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Gouty arthritis: decision-making following dual-energy CT scan in clinical practice,a retrospective analysis
Authors:M. Gamala  S. P. Linn-Rasker  M. Nix  B. G. F. Heggelman  J. M. van Laar  P. C. M. Pasker-de Jong  J. W. G. Jacobs  R. Klaasen
Affiliation:1.Department of Rheumatology and Clinical Immunology,University Medical Center Utrecht,Utrecht,The Netherlands;2.Department of Rheumatology,Meander Medical Center,Amersfoort,The Netherlands;3.Department of Radiology,Meander Medical Center,Amersfoort,The Netherlands;4.Meander Academy Meander Medical Center,Amersfoort,The Netherlands
Abstract:To establish whether dual-energy CT (DECT) is a diagnostic tool, i.e., associated with initiation or discontinuation of a urate lowering drug (ULD). Secondly, to determine whether DECT results (gout deposition y/n) can be predicted by clinical and laboratory variables. Digital medical records of 147 consecutive patients with clinical suspicion of gout were analyzed retrospectively. Clinical data including medication before and after DECT, lab results, and results from diagnostic joint aspiration and DECT were collected. The relationship between DECT results and clinical and laboratory results was evaluated by univariate regression analyses; predictors showing a p?
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