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The gold standard for the diagnosis of gout is the demonstration of negatively birefringent, needle\u2010shaped <jats:styled-content style=\"fixed-case\">MSU<\/jats:styled-content> crystals through synovial fluid aspiration. However, this is an invasive technique and may not always be conclusive or feasible. Imaging techniques have been developed to aid in diagnosis of gout non\u2010invasively. Radiography has a low utility in the early diagnosis of gout and demonstrates erosions in late stages. Ultrasound (<jats:styled-content style=\"fixed-case\">US<\/jats:styled-content>) has a high overall sensitivity in diagnosing gout with the \u2018double contour\u2019 sign having a high specificity. Magnetic resonance imaging is good at detecting tophi, bone marrow oedema and erosions, but has a limited role in diagnosis because of its high cost and limited availability. Conventional computed tomography (<jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content>) has no role in the routine diagnosis of gout before development of erosions and tophi. A newer technology, dual\u2010energy <jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content> (<jats:styled-content style=\"fixed-case\">DECT<\/jats:styled-content>) has been shown to be able to detect <jats:styled-content style=\"fixed-case\">MSU<\/jats:styled-content> crystals burden with high accuracy. It has a higher specificity and lower sensitivity that <jats:styled-content style=\"fixed-case\">US<\/jats:styled-content> in gout diagnosis. However, because of radiation exposure and cost, it has a better utility in diagnosing clinically suspected gout complicated by other concurrent rheumatologic conditions or if radiography, <jats:styled-content style=\"fixed-case\">US<\/jats:styled-content> and synovial aspiration are inconclusive or not feasible. This paper will review the clinico\u2010pathologic and imaging features of gouty arthropathy.<\/jats:p>","DOI":"10.1111\/1754-9485.12356","type":"journal-article","created":{"date-parts":[[2015,10,6]],"date-time":"2015-10-06T03:28:43Z","timestamp":1444102123000},"page":"9-20","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Gouty arthropathy: Review of clinico\u2010pathologic and imaging features"],"prefix":"10.1111","volume":"60","author":[{"given":"Nishanthinie","family":"Parathithasan","sequence":"first","affiliation":[{"name":"Department of Medical Imaging St Vincent's Hospital, University of Melbourne  Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wai\u2010Kit","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Medical Imaging St Vincent's Hospital, University of Melbourne  Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcus","family":"Pianta","sequence":"additional","affiliation":[{"name":"Department of Medical Imaging St Vincent's Hospital, University of Melbourne  Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shereen","family":"Oon","sequence":"additional","affiliation":[{"name":"Department of Rheumatology St Vincent's Hospital, University of Melbourne  Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Warren","family":"Perera","sequence":"additional","affiliation":[{"name":"Department of Medical Imaging St Vincent's Hospital, University of Melbourne  Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,10,5]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.22466"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1524-4733.2007.00173.x"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/kem150"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/0091-7435(83)90243-8"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-143-7-200510040-00009"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1155\/2013\/673401"},{"key":"e_1_2_7_8_1","unstructured":"BeckerMA SchumacherRA.Clinical manifestations and diagnosis of Gout [Internet]. 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