Digital DiagnosticsDigital DiagnosticsDigital DiagnosticsDigital Diagnostics2712-84902712-8962Eco-Vector32275810.17816/DD322758ReviewsНаучные обзоры科学评论Review ArticleThe role of dual-energy computed tomography in the diagnosis of gout and other crystalline arthropathies: A reviewРоль двухэнергетической компьютерной томографии в диагностике подагры и других кристаллических артропатий: обзор литературы双能量计算机断层扫描在诊断痛风和其他结晶性关节病中的作用：文献综述https://orcid.org/0000-0002-7727-3360OnoykoMaria V.ОнойкоМария ВикторовнаOnoykoMaria V.
Russian Federation
onoykomary@gmail.comhttps://orcid.org/0000-0002-1266-49266897-9641MershinaElena A.МершинаЕлена АлександровнаMershinaElena A.
Russian Federation

MD, Cand. Sci. (Med), Associate Professor

канд. мед. наук, доцент

MD, Cand. Sci. (Med), Associate Professor

elena_mershina@mail.ruhttps://orcid.org/0000-0002-7542-81898331-3656GeorginovaOlga A.ГеоргиноваОльга АнатольевнаGeorginovaOlga A.
Russian Federation

MD, Cand. Sci. (Med), Assistant Professor

канд. мед. наук, доцент

MD, Cand. Sci. (Med), Assistant Professor

olga.georginova@gmail.comhttps://orcid.org/0000-0001-7533-9867PlotnikovaMaria L.ПлотниковаМария ЛеонидовнаPlotnikovaMaria L.
Russian Federation
maria_plotnikova@inbox.ruhttps://orcid.org/0000-0002-5367-280XPanyukovaAlexandra V.ПанюковаАлександра ВадимовнаPanyukovaAlexandra V.
Russian Federation
panyukovaalexandra@gmail.comhttps://orcid.org/0000-0002-5649-21938449-6590SinitsynValentin E.СиницынВалентин ЕвгеньевичSinitsynValentin E.
Russian Federation

MD, Dr. Sci. (Med), Professor

д-р мед. наук, профессор

MD, PhD, Professor, Medical Research and Educational Center

vsini@mail.ruLomonosov Moscow State UniversityМосковский государственный университет имени М.В. ЛомоносоваLomonosov Moscow State University2705202312072023421972130804202311052023Copyright ©; 2023, Eco-VectorCopyright ©; 2023, Эко-векторCopyright ©; 2023, Eco-Vector2023Eco-VectorЭко-векторEco-Vectorhttps://creativecommons.org/licenses/by-nc-nd/4.0https://jdigitaldiagnostics.com/DD/article/view/322758

The importance of dual-energy computed tomography in the diagnosis of gout, the principles of dual-energy computed tomography, the accuracy of the methodology, and the types of artifacts are discussed in this study. The possible dependence of the presence of deposits of sodium monourate on other clinical data and the role of dual-energy computed tomography in the differential diagnosis of other crystalline arthropathies are considered.

The dual-energy computed tomography has several advantages, including noninvasiveness, speed of execution, and a significant reduction in the risk of iatrogenic consequences compared with diagnostic arthrocentesis, which is the gold standard in diagnosing gout. Dual-energy computed tomography can accomplish gout detection, treatment, and differential diagnosis.

В статье обсуждается принцип работы двухэнергетической компьютерной томографии, её диагностическая точность, наиболее часто встречаемые виды артефактов. Рассматривается возможная зависимость наличия депозитов моноурата натрия при выполнении двухэнергетической компьютерной томографии от других клинических данных, значение двухэнергетической компьютерной томографии в диагностике подагры, её роль в дифференциальной диагностике кристаллических артропатий.

Метод двухэнергетической компьютерной томографии имеет ряд преимуществ по сравнению с диагностическим артроцентезом, являющимся золотым стандартом в диагностике подагры: неинвазивность, скорость выполнения, многократное снижение риска ятрогенных осложнений. Выявление подагры, контроль эффективности лечения, возможность проведения дифференциальной диагностики ― все эти задачи могут реализоваться с помощью двухэнергетической компьютерной томографии.

本文讨论了双能量计算机断层扫描的操作原理、其诊断准确性以及最常见的伪影类型。考虑了在双能量计算机断层扫描过程中，单钠尿酸盐沉积的存在对其他临床数据的可能依赖性，双能量计算机断层扫描在诊断痛风中的意义以及其在结晶性关节病的鉴别诊断中的作用。

与作为诊断痛风金标准的诊断性关节穿刺术相比，双能量计算机断层扫描有几个优点：无创性、执行速度、医源性并发症风险的多次减少。痛风的检测、治疗效果的监测、鉴别诊断的可能性，都是可以通过双能量计算机断层扫描来实现的。

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