痛风影像学诊断方法分析及发展

痛风是由于尿酸盐沉积产生的异质代谢性疾病,严重者可导致关节残疾引起肾功能损伤,但若能早期诊断该病或可逆转.众所周知,痛风不同时期有不同的临床表现和影像学表现.一般而言,在痛风早期,其双轨征特征明显,特异性高,适合采用超声法进行检测;在痛风反复发作期及慢性期,适合采用X线平片、CT和MRI等影像技术进行检测,其中MRI能...

Analysis and development of imaging diagnosis of gout

Gout is a heterogeneous metabolic disorder caused by urate deposition.Severe gout can lead to joint disability and renal function damage,but if diagnosed early,the disease may be reversible.It is well known that gout has different clinical and imaging manifestations in different periods.Generally speaking,in the early stage of gout,the dual-track sign has obvious characteristics and high specificity,and it is suitable to be detected by ultrasound;in the recurrent and chronic stage of gout,it is suitable to be detected by X-ray,CT and MRI imaging techniques,in which MRI can accurately evaluate the size and internal structure of gout stones;and dual-energy CT(DECT)can identify the uric acid crystals around joints,tendons and soft tissues.Therefore,appropriate imaging detection methods should be selected according to different needs.In addition,in view of the development trend of medical science and technology,the future development of gout imaging will use cloud computing,big data,artificial intelligence and other technologies to build intelligent medical image diagnosis system,develop a precise disease treatment system,and will continue to expand towards image fusion and intelligent diagnosis and treatment.