Sensitivity and Accuracy Analysis of Muscle Bone Ultrasound Combined with CT Energy Spectrum Imaging in Different Clinical Stages of Gout Patients
Objective:To study the application value of muscle bone ultrasound combined with CT energy spectrum imaging in different clinical stages of gout patients.Method:A retrospective analysis was conducted on the clinical data of 66 patients with suspected gout who underwent muscle bone ultrasound and CT energy spectrum examination in Huizhou Hospital Affiliated to Guangzhou Medical University from January 2021 to June 2023.Joint puncture and microscopic examination of monosodium urate crystals were used as the diagnostic"gold standard",The diagnostic efficacy(sensitivity,accuracy)of and single muscle bone ultrasound,CT energy spectrum imaging diagnosis and the combination of the two for gout were compared,as well as the diagnostic coincidence rate for gout at different clinical stages(acute stage,intermittent attack stage,chronic arthritis stage),while the muscle bone ultrasound and CT energy spectrum imaging characteristics of gout patients at different clinical stages were analyzed.Result:The diagnostic sensitivity(100%)and accuracy(96.97%)of muscle bone ultrasound combined with CT energy spectrum imaging were higher than those of single muscle bone ultrasound(85.96%,77.27%)and CT energy spectrum imaging(89.47%,81.82%)(P<0.05).The diagnostic accuracy of muscle bone ultrasound combined with CT energy spectrum imaging in acute stage,intermittent attack stage,and chronic arthritis stages was higher than those of single muscle bone ultrasound and CT energy spectrum imaging(P<0.05).Conclusion:The use of muscle bone ultrasound combined with CT energy spectrum imaging in gout patients can improve diagnostic sensitivity and accuracy,and accurately determine the clinical period of the patient.It has important guiding value in clinical treatment.
GoutClinical stageMuscle bone ultrasoundCT energy spectrum imagingSensitivityAccuracy
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