Dual energy computed tomography in gout: Our experience

Amol Sagdeo, Ayman Askari, J Singh, B Tins, Patrick Ball, Hana Morrissey

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Introduction: Gout is a common medical problem, affecting at least 1% of men in Western countries, with a male: female ratio ranging from 7:1 to 9:1. For many patients, traditional investigations can be inconclusive. Dual Energy Computed Tomography (DECT) is emerging as a valuable tool for non-invasive confirmation of urate deposits in painful joints.
Aim: To establish the effectiveness of the DECT in the identification of gout in patients with complex presentations where the diagnosis is not clear.
Method: DECT at 140 kV and 80kV was used to image patients where the clinical diagnosis was unclear Results: Seven case studies are presented where an unclear clinical presentation was successfully diagnosed with the use of DECT.
Conclusion: In a specialist tertiary referral centre, treating many patients whose presentation is atypical, DECT has become a valuable tool in confirming the presence or absence of gouty arthritis, in difficult cases with a diagnostic dilemma.
Original languageEnglish
Pages (from-to)4-7
Number of pages4
JournalInternational Journal of Current Research and Review
Issue number14
Publication statusPublished - 20 Jul 2021


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