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27 Jul 2025 - 30 Jul 2025

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

Avoiding Overdiagnosis in Geriatric Imaging

By MedImaging International staff writers
Posted on 05 Apr 2011

Imaging geriatric patients will become more common as the global population ages. Radiologists are now learning about not only the most common pathologies among the elderly but also how to avoid potential pitfalls that could lead to overtreatment.

Ultimately, the ability to differentiate between the elderly presenting with the normal signs of aging and those who need more care will help to avoid an even greater drain on healthcare systems, radiology experts argued at the annual meeting of the European Congress of Radiology (ECR), held in March 2011 in Vienna, Austria.

In geriatric patients the coexistence of several diseases, and the prevalence of involutional and degenerative characteristics combined with physical and cognitive problems represent "the norm,” thus the importance of differentiating the healthy elderly from those in need of treatment, Prof. Giuseppe Guglielmi, from Foggia (Italy) explained. "The question is how to be aware of the potential and limits of diagnostic imaging and its applications in geriatric patients,” he said.

Bone and joint disorders are common in the elderly population and the loss of mobility and physical independence resulting from fractures, osteoarthritis, and osteoporosis can be devastating, both physically and psychologically.

The most common complaints and conditions pertaining to the geriatric population must be known to radiologists, who will see more and more geriatric patients in the future, pointed out Prof. Anne Cotton, from Lille (France). "Radiologists must also be aware of some misleading radiological presentations typically occurring in this population, such as unrecognized fractures, missed infection or malignant conditions, and myeloma revealed by osteoporotic vertebral collapses,” she said.

In the brain, severe incidental white matter lesions (WMLs) and incidental cerebral microbleeds (MBs) are tied to known cardiovascular risk factors, and while the concurrent impact may be subtle in terms of cognition, they carry a poor prognosis in the long run. The same is true for silent cerebral infarcts, which increase the risk of dementia. Neurodegenerative changes also occur well before the onset of clinical signs of dementia.

The role of functional magnetic resonance imaging (MRI) and positron emission tomography with fluorodexyglucose (FDG-PET) in predicting cognitive decline in genetically predisposed individuals has been shown. In particular, PET studies employing amyloid tracers have recently demonstrated abnormal binding in a significant proportion of cognitively elderly patients, suggesting that these subjects are at risk of developing Alzheimer's disease--the pace of which is currently undetermined.

Finally, most complications of cardiovascular disease, including myocardial infarction, stroke, congestive heart failure, atrial fibrillation, and cardiovascular death, mostly occur in individuals who are 65 or older. A number of imaging modalities, such as ultrasound, PET/CT, and high-resolution black-blood MRI have emerged that can be used to evaluate the composition and morphology of atherosclerotic plaques. The ECR session included debates on the reversibility of atherosclerosis, by providing an update on the latest imaging studies examining the effects of antiatherosclerotic drugs on plaque regression and progression.

The European Congress of Radiology is the annual meeting of the European Society of Radiology (ESR).

Related Links:
European Society of Radiology

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61 (118.01719665527): 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 (558.13789367676): SELECT fid FROM jos_deeppockets WHERE id=294734317 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294734317 AND published='1' LIMIT 1

63 (388.86070251465): 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 (58.889389038086): select jos_twitters.link from jos_twitters where cat=10

65 (30.040740966797): select jos_facebook.link from jos_facebook where cat=10

66 (43.153762817383): select jos_google_plus.link from jos_google_plus where cat=10

67 (36.001205444336): select jos_linkedin.link from jos_linkedin where cat=10

68 (50.067901611328): SELECT fid FROM jos_deeppockets WHERE id=294734317 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294734317 AND published='1' LIMIT 1

69 (33.140182495117): 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 (306.84471130371): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294734317 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (231.98127746582): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294734317 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (75.817108154297): 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 (65.088272094727): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (32.186508178711): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (52.928924560547): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (44.107437133789): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (82.015991210938): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294734317 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (42.915344238281): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294734317 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (49.114227294922): 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 (61.03515625): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (30.994415283203): 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 (26.941299438477): 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 (42.200088500977): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (39.815902709961): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (74.148178100586): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734317 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734317 AND published='1' LIMIT 1

105 (42.915344238281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734317 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734317 AND published='1' LIMIT 1

106 (58.889389038086): 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=294734317 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (49.114227294922): 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=294734317 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (94.175338745117): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734317 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734317 AND published='1' LIMIT 1

109 (60.081481933594): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734317 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734317 AND published='1' LIMIT 1

110 (69.141387939453): 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=294734317 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (535.96496582031): 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=294734317 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (609.8747253418): 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 (371.93298339844): 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 (109.19570922852): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734317 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734317 AND published='1' LIMIT 1

115 (68.187713623047): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734317 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734317 AND published='1' LIMIT 1

116 (73.909759521484): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734317 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734317 AND published='1' LIMIT 1

117 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734317 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734317 AND published='1' LIMIT 1

118 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734317 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734317 AND published='1' LIMIT 1

119 (49.829483032227): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734317 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734317 AND published='1' LIMIT 1

120 (43.153762817383): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734317 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734317 AND published='1' LIMIT 1

121 (59.127807617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734317 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734317 AND published='1' LIMIT 1

122 (329.01763916016): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 22701.025009155): 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 (657.08160400391): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294734317 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294734317 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 7565.0215148926): ( 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 (66.995620727539): ( 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 (286.10229492188): 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 (215.05355834961): 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 (50.067901611328): 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 (201.94053649902): 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 (34.093856811523): 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 (191.21170043945): 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 (31.948089599609): 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 (450.13427734375): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734317 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (366.2109375): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734317 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (199.0795135498): SELECT name FROM jos_deeppockets WHERE id=212

138 (33.140182495117): SELECT name FROM jos_deeppockets WHERE id=212

139 (559.09156799316): 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 (450.84953308105): 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 (75.101852416992): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734317 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734317 AND published='1' LIMIT 1

142 (44.822692871094): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734317 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734317 AND published='1' LIMIT 1

143 (!!!!! 8189.9166107178): 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=294734317 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (59.843063354492): 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=294734317 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (824.92828369141): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734317 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (53.882598876953): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734317 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (64.13459777832): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734317 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734317 AND published='1' LIMIT 1

149 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734317 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734317 AND published='1' LIMIT 1

150 (!!!!! 1359.9395751953): 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 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734317 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734317 AND published='1' LIMIT 1

152 (48.160552978516): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734317 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734317 AND published='1' LIMIT 1

153 (63.896179199219): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294734317 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294734317 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (49.114227294922): 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 (44.107437133789): 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 (60.081481933594): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (94.175338745117): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734317 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734317 AND published='1' LIMIT 1

158 (49.829483032227): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734317 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734317 AND published='1' LIMIT 1

159 (124.93133544922): select jos_twitters.link from jos_twitters where cat=10

160 (29.087066650391): select jos_facebook.link from jos_facebook where cat=10

161 (27.179718017578): select jos_google_plus.link from jos_google_plus where cat=10

162 (25.98762512207): select jos_linkedin.link from jos_linkedin where cat=10

163 (267.98248291016): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

164 (!!!!! 1025.915145874): insert into jos_banners_delta values (14615,'2025-06-27 09:35:04','216.73.216.249','view'),(14202,'2025-06-27 09:35:04','216.73.216.249','view'),(14203,'2025-06-27 09:35:04','216.73.216.249','view')

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