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

MRI Proves Effective in Treatment of Back Pain

By MedImaging International staff writers
Posted on 27 Jan 2009

Magnetic resonance imaging (MRI) is a continually growing technology that is providing an increasing number of clinical advantages when used in the evaluation of back pain. It is predicted that over the next several years, additional technical developments will allow MRI to provide further benefits, according to a new study.

Coauthor of the study, Victor M. Haughton, M.D., department of radiology, University of Wisconsin Hospitals and Clinics (Madison, USA), stated, "Because of the many different ways to gather this important information, MRI can be used to identify or display almost every type of spinal tissue or pathology. The imaging sequence can be modified to meet many different clinical needs.” Those include: back pain, infection, tumor, and trauma and vascular disease.

Researchers are continuing to find new ways to apply technologies that were previously used exclusively on other areas of the body. MRI scanning, which is considered safe, fast, and versatile, is now being utilized in several spinal applications such as intervertebral disk and facet joint degeneration, spinal canal stenosis, vascular disorders, and trauma.

MRI scans are generated by stimulating protons in tissues and liquids (such as fat, muscle, spinal cord, and fluid in the spine) using radio waves in the presence of a magnetic field. MRI detects the amount of energy emitted from these protons. This technology makes MRI well suited to evaluate the spaces between spinal vertebrae, bone marrow, the spinal canal, and in soft tissues. Thus, MRI has been shown to be useful for nearly every spinal pathology including; diseases of the spinal cord, nerve roots, vertebrae, disks, and blood vessels. Moreover, with MRI there is no radiation risk to the patient.

Computed tomography (CT) imaging has also improved in resolution and scanning speed and is frequently the only imaging method available for patients with pacemakers, nerve stimulators, or those who suffer from claustrophobia. For these individuals, CT can provide structural information needed for diagnosis in many back pain cases. However, CT does involve exposure to radiation.

MRI, although a very important technology, should never take the place of a thorough medical history and physical examination. Moreover, there is frequently structural evidence or abnormalities on MRI scans that are not clinically relevant and not necessarily related to a patient's symptoms. MRI findings must always, according to the investigators correlate with the patient's clinical outlook.

"The possibilities of magnetic resonance have not yet been realized. It is a rapidly evolving field. When we need tools to identify a possible herniated disk, the simplest type of MR imaging or CT imaging can be used successfully. However, if you want to find out which disk is causing pain, which nerve is firing, which metabolites are present in abnormal amounts, or how well the spinal elements are functioning, MR will provide the answers,” added Dr. Haughton.

The study was published in the January 2009 issue of the Journal of the American Academy of Orthopedic Surgeons.

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61 (123.02398681641): 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 (473.0224609375): SELECT fid FROM jos_deeppockets WHERE id=294721834 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294721834 AND published='1' LIMIT 1

63 (323.05717468262): 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 (46.968460083008): select jos_twitters.link from jos_twitters where cat=10

65 (29.087066650391): select jos_facebook.link from jos_facebook where cat=10

66 (31.948089599609): select jos_google_plus.link from jos_google_plus where cat=10

67 (30.040740966797): select jos_linkedin.link from jos_linkedin where cat=10

68 (30.994415283203): SELECT fid FROM jos_deeppockets WHERE id=294721834 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294721834 AND published='1' LIMIT 1

69 (47.922134399414): 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 (355.95893859863): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294721834 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (253.91578674316): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294721834 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (51.975250244141): 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 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (34.809112548828): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (59.843063354492): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (57.93571472168): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294721834 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (41.007995605469): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294721834 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (43.153762817383): 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 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (62.942504882812): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721834 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721834 AND published='1' LIMIT 1

105 (43.153762817383): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721834 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721834 AND published='1' LIMIT 1

106 (51.975250244141): 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=294721834 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (46.968460083008): 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=294721834 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721834 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721834 AND published='1' LIMIT 1

109 (45.061111450195): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721834 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721834 AND published='1' LIMIT 1

110 (47.922134399414): 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=294721834 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (480.89027404785): 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=294721834 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (591.99333190918): 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 (343.08433532715): 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 (126.12342834473): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721834 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721834 AND published='1' LIMIT 1

115 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721834 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721834 AND published='1' LIMIT 1

116 (179.05235290527): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721834 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721834 AND published='1' LIMIT 1

117 (67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721834 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721834 AND published='1' LIMIT 1

118 (82.015991210938): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721834 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721834 AND published='1' LIMIT 1

119 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721834 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721834 AND published='1' LIMIT 1

120 (125.88500976562): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721834 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721834 AND published='1' LIMIT 1

121 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721834 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721834 AND published='1' LIMIT 1

122 (346.89903259277): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 22104.978561401): 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 (537.15705871582): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294721834 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294721834 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 8887.0525360107): ( 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 (174.99923706055): ( 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 (49.114227294922): 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 (39.100646972656): 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 (86.069107055664): 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 (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

131 (397.92060852051): 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 (133.03756713867): 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 (45.7763671875): 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 (648.97537231445): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721834 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (635.14709472656): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721834 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (334.9781036377): SELECT name FROM jos_deeppockets WHERE id=212

138 (48.87580871582): SELECT name FROM jos_deeppockets WHERE id=212

139 (817.06047058105): 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 (689.98336791992): 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 (92.029571533203): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721834 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721834 AND published='1' LIMIT 1

142 (68.902969360352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721834 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721834 AND published='1' LIMIT 1

143 (!!!!! 11729.955673218): TRUNCATE TABLE jos_trademed_module

144 (!!!!! 2509.8323822021): 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=294721834 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (126.83868408203): 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=294721834 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (556.94580078125): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721834 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (75.817108154297): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721834 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (87.02278137207): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721834 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721834 AND published='1' LIMIT 1

149 (64.13459777832): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721834 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721834 AND published='1' LIMIT 1

150 (!!!!! 1833.9157104492): 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 (427.0076751709): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721834 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721834 AND published='1' LIMIT 1

152 (73.19450378418): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721834 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721834 AND published='1' LIMIT 1

153 (519.0372467041): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294721834 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294721834 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (577.92663574219): 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 (!!!!! 1354.9327850342): 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 (52.213668823242): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (101.08947753906): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721834 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721834 AND published='1' LIMIT 1

158 (98.943710327148): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721834 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721834 AND published='1' LIMIT 1

159 (128.98445129395): select jos_twitters.link from jos_twitters where cat=10

160 (118.97087097168): select jos_facebook.link from jos_facebook where cat=10

161 (169.99244689941): select jos_google_plus.link from jos_google_plus where cat=10

162 (44.822692871094): select jos_linkedin.link from jos_linkedin where cat=10

163 (365.9725189209): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

164 (!!!!! 1324.8920440674): insert into jos_banners_delta values (14615,'2025-06-29 20:39:11','216.73.216.249','view'),(14202,'2025-06-29 20:39:11','216.73.216.249','view'),(14203,'2025-06-29 20:39:11','216.73.216.249','view')

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