Utility of Ultrasound and Dual Energy CT in Crystal Disease Diagnosis and Management.

Curr Rheumatol Rep

Dipartimento Scienze Cliniche e Biologiche, Academic Rheumatology Centre, Università degli Studi di Torino, Turin, Italy.

Published: April 2020

AI Article Synopsis

  • The review discusses the role of ultrasound and dual energy computed tomography (DECT) in diagnosing microcrystalline arthritis, specifically gout and CPPD.
  • Both ultrasound and DECT have been recognized in gout diagnostics, but ultrasound is the only technique mentioned in CPPD recommendations.
  • More research is needed to enhance the reliability of these diagnostic tools and to develop scoring systems for better patient monitoring.

Article Abstract

Purpose Of Review: The objective of this review is to critically discuss the latest evidence on the use of ultrasound and dual energy computed tomography (DECT) for the assessment of microcrystalline arthritis.

Recent Findings: Both techniques have been included in the classification and diagnostic criteria for gout, while only ultrasound appears in the diagnostic recommendations for CPPD. Regarding the management of the diseases, there is encouraging evidence for the use of both techniques for the follow-up of gout patients, while very few or null data are available for CPPD. Ultrasound has been adequately validated for the diagnosis of CPPD, while some issues have still to be clarified regarding gout. DECT has also demonstrated to be accurate for gout diagnosis, but very few data are available regarding CPPD. Future research should aim to improve the reliability of both techniques and to create scoring systems for a more accurate follow-up of patients.

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Source
http://dx.doi.org/10.1007/s11926-020-0890-1DOI Listing

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