[Detection of Monosodium Urate Crystal of Hand and Wrist in Suspected Gouty Arthritis Patients on Dual-Energy CT and Relationship with Serum Urate Level].

Choi, H ; Ryu, J ; et al.

In: Journal of the Korean Society of Radiology, Jg. 84 (2023), Heft 1, S. 212

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Purpose: We retrospectively investigated the characteristics of patients with monosodium urate (MSU) deposits of the hand and wrist on dual-energy CT (DECT) compared to those without. We also attempted to determine the pattern of MSU distribution in DECT.

Materials and Methods: In total, 93 patients were included who had undergone DECT for evaluation of the hand or wrist pain under the clinical impression of gouty arthritis. The total volume of MSU deposits on DECT was calculated and the pattern of MSU distribution on DECT was analyzed. Also, the level of the serum urate at the time of DECT and the highest level of the serum urate of the patients were obtained from their records and the relationship between MSU and serum urate level was evaluated.

Results: The range of the volume of MSU deposits on DECT was 0.01-16.11 cm 3 (average: 1.07 cm 3 ). The average level of serum urate was significantly higher in the MSU positive group than that in the MSU negative group. MSU deposits were most frequently observed in the wrists followed by fingers and digitorum tendons.

Conclusion: On DECT, MSU deposits were most frequently detected in the wrist and related with high serum urate level.

Competing Interests: Conflicts of Interest: The authors have no potential conflicts of interest to disclose.

Titel:	[Detection of Monosodium Urate Crystal of Hand and Wrist in Suspected Gouty Arthritis Patients on Dual-Energy CT and Relationship with Serum Urate Level].
Autor/in / Beteiligte Person:	Choi, H ; Ryu, J ; Lee, S ; Kim, YJ ; Bang, S
Link:	Zum Volltext
Zeitschrift:	Journal of the Korean Society of Radiology, Jg. 84 (2023), Heft 1, S. 212
Veröffentlichung:	Seoul : Korean Society of Radiology, [2021]-, 2023
Medientyp:	academicJournal
ISSN:	2951-0805 (electronic)
DOI:	10.3348/jksr.2021.0003n
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: Korean Transliterated Title: 손과 손목의 통풍관절염에서 이중에너지 CT를 이용한 요산나트륨 결정 검출과 혈중 요산 농도와의 관계. Publication Type: English Abstract; Journal Article Language: Korean [J Korean Soc Radiol] 2023 Jan; Vol. 84 (1), pp. 212-225. <i>Date of Electronic Publication: </i>2023 Jan 30. References: AJR Am J Roentgenol. 2020 Jun;214(6):1335-1342. (PMID: 32228328) ; Pharmacoepidemiol Drug Saf. 2021 Feb;30(2):157-168. (PMID: 32939919) ; Rheum Dis Clin North Am. 2016 Nov;42(4):621-644. (PMID: 27742018) ; Arthritis Care Res (Hoboken). 2012 Oct;64(10):1431-46. (PMID: 23024028) ; Radiographics. 2011 Sep-Oct;31(5):1365-75; discussion 1376-7. (PMID: 21918049) ; N Engl J Med. 2011 Feb 3;364(5):443-52. (PMID: 21288096) ; J Adv Res. 2017 Sep;8(5):537-548. (PMID: 28748119) ; Radiographics. 2021 Jan-Feb;41(1):98-119. (PMID: 33411614) ; Ann Rheum Dis. 2015 Jun;74(6):1072-7. (PMID: 24671771) ; Skeletal Radiol. 2014 Mar;43(3):277-81. (PMID: 24337414) ; Skeletal Radiol. 2020 May;49(5):707-713. (PMID: 31802167) ; Radiographics. 2021 Mar-Apr;41(2):509-523. (PMID: 33606565) ; J Clin Rheumatol. 2012 Apr;18(3):138-41. (PMID: 22426590) ; Chir Main. 2001 Oct;20(5):325-31. (PMID: 11723771) ; Eur Radiol. 2018 Oct;28(10):4174-4181. (PMID: 29679210) ; Arthritis Rheumatol. 2015 Oct;67(10):2557-68. (PMID: 26352873) ; Joint Bone Spine. 2012 Oct;79(5):425-7. (PMID: 22867976) ; Clin Radiol. 2011 Oct;66(10):984-92. (PMID: 21658689) ; J Med Radiat Sci. 2017 Mar;64(1):41-51. (PMID: 28238226) ; AJR Am J Roentgenol. 2013 Sep;201(3):515-25. (PMID: 23971443) ; Curr Opin Rheumatol. 2005 May;17(3):319-24. (PMID: 15838244) ; J Am Acad Orthop Surg. 2007 Oct;15(10):625-35. (PMID: 17916786) Entry Date(s): Date Created: 20230223 Latest Revision: 20230224 Update Code: 20231215 PubMed Central ID: PMC9935968

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