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27 Jul 2025 - 30 Jul 2025

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

Delayed Enhancement MRI Technique May Predict, Prevent Strokes

By MedImaging International staff writers
Posted on 23 Feb 2011

Researchers have found that delayed-enhancement magnetic resonance imaging (DE-MRI) technology has potential for predicting the risks of strokes, the third leading cause of death in the United States.

The study included 387 patients who were treated for atrial fibrillation (AF) at either the University of Utah's Comprehensive Arrhythmia and Research Management (CARMA) Center (Salt Lake City, UT, USA) or the Clinical Center Coburg (Coburg, Germany). AF is a little known heart rhythm disorder that affects more than 3.5 million Americans and causes more than 66,000 deaths a year. Individuals with AF are two to seven times more likely to suffer a stroke than the general population.

The goal of the study, published in the February 15, 2011, issue of the Journal of the American College of Cardiology, was to determine if there was an association between an AF patient's heart damage (for example, left atrial [LA] fibrosis), which was detected using DE-MRI, and typically used markers for the risk of stroke, specifically the CHADS2 index. Although additional prospective studies are needed, the preliminary findings indicate that DE-MRI-based detection of LA fibrosis is independently associated with prior history of strokes. Moreover, the results provide preliminary evidence that the physiologic features of the LA could be used, in addition to clinical features, when identifying stroke risk in patients.

"We believe this method can be a valuable tool for clinicians to use in conjunction with the CHADS2 index for risk analysis and decisions about anticoagulation medications when treating AF patients,” said Nassir Marrouche, MD, associate professor of cardiology and executive director of the CARMA Center and director, cardiac electrophysiology laboratories, for the University of Utah's division of cardiology.

"Potentially, this will lead to improvement in current risk stratification schemes and enhance our understanding of the risks of thromboembolic events in AF patients. We also hope this will lead to the development of effective strategies for stroke prevention.”

Although the anticoagulant warfarin is highly effective in preventing strokes, the agent also is associated with life-threatening hemorrhaging and requires intensive dosage monitoring. Risk stratification schemes have been developed to tailor anticoagulation therapy to the patients' risk, and the CHADS2 index is the most accepted risk stratification model. However, while this index is a valuable tool for predicting cerebrovascular events in high-risk patients, clinicians depend more heavily on clinical judgment when predicting thromboembolic risk in moderate-risk patients, a considerable portion of the AF population. The identification of novel, independent risk factors by DE-MRI may supplement existing tools to help guide clinician judgment in better allocating anticoagulation therapeutic strategies, particularly with moderate risk AF patients.

The study investigators concluded that LA fibrosis as determined through the use of DE-MRI is "associated with an increased risk of thromboembolism in AF patients. Clinician use of both a CHADS2 index and a quantified measure of atrial fibrosis has the potential to provide a more rigorous risk assessment and improve future risk stratification schemes.”

The University of Utah CARMA Center is conducting innovative research on the use of MRIs to treat atrial fibrillation. In 2009, it opened the first integrated electrophysiology (EP)-MRI research and clinical laboratory in North America. IN 2011, it has begun a worldwide patient evaluation program at 16 international medical centers to investigate the use of delayed enhancement MRI to stage the progression of the disease. The CARMA Center also has developed the Utah AF staging system, which enables early detection and personalized treatment and management for each atrial fibrillation patient.

Related Links:
University of Utah's Comprehensive Arrhythmia and Research Management Center

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60 (118.01719665527): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733569 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733569 AND published='1' LIMIT 1

61 (809.90791320801): 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 (624.8950958252): SELECT fid FROM jos_deeppockets WHERE id=294733569 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294733569 AND published='1' LIMIT 1

63 (482.08236694336): 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 (386.95335388184): select jos_twitters.link from jos_twitters where cat=10

65 (216.96090698242): select jos_facebook.link from jos_facebook where cat=10

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

67 (29.087066650391): select jos_linkedin.link from jos_linkedin where cat=10

68 (122.0703125): SELECT fid FROM jos_deeppockets WHERE id=294733569 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294733569 AND published='1' LIMIT 1

69 (184.05914306641): 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 (339.03121948242): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294733569 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (457.0484161377): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294733569 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (59.843063354492): 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 (90.837478637695): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (64.849853515625): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294733569 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (37.908554077148): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294733569 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (41.007995605469): 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 (57.93571472168): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (82.969665527344): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (!!!!! 1905.9181213379): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733569 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733569 AND published='1' LIMIT 1

105 (100.13580322266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733569 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733569 AND published='1' LIMIT 1

106 (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 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=294733569 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (72.956085205078): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294733569 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (100.13580322266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733569 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733569 AND published='1' LIMIT 1

109 (63.896179199219): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733569 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733569 AND published='1' LIMIT 1

110 (73.909759521484): 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=294733569 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (554.08477783203): 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=294733569 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (566.95938110352): 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 (313.04359436035): 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 (72.002410888672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733569 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733569 AND published='1' LIMIT 1

115 (67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733569 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733569 AND published='1' LIMIT 1

116 (65.088272094727): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733569 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733569 AND published='1' LIMIT 1

117 (39.100646972656): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733569 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733569 AND published='1' LIMIT 1

118 (44.107437133789): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733569 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733569 AND published='1' LIMIT 1

119 (36.954879760742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733569 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733569 AND published='1' LIMIT 1

120 (41.007995605469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733569 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733569 AND published='1' LIMIT 1

121 (36.954879760742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733569 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733569 AND published='1' LIMIT 1

122 (183.8207244873): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 18582.105636597): 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 (397.92060852051): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294733569 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294733569 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 7028.1028747559): ( 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 (77.962875366211): ( 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 (35.04753112793): 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 (29.087066650391): 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 (34.093856811523): 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 (28.133392333984): 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 (192.88063049316): 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 (33.855438232422): 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 (30.040740966797): 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 (27.179718017578): 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 (342.84591674805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733569 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (225.06713867188): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733569 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (118.97087097168): SELECT name FROM jos_deeppockets WHERE id=212

138 (31.948089599609): SELECT name FROM jos_deeppockets WHERE id=212

139 (561.95259094238): 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 (437.97492980957): 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 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733569 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733569 AND published='1' LIMIT 1

142 (46.014785766602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733569 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733569 AND published='1' LIMIT 1

143 (!!!!! 7839.2028808594): TRUNCATE TABLE jos_trademed_module

144 (117.06352233887): 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=294733569 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (56.028366088867): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294733569 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (786.06605529785): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733569 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (49.114227294922): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733569 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (51.975250244141): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733569 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733569 AND published='1' LIMIT 1

149 (40.054321289062): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733569 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733569 AND published='1' LIMIT 1

150 (!!!!! 1084.0892791748): 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 (51.021575927734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733569 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733569 AND published='1' LIMIT 1

152 (41.007995605469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733569 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733569 AND published='1' LIMIT 1

153 (36.001205444336): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294733569 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294733569 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (29.087066650391): 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 (26.941299438477): 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 (29.087066650391): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (54.836273193359): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733569 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733569 AND published='1' LIMIT 1

158 (41.007995605469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733569 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733569 AND published='1' LIMIT 1

159 (37.193298339844): select jos_twitters.link from jos_twitters where cat=10

160 (30.994415283203): select jos_facebook.link from jos_facebook where cat=10

161 (31.948089599609): select jos_google_plus.link from jos_google_plus where cat=10

162 (30.994415283203): select jos_linkedin.link from jos_linkedin where cat=10

163 (239.13383483887): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

164 (890.01655578613): insert into jos_banners_delta values (14615,'2025-06-27 15:31:31','216.73.216.249','view'),(14202,'2025-06-27 15:31:31','216.73.216.249','view'),(14203,'2025-06-27 15:31:31','216.73.216.249','view')

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