455322): 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=294760278
							AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link')
							AND dp.published='1' LIMIT 1
111
(!!!!! 1140.1176452637): 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=294760278
								AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link')
								AND dp.published='1' LIMIT 1
112
(!!!!! 1446.9623565674): 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
(!!!!! 1081.9435119629): 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
(!!!!! 1554.012298584): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760278 AND published='1'
				union
		SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760278 AND published='1'
		LIMIT 1
115
(718.83201599121): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760278 AND published='1'
				union
		SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760278 AND published='1'
		LIMIT 1
116
(!!!!! 2015.1138305664): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760278 AND published='1'
				union
		SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760278 AND published='1'
		LIMIT 1
117
(77.009201049805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760278 AND published='1'
				union
		SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760278 AND published='1'
		LIMIT 1
118
(!!!!! 1533.031463623): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760278 AND published='1'
				union
		SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760278 AND published='1'
		LIMIT 1
119
(!!!!! 1918.0774688721): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760278 AND published='1'
				union
		SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760278 AND published='1'
		LIMIT 1
120
(943.89915466309): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760278 AND published='1'
				union
		SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760278 AND published='1'
		LIMIT 1
121
(101.80473327637): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760278 AND published='1'
				union
		SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760278 AND published='1'
		LIMIT 1
122
(627.99453735352): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`
123
(!!!!! 49535.989761353): 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
(!!!!! 1280.0693511963): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294760278 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294760278 AND type='deeppockets_item' AND published='1'  LIMIT 1
125
(542.87910461426): (
				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
(46.968460083008): (
				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
(53.167343139648): 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
(566.00570678711): 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
(38.862228393555): 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
(70.095062255859): 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
(180.95970153809): 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
(108.00361633301): 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
(319.00405883789): 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
(380.03921508789): SELECT *
                            FROM jos_deeppockets
                            WHERE 1=1 
                              AND id=294760278
                              AND (type='deeppockets_item' OR type='deeppockets_item_link')
                              AND published='1'
                            LIMIT 1
136
(298.97689819336): SELECT *
                            FROM jos_deeppockets_archive
                            WHERE 1=1 
                              AND id=294760278
                              AND (type='deeppockets_item' OR type='deeppockets_item_link')
                              AND published='1'
                            LIMIT 1
137
(37.908554077148): SELECT name FROM jos_deeppockets WHERE id=211
138
(26.941299438477): SELECT name FROM jos_deeppockets WHERE id=211
139
(678.06243896484): 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((;)|($))' AND catid IN (0,110) 
    ORDER BY publish_up ASC LIMIT 3
140
(513.07678222656): SELECT *,
    DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up,
    DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down
    FROM jos_events
    WHERE state=1
    AND publish_up > NOW()
    and extra_info REGEXP '((;)|(^))211((;)|($))' AND catid IN (0,110) 
    ORDER BY publish_up ASC LIMIT 3
141
(72.002410888672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760278 AND published='1'
				union
		SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760278 AND published='1'
		LIMIT 1
142
(56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760278 AND published='1'
				union
		SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760278 AND published='1'
		LIMIT 1
143
(!!!!! 13159.990310669): TRUNCATE TABLE jos_trademed_module
144
(402.92739868164): 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=294760278
							AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link')
							AND dp.published='1' LIMIT 1
145
(148.05793762207): 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=294760278
								AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link')
								AND dp.published='1' LIMIT 1
146
(473.97613525391): SELECT *
   FROM jos_deeppockets
   WHERE 1=1 
   AND id=294760278
   AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
147
(172.13821411133): SELECT *
   FROM jos_deeppockets
   WHERE 1=1 
   AND id=294760278
   AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
148
(!!!!! 2933.9790344238): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760278 AND published='1'
				union
		SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760278 AND published='1'
		LIMIT 1
149
(104.18891906738): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760278 AND published='1'
				union
		SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760278 AND published='1'
		LIMIT 1
150
(!!!!! 1242.1607971191): 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
(90.122222900391): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760278 AND published='1'
				union
		SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760278 AND published='1'
		LIMIT 1
152
(56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760278 AND published='1'
				union
		SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760278 AND published='1'
		LIMIT 1
153
(64.13459777832): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294760278 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294760278 AND type='deeppockets_item' AND published='1'  LIMIT 1
154
(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)
155
(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)
156
(45.7763671875): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1
157
(157.11784362793): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760278 AND published='1'
				union
		SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760278 AND published='1'
		LIMIT 1
158
(57.93571472168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760278 AND published='1'
				union
		SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760278 AND published='1'
		LIMIT 1
159
(47.922134399414): select jos_twitters.link from jos_twitters where cat=10
160
(28.133392333984): select jos_facebook.link from jos_facebook where cat=10
161
(27.894973754883): select jos_google_plus.link from jos_google_plus where cat=10
162
(25.033950805664): select jos_linkedin.link from jos_linkedin where cat=10