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

MRI Autopsies Offer Alternative to Conventional Methods

By MedImaging International staff writers
Posted on 29 May 2013

Image: Adult MRI scan. Using MRI and blood tests to establish the cause of death in fetuses and newborn babies is virtually as accurate as a standard autopsy (Photo courtesy of the Great Ormond Street Hospital for Children).

Autopsies that are minimally invasive by employing magnetic resonance imaging (MRI) technology and other strategies such as blood tests can determine the cause of death in infants and fetuses just as effectively as conventional autopsies.

The new findings, published May 16, 2013, in the British medical journal the Lancet, were presented by investigators from University College London (UK) and Great Ormond Street Hospital (London, UK). The study was led by Dr. Sudhin Thayyil, a consultant neonatologist, and Prof. Andrew Taylor, a consultant radiologist, both from Great Ormond Street Hospital. The study was the first of its kind to analyze the effectiveness of minimally invasive autopsy methods compared with traditional methods on a large-scale.

Autopsies can help to validate the cause of death in a child and establish the risk of susceptibility in siblings and family members. However, consent rates for fetal and neonatal autopsies have declined in the United Kingdom, in spite of a greater number of parents being offered the alternative. Although postmortem MRI is becoming more common in the United Kingdom, and is more acceptable to parents and next of kin, few large studies have studied its effectiveness compared to a traditional autopsy.

The researchers examined outcomes from 400 fetuses, children, and infants who were scheduled for an autopsy and conducted both standard and minimally invasive autopsies for each one. They wanted to determine whether the cause of death concluded by the two autopsy methods was the same. Minimally invasive autopsy determined, among infants and fetuses under the age of one, the same cause of death as the standard autopsy for 92% of the cases observed.

For children between one and 16 years of age, the minimally invasive autopsy techniques were not as accurate; only marginally over half (54%) of the two types of autopsies on children in this age group had the same causes of death. The researchers think this is because MRI scans are unable to detect the infections that were more likely to be the cause of death for children among this age group. When an autopsy is not performed, it is typically because the parents have not given their consent. The investigators think minimally invasive technique could provide a more acceptable choice to traditional autopsy in fetuses and some children.

The study compared the accuracy of a standard autopsy (open dissection) with that of whole-body, postmortem MRI with or without other minimally invasive methods. These included blood samples taken by needle, genetic and metabolic tests, and visual examination of the body, abut did not include tissue biopsies. Cause of death was determined in 400 cases of fetuses and children under 16 by conventional autopsy, MRI scans alone, and MRI scans combined with other noninvasive tests (minimally invasive autopsy).

The findings of a minimally invasive autopsy were found to correlate with those of a standard autopsy in 357 (90%) cases, with the most accurate results for fetuses, newborns, and infants. Imaging was less effective in determining the cause of or major factor in death in older children, largely because MRI scans were unable to detect signs of infection inside their bodies.

Dr. Thayyil, said, “This study has important implications for the way child autopsies are likely to be done in the future. Concerns about falling autopsy rates have been raised since the 1970s; however, attempts to improve these rates have been largely unsuccessful. Minimally invasive autopsy could help more families and clinicians to understand the cause of a child’s death and its implications for other family members, while minimizing the distress caused to parents at such an upsetting time.”

Prof. Taylor, concluded, “Autopsies not only help us to establish the cause of death, but they often play an important role in advancing medical research and knowledge. If we can find ways to continue to carry them out using less invasive methods, such as postmortem MRI, we can boost our understanding of the many ways in which the body can go wrong, with the hope of finding better ways to prevent, treat and cure life-threatening conditions in the future.”

Related Links:
University College London
Great Ormond Street Hospital

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58 (204.08630371094): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746519 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746519 AND published='1' LIMIT 1

59 (158.07151794434): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746519 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746519 AND published='1' LIMIT 1

60 (68.902969360352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746519 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746519 AND published='1' LIMIT 1

61 (145.91217041016): 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 (788.92707824707): SELECT fid FROM jos_deeppockets WHERE id=294746519 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294746519 AND published='1' LIMIT 1

63 (495.19538879395): 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 (83.208084106445): select jos_twitters.link from jos_twitters where cat=10

65 (38.14697265625): select jos_facebook.link from jos_facebook where cat=10

66 (38.14697265625): 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 (61.03515625): SELECT fid FROM jos_deeppockets WHERE id=294746519 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294746519 AND published='1' LIMIT 1

69 (42.200088500977): 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 (!!!!! 2172.9469299316): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294746519 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (557.18421936035): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294746519 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (118.97087097168): 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 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (29.802322387695): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (29.802322387695): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (72.002410888672): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294746519 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=294746519 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (41.961669921875): 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 (412.94097900391): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (164.98565673828): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (293.01643371582): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (72.002410888672): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (167.1314239502): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (292.06275939941): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (164.03198242188): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (39.815902709961): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (263.92936706543): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (44.107437133789): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (787.01972961426): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746519 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746519 AND published='1' LIMIT 1

105 (95.844268798828): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746519 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746519 AND published='1' LIMIT 1

106 (99.897384643555): 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=294746519 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (76.055526733398): 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=294746519 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (874.04251098633): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746519 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746519 AND published='1' LIMIT 1

109 (611.78207397461): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746519 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746519 AND published='1' LIMIT 1

110 (179.05235290527): 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=294746519 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (!!!!! 2388.9541625977): 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=294746519 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (704.05006408691): 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 (432.01446533203): 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 (100.85105895996): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746519 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746519 AND published='1' LIMIT 1

115 (94.890594482422): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746519 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746519 AND published='1' LIMIT 1

116 (62.942504882812): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746519 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746519 AND published='1' LIMIT 1

117 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746519 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746519 AND published='1' LIMIT 1

118 (45.061111450195): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746519 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746519 AND published='1' LIMIT 1

119 (41.007995605469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746519 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746519 AND published='1' LIMIT 1

120 (51.021575927734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746519 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746519 AND published='1' LIMIT 1

121 (40.054321289062): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746519 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746519 AND published='1' LIMIT 1

122 (291.10908508301): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 27793.169021606): 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 (723.12355041504): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294746519 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294746519 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 10445.117950439): ( 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 (149.96528625488): ( 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 (447.03483581543): 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 (55.074691772461): 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 (366.9261932373): 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 (52.928924560547): 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 (285.14862060547): 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 (51.975250244141): 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 (328.06396484375): 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 (51.975250244141): 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 (493.04962158203): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746519 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (397.92060852051): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746519 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (276.08871459961): SELECT name FROM jos_deeppockets WHERE id=212

138 (45.061111450195): SELECT name FROM jos_deeppockets WHERE id=212

139 (742.91229248047): 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 (553.84635925293): 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 (84.877014160156): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746519 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746519 AND published='1' LIMIT 1

142 (87.976455688477): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746519 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746519 AND published='1' LIMIT 1

143 (!!!!! 10637.998580933): TRUNCATE TABLE jos_trademed_module

144 (108.95729064941): 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=294746519 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (61.988830566406): 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=294746519 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (!!!!! 1816.0343170166): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746519 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (104.90417480469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746519 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (113.96408081055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746519 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746519 AND published='1' LIMIT 1

149 (82.969665527344): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746519 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746519 AND published='1' LIMIT 1

150 (!!!!! 1636.9819641113): 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 (!!!!! 3718.1377410889): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746519 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746519 AND published='1' LIMIT 1

152 (157.83309936523): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746519 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746519 AND published='1' LIMIT 1

153 (66.041946411133): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294746519 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294746519 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (46.968460083008): 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 (41.961669921875): 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 (61.988830566406): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (153.0647277832): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746519 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746519 AND published='1' LIMIT 1

158 (52.928924560547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746519 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746519 AND published='1' LIMIT 1

159 (!!!!! 1697.0634460449): select jos_twitters.link from jos_twitters where cat=10

160 (37.908554077148): select jos_facebook.link from jos_facebook where cat=10

161 (34.093856811523): select jos_google_plus.link from jos_google_plus where cat=10

162 (32.186508178711): select jos_linkedin.link from jos_linkedin where cat=10

163 (376.93977355957): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

164 (!!!!! 1163.9595031738): insert into jos_banners_delta values (14615,'2025-06-25 13:33:32','216.73.216.120','view'),(14202,'2025-06-25 13:33:32','216.73.216.120','view'),(14203,'2025-06-25 13:33:32','216.73.216.120','view')

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