DOI [Teaser] Key Summary Points Conventional radiography is a helpful imaging technique and should be used appropriately.

Wolski M et al. Osteoarthritis Cartilage 2018; Advance online publication. doi: 10.1016/j.joca.2018.04.007

All 312 individuals had axial disease documented by previous imaging or pelvic radiography at screening consistent with sacroiliitis.

Individuals with a wide range of anti-modified protein antibodies experience higher rates of early radiographic progression than those with just a single antibody type, show data from the Scottish Early Rheumatoid Arthritis inception cohort.

Local standard treatment involved systemic corticosteroids, hydroxychloroquine, or azithromycin for most patients, and tocilizumab was given when patients had hypoxia, lung infiltrates on chest radiography, elevated inflammatory markers, risk for clinical deterioration, and no contraindications.

Osteoscan, an artificial intelligence program, determines the radiographic stage of knee osteoarthritis with 95% accuracy, indicate findings from the EULAR 2020 E-Congress.

Currently diagnosis rests on plain radiography and synovial fluid microscopy.

I’m not aware of any rheumatologist specialty training program anywhere in the world that includes basic training in the assessment of MRI Despite this, he points out that “a lot of rheumatologists still rely on radiography, and there is both overdiagnosis and failure to diagnose because the X-ray is unreliable,” and, “conversely, many rheumatologists are simply not familiar [enough] with MRI” to have an informed discussion with radiologists.

van der Heijde D et al. Rheumatology (Oxford) 2018. doi: 10.1093/rheumatology/key128

Editorial board member Fernando Pérez-Ruiz presents an interesting presentation of coexistant hyperuricemia and chondrocalcinosis, and outlines the challenges of diagnosis and management of these conditions.

Editorial board member Fernando Pérez-Ruiz presents an interesting presentation of coexistant hyperuricemia and chondrocalcinosis, and outlines the challenges of diagnosis and management of these conditions.