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Novel Breast Imaging System Proves As Effective As Mammography

By MedImaging International staff writers
Posted on 22 Apr 2024

Image: The trial found QTI’s breast acoustic CT scans to be as effective as digital breast tomosynthesis (Photo courtesy of QTI)

Breast cancer remains the most frequently diagnosed cancer among women. It is projected that one in eight women will be diagnosed with breast cancer during her lifetime, and one in 42 women who turn 50 today will be diagnosed before the age of 60. Various screening and diagnostic technologies are employed to detect cancers early and enhance treatment outcomes. Mammography is currently the predominant imaging method, yet it has its limitations, especially in detecting cancers in dense breast tissue where 10-15% of cases yield inconclusive results and raise safety concerns. Now, a new clinical trial has found a highly accurate, 100% safe, and painless breast imaging technology to be as effective as digital breast tomosynthesis (DBT), also known as 3D mammography.

The Breast Acoustic CT system from QT Imaging Holdings (QTI, Novato, CA, USA) represents a breakthrough in non-invasive breast imaging. This FDA-cleared system utilizes both transmission and reflection ultrasound to provide detailed and complementary information about breast tissue, enabling a more effective assessment of breast health. This cutting-edge technology produces volumetric 3D images accurately and precisely, without the need for contrast agents or exposure to radiation. The company has now announced positive results from its second blinded multi-reader multi-case study, evaluating the diagnostic efficacy of the Breast Acoustic CT Scans for mass detection.

The comparative study involved 24 breast radiologists who reviewed 177 selected cases, including 66 with cancer, atypia, or a solid mass, and 111 normal or with non-solid benign abnormalities. The results demonstrated that QTI’s Breast Acoustic CT matches the effectiveness of DBT, with the area under the receiver operating characteristic curve (AUC) showing statistical non-inferiority to DBT, within a -0.05 AUC difference margin. This confirms that QTI’s technology is comparably effective in detecting breast lesions, with high specificity in identifying benign cysts, thus potentially reducing benign recall rates. Notably, breast cancer in women under 40, while less common, tends to be more aggressive and linked to poorer survival rates. Standard screening mammograms are generally not recommended for this age group due to the balance of risks and benefits. However, the findings from this study suggest that QTI’s technology could provide a much-needed potential alternative for younger women for whom traditional mammography is not advised.

“We are encouraged by the consistent high performance of QTI’s technology, especially in women with dense breasts,” said Dr. Bilal Malik, Chief Science Officer. “Along with the previously published results and from comparison of QTI’s scans with mammography, these trial results will be valuable for our planned FDA submission for a screening indication in younger women identified with above-average risk for developing breast cancer and who have not yet reached the age for conventional mammography-based screening.”

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63 (706.91108703613): SELECT fid FROM jos_deeppockets WHERE id=294800945 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294800945 AND published='1' LIMIT 1

64 (372.17140197754): 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 (!!!!! 2739.1910552979): select jos_twitters.link from jos_twitters where cat=10

66 (396.0132598877): select jos_facebook.link from jos_facebook where cat=10

67 (154.01840209961): select jos_google_plus.link from jos_google_plus where cat=10

68 (97.990036010742): select jos_linkedin.link from jos_linkedin where cat=10

69 (683.06922912598): SELECT fid FROM jos_deeppockets WHERE id=294800945 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294800945 AND published='1' LIMIT 1

70 (247.95532226562): 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 (!!!!! 1205.2059173584): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294800945 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (759.84001159668): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294800945 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

73 (54.121017456055): 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 (!!!!! 7547.14012146): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (62.942504882812): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (!!!!! 3998.0411529541): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (62.942504882812): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (323.05717468262): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (51.021575927734): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (663.99574279785): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294800945 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (46.014785766602): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294800945 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

90 (216.00723266602): 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 (769.13833618164): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (771.04568481445): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (828.02772521973): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (72.956085205078): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (51.021575927734): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (39.815902709961): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (!!!!! 3399.133682251): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (282.04917907715): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (406.98051452637): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (66.995620727539): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (!!!!! 2640.0089263916): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800945 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800945 AND published='1' LIMIT 1

106 (!!!!! 1060.962677002): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800945 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800945 AND published='1' LIMIT 1

107 (!!!!! 1128.9119720459): 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=294800945 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (691.89071655273): 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=294800945 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

109 (!!!!! 7310.152053833): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800945 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800945 AND published='1' LIMIT 1

110 (96.08268737793): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800945 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800945 AND published='1' LIMIT 1

111 (!!!!! 7878.0651092529): 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=294800945 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (!!!!! 4618.8831329346): 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=294800945 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (!!!!! 1292.9439544678): 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 (!!!!! 1121.997833252): 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 (!!!!! 1273.8704681396): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800945 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800945 AND published='1' LIMIT 1

116 (415.08674621582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800945 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800945 AND published='1' LIMIT 1

117 (!!!!! 1183.9866638184): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800945 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800945 AND published='1' LIMIT 1

118 (919.10362243652): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800945 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800945 AND published='1' LIMIT 1

119 (607.01370239258): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800945 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800945 AND published='1' LIMIT 1

120 (200.03318786621): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800945 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800945 AND published='1' LIMIT 1

121 (796.07963562012): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800945 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800945 AND published='1' LIMIT 1

122 (308.99047851562): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800945 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800945 AND published='1' LIMIT 1

123 (!!!!! 3591.0606384277): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

124 (!!!!! 59418.201446533): 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

125 (!!!!! 1899.0039825439): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294800945 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294800945 AND type='deeppockets_item' AND published='1' LIMIT 1

126 (61.03515625): ( 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 (43.153762817383): ( 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 (51.975250244141): 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 (46.014785766602): 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 (603.91426086426): 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 (42.200088500977): 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 (219.10667419434): 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 (36.954879760742): 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 (734.80606079102): 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 (305.17578125): 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 (598.90747070312): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800945 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (666.85676574707): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800945 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

138 (!!!!! 1760.9596252441): SELECT name FROM jos_deeppockets WHERE id=211

139 (!!!!! 4233.8371276855): SELECT name FROM jos_deeppockets WHERE id=211

140 (!!!!! 1302.95753479): 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 (!!!!! 7115.1256561279): 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 (!!!!! 6351.9477844238): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800945 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800945 AND published='1' LIMIT 1

143 (127.07710266113): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800945 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800945 AND published='1' LIMIT 1

144 (!!!!! 21244.049072266): TRUNCATE TABLE jos_trademed_module

145 (543.11752319336): 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=294800945 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (168.0850982666): 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=294800945 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

147 (439.16702270508): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800945 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (154.97207641602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800945 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

149 (85.830688476562): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800945 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800945 AND published='1' LIMIT 1

150 (54.836273193359): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800945 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800945 AND published='1' LIMIT 1

151 (!!!!! 1326.0841369629): 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

152 (111.81831359863): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800945 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800945 AND published='1' LIMIT 1

153 (70.810317993164): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800945 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800945 AND published='1' LIMIT 1

154 (44.107437133789): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294800945 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294800945 AND type='deeppockets_item' AND published='1' LIMIT 1

155 (561.95259094238): 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 (42.915344238281): 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 (42.915344238281): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

158 (210.04676818848): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800945 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800945 AND published='1' LIMIT 1

159 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800945 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800945 AND published='1' LIMIT 1

160 (83.208084106445): select jos_twitters.link from jos_twitters where cat=10

161 (36.954879760742): select jos_facebook.link from jos_facebook where cat=10

162 (44.107437133789): select jos_google_plus.link from jos_google_plus where cat=10

163 (166.89300537109): select jos_linkedin.link from jos_linkedin where cat=10

164 (509.02366638184): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

165 (!!!!! 12657.165527344): insert into jos_banners_delta values (14615,'2025-08-02 15:15:16','216.73.216.210','view'),(14202,'2025-08-02 15:15:16','216.73.216.210','view'),(14203,'2025-08-02 15:15:16','216.73.216.210','view')

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