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Do you image sacroiliac joints wrong on your MR scanner?
In just over a minute, learn which MRI sequences are necessary to visualize the sacroiliac joints well. The so-called VIBE sequence plays a very special role, which this clip also discusses.
ASAS recommendations on this protocol were recently published. The project, led by Rob Lambert, Canada, was accepted for publication in the Annals of Rheumatic Diseases on 15 July 2024.
If you would like to find out more or read the full text of the publication, please let us know in the comments. This short clip was from a presentation I gave at an online workshop for rheumatologists and radiologists from Saudi Arabia and the Gulf region. Guests also came from Mexico, Colombia, and Brazil.
Learn more about axial spondyloarthritis in our BerlinCaseViewer app!
bcv.app
#axSpA #rheumatology #mri #radiology
Переглядів: 93

Відео

How to detect erosions on X-rays of the hands and feet and how to deal with small cyst-like lesions
Переглядів 20028 днів тому
Do you remember? We recently offered you a brain-teasing quiz. ▶️ bcv.app/t2znr2 Today we have the solution with lots of tips and tricks for everyday life as a radiologist or rheumatologist. Our cool study on cyst-like lesions of the hands is also explained. So let's go! bit.ly/cyst-like ❗️ Learn more about rheumatoid arthritis and other arthritidies in our BerlinCaseViewer app! bcv.app 😎 Stay...
The Vienna Sessions #EULAR2024 // How BerlinCaseViewer helps to gain practical skills
Переглядів 72Місяць тому
*BerlinCaseViewer at EULAR 2024 in Vienna* We’re excited to share BerlinCaseViewer’s highlights from the EULAR 2024 Congress in Vienna. Dive into two transformative sessions that are set to revolutionize patient care! *Session 1: Thursday, June 13th* *"SPA and Imaging"* Led by Prof. Kay-Geert Hermann & Dr. Gaëlle Varkas, MD, PhD *Speakers:* - Mikkel Østergaard (Copenhagen, Denmark) - Gaëlle Var...
Case 40 of the ASAS Online Case Library // Demonstration by Denis Poddubnyy and Kay G. Hermann
Переглядів 1182 місяці тому
A 54-year-old female patient has been referred to a rheumatologist due to chronic back pain that began five years ago. The pain is characterized by slow onset, morning stiffness in the lower lumbar region lasting over 30 minutes, and improvement with movement but not rest. It also includes night pain and alternating buttock pain. The patient experiences significant pain reduction within 24-48 h...
What is "backfill"? Get his phenomenon explained in roughly 1 minute
Переглядів 2312 місяці тому
Backfill anybody? Now you know! Backfill is a specific finding on MRI of the sacroiliac joints seen in axial spondyloarthritis. This short clip was taken from a presentation I gave at an online workshop for rheumatologists and radiologists from Saudi Arabia and the Gulf region. Guests also came from Mexico, Colombia, and Brazil. Learn more about axial spondyloarthritis in our BerlinCaseViewer a...
On our way to PLOVDIV // In the name of rheumatological imaging
Переглядів 502 місяці тому
On our way to PLOVDIV // In the name of rheumatological imaging
BerlinCaseViewer Cuvée #1 // Presenting our very own wine
Переглядів 364 місяці тому
BerlinCaseViewer Cuvée #1 // Presenting our very own wine
RHEUMA DAY 2024 // The Start of a Hybrid Meeting // Kay G. Hermann Opening the Meeting
Переглядів 504 місяці тому
RHEUMA DAY 2024 // The Start of a Hybrid Meeting // Kay G. Hermann Opening the Meeting
Meanwhile in BRUSSELS // Impressions from the ASAS Core Course 2024 // #axSpA
Переглядів 354 місяці тому
Meanwhile in BRUSSELS // Impressions from the ASAS Core Course 2024 // #axSpA
PSORIATIC ARTHRITIS: How X-rays and MRI perform in diagnosing the disease // Prof. Kay G. Hermann
Переглядів 3924 місяці тому
PSORIATIC ARTHRITIS: How X-rays and MRI perform in diagnosing the disease // Prof. Kay G. Hermann
Case 39 of the ASAS Online Case Library // Demonstration by Denis Poddubnyy and Kay G. Hermann
Переглядів 1664 місяці тому
Case 39 of the ASAS Online Case Library // Demonstration by Denis Poddubnyy and Kay G. Hermann
A new arrival. // The unboxing series.
Переглядів 225 місяців тому
A new arrival. // The unboxing series.
Rheuma Day 2024 on March 22 | Overview of the event
Переглядів 2336 місяців тому
Rheuma Day 2024 on March 22 | Overview of the event
Rheumatology Xmas Cookies // 2023 Edition // The Real Coffee & Learn by Kay G. Hermann
Переглядів 2687 місяців тому
Rheumatology Xmas Cookies // 2023 Edition // The Real Coffee & Learn by Kay G. Hermann
Xmas edition // Case 38 of the ASAS Case Library // Demo by Denis Poddubnyy & Kay G. Hermann
Переглядів 1507 місяців тому
Xmas edition // Case 38 of the ASAS Case Library // Demo by Denis Poddubnyy & Kay G. Hermann
IRACON 2023, Hyderabad, India - Directors Cut
Переглядів 1908 місяців тому
IRACON 2023, Hyderabad, India - Directors Cut
Case 37 of the ASAS Online Case Library // Demonstration by Denis Poddubnyy and Kay G. Hermann
Переглядів 2568 місяців тому
Case 37 of the ASAS Online Case Library // Demonstration by Denis Poddubnyy and Kay G. Hermann
The Giraffe and BerlinCaseViewer // How to use our web app
Переглядів 999 місяців тому
The Giraffe and BerlinCaseViewer // How to use our web app
Demonstration of Case 36 by Denis Poddubnyy and Kay G. Hermann // ASAS Online Case Library
Переглядів 1619 місяців тому
Demonstration of Case 36 by Denis Poddubnyy and Kay G. Hermann // ASAS Online Case Library
How to use the BerlinCaseViewer web app // The RAW series
Переглядів 9010 місяців тому
How to use the BerlinCaseViewer web app // The RAW series
BerlinCaseViewer // MTR Vorstellung
Переглядів 10410 місяців тому
BerlinCaseViewer // MTR Vorstellung
New in version 3.32: How to manage your library in BerlinCaseViewer
Переглядів 2010 місяців тому
New in version 3.32: How to manage your library in BerlinCaseViewer
Just married | Wie DocXchange und BerlinCaseViewer zusammenarbeiten
Переглядів 14211 місяців тому
Just married | Wie DocXchange und BerlinCaseViewer zusammenarbeiten
ASAS Online Case Library // Demonstration of Case 35 by Denis Poddubnyy and Kay G. Hermann
Переглядів 180Рік тому
ASAS Online Case Library // Demonstration of Case 35 by Denis Poddubnyy and Kay G. Hermann
Tell me more about my joints! // Part 1
Переглядів 77Рік тому
Tell me more about my joints! // Part 1
A trip to Kuwait - ASAS course on axial spondyloarthritis
Переглядів 64Рік тому
A trip to Kuwait - ASAS course on axial spondyloarthritis
ASAS Online Case Library // Demonstration of Case 33 by Denis Poddubnyy and Kay G. Hermann
Переглядів 296Рік тому
ASAS Online Case Library // Demonstration of Case 33 by Denis Poddubnyy and Kay G. Hermann
Advanced imaging of spondyloarthropathies*: What is new? // *aka Spondyloarthritis
Переглядів 1,6 тис.Рік тому
Advanced imaging of spondyloarthropathies*: What is new? // *aka Spondyloarthritis
DGMSR Rheuma-Day | Am 24. März könnt ihr euch in Berlin fortbilden
Переглядів 70Рік тому
DGMSR Rheuma-Day | Am 24. März könnt ihr euch in Berlin fortbilden
Demonstrating case #31 of the ASAS Online Case Library // by Dr. Kay G. Hermann
Переглядів 396Рік тому
Demonstrating case #31 of the ASAS Online Case Library // by Dr. Kay G. Hermann

КОМЕНТАРІ

  • @jim55282
    @jim55282 16 годин тому

    Do you have any content for Shiny Corners / Romanus Lesions on CT?

  • @jim55282
    @jim55282 16 годин тому

    Yeah, don't forget the comments. They help the algorithm...

  • @farzadcevik8672
    @farzadcevik8672 8 днів тому

    Thank u for this great job

  • @lucy_abies
    @lucy_abies 11 днів тому

    Thank you for revealing the secret 😄 Very useful!

  • @farzadcevik8672
    @farzadcevik8672 16 днів тому

    So much helpful and instructive informations. Please continue with xrays sir

    • @berlincaseviewer
      @berlincaseviewer 9 днів тому

      Thank you, sure I will prepare something on X-rays.

  • @farzadcevik8672
    @farzadcevik8672 16 днів тому

    Your videos are very much instructive and well prepared. Please continue with such informative x ray videos. Thank you

  • @Rahimkhan-vh3dy
    @Rahimkhan-vh3dy 29 днів тому

    Excelent sir

  • @immane75
    @immane75 29 днів тому

    Intersting

    • @berlincaseviewer
      @berlincaseviewer 29 днів тому

      Who’s reading X-rays of hands and feet at your institution, @immane75?

    • @immane75
      @immane75 29 днів тому

      @@berlincaseviewer Radiologists.

  • @momin1139
    @momin1139 Місяць тому

    thank you very much. Excellent.

  • @jeanschricker6841
    @jeanschricker6841 Місяць тому

    What should I ask my Dr to do? I have had si joint pain that came right after my l5 s1 fusion. Xray noted osteoarthritis in both si joints one year after the lumbar fusion . Si pain continues daily but newest xray now says no si issues noted, but subchondral sclerosis in both hips. Plans were being made to treat the si joints but now I don't trust the diagnosis?

    • @berlincaseviewer
      @berlincaseviewer Місяць тому

      In order to answer your question we might need to review your images. Please follow this link, fill in the information and drag/drop your images onto the form. public.berlincaseviewer.com/askdrkay

  • @Mvega1192
    @Mvega1192 2 місяці тому

    Fantastic case and very challenging. Great to have your insights

    • @berlincaseviewer
      @berlincaseviewer 2 місяці тому

      Thanks, Miguel! We are also ready to include one of your cases if you would like.

  • @gaiksuanlee1910
    @gaiksuanlee1910 2 місяці тому

    Is focal narrowing of the antero- inferior aspect/ synovial component of bilateral si joint with similar symmetrical patterns. Subchondral bone irregularitis with erosive bone changes mainly involving iiliac side. The affected marrow demonstrated high signal change son STIR with significant enhancement following contrast, representing osteitis. This means is spondyloarthritis or condesus osteitis?

    • @berlincaseviewer
      @berlincaseviewer 2 місяці тому

      Thank you for your detailed question. The MRI findings you described-focal narrowing of the antero-inferior aspect/synovial component of the bilateral SI joints with symmetrical patterns, subchondral bone irregularities with erosive changes mainly involving the iliac side, and high signal changes on STIR with significant enhancement following contrast-are indeed suggestive of sacroiliitis. These changes are commonly seen in axial spondyloarthritis (axSpA). However, it is important to review the actual imaging studies to make a definitive diagnosis and understand the full extent of your condition or question. I would be happy to review your images and provide a more specific interpretation. Feel free to reach out if you have any more questions or need assistance with your case.

    • @gaiksuanlee1910
      @gaiksuanlee1910 Місяць тому

      ​​@@berlincaseviewerthanks a lot for replying my question. may i know how to reach out to you?

    • @berlincaseviewer
      @berlincaseviewer Місяць тому

      @@gaiksuanlee1910 📩 online@berlincaseviewer.de

  • @dr_bahbahani
    @dr_bahbahani 2 місяці тому

    Very informative 👏 👌

  • @naseerchoh6295
    @naseerchoh6295 2 місяці тому

    Excellent presentation

  • @manoharshenoy4800
    @manoharshenoy4800 2 місяці тому

    Very well explained presentation about the problems of sacroiliac joints. What about the cure for such different situations? Do some exercises will help in some cases or one needs invasive surgery in some other situations? Or should we live with the pain?

    • @berlincaseviewer
      @berlincaseviewer 2 місяці тому

      Exercises are helpful for many of these problems. While exercises and occasional painkillers are recommended for osteitis condensans and degeneration due to anatomical variants, it is now believed that stronger medication must be prescribed for axial spondyloarthritis, in parallel with physiotherapy. You should consult a rheumatologist.

  • @vikaspatel6811
    @vikaspatel6811 2 місяці тому

    What was the medication of this patient, any information will help a lot.

    • @berlincaseviewer
      @berlincaseviewer 2 місяці тому

      The patient received NSAIDs, which he was taking daily. The disease improved noticeably in the first year. In the further course, however, the effectiveness decreased again. In the end, the decision was made to start biologics therapy.

  • @berlincaseviewer
    @berlincaseviewer 2 місяці тому

    Just found out there is no pointer when presenting the slides. 😱 I will improve it the next time. 34:58

  • @immane75
    @immane75 2 місяці тому

    Missed the live :_(

  • @immane75
    @immane75 2 місяці тому

    Excellent . Thanks

  • @martinfricek4787
    @martinfricek4787 2 місяці тому

    Wonderful lecture, ladies and gentlemen! Please, is it necessary to use an x-ray and / or CT scan in order to confirm spondyloarthritis? Or an MRI 3 Tesla or 5 Tesla machines on their own will be enough to expose and confirm, together with your wealth of experience and knowledge in radiology, the correct diagnosis? Well done for your amazing work 👏 Thank you!

    • @berlincaseviewer
      @berlincaseviewer Місяць тому

      No CT or X-ray is needed on a routine basis. If MRI is available, use it. In some circumstances, however, CT reveals additional information about the bony structures. Those are sometimes difficult to analyze exacly by MRI, as MRI depicts bone only indirectly.

    • @martinfricek4787
      @martinfricek4787 Місяць тому

      Thank you so much for your professional explanation 😊

  • @martinfricek4787
    @martinfricek4787 2 місяці тому

    Hi, I understand you're not interested in providing me with a second opinion of my MRI scans. I just wonder if there's a way how to distinguish between sacroiliitis, Ankylosing spondylitis and bone marrow cancer, because all of these pathologies appear as high signal in bone marrow "oedema" on MRI - T2 - STIR sequence the same. Is there any pattern that can distinguish between bone marrow inflammation and cancer of the bone marrow in sacroiliac joint and iliac bone? Or only trepanobiopsy can tell? Regards

    • @berlincaseviewer
      @berlincaseviewer 2 місяці тому

      I'm always here to help. I'm just overwhelmed with clinical work - I'm sorry! I sent you instructions via email. Let's do it!

    • @martinfricek4787
      @martinfricek4787 2 місяці тому

      @berlincaseviewer Thank you so much dear professor, I know you are extremely busy with your clinical work, and I appreciate your help. I will upload the images or ask someone to help me, because, I'm not an expert on image and data transfer. Martin

  • @gaiksuanlee1910
    @gaiksuanlee1910 3 місяці тому

    Thank clear explanation

  • @00MARAIUS00
    @00MARAIUS00 3 місяці тому

    Very intresting topic!

  • @martinfricek4787
    @martinfricek4787 3 місяці тому

    Professor, please may I have your email address?

    • @berlincaseviewer
      @berlincaseviewer 3 місяці тому

      Please approach me on Instagram, LinkedIn or X.

    • @martinfricek4787
      @martinfricek4787 3 місяці тому

      @@berlincaseviewer Dear Professor, Thank you for your response. I will make an Instagram account, please what means X? Martin

    • @berlincaseviewer
      @berlincaseviewer 3 місяці тому

      @@martinfricek4787 Twitter is now called X.

    • @martinfricek4787
      @martinfricek4787 3 місяці тому

      @berlincaseviewer OK sure, thank you I will do. Martin

    • @berlincaseviewer
      @berlincaseviewer 3 місяці тому

      @@martinfricek4787 I suggest you use our contact form. berlincaseviewer.de/contact/

  • @mollythabah8583
    @mollythabah8583 3 місяці тому

    Excellent

  • @carolfrick6157
    @carolfrick6157 4 місяці тому

    Three rheumatologist diagnosed me with sodic arthritis One dermatologist diagnosed me with psoriatic arthritis and now I have somebody tell me that they don’t know that that’s what it is. I hate changing doctors and having to start over.

    • @carolfrick6157
      @carolfrick6157 4 місяці тому

      Psoriatic arthritis. Because of the arthritis I use voice recognition. Sorry about that

  • @mahdou5097
    @mahdou5097 4 місяці тому

    ❤ aus Neubrandenburg

    • @berlincaseviewer
      @berlincaseviewer 4 місяці тому

      Perfekt! Dann sehen wir uns ja am 22. März (online)! 🤟🏻

  • @mahdou5097
    @mahdou5097 4 місяці тому

    ❤ aus Neubrandenburg

  • @eugeniebreida1583
    @eugeniebreida1583 5 місяців тому

    Nice! Very helpful to friends/family, to inform them of our Real Pain, erosions, destruction, etc.

  • @Mansmatters
    @Mansmatters 5 місяців тому

    Interesting video

  • @jayscuffington
    @jayscuffington 6 місяців тому

    My doctor told me that an MRI will not show ligament damage, is that true? I’ve had undiagnosed SI joint/hip pain for 3+ years. I’ve had many MRI’s done and they are all normal. Physical therapy and manipulation help for a few days, but then my pelvis feels out of alignment again. Do you think there’s possibly an issue with my ligaments?

    • @berlincaseviewer
      @berlincaseviewer 2 місяці тому

      MRIs are perfectly suitable for visualizing ligaments. It is important that a specialized radiologist looks at the images for the complex pain syndrome you have described. We are available for a second opinion. Upload the images here: cases.berlincaseviewer.com/secondopinion

    • @vikaspatel6811
      @vikaspatel6811 2 місяці тому

      MRI, is very sensitive for ligament assessment, u should try consultation with a rheumatologist or musculoskeletal pain specialist.

  • @darraghkane18
    @darraghkane18 8 місяців тому

    Do pro injections work for people suffering from PA. I am on benapali and it’s not working.

    • @berlincaseviewer
      @berlincaseviewer 2 місяці тому

      Have you spoken to your rheumatologist about this? There are a number of medications you can try. You also need to consider whether the diagnosis is correct. It may be necessary to get a second opinion on the images. Kind regards

  • @drdebashishmishra5230
    @drdebashishmishra5230 8 місяців тому

    That's a beautiful video....hope you had a great time in India 😊

    • @berlincaseviewer
      @berlincaseviewer 8 місяців тому

      It was an amazing trip. My first visit to India. 🇮🇳

  • @eugenias471
    @eugenias471 8 місяців тому

    These case series are everything a rheumatologist or MSK radiologist could ever wish for

    • @berlincaseviewer
      @berlincaseviewer 8 місяців тому

      😱 Thank you so much for your kind comment!

  • @RaverX88
    @RaverX88 9 місяців тому

    Wish most Drs and radiologists were as good as u.

  • @sagepepper4018
    @sagepepper4018 9 місяців тому

    Thank you so much ❤

  • @stephaniewoodcock-smith5566
    @stephaniewoodcock-smith5566 9 місяців тому

    Thank you.

  • @srinivasareddyaramati8937
    @srinivasareddyaramati8937 9 місяців тому

    Any treatment please I am suffering from five-year old

    • @berlincaseviewer
      @berlincaseviewer 9 місяців тому

      Treating psoriatic arthritis (PsA) is tricky because this disease affects both the skin and joints. PsA treatment includes a combination of medication and non-drug therapies like exercise, massage, heat and cold. It’s personalized to your symptoms and the severity of your disease. You may need to see a team of specialists, including a rheumatologist to manage joint pain and a dermatologist for skin symptoms. Medicines are an important part of treating PsA and managing flares. Psoriatic arthritis medications may include some or all of the following: NSAIDs (ibuprofen, naproxen), Biologics ((Humira), etanercept (Enbrel, Remicade, Simponi, Cimzia, and many more…), DMARDs (methotrexate, some newer drugs as well …), topical treatments (creams & ointments, please refer to a dermatologist).

    • @Jimmyhendrixism
      @Jimmyhendrixism 8 місяців тому

      you can talk to your reumatologist about Talz .20 years of psoriasis and the last 2 diagnosed with PSA .im 2 years on talz and with exersise and good food im managing pretty well , no pain(only after gym or yoga) and some fatigue .Hope that helps.

  • @somcana
    @somcana 9 місяців тому

    What causes it

    • @berlincaseviewer
      @berlincaseviewer 9 місяців тому

      The exact cause of axSpA IS NOT CLEAR. Researchers believe that people with certain genes develop axSpA when they are exposed to a virus, bacteria or another trigger. Many people with axSpA have a gene called HLA-B27. But most people that have the gene never develop axSpA.

  • @Gragon
    @Gragon 9 місяців тому

    how to diferenciate between erosion in spondyloarthritis and Shmorl node with inflamation around it? L2 middle end plate erosion looks like Smorl node

    • @berlincaseviewer
      @berlincaseviewer 9 місяців тому

      In this case, that's easy. We have the information about the inflamed sacroiliac joints and the L3 vertebral lesion on the anterior edge. It would be very unlikely if now at L2 there is no inflammatory lesion in axSpA, but a Schmorl's nodule with concomitant inflammation. But of course, if only the spine is present and there is only one affected segment, then you are in a fix. Some people say that you can differentiate by the location of the osseous defect within the endplate. Still others claim that the fluid content of the adjacent nucleus pulposus can be used. Overall, it is difficult and I have seen all variants of Schmorl nodes.

  • @Gragon
    @Gragon 10 місяців тому

    great. thanks

  • @markk7731
    @markk7731 10 місяців тому

    I should go to Berlin for my MRI and CT Scans. I'll get a better explanation of my problems and how to resolve them.

    • @berlincaseviewer
      @berlincaseviewer 10 місяців тому

      We always welcome guests here in our department. However, first schedule an appointment with a skilled rheumatologist who should double check your situation.

  • @niknajib9514
    @niknajib9514 10 місяців тому

    after 5 years psoriasis. I feel it.

  • @sajanvarghese8212
    @sajanvarghese8212 11 місяців тому

    Helpful

  • @ahmedtzaki4476
    @ahmedtzaki4476 11 місяців тому

    Awesome video. We keep studying terms we don't know their true meaning!

  • @zohebmulla3670
    @zohebmulla3670 Рік тому

    Colon or large intestine ulcers can be seen in MRI?

  • @iramkumar78
    @iramkumar78 Рік тому

    Can a radiology doctor buy a high end android phone with the best display and use a digitized radiology book in it to diagnose people after completing his or her MD in radiology? Can he or she classify that as medical investment As an AI language model, I must emphasize that I am not a legal or financial advisor, and my responses should not be considered as professional advice. However, I can offer some general information on this topic. The use of a high-end Android phone with a top-notch display to view digitized radiology materials, such as medical textbooks or diagnostic images, can indeed be beneficial for a radiology doctor. Many medical professionals use digital devices and software for educational and diagnostic purposes. However, there are certain considerations to keep in mind: 1. Legal and Ethical Considerations: It is essential to ensure that the use of digital resources complies with the laws and regulations of the country or region in which the radiologist practices. Additionally, medical professionals must adhere to the ethical guidelines of their respective medical boards or associations. 2. Accreditation and Approval: The use of digital devices for diagnostic purposes should meet any necessary accreditation or approval requirements. Regulatory bodies may have specific standards regarding the use of technology for medical diagnosis. 3. Software and Display Quality: To maintain accuracy and reliability, it is crucial to use reliable software and a high-quality display that meets the standards for medical imaging. The display should have the necessary resolution, brightness, and color accuracy for precise diagnosis. Regarding classifying the purchase as a medical investment, it might be possible to claim certain expenses related to medical practice as tax deductions or business expenses, depending on the local tax laws. However, tax laws vary by country and jurisdiction, so it's essential to consult with a qualified accountant or tax professional for accurate advice. Overall, while using a high-end Android phone with a top display for diagnostic purposes is practical and could be seen as an investment in improving medical practice, it is essential to comply with all relevant regulations, ethical guidelines, and tax laws. Medical professionals should consult with their legal and financial advisors to understand their specific situation and make informed decisions. ChatGPT

  • @iancruz3262
    @iancruz3262 Рік тому

    Bro wth fucking lord IS that yellow thing?

  • @anasjarrahmd
    @anasjarrahmd Рік тому

    thank you

  • @richricogranada9647
    @richricogranada9647 Рік тому

    What is the rhomboid skin depression on the sacroiliac joint area, which is slightest darker than the rest of the skin? That same area hurts. Would that be an infection, or…?