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：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

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.	靳國慶, 王東林, 王振杰, 等. 雙源CT雙能量成像對痛風診斷價值的初步研究[J]. 臨床放射學雜志, 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, 劉斌. 痛風性關節炎的影像學診斷及進展[J]. 國際醫學放射學雜志, 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.	劉煒, 薛華丹, 曾學軍, 等. 雙能量CT檢測痛風患者尿酸鹽沉積的初步應用[J]. 中國醫學科學院學報, 2010, 32(6):645-648, 后插7.
12.	鄭玲, 周長圣, 張龍江, 等. 雙源雙能量CT檢測痛風石的初步經驗[J]. 中國臨床醫學影像雜志, 2011, 22(2):105-107.
13.	Glazebrook KN, Guimar?es 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.	鮑麗君. 能譜CT成像的臨床應用[J]. 安徽醫科大學學報, 2012, 47(3):320-322.
15.	王旭, 李小虎, 劉斌, 等. 雙能量能譜CT檢測痛風石沉積的初步研究[J]. 安徽醫科大學學報, 2013, 48(8):973-975.
16.	全高榮, 羅劍云, 黃少英. 痛風性關節炎的X線診斷[J]. 影像診斷與介入放射學, 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. 靳國慶, 王東林, 王振杰, 等. 雙源CT雙能量成像對痛風診斷價值的初步研究[J]. 臨床放射學雜志, 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, 劉斌. 痛風性關節炎的影像學診斷及進展[J]. 國際醫學放射學雜志, 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. 劉煒, 薛華丹, 曾學軍, 等. 雙能量CT檢測痛風患者尿酸鹽沉積的初步應用[J]. 中國醫學科學院學報, 2010, 32(6):645-648, 后插7.
12. 鄭玲, 周長圣, 張龍江, 等. 雙源雙能量CT檢測痛風石的初步經驗[J]. 中國臨床醫學影像雜志, 2011, 22(2):105-107.
13. Glazebrook KN, Guimar?es 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. 鮑麗君. 能譜CT成像的臨床應用[J]. 安徽醫科大學學報, 2012, 47(3):320-322.
15. 王旭, 李小虎, 劉斌, 等. 雙能量能譜CT檢測痛風石沉積的初步研究[J]. 安徽醫科大學學報, 2013, 48(8):973-975.
16. 全高榮, 羅劍云, 黃少英. 痛風性關節炎的X線診斷[J]. 影像診斷與介入放射學, 2008, 17(3):129-131.

Previous Article
Clinical Observation on Effect of Acupuncture in Treating Primary Mild and Moderate Pruritus Ani
Next Article
Current Situation of Hospital Infection Management in the Delivery Room in A Hospital

West China Medical Journal

Value of Gemstone Spectral CT-imaging in Diagnosing Gout

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content