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US-CNB Biopsy Improves Breast Cancer Staging

By MedImaging International staff writers
Posted on 22 Nov 2018

A new study shows that ultrasound-guided core-needle biopsy (US-CNB) bests ultrasound-guided fine-needle aspiration (US-FNA) when diagnosing axillary lymph node metastasis.

Researchers at the National University of Ireland Galway (NUI Galway; Ireland) and Cork University Hospital (CUH; Ireland) conducted a meta-analysis of all published studies comparing the diagnostic accuracy of axillary lymph node ultrasound-guided biopsy. More...

Studies were included if raw data were available on the diagnostic performance of both US‐FNA and US‐CNB, and compared with final histology results. In all, from a total of 142 studies, six remained after review, with all six showing some evidence of bias, including ack of initial randomization.

The results, based on the data of 1,353 patients from the six studies that met inclusion criteria and were included in the final analysis, revealed that US‐CNB was superior to US‐FNA in diagnosing axillary nodal metastases, with a sensitivity of 88% versus 74%, respectively; both US‐CNB and US‐FNA demonstrated a specificity of 100%. Reported complication rates were significantly higher for US‐CNB (7.1%) compared with US‐FNA (1.3%). Conversely, the requirement for repeat diagnostic procedures was significantly greater for US‐FNA (4%), compared to 0.5% for US‐CNB. The study was published in the September 2018 issue of BJS.

“There is continued need to access the axillary status of patients with breast cancer because it is crucial for further therapeutic decisions. Although both procedures performed reasonably well, US-CNB was the preferred choice, mainly because of the reduced number of patients who needed a repeat biopsy,” concluded lead author Ishwarya Balasubramanian, MCh, of GUH. “It is hard to evaluate the significance of postoperative complications, because in three of the six included studies US-FNA was followed by US-CNB, making it difficult to determine which of the two procedures was responsible for the postoperative complication.”

FNA is a diagnostic procedure used to investigate lumps or masses, which involves inserting a thin, hollow needle into the mass for sampling of cells that, after being stained, will be examined under a microscope. CNB uses a larger diameter needle to remove a section of tissue from a lesion or mass. The advantages of CNB over FNA include obtaining a more definitive histologic diagnosis and more adequate sampling for immunohistochemistry evaluation.

Related Links:
National University of Ireland Galway
Cork University Hospital

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59 (89.168548583984): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775815 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775815 AND published='1' LIMIT 1

60 (163.07830810547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775815 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775815 AND published='1' LIMIT 1

61 (88.214874267578): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775815 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775815 AND published='1' LIMIT 1

62 (115.15617370605): 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

63 (678.06243896484): SELECT fid FROM jos_deeppockets WHERE id=294775815 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294775815 AND published='1' LIMIT 1

64 (61.988830566406): 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`

65 (56.982040405273): select jos_twitters.link from jos_twitters where cat=10

66 (43.869018554688): select jos_facebook.link from jos_facebook where cat=10

67 (42.915344238281): select jos_google_plus.link from jos_google_plus where cat=10

68 (40.054321289062): select jos_linkedin.link from jos_linkedin where cat=10

69 (46.968460083008): SELECT fid FROM jos_deeppockets WHERE id=294775815 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294775815 AND published='1' LIMIT 1

70 (43.153762817383): 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`

71 (496.14906311035): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294775815 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (347.85270690918): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294775815 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

73 (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`

74 (61.03515625): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (66.041946411133): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (44.107437133789): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (75.817108154297): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294775815 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (46.968460083008): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294775815 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

90 (44.822692871094): 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`

91 (54.836273193359): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (99.897384643555): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775815 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775815 AND published='1' LIMIT 1

106 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775815 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775815 AND published='1' LIMIT 1

107 (77.009201049805): 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=294775815 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (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_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=294775815 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

109 (94.175338745117): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775815 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775815 AND published='1' LIMIT 1

110 (78.201293945312): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775815 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775815 AND published='1' LIMIT 1

111 (67.949295043945): 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=294775815 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (658.98895263672): 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=294775815 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (751.01852416992): 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 (513.07678222656): 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

115 (133.99124145508): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775815 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775815 AND published='1' LIMIT 1

116 (59.127807617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775815 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775815 AND published='1' LIMIT 1

117 (96.08268737793): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775815 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775815 AND published='1' LIMIT 1

118 (47.922134399414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775815 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775815 AND published='1' LIMIT 1

119 (46.014785766602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775815 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775815 AND published='1' LIMIT 1

120 (38.14697265625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775815 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775815 AND published='1' LIMIT 1

121 (51.021575927734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775815 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775815 AND published='1' LIMIT 1

122 (40.054321289062): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775815 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775815 AND published='1' LIMIT 1

123 (382.90023803711): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

124 (!!!!! 26487.112045288): 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

125 (575.06561279297): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294775815 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294775815 AND type='deeppockets_item' AND published='1' LIMIT 1

126 (!!!!! 7811.0694885254): ( 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 (113.01040649414): ( 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

128 (46.014785766602): 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 (41.961669921875): 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

130 (68.902969360352): 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 (42.915344238281): 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

132 (385.04600524902): 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 (44.107437133789): 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

134 (36.954879760742): 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 (40.054321289062): 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

136 (658.98895263672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775815 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (483.03604125977): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775815 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

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

139 (35.04753112793): SELECT name FROM jos_deeppockets WHERE id=214

140 (572.91984558105): 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 (516.89147949219): 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

142 (69.141387939453): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775815 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775815 AND published='1' LIMIT 1

143 (51.975250244141): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775815 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775815 AND published='1' LIMIT 1

144 (!!!!! 12249.231338501): TRUNCATE TABLE jos_trademed_module

145 (113.96408081055): 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=294775815 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (56.028366088867): 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=294775815 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

147 (!!!!! 7462.0246887207): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775815 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (132.08389282227): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775815 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

149 (105.14259338379): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775815 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775815 AND published='1' LIMIT 1

150 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775815 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775815 AND published='1' LIMIT 1

151 (!!!!! 1567.1253204346): 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

152 (67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775815 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775815 AND published='1' LIMIT 1

153 (53.167343139648): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775815 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775815 AND published='1' LIMIT 1

154 (40.054321289062): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294775815 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294775815 AND type='deeppockets_item' AND published='1' LIMIT 1

155 (32.901763916016): 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 (30.994415283203): 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)

157 (90.837478637695): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

158 (65.803527832031): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775815 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775815 AND published='1' LIMIT 1

159 (45.061111450195): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775815 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775815 AND published='1' LIMIT 1

160 (55.074691772461): select jos_twitters.link from jos_twitters where cat=10

161 (102.99682617188): select jos_facebook.link from jos_facebook where cat=10

162 (90.122222900391): select jos_google_plus.link from jos_google_plus where cat=10

163 (108.00361633301): select jos_linkedin.link from jos_linkedin where cat=10

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