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27 Jul 2025 - 30 Jul 2025

AAPM 2025 - 67th Annual Meeting & Exhibition of the American Association of Physicists in Medicine

Wide Range of Liver Disease Identified by MR Elastography

By MedImaging International staff writers
Posted on 24 Nov 2008

A new study revealed that a new imaging technology could identify liver fibrosis with high accuracy and help eliminate the need for liver biopsies.

Liver fibrosis is a common condition that can lead to incurable cirrhosis if not treated in time. The technology, called magnetic resonance elastography (MRE), produces color-coded images known as elastograms that indicate how internal organs, muscles, and tissues would feel to the touch. Red is the stiffest; purple, the softest. Other imaging techniques do not provide this information. "Knowing the liver's elasticity or stiffness is invaluable in diagnosing liver disease," commented Jayant Talwalkar, M.D., M.P.H., Mayo Clinic (Rochester, MN, USA;) hepatologist and coinvestigator in the study. "A healthy liver is very soft, while a liver with early disease begins to stiffen. A liver with cirrhosis, advanced liver disease, can be rock hard."

The study, which included 113 patients, was presented November 3, 2008, at The Liver Meeting, an annual gathering of the American Association for the Study of Liver Disease, in San Francisco, CA, USA. Study participants had undergone liver biopsy in the year preceding the study and had a wide variety of liver diseases, including nonalcoholic and alcoholic fatty liver disease, hepatitis C, hepatitis B, autoimmune hepatitis, primary biliary cirrhosis, and primary sclerosing cholangitis. Patients ranged in age from 19 to 78, and their body weight ranged from normal to severely obese.

"Results showed that elastography was highly accurate in detecting moderate-to-severe hepatic fibrosis even with the variety in age, types of liver disease and body size," stated Dr. Talwalkar. Among the study's findings: (1) The detection of cirrhosis by MRE when compared to liver biopsy results was 88% accurate. (2) Patients with nonalcoholic fatty liver disease and no significant inflammation or fibrosis were identified with 97% accuracy. "Using MRE, we can confidently avoid liver biopsies for patients with no evidence of advanced fibrosis, as well as for patients with cirrhosis," said Dr. Talwalkar.

Liver biopsies, conducted by extracting tissue samples with a needle, can underestimate the degree of hepatic fibrosis about 20-30% of the time because of the patchy distribution of fibrosis that occurs in the liver. Another drawback is that since liver biopsy is invasive, patients may be reluctant to have a biopsy performed and sometimes delay the procedure when liver disease is first suspected, according to Dr. Talwalkar.

"Our goal in hepatology is to be able to diagnose liver disease early so that novel as well as established therapies can be provided to our patients," said Dr. Talwalkar.Treatment and lifestyle changes could help stop the progression of hepatic fibrosis to liver cirrhosis and liver failure, which would eventually require a liver transplant.

The incidence and prevalence of chronic liver disease is increasing in the United States. Nonalcoholic fatty liver disease has become the most common liver disease and it is associated with a growing numbers of patients with obesity and diabetes. The number of patients seeking medical care for hepatitis C is also increasing. This disease, spread by coming into contact with blood contaminated by the virus, slowly damages the liver over decades.

MRE research was initiated at Mayo Clinic approximately 10 years ago. The technology measures low-frequency acoustic waves transmitted into the abdomen. The wave motions measured are miniscule, 0.01 of the width of a human hair. The noninvasive procedure takes seconds to conduct. Mayo Clinic is already using MRE to diagnose patients with liver conditions. Research is ongoing to examine how MRE might help in the diagnosis of Alzheimer's disease and some cancers.

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59 (221.96769714355): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721168 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721168 AND published='1' LIMIT 1

60 (73.909759521484): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721168 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721168 AND published='1' LIMIT 1

61 (140.90538024902): 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 (726.93824768066): SELECT fid FROM jos_deeppockets WHERE id=294721168 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294721168 AND published='1' LIMIT 1

63 (516.17622375488): 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=212 ORDER BY `ordering`

64 (107.0499420166): select jos_twitters.link from jos_twitters where cat=10

65 (52.928924560547): select jos_facebook.link from jos_facebook where cat=10

66 (50.067901611328): select jos_google_plus.link from jos_google_plus where cat=10

67 (46.014785766602): select jos_linkedin.link from jos_linkedin where cat=10

68 (68.902969360352): SELECT fid FROM jos_deeppockets WHERE id=294721168 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294721168 AND published='1' LIMIT 1

69 (67.949295043945): 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=212 ORDER BY `ordering`

70 (492.81120300293): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294721168 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (415.08674621582): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294721168 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (61.988830566406): 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 (85.115432739258): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (43.869018554688): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (66.041946411133): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (107.0499420166): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (59.127807617188): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (34.809112548828): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (77.009201049805): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294721168 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (43.869018554688): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294721168 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (90.122222900391): 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 (87.02278137207): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (93.936920166016): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (56.982040405273): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (61.03515625): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (44.107437133789): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (128.98445129395): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721168 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721168 AND published='1' LIMIT 1

105 (98.228454589844): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721168 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721168 AND published='1' LIMIT 1

106 (97.990036010742): 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=294721168 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (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_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=294721168 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (140.90538024902): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721168 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721168 AND published='1' LIMIT 1

109 (82.015991210938): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721168 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721168 AND published='1' LIMIT 1

110 (82.015991210938): 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=294721168 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (794.88754272461): 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=294721168 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (902.17590332031): 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 (674.00932312012): 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 (192.88063049316): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721168 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721168 AND published='1' LIMIT 1

115 (82.015991210938): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721168 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721168 AND published='1' LIMIT 1

116 (129.93812561035): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721168 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721168 AND published='1' LIMIT 1

117 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721168 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721168 AND published='1' LIMIT 1

118 (63.896179199219): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721168 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721168 AND published='1' LIMIT 1

119 (50.067901611328): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721168 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721168 AND published='1' LIMIT 1

120 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721168 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721168 AND published='1' LIMIT 1

121 (53.167343139648): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721168 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721168 AND published='1' LIMIT 1

122 (442.9817199707): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 29603.958129883): 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 (841.85600280762): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294721168 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294721168 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 11014.223098755): ( 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 (126.83868408203): ( 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 (773.90670776367): 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 (133.03756713867): 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 (426.05400085449): 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 (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 (344.99168395996): 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 (69.141387939453): 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 (386.95335388184): 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 (83.92333984375): 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 (427.9613494873): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721168 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (374.07875061035): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721168 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (217.19932556152): SELECT name FROM jos_deeppockets WHERE id=212

138 (106.0962677002): SELECT name FROM jos_deeppockets WHERE id=212

139 (873.80409240723): 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 '((;)|(^))212((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

140 (843.04809570312): 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 '((;)|(^))212((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

141 (106.8115234375): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721168 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721168 AND published='1' LIMIT 1

142 (80.108642578125): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721168 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721168 AND published='1' LIMIT 1

143 (!!!!! 13007.879257202): TRUNCATE TABLE jos_trademed_module

144 (630.85556030273): 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=294721168 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (102.04315185547): 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=294721168 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (!!!!! 1307.0106506348): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721168 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (89.168548583984): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721168 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (118.97087097168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721168 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721168 AND published='1' LIMIT 1

149 (74.148178100586): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721168 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721168 AND published='1' LIMIT 1

150 (!!!!! 1750.9460449219): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

151 (107.0499420166): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721168 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721168 AND published='1' LIMIT 1

152 (72.956085205078): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721168 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721168 AND published='1' LIMIT 1

153 (73.909759521484): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294721168 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294721168 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (62.942504882812): 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=212 or channel_id is null)

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=212 or channel_id is null)

156 (72.002410888672): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (109.91096496582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721168 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721168 AND published='1' LIMIT 1

158 (65.088272094727): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721168 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721168 AND published='1' LIMIT 1

159 (159.97886657715): select jos_twitters.link from jos_twitters where cat=10

160 (52.928924560547): select jos_facebook.link from jos_facebook where cat=10

161 (81.062316894531): 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

163 (545.97854614258): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

164 (!!!!! 1619.815826416): insert into jos_banners_delta values (14615,'2025-06-30 03:30:08','216.73.216.249','view'),(14202,'2025-06-30 03:30:08','216.73.216.249','view'),(14203,'2025-06-30 03:30:08','216.73.216.249','view')

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