RheumaCast

Dr. Denis Poddubnyy

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RheumaCast dives into the latest developments in rheumatology, offering in-depth discussions on research, clinical advances, and expert comments. Each episode sheds light on significant publications, upcoming events, and evolving trends in the field. Perfect for rheumatologists, healthcare professionals, and researchers eager to stay at the forefront of rheumatology.

3 DAYS AGO

How to differentiate between osteitis condensans and spondyloarthritis?

This study compares osteitis condensans ilii (OCI) and axial spondyloarthritis (axSpA), focusing on their clinical, laboratory, and MRI characteristics. Researchers found that OCI predominantly affects women and lacks the inflammatory markers typical of axSpA. While both conditions can present with sacroiliac joint osteitis on MRI, OCI shows anterior localization and an absence of erosions, distinguishing it from axSpA. The study highlights the challenges in differentiating these conditions and emphasizes the need for comprehensive clinical and imaging assessment. The findings provide valuable information for the differential diagnosis of these two conditions. This episode is based on Poddubnyy D, et al. Rheumatology (Oxford) 2020;59(12):3798-3806. and developed with NotebookLM.

11 min
12/08/2024

TNF Blockade Ineffective for Chronic Low Back Pain Associated with Modic Type 1 Changes on MRI

This episode focuses on a randomized, placebo-controlled trial that evaluated the efficacy of infliximab, a tumor necrosis factor (TNF) inhibitor, in alleviating chronic low back pain in patients with Modic type 1 changes (degenerative disc disease with bone marrow edema) identified on magnetic resonance imaging (MRI). The results indicate that TNF blockade is not effective for this condition. This podcast is based on the publication by Gjefsen E, et al (2024) and was developed with NotebookLM.

16 min
12/01/2024

What is chronic non-bacterial osteitis (CNO)?

This article presents expert consensus recommendations for diagnosing and treating chronic non-bacterial osteitis (CNO) in adults. A systematic review of existing literature and a multidisciplinary expert panel informed the creation of a standardized disease definition and proposed the term "CNO" to replace previous, less precise terminology. The recommendations cover diagnostic imaging, laboratory testing, and a tiered treatment approach starting with NSAIDs and moving to intravenous bisphosphonates or TNF-α inhibitors as needed. Long-term follow-up and a multidisciplinary care team are emphasized, along with a research agenda to improve understanding and treatment of this rare condition.

20 min
11/01/2024

Low Back Pain and Suspicion of Axial Spondyloarthritis – Does the MRI Protocol Matter?

This episode of RheumaCast deals the long-anticipated global consensus on MRI protocols for the diagnosis and differential diagnosis of axial spondyloarthritis (axSpA). Experts from ASAS and SPARTAN, including radiologists and rheumatologists, have developed a comprehensive, standardized imaging protocol designed to maximize diagnostic accuracy and aid early identification of axSpA. The protocol specifies a four-sequence approach focusing on inflammation, structural damage, and bone-cartilage interface visualization—essential elements to ensure consistency in detecting sacroiliitis and distinguishing it from other conditions. This podcast is based on the publication ⁠Lambert R, et al. Ann Rheum Dis 2024 Aug 6:ard-2024-225882⁠ and is developed with NotebookLM.

12 min
10/26/2024

Diagnosis of Axial Spondyloarthritis - Enhancing Rheumatologist-Radiologist Communication

This episode of RheumaCast dives into the latest expert guidelines from the Assessment of Spondyloarthritis International Society (ASAS) for imaging referrals in patients with suspected or confirmed axial spondyloarthritis (axSpA). We explore how these recommendations, designed by an international task force, aim to improve communication between rheumatologists and radiologists, ensuring imaging requests are precise, informative, and clinically relevant. By standardizing essential clinical data in referral forms, these guidelines support more accurate diagnoses, enhanced report quality, and ultimately better patient management in axSpA. Join us as we discuss the significance, application, and expected impact of these recommendations in clinical practice. This podcast is based on the publication Diekhoff T, et al. Ann Rheum Dis 2024 Sep 24:ard-2024-226280 and is developed with NotebookLM.

18 min

5 Episodes

RheumaCast dives into the latest developments in rheumatology, offering in-depth discussions on research, clinical advances, and expert comments. Each episode sheds light on significant publications, upcoming events, and evolving trends in the field. Perfect for rheumatologists, healthcare professionals, and researchers eager to stay at the forefront of rheumatology.

Creator

Dr. Denis Poddubnyy
Years Active

2024 - 2025
Episodes

5
Rating

Clean
Show Website

RheumaCast

RheumaCast

Episodes

How to differentiate between osteitis condensans and spondyloarthritis?

TNF Blockade Ineffective for Chronic Low Back Pain Associated with Modic Type 1 Changes on MRI

What is chronic non-bacterial osteitis (CNO)?

Low Back Pain and Suspicion of Axial Spondyloarthritis – Does the MRI Protocol Matter?

Diagnosis of Axial Spondyloarthritis - Enhancing Rheumatologist-Radiologist Communication

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