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3D Real-Time Ultrasound Cardiac Mapping Technology Improves Accuracy and Patient Safety

By MedImaging staff writers
Posted on 07 Jan 2008

A team of clinicians is the first in the United States to utilize new ultrasound technology to guide ablation of atrial fibrillation (AF), providing potential improvements in both the precision and safety of this therapy.

AF is the most common type of heart rhythm disorder. In treating AF with catheter ablation, cardiac electrophysiologists conventionally use standard X-ray technology to guide proper placement of radiofrequency energy to ablate the tissues (cause small areas of scarring) in the heart responsible for starting and maintaining the irregular rhythm. The clinicians, from Loyola University Health System (Maywood, IL, USA), also can generate a computer reconstruction of the heart's interior, frequently with the help of images obtained from either computed tomography (CT) or magnetic resonance imaging (MRI) scans done before the procedure. While helpful, these reconstructions can be time-consuming, difficult to produce, and expose patients to additional radiation.

With newly installed software imaging technology, the CartoSound image integration module and SoundStar 3D catheter, Loyola physicians now are able to visualize and create a whole new kind of map of the heart in order to perform atrial ablation. They use ultrasound imaging to produce images of the heart during the ablation procedure. The ultrasound technique produces three-dimensional (3D) images of the heart's anatomy within a few minutes at the bedside, and allows real-time, simultaneous monitoring of catheter position and orientation during the procedure, improving both precision and patient safety. Dr. David Wilber, professor of cardiovascular sciences at Loyola University Stritch School of Medicine, reported that he and his team have used the new technology with 20 patients giving "excellent results.” The technology was developed by Biosense Webster, Inc.(Diamond Bar, CA, USA), a Johnson & Johnson company.

Whereas the previous method provided 3D images of the heart, they frequently lacked sufficient detail. Incorporating CT images from a scan obtained several days earlier provided more detail, but it was difficult to accurately register the older image to the precise orientation of the heart during the procedure.

"The new 3D ultrasound images provide a very detailed view of the heart, and most importantly, they reflect the condition of the heart during the procedure. Since the image is generated by the same computer program that tracks the location of the catheter, the points of interest match very closely,” Dr Wilber explained. "This allows very accurate placement of lesions [the scarring] to assure elimination of the arrhythmia, while avoiding injury to important nearby structures, such as the pulmonary veins or the esophagus. We can now image these structures with unprecedented accuracy continuously during the procedure.”

Overall procedure time is decreased by more than 30 minutes, Dr. Wilber added, and the need for additional imaging procedures prior to ablation may be completely eliminated. "This is real breakthrough in making these procedures safer, more precise, and less taxing on the patient. We are extremely excited about being able to bring these benefits to patients here at Loyola,” Dr. Wilber said.

AF may be related to coronary artery disease, thyroid disease, high blood pressure, or other structural heart defects, but frequently has no detectable cause. If left untreated, AF can cause structural heart changes that diminish heart function.

Related Links:
Biosense Webster
Loyola University Health System

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60 (!!!!! 2446.8898773193): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=267220000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=267220000 AND published='1' LIMIT 1

61 (!!!!! 4075.0503540039): 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 (!!!!! 6472.110748291): SELECT fid FROM jos_deeppockets WHERE id=267220000 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=267220000 AND published='1' LIMIT 1

63 (!!!!! 4492.9981231689): 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=214 ORDER BY `ordering`

64 (!!!!! 3635.1680755615): select jos_twitters.link from jos_twitters where cat=10

65 (51.975250244141): select jos_facebook.link from jos_facebook where cat=10

66 (36.954879760742): select jos_google_plus.link from jos_google_plus where cat=10

67 (529.05082702637): select jos_linkedin.link from jos_linkedin where cat=10

68 (160.93254089355): SELECT fid FROM jos_deeppockets WHERE id=267220000 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=267220000 AND published='1' LIMIT 1

69 (508.06999206543): 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=214 ORDER BY `ordering`

70 (!!!!! 1130.1040649414): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=267220000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (294.92378234863): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=267220000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (47.922134399414): 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 (!!!!! 3157.1388244629): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (501.87110900879): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (95.129013061523): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (49.114227294922): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (!!!!! 4040.9564971924): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (147.10426330566): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (705.95741271973): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (329.97131347656): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (876.90353393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (56.982040405273): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (177.86026000977): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (174.04556274414): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (!!!!! 5516.0522460938): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (!!!!! 11292.934417725): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (!!!!! 5064.0106201172): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=267220000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (!!!!! 2605.9150695801): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=267220000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (782.96661376953): 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 (!!!!! 2286.1957550049): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (432.01446533203): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (471.83036804199): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (274.1813659668): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (!!!!! 1126.0509490967): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (58.889389038086): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (689.98336791992): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (42.915344238281): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (154.97207641602): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (232.93495178223): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (!!!!! 1471.996307373): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (575.06561279297): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (!!!!! 4241.943359375): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=267220000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=267220000 AND published='1' LIMIT 1

105 (107.0499420166): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=267220000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=267220000 AND published='1' LIMIT 1

106 (625.1335144043): 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=267220000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (!!!!! 2935.8863830566): 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=267220000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (!!!!! 5295.991897583): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=267220000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=267220000 AND published='1' LIMIT 1

109 (468.96934509277): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=267220000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=267220000 AND published='1' LIMIT 1

110 (564.0983581543): 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=267220000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (!!!!! 4718.0652618408): 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=267220000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (!!!!! 1212.1200561523): 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 (!!!!! 1598.8349914551): 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 (!!!!! 7756.9484710693): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=267220000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=267220000 AND published='1' LIMIT 1

115 (705.95741271973): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=267220000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=267220000 AND published='1' LIMIT 1

116 (!!!!! 1610.0406646729): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=267220000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=267220000 AND published='1' LIMIT 1

117 (!!!!! 3109.9319458008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=267220000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=267220000 AND published='1' LIMIT 1

118 (!!!!! 3280.1628112793): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=267220000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=267220000 AND published='1' LIMIT 1

119 (510.93101501465): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=267220000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=267220000 AND published='1' LIMIT 1

120 (108.95729064941): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=267220000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=267220000 AND published='1' LIMIT 1

121 (474.92980957031): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=267220000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=267220000 AND published='1' LIMIT 1

122 (!!!!! 5791.9025421143): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 97467.89932251): 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 (!!!!! 3517.1508789062): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=267220000 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=267220000 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 35576.105117798): ( 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 (87.02278137207): ( 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 (408.88786315918): 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 (!!!!! 1131.0577392578): 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 (138.99803161621): 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 (!!!!! 1579.0462493896): 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 (!!!!! 1071.9299316406): 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 (71.048736572266): 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 (71.048736572266): 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 (703.09638977051): 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 (!!!!! 1452.9228210449): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=267220000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (!!!!! 1845.8366394043): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=267220000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (!!!!! 4410.982131958): SELECT name FROM jos_deeppockets WHERE id=214

138 (530.95817565918): SELECT name FROM jos_deeppockets WHERE id=214

139 (!!!!! 2182.9605102539): 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 '((;)|(^))214((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

140 (!!!!! 1703.0239105225): 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 '((;)|(^))214((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

141 (!!!!! 5345.1061248779): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=267220000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=267220000 AND published='1' LIMIT 1

142 (395.05958557129): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=267220000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=267220000 AND published='1' LIMIT 1

143 (!!!!! 18475.05569458): TRUNCATE TABLE jos_trademed_module

144 (!!!!! 9768.009185791): 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=267220000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (!!!!! 1456.9759368896): 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=267220000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (!!!!! 1731.1573028564): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=267220000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (89.883804321289): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=267220000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (957.96585083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=267220000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=267220000 AND published='1' LIMIT 1

149 (552.89268493652): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=267220000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=267220000 AND published='1' LIMIT 1

150 (!!!!! 3736.9728088379): 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 (!!!!! 4963.8748168945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=267220000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=267220000 AND published='1' LIMIT 1

152 (638.96179199219): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=267220000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=267220000 AND published='1' LIMIT 1

153 (!!!!! 1846.0750579834): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=267220000 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=267220000 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (!!!!! 3570.0798034668): 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=214 or channel_id is null)

155 (134.94491577148): 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=214 or channel_id is null)

156 (!!!!! 1507.9975128174): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (!!!!! 2609.0145111084): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=267220000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=267220000 AND published='1' LIMIT 1

158 (843.04809570312): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=267220000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=267220000 AND published='1' LIMIT 1

159 (!!!!! 1794.0998077393): select jos_twitters.link from jos_twitters where cat=10

160 (!!!!! 1659.8701477051): select jos_facebook.link from jos_facebook where cat=10

161 (90.122222900391): select jos_google_plus.link from jos_google_plus where cat=10

162 (45.061111450195): select jos_linkedin.link from jos_linkedin where cat=10

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