This only works on bbcode that has a non image as image.
But you can use any image remotely hosted in the img tag and that img can be forced to be executed as a php file.
The remote image is actually php code that sets a cookie with the affiliate code, and then sets the mime via header and returns a real image.
example:
The img above is http://floris.vbulletin.com/stuff/vborgtest.jpg[/img] which is actually a php file that sets a cookie for floris.vbcom with user 'vborgtest'
hence: stuffing.
This plugin doesn't seem to check for real cookie stuffing, unless I am mistaken?