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Báo cáo y học: "Imaging of gout: findings and utility"

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Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học General Psychiatry cung cấp cho các bạn kiến thức về ngành y đề tài:Imaging of gout: findings and utility. | Available online http arthritis-research.eom content 11 3 232 Review Gout Imaging of gout findings and utility Fernando Perez-Ruiz1 Nicola Dalbeth2 Aranzazu Urresola3 Eugenio de Miguel4 and Naomi Schlesinger5 1 Rheumatology Division Hospital de Cruces Pza. Cruces sn 48903 Baracaldo Vizcaya Spain 2Department of Medicine University of Auckland 85 Park Rd Garfton New Zealand 3Radiology Division Hospital de Cruces Pza. Cruces sn 48903 Baracaldo Vizcaya Spain 4Rheumatology Division Hospital La Paz 28034 Madrid Spain 5Division of Rheumatology Department of Medicine UMDNJ - Robert Wood Johnson Medical School New Brunswick NJ 08903-0019 USA Corresponding author Fernando Perez-Ruiz fernando.perezruiz@osakidetza.net Published 17 June 2009 This article is online at http arthritis-research.com content 11 3 232 2009 BioMed Central Ltd Arthritis Research Therapy 2009 11 232 doi 10.1186 ar2687 Abstract Imaging is a helpful tool for clinicians to evaluate diseases that induce chronic joint inflammation. Chronic gout is associated with changes in joint structures that may be evaluated with diverse imaging techniques. Plain radiographs show typical changes only in advanced chronic gout. Computed tomography may best evaluate bone changes whereas magnetic resonance imaging is suitable to evaluate soft tissues synovial membrane thickness and inflammatory changes. Ultrasonography is a tool that may be used in the clinical setting allowing evaluation of cartilage soft tissues urate crystal deposition and synovial membrane inflammation. Also ultrasound-guided puncture may be useful for obtaining samples for crystal observation. Any of these techniques deserve some consideration for feasibility and implementation both in clinical practice and as outcome measures for clinical trials. In clinical practice they may be considered mainly for evaluating the presence and extent of crystal deposition and structural changes that may impair function or functional outcomes and also to monitor the .

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