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ShearWave Elastography Ultrasound Provides New Diagnostic Capabilities in the US Healthcare Market

By MedImaging International staff writers
Posted on 03 Sep 2009

An innovative ultrasound technology is a one of a kind system with MultiWave technology, which is based upon interaction between conventional longitudinal waves and shear waves in tissue. The system consists of an all software-based architecture that provides both excellent B-mode images, and for the first time, displays tissue stiffness or elasticity information using shear waves. As stiffness is an additional parameter that characterizes tissue, the technology brings clinicians significantly enhanced diagnostic information.

SuperSonic Imagine (Aix-en-Provence, France) reported that it has received 510K clearance from the U.S. Food and Drug Administration (FDA) for its Aixplorer ultrasound system and will begin to market and deliver the device in the United States. Aixplorer's SonicSoftware, the power behind MultiWave technology, has ingeniously benefited from a combination of advanced technology in the graphic games industry and the latest generation multi-core processors to provide an ultrasound system with enhanced speed, accuracy and flexibility. The effect of this advance is superior B-mode image clarity and a doorway into new imaging modalities.

Speed, accuracy, and flexibility play a large role in what many regard as Explorer's B-mode image quality. It brings fundamental improvements to traditional imaging by software that improves conspicuity, lateral and contrast resolution, and delineation of structures to better characterize tissue. MultiWave imaging also supports TissueTuner, a unique tool that allows the user to adjust the system's parameters to match effectively the speed of sound in the tissue being imaged.

"Since we introduced Aixplorer there has been a great deal of anticipation for its FDA approval,” said Jacques Souquet, Ph.D., president of SuperSonic Imagine. "Leading clinical investigators in the United States and globally, report that the system provides exceptional clinical efficacy in better characterization of lesions. Based on their findings many regard Aixplorer's B-mode capabilities and ShearWave Elastography as the next level and future of ultrasound,” he asserted.

Dr. David Cosgrove, emeritus professor of clinical ultrasound at Imperial College London (UK) and one of several clinical investigators across 15 global sites using prospective formal protocols stated, "The B-mode quality on Aixplorer is superlative. We have had the opportunity to compare it with several reference systems for breast imaging. Time-and-again the Aixplorer images were more revealing, with cleaner, lower noise images and crisper margins to normal structures and lesions.”

New imaging modalities have surfaced as Aixplorer presents its patented ShearWave Elastography. While shear waves naturally exist in the human body, SuperSonic Imagine's development of new MultiWave ultrasound technology produces images that utilize the interaction between longitudinal waves or B-Mode with shear waves. Aixplorer is the only system available that can generate, capture, and compute shear wave velocity resulting in the bidimensional display of true tissue elasticity.

ShearWave Elastography is different from conventional or strain electrograph, which relies on manual compression for palpation and is therefore subjective and operator-dependent. Instead, ShearWave Elastography is user-skill independent as it does not rely on compression but it is based on the simultaneous use of both ultrasound waves and shear waves to assess tissue stiffness. ShearWave Elastography uses remote palpation to provide an objective assessment of tissue stiffness in real time using color-coded mapping. Moreover, results are reproducible and lesions can be monitored over time.

Providing local tissue elasticity information in real time called for major technologic breakthroughs in the ultrasound medical imaging field. Capturing shear waves in tissue requires acquisition rates of at least 5,000 Hz while traditional ultrasound acquisition speeds are approximately 100 Hz. With UltraFast Imaging, Aixplorer can acquire data at speeds of up to 20,000 Hz, which is 200 times faster than conventional ultrasound.

The significance of this technology was emphasized by Ellen Mendelson, M.D., professor of radiology at the Feinberg School of Medicine, Northwestern University (Chicago, IL, USA), who suggested that, "We expect Supersonic Imagine's ShearWave Elastography, which does not require manual compression, to augment the specificity of breast ultrasound examinations. This novel technology enables measurements of tissue stiffness to be obtained in seconds, easily and reproducibly using the same transducer to depict the B-mode BI-RADS features of benign and malignant breast masses.”

Aixplorer offers clinical performance and patient management advantages including improved lesion characterization through clarity, improved conspicuity, and clearer delineation of normal and abnormal structures; it has sharper borders and superior lateral and contrast resolution in different tissue densities from fatty to dense; offers simultaneous resolution while in B-mode, color, and power Doppler; presents imaging in ShearWave Elastography displaying local tissue elasticity in real time; provides reproducible results that can be tracked over time; offers user skill independence, time-saving easy upgrades of software, easy reporting with software-integrated BI-RADS, and intuitive ergonomic design for comfort and ease of use.

The company received its CE marking in early 2009, and has been put to work in clinics throughout Europe and selected countries of Asia. SuperSonic Imagine is a multicultural company focused on providing advanced technology to improve medical diagnosis.

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54 (77.962875366211): 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 (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=294725277 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

56 (686.8839263916): 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=294725277 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

57 (!!!!! 3517.1508789062): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725277 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725277 AND published='1' LIMIT 1

58 (!!!!! 1677.0362854004): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725277 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725277 AND published='1' LIMIT 1

59 (!!!!! 5074.0242004395): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725277 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725277 AND published='1' LIMIT 1

60 (421.04721069336): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725277 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725277 AND published='1' LIMIT 1

61 (!!!!! 7901.1917114258): 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 (!!!!! 1236.9155883789): SELECT fid FROM jos_deeppockets WHERE id=294725277 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294725277 AND published='1' LIMIT 1

63 (!!!!! 1857.9959869385): 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 (!!!!! 1459.1217041016): select jos_twitters.link from jos_twitters where cat=10

65 (868.08204650879): select jos_facebook.link from jos_facebook where cat=10

66 (49.114227294922): select jos_google_plus.link from jos_google_plus where cat=10

67 (502.8247833252): select jos_linkedin.link from jos_linkedin where cat=10

68 (761.03210449219): SELECT fid FROM jos_deeppockets WHERE id=294725277 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294725277 AND published='1' LIMIT 1

69 (796.07963562012): 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 (!!!!! 1713.9911651611): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294725277 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (!!!!! 1262.903213501): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294725277 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (!!!!! 1051.9027709961): 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 (!!!!! 7184.0286254883): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (623.94142150879): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (58.889389038086): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (257.01522827148): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (152.1110534668): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (!!!!! 1116.9910430908): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (!!!!! 9295.9403991699): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (400.06637573242): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (223.15979003906): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (205.99365234375): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294725277 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (523.09036254883): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294725277 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (212.19253540039): 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 (!!!!! 2727.9853820801): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (120.16296386719): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (51.975250244141): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (44.822692871094): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (43.153762817383): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (108.95729064941): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (164.98565673828): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725277 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725277 AND published='1' LIMIT 1

105 (71.048736572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725277 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725277 AND published='1' LIMIT 1

106 (64.849853515625): 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=294725277 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (52.928924560547): 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=294725277 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (106.0962677002): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725277 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725277 AND published='1' LIMIT 1

109 (78.201293945312): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725277 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725277 AND published='1' LIMIT 1

110 (72.956085205078): 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=294725277 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (589.13230895996): 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=294725277 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (!!!!! 1235.9619140625): 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 (759.84001159668): 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 (663.99574279785): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725277 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725277 AND published='1' LIMIT 1

115 (430.82237243652): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725277 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725277 AND published='1' LIMIT 1

116 (290.87066650391): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725277 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725277 AND published='1' LIMIT 1

117 (329.01763916016): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725277 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725277 AND published='1' LIMIT 1

118 (817.06047058105): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725277 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725277 AND published='1' LIMIT 1

119 (57.93571472168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725277 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725277 AND published='1' LIMIT 1

120 (71.048736572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725277 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725277 AND published='1' LIMIT 1

121 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725277 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725277 AND published='1' LIMIT 1

122 (747.9190826416): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 109658.00285339): 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 (!!!!! 1139.8792266846): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294725277 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294725277 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (174.99923706055): ( 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 (151.8726348877): ( 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 (175.95291137695): 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 (132.08389282227): 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 (206.94732666016): 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 (196.93374633789): 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 (230.07392883301): 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 (160.93254089355): 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 (143.05114746094): 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 (157.11784362793): 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 (!!!!! 1691.1029815674): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725277 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (!!!!! 1712.0838165283): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725277 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (224.11346435547): SELECT name FROM jos_deeppockets WHERE id=214

138 (70.095062255859): SELECT name FROM jos_deeppockets WHERE id=214

139 (751.01852416992): 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 (!!!!! 2222.0611572266): 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 (253.91578674316): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725277 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725277 AND published='1' LIMIT 1

142 (97.990036010742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725277 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725277 AND published='1' LIMIT 1

143 (!!!!! 25733.947753906): TRUNCATE TABLE jos_trademed_module

144 (!!!!! 3093.0042266846): 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=294725277 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (125.16975402832): 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=294725277 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (562.90626525879): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725277 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (58.889389038086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725277 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (64.13459777832): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725277 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725277 AND published='1' LIMIT 1

149 (62.227249145508): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725277 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725277 AND published='1' LIMIT 1

150 (!!!!! 1518.0110931396): 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 (92.029571533203): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725277 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725277 AND published='1' LIMIT 1

152 (54.121017456055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725277 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725277 AND published='1' LIMIT 1

153 (132.08389282227): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294725277 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294725277 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (38.14697265625): 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 (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=214 or channel_id is null)

156 (35.04753112793): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (145.91217041016): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725277 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725277 AND published='1' LIMIT 1

158 (55.789947509766): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725277 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725277 AND published='1' LIMIT 1

159 (55.074691772461): select jos_twitters.link from jos_twitters where cat=10

160 (31.948089599609): select jos_facebook.link from jos_facebook where cat=10

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

162 (37.193298339844): select jos_linkedin.link from jos_linkedin where cat=10

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