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Dual-Mode Endoscope Combines Ultrasound and OCT to Offer Unprecedented Insights into Uterine Health

By MedImaging International staff writers
Posted on 05 Apr 2022

Female infertilities are highly associated with poor endometrial receptivity. More...

A receptive endometrium (the lining of the uterus) is generally characterized by the normal uterine cavity, intact endometrial surface, appropriate endometrial thickness, and echo pattern. Acquiring comprehensive structural information is the prerequisite of endometrium assessment, which is beyond the ability of any single-modality imaging method. Researchers have now developed a new endoscope that combines ultrasound with optical coherence tomography (OCT) to assess structural features of the endometrium in unprecedented detail. By providing detailed structural information about the endometrium, the probe could offer a less invasive way to determine if endometrial problems are causing infertility, which affects about 10-20% of women worldwide, as well as help to diagnose other uterine health problems.

The new probe developed by researchers at the Shenzhen Institute of Advanced Technology (Guangdong, China; http://english.siat.cas.cn) could one day help doctors diagnose infertility problems that are related to endometrial receptivity with greater accuracy than current imaging technologies while reducing the need for invasive biopsies. The dual-mode endoscope demonstrated the ability to differentiate between healthy and injured endometrial tissue in rabbit models based on both surface features and depth information. It is the first in vivo demonstration of intrauterine endoscopic imaging in small animals, with a probe measuring just 1.2 mm across.

The endometrium plays a critical role in the ability for a blastocyst to implant in a uterus and grow into a healthy fetus. Failure to implant is recognized as a key bottleneck in the reproductive process, with impaired endometrial receptivity accounting for about two-thirds of implantation failures. The current gold standard method for assessing endometrial receptivity is through biopsies, which require surgically removing and analyzing a small tissue sample. Endoscopic imaging is a less invasive method, but current endoscopes can only identify larger defects in the uterus such as anatomical malformations or polyps, not assess the structure of the endometrium. A vaginal ultrasound can provide information about the thickness of the endometrium and other structural features, but lacks the resolution and contrast needed to comprehensively assess endometrial receptivity.

OCT is an imaging technique that uses relatively long wavelength light (commonly known as near infrared light) to produce high-resolution images from within scattering media. It has been adapted for diagnostic tools in several medical fields including ophthalmology, cardiology and dermatology. Previous studies have shown OCT imaging can be used to identify structural features of the endometrium that are associated with implantation failures. For the new study, researchers improved upon a prototype they had previously developed to combine OCT and ultrasound imaging in a single probe. The OCT modality provides detailed information about the superficial endometrium including its surface information, while ultrasound provides insights about its full thickness. Since multiple features of the endometrium affect implantation success, combining these imaging modalities provides a more accurate picture of endometrial receptivity than either mode individually.

The catheter is designed to pass through the cervix, enter the uterine cavity and inject water to facilitate high-resolution imaging. A series of tiny custom-designed optical and ultrasonic components are arranged within the catheter to achieve both ultrasound and OCT mode. The improved probe also uses a single-mode fiber, which offers higher resolution and reduced noise for the OCT mode. In addition, the researchers used a metal coil to allow the probe to rotate for a 360-degree full-field of view once it is inside the uterus. To test the endoscope, the researchers used it to image the uterine lining of four anesthetized rabbits. Some of the rabbits were healthy while others had undergone a procedure to wash the endometrium with ethanol for different lengths of time, damaging the tissue to varying degrees.

The researchers quantified features of the endometrium including its thickness, distribution and surface roughness separately in ultrasonic and OCT modalities. The OCT images showed that healthy endometrial tissues had a smoother and more continuous surface, while damaged tissues were more rough. In ultrasound images, the endometrium was found to be thicker in healthy tissues and thinner in areas that had been damaged. While each modality provided valuable information on its own, it wasn’t until the researchers combined the information from each that they were able to comprehensively and accurately evaluate the degree of tissue injury.

The probe also provided echo patterns that were similar to what can be obtained with vaginal ultrasound but with better resolution. In addition, the images revealed physical features such as polyp-like formations as small as 200 microns, demonstrating the probe’s ability to discern tiny lesions that could affect endometrial health. The researchers plan to add a photoacoustic mode to increase the probe’s ability to observe blood flow and information about the vascular networks in the uterine lining. In addition, they are working to improve the size, resolution and imaging range of the imaging catheter to make it more practical for clinical use in humans.

“This tool combines the two techniques of ultrasound and OCT, allowing it to obtain more information and provide a more accurate assessment of endometrial status than traditional vaginal ultrasound,” said research team leader Xiaojing Gong from the Shenzhen Institutes of Advanced Technology of the Chinese Academy of Sciences. “It has the potential to be used for basic endometrial research and to further advance clinical assessment of endometrial receptivity and other endometrial-related diseases.”

“The system can obtain the thickness information of the endometrium, the echo pattern of the endometrium and information about damage to the endometrial surface, which play an important role in the evaluation of endometrial receptivity,” added Gong. “It also has the potential to detect diseases in the uterus, such as endometrial cancer and uterine fibroids.”

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53 (329.01763916016): SELECT name FROM jos_deeppockets WHERE id=294792272 LIMIT 1

54 (293.97010803223): SELECT name FROM jos_deeppockets_archive WHERE id=294792272 LIMIT 1

55 (49.829483032227): 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'

56 (85.830688476562): 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=294792272 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

57 (620.12672424316): 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=294792272 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

58 (!!!!! 1832.0083618164): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792272 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792272 AND published='1' LIMIT 1

59 (96.08268737793): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792272 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792272 AND published='1' LIMIT 1

60 (157.83309936523): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792272 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792272 AND published='1' LIMIT 1

61 (95.844268798828): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792272 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792272 AND published='1' LIMIT 1

62 (186.92016601562): 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 (653.98216247559): SELECT fid FROM jos_deeppockets WHERE id=294792272 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294792272 AND published='1' LIMIT 1

64 (60.796737670898): 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 (58.889389038086): select jos_twitters.link from jos_twitters where cat=10

66 (41.961669921875): select jos_facebook.link from jos_facebook where cat=10

67 (44.107437133789): 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 (44.107437133789): SELECT fid FROM jos_deeppockets WHERE id=294792272 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294792272 AND published='1' LIMIT 1

70 (44.107437133789): 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 (556.94580078125): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294792272 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (335.2165222168): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294792272 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

73 (53.882598876953): 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 (93.936920166016): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (64.13459777832): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (43.153762817383): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (49.114227294922): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (72.002410888672): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (47.922134399414): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (43.869018554688): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (83.92333984375): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (48.87580871582): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (93.936920166016): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294792272 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (51.975250244141): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294792272 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

90 (54.836273193359): 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 (308.99047851562): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (56.982040405273): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (49.829483032227): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (47.922134399414): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (54.121017456055): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (47.922134399414): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (52.928924560547): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (47.922134399414): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (59.127807617188): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (44.107437133789): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (138.99803161621): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792272 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792272 AND published='1' LIMIT 1

106 (105.14259338379): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792272 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792272 AND published='1' LIMIT 1

107 (95.844268798828): 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=294792272 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (82.969665527344): 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=294792272 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

109 (132.08389282227): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792272 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792272 AND published='1' LIMIT 1

110 (79.870223999023): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792272 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792272 AND published='1' LIMIT 1

111 (95.129013061523): 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=294792272 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (878.09562683105): 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=294792272 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (851.86958312988): 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 (574.82719421387): 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 (185.96649169922): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792272 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792272 AND published='1' LIMIT 1

116 (77.009201049805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792272 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792272 AND published='1' LIMIT 1

117 (83.92333984375): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792272 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792272 AND published='1' LIMIT 1

118 (59.843063354492): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792272 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792272 AND published='1' LIMIT 1

119 (71.048736572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792272 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792272 AND published='1' LIMIT 1

120 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792272 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792272 AND published='1' LIMIT 1

121 (70.095062255859): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792272 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792272 AND published='1' LIMIT 1

122 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792272 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792272 AND published='1' LIMIT 1

123 (438.92860412598): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

124 (!!!!! 34712.076187134): 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 (786.78131103516): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294792272 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294792272 AND type='deeppockets_item' AND published='1' LIMIT 1

126 (!!!!! 10795.116424561): ( 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 (136.8522644043): ( 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 (102.99682617188): 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 (57.220458984375): 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 (82.015991210938): 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 (45.061111450195): 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 (470.16143798828): 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 (58.174133300781): 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 (67.949295043945): 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 (43.869018554688): 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 (630.85556030273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792272 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (489.95018005371): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792272 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

138 (63.896179199219): SELECT name FROM jos_deeppockets WHERE id=214

139 (48.87580871582): SELECT name FROM jos_deeppockets WHERE id=214

140 (802.04010009766): 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 (688.07601928711): 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 (105.14259338379): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792272 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792272 AND published='1' LIMIT 1

143 (106.0962677002): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792272 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792272 AND published='1' LIMIT 1

144 (!!!!! 17090.082168579): TRUNCATE TABLE jos_trademed_module

145 (138.0443572998): 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=294792272 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (87.02278137207): 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=294792272 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

147 (803.94744873047): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792272 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792272 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

149 (99.897384643555): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792272 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792272 AND published='1' LIMIT 1

150 (77.009201049805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792272 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792272 AND published='1' LIMIT 1

151 (!!!!! 1793.1461334229): 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 (96.08268737793): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792272 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792272 AND published='1' LIMIT 1

153 (74.863433837891): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792272 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792272 AND published='1' LIMIT 1

154 (55.789947509766): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294792272 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294792272 AND type='deeppockets_item' AND published='1' LIMIT 1

155 (47.922134399414): 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 (44.822692871094): 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 (78.916549682617): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

158 (206.94732666016): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792272 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792272 AND published='1' LIMIT 1

159 (148.05793762207): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792272 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792272 AND published='1' LIMIT 1

160 (56.028366088867): select jos_twitters.link from jos_twitters where cat=10

161 (41.007995605469): select jos_facebook.link from jos_facebook where cat=10

162 (40.054321289062): select jos_google_plus.link from jos_google_plus where cat=10

163 (40.054321289062): select jos_linkedin.link from jos_linkedin where cat=10

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