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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">surgumed</journal-id><journal-title-group><journal-title xml:lang="ru">Вестник СурГУ. Медицина</journal-title><trans-title-group xml:lang="en"><trans-title>Vestnik SurGU. Meditsina</trans-title></trans-title-group></journal-title-group><issn pub-type="epub">2949-3447</issn><publisher><publisher-name>Сургутский государственный университет</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.35266/2949-3447-2025-1-6</article-id><article-id custom-type="elpub" pub-id-type="custom">surgumed-831</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>КЛИНИЧЕСКАЯ МЕДИЦИНА. ОРИГИНАЛЬНОЕ ИССЛЕДОВАНИЕ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CLINICAL MEDICINE. ORIGINAL RESEARCH</subject></subj-group></article-categories><title-group><article-title>ДВУХЭНЕРГЕТИЧЕСКАЯ КОМПЬЮТЕРНАЯ ТОМОГРАФИЯ В ДИАГНОСТИКЕ ПОДАГРЫ</article-title><trans-title-group xml:lang="en"><trans-title>DUAL-ENERGY COMPUTED TOMOGRAPHY IN DIAGNOSIS OF GOUT</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0002-9766-6986</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ким</surname><given-names>Т. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Kim</surname><given-names>T. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>аспирант</p></bio><bio xml:lang="en"><p>Postgraduate</p></bio><email xlink:type="simple">pavel.kim.08@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1321-7861</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Удодов</surname><given-names>В. Д.</given-names></name><name name-style="western" xml:lang="en"><surname>Udodov</surname><given-names>V. D.</given-names></name></name-alternatives><bio xml:lang="ru"><p>кандидат медицинских наук, доцент</p></bio><bio xml:lang="en"><p>Candidate of Sciences (Medicine), Docent</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5903-3662</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Погоченкова</surname><given-names>Д. А.</given-names></name></name-alternatives><bio xml:lang="ru"><p>кандидат медицинских наук, заведующий</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0000-1044-0630</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Фёдорова</surname><given-names>Е. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Fedorova</surname><given-names>E. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>ассистент</p></bio><bio xml:lang="en"><p> Assistant Professor</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-8812-4168</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Дегтярев</surname><given-names>И. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Degtyarev</surname><given-names>I. Yu.</given-names></name></name-alternatives><bio xml:lang="ru"><p>ассистент</p></bio><bio xml:lang="en"><p>Assistant Professor</p><p> </p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0001-6206-6772</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Балабенко</surname><given-names>А. О.</given-names></name><name name-style="western" xml:lang="en"><surname>Balabenko</surname><given-names>A. O.</given-names></name></name-alternatives><bio xml:lang="ru"><p>аспирант</p></bio><bio xml:lang="en"><p>Postgraduate</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0025-2147</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Зоркальцев</surname><given-names>М. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Zorkaltsev</surname><given-names>M. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>доктор медицинских наук, доцент</p></bio><bio xml:lang="en"><p>Doctor of Sciences (Medicine), Docent</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6231-7650</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Завадовская</surname><given-names>В. Д.</given-names></name><name name-style="western" xml:lang="en"><surname>Zavadovskaya</surname><given-names>V. D.</given-names></name></name-alternatives><bio xml:lang="ru"><p>доктор медицинских наук, профессор, исполняющий обязанности заведующего</p></bio><bio xml:lang="en"><p>Doctor of Sciences (Medicine), Professor, Deputy Head of the Department</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Сибирский государственный медицинский университет Минздрава России, Томск</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Siberia State Medical University, Tomsk</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Медицинский центр «Профессор», Сибирский государственный медицинский университет Минздрава России, Томск</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Medical Center “Professor” of Siberia State Medical University, Tomsk</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>04</day><month>04</month><year>2025</year></pub-date><volume>18</volume><issue>1</issue><fpage>54</fpage><lpage>60</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Ким Т.В., Удодов В.Д., Погоченкова Д.А., Фёдорова Е.И., Дегтярев И.Ю., Балабенко А.О., Зоркальцев М.А., Завадовская В.Д., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Ким Т.В., Удодов В.Д., Погоченкова Д.А., Фёдорова Е.И., Дегтярев И.Ю., Балабенко А.О., Зоркальцев М.А., Завадовская В.Д.</copyright-holder><copyright-holder xml:lang="en">Kim T.V., Udodov V.D., Погоченкова Д.А., Fedorova E.I., Degtyarev I.Y., Balabenko A.O., Zorkaltsev M.A., Zavadovskaya V.D.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.surgumed.ru/jour/article/view/831">https://www.surgumed.ru/jour/article/view/831</self-uri><abstract><p>Цель данного исследования – изучение диагностической эффективности двухэнергетической компьютерной томографии в диагностике подагры, в том числе в различные сроки заболевания. В исследование включен 91 пациент с подозрением на подагру, которым было проведено сканирование стоп с захватом голеностопных областей. Двухэнергетическая компьютерная томография показала достаточно высокие показатели чувствительности, специфичности и точности (88,5, 86,6 и 87,9 % соответственно). В зависимости от продолжительности заболевания двухэнергетичская компьютерная томография показала тенденцию к снижению чувствительности в дебюте заболевания (73, 6 %), когда при более продолжительном сроке заболевания чувствительность была высокой (95 %).</p></abstract><trans-abstract xml:lang="en"><p>The aim of this study is to investigate the diagnostic efficiency of dual-energy computed tomography in the diagnosis of gout, including different stages of the disease. The study includs 91 patients with suspected gout, who underwent feet scanning including ankle areas. Dual-energy computed tomography showed high sensitivity, specificity and accuracy (88.5%, 86.6% and 87.9%, respectively). Depending on the course of the disease, dual-energy computed tomography shows a tendency to decrease sensitivity at the onset of the disease (73.6%), whereas at a longer duration of the disease, the sensitivity is high (95%).</p></trans-abstract><kwd-group xml:lang="ru"><kwd>подагрический артрит</kwd><kwd>тофус</kwd><kwd>кристалл моноурата натрия</kwd><kwd>диагностика подагры</kwd><kwd>двухэнергетическая компьютерная томография</kwd></kwd-group><kwd-group xml:lang="en"><kwd>gouty arthritis</kwd><kwd>tophus</kwd><kwd>monosodium urate crystal</kwd><kwd>gout diagnosis</kwd><kwd>dual-energy computed</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Bursill D., Taylor W. J., Terkeltaub R. et al. Gout, Hyperuricemia, and Crystal-Associated Disease Network Consensus Statement Regarding Labels and Definitions for Disease Elements in Gout // Arthritis Care &amp; Research. 2019. Vol. 71, no. 3. P. 427–434. https://doi.org/10.1002/acr.23607.</mixed-citation><mixed-citation xml:lang="en">Bursill D., Taylor W. J., Terkeltaub R. et al. Gout, Hyperuricemia, and Crystal-Associated Disease Network Consensus Statement Regarding Labels and Definitions for Disease Elements in Gout // Arthritis Care &amp; Research. 2019. Vol. 71, no. 3. P. 427–434. https://doi.org/10.1002/acr.23607.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Marty-Ané A., Norberciak L., Andrès M. et al. Crystal deposition measured with dual-energy computed tomography: association with mortality and cardiovascular risks in gout // Rheumatology. 2021. Vol. 60, no. 10. P. 4855–4860. https://doi.org/10.1093/rheumatology/keaa920.</mixed-citation><mixed-citation xml:lang="en">Marty-Ané A., Norberciak L., Andrès M. et al. Crystal deposition measured with dual-energy computed tomography: association with mortality and cardiovascular risks in gout // Rheumatology. 2021. Vol. 60, no. 10. P. 4855–4860. https://doi.org/10.1093/rheumatology/keaa920.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Подагра : клинические рекомендации. 2018. URL: https://library.mededtech.ru/rest/documents/cr_174/?ysclid=m7x-9rl1d73712497237 (дата обращения: 25.02.2025).</mixed-citation><mixed-citation xml:lang="en">Подагра : клинические рекомендации. 2018. URL: https://library.mededtech.ru/rest/documents/cr_174/?ysclid=m7x-9rl1d73712497237 (дата обращения: 25.02.2025).</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Zhong H., Wang M., Zhang H. et al. Gout of feet and ankles in different stages: The potentiality of a new semiquantitative DECT scoring system in monitoring urate deposition // Medicine. 2023. Vol. 102, no. 3. https://doi.org/10.1097/MD.0000000000032722.</mixed-citation><mixed-citation xml:lang="en">Zhong H., Wang M., Zhang H. et al. Gout of feet and ankles in different stages: The potentiality of a new semiquantitative DECT scoring system in monitoring urate deposition // Medicine. 2023. Vol. 102, no. 3. https://doi.org/10.1097/MD.0000000000032722.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Davies J., Riede P., van Langevelde K. et al. Recent developments in advanced imaging in gout // Therapeutic Advances in Musculoskeletal Disease. 2019. Vol. 11. https://doi.org/10.1177/1759720X19844429.</mixed-citation><mixed-citation xml:lang="en">Davies J., Riede P., van Langevelde K. et al. Recent developments in advanced imaging in gout // Therapeutic Advances in Musculoskeletal Disease. 2019. Vol. 11. https://doi.org/10.1177/1759720X19844429.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Sivera F., Andres M., Dalbeth N. A glance into the future of gout // Therapeutic Advances in Musculoskeletal Disease. 2022. Vol. 14. https://doi.org/10.1177/1759720X221114098.</mixed-citation><mixed-citation xml:lang="en">Sivera F., Andres M., Dalbeth N. A glance into the future of gout // Therapeutic Advances in Musculoskeletal Disease. 2022. Vol. 14. https://doi.org/10.1177/1759720X221114098.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Shen G., Su M., Liu B. et al. A Case of tophaceous pseudogout on 18F-FDG PET/CT imaging // Clinical Nuclear Medicine. 2019. Vol. 44, no. 2. P. e98–e100. https://doi.org/10.1097/RLU.0000000000002308.</mixed-citation><mixed-citation xml:lang="en">Shen G., Su M., Liu B. et al. A Case of tophaceous pseudogout on 18F-FDG PET/CT imaging // Clinical Nuclear Medicine. 2019. Vol. 44, no. 2. P. e98–e100. https://doi.org/10.1097/RLU.0000000000002308.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Birk A., Wörtler K., Mogler C. et al. Tophaceous gout as a differential diagnosis of preauricular tumor // HNO. 2023. Vol. 71. P. 114–117. https://doi.org/10.1007/s00106-022-01253-y.</mixed-citation><mixed-citation xml:lang="en">Birk A., Wörtler K., Mogler C. et al. Tophaceous gout as a differential diagnosis of preauricular tumor // HNO. 2023. Vol. 71. P. 114–117. https://doi.org/10.1007/s00106-022-01253-y.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Matos T. D., Teixeira K. O., Fleury R. B. C. et al. Cervical myelopathy secondary to gout: Case report. Revista Brasileira de Ortopedia. 2020;55(6):796–799. https://doi.org/10.1055/s-0040-1708514.</mixed-citation><mixed-citation xml:lang="en">Matos T. D., Teixeira K. O., Fleury R. B. C. et al. Cervical myelopathy secondary to gout: Case report. Revista Brasileira de Ortopedia. 2020;55(6):796–799. https://doi.org/10.1055/s-0040-1708514.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Jiao B., Liu S., Zhuang Y. et al. Lumbosacral paravertebral tophaceous gout on an adolescent mimicking malignant neoplasm in 18F-FDG PET/CT // Clinical Nuclear Medicine. 2024. Vol. 49, no. 1. P. 91–92. https://doi.org/10.1097/RLU.0000000000004962.</mixed-citation><mixed-citation xml:lang="en">Jiao B., Liu S., Zhuang Y. et al. Lumbosacral paravertebral tophaceous gout on an adolescent mimicking malignant neoplasm in 18F-FDG PET/CT // Clinical Nuclear Medicine. 2024. Vol. 49, no. 1. P. 91–92. https://doi.org/10.1097/RLU.0000000000004962.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Emsen B., Fitoussi A., Chalaye J. et al. FDG PET/CT of cervical gout with spinal cord compression // Clinical Nuclear Medicine. 2020. Vol. 45, no. 1. P. e29–e31. https://doi.org/10.1097/ RLU.0000000000002772.</mixed-citation><mixed-citation xml:lang="en">Emsen B., Fitoussi A., Chalaye J. et al. FDG PET/CT of cervical gout with spinal cord compression // Clinical Nuclear Medicine. 2020. Vol. 45, no. 1. P. e29–e31. https://doi.org/10.1097/ RLU.0000000000002772.</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Lee Y. H., Song G. G. Diagnostic accuracy of dual-energy computed tomography in patients with gout: A meta-analysis // Seminars in Arthritis and Rheumatism. 2017. Vol. 47, no. 1. P. 95–101.https://doi.org/10.1016/j.semarthrit.2017.03.002.</mixed-citation><mixed-citation xml:lang="en">Lee Y. H., Song G. G. Diagnostic accuracy of dual-energy computed tomography in patients with gout: A meta-analysis // Seminars in Arthritis and Rheumatism. 2017. Vol. 47, no. 1. P. 95–101.https://doi.org/10.1016/j.semarthrit.2017.03.002.</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Carotti M., Salaffi F., Filippucci E. et al. Clinical utility of Dual Energy Computed Tomography in gout: Current concepts and applications // Acta Bio-medica: Atenei Parmensis. 2020. Vol. 91, no. 8-S. P. 116–124. https://doi.org/10.23750/abm.v91i8-S.9942.</mixed-citation><mixed-citation xml:lang="en">Carotti M., Salaffi F., Filippucci E. et al. Clinical utility of Dual Energy Computed Tomography in gout: Current concepts and applications // Acta Bio-medica: Atenei Parmensis. 2020. Vol. 91, no. 8-S. P. 116–124. https://doi.org/10.23750/abm.v91i8-S.9942.</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Kravchenko D., Karakostas P., Kuetting D. et al. The role of dual energy computed tomography in the differentiation of acute gout flares and acute calcium pyrophosphate crystal arthritis // Clinical Rheumatology. 2022. Vol. 41. P. 223–233. https://doi.org/10.1007/s10067-021-05949-4.</mixed-citation><mixed-citation xml:lang="en">Kravchenko D., Karakostas P., Kuetting D. et al. The role of dual energy computed tomography in the differentiation of acute gout flares and acute calcium pyrophosphate crystal arthritis // Clinical Rheumatology. 2022. Vol. 41. P. 223–233. https://doi.org/10.1007/s10067-021-05949-4.</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Shang J., Li X.-H., Lu S.-Q. et al. Gout of feet and ankles in different disease durations: diagnostic value of single-source DECT and evaluation of urate deposition with a novel semi-quantitative DECT scoring system // Advances in Rheumatology. 2021. Vol. 61.https://doi.org/10.1186/s42358-021-00194-4.</mixed-citation><mixed-citation xml:lang="en">Shang J., Li X.-H., Lu S.-Q. et al. Gout of feet and ankles in different disease durations: diagnostic value of single-source DECT and evaluation of urate deposition with a novel semi-quantitative DECT scoring system // Advances in Rheumatology. 2021. Vol. 61.https://doi.org/10.1186/s42358-021-00194-4.</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Clebak K. T., Morrison A., Croad J. R. Gout: Rapid evidence review // American Family Physician. 2020. Vol. 102, no. 9. P. 533–538.</mixed-citation><mixed-citation xml:lang="en">Clebak K. T., Morrison A., Croad J. R. Gout: Rapid evidence review // American Family Physician. 2020. Vol. 102, no. 9. P. 533–538.</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Reijnierse M., Schwabl C., Klauser A. Imaging of crystal disorders: Calcium pyrophosphate dihydrate crystal deposition disease, calcium hydroxyapatite crystal deposition disease and gout pathophysiology,imaging, and diagnosis // Radiologic Clinics of North America. 2022. Vol. 60, no. 4. P. 641–656. https://doi.org/10.1016/j.rcl.2022.03.007.</mixed-citation><mixed-citation xml:lang="en">Reijnierse M., Schwabl C., Klauser A. Imaging of crystal disorders: Calcium pyrophosphate dihydrate crystal deposition disease, calcium hydroxyapatite crystal deposition disease and gout pathophysiology,imaging, and diagnosis // Radiologic Clinics of North America. 2022. Vol. 60, no. 4. P. 641–656. https://doi.org/10.1016/j.rcl.2022.03.007.</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Shang J., Zhou L.-P., Wang H. et al. Diagnostic performance of dual-energy CT versus ultrasonography in gout: A meta-analysis // Academic Radiology. 2022. Vol. 29, no. 1. P. 56–68. https://doi.org/10.1016/j.acra.2020.08.030.</mixed-citation><mixed-citation xml:lang="en">Shang J., Zhou L.-P., Wang H. et al. Diagnostic performance of dual-energy CT versus ultrasonography in gout: A meta-analysis // Academic Radiology. 2022. Vol. 29, no. 1. P. 56–68. https://doi.org/10.1016/j.acra.2020.08.030.</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Baffour F. I., Ferrero A., Aird G. A. et al. Evolving role of dual-energy CT in the clinical workup of gout: A retrospective study // American Journal of Roentgenology. 2022. Vol. 218, no. 6. P. 1041–1050. https://doi.org/10.2214/AJR.21.27139.</mixed-citation><mixed-citation xml:lang="en">Baffour F. I., Ferrero A., Aird G. A. et al. Evolving role of dual-energy CT in the clinical workup of gout: A retrospective study // American Journal of Roentgenology. 2022. Vol. 218, no. 6. P. 1041–1050. https://doi.org/10.2214/AJR.21.27139.</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">Abdellatif W., Ding J., Khorshed D. et al. Unravelling the mysteries of gout by multimodality imaging // Seminars in Arthritis and Rheumatism. 2020. Vol. 50, no. 3S. P. S17–S23. https://doi.org/10.1016/j.semarthrit.2020.04.009.</mixed-citation><mixed-citation xml:lang="en">Abdellatif W., Ding J., Khorshed D. et al. Unravelling the mysteries of gout by multimodality imaging // Seminars in Arthritis and Rheumatism. 2020. Vol. 50, no. 3S. P. S17–S23. https://doi.org/10.1016/j.semarthrit.2020.04.009.</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
