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To examine the accuracy of dual-energy computed tomography (DECT) vs ultrasound or their combination for the diagnosis of gout. Using prospectively collected data from an outpatient rheumatology clinic at a tertiary-care hospital, we examined the diagnostic accuracy of either modality alone or their combination, by anatomical site (feet/ankles and/or knees), for the diagnosis of gout. We used two standards (1) demonstration of monosodium urate crystals in synovial fluid (gold), and (2) modified (excluding DECT and ultrasound) 2015 ACR-
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