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Multiwave Ultrasound Elastography Improves Breast Lesion Detection

By MedImaging International staff writers
Posted on 04 May 2009

Image: Aixplorer elastography map, which shows the elasticity or stiffness in tissue by color (photo courtesy of SuperSonic Imagine).

A New MultiWave ultrasound technology has unique architecture that provides images in ultrasound-wave imaging or B-mode, as well as a new type of wave imaging, for precise, quantifiable, and reproducible real-time results.

SuperSonic Imagine (Aix-en-Provence, France) presented its ultrasound MultiWave technology at the European Congress of Radiology (ECR), held in March 2009 in Vienna, Austria. Aixplorer was designed for breast imaging professionals to improve their lesion diagnosis, and is the next generation of ultrasound machines. This technology is made possible through a close collaboration with the Laboratoire Ondes et Acoustiques of the ESPCI/CNRS (Ecole Supérieure de Physique et de Chimie Industrielles/Centre National de la Recherche Scientifique; Paris, France), Artann Labs (acoustic radiation; West Trenton, NJ, USA), and other patents and submissions directly registered by SuperSonic Imagine.

Since April 2008, clinical trials have been testing this technology with prototypes situated in 18 sites around the world; seven in the United States and 11 in Europe: UK, France, Italy, and Germany.

Aixplorer uses technology called SonicTouch to create low-frequency shear waves in the body through several focalized beams of acoustic energy. This acoustic energy is safe and can be highly localized allowing it to be projected to a specific area of the body.

Using the unique architecture of SonicSoftware, the Aixplorer can produce shear waves in the tissue and simultaneously image and quantify the motion of these waves, producing real-time results.

UltrafastImaging is a groundbreaking technology that captures shear wave propagation movement in tissue that was undetectable up until now. To capture a shear wave, acquisition rates must be at least 5,000 Hz. Aixplorer functions at speeds of up to 20,000 Hz while standard acquisition speeds of conventional ultrasound are approximately 100 Hz. By measuring the speed of the propagation of the shear waves, Aixplorer produces a quantifiable measurement of tissue elasticity (given in kilopascals), which can aid in the diagnostic process, as tissue elasticity can be related to pathology. Aixplorer produces an image called an elastography map, which shows the elasticity or stiffness in tissue by color. In general, the stiffer a tissue is the more likely it is to be linked to the development of fibrous tissue around the focal point of cancer.

Shear waves (also known as S-waves or secondary waves) are sound waves whose particles move at right angles to the direction of the wave. Shear waves are completely harmless and occur naturally in the body; a beating heart produces shear waves, for example. These waves can only travel through solid tissue. As shear waves travel through the body they are altered by changes in tissue stiffness. If a shear wave passes through stiffer tissue, the propagation speed increases. The speed of the propagation of a shear wave in tissue is directly related to tissue elasticity (Young's Modulus). The elasticity of tissue can be related to pathology findings of benign or malignant tissue.

Aixplorer is used in the same manner a conventional ultrasound system is used. For breast scanning, the patient will sit or lie down and have a gel applied to the localized area. The gel helps the transducer transfer the ultrasound waves through the body. The technician/sonographer or physician will then run the handheld transducer over the area to be imaged. A black and white image of the tissue will be displayed on the monitor. Using the ShearWave Elastography mode, the operator can have real-time quantitative information in kPa on the tissue elasticity and a visual realization of the tissue elasticity with a color map.

To improve the human/machine interaction, scientists from SuperSonic Imagine have adapted the manageability of video games to medical imaging through a large interactive touch screen. The Aixplorer is a noninvasive multiwave ultrasound system that quantifies true tissue elasticity while providing impeccable images and sophisticated features all packaged in an ergonomic design, to assist in the breast imaging diagnostic process. Aixplorer's ShearWave Elastography gives the physician an added tool to make a better diagnosis. The Aixplorer system is user-skill independent and provides reproducible results, giving healthcare professionals and patients more confidence in diagnosis.

Aixplorer was named after its birthplace, Aix-en-Provence, in France and is patented by SuperSonic Imagine.

Related Links:
SuperSonic Imagine
ESPCI/CNRS

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57 (!!!!! 1279.8309326172): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294723048 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294723048 AND published='1' LIMIT 1

58 (77.009201049805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294723048 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294723048 AND published='1' LIMIT 1

59 (137.0906829834): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294723048 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294723048 AND published='1' LIMIT 1

60 (57.93571472168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294723048 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294723048 AND published='1' LIMIT 1

61 (123.02398681641): 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 (536.91864013672): SELECT fid FROM jos_deeppockets WHERE id=294723048 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294723048 AND published='1' LIMIT 1

63 (46.968460083008): 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 (41.007995605469): select jos_twitters.link from jos_twitters where cat=10

65 (30.040740966797): select jos_facebook.link from jos_facebook where cat=10

66 (31.948089599609): select jos_google_plus.link from jos_google_plus where cat=10

67 (30.040740966797): select jos_linkedin.link from jos_linkedin where cat=10

68 (33.855438232422): SELECT fid FROM jos_deeppockets WHERE id=294723048 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294723048 AND published='1' LIMIT 1

69 (33.140182495117): 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 (388.14544677734): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294723048 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (360.01205444336): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294723048 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (61.03515625): 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 (67.949295043945): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (49.829483032227): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (50.067901611328): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (51.021575927734): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (44.107437133789): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (76.055526733398): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294723048 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (38.14697265625): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294723048 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (42.915344238281): 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 (52.928924560547): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (42.915344238281): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (29.802322387695): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (43.153762817383): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (111.10305786133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294723048 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294723048 AND published='1' LIMIT 1

105 (79.870223999023): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294723048 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294723048 AND published='1' LIMIT 1

106 (56.982040405273): 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=294723048 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (51.975250244141): 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=294723048 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (105.85784912109): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294723048 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294723048 AND published='1' LIMIT 1

109 (51.021575927734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294723048 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294723048 AND published='1' LIMIT 1

110 (72.002410888672): 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=294723048 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (793.9338684082): 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=294723048 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (792.9801940918): 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 (648.97537231445): 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 (185.01281738281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294723048 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294723048 AND published='1' LIMIT 1

115 (90.122222900391): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294723048 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294723048 AND published='1' LIMIT 1

116 (72.002410888672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294723048 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294723048 AND published='1' LIMIT 1

117 (41.007995605469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294723048 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294723048 AND published='1' LIMIT 1

118 (74.863433837891): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294723048 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294723048 AND published='1' LIMIT 1

119 (43.153762817383): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294723048 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294723048 AND published='1' LIMIT 1

120 (47.922134399414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294723048 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294723048 AND published='1' LIMIT 1

121 (40.054321289062): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294723048 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294723048 AND published='1' LIMIT 1

122 (384.09233093262): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 51822.900772095): 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 (!!!!! 2156.0192108154): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294723048 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294723048 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 30131.101608276): ( 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 (167.8466796875): ( 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 (316.14303588867): 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 (243.18695068359): 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 (231.02760314941): 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 (154.01840209961): 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 (881.91032409668): 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 (282.04917907715): 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 (286.10229492188): 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 (290.1554107666): 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 (413.89465332031): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294723048 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (458.0020904541): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294723048 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (42.915344238281): SELECT name FROM jos_deeppockets WHERE id=214

138 (28.133392333984): SELECT name FROM jos_deeppockets WHERE id=214

139 (741.95861816406): 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 (786.06605529785): 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 (102.99682617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294723048 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294723048 AND published='1' LIMIT 1

142 (72.956085205078): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294723048 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294723048 AND published='1' LIMIT 1

143 (!!!!! 37711.85874939): TRUNCATE TABLE jos_trademed_module

144 (97.990036010742): 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=294723048 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (!!!!! 2339.1246795654): 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=294723048 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (614.16625976562): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294723048 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (84.877014160156): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294723048 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294723048 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294723048 AND published='1' LIMIT 1

149 (62.942504882812): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294723048 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294723048 AND published='1' LIMIT 1

150 (!!!!! 1266.0026550293): 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 (770.09201049805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294723048 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294723048 AND published='1' LIMIT 1

152 (184.05914306641): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294723048 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294723048 AND published='1' LIMIT 1

153 (494.00329589844): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294723048 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294723048 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (51.975250244141): 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 (33.855438232422): 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 (34.093856811523): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (!!!!! 4475.1167297363): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294723048 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294723048 AND published='1' LIMIT 1

158 (380.9928894043): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294723048 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294723048 AND published='1' LIMIT 1

159 (67.234039306641): select jos_twitters.link from jos_twitters where cat=10

160 (126.12342834473): select jos_facebook.link from jos_facebook where cat=10

161 (48.87580871582): select jos_google_plus.link from jos_google_plus where cat=10

162 (202.89421081543): select jos_linkedin.link from jos_linkedin where cat=10

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