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ACR Journals On Air

DECT and Gout Remission

Nov 12, 2024
Nicola Dalbeth, a renowned professor and head of medicine at the University of Auckland, and Dr. Dansoa Tabi-Amponsah delve into innovative gout treatment strategies. They highlight the game-changing role of Dual-Energy CT (DECT) in visualizing urate crystals, enhancing patient care and remission possibilities. Discussions also cover defining gout remission criteria, ongoing research to predict patient outcomes, and the significance of early intervention in chronic gout management. Their insights shed light on future approaches to effectively fighting gout.
32:50

Episode guests

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Quick takeaways

  • The introduction of Dual-Energy CT (DECT) is revolutionizing the visualization of urate crystals, enhancing patient care and management strategies for gout.
  • Establishing rigorous criteria for gout remission highlights the ongoing challenges in treatment, necessitating a deeper understanding of patient conditions and crystal burden.

Deep dives

Importance of Gout Remission Criteria

A consensus was established to define preliminary criteria for achieving gout remission, recognizing it as a crucial treatment goal. The criteria include low levels of pain, low patient global assessment scores, absence of TOFI and gout flares, and serum urate levels below six milligrams per deciliter. These rigorous benchmarks make it challenging for patients to meet remission, necessitating ongoing efforts to validate and potentially simplify the definition. The study aims to investigate whether baseline variables can predict remission for patients undergoing urate-lowering therapy.

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