Comparison Between Dual-Energy Computed Tomography and Ultrasound in the Diagnosis of Gout of Various Joints

For detection of MSU crystal deposition in the upper limb joints, DECT was superior to ultrasound, whereas there was no difference between the two methods for the lower limbs. Therefore, ultrasound can be used for primary screening, and DECT afterward. Although the modalities are similar in making the initial diagnosis, DECT is far superior at displaying the anatomic extent of the disease.