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

MRI Helps to Identify and Quantify Fat in the Liver

By MedImaging International staff writers
Posted on 28 Sep 2014

$Image: Multi-echo MRI fat fractions positively correlate with the grade of steatosis estimated by histopathologic measurements. (A) Representative multi-echo MRI images showing different degrees of water and fat intensity, and fat fraction in different patients. (B) Multi-echo MRI fat fractions positively correlate with the grade of steatosis estimated by histopathologic measurements in human livers (n =129). Dots represent the values of each case. (C) Multi-echo MRI fat fraction mean values of each steatosis grading group (0 to 3 scale). CV, coefficient of variation; MRI, magnetic resonance imaging; Std. Dev, standard deviation (Photo courtesy of Jiménez-Agüero, et al: BMC Medicine 2014 12:137).$

Image: Multi-echo MRI fat fractions positively correlate with the grade of steatosis estimated by histopathologic measurements. (A) Representative multi-echo MRI images showing different degrees of water and fat intensity, and fat fraction in different patients. (B) Multi-echo MRI fat fractions positively correlate with the grade of steatosis estimated by histopathologic measurements in human livers (n =129). Dots represent the values of each case. (C) Multi-echo MRI fat fraction mean values of each steatosis grading group (0 to 3 scale). CV, coefficient of variation; MRI, magnetic resonance imaging; Std. Dev, standard deviation (Photo courtesy of Jiménez-Agüero, et al: BMC Medicine 2014 12:137).

Spanish investigators have shown that magnetic resonance imaging (MRI) is a good modality—better than hepatic biopsy—for identifying fats in the liver and for quantifying them.

Excess weight causes significant alterations in the body, one of which affects liver function. Fat accumulates in the liver producing hepatic steatosis, which, in specific circumstances, causes inflammation, fibrosis, and ultimately, cirrhosis. To date, the most effective method for determining hepatic fat has been hepatic biopsy. Imaging techniques such as abdominal echocardiography are less precise for determining the quantity of fat.

The research team led by Luis Bujanda, a professor of medicine at the University of the Basque Country (UPV/EHU; Leioa, Spain), in charge of the research into hepatic and gastrointestinal diseases at the Biodonostia Health Research Institute, conducted the study.

Obesity and overweight affect more than 50% of the population in the Basque community. The research was been published August 26, 2014, in the BMC Medicine, and coordinated by Drs. Jesús Bañales of the Biodonostia Health Research Institute (HRI; Gipuzkoa, Spain) and Raúl Jimenez of the department of surgery, radiology, and physical medicine at the UPV/EHU’s medicine and odontology faculty. In addition, the study has had the participation of researchers from the department of nutrition and food sciences of the UPV/EHU’s pharmacy faculty, from the surgery, digestive system, and pathological anatomy services at the Donostia University Hospital, together with Osatek (the Basque Public Health department’s imaging diagnosis service).

The research was undertaken with 97 obese patients and 32 patients with other hepatic pathologies, and who had been subject to surgical intervention. The quantity of fat in the liver was measured using three different methods; MRI, hepatic biopsy, and the biochemical determination of fat employing the Folch method. Patients were subject to MRI scanning the day before surgery and a sample of liver was obtained during the surgery.

“Magnetic resonance is a very useful technique to determine the presence of fat or not in the liver, the quantity of the same and in order to evaluate the efficacy of treatment applied over a long period. It is possible that in the future we will be able to determine, apart from fat, the degree of inflammation and hepatic fibrosis,” stated Dr. Bañales, a researcher at Biodonostia HRI.

The article validates the earlier research undertaken in lab animals and published by the same research team one year ago in which it was observed that the quantification of hepatic fat was very precise when using MRI scanning.

Related Links:
University of the Basque Country
Biodonostia Health Research Institute

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58 (65.088272094727): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754833 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754833 AND published='1' LIMIT 1

59 (101.08947753906): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754833 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754833 AND published='1' LIMIT 1

60 (50.067901611328): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754833 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754833 AND published='1' LIMIT 1

61 (109.91096496582): 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 (424.14665222168): SELECT fid FROM jos_deeppockets WHERE id=294754833 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294754833 AND published='1' LIMIT 1

63 (44.107437133789): 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 (37.908554077148): select jos_twitters.link from jos_twitters where cat=10

65 (28.133392333984): select jos_facebook.link from jos_facebook where cat=10

66 (30.040740966797): select jos_google_plus.link from jos_google_plus where cat=10

67 (27.179718017578): select jos_linkedin.link from jos_linkedin where cat=10

68 (36.001205444336): SELECT fid FROM jos_deeppockets WHERE id=294754833 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294754833 AND published='1' LIMIT 1

69 (30.994415283203): 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 (272.98927307129): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294754833 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (224.11346435547): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294754833 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (38.862228393555): 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 (48.87580871582): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (55.074691772461): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294754833 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (29.087066650391): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294754833 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (34.093856811523): 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 (65.088272094727): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (42.200088500977): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754833 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754833 AND published='1' LIMIT 1

105 (43.869018554688): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754833 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754833 AND published='1' LIMIT 1

106 (51.975250244141): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294754833 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (45.061111450195): 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=294754833 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (69.856643676758): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754833 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754833 AND published='1' LIMIT 1

109 (44.107437133789): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754833 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754833 AND published='1' LIMIT 1

110 (46.014785766602): 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=294754833 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (438.21334838867): 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=294754833 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (536.20338439941): 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 (312.80517578125): 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 (93.936920166016): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754833 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754833 AND published='1' LIMIT 1

115 (75.101852416992): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754833 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754833 AND published='1' LIMIT 1

116 (109.91096496582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754833 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754833 AND published='1' LIMIT 1

117 (49.829483032227): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754833 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754833 AND published='1' LIMIT 1

118 (82.969665527344): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754833 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754833 AND published='1' LIMIT 1

119 (49.114227294922): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754833 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754833 AND published='1' LIMIT 1

120 (68.902969360352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754833 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754833 AND published='1' LIMIT 1

121 (48.87580871582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754833 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754833 AND published='1' LIMIT 1

122 (170.94612121582): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 37151.098251343): 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 (355.00526428223): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294754833 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294754833 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 18980.026245117): ( 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 (961.0652923584): ( 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 (561.95259094238): 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 (558.85314941406): 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 (!!!!! 10471.105575562): 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 (!!!!! 1976.9668579102): 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 (190.01960754395): 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 (43.153762817383): 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 (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

134 (27.894973754883): 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 (514.98413085938): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754833 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (!!!!! 1155.1380157471): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754833 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (!!!!! 1626.0147094727): SELECT name FROM jos_deeppockets WHERE id=212

138 (!!!!! 1317.024230957): SELECT name FROM jos_deeppockets WHERE id=212

139 (!!!!! 2009.8686218262): 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 (760.07843017578): 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 (387.90702819824): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754833 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754833 AND published='1' LIMIT 1

142 (233.88862609863): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754833 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754833 AND published='1' LIMIT 1

143 (!!!!! 6795.1679229736): TRUNCATE TABLE jos_trademed_module

144 (432.01446533203): 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=294754833 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (226.97448730469): 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=294754833 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (590.08598327637): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754833 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (!!!!! 3443.0027008057): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754833 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (118.97087097168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754833 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754833 AND published='1' LIMIT 1

149 (75.817108154297): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754833 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754833 AND published='1' LIMIT 1

150 (!!!!! 1086.950302124): 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 (888.10920715332): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754833 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754833 AND published='1' LIMIT 1

152 (59.127807617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754833 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754833 AND published='1' LIMIT 1

153 (528.09715270996): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294754833 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294754833 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (257.96890258789): 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 (180.00602722168): 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 (993.01338195801): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (982.99980163574): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754833 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754833 AND published='1' LIMIT 1

158 (75.817108154297): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754833 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754833 AND published='1' LIMIT 1

159 (37.908554077148): select jos_twitters.link from jos_twitters where cat=10

160 (25.98762512207): select jos_facebook.link from jos_facebook where cat=10

161 (25.98762512207): select jos_google_plus.link from jos_google_plus where cat=10

162 (25.033950805664): select jos_linkedin.link from jos_linkedin where cat=10

163 (270.12825012207): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

164 (!!!!! 6119.0128326416): insert into jos_banners_delta values (14615,'2025-06-23 15:53:13','216.73.216.120','view'),(14202,'2025-06-23 15:53:13','216.73.216.120','view'),(14203,'2025-06-23 15:53:13','216.73.216.120','view')

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