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However, it has also recently been investigated in tophaceous gout [ 32, 33 ]. Scans of the most affected joints and regions were made, using a dual-source DECT scanner (SOMATOM Definition Flash Dual Source CT scanner; Siemens Healthcare). The following scanning parameters were used: 140 kV and 55 mA for the one tube and 80 kV and 243 mA for the other. 2020-09-11 · Dual-energy CT (DECT) can acknowledge differences in tissue compositions and can colour-code tissues with specific features including monosodium urate (MSU) crystals.
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Results 10 patients with refractory gout and baseline mean SUA level of 8.1 mg/dL were enrolled.
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Well-defined para articular erosion of the first proximal phalangeal head medially. Near circumferential to this articulation is a high attenuation crystal deposition corresponding to monosodium urate on dual energy CT. DUAL-ENERGY CT AS A POTENTIAL NEW DIAGNOSTIC TOOL IN THE MANAGEMENT OF GOUT IN THE ACUTE SETTING Objective: Gout is the most common crystal deposition arthropathy currently diagnosed clinically and with arthrocentesis. Dual-energy CT is a promising new imaging technique offering potential new applications in a number of clinical areas. Dual-energy CT can distinguish between urate mineralization and calcification, which may be useful for cases where the clinical and biochemical presentation is atypical 11.
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If your doctor orders a computerized tomography scan, you'll be preparing to undergo a CT scan.
Near circumferential to this articulation is a high attenuation crystal deposition corresponding to monosodium urate on dual energy CT. Dual-energy CT can distinguish between urate mineralization and calcification, which may be useful for cases where the clinical and biochemical presentation is atypical 11.
Dual-energy CT can distinguish between urate mineralization and calcification, which may be useful for cases where the clinical and biochemical presentation is atypical 11.
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In an effort to maximize the specificity and sensitivity of dual-energy CT, it is crucial that practicing radiologists recognize artifacts when utilizing dual-energy CT gout protocols. These artifacts are recognizable as mapping of urate color into nails and nail beds, skin calluses, approximated areas of skin (eg, between fingers), arteries, and image areas affected by motion or beam 2020-01-17 · A definite diagnosis of gout requires demonstration of monosodium urate crystals in synovial fluid or in tophi, which in clinical practice today seldom is done. Dual energy CT (DECT) has repeatedly been shown to be able to detect monosodium urate crystals in tissues, hence being an alternative method to synovial fluid microscopy. Dual-energy CT-scan is a reproducible and accurate imaging modality for the diagnosis of gout, particularly for tophaceous gout (intra- or extra-articular). It can become a second-line imaging modality of choice in cases of diagnostic doubt, such as ultrasonography.
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