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Virtual Touch Elastography Imaging Allows Visualization of Deep Body Tissue Better

By MedImaging International staff writers
Posted on 01 Jul 2013

Image: Virtual touch imaging on the ACUSON S3000 ultrasound system (Photo courtesy of Siemens Healthcare).

Virtual Touch ultrasound elastrography imaging is a completely new way of visualizing tissue stiffness, allowing clinicians to visualize pathology deeper into the body and more precisely than ever before.

Using sound beams to gently compress tissue, Virtual Touch imaging displays a map, an elastogram, of comparative tissue stiffness within the region of interest. This elastogram provides clinicians with more diverse clinical information and increases diagnostic confidence, improving clinical decision-making for more efficient patient care. Virtual Touch imaging is available on Siemens’ AcusonS2000 and Acuson S3000 ultrasound systems.

Siemens Healthcare (Erlangen, Germany) has reported that the US Food and Drug Administration (FDA) has cleared the company’s Virtual Touch imaging ultrasound application—Siemens’ first commercially available implementation of acoustic radiation force impulse (ARFI) technology.

Virtual Touch imaging lessens the dependence on user expertise, improving interoperator reproducibility—a significant feature of clinical utility. Precisely targeting the ultrasound beam within the region of interest, Virtual Touch imaging maximizes sensitivity to create a more uniform elastogram. By comparison, existing manual compression techniques apply pressure merely at the skin surface, with uncontrollable stress applied in deeper tissues.

Virtual Touch imaging is FDA-cleared for use in thyroid, abdominal, breast, small parts, and musculoskeletal exams. The technology has been commercially available since 2008 in Europe and in Asia, where it has been validate to be a very beneficial application in the detection, diagnosis, treatment, and follow-up of cancer, chronic liver disease, and musculoskeletal degeneration, and injury. The technology features an excellent sensitivity to extremely small tissue displacements, which leads to enhanced border definition and improved depiction of lesion size. This sensitivity also helps enable clinicians to identify the stiffest portion of the tissue to enhance targeting of fine-needle aspiration (FNA) and biopsy sampling.

“Siemens is proud to announce the FDA clearance of Virtual Touch imaging technology,” said Jeffrey Bundy, CEO, Siemens Healthcare ultrasound business unit. “Armed with this powerful visualization tool, clinicians in the United States can now more confidently assess lesion tissue stiffness, further enhancing their diagnostic confidence.”

Virtual Touch imaging is gaining international clinical acceptance, evolving into a new protocol of care at an increasing number of institutions. “Virtual Touch imaging enables the user to avoid the limitations of compression elastography, compressing tissue without any user dependency to provide a higher-quality display of the lesion,” said Dirk-Andre Clevert, section head of the Interdisciplinary Ultrasound Center at University Hospital Munich-Grosshadern (Germany), which employs ultrasound elastography imaging to examine many of the approximately 20,000 patients who are treated annually at the center.

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58 (100.13580322266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747018 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747018 AND published='1' LIMIT 1

59 (!!!!! 6848.0968475342): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747018 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747018 AND published='1' LIMIT 1

60 (!!!!! 5664.1101837158): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747018 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747018 AND published='1' LIMIT 1

61 (!!!!! 11291.980743408): 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 (!!!!! 4520.8930969238): SELECT fid FROM jos_deeppockets WHERE id=294747018 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294747018 AND published='1' LIMIT 1

63 (!!!!! 7232.9044342041): 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 (!!!!! 4364.013671875): select jos_twitters.link from jos_twitters where cat=10

65 (!!!!! 1127.0046234131): select jos_facebook.link from jos_facebook where cat=10

66 (66.041946411133): select jos_google_plus.link from jos_google_plus where cat=10

67 (41.007995605469): select jos_linkedin.link from jos_linkedin where cat=10

68 (!!!!! 5676.0311126709): SELECT fid FROM jos_deeppockets WHERE id=294747018 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294747018 AND published='1' LIMIT 1

69 (!!!!! 7889.986038208): 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 (!!!!! 4272.9377746582): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294747018 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (!!!!! 5259.0370178223): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294747018 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (416.99409484863): 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 (!!!!! 2233.0284118652): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (58.889389038086): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (237.94174194336): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (147.10426330566): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (48.160552978516): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (233.17337036133): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (200.03318786621): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (44.107437133789): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (221.01402282715): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (45.7763671875): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (48.87580871582): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (205.99365234375): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (!!!!! 9104.9671173096): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294747018 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (119.20928955078): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294747018 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (441.07437133789): 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 (403.88107299805): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (224.82872009277): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (183.10546875): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (159.97886657715): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (860.92948913574): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (308.99047851562): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (49.829483032227): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (44.822692871094): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (259.1609954834): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (184.77439880371): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (!!!!! 7532.1197509766): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747018 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747018 AND published='1' LIMIT 1

105 (72.002410888672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747018 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747018 AND published='1' LIMIT 1

106 (258.9225769043): 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=294747018 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (704.05006408691): 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=294747018 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (!!!!! 9263.9923095703): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747018 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747018 AND published='1' LIMIT 1

109 (74.148178100586): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747018 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747018 AND published='1' LIMIT 1

110 (402.21214294434): 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=294747018 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (633.95500183105): 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=294747018 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (!!!!! 2433.0615997314): 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 (946.044921875): 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 (67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747018 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747018 AND published='1' LIMIT 1

115 (59.843063354492): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747018 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747018 AND published='1' LIMIT 1

116 (73.909759521484): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747018 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747018 AND published='1' LIMIT 1

117 (45.061111450195): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747018 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747018 AND published='1' LIMIT 1

118 (59.127807617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747018 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747018 AND published='1' LIMIT 1

119 (41.961669921875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747018 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747018 AND published='1' LIMIT 1

120 (!!!!! 1088.1423950195): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747018 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747018 AND published='1' LIMIT 1

121 (216.00723266602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747018 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747018 AND published='1' LIMIT 1

122 (!!!!! 1358.9859008789): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294747018 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294747018 AND type='deeppockets_item' AND published='1' LIMIT 1

123 (290.1554107666): ( 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

124 (!!!!! 4441.0228729248): ( 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

125 (!!!!! 2850.0556945801): 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

126 (72.956085205078): 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

127 (102.99682617188): 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

128 (50.067901611328): 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

129 (85.830688476562): 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

130 (36.954879760742): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

131 (!!!!! 2920.1507568359): 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

132 (!!!!! 1722.0973968506): 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

133 (893.11599731445): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747018 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

134 (504.97055053711): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747018 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

135 (216.96090698242): SELECT name FROM jos_deeppockets WHERE id=214

136 (216.00723266602): SELECT name FROM jos_deeppockets WHERE id=214

137 (633.95500183105): 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

138 (859.97581481934): 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

139 (!!!!! 1446.008682251): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747018 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747018 AND published='1' LIMIT 1

140 (154.01840209961): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747018 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747018 AND published='1' LIMIT 1

141 (!!!!! 1583.0993652344): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747018 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

142 (65.088272094727): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747018 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

143 (!!!!! 3840.9233093262): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747018 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747018 AND published='1' LIMIT 1

144 (211.00044250488): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747018 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747018 AND published='1' LIMIT 1

145 (!!!!! 4040.9564971924): 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

146 (!!!!! 2872.9438781738): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747018 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747018 AND published='1' LIMIT 1

147 (!!!!! 4402.1606445312): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747018 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747018 AND published='1' LIMIT 1

148 (946.99859619141): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294747018 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294747018 AND type='deeppockets_item' AND published='1' LIMIT 1

149 (55.074691772461): 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)

150 (43.153762817383): 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)

151 (971.07887268066): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

152 (!!!!! 1358.0322265625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747018 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747018 AND published='1' LIMIT 1

153 (!!!!! 2748.0125427246): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747018 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747018 AND published='1' LIMIT 1

154 (447.03483581543): select jos_twitters.link from jos_twitters where cat=10

155 (40.054321289062): select jos_facebook.link from jos_facebook where cat=10

156 (72.002410888672): select jos_google_plus.link from jos_google_plus where cat=10

157 (32.901763916016): select jos_linkedin.link from jos_linkedin where cat=10

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