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Clinical utility of dual energy computed tomography in gout: current concepts and applications

Gout is the most common inflammatory arthritis and is increasing in prevalence and incidence in many countries worldwide. Dual Energy Computed Tomography (DECT) has a high diagnostic accuracy in established gout, but its diagnostic sensitivity is low in subjects with recent-onset gout. A meta-analys...

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Detalles Bibliográficos
Autores principales: Carotti, Marina, Salaffi, Fausto, Filippucci, Emilio, Aringhieri, Giacomo, Bruno, Federico, Giovine, Sabrina, Gentili, Francesco, Floridi, Chiara, Borgheresi, Alessandra, De Filippo, Massimo, Masciocchi, Carlo, Barile, Antonio, Giovagnoni, Andrea
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Mattioli 1885 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7944678/
https://www.ncbi.nlm.nih.gov/pubmed/32945286
http://dx.doi.org/10.23750/abm.v91i8-S.9942
Descripción
Sumario:Gout is the most common inflammatory arthritis and is increasing in prevalence and incidence in many countries worldwide. Dual Energy Computed Tomography (DECT) has a high diagnostic accuracy in established gout, but its diagnostic sensitivity is low in subjects with recent-onset gout. A meta-analysis of 17 studies showed a pooled sensitivity and specificity of 0.85 and 0.88, respectively. DECT is a useful diagnostic tool for patients with contraindications for joint aspiration or for those who refuse joint aspiration. This article aims to give an up to date review and summary of existing literature on the role and accuracy of DECT in the imaging of gout. (www.actabiomedica.it)