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AI Guidance Helps Novices Perform Echocardiography

By MedImaging International staff writers
Posted on 09 Mar 2021

Image: Using AI technology, novice staff can acquire quality ultrasounds (Photo courtesy of Dreamstime)

Nurses with no training in ultrasound were able to acquire diagnostic-quality images by using an artificial intelligence (AI)-based software application, according to a new study.

Researchers at Northwestern University (NU; Evanston, IL, USA), MedStar Washington Hospital Center (Washington, DC, USA), and other institutions conducted a prospective, multicenter diagnostic study involving eight nurses with no experience in ultrasound. The nurses were then trained using Caption Guidance, a deep-learning (DL) algorithm developed by Caption Health (Brisbane, CA, USA) that provides real-time prescriptive guidance for limited diagnostic transthoracic echocardiographic scans.

Each nurse scanned 10-view transthoracic echocardiograms in 30 patients, which were then compared with those of level 3-trained technicians using the same hardware, but without AI guidance. The results showed that the novice nurses produced echocardiograms judged to be of diagnostic quality for left ventricular size, function, and pericardial effusion in 98.8% of the scans, and right ventricular size in 92.5%. Experienced sonographers, however, were much better at determining the size of the inferior vena cava (91.5% versus 57.4%). The study was published on February 18, 2021, in JAMA Cardiology.

“The ability to provide echocardiography outside the traditional laboratory setting is largely limited by a lack of trained sonographers and cardiologists to acquire and interpret images,” concluded senior author cardiologist James Thomas, MD, of Northwestern University, and colleagues. “Using this AI-based technology, individuals with no previous training may be able to obtain diagnostic echocardiographic clips of several key cardiac parameters.”

“In our mission to democratize access to healthcare and quality medical imaging, we wanted to ensure that we tested Caption Guidance on a wide range of patients to prove its effectiveness across a diverse population,” said Yngvil Thomas, head of medical affairs and clinical development at Caption Health. “This study shows that AI-guided imaging can expand healthcare professionals’ skill sets in a meaningful way with minimal training, giving patients more opportunities to receive timely diagnostic care.”

Related Links:
Northwestern University
MedStar Washington Hospital Center
Caption Health

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63 (78.201293945312): 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 (419.13986206055): select jos_twitters.link from jos_twitters where cat=10

65 (313.04359436035): select jos_facebook.link from jos_facebook where cat=10

66 (51.021575927734): select jos_google_plus.link from jos_google_plus where cat=10

67 (48.87580871582): select jos_linkedin.link from jos_linkedin where cat=10

68 (304.9373626709): SELECT fid FROM jos_deeppockets WHERE id=294787377 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294787377 AND published='1' LIMIT 1

69 (272.03559875488): 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 (656.1279296875): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294787377 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (586.03286743164): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294787377 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (60.081481933594): 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 (!!!!! 1127.9582977295): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (47.922134399414): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (172.13821411133): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (219.82192993164): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (186.92016601562): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (281.09550476074): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (386.95335388184): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (148.05793762207): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (!!!!! 6911.039352417): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (66.995620727539): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (633.00132751465): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294787377 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (!!!!! 2714.8723602295): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294787377 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (450.13427734375): 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 (!!!!! 3798.0079650879): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (319.9577331543): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (!!!!! 3117.0845031738): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (!!!!! 3978.0139923096): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (293.97010803223): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (53.167343139648): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (59.127807617188): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (!!!!! 2332.9257965088): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (66.995620727539): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (!!!!! 3574.1329193115): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294787377 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294787377 AND published='1' LIMIT 1

105 (614.16625976562): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294787377 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294787377 AND published='1' LIMIT 1

106 (294.20852661133): 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=294787377 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (730.03768920898): 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=294787377 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (!!!!! 2346.9924926758): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294787377 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294787377 AND published='1' LIMIT 1

109 (108.95729064941): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294787377 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294787377 AND published='1' LIMIT 1

110 (440.83595275879): 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=294787377 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (678.06243896484): 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=294787377 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (!!!!! 1682.9967498779): 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 (!!!!! 1429.0809631348): 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 (!!!!! 2070.9037780762): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294787377 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294787377 AND published='1' LIMIT 1

115 (411.9873046875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294787377 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294787377 AND published='1' LIMIT 1

116 (!!!!! 2085.9241485596): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294787377 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294787377 AND published='1' LIMIT 1

117 (!!!!! 6680.965423584): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294787377 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294787377 AND published='1' LIMIT 1

118 (126.12342834473): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294787377 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294787377 AND published='1' LIMIT 1

119 (235.08071899414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294787377 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294787377 AND published='1' LIMIT 1

120 (!!!!! 1322.9846954346): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294787377 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294787377 AND published='1' LIMIT 1

121 (!!!!! 2979.9938201904): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294787377 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294787377 AND published='1' LIMIT 1

122 (582.93342590332): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 137342.92984009): 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 (!!!!! 1914.0243530273): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294787377 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294787377 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (72.002410888672): ( 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 (47.922134399414): ( 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 (64.849853515625): 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 (45.7763671875): 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 (87.02278137207): 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 (63.180923461914): 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 (51.021575927734): 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 (46.968460083008): 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 (56.982040405273): 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 (36.001205444336): 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 (!!!!! 1244.068145752): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294787377 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (!!!!! 1315.8321380615): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294787377 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (!!!!! 6172.8954315186): SELECT name FROM jos_deeppockets WHERE id=214

138 (90.122222900391): SELECT name FROM jos_deeppockets WHERE id=214

139 (993.01338195801): 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 (!!!!! 1980.0662994385): 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 (!!!!! 11904.001235962): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294787377 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294787377 AND published='1' LIMIT 1

142 (!!!!! 3113.0313873291): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294787377 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294787377 AND published='1' LIMIT 1

143 (!!!!! 21094.083786011): TRUNCATE TABLE jos_trademed_module

144 (!!!!! 5429.0294647217): 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=294787377 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (!!!!! 1045.2270507812): 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=294787377 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (!!!!! 2693.1762695312): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294787377 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (!!!!! 2545.1183319092): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294787377 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (425.81558227539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294787377 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294787377 AND published='1' LIMIT 1

149 (125.16975402832): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294787377 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294787377 AND published='1' LIMIT 1

150 (!!!!! 7098.913192749): 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 (!!!!! 1754.0454864502): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294787377 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294787377 AND published='1' LIMIT 1

152 (97.990036010742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294787377 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294787377 AND published='1' LIMIT 1

153 (941.99180603027): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294787377 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294787377 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (40.054321289062): 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 (41.961669921875): 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 (396.9669342041): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (!!!!! 3756.9999694824): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294787377 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294787377 AND published='1' LIMIT 1

158 (90.837478637695): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294787377 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294787377 AND published='1' LIMIT 1

159 (!!!!! 1168.966293335): select jos_twitters.link from jos_twitters where cat=10

160 (60.081481933594): select jos_facebook.link from jos_facebook where cat=10

161 (266.07513427734): select jos_google_plus.link from jos_google_plus where cat=10

162 (51.975250244141): select jos_linkedin.link from jos_linkedin where cat=10

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