Open-access preprint · Zenodo

Clinical Audit–Ready Imaging Reporting: A Validator-Governed Deterministic Architecture

A governance-first evaluation of reproducible radiographic reporting — repeat-run determinism, structured X-ray–MRI concordance, and multi-year longitudinal stability — framed for clinical-audit programs and trial endpoints rather than diagnostic-performance claims.

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Open-access preprint · Zenodo

Multimodal Concordance in Cervical Spine Assessment: A Structured Radiographic Analysis with Cross-Modality Verification

A single-case illustration that turns routine cervical radiographs into a structured, level-by-level dataset and reconciles it with the dictated MRI report — mapping where X-ray and MRI agree and where MRI uniquely adds canal and soft-tissue detail.

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Open-access preprint · Zenodo

From Diagnostic Ambiguity to Pattern Clarity: Deterministic Radiographic Pattern Analytics in DISH vs Axial SpA Differentiation

A deliberately difficult axial case — overlapping DISH, degenerative, and sacroiliac signatures — resolved by blind, X-ray-first phenotyping, with MRI brought in afterward for concordance rather than to decide the pattern.

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Open-access preprint · Zenodo

Sustained Structural Stability in Seropositive Rheumatoid Arthritis With Overlap Features Under JAK Inhibition

A 4.5-year longitudinal series in seropositive RA with overlap features, where the same images generate both a structured clinical report and a de-identified research addendum — documenting structure-stable disease across years of fluctuating symptoms (not a treatment-efficacy claim).

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Open-access preprint · Zenodo

Longitudinal Structural Stability in Overlapping Spondyloarthritis: A Real-World Application of Validator-Governed Radiographic Analytics

A five-year SpA/PsA overlap case — clinically active yet radiographically stable — using serial X-rays with DXA correlation to show why symptom-based and structural endpoints can diverge, and how that defines a low-progression, symptom-dominant subgroup for trial and registry design.

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Open-access preprint · Zenodo

Validator-Governed Deterministic Radiographic Pipelines: The RheumaView™ Architecture for Reproducible and Auditable Outputs

The architectural framework behind the platform: a disease-agnostic governance layer — projection verification, descriptor completeness, deterministic rendering, and audit-ready provenance — built around any reader or model to stabilize reports across runs, operators, and software updates.

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Open-access preprint · Zenodo

Deterministic Radiographic Scoring in Inflammatory Arthritis: A Validator-Gated Architecture for Reproducible Endpoints

The foundational paper on deterministic radiographic scoring in inflammatory arthritis — a validator-gated approach to producing reproducible, comparable structural endpoints from routine imaging.

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Narrative review · Implementation framework

Imaging-First Phenotype Anchoring in Early Seronegative Arthritis: Microerosions, Enthesitis-Adjacent Changes, and Progression Prevention

When serology is silent and radiographs read “no erosions,” early seronegative arthritis stalls during the window that matters most. A narrative review proposing an XR-first, question-driven pathway — reading microerosions and enthesitis-adjacent changes as patterns rather than isolated findings — to anchor phenotype and support progression prevention.

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