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

Diffusion-Weighted MRI Becoming Major Tool to Diagnose Patients with Transient Ischemic Attacks

By MedImaging International staff writers
Posted on 20 Aug 2014

Image: The ischemic penumbra is visible in some patients up to 24 hour after stroke by MRI scanning. Perfusion-weighted imaging can be used to show areas of ischemia and can be compared with the ischemic core, visible by diffusion-weighted imaging (Photo courtesy of sharinginginhealth dot ca, an open access training in healthcare resource).

With the development of brain imaging, including cranial computed tomography (CCT), and particularly diffusion-weighted imaging-magnetic resonance imaging (DWI-MRI), the diagnosis of transient ischemic attacks (TIAs) has changed from time-based definition to a tissue-based one. DWI-MRI became an essential tool in the TIA workup.

Several studies have shown that TIA patients had cerebral infarctions that can be identified by CCT, even though the CCT was performed days to weeks after the TIA. It has been found that 3%–48% of patients with clinical TIA symptoms had acute cerebral infarctions that can be visualized by CCT. Moreover, the DWI-MRI measurements have shown that up to 67% of patients with TIA demonstrate relevant cerebral infarction.

The development of brain imaging and its use in the routine diagnostic workup of patients with TIA has therefore changed the investigators outlook of TIAs. Particularly, the definition of TIA has shifted from a clinically time-based term to tissue-related one in the clinical daily routine.

The risk of stroke after TIA in patients with evidence of acute infarction ranged between 3 to 18-fold higher than TIA patients without acute infarction detected by MRI. Therefore, TIA should be handled as an emergency event and patients suffering from TIA should be immediately treated to evaluate the etiology and to receive the secondary prophylaxis to prevent a stroke. The impact of the immediate evaluation of TIA patients on stroke prevention after TIA has been shown in earlier studies. Conversely, there are no uniform international guidelines and recommendations for TIA diagnosis and treatment, particularly in diagnostic and therapeutic procedures.

The DWI-MRI provides not only the evidence to differentiate between TIA and acute ischemic stroke; furthermore, it predicts TIA patients who are at higher risk of disabling stroke, which can be prevented by an immediate evaluation and treatment of TIA, according to Dr. Mohamed Al-Khaled from the University of Lübeck (Germany).

The brain imaging in patients with transient neurologic symptoms can help to answer the question that whether patients with TIA who have an acute infarction should be classified as acute ischemic stroke. Furthermore, it has been established that TIA patients who showed acute infarction by DWI-MRI or CCT are at a higher risk to suffer from an incapacitating stroke.

These findings were published in the June/July 2014 issue of the journal Neural Regeneration Research (2014; vol. 9, no. 3).

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62 (495.91064453125): SELECT fid FROM jos_deeppockets WHERE id=294754085 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294754085 AND published='1' LIMIT 1

63 (111.10305786133): 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 (344.99168395996): select jos_twitters.link from jos_twitters where cat=10

65 (102.04315185547): select jos_facebook.link from jos_facebook where cat=10

66 (305.8910369873): select jos_google_plus.link from jos_google_plus where cat=10

67 (40.054321289062): select jos_linkedin.link from jos_linkedin where cat=10

68 (!!!!! 1381.1588287354): SELECT fid FROM jos_deeppockets WHERE id=294754085 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294754085 AND published='1' LIMIT 1

69 (83.208084106445): 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 (375.03242492676): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294754085 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (266.07513427734): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294754085 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (54.836273193359): 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 (71.048736572266): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (123.02398681641): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (!!!!! 1891.1361694336): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (48.160552978516): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (29.802322387695): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (48.160552978516): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294754085 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (30.994415283203): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294754085 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (35.04753112793): 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 (!!!!! 3048.8967895508): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (75.817108154297): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (50.067901611328): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (51.975250244141): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (39.815902709961): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (!!!!! 1675.8441925049): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754085 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754085 AND published='1' LIMIT 1

105 (83.92333984375): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754085 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754085 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=294754085 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (649.92904663086): 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=294754085 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (149.01161193848): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754085 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754085 AND published='1' LIMIT 1

109 (103.95050048828): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754085 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754085 AND published='1' LIMIT 1

110 (73.19450378418): 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=294754085 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (707.14950561523): 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=294754085 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (600.09956359863): 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 (389.09912109375): 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 (91.075897216797): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754085 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754085 AND published='1' LIMIT 1

115 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754085 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754085 AND published='1' LIMIT 1

116 (94.175338745117): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754085 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754085 AND published='1' LIMIT 1

117 (52.213668823242): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754085 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754085 AND published='1' LIMIT 1

118 (91.075897216797): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754085 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754085 AND published='1' LIMIT 1

119 (41.007995605469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754085 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754085 AND published='1' LIMIT 1

120 (43.153762817383): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754085 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754085 AND published='1' LIMIT 1

121 (38.862228393555): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754085 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754085 AND published='1' LIMIT 1

122 (345.94535827637): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 25475.978851318): 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 (800.84800720215): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294754085 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294754085 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 9191.9898986816): ( 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 (169.99244689941): ( 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 (94.890594482422): 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 (46.014785766602): 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 (74.148178100586): 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 (41.007995605469): 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 (466.10832214355): 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 (58.174133300781): 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 (54.836273193359): 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 (43.869018554688): 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 (634.90867614746): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754085 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (608.92105102539): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754085 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (72.956085205078): SELECT name FROM jos_deeppockets WHERE id=212

138 (45.7763671875): SELECT name FROM jos_deeppockets WHERE id=212

139 (828.02772521973): 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 (833.98818969727): 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 (115.15617370605): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754085 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754085 AND published='1' LIMIT 1

142 (89.883804321289): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754085 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754085 AND published='1' LIMIT 1

143 (!!!!! 11207.818984985): TRUNCATE TABLE jos_trademed_module

144 (97.990036010742): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294754085 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (57.93571472168): 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=294754085 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (910.04371643066): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754085 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754085 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (59.127807617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754085 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754085 AND published='1' LIMIT 1

149 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754085 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754085 AND published='1' LIMIT 1

150 (!!!!! 1209.9742889404): 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 (85.115432739258): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754085 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754085 AND published='1' LIMIT 1

152 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754085 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754085 AND published='1' LIMIT 1

153 (68.902969360352): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294754085 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294754085 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (38.862228393555): 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 (32.901763916016): 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 (36.954879760742): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (130.89179992676): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754085 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754085 AND published='1' LIMIT 1

158 (51.021575927734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754085 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754085 AND published='1' LIMIT 1

159 (42.915344238281): 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 (48.87580871582): select jos_linkedin.link from jos_linkedin where cat=10

163 (388.14544677734): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

164 (!!!!! 1125.0972747803): insert into jos_banners_delta values (14615,'2025-06-24 01:07:08','216.73.216.120','view'),(14202,'2025-06-24 01:07:08','216.73.216.120','view'),(14203,'2025-06-24 01:07:08','216.73.216.120','view')

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