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Single Chest X-Ray Predicts Mortality Risk

By MedImaging International staff writers
Posted on 08 Aug 2019

A new study suggests that a convolutional neural network (CNN) can stratify all-cause mortality risk based on a single chest radiograph.

Developed at Massachusetts General Hospital (MGH; Boston, USA), Harvard Medical School (HMS; Boston, MA, USA), and other institutions, the CNN algorithm, named CXR-risk, uses data from radiologists' diagnostic findings (such as presence of a lung nodule) on a chest x-ray, and combines it with other risk factors, including age, sex and comorbidities in order to predict long-term mortality, including non-cancer death. A deep learning CXR-risk score (very low, low, moderate, high, and very high) is generated based on CNN analysis of a submitted radiograph.

To develop the CNN, the researchers used 41,856 x-rays from the screening radiography arm of the Prostate, Lung, Colorectal, and Ovarian (PLCO) cancer screening trial, a community cohort of asymptomatic nonsmokers and smokers enrolled at 10 U.S. sites from November 8, 1993, through July 2, 2001. The results of the CNN were tested in a further 10,464 cases from the screening radiography arm of the National Lung Screening Trial (NLST), a community cohort of heavy smokers enrolled at 21 U.S. sites from August 2002 through April 2004.

The results revealed a graded association between CXR-risk score and mortality. The very high-risk group had an all-cause mortality of 53% (PLCO) and 33.9% (NLST), compared with the very low-risk group. The association was robust to adjustment for radiologists’ findings and risk factors. Comparable results were seen for lung cancer death, non-cancer cardiovascular death, and respiratory death. The study was published on July 19, 2019, in JAMA Network Open.

“We get chest x-rays to make a diagnosis like pneumonia, but our study shows that there is also free prognostic information about health and longevity on the images. Based on the chest x-ray image alone, AI identified people at up to a 53% risk of death over 12 years,” said lead author Michael Lu, MD, MPH, of MGH and HMS. “Scores calculated using AI may incentivize high-risk individuals to lower their chance of dying with prevention, regular screening, and lifestyle modification.”

Deep learning is part of a broader family of AI machine learning methods based on learning data representations, as opposed to task specific algorithms. It involves CNN algorithms that use a cascade of many layers of nonlinear processing units for feature extraction, conversion and transformation, with each successive layer using the output from the previous layer as input to form a hierarchical representation.

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Massachusetts General Hospital
Harvard Medical School

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63 (298.02322387695): 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 (61.03515625): select jos_twitters.link from jos_twitters where cat=10

65 (29.087066650391): select jos_facebook.link from jos_facebook where cat=10

66 (33.140182495117): 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 (31.948089599609): SELECT fid FROM jos_deeppockets WHERE id=294778937 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294778937 AND published='1' LIMIT 1

69 (37.908554077148): 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 (253.20053100586): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294778937 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (242.94853210449): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294778937 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (!!!!! 1047.1343994141): 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 (86.069107055664): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (988.96026611328): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (!!!!! 3991.1270141602): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (102.99682617188): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294778937 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (31.948089599609): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294778937 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (34.809112548828): 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 (62.942504882812): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (!!!!! 5231.8572998047): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (112.05673217773): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (43.869018554688): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (!!!!! 3370.0466156006): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294778937 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294778937 AND published='1' LIMIT 1

105 (131.84547424316): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294778937 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294778937 AND published='1' LIMIT 1

106 (80.108642578125): 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=294778937 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (!!!!! 3482.8186035156): 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=294778937 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (119.92454528809): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294778937 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294778937 AND published='1' LIMIT 1

109 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294778937 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294778937 AND published='1' LIMIT 1

110 (68.902969360352): 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=294778937 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (587.94021606445): 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=294778937 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (768.89991760254): 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 (630.14030456543): 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 (137.8059387207): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294778937 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294778937 AND published='1' LIMIT 1

115 (83.92333984375): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294778937 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294778937 AND published='1' LIMIT 1

116 (69.141387939453): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294778937 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294778937 AND published='1' LIMIT 1

117 (43.869018554688): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294778937 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294778937 AND published='1' LIMIT 1

118 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294778937 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294778937 AND published='1' LIMIT 1

119 (43.869018554688): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294778937 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294778937 AND published='1' LIMIT 1

120 (43.869018554688): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294778937 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294778937 AND published='1' LIMIT 1

121 (39.100646972656): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294778937 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294778937 AND published='1' LIMIT 1

122 (324.96452331543): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 45688.86756897): 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 (!!!!! 1852.9891967773): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294778937 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294778937 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 14489.17388916): ( 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 (63.896179199219): ( 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 (340.93856811523): 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 (38.862228393555): 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 (228.1665802002): 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 (36.001205444336): 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 (198.1258392334): 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 (33.855438232422): 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 (660.18104553223): 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 (!!!!! 2572.0596313477): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294778937 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (!!!!! 1477.9567718506): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294778937 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (612.97416687012): SELECT name FROM jos_deeppockets WHERE id=211

138 (38.14697265625): SELECT name FROM jos_deeppockets WHERE id=211

139 (551.93901062012): 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 (457.0484161377): 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 (702.1427154541): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294778937 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294778937 AND published='1' LIMIT 1

142 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294778937 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294778937 AND published='1' LIMIT 1

143 (!!!!! 5031.1088562012): TRUNCATE TABLE jos_trademed_module

144 (!!!!! 2324.8195648193): 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=294778937 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (!!!!! 3620.1477050781): 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=294778937 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (!!!!! 1656.0554504395): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294778937 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (900.9838104248): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294778937 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (!!!!! 1203.0601501465): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294778937 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294778937 AND published='1' LIMIT 1

149 (461.10153198242): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294778937 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294778937 AND published='1' LIMIT 1

150 (!!!!! 3475.9044647217): 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 (!!!!! 1332.9982757568): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294778937 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294778937 AND published='1' LIMIT 1

152 (592.94700622559): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294778937 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294778937 AND published='1' LIMIT 1

153 (!!!!! 1245.0218200684): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294778937 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294778937 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (189.06593322754): 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 (!!!!! 1231.9087982178): 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 (443.93539428711): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (!!!!! 1203.0601501465): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294778937 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294778937 AND published='1' LIMIT 1

158 (189.78118896484): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294778937 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294778937 AND published='1' LIMIT 1

159 (653.98216247559): select jos_twitters.link from jos_twitters where cat=10

160 (874.99618530273): select jos_facebook.link from jos_facebook where cat=10

161 (454.90264892578): select jos_google_plus.link from jos_google_plus where cat=10

162 (53.882598876953): select jos_linkedin.link from jos_linkedin where cat=10

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