Utility of Ultrasound and Dual Energy CT in Crystal Disease Diagnosis and Management
Utility of Ultrasound and Dual Energy CT in Crystal Disease Diagnosis and Management
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DOI：
10.1007/s11926-020-0890-1
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发表时间：
2020-04-15
影响因子：
5
通讯作者：
Iagnocco, Annamaria
中科院分区：
文献类型：
--
作者：
Filippou, Georgios;Pascart, Tristan;Iagnocco, Annamaria
综述的目的本综述的目的是批判性地讨论使用超声和双能计算机断层扫描（DECT）评估微晶关节炎的最新证据。这两种技术已被纳入痛风的分类和诊断标准，而只有超声出现在CPPD的诊断建议。关于疾病的管理，有令人鼓舞的证据表明，使用这两种技术对痛风患者进行随访，而CPPD的数据很少或为零。超声已被充分验证用于诊断CPPD，而关于痛风的一些问题仍有待澄清。DECT也被证明是准确的痛风诊断，但很少有关于CPPD的数据。未来的研究应致力于提高这两种技术的可靠性，并建立评分系统，以更准确地随访患者。
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.