Value of Gemstone Spectral CT-imaging in Diagnosing Gout_West China Medical Journal

Authors：

 ZHONGTang-li ,  LIUQi-yu , GUANBin , HEChuan-dong , GUOZhong-jie , CHENJiao

Department of Radiology, Mianyang Central Hospital, Mianyang, Sichuan 621000, P. R. China;

Corresponding author：

LIUQi-yu, Email: lqy2225085@163.com

Keywords：

Spectral CT; Gout; Urate crystal; Diagnosis

DOI：

10.7507/1002-0179.20150423

Video：

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Objective To analyze the diagnostic value of gemstone spectral CT-imaging for urate crystal in joints and circum-tissues in patients with gout. Methods Between June 2013 and March 2014, 28 patients with gout confirmed by clinical and laboratory examination were reviewed retrospectively. The patients with peripheral joints suspected urate crystal due to gout underwent gemstone spectral CT scan on spectrum scanning gemstone spectral imaging (GSI) mode. Images were processed with GSI Viewer software. The visualization and distribution of urate crystal were noted. Results Urate crystal deposition in peripheral joints, tendon and ligaments of 28 patients were clearly displayed in uric acid (calcium) base images with gemstone spectral CT. The density of urate crystal in uric acid (calcium) base image was higher than that in calcium (uric acid) base image. The position of urate crystal deposition included metatarsophalangeal joint in 23 cases (82%), ankle joint in 4 cases (14%), and knee joint in 2 cases (8%), respectively, in which multi-locum suffered in 1 case. Conclusion Urate crystal deposition can be well depicted by gemstone spectral CT-imaging, which provides a new diagnosing method for gout without trauma. Gemstone spectral CT-imaging was greatly helpful for differential diagnosis of single joint sore pain.

Citation： ZHONGTang-li, LIUQi-yu, GUANBin, HEChuan-dong, GUOZhong-jie, CHENJiao. Value of Gemstone Spectral CT-imaging in Diagnosing Gout. West China Medical Journal, 2015, 30(8): 1481-1483. doi: 10.7507/1002-0179.20150423 Copy

1.	Roddy E, Doherty M. Epidemiology of gout[J]. Arthritis Res Ther, 2010, 12(6):223.
2.	Suresh E. Diagnosis and management of gout:a rational approach[J]. Postgrad Med J, 2005, 81(959):572-579.
3.	Monu JU, Pope TL. Gout:a clinical and radiologic review[J]. Radiol Clin North Am, 2004, 42(1):169-184.
4.	Wallace SL, Robinson H, Masi AT, et al. Preliminary criteria for the classification of the acute arthritis of primary gout[J]. Arthritis Rheum, 1977, 20(3):895-900.
5.	Mikuls TR, Farrar JT, Bilker WB, et al. Gout epidemiology:results from the UK General Practice Research Database, 1990-1999[J]. Ann Rheum Dis, 2005, 64(2):267-272.
6.	靳国庆, 王东林, 王振杰, 等. 双源CT双能量成像对痛风诊断价值的初步研究[J]. 临床放射学杂志, 2013, 32(4):555-558.
7.	Li EK. Gout:a review of its aetiology and treatment[J]. Hong Kong Med J, 2004, 10(4):261-270.
8.	王旭, 刘斌. 痛风性关节炎的影像学诊断及进展[J]. 国际医学放射学杂志, 2012, 35(3):251-254.
9.	Perez-Ruiz F, Dalbeth N, Urresola A, et al. Imaging of gout:findings and utility[J]. Arthritis Res Ther, 2009, 11(3):232.
10.	Choi HK, Al-Arfaj AM, Eftekhari A, et al. Dual energy computed tomography in tophaceous gout[J]. Ann Rheum Dis, 2009, 68(10):1609-1612.
11.	刘炜, 薛华丹, 曾学军, 等. 双能量CT检测痛风患者尿酸盐沉积的初步应用[J]. 中国医学科学院学报, 2010, 32(6):645-648, 后插7.
12.	郑玲, 周长圣, 张龙江, 等. 双源双能量CT检测痛风石的初步经验[J]. 中国临床医学影像杂志, 2011, 22(2):105-107.
13.	Glazebrook KN, Guimarães LS, Murthy NS, et al. Identification of intraarticular and periarticular uric acid crystals with dual-energy CT:initial evaluation[J]. Radiology, 2011, 261(2):516-524.
14.	鲍丽君. 能谱CT成像的临床应用[J]. 安徽医科大学学报, 2012, 47(3):320-322.
15.	王旭, 李小虎, 刘斌, 等. 双能量能谱CT检测痛风石沉积的初步研究[J]. 安徽医科大学学报, 2013, 48(8):973-975.
16.	全高荣, 罗剑云, 黄少英. 痛风性关节炎的X线诊断[J]. 影像诊断与介入放射学, 2008, 17(3):129-131.

1. Roddy E, Doherty M. Epidemiology of gout[J]. Arthritis Res Ther, 2010, 12(6):223.
2. Suresh E. Diagnosis and management of gout:a rational approach[J]. Postgrad Med J, 2005, 81(959):572-579.
3. Monu JU, Pope TL. Gout:a clinical and radiologic review[J]. Radiol Clin North Am, 2004, 42(1):169-184.
4. Wallace SL, Robinson H, Masi AT, et al. Preliminary criteria for the classification of the acute arthritis of primary gout[J]. Arthritis Rheum, 1977, 20(3):895-900.
5. Mikuls TR, Farrar JT, Bilker WB, et al. Gout epidemiology:results from the UK General Practice Research Database, 1990-1999[J]. Ann Rheum Dis, 2005, 64(2):267-272.
6. 靳国庆, 王东林, 王振杰, 等. 双源CT双能量成像对痛风诊断价值的初步研究[J]. 临床放射学杂志, 2013, 32(4):555-558.
7. Li EK. Gout:a review of its aetiology and treatment[J]. Hong Kong Med J, 2004, 10(4):261-270.
8. 王旭, 刘斌. 痛风性关节炎的影像学诊断及进展[J]. 国际医学放射学杂志, 2012, 35(3):251-254.
9. Perez-Ruiz F, Dalbeth N, Urresola A, et al. Imaging of gout:findings and utility[J]. Arthritis Res Ther, 2009, 11(3):232.
10. Choi HK, Al-Arfaj AM, Eftekhari A, et al. Dual energy computed tomography in tophaceous gout[J]. Ann Rheum Dis, 2009, 68(10):1609-1612.
11. 刘炜, 薛华丹, 曾学军, 等. 双能量CT检测痛风患者尿酸盐沉积的初步应用[J]. 中国医学科学院学报, 2010, 32(6):645-648, 后插7.
12. 郑玲, 周长圣, 张龙江, 等. 双源双能量CT检测痛风石的初步经验[J]. 中国临床医学影像杂志, 2011, 22(2):105-107.
13. Glazebrook KN, Guimarães LS, Murthy NS, et al. Identification of intraarticular and periarticular uric acid crystals with dual-energy CT:initial evaluation[J]. Radiology, 2011, 261(2):516-524.
14. 鲍丽君. 能谱CT成像的临床应用[J]. 安徽医科大学学报, 2012, 47(3):320-322.
15. 王旭, 李小虎, 刘斌, 等. 双能量能谱CT检测痛风石沉积的初步研究[J]. 安徽医科大学学报, 2013, 48(8):973-975.
16. 全高荣, 罗剑云, 黄少英. 痛风性关节炎的X线诊断[J]. 影像诊断与介入放射学, 2008, 17(3):129-131.

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West China Medical Journal

Value of Gemstone Spectral CT-imaging in Diagnosing Gout

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