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

Magnet Displacement and Pain Seen in Patients with Cochlear Implants Undergoing MRI Scanning

By MedImaging International staff writers
Posted on 02 Dec 2014

Pain, discomfort, and magnet displacement were observed in a small medical records review study of patients with cochlear implants (CIs) who underwent magnetic resonance imaging (MRI) scanning.

The study’s findings were published online November 20, 2014, by JAMA Otolaryngology-Head & Neck Surgery. A CI can help patients with severe to profound hearing loss and about 300,000 individuals worldwide have the device. However, undergoing MRI scanning can pose worries for patients with CI because of exposure of the internal magnet to a strong electromagnetic field. There have been earlier reports of adverse events, according to study.

Bo Gyung Kim, MD, PhD, of the Soonchunhyang University College of Medicine (Asan, Republic of Korea), and coauthors reviewed the medical records of 18 patients with CIs who had MRI scans between 2003 and 2014 at one center. Of the patients, 16 underwent MRI in a 1.5-T scanner and two patients had an MRI in a 3.0-T scanner. The MRIs included 12 brain scans and 18 scans of other areas of the body.

Of the 18 patients, 13 completed their MRI scan without complications (25 of 30 scans). Five patients fitted with protective head bandages could not complete their MRI because of pain: one of these patients experienced magnet displacement. Another patient tolerated the pain and discomfort of her third MRI scan, in spite of having gauze bandages, but experienced magnet polarity reversal. The two patients that underwent 3.0-T MRI scanning did so without bandaging and experienced no adverse events or complications (one patient had an MRI of the knee and the other patient, who had an MRI scan of the shoulder, did note that they experienced some discomfort). Hearing-related performance was unaffected in three CI patients who had major adverse events associated with MRI scanning.

“In the present study, however, we found that seven of the 13 patients who had not undergone general anesthesia [seven of 19 MRI scans] experienced discomfort or pain during the MRI scans. Indeed, one patient who had undergone general anesthesia was awakened by pain during the MRI scan and could not complete the MRI. Our data clearly demonstrate that a significant proportion of patients experienced discomfort or pain during the MRI process and were unable to complete the scans. Therefore, in addition to device safety and image quality, patient comfort should be considered when performing MRI procedures,” the authors noted.

In a related commentary, Emanuel Kanal, MD, of the University of Pittsburgh Medical Center (PA, USA), wrote, “Kim et al have reinforced a strong lesson for us all, that what may be considered safe by some may well be unsafe or unacceptable to others. Their reminder to consider not just mere safety but also morbidity and acceptability to the patient, is refreshing indeed. This should be added to our list of considerations prior to determining any risk-benefit assessment and patient scan recommendations regarding exposure of patients with implants to MRI environments.”

Related Links:
Soonchunhyang University College of Medicine

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63 (586.98654174805): 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 (138.99803161621): select jos_twitters.link from jos_twitters where cat=10

65 (38.862228393555): select jos_facebook.link from jos_facebook where cat=10

66 (38.862228393555): 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 (40.054321289062): SELECT fid FROM jos_deeppockets WHERE id=294755993 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294755993 AND published='1' LIMIT 1

69 (41.007995605469): 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 (393.15223693848): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294755993 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (288.00964355469): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294755993 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (46.968460083008): 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 (81.062316894531): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (73.909759521484): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294755993 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (79.870223999023): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294755993 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (51.975250244141): 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 (82.015991210938): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (56.982040405273): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (44.107437133789): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (44.107437133789): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (59.127807617188): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (77.962875366211): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (81.062316894531): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755993 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755993 AND published='1' LIMIT 1

105 (59.127807617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755993 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755993 AND published='1' LIMIT 1

106 (113.96408081055): 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=294755993 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (70.095062255859): 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=294755993 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (87.976455688477): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755993 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755993 AND published='1' LIMIT 1

109 (60.081481933594): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755993 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755993 AND published='1' LIMIT 1

110 (64.849853515625): 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=294755993 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (700.95062255859): 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=294755993 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (!!!!! 6149.0535736084): 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 (594.8543548584): 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 (88.930130004883): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755993 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755993 AND published='1' LIMIT 1

115 (52.213668823242): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755993 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755993 AND published='1' LIMIT 1

116 (60.081481933594): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755993 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755993 AND published='1' LIMIT 1

117 (41.961669921875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755993 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755993 AND published='1' LIMIT 1

118 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755993 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755993 AND published='1' LIMIT 1

119 (60.081481933594): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755993 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755993 AND published='1' LIMIT 1

120 (47.922134399414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755993 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755993 AND published='1' LIMIT 1

121 (36.954879760742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755993 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755993 AND published='1' LIMIT 1

122 (370.02563476562): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 57855.844497681): 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 (!!!!! 1401.9012451172): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294755993 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294755993 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 20179.986953735): ( 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 (68.902969360352): ( 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 (37.908554077148): 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 (30.040740966797): 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 (51.975250244141): 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 (35.04753112793): 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 (386.95335388184): 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 (41.007995605469): 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 (41.007995605469): 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 (32.901763916016): 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 (594.8543548584): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755993 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (382.1849822998): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755993 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (201.94053649902): SELECT name FROM jos_deeppockets WHERE id=212

138 (36.954879760742): SELECT name FROM jos_deeppockets WHERE id=212

139 (666.85676574707): 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 (!!!!! 1546.8597412109): 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 (102.99682617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755993 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755993 AND published='1' LIMIT 1

142 (57.93571472168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755993 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755993 AND published='1' LIMIT 1

143 (!!!!! 15532.01675415): TRUNCATE TABLE jos_trademed_module

144 (!!!!! 3124.9523162842): 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=294755993 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (!!!!! 1435.0414276123): 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=294755993 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (579.833984375): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755993 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755993 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (!!!!! 1295.804977417): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755993 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755993 AND published='1' LIMIT 1

149 (!!!!! 3229.8564910889): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755993 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755993 AND published='1' LIMIT 1

150 (!!!!! 1493.9308166504): 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 (70.095062255859): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755993 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755993 AND published='1' LIMIT 1

152 (47.922134399414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755993 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755993 AND published='1' LIMIT 1

153 (531.91184997559): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294755993 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294755993 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (65.088272094727): 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 (43.153762817383): 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 (96.08268737793): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (91.075897216797): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755993 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755993 AND published='1' LIMIT 1

158 (52.213668823242): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755993 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755993 AND published='1' LIMIT 1

159 (76.055526733398): select jos_twitters.link from jos_twitters where cat=10

160 (42.915344238281): select jos_facebook.link from jos_facebook where cat=10

161 (38.14697265625): select jos_google_plus.link from jos_google_plus where cat=10

162 (41.961669921875): select jos_linkedin.link from jos_linkedin where cat=10

163 (377.89344787598): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

164 (!!!!! 1065.9694671631): insert into jos_banners_delta values (14615,'2025-06-23 06:37:09','216.73.216.120','view'),(14202,'2025-06-23 06:37:09','216.73.216.120','view'),(14203,'2025-06-23 06:37:09','216.73.216.120','view')

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