The role of dual-energy computed tomography in the diagnosis of gout and other crystalline arthropathies: A review

Мұқаба

Дәйексөз келтіру

Толық мәтін

Аннотация

The importance of dual-energy computed tomography in the diagnosis of gout, the principles of dual-energy computed tomography, the accuracy of the methodology, and the types of artifacts are discussed in this study. The possible dependence of the presence of deposits of sodium monourate on other clinical data and the role of dual-energy computed tomography in the differential diagnosis of other crystalline arthropathies are considered.

The dual-energy computed tomography has several advantages, including noninvasiveness, speed of execution, and a significant reduction in the risk of iatrogenic consequences compared with diagnostic arthrocentesis, which is the gold standard in diagnosing gout. Dual-energy computed tomography can accomplish gout detection, treatment, and differential diagnosis.

Толық мәтін

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Авторлар туралы

Maria Onoyko

Lomonosov Moscow State University

Email: onoykomary@gmail.com
ORCID iD: 0000-0002-7727-3360
Ресей, Moscow

Elena Mershina

Lomonosov Moscow State University

Email: elena_mershina@mail.ru
ORCID iD: 0000-0002-1266-4926
SPIN-код: 6897-9641

MD, Cand. Sci. (Med), Associate Professor

Ресей, Moscow

Olga Georginova

Lomonosov Moscow State University

Email: olga.georginova@gmail.com
ORCID iD: 0000-0002-7542-8189
SPIN-код: 8331-3656

MD, Cand. Sci. (Med), Assistant Professor

Ресей, Moscow

Maria Plotnikova

Lomonosov Moscow State University

Email: maria_plotnikova@inbox.ru
ORCID iD: 0000-0001-7533-9867
Ресей, Moscow

Alexandra Panyukova

Lomonosov Moscow State University

Email: panyukovaalexandra@gmail.com
ORCID iD: 0000-0002-5367-280X
Ресей, Moscow

Valentin Sinitsyn

Lomonosov Moscow State University

Хат алмасуға жауапты Автор.
Email: vsini@mail.ru
ORCID iD: 0000-0002-5649-2193
SPIN-код: 8449-6590

MD, Dr. Sci. (Med), Professor

Ресей, Moscow

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2. Fig. 1. Bone erosions in a patient with gout (radiography findings of the Medical Research and Education Center of the Lomonosov Moscow State University).

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3. Fig. 2. Three-dimensional reconstruction, blended and color-coded image (right ankle joint and small foot joints): blue, pink, and green represent cortical bone, cancellous bone, and monosodium urate crystals, respectively (dual-energy computed tomography findings of the Medical Research and Education Center of the Lomonosov Moscow State University).

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4. Fig. 3. Artifacts in dual-energy computed tomography: a) data loss owing to incorrect positioning of the patient, b) nail bed artifact, c) increased radiation hardness artifact from a wedding ring, and d) multiple small dotted artifacts (dual-energy computed tomography findings of the Medical Research and Education Center of the Lomonosov Moscow State University).

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5. Fig. 4. Color-coded dual-energy coronal and sagittal images (left knee joint). Calcification of the medial meniscus (dual-energy computed tomography findings of the Medical Research and Education Center of the Lomonosov Moscow State University).

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