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.

  1. 24 THG 8

    Sex Differences in Treatment Response in Axial Spondyloarthritis

    In this episode of RheumaCast, we explore new data from the international PROOF cohort on sex-specific differences in achieving disease control in axial spondyloarthritis (axSpA). The authors present compelling evidence that women with non-radiographic axSpA (nr-axSpA) are significantly less likely than men to reach low disease activity or inactive disease—despite similar treatment approaches and TNFi use. What’s behind this disparity? We discuss potential contributors, including nociplastic pain mechanisms, mechanical mimics like osteitis condensans ilii, and sex-specific differences in sacroiliac joint anatomy. The findings highlight the urgent need for accurate diagnosis and a nuanced approach to treatment in women with axSpA—especially in the non-radiographic stage. This episode is based on the publication: Poddubnyy D, et al. Rheumatology 2025; doi:10.1093/rheumatology/keaf447 and developed with NotebookLM.

    5 phút

  2. 17 THG 5

    The Imaging Crisis in Axial Spondyloarthritis: Between Early Diagnosis and Overdiagnosis

    In this episode of RheumaCast, we dive into the ongoing debate around imaging in axial spondyloarthritis (axSpA). While MRI has revolutionized early detection of sacroiliitis, it has also created new diagnostic challenges. We discuss why bone marrow edema alone is not enough for a confident diagnosis, how mechanical stress and anatomical variations complicate interpretation, and why we might be facing an "imaging crisis" in axSpA. We explore current workarounds—pattern recognition, quantification of lesions, contextual interpretation—and their limitations. The conversation also highlights emerging solutions, from advanced imaging techniques and AI-based analysis to the critical role of expert radiology assessment. Tune in to understand why balancing early diagnosis with diagnostic accuracy is essential to avoid misclassification, overtreatment, and ultimately to improve patient outcomes. This episode is based on the publication: Diekhoff T, Poddubnyy D, et al. Lancet Rheumatol 2025; Published online May 16, 2025. doi:10.1016/S2665-9913(25)00108-0 and developed with NotebookLM.

    8 phút

  3. 25 THG 4

    Why Treatment Fails in Axial Spondyloarthritis — And What We Can Do About It

    In this episode of RheumaCast, we discuss one of the most frustrating aspects of axial spondyloarthritis (axSpA): treatment failure. Despite the availability of multiple biologic and targeted therapies, over half of patients do not achieve remission. What causes this non-response? We explore two major culprits—misdiagnosis and the presence of nociplastic pain—and examine how imaging pitfalls, overlapping mechanical conditions like osteitis condensans ilii, and inadequate communication between clinicians and radiologists can lead to suboptimal management. Learn how standardized MRI protocols, expert interpretation, and emerging tools like AI and molecular imaging can improve diagnostic precision and patient outcomes. This episode is based on the publication: Poddubnyy D and Baraliakos X. Nat Rev Rheumatol 2025; doi:10.1038/s41584-025-01254-5 and developed with NotebookLM.

    9 phút

  4. 13 THG 4

    Sacroiliac Joint Variants: When Normal Anatomy Mimics Disease

    In this episode of RheumaCast, we explore how anatomical variations of the sacroiliac joints (SIJ) can complicate the diagnosis and management of axial spondyloarthritis (axSpA). We walk you through common SIJ variants—such as crescent-shaped ilium, accessory joints, and transitional vertebrae—and explain how these can mimic sacroiliitis on MRI. We discuss how to differentiate true inflammation from mechanical stress reactions, when to use CT for clarification, and the implications of these findings for diagnosis, treatment, and research. If you’ve ever wondered how much “background noise” anatomy adds to SIJ imaging, this episode is for you. This episode is based on the publication: Diekhoff T and Ziegeler K. Curr Opin Rheumatol 2025 and developed with NotebookLM.

    11 phút

  5. 22 THG 3

    Statistical Pitfalls in Rheumatology Research: 15 Tips from an Expert

    In this episode of RheumaCast, we delve into common statistical missteps in rheumatology research—and how to avoid them. Professor Stian Lydersen shares insights from reviewing over 700 manuscripts for Annals of the Rheumatic Diseases and RMD Open. From handling missing data to the proper use of t-tests, this concise guide covers 15 essential statistical principles that every rheumatology researcher should know. Whether you're preparing your next manuscript or reviewing one, this episode is packed with practical guidance to improve the quality and clarity of your work. This episode is based on the publication: Lydersen S, et al. Ann Rheum Dis 2025 and developed with NotebookLM.

    20 phút

  6. 16 THG 3

    Understanding Nociplastic Pain: What It Is and How to Treat It

    In this episode, we explore a compelling review that tracesthe evolution of our understanding of nociplastic pain—from fibrositis to fibromyalgia and beyond. 🧠 Key Takeaways from the Discussion:✅ The shift from peripheral to central painmechanisms in fibromyalgia✅ How nociplastic painintersects with inflammatory rheumatic diseases✅ Why traditional analgesics(NSAIDs, opioids) are ineffective—and what really works ✅ The role of functional brainimaging and quantitative sensory testing indiagnosing central sensitization This episode is particularly relevant for clinicians, researchers, and anyone treating chronic pain syndromes in rheumatology. Tune in to hear how rheumatologists helped shape the understanding of nociplastic pain—and whatthis means for future treatment strategies!This episode is based on Clauw DJ. Ann Rheum Dis 2024;83:1421–1427 and was developed with NotebookLM.

    13 phút

  7. 9 THG 3

    How to Detect Enthesitis? A Multicenter Study Comparing Ultrasound and Physical Examination in Spondyloarthritis

    In this episode we discuss a recent multicenter study involving over 400 patients with spondyloarthritis, which explored the detection of enthesitis.Researchers compared ultrasound findings with physical examinations to assess agreement between the two methods across various lower limb entheses and different types of ultrasound lesions. The study also examined the prevalence and clinical significance of subclinical enthesitis, where ultrasound detects inflammation that is not apparent during a physical exam. Findings revealed notable discrepancies between the two assessment approaches, underscoring the need for a more integrated strategy that combines both techniques for a more precise evaluation of enthesitis in spondyloarthritis. These insights emphasize the importance of multimodal assessment in clinical practice and may contribute to refining diagnostic and treatment strategies for patients with spondyloarthritis. This episode is based on Di Matteo A, et al. Arthritis Rheumatol 2025;77:22-33 and was developed with NotebookLM.

    15 phút

  8. 4 THG 3

    EULAR Recommendations: Targeted Therapy in Inflammatory Arthritis and Cancer History

    A new episode focusses on the recently published 2024 EULAR points to consider on the initiation of targeted therapies in patients with inflammatory arthritis and a history of cancer. This importnat guideline provides practical advice for rheumatologists navigating the complexities of managing patients with both inflammatory arthritis like rheumatoid arthritis, spondyloarthritis, and psoriatic arthritis,and a past cancer diagnosis. In this episode, we'll delve into key aspects of these recommendations, including: • The importance of assessing the individualized risk of cancer recurrence, • The necessity of co-management with oncology specialists and shared decision-making with patients, • The recommendation to initiate appropriate targeted antirheumatic treatment without delay in patients with cancer in remission, • Guidance on managing patients with active IA and a malignancy that is not in remission. This episode is for rheumatologists, oncologists, primary care physicians, and anyone involved in the care of patients with inflammatory arthritis and a history of cancer. Understanding these 2024 EULAR points to consider can help enhance therapeutic decision-making and optimize patient outcomes. This episode is based to the publication Sebbag E, et al.Ann Rheum Dis 2025;84:388-397 and was developed with NotebookLM.

    18 phút
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Giới Thiệu

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.

Thông Tin

  • Nhà sáng tạo
    Dr. Denis Poddubnyy
  • Năm hoạt động
    2024 - 2025
  • Tập
    20
  • Xếp hạng
    Sạch
  • Bản quyền
    © Dr. Denis Poddubnyy
  • Trang web chương trình
    RheumaCast