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Ultrasonography and dual-energy computed tomography: impact for the detection of gouty deposits


Ultrasonography. 2021 Apr;40(2):197-206. doi: 10.14366/usg.20063. Epub 2020 Oct 2.

Christoph Schwabl 1Mihra Taljanovic 2Gerlig Widmann 1James Teh 3Andrea S Klauser 1


Author Information

1 Department of Radiology, Medical University Innsbruck, Innsbruck, Austria.

2 Department of Medical Imaging, Banner University Medical Center, The University of Arizona, College of Medicine, Tucson, AZ, USA.

3 Department of Radiology, Nuffield Orthopaedic Centre, Oxford University Hospitals NHS Trust, Oxford, UK.


Ultrasonography (US) and dual-energy computed tomography (DECT) are useful and sensitive diagnostic tools to identify monosodium urate deposits in joints and soft tissues. The purpose of this review is to overview the imaging findings obtained by US and DECT in patients with gout, to understand the strengths and weaknesses of each imaging modality, and to evaluate the added value of using both modalities in combination.