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Article

Beyond Resnick and Niwayama: a structured narrative literature review on the clinical and imaging phenotypes of diffuse idiopathic skeletal hyperostosis (DISH).

RMD open - 16 Jul 2026

Bieber Amir, Kiefer David, Atzeni Fabiola, Eshed Iris, Couto Ana Rita, Geneva-Popova Mariela, Harlianto Netanja I, Brikman Shay, Pappone Nicola, Ambrosino Pasquale, Scalise Giuseppe, Bruges Armas Jácome, Sarzi-Puttini Piercarlo, Verlaan Jorrit Jan, Khan Muhammad Asim, Mader Reuven, Baraliakos Xenofon

Abstract excerpt

Since 1975, the Resnick and Niwayama classification criteria have served as the standard framework for defining diffuse idiopathic skeletal hyperostosis (DISH) in research. These criteria predominantly identify advanced disease. Accumulating evidence towards an updated definition of DISH is warranted. In this review we aimed to re-evaluate the definition of DISH in light of contemporary evidence and identify...

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Identifiers

PMID: 42463279
DOI: 10.1136/rmdopen-2026-006809
PMCID: PMC13384172

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