Park Eun Hae, O'Donnell Thomas, Fritz Jan
Division of Musculoskeletal Radiology, Department of Radiology, NYU Grossman School of Medicine, New York, USA; Department of Radiology, Research Institute of Clinical Medicine of Jeonbuk National University-Biomedical Research Institute of Jeonbuk National University Hospital, Geonjiro 20, Deokjin-gu, Jeonju, Jeollabukdo 54907, Republic of Korea.
CT Research Collaborations Siemens Healthineers, Malvern PA, USA.
Rheum Dis Clin North Am. 2025 May;51(2):361-382. doi: 10.1016/j.rdc.2025.01.009.
Dual-energy computed tomography (DECT) has emerged as a transformative tool in the past decade. Initially employed in gout within the field of rheumatology to distinguish and quantify monosodium urate crystals through its dual-material discrimination capability, DECT has since broadened its clinical applications. It now encompasses various rheumatic diseases, employing advanced techniques such as bone marrow edema assessment, iodine mapping, and collagen-specific imaging. This review article aims to examine the unique characteristics of DECT, discuss its strengths and limitations, illustrate its applications for accurately evaluating various rheumatic diseases in clinical practice, and propose future directions for DECT in rheumatology.
在过去十年中,双能计算机断层扫描(DECT)已成为一种变革性工具。DECT最初在风湿病领域用于痛风,通过其双物质鉴别能力来区分和量化尿酸钠晶体,此后其临床应用范围不断扩大。现在它涵盖了各种风湿性疾病,采用了诸如骨髓水肿评估、碘成像和胶原特异性成像等先进技术。这篇综述文章旨在探讨DECT的独特特性,讨论其优势和局限性,阐述其在临床实践中准确评估各种风湿性疾病的应用,并提出DECT在风湿病学领域的未来发展方向。