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New Ultrasound Breast Scanner Begins Operation in Europe

By MedImaging International staff writers
Posted on 17 Mar 2010

The first models of a new ultrasound system, the automated breast volume scanner (ABVS), have taken up operation in European radiologic and gynecologic clinics and offices. Patients in Switzerland, France, Portugal, Norway, and Germany can now be examined with the new system. Due its more accurate, three-dimensional (3D) image acquisition, the technology is particularly suitable for the diagnosis of very dense breast tissue.

Dr. Frank Stöblen of the Diavero Diagnostic Center (Essen, Germany), is one of the first physicians to use the new ultrasound technology. "The ABVS system is a fascinating advancement from the previous method of manually guided ultrasound examinations. The automated system provides consistent image quality, regardless of the examiner.”

Siemens Healthcare (Erlangen, Germany) recently introduced the Acuson S2000 ABVS, the world's first multifunctional ultrasound breast scanner that automatically acquires volume images of the female breast. The user-independent, standardized images raise ultrasound examinations to a completely new level. Dr. Frank Stöblen, radiologist and co-owner of the Diavero Diagnostic Center in Essen, is convinced that the new ultrasound system with ABVS will become an essential component of breast cancer screening. "This technology will play a key role in early detection. It can also be used for the examination of high-risk patients, for example in case of genetic predisposition or for follow-up during and after cancer treatments.”

The innovative system allows for a much higher early detection rate of breast cancer among women with dense breast tissue. According to the New England Journal of Medicine (NEJM), dense breast tissue increases the risk of breast cancer for a woman by a factor of five. Conventional mammography will continue to be the method of choice for breast cancer screening. However, a study published by the Radiological Society of North America (RSNA; Oak Brook, IL, USA) in 2002 has documented that the detection rate of nonpalpable, invasive breast cancer increases by 42% if the mammography is combined with an ultrasound examination. "I always perform an additional ultrasound examination for patients with dense breast tissue to be sure that the entire area has been thoroughly scanned,” said Dr. Stöblen.

The automatically acquired, 3D volume images of the new breast scanner provide physicians with data about the entire breast, including a coronal view, which had previously not been available with conventional ultrasound systems. In addition to the automated functions, the Acuson S2000 ABVS allows for all types of manually performed, conventional ultrasound examinations, for instance, biopsies and color Doppler acquisition along with applications such as elastography imaging with the eSieTouch. Dr. Stöblen also likes the image quality of the system, which is a great improvement over previously available ultrasound systems of this type. "The system application is extremely flexible. I can immediately follow up with a manual examination after an automatic image acquisition or use the system for a biopsy if necessary.” All of these components help the physician reach a more accurate diagnosis than with conventional methods.

The automatic image acquisition of the Acuson S2000 ABVS offers significant acceleration of examination procedures. While manually performed ultrasound examinations used to take up to 30 minutes, the new technology shortens the examination time to less than 15 minutes. The documentation is enhanced by a semiautomatic reporting process and the integration of the so-called BI-RADS classification. This Breast Imaging Reporting and Data System (BI-RADS) is a classification of the American College of Radiology (ACR; Reston, VA, USA) for reporting mammography screenings.

Coronal display of the breast volume images provides an even better overview of the anatomy and architecture of the breast tissue than earlier techniques. These 3D images are now able to display the coronal view of the breast (from the nipple to the breast wall) in slices. This view simplifies and accelerates the diagnosis. Dr. Stöblen is very impressed with this feature of the ABVS scanner, "Coronal views of the breast cannot be generated with conventional ultrasound systems. They are extremely helpful, for example when it comes to planning surgical interventions.”

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58 (73.909759521484): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728517 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728517 AND published='1' LIMIT 1

59 (126.83868408203): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728517 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728517 AND published='1' LIMIT 1

60 (53.882598876953): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728517 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728517 AND published='1' LIMIT 1

61 (111.10305786133): 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 (533.10394287109): SELECT fid FROM jos_deeppockets WHERE id=294728517 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294728517 AND published='1' LIMIT 1

63 (512.83836364746): 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 (61.988830566406): select jos_twitters.link from jos_twitters where cat=10

65 (33.855438232422): select jos_facebook.link from jos_facebook where cat=10

66 (37.908554077148): select jos_google_plus.link from jos_google_plus where cat=10

67 (38.14697265625): select jos_linkedin.link from jos_linkedin where cat=10

68 (45.061111450195): SELECT fid FROM jos_deeppockets WHERE id=294728517 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294728517 AND published='1' LIMIT 1

69 (35.04753112793): 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 (325.20294189453): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294728517 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (464.91622924805): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294728517 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (44.107437133789): 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 (313.04359436035): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (79.154968261719): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (55.074691772461): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (86.784362792969): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (47.922134399414): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (92.029571533203): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294728517 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (51.021575927734): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294728517 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (51.975250244141): 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 (57.93571472168): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (32.186508178711): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (42.915344238281): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (29.802322387695): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (113.01040649414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728517 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728517 AND published='1' LIMIT 1

105 (91.075897216797): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728517 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728517 AND published='1' LIMIT 1

106 (96.08268737793): 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=294728517 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (78.916549682617): 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=294728517 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (169.99244689941): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728517 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728517 AND published='1' LIMIT 1

109 (92.983245849609): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728517 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728517 AND published='1' LIMIT 1

110 (65.088272094727): 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=294728517 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (668.04885864258): 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=294728517 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (855.92269897461): 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 (663.99574279785): 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 (207.90100097656): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728517 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728517 AND published='1' LIMIT 1

115 (77.962875366211): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728517 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728517 AND published='1' LIMIT 1

116 (113.01040649414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728517 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728517 AND published='1' LIMIT 1

117 (78.916549682617): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728517 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728517 AND published='1' LIMIT 1

118 (101.08947753906): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728517 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728517 AND published='1' LIMIT 1

119 (77.962875366211): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728517 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728517 AND published='1' LIMIT 1

120 (107.0499420166): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728517 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728517 AND published='1' LIMIT 1

121 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728517 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728517 AND published='1' LIMIT 1

122 (504.97055053711): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 28292.894363403): 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 (844.95544433594): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294728517 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294728517 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 10771.036148071): ( 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 (84.877014160156): ( 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 (55.074691772461): 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 (42.915344238281): 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 (65.803527832031): 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 (31.948089599609): 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 (375.03242492676): 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 (38.862228393555): 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 (34.093856811523): 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 (30.040740966797): 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 (614.88151550293): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728517 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (428.91502380371): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728517 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (263.92936706543): SELECT name FROM jos_deeppockets WHERE id=214

138 (57.93571472168): SELECT name FROM jos_deeppockets WHERE id=214

139 (823.974609375): 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 (722.16987609863): 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 (77.009201049805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728517 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728517 AND published='1' LIMIT 1

142 (55.074691772461): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728517 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728517 AND published='1' LIMIT 1

143 (!!!!! 15192.985534668): TRUNCATE TABLE jos_trademed_module

144 (597.00012207031): 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=294728517 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (80.108642578125): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_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=294728517 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (!!!!! 1008.0337524414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728517 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (73.909759521484): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728517 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (102.04315185547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728517 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728517 AND published='1' LIMIT 1

149 (68.902969360352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728517 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728517 AND published='1' LIMIT 1

150 (!!!!! 1750.9460449219): 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 (74.148178100586): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728517 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728517 AND published='1' LIMIT 1

152 (50.067901611328): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728517 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728517 AND published='1' LIMIT 1

153 (40.054321289062): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294728517 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294728517 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (37.908554077148): 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 (35.04753112793): 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 (74.148178100586): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (133.03756713867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728517 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728517 AND published='1' LIMIT 1

158 (54.121017456055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728517 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728517 AND published='1' LIMIT 1

159 (45.061111450195): select jos_twitters.link from jos_twitters where cat=10

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

161 (31.948089599609): select jos_google_plus.link from jos_google_plus where cat=10

162 (32.901763916016): select jos_linkedin.link from jos_linkedin where cat=10

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