2,486 results match your criteria: "Gout Imaging"
Evidence on consumers' perceptions, understanding and uses of the Nutri-Score to improve communication about its update: a qualitative study with shopping observations in France.
BMC Public Health
November 2024
Santé publique France, French national public health agency, Saint- Maurice, F-94415, France.
Background: The Nutri-Score is a front-of-pack nutrition label widely used in several European countries to improve the overall quality of consumers' diets. In the view of the upcoming update of the Nutri-Score algorithm, this study evaluates consumers' perceptions, understanding and uses of this label as well as their expectations or criticisms and opinions regarding the algorithm update.
Methods: Two complementary qualitative approaches were used in 2023.
Hyperuricemia suppresses lumican, exacerbating adverse remodeling after myocardial infarction by promoting fibroblast phenotype transition.
J Transl Med
October 2024
Department of Cardiovascular Surgery, The Second Affiliated Hospital of Nanchang University, Nanchang, Jiangxi Province, China.
Background: Hyperuricemia is independently associated with a poor prognosis in patients with myocardial infarction (MI). Furthermore, MI induces activation of the repair response in local fibroblasts, resulting in extracellular matrix accumulation that generates a stable fibrotic scar in the infarcted area. However, researchers have not determined whether hyperuricemia affects fibroblast activation and its involvement in postinfarction cardiac remodeling.
View Article and Find Full Text PDFImaging approach to deposition and neurogenic arthropathies.
Jpn J Radiol
November 2024
Pontificia Universidad Javeriana, Hospital Universitario San Ignacio, Carrera 7 No 40 - 62, 110231, Bogotá, Colombia.
Article Synopsis
- Deposition arthropathies are a diverse group of diseases characterized by the buildup of organic and inorganic substances in the body, leading to various complications and health issues.
- Despite being distinct conditions, they often present similar clinical symptoms, making imaging studies crucial for accurate diagnosis by highlighting unique features of specific pathologies.
- Neuropathic arthropathy, particularly Charcot's foot, must be carefully differentiated during joint evaluations as it has a different radiological appearance, treatment approach, and prognosis compared to other deposition arthropathies.
A Complex Case of Bilateral Carpal Tunnel Syndrome in a Patient With Gout: A Case Report and Review of Literature.
Cureus
September 2024
Department of Orthopaedics and Traumatology, University Hospital Queen Giovanna - ISUL, Sofia, BGR.
Carpal tunnel syndrome (CTS) is the most common nerve entrapment condition of the upper extremity, primarily caused by compression of the median nerve as it passes through the carpal tunnel in the wrist. While various factors can lead to this condition, the accumulation of gouty tophi in the flexor tendons is a rare cause. This case involves a 57-year-old manual laborer who presented with progressively worsening symptoms in both hands, including numbness, pain, and muscle weakness, which were more severe in his right hand.
View Article and Find Full Text PDFComputed tomography-current status and future directions for arthritis imaging.
Ther Adv Musculoskelet Dis
October 2024
Department of Radiology, Charité-Universitätsmedizin Berlin, Campus Mitte, Humboldt-Universität zu Berlin, Freie Universität Berlin, Berlin, Germany.
Article Synopsis
- Recent advancements in computed tomography (CT), especially dual-energy CT (DECT), have significantly improved arthritis imaging, aiding in the diagnosis of conditions like gouty arthritis and monitoring structural changes.
- Innovations such as low-dose CT and advanced reconstruction algorithms enhance image quality while minimizing radiation exposure, making CT safer and quicker for patients.
- DECT's capability to differentiate between calcium and uric acid crystals, along with new techniques like four-dimensional CT for assessing joint dynamics, positions it as a vital tool for effective arthritis diagnosis and treatment monitoring.*
An unusual imaging finding mimicking double contour sign following ultrasound-guided intra-articular knee injection of steroid: A case report.
Agri
January 2024
Division of Pain Management, Department of Physical Medicine and Rehabilitation, İstanbul University - Cerrahpaşa, Faculty of Medicine, Istanbul, Türkiye.
Examination of monosodium urate crystals in the synovial fluid remains the gold standard for the diagnosis of gout. On ultra-sound (US) examination, the double contour sign (DCS) is one of the most common imaging findings of gout. In this article, we present, for the first time, a unique imaging finding mimicking DCS after US-guided intra-articular knee injection of steroid and discuss it in light of the literature data.
View Article and Find Full Text PDFNew Developments in Imaging in Crystalline Arthritis.
Rheum Dis Clin North Am
November 2024
Department of Medicine, Allergy/Immunology & Rheumatology Division, University of Rochester School of Medicine and Dentistry, 601 Elmwood Avenue, Box 695, Rochester, NY 14642, USA. Electronic address:
Article Synopsis
- * Traditional diagnosis relied on joint aspiration and microscopy, but imaging techniques are now preferred and can often suffice.
- * Recommended imaging methods include ultrasound, dual-energy CT scans, and regular X-rays, which can help locate inflammation and identify crystal deposits effectively.
Advancing rheumatology with natural language processing: insights and prospects from a systematic review.
Rheumatol Adv Pract
September 2024
Charles Bronfman Institute for Personalized Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Article Synopsis
- - The review highlights how natural language processing (NLP) and large language models (LLMs) are transforming healthcare by analyzing unstructured clinical texts to improve disease detection, diagnosis, and patient management in rheumatology.
- - Researchers screened 1491 articles and found 35 relevant studies that demonstrated high accuracy in using NLP tools to identify conditions like rheumatoid arthritis (RA) and gout from data sources like electronic medical records.
- - While current applications show promise, particularly for common diseases, the review calls for further research to expand NLP's utility in diagnosing rarer and more complex rheumatological conditions.
Arthroscopic shoulder surgery for gouty long head of biceps tendinitis: a case report.
J Med Case Rep
October 2024
Department of Orthopedics, The First People's Hospital of Wuxue City, Hubei, 435400, China.
Article Synopsis
- The case report looks at a woman's rare shoulder problem caused by gout, which is a type of arthritis.
- She experienced pain and limited movement in her right shoulder, and imaging tests showed some unusual findings.
- After surgery, doctors removed the "tofu residue" caused by gout crystals, which helped improve her condition.
Diagnostic Complexities and Management of Gouty Arthritis With Suspected Seronegative Rheumatoid Arthritis and Malignancy in an Elderly Male.
Cureus
September 2024
General Surgery, North Cumbria Integrated Care NHS Foundation Trust, Carlisle, GBR.
Article Synopsis
- Rheumatoid arthritis (RA) and gout are different types of inflammatory arthritis; RA involves autoimmune issues while gout is caused by urate crystal deposits, making diagnosis challenging, especially in older patients.
- A 77-year-old man with chronic gout and various health issues presented with knee pain, raising suspicion for RA despite negative serological tests, leading to imaging that indicated chronic gouty tophi.
- Effective management requires distinguishing between RA and gout, using imaging techniques for accurate diagnosis, and addressing the complexities of treating elderly patients with multiple comorbidities potentially at risk for malignancy.
Outpatient Renal Function Screening Before Contrast-Enhanced CT Examinations.
J Korean Med Sci
October 2024
Department of Radiology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.
Article Synopsis
- Intravascular administration of iodinated contrast media can lead to acute kidney injury, particularly in patients with low eGFR (<30 mL/min/1.73 m²).
- A study involving 2,560 adult outpatients evaluated the effectiveness of renal function screening guidelines by ACR and ESUR before contrast-enhanced CT scans.
- The findings showed that both guidelines effectively identified patients at risk for renal insufficiency, supporting the need for selective renal function screening prior to such examinations.
Dual-energy computed tomography-based radiomics for differentiating patients with and without gout flares.
Clin Rheumatol
December 2024
Gout Laboratory, The Affiliated Hospital of Qingdao University, 16 Jiangsu Road, Qingdao, 266003, China.
Article Synopsis
- This study aimed to develop and validate a dual-energy computed tomography-based radiomics model to differentiate between patients with gout flares and those without, addressing a current research gap.
- It involved analyzing data from 200 patients, including 150 with past gout flares, to extract and evaluate specific radiomic features related to tophi in the foot joints, utilizing advanced statistical methods for model development.
- The comprehensive model, which combined optimal radiomic features and key clinical factors like disease duration and hypertension, showed strong predictive performance, outperforming individual models in clinical relevance and accuracy.
Application of improved urate analysis algorithm based on spectral parameters in Podagra: A prospective study.
Eur J Radiol
December 2024
Department of Radiology, West China Hospital of Sichuan University, No. 37 Guoxue Alley, Chengdu 610041, China. Electronic address:
Article Synopsis
- The study aimed to determine if the improved urate analysis (IUA) algorithm can lower false positives in CT scans of gout compared to the current algorithm (CUA).
- Conducted over a year, it involved comparing spectral CT images of suspected gout cases using both algorithms against a reference standard (ultrasound + conventional CT).
- Results showed that IUA significantly improved specificity and accuracy while also reducing image artifacts compared to CUA, although the maximum area of tophi was measured to be greater in CUA images.
Practical Use of Ultrasound in Modern Rheumatology-From A to Z.
Life (Basel)
September 2024
Department of Propedeutics of Internal Diseases, Faculty of Medicine, Medical University of Plovdiv, 4001 Plovdiv, Bulgaria.
Article Synopsis
- The use of ultrasound (US) in rheumatology has significantly increased over the past two decades, becoming essential for examining musculoskeletal structures and conducting procedures like aspirations and injections.
- It is the preferred imaging method for diagnosing inflammatory joint diseases, monitoring treatment effectiveness, and supporting the diagnosis of conditions like osteoarthritis and gout.
- Recent advancements suggest that US could also effectively assess skin and lung involvement in connective tissue diseases, offering a safer and more cost-effective alternative to traditional imaging methods.
[Acute non-traumatic single-articular pain].
Rev Med Suisse
September 2024
Service de médecine de premier recours, Hôpitaux universitaires de Genève, 1211 Genève 14.
Article Synopsis
- The main non-traumatic causes of acute single-joint pain include microcrystalline, degenerative, reactive, and septic arthritis, with septic arthritis needing quick exclusion through joint effusion puncture.
- If there’s no sepsis, surgical drainage should be done within 24 hours of admission.
- For conditions like gout and reactive arthritis, imaging and urate-lowering treatments are recommended, while osteoarthritis management emphasizes self-care strategies for pain relief.
Consistent social odor representation across 7 languages: the Social Odor Scale translation and validation.
Chem Senses
January 2024
Department of General Psychology, University of Padua, Padua, Italy.
Article Synopsis
- The Social Odor Scale (SOS) is a 12-item questionnaire designed to assess how people perceive social odors from others, focusing on romantic partners, familiar people, and strangers.
- The study aimed to validate the SOS in several languages (French, English, Dutch, Swedish, Chinese) and found that its structure remained consistent across these translations.
- Results revealed differences in social odor awareness by language group, with Swedish participants showing the least awareness and Chinese participants the most, while geographical factors also influenced scores, linking higher latitudes to lower social odor awareness.
2024 Guidelines of the Taiwan Society of Cardiology on the Primary Prevention of Atherosclerotic Cardiovascular Disease --- Part I.
Acta Cardiol Sin
September 2024
Department of Internal Medicine, Min-Sheng General Hospital, Taoyuan; Department of Internal Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan.
Article Synopsis
- * The guidelines address various aspects of ASCVD, including chronic coronary syndrome and cerebrovascular diseases, while promoting health education and the management of clinical risk factors like diet, exercise, and smoking.
- * A catchy slogan and a memorable acronym were proposed to reinforce lifestyle changes related to modifiable risk factors, emphasizing the importance of healthy eating, physical activity, and overall well-being for ASCVD prevention.
Exploration of the association between new "Life's Essential 8" with hyperuricemia and gout among US adults.
Qual Life Res
December 2024
State Key Laboratory of Complex Severe and Rare Diseases, Department of Family Medicine & Division of General Internal Medicine, Department of Internal Medicine, Chinese Academy of Medical Sciences, Peking Union Medical College Hospital, No. 1 Shuaifuyuan, Beijing, 100730, China.
Background: Previous researches have reported the relationship between uric acid and cardiovascular disease. We aimed to investigate the association of Life's Essential 8, a recently updated measurement of cardiovascular health, with the prevalence of hyperuricemia (HUA) and gout among US adults. Additionally, we also explored the relationship between LE8 and all-cause mortality among patients with HUA or gout.
View Article and Find Full Text PDFDistal interphalangeal joint involvement in patients with rheumatoid arthritis: Where are we?
Turk J Med Sci
September 2024
Department of Rheumatology-Internal Medicine, Faculty of Medicine, Aydın Adnan Menderes University, Aydın, Turkiye.
Article Synopsis
- The study examined the occurrence and factors associated with distal interphalangeal (DIP) joint erosion in patients with rheumatoid arthritis (RA).
- Researchers analyzed medical records from 1213 RA patients, finding that 12% had DIP erosions, primarily affecting the third finger and typically presenting unilaterally.
- Results indicated that older age and longer disease duration were significant predictors of DIP joint erosion, suggesting a potential reevaluation of joint involvement in RA cases, especially in older patients.
Article Synopsis
- * The patient experienced swelling and pain in the knee, initially misdiagnosed, and underwent multiple tests before the correct treatment revealed an infection resistant to standard antibiotics.
- * The case highlights the challenges of diagnosing infections in patients on immunosuppressive medications and raises questions about the management of these individuals following treatment.
Unlocking hidden clues: how ultrasound is transforming gout.
Med Ultrason
September 2024
2nd Internal Medicine Department, "Iuliu Hatieganu" University of Medicine and Pharmacy, Cluj-Napoca,.
Spondyloarthritis and Tietze's syndrome: A re-evaluation.
Mod Rheumatol
December 2024
Division of Clinical Rheumatology, Sakurajyuji Hospital, Kumamoto, Japan.
Article Synopsis
- * These conditions can be difficult to differentiate from other rheumatic diseases due to similar symptoms, particularly swelling in the chest area, which can resemble Tietze's syndrome.
- * The article emphasizes the need for careful diagnosis between spondyloarthritis and Tietze's syndrome, as accurate identification is crucial for effective treatment.
Concordance of Ultrasound and Dual-Energy CT in Diagnosing Gouty Arthritis in the Knee Joint: A Retrospective Observational Study.
Acad Radiol
September 2024
Department of Abdominal Ultrasound, Affiliated Hospital of Qingdao University, 16 Jiangsu Road, Shinan District, Qingdao City, Shandong Province, China (M.Y., M.D., L.X., Y.L., C.N.). Electronic address:
Rationale And Objectives: To assess the consistency between ultrasound and dual-energy computed tomography (DECT) for the diagnosis of gout in the knee joint.
Materials And Methods: The ultrasound and DECT images of 176 knee joints from 167 patients diagnosed with gout at the Gout Specialty Clinic of Qingdao University Affiliated Hospital from February 2022 to December 2023 were retrospectively analyzed. The knee joint was segmented into five anatomical regions: intra-articular, anterior, posterior, medial, and lateral.
Evaluation of choroidal thickness and optic disc parameters in patients with chronic phase gout.
Int Ophthalmol
September 2024
Buca Seyfi Demirsoy Training and Research Hospital, Department of Rheumatology, İzmir Democracy University, İzmir, Turkey.
Purpose: This study aims to assess the disparities in choroidal thickness and optic disc parameters between individuals diagnosed with chronic gout and an age- and gender-matched control cohort.
Methods: This cross-sectional study involved 30 gout patients receiving treatment at the Rheumatology clinic, alongside 30 healthy control individuals matched for age and gender. A comprehensive ophthalmological assessment, encompassing visual acuity measurement, intraocular pressure evaluation, slit-lamp biomicroscopy, and dilated fundus examination, was conducted for all participants.
Is cardiac function associated with the clinical course of disease in patients with gout? A prospective study.
Echocardiography
September 2024
Department of Medical Ultrasonics, First Affiliated Hospital of Jinzhou Medical University, Jinzhou, China.
Objective: To analyze the function of the left heart in patients with different courses of gout, the independent influencing factors for left heart functional changes, and interactions between left atrial and left ventricular functions.
Methods: Patients with gout (n = 171) were selected; 87 patients with a disease course <10 years were included in Group I, and 84 patients with a disease course ≥10 years were included in Group II. Ninety-four healthy volunteers comprised the control group.