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Best Imaging Techniques for non ANCA Vasculitis  

Alexa Meara MD

Large vessel vasculitis (LVV) and CNS vasculitis are rare subsets of vasculitis. The challenges related to these diseases are well known to the rheumatologists who treat around the world.

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Industry Abstract Previews - ACR2020

Jack Cush, MD

Each pharmaceutical company has spent months and years preparing to present and highlight their featured clinical trials and abstracts at ACR 2020.  This is our selection of their best studies for you to review and evaluate as part of your to-do list.

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Spondyloarthritis at ACR Convergence 2020

Antoni Chan, MD, PhD

There are some really interesting poster and abstract presentations on spondyloarthritis at the ACR Convergence 2020. I’ll be covering these topics, and discussing select individual posters and abstracts during this meeting. 

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Immune Necrotizing Myopathy

Jack Cush, MD

A full read review of immune-mediated necrotizing myopathy is portrayed as a distinct subtype of inflammatory myopathies first described in 2004.

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Worth checking out the #ACR20 image competition. Here's an image of cerebral toxoplasmosis during ADA treatment for RA @RheumNow. https://t.co/APPlumeUtA
Eric Dein ejdein1 ( View Tweet)
Using a panel of urinary prtns, data from this study show transferrin, AGP1, ceruloplasmin, MCP1 & sVCAM1 are sig. ⬆in active LN pts. More studies req'd for confirmation. Utility in monitoring renal response to tx? @RheumNow #ACR20 abs1796 https://t.co/3Zicpz3uDd
sheila RHEUMarampa ( View Tweet)
#mskus findings in pt w/normal muscle volume(ABC) vs. w/sarcopenia(DEF). This Japanese study showed US of VL muscle is useful in discriminating RA pts w & w/o sarcopenia. @RheumNow #ACR20 abs1537 https://t.co/Gv7V0eebEt
sheila RHEUMarampa ( View Tweet)
Learning points from Dr. Janeth Yinh's talk on the utility of #mskus in evaluating painful wrist structures: 👉consider tendon tears in IA 👉consider anatomic variations in pts w/ recalcitrant CTS @RheumNow #ACR20 https://t.co/F2cwxAlfoU
sheila RHEUMarampa ( View Tweet)
A large artery becomes a medium-sized artery when it penetrates a viscus. Small vessels include capillaries, arterioles, corresponding veins/venules, intraparenchymal arteries without muscular walls. A good skin biopsy includes the fat! Pearls from Dr. J Stone #ACR20 @RheumNow

Dr. Rachel Tate uptoTate ( View Tweet)

Dr. Stone Rheum Pearls - B cell therapy treats APS-capillaritis... without effecting aPL titers. #ACR20 @RheumNow https://t.co/5ZJN3xBE57
Eric Dein ejdein1 ( View Tweet)
EULAR Treatment recommendations 4S005: MSK US is highly sensitive and useful adjunct, but not recommended for routine mgmt in T2T. I find very useful for pts with unclear disease activity, but should be trained if using it #ACR20 @RheumNow

Eric Dein ejdein1 ( View Tweet)

Ultrasound to assess synovial-entheses junction correlated with clinical findings Abs#0311 Do you use MSK US in your clinic? @RheumNow #ACR20

Robert B Chao, MD doctorRBC ( View Tweet)

Serial RF titers? Abst#0754 from Japan: Pts with RF>45, tracked RF at month 0/4/12 after starting b/tsDMARD. 46/130 had RF decrease titers, had better radiographic remission/DAS28-ESR. Limits: varied Rx, More aggressive Rx w RF decrease grp @RheumNow. #ACR20

Eric Dein ejdein1 ( View Tweet)

Use of diagnostic imaging for #GCA is ⬆️ Use of temporal artery biopsy⬇️ data from #MayoClinicRheumatology @garveythomasma1 #acr20 #RheumTwitter https://t.co/kQTg5FTlVq
KenWarringtonMD MdWarrington ( View Tweet)
Scoring hand x-rays for Sharp scores is painfully tedious and not always perfectly consistent. Why not get a computer to do it? Turns out you can - a deep adaptive machine learning model does as well as a human, each x-ray in literally one second. #ACR20 ABST0493 @RheumNow https://t.co/SvqkaFy8XZ
David Liew drdavidliew ( View Tweet)
Diagnosis in GCA is changing. Some questions from these nice Olmsted County data: - why are dx in women declining? - in the past, without imaging, were we missing GCA diagnoses? It's easy to forget how far we've come in GCA! @MayoClinic @MdWarrington #ACR20 ABST0517 @RheumNow https://t.co/QsW8BSsf1a
David Liew drdavidliew ( View Tweet)
Another interesting study demonstrating the use of ultrasound to assess psoriatic arthritis. In very early, DMARD naïve PsA, clinically swollen joints are associated with PD synovitis, but tender, non-swollen joints are not @RheumNow #ACR20 Abst#313

Dr. Antoni Chan synovialjoints ( View Tweet)

Emerging trend #MachineLearning - SpA expert Dr Dennis Poddubnyy talks at #ACR20 press conference - Development and Validation of an #artificial_intelligence Approach for the Detection of Radiographic Sacroiliitis using MRI @RheumNow

Bella Mehta bella_mehta ( View Tweet)

Small study showed poor to fair agreement of PE and US findings of hands in PsA. Do you use US in your clinic for diagnostics? #ABS0314 @RheumNow #ACR20 https://t.co/6oQG4SB1d3 https://t.co/SQK7uhX02T

Links:

Dr. Rachel Tate uptoTate ( View Tweet)
Tips for assessing enthesial thickening by ultrasound: - check the contralateral side - convex appearance @RheumNow #ACR20 #mskus https://t.co/kvburcX4Ju
sheila RHEUMarampa ( View Tweet)
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