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          Predicting #PsA 
PRESTO study #obvious risks are #predictive 
Alexis R Ogdie @RheumNow #RNL2025
bad PsO 2X ^PsA
High BMI
Depression 
Modifiable risks #psoriasis #psoriatic #arthritis https://t.co/pOxidCWcg5
                      
          
          
            
              
 
            
          
        
      
             Janet Pope Janetbirdope ( View Tweet)
            
             
          Can AI pass the rheumatology boards? Yes! 🤯
Stay tuned for more interesting rheumatology pearls at RheumNow Live 2025!
#RNL2025 @RheumNow https://t.co/bNurQlH5OU
                      
          
          
            
              
 
            
          
        
      
             Adela Castro AdelaCastro222 ( View Tweet)
            
             
          🏈Kick-off of @RheumNow w Jeff Curtis #RNL2025 🏈
AI in RA?
Can help with Rheum Boards Questions, though AI is not confident in answers
May not be better than paper charts for triage
Other roles: pt chatbot, AI scribe, research populations, generate DDx, consume guidelines https://t.co/X43DCmt0Ov
                       
              
          
          
            
              
 
            
          
        
      Links:
             Eric Dein ericdeinmd ( View Tweet)
            
             
  
          Who’s liable for an incorrect #AI diagnosis or medical advice? @rheumnow #RNL2025 @RADoctor
        
                TheDaoIndex KDAO2011 ( View Tweet)
 
  
          Where is the best future of AI in rheumatology in 2 years?
@RheumNow #RNL2025
Jeff Curtis, AI in Rheumatology
        
                Eric Dein ericdeinmd ( View Tweet)
 
          Different types of IFNs have different actions and signaling pathways. Dr. Crow #RNL2025 @rheumnow https://t.co/1lJFwlhO92
                      
          
          
            
              
 
            
          
        
      
             TheDaoIndex KDAO2011 ( View Tweet)
            
             
  
          Some pearls from RA POD at #RNL2025
-What do rheumatologists want from AI: Right drug for right patient, improving documenting in less time and possibly include multimorbidity management?
-Utilize AI as enhancer not replacement of the physician. AI must be trained well in a… https://t.co/9YNmeVx4t6
        
                  
                Adela Castro AdelaCastro222 ( View Tweet)
 
          ACR Commends Legislation Addressing Harmful Medicare Payment Cuts to Physicians 
The ACR applauded the bipartisan introduction of the Medicare Patient Access and Practice Stabilization Act of 2025, legislation to fully offset the harmful 2.8% cut in the Medicare Physician Fee… https://t.co/UqBbAyHLm0 https://t.co/3DJN7ojMHl
          
          
            
              
 
            
          
        
      
             Dr. John Cush RheumNow ( View Tweet)
            
             
  
          OK this is ‘HOT’
App on phone for a 
👇
#thermal #camera 
Of hands 🙌 
If #hot➡️ flare of #inflammatory #arthritis 
And call for a #follow up apt
If not  — then not a flare
#AI #artificial #intelligence 
#rheumatoid #arthritis 
@RheumNow #RNL25
Jeff Curtis AI in #rheum
        
                Janet Pope Janetbirdope ( View Tweet)
 
          How can AI be useful for RA pts and rheumatologists?
-AI models have the potential for improving diagnosis, management and outcomes in RA pts.
-Can also improve efficiency and clinic workflow.
-Not so perfect as it sounds (hallucinations, limited accuracy)
#RNL2025 @RheumNow https://t.co/44LUHQ1KPf
                      
          
          
            
              
 
            
          
        
      
             Adela Castro AdelaCastro222 ( View Tweet)
            
             
          AI models require good Positive Predictive Value (PPV)
But: PPV decreases as prevalence decreases
- In choosing a successful biologic:
Harder to predict more challenging patients (multiple failures, co-morbidities, etc) - ACR50 non-response is higher
J Curtis
@RheumNow #RNL2025 https://t.co/SdJ0FHVuSC
                      
          
          
            
              
 
            
          
        
      
             Eric Dein ericdeinmd ( View Tweet)
            
             
          #AI can help with Value Based Care…a year in remission for RA will save a lot of money. @RADoctor @rheumnow #RNL2025 https://t.co/rUpeMrDHZf
                      
          
          
            
              
 
            
          
        
      
             TheDaoIndex KDAO2011 ( View Tweet)
            
             
          Late onset RA (LORA) aka RA diagnosed at an older age — pts have higher inflammatory markers, presents like PMR; they also have polypharmacy, comorbidities, frailty, etc that can complicate management 
@UnaMakris #RNL2025 @RheumNow #GeriRheum https://t.co/zqEcyg2ejw
                      
          
          
            
              
 
            
          
        
      
             TheDaoIndex KDAO2011 ( View Tweet)
            
             
          @UnaMakris #RNL25 @RheumNow
Older patients w RA
1/3 of pts onset >60-65
- More acute onset, more systemic, more PMR-like, larger jts
- Higher IL-6, lower TNF-a, less RF, higher ESR
-Co-morbidities, polypharmacy, cognition, depression
Age does not equal frailty, but does correlate https://t.co/5qb60WyKkP
                      
          
          
            
              
 
            
          
        
      
             Eric Dein ericdeinmd ( View Tweet)
            
             
          Rheumatic diseases become more common with aging, dramatically so. @UnaMakris @RheumNow #RNL2025 https://t.co/EXKHP9ufUj
                      
          
          
            
              
 
            
          
        
      
             Richard Conway RichardPAConway ( View Tweet)
            
             
          Can #AI help us determine the 
👇
Right drug
At
Right time
Pipe dream?
Or to use #artificial #intelligence term
➡️ a #hallucination?
garbage in ➡️➡️garbage out 
Most predictions of drug response are same: multimorbid multiRx failures
Nonadherent poverty #RNL25 @RheumNow https://t.co/70SRp8BnCl
                      
          
          
            
              
 
            
          
        
      
             Janet Pope Janetbirdope ( View Tweet)
            
             
          #RNL2025 is underway! https://t.co/VDEvK70Qg5
          
          
            
              
 
            
          
        
      
             Dr. John Cush RheumNow ( View Tweet)
            
             
          Such an important topic from @UnaMakris . The intersection of aging with our rheumatic disease processes is a crucial area. @RheumNow @RNL2025 https://t.co/n0Kx559g9e
                      
          
          
            
              
 
            
          
        
      
             Richard Conway RichardPAConway ( View Tweet)
            
             
          Are your patients aging with RA, or are they diagnosed with Late Onset RA (LORA)?
-LORA pts tend to present acutely
-High inflammatory markers~PMR Like
-Seronegative/Decreased titers of RF/CCP
@UnaMakris 
#RNL2025 @RheumNow https://t.co/aOCwb3lHef
                      
          
          
            
              
 
            
          
        
      
             Adela Castro AdelaCastro222 ( View Tweet)
            
             
          J Curtis #RNL2025 @RheumNow
AI Will Not Replace You
- AI cannot replace human interaction, examination, procedures, interpreting guidelines for an individual, providing empathy, and facilitate good patient education
Will become a tool... but not a replacement to a good clinician https://t.co/qPcNOjWepi
                      
          
          
            
              
 
            
          
        
      
             Eric Dein ericdeinmd ( View Tweet)
            
             
        
    

