Preventing Forum Spam-bots?

A concerned reader asks: "Recently it seems that forums have become the new target for spam bots advertising everything from porn to casinos. The forums that I admin are constantly harassed by these bots even though you must enter the visual confirmation code code (the picture with letters/numbers) as well as reply to an e-mail in order to register. This only started a few months ago so I'm suspecting that some new spam program was released that somehow gets around these anti-bot measures. How can I get rid of these annoying bots?"

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[MadDog Bob-2]

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