Dual-energy CT images. Dual-energy CT images. Arrows indicate MSU deposition (MSU deposits colour coded in green). (A) Subject accuracy study with acute.

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Dual-energy CT images. Dual-energy CT images. Arrows indicate MSU deposition (MSU deposits colour coded in green). (A) Subject accuracy study with acute gouty arthritis of the wrist (three-dimensional (3D) reconstruction image); (B) Subject accuracy study with advanced osteoarthritis of the knee, synovial fluid analysis negative for MSU crystals; (C) Subject diagnostic yield study with elbow pain and swelling, synovial fluid analysis negative for MSU crystals; (D) Subject diagnostic yield study with knee pain and swelling, synovial fluid analysis negative for MSU crystals. MSU, monosodium urate. Tim Bongartz et al. Ann Rheum Dis 2015;74:1072-1077 ©2015 by BMJ Publishing Group Ltd and European League Against Rheumatism